Your browser doesn't support javascript.
Show: 20 | 50 | 100
Results 1 - 20 de 34
Filter
2.
Clinical Neurosurgery ; 67(SUPPL 1):47, 2020.
Article in English | EMBASE | ID: covidwho-1816181

ABSTRACT

INTRODUCTION: The COVID-19 national emergency declared in the United States on March 13th, 2020 dramatically changed the role of telemedicine in clinical care since shelter-in-place orders were issued throughout the country. In an effort to limit the patient and healthcare provider exposure, telemedicine has been an essential platform. As neurosurgical providers interact with patients in the operating room, intensive care unit, emergency department, and outpatient clinics each day, they place themselves as well as their patients at an increased risk of exposure. There is a widespread need for further implementation of telemedicine to reduce viral exposure. METHODS: A single-center retrospective cohort study of patients who received neurosurgical care at a single-center tertiary academic center from February to April 2020 was conducted. Patients evaluated from March to April 2019 were included for comparison. A total of 10,746 patients were included: 1247 patients underwent surgery, 8,742 were seen in clinic via an in-person outpatient visit and 757 were assessed via telemedicine during the study period. RESULTS: A 36-fold increase in the use of telemedicine was noted after the shelter-in-place measures were initiated with a significant increase in the mean number of patients evaluated via telemedicine per week across all divisions of neurosurgery (3.9 ± 3.0 to 141.4 ± 19.8, P < .001). The majority of telemedicine appointments were established patient visits (61.2%), but the proportion of new patient visits also significantly increased to an average of 8.2 ± 5.3 per week across all divisions during the pandemic. CONCLUSION: Experience with telemedicine prior to the COVID-19 pandemic allowed for rapid expansion of our program to meet the needs of our patients once the shelter-in-place measures were ordered. We provide a detailed account of the lessons learned and discuss the anticipated role of telemedicine in surgical practices once the shelter-in-place measures are lifted.

3.
Open Forum Infectious Diseases ; 8(SUPPL 1):S312-S313, 2021.
Article in English | EMBASE | ID: covidwho-1746570

ABSTRACT

Background. Nursing home residents, a vulnerable population, experienced an extraordinary surge of COVID-19 cases and deaths at the beginning of the pandemic. Multidisciplinary collaboration from the Detroit Health Department (DHD), academic centers, along with interim guidance from the CDC provided a structured approach to control SARS-CoV-2 in Detroit skilled nursing facilities (SNF). We aim to describe this model. Methods. There were 26 SNF prioritized by the DHD over a 13-month period from 3/2020 - 4/2021. Testing for SARS-CoV-2 occurred biweekly, on average, at each facility for staff and residents. Any staff or resident cases were investigated by a specialized investigations team to determine outbreak status. Any resident that was identified as positive for SARS-CoV-2 was moved to a designated in-house quarantine unit or specific COVID-19 designated nursing homes within the City of Detroit, and cohorting guidance was provided. Facilities were evaluated for environmental controls, PPE provided as needed and infection prevention guidance was provided. COVID-19 vaccination was conducted by pharmaceutical chains or the DHD and vaccine education sessions were conducted for nursing home staff and residents. Results. On average, SNF facilities served a total of 2,262 residents (2031-2367 range) and employed a total of 2,965 staff (1034-3124 range) during the period from 7/2020 - 4/2021. SARS-CoV-2 cases overall for Michigan and Detroit are shown in Figure 1. In SNF facilities, cases ranged from zero to 279 cases in residents and zero to 115 cases per week in staff (Figure 1). Beginning 3/2020, the majority of cases were residents, whereas after 10/2020, staff cases exceeded resident cases. Immunization rates were 63% (partial) and 58% (complete) for residents, and 26% and 23% for staff, respectively. Measures to reduce vaccine hesitancy included organized education sessions, messaging from trusted leaders and organized mass vaccination schedules. Conclusion. We describe the effectiveness of multidisciplinary interventions to control dissemination, morbidity and mortality of SARS-CoV-2 amongst SNF residents in Detroit. We emphasize the continued need to address vaccine hesitancy and importance of this model as successful interventions to decrease infection rates.

