ABSTRACT
(1) Background: Since the onset of the SARS-CoV-2 pandemic, seven epidemic waves have been described in Spain. Our objective was to study mortality and severity, and associated factors in our hospitalized patients; (2) Method: Retrospective cohort study was conducted on COVID-19 patients admitted to the Hospital de Fuenlabrada (Madrid, Spain) from the beginning of the pandemic until December 31, 2022; (3) Results: A total of 5,510 admissions for COVID-19 were recorded. First wave accounted for 1,823 (33%) and exhibited the highest proportion of severe patients (lowest mean oxygen saturation, 88.2%; elevated levels of CRP, IL-6, D-dimer and ferri-tin), but a below-average percentage of intubated patients (5% vs. 6.5%). Overall mortality rate was 10.3%, higher during the first wave (11.5%) and the two winter waves (third: 11.3%, sixth: 12%), although the first wave represented 39% of the total. Variables associated with mortality were age (OR 1.08,1.07-1.09), need for high-flow oxygen (OR 6.10,4.94-7.52), oncological disease (OR 1.88,1.53-2.60), dementia (OR 1.82,1.2-2.75), Charlson index (OR 1.38,1.31-1.47), and maxi-mum IL-6 levels (OR 1.001,1.000-1.001); (4) Conclusions: Variables associated with mortality in-cluded age, comorbidity, respiratory failure, and inflammation. Differences on baseline charac-teristics of patients admitted explained differences on mortality in each wave
Subject(s)
Dementia , COVID-19 , Inflammation , Respiratory InsufficiencyABSTRACT
Background: During the SARS-cov2 pandemic, to evaluate if the clinical protocols in gynecology oncology assistance were changed and, to assess the perception for the management of these disease in the surgeon. Methods: The data were collected by an anonymous and voluntary survey which was sent via email to professionals dedicated to the field of gynaecological oncology in Spain. Results: A total of 75 professionals completed the online survey, 93.2% reported working in a public hospital and 62.5% in a tertiary level hospital. 97.3% belonged to hospitals treating patients with SARS-CoV2 infection. An 85.1% of respondents showed concern about the SARS-CoV2 pandemic and 52.1% indicated the pandemic influenced the diagnostic and therapeutic quality of oncologic patients. SARS-CoV2 PCR on nasopharyngeal exudate was always performed before surgical interventions by 97.3%, being considered best triage method by 94.4%. An 87.5% reported no change in the type of surgical approach during the pandemic. Limitations in accessing special protective equipment against SARS-CoV2 were found by 62.5%. An impact on the follow-up of patients with gynaecological cancers due to pandemic was referred by a 70.4%. Conclusions: Most of Spanish gynecologist oncologist reported that COVD 19 pandemic has affected their clinical practice. The major measures implemented were an increase of telemedicine, a decrease the visits to high-risk or symptomatic patients and the use of SARS-CoV2 screening prior to surgery.
Subject(s)
COVID-19 , Severe Acute Respiratory Syndrome , NeoplasmsABSTRACT
Este artículo detalla los resultados de una investigación que explora las características diferenciales de la presentación de las precandidaturas en videos de Instagram, y de las candidaturas en historias y en el flujo de contenido [feed], de acuerdo con el género de los candidatos y las candidatas que compitieron durante la campaña para las elecciones legislativas 2021 en Argentina. La muestra está conformada por 265 historias, 8 videos de presentación y 86 publicaciones del flujo de contenido. Se utilizó el método de análisis de contenido cuantitativo, el cual se combinó con categorías que provienen de la sociosemiótica y de las teorías de la mediatización de la política. Los resultados muestran similitudes en los tipos de contenido más utilizados, así como diferencias entre los postulantes a legisladores según su género. Las principales diferencias se concentran en la presentación de la persona pública en los videos, en la difusión de contenidos vinculados a la participación en medios de comunicación, la frecuencia de uso de la argumentación, los contenidos que aluden al contacto con la ciudadanía y la generación de publicaciones e historias referidas a la pandemia de Covid-19.Alternate :
ABSTRACT
La enfermedad por coronavirus, cuyo origen es el virus sars-CoV-2, se transformó muy rápidamente en la última de las pandemias que ha enfrentado la humanidad en su devenir y mostró la utilidad de analizar sus orígenes, ocurrencia, efectos e impactos con los elementos que se han creado en el pasado reciente para el estudio de los desastres. Si bien hay que reconocer que existen perspectivas y enfoques diversos, en este ensayo se privilegia el desarrollado a partir de determinadas propuestas teóricas, conceptos y metodologías de la antropología, bagaje con el cual se han llevado a cabo múltiples investigaciones en prácticamente todas las regiones del planeta. Desde esas experiencias, se explora la vinculación entre el estudio de los desastres y el de las epidemias. Se considera el estudio de estas últimas, y en particular de las pandemias, como un tipo de desastre, y se advierte la urgencia de llevar a cabo una colaboración más estrecha entre ambas especialidades.Alternate abstract:Coronavirus disease, which originates from the sars-CoV-2 virus, and which quickly became the last of the pandemics that humanity has faced, showed the usefulness of analyzing the latter-origins, occurrence, effects, and impacts-with the elements that have been created in the recent past for the study of disasters. While it must be recognized that there are diverse perspectives and approaches, this essay favors the one developed from certain theoretical proposals, concepts, and methodologies of anthropology, background with which multiple research has been developed in virtually all regions of the planet. From these experiences, the link between the study of disasters and epidemics is explored. The study of these, and particularly of pandemics as a type of disaster, and the urgency of closer collaboration between the two specialties is noted.