Fear of making a mistake-Largest cause of stress for staff in COVID-19 ICU's

Background: Work stress among healthcare staff has been identified as an extensive problem already before the pandemic. To be able to treat the surge of COVID-19 patients in need of intensive care COVID-19 ICUs were swiftly set up and staffed. The aim of this study was to investigate what staff perceived as most stressful. Material(s) and Method(s): During spring 2020 up to 270 COVID-19 patients were simultaneously treated in ICU's in the greater Stockholm and Sormland regions, upholding 100 ICU beds pre-pandemic.1 Staff reactions to work in a COVID-19 ICU was collected in a survey. Nine causes for stress were scored on a five graded likert like scale from does not agree to fully agrees. 612 nurses and physicians, both regular ICU staff and newcomers, working in ICU's in 2 larger and 3 smaller hospitals responded, (response rate approx. 35%). Data was analyzed using structural equation modeling to calculate loading of each factor. Result(s): The highest scoring cause of stress was "making a mistake". "Getting infected" got the lowest score among the 9 predefined causes. Conclusion(s): Clinicians working in COVID-19 ICUs were generally confident not to get infected at work. Commitment to maintain patient safety and frustration not to live up to standards of care in this strained situation was reflected in "making a mistake" and "relatives cannot visit" scoring as the number one and three out of the nine causes of stress. Increased knowledge about work-related stressors is crucial, in order to prevent detrimental impacts of such stressors.

The Landscape of Medical Translators and Interpreters During the Coronavirus Pandemic: Terminology, Deontology and Teaching-Learning Resources from the Translation Studies Perspective (English, French, Spanish)

This chapter describes the professional situation that medical translators and interpreters had to face during the COVID-19 pandemic in Spain. Due to the state of alarm declared on 16th March 2020, many people who were born abroad but who were in that moment living, working or in some cases sightseeing in Spain, could not return to their respective countries. As time passed by, the situation got worse, and thus there were thousands of foreign people who got the coronavirus in Spain, many of whom had to be admitted to hospitals. It is in situations like these when medical translators and interpreters are useful due to the logical nervousness of the situation. Even people who speak Spanish feel themselves much more protected and informed if an English/Spanish or French/Spanish specialist can explain to them how their health situation is doing. It was during this period when the Spanish Ministry of Health and many other professional organizations asked for the collaboration of medical translators and interpreters who spoke English, French, German and even Chinese. The following pages contain a glossary with English/French/Spanish terminology regarding all the coronavirus terms that were mainly used within translation and interpreting scenarios, some lecturing proposals from a Translation and Interpreting Teaching-Learning point of view and the description of the deontology for language mediators in situations of despair and uneasiness such as the COVID-19 pandemic. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.

COVID-19 exposure setting, social and gender determinants in a Mediterranean region

BACKGROUND: Knowledge of social and gender determinants, which influence the places where people are exposed to COVID-19, may be relevant in the development of preventive and control strategies. The aim of this paper was to determine the context in which COVID-19 cases were infected (household, work/labor, health, social-health, and social-leisure settings) according to country of origin, occupational social class and gender, which is essential in order to designing public health strategies. METHODS: A cross-sectional study of an epidemiological registry of 56,628 COVID-19 incident cases was made, whose exposure/ contagion setting was studied according to the previous variables from June 15 to December 23, 2020, in the Region of Murcia (Spain). An exact Fisher test was used to study the distribution of COVID-19 cases based on the above variables. RESULTS: The cumulative incidence was higher in people from Africa (5,133.5 cases/100,000 inhabitants) and Latin America (11,351.1) than in non-immigrants (3,145.7). It was also higher in women (3,885.6) than in men (3,572.6). It is noteworthy, that 53.3% of the cases with employment were workers in industry or construction, artisans, agricultural workers, or elementary occupations. In contrast, during the second semester of 2020, 41.3% of the employed population in the Region of Murcia performed such jobs. The household was the main exposure setting (56.5% of cases with a known setting), followed by social-leisure (20.7%) and work/labor (18.2%). The labor settings were more important in immigrants from Africa (28.4%) and Latin America (35.7%) than in non-immigrants (12%), inversely to social-leisure settings. Labor context was more important in women (19.6%) than in men (16.5%) and in manual workers (44.1%) than in non-manual workers (26.6%). CONCLUSIONS: The context in which COVID-19 cases were infected is different according to social inequalities related to country of origin, gender and occupational social class.

