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1.
Frontiers in Immunology ; 13:1022673, 2022.
Article in English | MEDLINE | ID: covidwho-2163017

ABSTRACT

Introduction: Certain trace elements are essential for life and affect immune system function, and their intake varies by region and population. Alterations in serum Se, Zn and Cu have been associated with COVID-19 mortality risk. We tested the hypothesis that a disease-specific decline occurs and correlates with mortality risk in different countries in Europe.

2.
12th International Conference on Virtual Campus, JICV 2022 ; 2022.
Article in English | Scopus | ID: covidwho-2161450

ABSTRACT

COVID-19 has caused global changes in the way of teaching and learning. The new forms of teaching how to write papers to Engineering students that began in 2020 may become a new pedagogical alternative. The literature had already shown the advantages of using technology for teaching, highlighting the possibilities of collaboration, and to give students a leading role in the development of their learning process. The article shows the experience of teaching writing conference papers to Engineering students under a virtual environment. The study was experimental with 54 students in two groups: Control Group and Experimental Group. The students were evaluated through an instrument that considered three dimensions: planning, writing and reviewing. Results demonstrated that it is possible to develop technical writing skills in Engineering students in a virtual environment. © 2022 IEEE.

3.
2022 IEEE German Education Conference, GeCon 2022 ; 2022.
Article in English | Scopus | ID: covidwho-2161393

ABSTRACT

The SARS-CoV-2 pandemic forced educational institutions worldwide to deploy virtual and hybrid classes as a unique option to continue with the teaching-learning process. However, these modalities imply important efforts on the part of teachers, students, and administrative staff to ensure the teaching-learning process quality. Considering the above, this research work carries out a qualitative interdisciplinary analysis using the focus group technique intending to determine the perceptions, challenges, trends, and trade-offs of the virtual and hybrid modalities during and after the SARS-CoV-2 pandemic. Our analysis involves various disciplines (e.g., pedagogical and andragogical, social-economic, ergonomic, educational technology, and product & service innovation perspectives). As a result, some particular findings of each perspective are shown. The results of this research work can help the body of technical knowledge related to the curricula design at different educational levels to increase the efficiency of hybrid and virtual classes. Finally, this research work has some limitations, therefore the findings presented are suggestive rather than definitive. © 2022 IEEE.

