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1.
Drones ; 6(9), 2022.
Article in English | Web of Science | ID: covidwho-2071295

ABSTRACT

This study aims to identify the factors associated with the adoption of drone delivery in Medellin, Colombia, in the context of the COVID-19 pandemic. For that purpose, it implemented the Diffusion of Innovation (DOI) theory and the Technology Acceptance Model (TAM), which have constructs that complement each other to determine the decision to accept a given technology. A survey was administered to 121 participants in order to validate the model proposed here, which is based on variables that reflect the perceived attributes and risks of this innovation and individuals' characteristics. The results indicate that the factors Performance Risk, Compatibility, Personal Innovativeness, and Relative Advantage of Environmental Friendliness have the greatest influence on Intention to Use Drone Delivery (mediated by Attitude Towards Drone Delivery). This paper offers relevant information for the academic community and delivery companies because few other studies have investigated this topic. Additionally, the proposed technology adoption model can be a benchmark for other emerging economies in similar social, economic, and technological conditions.

2.
13th International Conference on Mobile Computing and Ubiquitous Network (ICMU) ; 2021.
Article in English | Web of Science | ID: covidwho-1980890

ABSTRACT

Due to the influence of the new coronavirus, many people are interrupting fitness clubs and exercises/sports performed by multiple people. Under these circumstances, "core training," which can be easily performed indoors by individuals, attracts attention as an exercise to improve health. However, it isn't easy to recognize whether the posture during training is correct, significantly reducing effectiveness. This study developed 'CoreMoni,' a system to support individual core training, and verified its usefulness in supporting personal core training through evaluation experiments. We compared the duration of the correct posture of the plank with and without CoreMoni. The time spent on proper plank posture increased for 90% of the subjects. Besides, we used the System Usability Scale (SUS) and SUS's average score was 82 points, indicating that CoreMoni usability is excellent. Both quantitative and subjective assessments results suggest that CoreMoni supports individual core training by making users aware of posture and trunk vibration during core training.

3.
Revista del Pie y Tobillo ; 36(1):54-58, 2022.
Article in Spanish | EMBASE | ID: covidwho-1918295

ABSTRACT

Most of the time forefoot surgery requires the use of a tourniquet, and therefore, the surgery is usually performed with either a popliteal block or an ankle block. Surgical departments have traditionally relied on an anesthesiol-ogist to perform these procedures. The elective nature of the forefoot surgery and the lack of surgical anaesthetists due to the COVID-19 pandemic have become mandatory to find alternatives to continue performing these surgeries in order to avoid an increase of waiting lists. The foot and ankle wide-awake local anaesthesia with no tourniquet (WALANT) technique is an adaptation from the one used for hand surgery. This technique requires no sedation, no regional or general anaesthesia, and the patient is fully conscious during the operation. WALANT technique con-sists of administration of lidocaine and epinephrine for local anaesthesia and vasoconstriction. This technique allows the surgeon to perform the surgery with the patient fully awake and without a tourniquet. In addition, this gives the advantage to perform an intraoperative as-sessment of function. WALANT for foot and ankle surgery is a suitable, safe, and cheap technique. Taking into con-sideration the lack of anaesthetists, operating rooms, and hospital resources observed during SARS-CoV-2 epidemic, this technique represents an acceptable alternative to consider in order to be able to continue performing se-lected cases of foot and ankle surgery.

