ABSTRACT
The COVID-19 pandemic has generated a public health emergency around the world. The risk, severity, and mortality of the disease has been associated to chronic diseases, such as diabetes mellitus. There are multiple patho-physiological explanations that relate these two entities. The possibility of a bidirectional relationship between COVID-19 and diabetes mellitus type 1 and 2 has been raised. Most studies agree that diabetes mellitus of any etiology is associated with a negative outcome of the infection. Also, CO-VID-19 can cause a worsening of glycemic control and can be a trigger for the development of diabetes mellitus type 1.Copyright © 2023 Universidad de Antioquia.
ABSTRACT
Background A paradigm shift appears to be occurring with overwhelming evidence of trans-radial access (TRA) being a safe and feasible approach for peripheral interventions compared to trans-femoral access (TFA). Our study explores the additional, multifactorial benefits of TRA regarding perioperative times, radiation, contrast administration, and cost-savings for patients and hospitals during Covid era. Methods A retrospective review of all peripheral interventions were performed over two years to outline the advantages and limitations of TRA compared to TFA approach. Patient demographics, procedural time, contrast usage, and radiation dose were recorded and analyzed. Hospital discharges and bed utilization were also studied. Results Total of 170 procedures performed via radial access were evaluated and compared to a control population of n=20 femoral access procedures. Procedural success rate for all interventions was 100% with 10% of cases presenting with acute limb ischemia and 90% presenting with chronic limb ischemia. A two-fold decrease in procedural time for TRA was evident in our analysis compared to the procedures conducted via TFA (81 +/- 43 mins vs. 164 +/- 36 mins, respectively). Furthermore, contrast usage and radiation absorption in TRA procedures decreased dramatically, adding to the potential cost-saving and safety measures for the patient and hospital system. Conclusion While current TRA limitations include operator experience, length of devices, and sheath sizes, the overall benefits of TRA over traditional TFA management cannot be ignored. TRA approach is undoubtedly a safe, feasible, efficient, and cost-saving route for peripheral interventions. It is here to stay as the present and future of diagnosing and treating peripheral arterial disease.Copyright © 2023 American College of Cardiology Foundation
ABSTRACT
COVID-19 caused a total halt in sport competition during 2020. The purpose of this study was to analyse the changes between pre- and post-lockdown competitive periods in the players’ workload variables in competition. Seventeen professional football players were monitored using a WIMU PRO® inertial device throughout the 2019-20 season. Anthropometric and physical fitness were assessed with the aim to relate possible associations between these characteristics and the workload changes in the pre- and post-lockdown periods. During the lockdown, players carried out an 8-week guided self-training. There was a general decrement in the players’ physical workload demands in competition, and the parameters related to high-intensity actions as accelerations and decelerations (-8.96% [ES: 0.64] and -11.04% [ES: 0.77] respectively;p < .05), Ind HSR (-35.57% [ES: 0.92];p = .002), HMLD (-8.58% [ES: 0.66];p = .016), PLOAD (-7.03% [ES: 0.54];p = .047) and Vmax (-3.80% [ES: 0.65];p = .016) can be highlighted. The results showed high negative correlations between match workload variables prior to the lockdown and the percentage of change in these variables after the lockdown period. Individual percentages of change showed high variability in players’ changes. Individual self-training programs should be reviewed to minimize the impact of a “detraining” period in players’ physical performance during possible new lockdown periods. © 2022 Revista Internacional de Ciencias del Deporte. All rights reserved.
Subject(s)
COVID-19 , Chickenpox , Coinfection , Pneumonia , Chickenpox/complications , Humans , SARS-CoV-2ABSTRACT
The Covid-19 pandemic caused different governments to implement confinement measures and put in place information strategies aimed at their citizens to mitigate the sycosis. Therefore, those who have media communication must ensure the circulation of information in a responsible manner, which contributes to democracy and favoring a improve the state of animic of society. This situation has been exploited by the media that operate in open and digital spaces, its contribution has been relevant to establish a collective awareness. In addition to being a historic opportunity for local media to recover audiences and strengthen themselves as media for proximity. The investigation carried out on the Facebook social network of thirteen mediums Ecuador confirms it. The content proximity supplemented the information needs. The information management of local media produced exponential growth on Facebook, as measured by engagement (I like, comments and shares). © 2020, Associacao Iberica de Sistemas e Tecnologias de Informacao. All rights reserved.