4.
Medicina Intensiva (English Edition) ; 2022.
Article in English | ScienceDirect | ID: covidwho-2159547

ABSTRACT

Objective To describe the sequelae one month after hospital discharge in patients who required admission to Intensive Care for severe COVID 19 pneumonia and to analyze the differences between those who received therapy exclusively with high-flow oxygen therapy compared to those who required invasive mechanical ventilation. Design Cohort, prospective and observational study. Setting Post-intensive care multidisciplinary program. Patients or participants Patients who survived admission to the intensive care unit (ICU) for severe COVID 19 pneumonia from April 2020 to October 2021. Interventions Inclusion in the post-ICU multidisciplinary program. Main variables of interest Motor, sensory, psychological/psychiatric, respiratory and nutritional sequelae after hospital admission. Results 104 patients were included. 48 patients received high-flow nasal oxygen therapy (ONAF) and 56 invasive mechanical ventilation (IMV). The main sequelae found were distal neuropathy (33.9% IMV vs 10.4% ONAF);brachial plexopathy (10.7% IMV vs 0% ONAF);decrease in grip strength: right hand 20.67 kg (+/- 8.27) in VMI vs 31.8 kg (+/- 11.59) in ONAF and left hand 19.39 kg (+/- 8.45) in VMI vs 30.26 kg (+/- 12.74) in ONAF;and limited muscle balance in the lower limbs (28.6% VMI vs 8.6% ONAF). The differences observed between both groups did not reach statistical significance in the multivariable study. Conclusions The results obtained after the multivariate study suggest that there are no differences in the perceived physical sequelae one month after hospital discharge depending on the respiratory therapy used, whether it was high-flow nasal oxygen therapy or prolonged mechanical ventilation, although more studies are needed to be able to draw conclusions. Resumen Objetivo Describir las secuelas al mes del alta hospitalaria en pacientes que precisaron ingreso en Cuidados Intensivos por neumonía grave COVID-19 y analizar las diferencias entre los que recibieron terapia exclusivamente con oxigenoterapia con alto flujo con respecto a los que precisaron ventilación mecánica invasiva (VMI). Diseño Estudio de cohorte, prospectivo y observacional. Ámbito Consulta multidisciplinar post cuidados intensivos. Pacientes o participantes Pacientes que superaron el ingreso en la unidad de cuidados intensivos (UCI) por neumonía grave COVID 19 desde abril 2020 hasta octubre 2021. Intervenciones Inclusión en el programa multidisciplinar post UCI. Variables de interés principals Secuelas motoras, sensitivas, psicológicas/psiquiátricas, respiratorias y nutricionales tras el ingreso hospitalario. Resultados Se incluyeron 104 pacientes. 48 pacientes recibieron oxigenoterapia nasal de alto flujo (ONAF) y 56 ventilación mecánica invasiva (VMI). Las principales secuelas encontradas fueron la neuropatía distal (33,9% VMI vs 10,4% ONAF);plexopatía braquial (10,7% VMI vs 0% ONAF);disminución de fuerza de agarre: mano derecha 20,67 kg (+/- 8,27) en VMI vs 31,8 kg (+/- 11,59) en ONAF y mano izquierda 19,39 kg (+/- 8,45) en VMI vs 30,26 kg (+/- 12,74) en ONAF;y balance muscular limitado en miembros inferiores (28,6% VMI vs 8,6% ONAF). Las diferencias observadas entre ambos grupos no alcanzaron significación estadística en el estudio multivariable. Conclusiones Los resultados obtenidos tras el estudio multivariable sugieren no existir diferencias en cuanto a las secuelas físicas percibidas al mes del alta hospitalaria en función de la terapia respiratoria empleada, ya fuera oxigenoterapia nasal de alto flujo o ventilación mecánica prolongada, si bien son precisos más estudios para poder obtener conclusiones al respecto.

5.
Medicina Intensiva ; 05:05, 2022.
Article in Spanish | MEDLINE | ID: covidwho-2159544

ABSTRACT

OBJECTIVE: To describe the sequelae one month after hospital discharge in patients who required admission to Intensive Care for severe COVID 19 pneumonia and to analyze the differences between those who received therapy exclusively with high-flow oxygen therapy compared to those who required invasive mechanical ventilation.

8.
Drylands Facing Change: Interventions, Investments and Identities ; : 1-257, 2022.
Article in English | Scopus | ID: covidwho-2144428

ABSTRACT

This edited volume examines the changes that arise from the entanglement of global interests and narratives with the local struggles that have always existed in the drylands of Africa, the Middle East, and Central Asia/Inner Asia. Changes in drylands are happening in an overwhelming manner. Climate change, growing political instability, and increasing enclosures of large expanses of often common land are some of the changes with far-reaching consequences for those who make their living in the drylands. At the same time, powerful narratives about the drylands as 'wastelands' and their 'backward' inhabitants continue to hold sway, legitimizing interventions for development, security, and conservation, informing re-emerging frontiers of investment (for agriculture, extraction, infrastructure), and shaping new dryland identities. The chapters in this volume discuss the politics of change triggered by forces as diverse as the global land and resource rush, the expansion of new Information and Communication Technologies, urbanization, the COVID-19 pandemic, and the spread of violent extremism. While recognizing that changes are co-produced by differently positioned actors from within and outside the drylands, this volume presents the dryland's point of view. It therefore takes the views, experiences, and agencies of dryland dwellers as the point of departure to not only understand the changes that are transforming their lives, livelihoods, and future aspirations, but also to highlight the unexpected spaces of contestation and innovation that have hitherto remained understudied. This edited volume will be of much interest to students, researchers, and scholars of natural resource management, land and resource grabbing, political ecology, sustainable development, and drylands in general. © 2023 selection and editorial matter, Angela Kronenburg García, Tobias Haller, Han van Dijk, Cyrus Samimi, and Jeroen Warner;individual chapters, the contributors. All rights reserved.