4.
Global and Stochastic Analysis ; 8(2):265-276, 2021.
Article in English | Scopus | ID: covidwho-1738067

ABSTRACT

The purpose of the study was to reveal a knowledge of the implications assumed by the States in the face of the lack of health policies in Latin America, which become Externalities and Civil Liability, resulting from poor management of COVID-19. MATERIALS AND METHODS:A situational narrative review of qualitative design made it possible to categorize and estimate the references of the open structured and in-depth interviews. For information processing, the Atlas ti9 computer program was used. Analytical Induction and Abduction were used as methods. Analysis: As a technique, the Documentary Analysis was used, as well as the triangulation of interviews applied to experts, which allowed us to know the importance of the regulations that require the State as a guarantor to protect the life and health of people, as an applicator of measures to manage the actions of prevention, control, diagnosis and treatment of COVID-19. Results: The triangulation of the documentary analysis made it possible to synthesize all the information found in the review of documents, authors, and case studies. Conclusion: The conclusions of the study rescue the praiseworthy medical work in times of health emergency, the ethical obligations of health centers towards patients, matters of civil medical liability in the legal context, the principles of responsibility, claims for damages that violate the human right to health, as well as government responsibility for the management of COVID-19 in Latin America. © 2021, MUK Publications and Distribution. All rights reserved.

5.
10th International Conference on Software Process Improvement, CIMPS 2021 ; : 105-114, 2021.
Article in Spanish | Scopus | ID: covidwho-1699048

ABSTRACT

Throughout history, society has faced different kinds of problems in all ways;from wars, poverty, climate change, natural phenomena up to mortal diseases. These afflictions have managed to get in people's lives in a devastating way causing a great number of deaths due to pandemics such as the COVID-19, which has been, until the present days, an overwhelming enemy for almost all the countries in the world. This pandemic has forced society to adapt to a different lifestyle in order to face the virus and be alert and protected in any environment. In the education system, teachers were forced to move from traditional education to online education which involves the use of technologies at all times. This action has contributed to teachers and students' physical and mental burnout causing mental or physical problems. This article will present a comparative analysis of the physical and psychosocial conditions that appeared during the traditional teaching and the online teaching in a group of teachers at the Universidad tecnológica de Torreón, as well as the repercussions in their lives and possible solution alternatives for their conditions. © 2021 IEEE.

6.
EuropePMC; 2020.
Preprint in English | EuropePMC | ID: ppcovidwho-307959

ABSTRACT

Ecuador is one of the most affected countries, with the coronavirus disease 2019 (COVID-19) infection, in Latin America derived from an ongoing economic crisis. One of the most important methods for COVID-19 detection is the use of techniques such as real time RT- PCR based on a previous extraction/purification of RNA procedure from nasopharyngeal cells using functionalized magnetic nanoparticles (MNP). This technique allows the processing of ~10,000 tests per day in private companies and around hundreds per day at local Universities guaranteeing to reach a wide range of the population. However, the main drawback of this method is the need for specialized MNP with a strong negative charge for the viral RNA purification to detect the existence of the SARS-CoV-2 virus. Here we present a simplified low cost method to produce 10 g of nanoparticles in 100 mL of solution that was scaled to one litter by parallelizing the process 10 times in just two days and allowing for the possibility of making ~50,000 COVID-19 tests. This communication helps in reducing the cost of acquiring MNP for diverse biomolecular applications supporting developing country budgets constraints and chemical availability specially during the COVID-19 International Health Emergency.