Liver failure as a complication of SARS-CoV-2 infection.

OBJECTIVE: To identify the different variables that can cause liver injury in a patient hospitalized for COVID-19. MATERIALS AND METHODS: A prospective cohort study that included patients with COVID-19 who were admitted to the Central University Hospital of the State of Chihuahua from April 2020 to November 2020. A univariate analysis was performed to find the frequencies of demographic characteristics and of the drugs prescribed, as well as a comparison of means of the biochemical parameters using Student's t test. RESULT(S): One hundred thirty-four patients with a confirmed diagnosis of COVID-19 were included, who underwent liver function parameters and averages were obtained on the day of admission, on the fifth day and the last values recorded for improvement or death. Of the parameters, albumin levels showed a significant decrease on the 5th and last day of hospitalization compared to the first day of admission. On the other hand, the levels of alkaline phosphatase, gamma-glutamyl transferase and erythrocyte sedimentation rate increased significantly on the 5th and last day of stay. CONCLUSION(S): There are different mechanisms that can generate liver injury associated with COVID-19. Of these, the uncontrolled inflammatory response that occurs can alter liver function tests. Our results found a relationship between the alteration of different laboratory parameters and the days of hospital stay of patients with the disease.Copyright © 2023 Comunicaciones Cientificas Mexicanas S.A. de C.V.. All rights reserved.

[Impact of Staphylococcus aureus bacteremia in COVID-19 patients]. / Impacto de la bacteriemia por Staphylococcus aureus en pacientes con COVID-19.

OBJECTIVE: The disease caused by SARS-CoV-2 (COVID-19) has been a challenge for healthcare professionals since its appearance. Staphylococcus aureus has been described as one of the main pathogens causing bacterial infections in viral pandemics. However, co- infection with S. aureus causing bacteremia in patients with COVID-19 has yet to be well studied. METHODS: We performed a e study of S. aureus bacteremia (SAB) at Hospital Miguel Servet (Zaragoza) from March 2020 to February 2021. The clinical characteristics, mortality and risk factors of adults hospitalized patients with BSA associated COVID-19 compared to patients without COVID-19. RESULTS: A total of 95 patients with SAB were identified. 27.3% were positive for SARS-CoV-2. SAB represented 9.9% of bacteremia, being the second agent in frequency after E. coli. Nosocomial bacteremia was more frequent in the group of COVID-19 patients. The most frequent source of BSA in these patients was the respiratory source (26.9% vs 0%; P<0.001) followed by the skin (15.5% vs 15.9%; P=1). The development of sepsis was more frequent in COVID-19 patients (61,5% vs 7,8%; P=0,336) and among them, who received dexamethasone at doses > 6 mg/day (62.5% vs. 37.5%, P<0.05). CONCLUSIONS: Our data suggest that BSA has a negative impact on the evolution of patients with COVID-19. However, further and preferably prospective studies are required to obtain solid data on the impact of BSA on coronavirus patients.