9.
Journal of Clinical and Translational Science ; 2022.
Article in English | Scopus | ID: covidwho-2132877

ABSTRACT

Clinical trial participation among historically underrepresented populations remains low in large part due to mistrust of academic institutions and research investigators. Mistrust may be ever greater today given misinformation related to COVID-19. The Research Ambassador Program is an interactive educational workshop delivered by Promotores de Salud/Community Health Workers and designed to both address common myths, fears, and concerns about research and encourage research participation among underrepresented populations. An evaluation conducted with 819 Latino and Black participants demonstrated a change in behavior and intention to participate in a clinical trial, with half of participants enrolling in a clinical trial research registry. © 2022 Cambridge University Press. All rights reserved.

10.
Mexico Y La Cuenca Del Pacifico ; 11(33):21-47, 2022.
Article in English | Web of Science | ID: covidwho-2124212

ABSTRACT

The global economy has witnessed the consolidation of China in the world market. Ranked as Mexico's second trading partner, China has faced a trade war with the United States, amid a clear strategy to reaffirm its regional leadership and consolidate its presence in a world economy affected by Co -vid-19. Taking into consideration the approach of international economic relations and emphasis on politics and trade, this article analyzes the recent relations between Mexico, China and the United States, with the aim of establishing a perspective of the trilateral relationship towards the new nor-mality. Through an analysis based on exploratory and descriptive methodology, with the support of quantitative data from the Asia-Pacific Economic Cooperation Forum and the Ministry of Economy, it can be highlighted that: in the post-Covid-19 stage, a commercial war with severe regional impacts due to the configuration of alliances, blocs and postures with which each economy will assume its position and assert its competitiveness.

11.
Proceedings of Asme 2021 International Mechanical Engineering Congress and Exposition (Imece2021), Vol 10 ; 2021.
Article in English | Web of Science | ID: covidwho-2122014

ABSTRACT

The COVID 19 pandemic has struck the global economy and slowed down human activity. Paraguay, a small South-American country, was not an exception. This work results from the urgent need to reopen universities, schools, and other academic institutions to resume teaching activities in light of restrictive access to online learning in Paraguay. In order to contain the spread of this virus, school activities such as course lectures were placed on hold indefinitely. Inappropriate airflow in an enclosed space is one of the main factors in the spread of this virus. When combined with personal protective equipment, proper air ventilation and air replacement can significantly reduce this airborne virus's spread. Potential sources of contaminant accumulation are stagnant locations of air in a closed volume. It is, therefore, essential to first identify these hot spots. Utilizing computational tools, such as CFD, an airflow analysis can be conducted to see any potential stagnant point. In the case of a classroom, it will then allow proper airflow by avoiding stagnant points by moving furniture, equipment, and chairs in combination to adding walls and opening windows and doors. This type of CFD study will set the benchmark for future classroom layout standards in this pandemic background. The work discussed here is a case study on a 300 student classroom at the Faculty of Engineering at the National University of Asuncion. The CFD results showed detailed infounation on flow patterns and velocity profiles in the analyzed classroom environment and air cycle and exhaust results. The six air conditioning systems blowing 300 CFM each, combined with eight fans installed at the ceiling, forced air to recirculate and helped to remove old air to the windows and suction some new air from doors. This helped university administrators to reopen some class areas and keep their faculties and students safe for lectures. It is important to remark here that air reposition could be measured, showing 200 CFM air removal in this first simulation run. Further analysis with a different internal layout will be needed to see if any improvements can be made. It is expected to have a much better air removal by adding a localized exhaust fan. This work suggests the location of each location's outlet points and flows capacity to ensure proper ventilation is achieved in this particular case study. Other academic institutions are showing interest in implementing this computational tool to design classroom layout as well as ventilation schemes.