4.
Pediatric Dermatology ; 39(SUPPL 1):25-26, 2022.
Article in English | EMBASE | ID: covidwho-1916269

ABSTRACT

Objectives: To describe the clinical and laboratory characteristics of pediatric patients diagnosed with dermatomyosis during the COVID pandemic. Method: Description of the clinical and laboratory findings in patients under 15 years of age, who were admitted at our hospital with signs and symptoms suggestive of dermatomyositis, from March 2020 until November 2021. Results: Five patients, three boys and two girls, aged between 8 and 13 years, were diagnosed with juvenile dermatomyositis (JDM). The most frequent symptom was asthenia. Heliotrope erythema, malar rash, periungual erythema, and papules on elbows and knees were present in all cases. Three of our patients had perniosis on their toes. Four patients presented lesions in the oral mucosa, such as geographic tongue or gingivitis. The time between the onset of symptoms and the first visit with the pediatrician ranged from 1 to 6 months. In all cases, GOT/GPT enzymes, and aldolase were elevated at diagnosis, and the SARS-CoV-2 PCR was negative. Two patients had anti-TIF1 antibodies, and two had anti-MDA5 antibodies. In one girl, no specific autoantibodies for JDM were detected. Magnetic resonance imaging showed muscle oedema in all patients. All cases are in remission after systemic treatment with steroids, methotrexate or immunoglobulins. Discussion: JDM is a severe disease of childhood. Our cases did not present symptoms suggestive of COVID and the PCR for SARS-CoV-2 was negative on admission in all of them, but the presence of perniosis on the toes of three patients could correspond to “COVID toes,” and be a late manifestation of an asymptomatic or oligosymptomatic infection of SARS-CoV-2. It has been suggested that SARS-CoV-2 infection could trigger the development of JDM, possibly through the induction of IFNα. Long-term follow-up is necessary to establish a relationship between the prognosis of specific autoantibodies, the involvement of acral and mucosal areas, and the possible relation with COVID.

5.
AERA OPEN ; 8, 2022.
Article in English | Web of Science | ID: covidwho-1910233

ABSTRACT

We share school leaders' perspectives on Zoom videos concerning the needs of immigrant and refugee families in Title I schools. In these videos, participants crafted and shared personal narratives about their leadership experiences during the COVID-19 era of education. Rooted in participatory design research methods, the process of designing these videos were both a research project and an intervention to assist families and school leaders to better understand each other. We present a close analysis of administrators' perspectives and describe how our codesigned video methodology enabled participants to coconstruct new meanings of school-community relationships during the pandemic through a radical care framework. We conceptualize these reimaginings as aperturas-cracks in the dominant family engagement paradigm that allow us to collectively work towards transformative ends which we term community-centered school leadership. We conclude the article with recommendations for how both school leadership and research can approach and reimagine family engagement postpandemic.

6.
Aloma-Revista De Psicologia Ciencies De L Educacio I De L Esport ; 40(1):23-34, 2022.
Article in Spanish | Web of Science Web of Science | ID: covidwho-1885013

ABSTRACT

In mid-March 2020, the world suddenly stopped with the appearance of COVID-19. However, the need to continue formal education, go to work and maintain communication with others remained intact. Technologies have made it possible to carry out these activities digitally in a space of interaction called cyber-coexistence. This research analyses the psychometric properties of a questionnaire intended to measure cyber-coexistence in the context of teaching and learning processes during the health crisis. Recommendations based on the literature were considered in the construction and validation of the instrument, which was carried out through expert judgement and exploratory and confirmatory factor analysis. The instrument was administrated in June 2020 remotely to a convenience sample of 400 secondary and tertiary students from schools in the Biobio region, Chile. Factor analyses yielded a latent structure with an adequate fit to the data, consisting of 23 items divided into six underlying dimensions of the construct. Reliability analysis yields an internal consistency of .76 according to the Omega coefficient. Orientations for the regulation of the use of mobile devices to promote positive cyber-coexistence in educational context are offered.