Effects of the pandemic on tourism and the Chilean economy, a look from multivariate techniques

The impact of the Covid-19 pandemic has brought dire consequences. The paralysis of a large part of the tourism sector since April 2020 has strongly affected the economy and employment worldwide, leaving without a livelihood a number of people who live and depend on the tourism company. In this context, the present research aims to analyze the effect of the pandemic on tourism in Chile. It is methodologically based on two aspects, first, on the documentary review of different sources that critically analyze the consequences of this health crisis on the economy and tourism, and secondly, on the data processing carried out through the application of the HJ Biplot Multivariate Cubes Model. As the main results of this research, it is evident that the pandemic has caused a decrease in employment and sales in Accommodation Services and Food Services, as well as the arrivals of passengers at Tourist Activity Establishments. It is projected that this study could be a contribution in the construction of public policies that support the reactivation of the national and world economy through tourism. © 2023, Universidade de Aveiro. All rights reserved.

The Ideology of Public Space and the New Urban Hygienism: Tactical Urbanism in Times of Pandemic

This essay interprets the implementation of "tactical urbanism” as the latest step in the urban technocratic project aimed at destroying or at least subduing all actual urban life, thus as a form of urbicide. It presents the case of Barcelona, where in the spring of 2020 the "new municipalism” city council developed several interventions based on tactical urbanism, aiming at guaranteeing a prophylactic environment against the spread of COVID19. Though presented as temporary, these transformations ended up being permanent, combining with other urban policies such as the "superblocks” (supermanzanas), justified as countering climate change. The essay argues that these policies aimed at refurbishing outdoor urban spaces reiterate the hygienist vocation of early nineteenth-century urbanism, born as a "science” precisely in the Catalan capital. The growing influence of tactical urbanism is analyzed in the framework of a left-wing municipal government that attempts to develop a new orientation in city governance and that employs as a crucial discourse a rhetoric of public space as an ethical arena for good citizenship. Though this urbanism is exhibited as environmentally friendly, it is inscribed in a long tradition of policies aimed at sanitizing cities by removing their natural tendency at being spaces for conflict. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.

Kikuchi-Fujimoto disease type lymph node reaction with increased plasmacytoid dendritic cells may appear as a side effect following COVID-19 vaccination: Report of a case and literature review

Subsequent to mass vaccination programs against COVID-19, diverse side effects have been described, both at the injection site, such as pain, redness and swelling, and systemic effects such as fatigue, headache, muscle or joint pain. On rare occasions, a lymphadenopathic syndrome may develop, raising the clinical suspicion of a lymphoproliferative disorder. We present the case of a 30-year-old woman who developed self-limiting left axillary lymphadenopathy following COVID-19 vaccination. To date, only seven similar cases with a complete clinicopathological description have been published, and fourteen cases have been notified to the European adverse events databases (Eudravigilance) in relationship with vaccination against COVID-19. It is important to be aware of this potential complication when a lymphadenopathic syndrome develops following vaccination, to avoid unnecessary treatment.Copyright © 2023 Sociedad Espanola de Anatomia Patologica

Aptamer-Capped Nanoporous Anodic Alumina for SARS-CoV-2 Spike Protein Detection

The COVID-19 pandemic, which began in 2019, has highlighted the importance of testing and tracking infected individuals as a means of mitigating the spread of the virus. In this context, the development of sensitive and rapid methods for the detection of SARS-CoV-2, the virus responsible for COVID-19, is crucial. Here, a biosensor based on oligonucleotide-gated nanomaterials for the specific detection of SARS-CoV-2 spike protein is presented. The sensing system consists of a nanoporous anodic alumina disk loaded with the fluorescent indicator rhodamine B and capped with a DNA aptamer that selectively binds the SARS-CoV-2 spike protein. The system is initially evaluated using pseudotype virus systems based on vesicular stomatitis virus carrying different SARS-CoV-2 S-proteins on their surface. When the pseudotype virus is present, the cap of the solid is selectively removed, triggering the release of the dye from the pore voids to the medium. The nanodevice demonstrated its ability to detect pseudotype virus concentrations as low as 7.5·103 PFU mL. In addition, the nanodevice is tested on nasopharyngeal samples from individuals suspected of having COVID-19. © 2023 The Authors. Advanced Materials Technologies published by Wiley-VCH GmbH.