13.
Emergencias ; 34(6):428-436, 2022.
Article in Spanish | EMBASE | ID: covidwho-2111909

ABSTRACT

Objective. To describe the sociodemographic characteristics, comorbidity, and baseline functional status of patients aged 65 or older who came to hospital emergency departments (EDs) during the first wave of the COVID-19 pandemic, and to compare them with the findings for an earlier period to analyze factors of the index episode that were related to mortality. Methods. We studied data from the EDEN-COVID cohort (Emergency Department and Elder Needs During COVID-19) of patients aged 65 years or older treated in 40 Spanish EDs on 7 consecutive days. Nine sociodemographic variables, 18 comorbidities, and 7 function variables were registered and compared with the findings for the EDEN cohort of patients included with the same criteria and treated a year earlier in the same EDs . In-hospital mortality was calculated in the 2 cohorts and a multivariable logistic regression model was used to explore associated factors. Results. The EDEN-COVID cohort included 6806 patients with a median age of 78 years;49% were women. The pandemic cohort had a higher proportion of men, patients covered by the national health care system, patients brought from residential facilities, and patients who arrived in an ambulance equipped for advanced life support. Pandemic-cohort patients more often had diabetes mellitus, chronic kidney disease, and dementia;they less often had connective tissue and thromboembolic diseases. The Barthel and Charlson indices were worse in this period, and cognitive decline was more common. Fewer patients had a history of depression or falls. Eight hundred ninety these patients (13.1%) died, 122 of them in the ED (1.8%);these percentages were lower in the earlier EDEN cohort, at 3.1% and 0.5%, respectively. Independent sociodemographic factors associated with higher mortality were transport by ambulance, older age, male sex, and living in a residential facility. Mortalityassociated comorbidities were neoplasms, chronic kidney disease, and heart failure. The only function variable associated with mortality was the inability to walk independently. A history of falls in the past 6 months was a protective factor. Conclusions. The sociodemographic characteristics, comorbidity, and functional status of patients aged 65 years or older who were treated in hospital EDs during the pandemic differed in many ways from those usually seen in this older-age population. Mortality was higher than in the prepandemic period. Certain sociodemographic, comorbidity, and function variables were associated with in-hospital mortality. Copyright © 2022, Saned. All rights reserved.

14.
Eur Heart J ; 43(Suppl 2), 2022.
Article in English | PubMed Central | ID: covidwho-2107450

ABSTRACT

Background: The immune checkpoint inhibitors (ICI) have improved the prognosis of many cancers in the last years but concerning cardiovascular toxicity (CVtox) have been reported. Nowadays, specific surveillance protocols are lacking, and early diagnosis of toxicity may be challenging. Purpose: To characterize the cardiovascular (CV) effects of immunotherapy and to seek for the mechanisms of CVtox of ICI in a protocolize surveillance program of cardio-oncology. Methods: A multicentre national registry was developed by a research consortium of scientific societies of Cardiology and Oncology (SEC and SEOM) and the cardiovascular research centre (CNIC) in Spain (Figure 1). A total of 18 hospitals participate in recruiting since Q4 2021. A follow-up protocol was stablished with clinical, electrocardiographic (EKG), echocardiography, cardiac magnetic resonance (CMR) and laboratory assessment, including cardiac biomarkers, inflammatory panel and the expression of miR-721, a specific myocarditis biomarker. Toxicity management is performed at each institution following international guidelines. Results: 53 patients were currently included. Median age was 68 [59, 75] years-old, 79% were male. 83% had at least 1 CV-risk factor (75% smoking history, 20% diabetes mellitus, 50% hyperlipemia, 57% hypertension, 19% chronic kidney injury) and up to34% had previous CV disease. 93% had at least one dose of COVID19 vaccine. Dyspnoea was referred by 23% of patients, 28% have abnormal EKG findings and one-third (33%) abnormal cardiac biomarkers (median Troponin I-hs 5.30 [2.60, 11.00];NT-proBNP 199 [68, 736]). Mean LVEF (60% [56.15, 66.78]) and GLS (−18 [−19.75, −16]) were within the normal range but 26% showed LGE at baseline. Cancer characteristics are summarized in Table 1. Conclusion: Real-world SIR-CVT patients show a high CV risk profile and frequent pre-existing CV diseases before ICI treatment. The prospective follow-up of this cohort will help to develop personalized surveillance protocols according to baseline CVtox risk and to define different grades of cardiotoxicity. Funding Acknowledgement: Type of funding sources: None.Figure 1Table 1