7.
Emergencias ; 34(2):119-127, 2022.
Article in Spanish | Web of Science | ID: covidwho-1798204

ABSTRACT

Background. Although many demographic and clinical predictors of mortality have been studied in relation to COVID-19, little has been reported about the prognostic utility of inflammatory biomarkers. Methods. Retrospective cohort study. All patients with laboratory-confirmed COVID-19 treated in a hospital emergency department were included consecutively if baseline measurements of the following biomarkers were on record: lymphocyte counts, neutrophil-to-lymphocyte ratio NRL, and C-reactive protein (CRP) and procalcitonin (PCT) levels. We analyzed associations between the biomarkers and all-cause 30-day mortality using Cox regression models and dose-response curves. Results. We included 896 patients, 151 (17%) of whom died within 30 days. The median (interquartile range) age was 63 (51-78) years, and 494 (55%) were men. NLR, CRP and PCT levels at ED presentation were higher, while lymphocyte counts were lower, in patients who died compared to those who survived (P < .001). The areas under the receiver operating characteristic curves revealed the PCT concentration (0.79;95% CI, 0.75-0.83) to be a better predictor of 30-day mortality than the lymphocyte count (0.70;95% CI, 0.65-0.74;P < .001), the NLR (0.74;95% CI, 0.69-0.78;P = .03), or the CRP level (0.72;95% CI, 0.68-0.76;P < .001). The proposed PCT concentration decision points for use in emergency department case management were 0.06 ng/L (negative) and 0.72 ng/L (positive). These cutoffs helped classify risk in 357 patients (40%). Multivariable analysis demonstrated that the PCT concentration had the strongest association with mortality. Conclusion. PCT concentration in the emergency department predicts all-cause 30-day mortality in patients with COVID-19 better than other inflammatory biomarkers.

8.
Clinical Psychological Science ; : 21677026211072232, 2022.
Article in English | Sage | ID: covidwho-1765400

ABSTRACT

The challenges observed in health-service-psychology (HSP) training during COVID-19 revealed systemic and philosophical issues that preexisted the pandemic but became more visible during the global health crisis. In a position article written by 23 trainees across different sites and training specializations, we use lessons learned from COVID-19 as a touchstone for a call to action in HSP training. Historically, trainee voices have been conspicuously absent from literature about clinical training. We describe long-standing dilemmas in HSP training that were exacerbated by the pandemic and will continue to require resolution after the pandemic has subsided. We make recommendations for systems-level changes that would advance equity and sustainability in HSP training. This article advances the conversation about HSP training by including the perspective of trainees as essential stakeholders.

9.
International Conference on Information Technology and Systems, ICITS 2022 ; 414 LNNS:52-61, 2022.
Article in English | Scopus | ID: covidwho-1750554

ABSTRACT

Due to the measures imposed to prevent the spread of the virus during the COVID-19 pandemic, how education and work communications are carried have changed. An increase in video conferencing and meeting applications is noticeable. In this research paper, we describe the results of a user experience evaluation of three widely used platforms: Discord, Microsoft Teams, and Zoom. Through the User Experience Questionnaire (UEQ) application, it was determined that Discord is better in aspects not related to tasks and provides an above-average UX. On the other hand, zoom excels when it comes to tasks, but in conjunction with Microsoft Teams, it delivers below-average UX. © 2022, The Author(s), under exclusive license to Springer Nature Switzerland AG.

10.
Open Forum Infectious Diseases ; 8(SUPPL 1):S172, 2021.
Article in English | EMBASE | ID: covidwho-1746738

ABSTRACT

Background. Antimicrobial resistance is a major public health threat internationally but, particularly in Colombia. High and increasing rates of carbapenemases are challenging. Implementing antimicrobial stewardship programs (AMSs) in a large, academic, public network hospitals in Bogotá, Colombia.will help curb inappropriate antibiotic use. Methods. AMS was established in April 2020 consisting of an administrative champion, Infectious Diseases staff, nurse, General Physician, microbiologist, and pharmacists. Antimicrobial stewardship program interventions included postprescriptive audit and establishment of institutional guidelines. The AMS tracked appropriate drug selection including loading dose, maintenance dose, frequency, route, duration of therapy, de-escalation, and compliance with AMS recommendations. Defined daily dose (DDD) of drugs and health economics evaluations of antimicrobials (April-December 2020). Recommendations are placed in the electronic medical record as a progress note. Results. From April to December 2020, 1013 patients were evaluated by means of a prospective methodology. Unnecessary 689 days of hospitalization and 4420 days of antibiotic therapy were avoided. Among the top antibiotics discontinued were piperacillin tazobactam for the months of July, August, November and December, while for September and October was meropenem. The intensive care unit was the most frequently intervened service (52%), followed by hospitalization (43%) and the emergency department (5%).Over the course of the year, there was significant adherence to the program, with 100% in July, followed by 93.3% in April, 87% in December, 86.6% in May and June, 83% in November, 80% in September, 73.3% in August and 57% in October. The AMS program was able to save $47.409US in antibiotics and $55.529US in hospitalization, and 11% decrease in nephrotoxicity events (14 renal failures were avoided), which also saved additionally $ 23.503 US for a total of an estimated cost saving for the network public hospitals of $ 126.441 US by 2020. Conclusion. Implementation of a multidisciplinary antibiotic stewardship program in this academic, large, academic, public network hospitals in Bogotá, Colombia demonstrated feasibility and economic benefits even in a Covid19 pandemic situation.