Pandemia COVID-19: impacto y reacción rápida de la Urología COVID-19 Pandemic: Impact and rapid reaction of Urology

La pandemia COVID-19 causada por el virus SARS-CoV-2 ha ocasionado decenas de miles de muertos en España y logrado colapsar los hospitales de la red sanitaria en la Comunidad de Madrid, debido en gran parte a su particular tendencia a causar neumonías graves con necesidad de soporte ventilatorio. Este hecho ha ocasionado el colapso de nuestro centro, llegando a tener una ocupación del 130% de sus camas por enfermos COVID-19, y causando por tanto el cese absoluto de actividad del servicio de urología, la práctica desaparición de la docencia de los residentes y la incorporación de buena parte de la plantilla de urología al grupo de personal médico que atiende a estos pacientes. Para la recuperación de esta elevada cantidad de actividad suspendida será necesaria una priorización de la patología en base a criterios puramente clínicos, para la cual se proponen tablas que recogen la relevancia de cada patología dentro de cada área de la urología. Herramientas brindadas por la tecnología como la formación online o los simuladores quirúrgicos podrán ser útiles para la necesaria restitución de la formación de residentes.

Healthcare Recommender System Based on Medical Specialties, Patient Profiles, and Geospatial Information

The global outburst of COVID-19 introduced severe issues concerning the capacity and adoption of healthcare systems and how vulnerable citizen classes might be affected. The pandemic generated the most remarkable transformation of health services, appropriating the increase in new information and communication technologies to bring sustainability to health services. This paper proposes a novel, methodological, and collaborative approach based on patient-centered technology, which consists of a recommender system architecture to assist the health service level according to medical specialties. The system provides recommendations according to the user profile of the citizens and a ranked list of medical facilities. Thus, we propose a health attention factor to semantically compute the similarity between medical specialties and offer medical centers with response capacity, health service type, and close user geographic location. Thus, considering the challenges described in the state-of-the-art, this approach tackles issues related to recommenders in mobile devices and the diversity of items in the healthcare domain, incorporating semantic and geospatial processing. The recommender system was tested in diverse districts of Mexico City, and the spatial visualization of the medical facilities filtering by the recommendations is displayed in a Web-GIS application. © 2022 by the authors.

Digital skills in the performance of primary level teachers in times of the Covid-19 pandemic

teachers, considering these times of the Covid-19 pandemic, the article is relevant be-cause it will provide pertinent knowledge and results that serve as, an alternative to the solution to the problem posed and its line of research Pedagogical. Innovations. The objective of this article is to recognize that digital skills should be part of teaching performance, establishing new forms of learning during and after the pandemic, based on the review of the scientific literature, this review Theoretical was carried out under the methodology of the systematic review based on the Prism strategy. Copyright © 2022, Venezuelan Society of Pharmacology and Clinical and Therapeutic Pharmacology. All rights reserved.

Social and gender characteristics in the field of contagion of COVID-19 in a Mediterranean region

BACKGROUND // Knowledge of social and gender determinants, which influence the places where people are exposed to COVID-19, may be relevant in the development of preventive and control strategies. The aim of this paper was to determine the context in which COVID-19 cases were infected (household, work/labor, health, social-health, and social-leisure settings) according to country of origin, occupational social class and gender, which is essential in order to designing public health strategies. METHODS // A cross-sectional study of an epidemiological registry of 56,628 COVID-19 incident cases was made, whose exposure/ contagion setting was studied according to the previous variables from June 15 to December 23, 2020, in the Region of Murcia (Spain). An exact Fisher test was used to study the distribution of COVID-19 cases based on the above variables. RESULTS //The cumulative incidence was higher in people from Africa (5,133.5 cases/100,000 inhabitants) and Latin America (11,351.1) than in non-immigrants (3,145.7). It was also higher in women (3,885.6) than in men (3,572.6). It is noteworthy, that 53.3% of the cases with employment were workers in industry or construction, artisans, agricultural workers, or elementary occupations. In contrast, during the second semester of 2020, 41.3% of the employed population in the Region of Murcia performed such jobs. The household was the main exposure setting (56.5% of cases with a known setting), followed by social-leisure (20.7%) and work/labor (18.2%). The labor settings were more important in immigrants from Africa (28.4%) and Latin America (35.7%) than in non-immigrants (12%), inversely to social-leisure settings. Labor context was more important in women (19.6%) than in men (16.5%) and in manual workers (44.1%) than in non-manual workers (26.6%). CONCLUSIONS // The context in which COVID-19 cases were infected is different according to social inequalities related to country of origin, gender and occupational social class.