7.
Revista Colombiana de Nefrologia ; 8(1), 2021.
Article in Spanish | Scopus | ID: covidwho-1687733

ABSTRACT

The COVID-19 disease is an infectious disease caused by the SARS-CoV 2 virus whose clinical presentation is very heterogeneous: it can range from asymptomatic people to critically ill patients, with cytokine storm, acute respiratory distress, organ dysfunction and even death. Current therapies for its treatment are aimed at reducing the impact of the inflammatory cascade, and within these we find hemoadsorption technologies such as the CytoSorb membrane. Next, we present a 31-year-old male patient, who consulted due to severe symptoms of COVID-19 and showed an evident clinical and biochemical improvement after using the CytoSorb device. This is the only documented patient in Colombia who has undergone haemoperfusion therapy with this device in conjunction with prolonged intermittent renal replacement therapy and favorable clinical outcomes have been recorded. © 2021, Asociacion Colombiana de Nefrologia e Hipertension Arterial. All rights reserved.

8.
Periplo Sustentable ; - (41):83-109, 2021.
Article in Spanish | Web of Science | ID: covidwho-1679114

ABSTRACT

This article aims to study tourism supply and demand as determining factors in the marketing of tourism products in the destination Manta, Ecuador affected by the earthquake of April 16, 2016 and recently by the coronavirus (COVID-19), which originated from March 16, 2020, to decree the state of exception in Ecuador in order to contain the transmission of the virus. The methodology begins with the study of the tourist offer that allows identifying the problems that affect the business sector. A questionnaire is used to collect data, shared online through google forms, which establishes the objective of identifying problems in the tourism business sector in the face of the crisis caused by COVID-19, in the search for incentives and possible marketing strategies. The questionnaire was answered by 272 managers of tourist establishments, which represent 48% of the total tourist plant registered in the cadasters;the information was processed in the statistical program SPSS version 23. Subsequently, the demand study was carried out to identify the tourist motivations that promote the trip and assess the behavior in the consumption of tourist products and services. The segmentation showed two clusters: cultural-archaeological tourism and sun and beach tourism, which show significant differences in the motivations of the trip, the relationship with the product or service, destination evaluation and loyalty. The results show various relationships as main marketing strategies, oriented on the one hand to actions of the authorities, to improve the city's tourism management model and actions of the sector, to the improvement of health and biosecurity processes in the tourist establishments, lower service rates, promotion on social networks and the migration of companies to online models.

9.
Energies ; 15(3), 2022.
Article in English | Scopus | ID: covidwho-1674560

ABSTRACT

In this paper, the use of HVAC systems and non‐HVAC control measures to reduce virus-laden bioaerosol exposure in a highly occupied indoor space is investigated. A simulation tool was used to model the fate and transport of bioaerosols in an indoor space in the hotel industry (bar or pub) with three types of HVAC system (central air handling system (CAHS), dedicated outdoor air system (DOAS), and wall unit system (WUS)). Non‐HVAC control measures such as portable air cleaners (PAC) and local exhaust fans were considered. Occupant exposure was evaluated for 1 μm bioaerosols, which transport SARS‐CoV‐2, for 3 h/day of continuous source and exposure. The combined effects of ventilation (400 l/s of outdoor air), recirculated air filtration (90% efficacy), and a PAC with a capacity up to 900 m3/h mitigated the (normalized) integrated exposure of the occupant by 0.66 to 0.51 (CAHS) and 0.43 to 0.36 (DOAS). In the case of WUS, the normalized integrated exposure was reduced by up to 0.2 when the PAC with a capacity of up to 900 m3/h was used. The corresponding electricity consumed increased by 297.4 kWh/year (CAHS) and 482.7 kWh/year (DOAS), while for the WUS it increased by 197.1 kWh/year. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.