11.
Open Forum Infectious Diseases ; 8(SUPPL 1):S296, 2021.
Article in English | EMBASE | ID: covidwho-1746606

ABSTRACT

Background. Patients with severe SARS-CoV-2 infection are at high risk of complications due to the intensive care unit stay. Hospital-acquired infections (HAI) are one of the most common complication and cause of death in this group of patients, it is important to know the epidemiology and microbiology of this hospital-acquired infections in order to begin to the patients a proper empirical treatment. We describe the epidemiologic and microbiologic characteristics of HAI in patients with COVID-19 hospitalized at intensive care unit (ICU) in a tertiary level private hospital in Mexico City. Methods. From April to December 2020, data from all HAIs in patients with severe pneumonia due to SARS-CoV-2 infection with mechanical ventilation at ICU were obtained. The type of infection, microorganisms and antimicrobial susceptibility patterns were determined. Results. A total of 61 episodes of HAIs were obtained, the most common was ventilator associated pneumonia (VAP) in 52.4% (n=32) followed by urinary tract infection (UTI) 34.4%(n=21) and bloodstream infection (BSI) 9.84% (n=6). Only two episodes corresponded to C. difficile associated diarrhea. We identified 82 different microorganisms, the most frequent cause of VAP was P. aeruginosa 22% (10/45) followed by K. pneumoniae 20% (9/45);for UTI, E. coli 28.5% (6/21), and S. marcescens 19% (4/21);for BSI the most frequent microorganism was S. aureus 28.5 (2/7). Regarding the antimicrobial susceptibility patters the most common were Extended Spectrum Beta-Lactamase (ESBL) Gram-negative rods followed by Methicillinresistant Staphylococcus aureus. Conclusion. In patients with severe COVID-19 hospitalized in the ICU the most frequent HAIs were VAP and UTI caused by P. aeruginosa and E. coli respectively. ESBL enterobacteriaceae was the most common resistant pattern identifed in the bacterial isolations in our series.

12.
Emergencias ; 34(2):119-127, 2022.
Article in English, Spanish | MEDLINE | ID: covidwho-1738260

ABSTRACT

OBJECTIVES: Although many demographic and clinical predictors of mortality have been studied in relation to COVID-19, little has been reported about the prognostic utility of inflammatory biomarkers. MATERIAL AND METHODS: Retrospective cohort study. All patients with laboratory-confirmed COVID-19 treated in a hospital emergency department were included consecutively if baseline measurements of the following biomarkers were on record: lymphocyte counts, neutrophil-to-lymphocyte ratio NRL, and C-reactive protein (CRP) and procalcitonin (PCT) levels. We analyzed associations between the biomarkers and all-cause 30-day mortality using Cox regression models and dose-response curves. RESULTS: We included 896 patients, 151 (17%) of whom died within 30 days. The median (interquartile range) age was 63 (51-78) years, and 494 (55%) were men. NLR, CRP and PCT levels at ED presentation were higher, while lymphocyte counts were lower, in patients who died compared to those who survived (P .001). The areas under the receiver operating characteristic curves revealed the PCT concentration (0.79;95% CI, 0.75-0.83) to be a better predictor of 30-day mortality than the lymphocyte count (0.70;95% CI, 0.65-0.74;P .001), the NLR (0.74;95% CI, 0.69-0.78;P = .03), or the CRP level (0.72;95% CI, 0.68-0.76;P .001). The proposed PCT concentration decision points for use in emergency department case management were 0.06 ng/L (negative) and 0.72 ng/L (positive). These cutoffs helped classify risk in 357 patients (40%). Multivariable analysis demonstrated that the PCT concentration had the strongest association with mortality. CONCLUSION: PCT concentration in the emergency department predicts all-cause 30-day mortality in patients with COVID-19 better than other inflammatory biomarkers.