16.
European journal of public health ; 32(Suppl 3), 2022.
Article in English | EuropePMC | ID: covidwho-2101604

ABSTRACT

Issue/Problem The social, ecological, health and economic crisis exacerbated by COVID-19 is a challenge of extraordinary magnitude and complexity for global public health. Part of the response to these challenges requires strong public health institutions. Description of the problem Component 18 of the Government of Spain’s Recovery, Transformation and Resilience Plan proposes the creation of a Spanish Agency of Public Health (SAPH), a centre of excellence to perform surveillance and health system preparedness functions in the face of new or emerging public health threats. The government has opened the debate on what design and functions it should have. Results SESPAS, the Spanish Society of Public Health and Public Administration, set out a proposal for the design and organization of the future Spanish Agency for Public Health [SAPH]. A large working group, made up of experts from various fields of public health and from its ten federated scientific societies, has designed the SAPH proposal. The scope of the public health functions to be assumed include: the strategic planning of the State’s public health (including health security), the prioritisation of public health policies and communication strategies, the assessment of the population’s health status and social conditions, the guarantee of the transversality and horizontality of health policies (health and health equity in all State policies), as well as their verticality (serving as an enriching link between the European Union level and the administrations of the Autonomous Communities and local authorities). The proposal also include 11 recommendations on the main elements to be taken into account in the establishment of the future SAPH. Lessons COVID19 pandemic has highlighted the need of creating strong public health institutions. Spain is giving its first steps toward the creation of the SAPH, which constitute a key step in addressing the current and future challenges of public health in Spain. Key messages • Spanish Public Health Agency is an opportunity to transform health policies and to improve the health of the Spanish population. • Strengthening public health starts with building national institutions that ensure comprehensive and integrated health policies.