10.
Rev Neurol ; 73(7): 249-257, 2021 10 01.
Article in Spanish | MEDLINE | ID: covidwho-1668066

ABSTRACT

INTRODUCTION: On 13 March 2020, a state of alarm was declared due to the COVID-19 pandemic, resulting in total lockdown in Spain. The neurorehabilitation centres of the Fundacio Esclerosi Multiple (FEM) provide care for people diagnosed with neuroprogressive diseases with significant health deficits. We look at how lockdown can affect their way of life. AIMS: To assess and manage the impact of lockdown on persons with multiple sclerosis (MS) and other neurodegenerative diseases. PATIENTS AND METHODS: Analytical observational study. An anonymous questionnaire was administered to all the patients undergoing comprehensive rehabilitation treatment at two of the FEM centres; the survey included questions on the demographic and clinical characteristics of the subjects, and an assessment of the impact of the pandemic on the physical, social and psychological spheres. RESULTS: A total of 202 surveys were analysed. The average age of the participants was 49.09 years and 77.8% had MS, while 22.2% had other conditions. The most frequently reported physical symptoms were muscle weakness, loss of balance and fatigue. The study population remained active during lockdown. More than half of them did not report any increase in cognitive symptoms, but they did mention an increased sense of worry on an emotional level. CONCLUSIONS: We can state that the actions deployed by the FEM to reduce the consequences of lockdown have been effective and have minimised the occurrence of maladaptive behaviours. The study has also opened the door for us to add new lines of intervention.


TITLE: Evaluación del impacto del confinamiento sobre la salud y el estilo de vida de las personas usuarias de los centros neurorrehabilitadores de Lleida y Reus de la Fundació Esclerosi Múltiple.Introducción. El día 13 de marzo de 2020 se decretó el estado de alarma con motivo de la pandemia de la COVID-19, lo que supuso un confinamiento domiciliario total en España. Los centros neurorrehabilitadores de la Fundació Esclerosi Múltiple (FEM) atienden a personas diagnosticadas de enfermedades neuroprogresivas con déficits de salud importantes. Analizamos cómo el confinamiento puede afectar a su forma de vida. Objetivos. Evaluar y gestionar el impacto del confinamiento en la persona con esclerosis múltiple (EM) y otras enfermedades neurodegenerativas. Pacientes y métodos. Estudio observacional analítico. Se aplicó un cuestionario anónimo a todas las personas que estaban en tratamiento rehabilitador integral en dos de los centros de la FEM, que incluía características demográficas y clínicas de los sujetos, junto con la evaluación del impacto de la pandemia en la esfera física, social y psicológica. Resultados. Se han analizado un total de 202 encuestas. La edad media de los participantes ha sido de 49,09 años. Un 77,8% presenta EM, mientras que un 22,2% tiene otras patologías. Los síntomas físicos que han aparecido más frecuentemente han sido debilidad muscular, pérdida de equilibrio y fatiga. La población estudiada se ha mantenido activa durante el confinamiento. Más de la mitad no refiere aumento en los síntomas cognitivos, pero sí que aparece, a nivel emocional, un aumento de la sensación de preocupación. Conclusiones. Podemos afirmar que las acciones desplegadas desde la FEM, para reducir las consecuencias del confinamiento, han sido efectivas y han bajado al máximo la aparición de conductas desadaptativas. El estudio también nos ha abierto la puerta a añadir nuevas líneas de intervención.


Subject(s)
Health Status , Life Style , Multiple Sclerosis/rehabilitation , Neurodegenerative Diseases/rehabilitation , Neurological Rehabilitation , Quarantine , Adult , Female , Humans , Male , Middle Aged , Retrospective Studies , Self Report , Spain
11.
Journal of Business Venturing Insights ; 16, 2021.
Article in English | Scopus | ID: covidwho-1638456

ABSTRACT

What should researchers say when recruiting entrepreneurs to participate in their study? Using a sample of entrepreneurs (N = 1,450) who were being asked to participate in an academic research project, we conducted an experiment to determine recruitment message efficacy. Drawing on best practices from the behavioral insights literature, we developed different email message recruitment statements that were randomly assigned across four phases of our experiment. Results indicate that a message grounded in the “descriptive norms” (i.e., social norms) approach resulted in the highest percentage of participants who clicked on the link to participate in our online survey. We discuss the theoretical as well as practical implications of our work. © 2021