13.
Journal of Crohn's and Colitis ; 16:i204-i206, 2022.
Article in English | EMBASE | ID: covidwho-1722306

ABSTRACT

Background: This study aimed to compare the risk of COVID-19 in patients with IBD versus the general population, and to evaluate predictors of infection acquisition, progression to severe forms, and risk of developing persistent COVID-19. We also assess the differences between cases across the different COVID-19 pandemic waves in our target population. Methods: This single-centre prospective, cohort study included consecutive IBD patients diagnosed of COVID-19 either by a positive polymerase chain reaction test and/or antigen test in nasopharyngeal swabs, or by anti-SARS-CoV-2 antibodies, and that they had a follow-up of at least 4 months. Using logistic regression, we evaluated cases versus IBD controls included in the IBD Unit database for predictors of COVID-19 acquisition. COVID-19 cases were distributed according to pandemic waves. Cox regression analysis was used for predictors of severe and persistent COVID-19. Results: By May 31, 2021, 160 out of 1911 IBD patients (8.3%) were diagnosed with COVID-19. IBD patients had a similar adjusted incidence of COVID-19 (OR 0.94;95% CI 0.86-1.02;P=0.42), and a similar associated mortality ratio (OR 0.83;95% CI 0.6-1.06;P=0.48), compared to the general population. In multivariable analysis, treatment with biologics was associated with a higher risk (OR 2.22, P<0.001), and treatment with salicylates with a lower risk (OR 0.71, P=0.048) of contracting COVID-19.(Table 1) 62 COVID-19 cases were diagnosed during the first wave of pandemic (until the end of June 2020), and 54 and 44 cases during the second and third waves (until the end of December 2020 and May 2021, respectively).(Figure 1) In multivariate analysis, first wave cases were associated with a higher risk of progression to severe forms of infection (OR 4.76, 95% CI 1.83-12.37, P=0.001), and development of persistent COVID-19 (OR 2.4, 95% CI 1.16-4.95, P=0.018). 29 patients (18.1%) required hospitalisation and were classified as severe COVID-19, which was associated in multivariable analysis with age>48 (HR 3.68, P=0.007), cases diagnosed in the first wave (HR 6.04, P<0.001), and comorbidities (evaluated with Duke Severity of Illness Checklist [DUSOI], P<0.001).(Table 2) During a median follow-up of 8.4 months, 68 patients (42.5%) were diagnosed with persistent COVID-19. Multivariable analysis identified UC (P=0.053), comorbidities (P=0.090), and being diagnosed during the first wave (P=0.011) as risk factors for persistent COVID-19.(Table 3) Conclusion: IBD patients have a similar risk of COVID-19 and associated mortality as the general population. Cases diagnosed during the first wave of the pandemic had severe and persistent forms of COVID-19 more frequently. Age and comorbidity were the main risk factors for severe forms of the disease.

14.
RISTI - Revista Iberica de Sistemas e Tecnologias de Informacao ; 2021(E43):127-139, 2021.
Article in Spanish | Scopus | ID: covidwho-1695054

ABSTRACT

Managing strategies that allow satisfaction in the academic community becomes a challenge for institutions, even more so in times of crisis due to COVID-19. The objective of this article is to identify the level of satisfaction under digital tools that allow the completion of the teaching-learning process of the academic semester 2020-1 due to the arrival of COVID-19. The methodology was carried out from a survey applied to the academic community. Among the results, there is a good level of satisfaction with the measures adopted to face the contingency, it is concluded that it is necessary to continue exploring different management alternatives so that the academic community achieves greater satisfaction that lasts in educational institutions. © 2021, Associacao Iberica de Sistemas e Tecnologias de Informacao. All rights reserved.