18.
Transfusion ; 62(Supplement 2):221A, 2022.
Article in English | EMBASE | ID: covidwho-2088355

ABSTRACT

Background/Case Studies: Blood supply during the COVID-19 pandemic was at record lows due to blood drive cancellations, fear of contracting COVID-19, and COVID-19 donor deferrals. Splitting platelet units is a well-known method of extending platelet supply. Due to the blood type O RBC shortage during the pandemic, we split one RBC unit into two half-units to extend the RBC supply. RBC splitting has been utilized in pediatric and fluid overloaded patients, however there is no research demonstrating the effectiveness of RBC splitting to extend RBC supply. Study Design/Methods: We examined transfusion data on half and whole RBC units transfused from May 21, 2021 to November 1, 2021. The criteria for half-unit transfusion were dependent on the blood supply. In general, if there was less than one day supply of RBC units on hand, half-units were issued for stable, non-bleeding patients with hemoglobin above 7.0 g/dL in outpatients and 6.5 g/dL in inpatients. During the study period if a patient received any half RBC units, the time between the first half-unit transfused to the next RBC transfusion within the next 90 days was noted. If a patient received only whole units during this time, we observed the time from the first RBC transfusion to the next RBC transfusion in the subsequent 90 days. Pre-transfusion hemoglobin was obtained the day of the transfusion and posttransfusion hemoglobin was obtained either the day of or day after the RBC transfusion. Results/Findings: Over 6 months, 276 patients received only whole units and 229 patients received at least one halfunit. The median number of days to next transfusion in patients who received a transfusion within 90 days after a half-unit was 3 (mean 6.7 +/- 11.4) and whole unit was 5 (mean 11.8 +/- 16.7) (p <0.001). There were 38 (16.6%) patients who did not receive a transfusion within 90 days of first transfusion after a half-unit and 62 (22.5%) patients after a whole unit. The median pre-transfusion hemoglobin in those transfused half-units was 6.9 (mean 6.9 +/- 0.5) g/dL and whole units 7.0 (mean 7.2 +/- 1.3) g/dL (p <0.001). The median hemoglobin prior to the second transfusion was 6.8 (mean 6.8 +/- 0.6) g/dL in those previously transfused halfunits and 7.0 (mean 7.2 +/- 1.1) g/dL after a previous whole unit (p <0.0001). Of those transfused half-units, 46.7% received a second unit within 3 days, 56.8% within 5 days and 65.9% within 7 days. After a whole unit, 30.4% received a second unit within 3 days, 37.3% within 5 days and 44.9% within 7 days. Conclusion(s): Our study demonstrates the use of half RBC units can extend RBC inventory in the short term. Patients transfused half-units received a second transfusion earlier than those who received a whole unit, median 3 days versus 5 days after whole unit (p <0.001).

19.
Communication and Society ; 35(4):71-88, 2022.
Article in English | Scopus | ID: covidwho-2081105

ABSTRACT

The use of mobile instant messaging platforms has increased in recent years in political communication given the private nature of this form of communication, a trend which has increased during the COVID-19 pandemic. The aim of this research is to know the Telegram usage done by the main political parties within the election campaign. For this purpose, the Catalan election of the 14th of February 2021 are studied with a quantitative content analysis on a sample composed of 600 messages published by five political parties (PSC, Vox Barcelona, ERC, Junts per Catalunya, CUP and En Comú Podem). Results show that one of the most important functions of this platforms is the information and dissemination of its electoral programme. Regarding the main topics, the organization and functioning of the campaign and the political wrangling predominate. Our findings show that the position of the different parties regarding the independence of Catalonia, their political trajectory and their position within the government/opposition axis are conditioning factors of their communication strategy on this platform. Finally, the analysis of the public impact of the published messages reveals the disconnection between the parties and the citizens. In addition, a “more is more” effect which determines that the more messages are broadcast on this platform, the greater the number of views by users is, is detected. These data reveal new evidence on how Telegram is being used in the election campaign by political actors. © 2022 Communication & Society.

20.
Civae 2021: 3rd Interdisciplinary and Virtual Conference on Arts in Education ; : 472-476, 2021.
Article in English | Web of Science | ID: covidwho-2068433

ABSTRACT

Art education provides the human experience with sensitive practices that are signified through internal expressions promoted by emotions, personality, and ability. The research in question analyzes the teaching narratives about the sensitive practice in the educational experiences in an arts subject of the baccalaureate level (upper secondary) in a Mexican public school. The research approach is of a hermeneutic type, whose central research questions are: how is sensitive practice? What is its essence and its way of being? Is it possible to be shown and demonstrated? Sensitive practice is objectified from theater, dance, visual arts, and music, which are instructed through a subject of artistic exploration. The data collection was carried out during July-December 2020, from the virtual mode, due to the context of confinement due to the Covid-19 pandemic. It is recognized that both teachers and students have dispensed with the process of socialization face to face with their peers, so that part of the findings demonstrate the sensitive practice from the current environment and the objective situations in it are determined. Teachers assume their artistic training and objectify themselves in their educational practice.

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