12.
Gaceta Medica De Mexico ; 157(4):459-463, 2021.
Article in Spanish | Web of Science | ID: covidwho-1573079

ABSTRACT

In the context of the emerging COVID-19 pandemic, one of the great challenges is to generate effective strategies for the control of nosocomial infections, specifically in psychiatric hospitals with populations considered at risk (older adults or individuals with comorbidities). This article describes the strategies for prevention, containment and treatment of infection transmission implemented during a COVID-19 outbreak that occurred in July 2020 in a psychiatric hospital of the State of Mexico. The population was comprised by women with prolonged hospital stay (mean = 24 years), mostly geriatric (mean = 64 years), with various psychiatric disorders and comorbidities. In total, 19 COVID-19-positive cases were diagnosed, out of which thirteen had mild symptoms and six were asymptomatic. There were no alterations in mental state, psychiatric symptoms or underlying diseases. Algorithms were developed for the management and treatment of suspected/confirmed COVID-19 cases. Finally, the generation of comprehensive strategies, quick and timely actions, as well as adequate management of human resources favoring interdisciplinary work, were deemed to have contributed to contain and mitigate the COVID-19 outbreak, which constitutes a precedent in the psychiatric field with institutionalized patients.

13.
Revista Medica del Instituto Mexicano del Seguro Social ; 59(6):463-464, 2021.
Article in Spanish | MEDLINE | ID: covidwho-1567607

ABSTRACT

There are various communicable diseases that continuously affect the homeostasis of society, including vector-borne diseases that despite having special programs for epidemiological surveillance are a challenge for health systems, such as dengue, which persists in various endemic areas in Mexico.

14.
Revista Medica del Uruguay ; 37(4), 2021.
Article in Spanish | CAB Abstracts | ID: covidwho-1559043

ABSTRACT

Introduction: within the context of the SARS-CoV-2 pandemic, different authors proposed adaptations to snorkeling masks available in the market (modified masks: MM) to provide oxygen therapy with positive pressure ventilation or not. Until today, none of them has assessed its performance as an interface for non-invasive ventilation (NIV) in the inspiratory pressure support mode.

15.
Gaceta Medica De Mexico ; 157(6):660-660, 2021.
Article in Spanish | Web of Science | ID: covidwho-1552068
16.
O'Toole, A.; Hill, V.; Pybus, O. G.; Watts, A.; Bogoch, II, Khan, K.; Messina, J. P.; consortium, Covid- Genomics UK, Network for Genomic Surveillance in South, Africa, Brazil, U. K. Cadde Genomic Network, Tegally, H.; Lessells, R. R.; Giandhari, J.; Pillay, S.; Tumedi, K. A.; Nyepetsi, G.; Kebabonye, M.; Matsheka, M.; Mine, M.; Tokajian, S.; Hassan, H.; Salloum, T.; Merhi, G.; Koweyes, J.; Geoghegan, J. L.; de Ligt, J.; Ren, X.; Storey, M.; Freed, N. E.; Pattabiraman, C.; Prasad, P.; Desai, A. S.; Vasanthapuram, R.; Schulz, T. F.; Steinbruck, L.; Stadler, T.; Swiss Viollier Sequencing, Consortium, Parisi, A.; Bianco, A.; Garcia de Viedma, D.; Buenestado-Serrano, S.; Borges, V.; Isidro, J.; Duarte, S.; Gomes, J. P.; Zuckerman, N. S.; Mandelboim, M.; Mor, O.; Seemann, T.; Arnott, A.; Draper, J.; Gall, M.; Rawlinson, W.; Deveson, I.; Schlebusch, S.; McMahon, J.; Leong, L.; Lim, C. K.; Chironna, M.; Loconsole, D.; Bal, A.; Josset, L.; Holmes, E.; St George, K.; Lasek-Nesselquist, E.; Sikkema, R. S.; Oude Munnink, B.; Koopmans, M.; Brytting, M.; Sudha Rani, V.; Pavani, S.; Smura, T.; Heim, A.; Kurkela, S.; Umair, M.; Salman, M.; Bartolini, B.; Rueca, M.; Drosten, C.; Wolff, T.; Silander, O.; Eggink, D.; Reusken, C.; Vennema, H.; Park, A.; Carrington, C.; Sahadeo, N.; Carr, M.; Gonzalez, G.; Diego, Search Alliance San, National Virus Reference, Laboratory, Seq, Covid Spain, Danish Covid-19 Genome, Consortium, Communicable Diseases Genomic, Network, Dutch National, Sars-CoV-surveillance program, Division of Emerging Infectious, Diseases, de Oliveira, T.; Faria, N.; Rambaut, A.; Kraemer, M. U. G..
Wellcome Open Research ; 6:121, 2021.
Article in English | MEDLINE | ID: covidwho-1450989