[COVID-19 exposure setting, social and gender determinants in a mediterranean region.]

OBJECTIVE: Knowledge of social and gender determinants, which influence the places where people are exposed to COVID-19, may be relevant in the development of preventive and control strategies. The aim of this paper was to determine the context in which COVID-19 cases were infected (household, work/labor, health, social-health, and social-leisure settings) according to country of origin, occupational social class and gender, which is essential in order to designing public health strategies.

THE PSYCHOLOGICAL LOGIC OF CUSTOMER LOYALTY: TOWARDS AN INTEGRATED CONCEPTUAL FRAMEWORK (SATISFACTION, TRUST AND COMMITMENT)

The globalization of the economy - and with it, new emerging markets - has increased competitive pressure exponentially, rendering customer retention, a highly relevant factor in attracting new consumers. As a result of differentiation and technological globalization, competitive strategies must increasingly leverage the digital channel to not only foster client relationships but also create and offer value. Consequently, companies are using the digital medium to develop not only new services but also unforgettable experiences. Despite the importance of these changes, few scholarly works have studied the influence of this virtual experience on customer retention, channel loyalty, and recommendations to third parties (i.e., word-of-mouth). Against that backdrop, this chapter provides an in-depth analysis of how virtual media shape the relations between companies and their clients. Traditional concepts such as customer experience, satisfaction, trust, loyalty, and recommendation become especially relevant in the digital context, where the adoption of technology has undeniably reshaped people's relationships with companies and each other. This study has immediate implications for the business field, where sustainable growth largely depends on fostering loyalty and recommendations. The conclusions are also highly relevant to a world scenario reconfigured by the Delta Variant, COVID-19 pandemic, which has created a volatile environment and exposed the inefficiencies in how companies relate to their customers. Clients' needs and expectations are constantly evolving, as customer-centricity is the vital key to any corporate success in the changing world of the 21st century. © 2021 by Nova Science Publishers, Inc.

Overview of coronavirus pandemic

During the last months of 2019, numerous cases of respiratory illness such as pneumonia and acute respiratory distress syndrome were described in Wuhan, the capital city of Hubei province in China. At the same time, several research groups identified and reported the etiological agent, that included within the Coronaviridae family and the order Nidovirales, named SARS-CoV-2. Subsequently, the pathological and clinical status caused by the pathogen is commonly known as Coronavirus disease 2019 (COVID-19). In a short period, the outbreak of emerging spread across the world. Therefore the World Health Organization declared a public health emergency of international concern on January 30, 2020, and as a pandemic on March 11, 2020. Many different public health and epidemiological studies have been published since the COVID-19 outbreak, but fatality rates (those that relate the number of cases to mortality) are difficult to assess with certainty. Mean and median case-fatality rates worldwide are near to 3% and 2%, respectively. The median infection fatality calculated from serologic prevalence varies from 0.00% to 1.63% but is mostly estimated between 0.27% and 0.9%. These indexes are influenced by geographic location, socioeconomic status, sex, age, and health conditions, among others. © 2022 Elsevier Inc. All rights reserved.

Health care in schoolchildren as a prevention of disease. Health in childhood in the era of COVID-19

The study seeks to analyze nutritional statuses in a sample population aged 10 to 12 years after the effects of COVID-19. When measuring BMI, trends towards overweight and obesity are shown in relation to the WHO scales. We found levels of cardiovascular endurance, speed and agility in relation to nutritional statuses. The conclusions corroborate the contributions of the studies and the WHO itself on the care of these health factors as biomarkers of the physical condition of the subjects and of disease prevention. © GKA Ediciones, authors.

Vascular Accesses Used in the Administration of Antineoplasic Therapy in an Oncological Day Hospital

Introduction: Antineoplasic chemotherapy in intravenous infusion is one of the most common therapeutic modalities in cancer patients. The vast majority of antineoplasic drugs have an Osmolarity >900 mOsm/l, so its administration must be done through central venous routes. However, the channelling of central routes is limited to patients with difficulty in peripheral venous approach or long-term treatments. Objective(s): Describe the vascular accesses used at the University Hospital of La Ribera for the administration of antineoplastic drugs, assess the adequacy of the same and determine if the type of vascular access used varied during the COVID-19 pandemic. Methodology: A quantitative, observational and analytical cross-sectional study of the vascular accesses used in the administration of antineoplasic therapy in cancer day hospital was carried out. Data collection was carried out through direct observation and consultation of the medical history. The pre-pandemic period was executed from 20 to 21/1/2020(n=125), the pandemic sample from 8 to 12/2/21(n=121). Result(s): Although 70% of the drugs administered had the capacity for tissue aggression, the peripheral venous route was established in 69.9% of cases, the forearm being the most frequent anatomical location (n=102) and the peripheral venous catheter the most commonly used device (n=172). The expected duration of treatment was medium-term in 74.8% of patients. The use of central venous routes during the pandemic increased by 30.7%,(p=0.017), being the subcutaneous venous reservoir the one with the highest representation(RVSC 75.5 %, IPCC 24.5 %). Conclusion(s): Short peripheral venous catheter was the most used device in the administration of chemotherapy in oncology HDD of the UHLR, even administering drugs with high tissue aggression and establishing a medium duration of treatment, being this an area of improvement in the care of cancer patients. During the pandemic, the use of central routes increased in the administration of antineoplasic treatment on an outpatient basis.

Health protection among own account and platform workers during COVID19 in Chile. The PWR project : Marisol Ruiz

Background In the last decades, non-standard employment has grown globally. Especially for own account workers (OAW), this implies the self-management of economic, health and other work-related risks. In the context of COVID19, this management was stressed by lockdowns and the novel health risks imposed by an unknown and highly contagious virus, demanding the incorporation of new knowledge and preventive actions. As part of a six-country multiple case qualitative study on non-standard workers (NSW), we explore their experiences and strategies deployed to protect their health while continuing to work. Methods We performed 40 in-depth interviews to NSWs between October 2020 and February 2021, identified through the PWR online-survey and selected through an intentional sampling strategy according to levels of precarity (high-low), gender (male/female) and age (18-39/40-55). Interviews were analysed through abductive thematic analysis. Results We observed a significant transfer to platform, Uber-like jobs in the delivery of goods during lockdown (n = 7). In the absence of institutional prevention programs and provision of protective equipment, OAWs (n = 13) refer the self-provision of COVID19 prevention to protect themselves and their families while continuing to work, deploying a series of strategies amidst limited understanding of both mode of transmission of the virus and actual effective preventive measures. This had serious consequences for them and their families, expressed in anguish, sense of lack of control, fear, and fragility in the face of a major health risk given their constant potential exposure to the virus, leading to both physical and mental health problems, as well as COVID19 infection. Conclusions The substantial growth worldwide of gig delivery work during lockdowns magnified a pressing public health problem, critically requiring social security for gig and OAWs and the development of more equitable and accessible occupational health for all. Key messages • Substantial growth worldwide of gig delivery work during lockdowns magnified a pressing public health problem. • Social security for gig and OAWs are critically required as well as the development of more equitable and accessible occupational health for all.