ABSTRACT

Late in 2020, two genetically-distinct clusters of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) with mutations of biological concern were reported, one in the United Kingdom and one in South Africa. Using a combination of data from routine surveillance, genomic sequencing and international travel we track the international dispersal of lineages B.1.1.7 and B.1.351 (variant 501Y-V2). We account for potential biases in genomic surveillance efforts by including passenger volumes from location of where the lineage was first reported, London and South Africa respectively. Using the software tool grinch (global report investigating novel coronavirus haplotypes), we track the international spread of lineages of concern with automated daily reports, Further, we have built a custom tracking website (cov-lineages.org/global_report.html) which hosts this daily report and will continue to include novel SARS-CoV-2 lineages of concern as they are detected.

17.
Investigacion Bibliotecologica ; 35(88):147-160, 2021.
Article in Spanish | Scopus | ID: covidwho-1438971

ABSTRACT

The aim of this study is to analyze the role of Open Science in the COVID-19 pandemic to understand the use that this model exhibits in the context of the health emergency. The methodological design included the selection and analysis of 43 Open Science initiatives that seek to provide solutions to face the pandemic. The results show that the Open Science model has been used to 1. educate and inform the society, 2. provide resources to the scientific community to conduct research and 3. supply medical equipment, personal protection equipment and vaccines. Likewise, it is found that the model offers benefits for the scientific community and society, however, there are certain aspects that, in the health crisis, are revealed as areas of opportunity. In conclusion, the development of Open Science initiatives during the SARS-CoV-2 virus pandemic is instructive because its implementation allows us to witness the possibilities it provides to facilitate the flow of information, develop scientific knowledge, and seek solutions in difficult times for humanity. © 2021, Universidad Nacional Autonoma de Mexico. All rights reserved.

18.
Irish Medical Journal ; 114(5), 2021.
Article in English | EMBASE | ID: covidwho-1326537

ABSTRACT

Presentation A 40-year-old healthcare worker (HCW) presented with cough, headache, sore throat, fatigue and myalgia seven months after primary infection with laboratory-confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Symptoms were milder and recovery was faster on the second episode. Diagnosis Reinfection with phylogenetically distinct SARS-CoV-2 was confirmed by whole-genome sequencing (WGS). Treatment Management involved symptomatic treatment and self-isolation. Discussion The incidence of SARS-CoV-2 reinfection is not well characterised. Infection control precautions may still be required in healthcare facilities, even in previously infected and possibly in vaccinated individuals while SARS-CoV-2 remains in circulation. Further research on the nature and duration of immunity is required to inform public health and infection control policy.

19.
Diaeta ; 38(171):49-55, 2020.
Article in English, Spanish | CAB Abstracts | ID: covidwho-1299903

ABSTRACT

The coronavirus that is affecting everyone is called SARS CoV-2 and causes COVID-19 disease. The virus is spread mainly from person to person through small drops of saliva that are emitted by talking, coughing, sneezing. To date, there is no effective specific vaccine or treatment for COVID-19, being prevention the most important measure. It is our responsibility to collaborate with the Licensed Nutritionists so that they can implement the necessary protocols in their ambulatory consultations, also offering tools to guarantee maximum security and confidence in patients. In this context and in order to preserve the health of patients, the Argentine Association of Dietitians and Nutritionists-Dietitians (AADYND), carried out this protocol for the ambulatory nutritional care of children, adolescents and adults.

SELECTION OF CITATIONS
SEARCH DETAIL