15.
Physics Education Research Conference, PERC 2021 ; : 408-413, 2021.
Article in English | Scopus | ID: covidwho-1700272

ABSTRACT

Informal learning environments often have a clear ambition to spark interest [1]. People also need multiple exposures to content [2, 3] to learn. The Dome+ model, with its principles of interest, identity, and agency, was developed to guide the construction of the Big Astronomy Project consisting of a planetarium show plus additional resources, to support audiences in extending engagement beyond the physical space of the planetarium. A main design principle was sparking interest through the immersive environment of the show. The Big Astronomy Project released a show as a virtual YouTube 360◦ stream due to the COVID-19 pandemic. Here we test the utility of the four-phase interest model [4] to characterize interest surrounding the virtual show for use in our larger dataset. The four-phase model suggests people progress from earlier phases of situational interest induced by the environment to later phases of individual interest marked by self-driven engagement. We use this model to characterize the role the show plays in audience interest and look for the role of interest in a virtual environment. We used focus groups with audience members on our premiere day of the planetarium show consisting of eight individuals, and included follow-up interviews with five of those individuals to understand how they continued their engagement with the Big Astronomy Project. Everyone indicated that they chose to watch the show because of an established interest in astronomy. Since self-induced engagement is an aspect of individual interest, we placed all participants in phases 3 to 4. Our data lacked people who fell into the situational interest phases. We suggest that virtual shows will attract individuals who have an individual interest. We plan to use this research as a tool for the analysis of the larger dataset that includes a more diverse set of individuals. © 2021, American Association of Physics Teachers. All rights reserved.

16.
Co-herencia ; 18(35):313-338, 2021.
Article in Spanish | Scopus | ID: covidwho-1698977

ABSTRACT

The main purpose of this article is to conduct an analysis of the current pandemic, attempting to locate basic layers of the phenomenon, in particular, the way its world is structured and the links of coexistence between individuals, taking as thread an element that analytics Heideggerian existentialism highlights as characteristic of man's way of opening to the world: The emotional temper or affective disposition. To place this element and guide our questions, we will analyze Thucydides' account of the plague that devastated Athens at the end of the fifth century BC. Starting with Thucydides' indications, we will move toward the field of existential analytics to discover how worldly relations are defined in connection with the world from his approach. We are interested in showing how this emotional temper motivates a special transformation of the meaning of the virus responsible for the current pandemic, a transformation that leads us to consider its mutual (and not only parasitic) nature, which will ultimately and retroactively refer to a better determination of the human existence, as essentially linked to the other, as coexistence. © 2021 Universidad EAFIT. All rights reserved.

17.
"19th LACCEI International Multi-Conference for Engineering, Education Caribbean Conference for Engineering and Technology: """"Prospective and Trends in Technology and Skills for Sustainable Social Development"""" and """"Leveraging Emerging Technologies to Construct the Future"""", LACCEI 2021" ; 2021-July, 2021.
Article in English | Scopus | ID: covidwho-1606319

ABSTRACT

COVID-19 brought profound changes to tertiary education, the main one being the need to move from face-to-face training processes to tele-education in a short time. In this context, engineering education experienced a new level of complexity, particularly in contexts of project-based learning environments, where students must significantly interact with peers and make group decisions. Added to this context, was the long-triggered need by the industry to train engineers capable of dealing with broad, nontechnical issues. Hence, the ability to telework has become critical for engineering students, particularly to be able to communicate and make teamwork decisions effectively and efficiently in online environments. In this work, we investigated qualitatively how a group of students responded to the rapid transition from formal classroom teaching to remote learning, particularly in the context of responding with conceptual designs to the requirements of project-based courses. The response of sixty-two Engineering Design students from a Chilean technical university is analyzed regarding the usability of the technological tools they used to conceptually solve problems online and how they perceive the teamwork they were able to achieve using these tools. © 2021 Latin American and Caribbean Consortium of Engineering Institutions. All rights reserved.

18.
Italian Journal of Medicine ; 15(3):9-10, 2021.
Article in English | EMBASE | ID: covidwho-1567779

ABSTRACT

Background and Aim: We conducted a multidisciplinary study to investigate the correlations between clinical-laboratory-imaging data and histopathologic pulmonary patterns in patients died from severe CoViD-19. Materials and Methods: We analyzed lung autoptic tissue from consecutive CoViD-19 patients between February 29 and June 30, 2020. We considered three samples for each pulmonary lobe per patient. The pre-specified histopathological patterns were: exudative diffuse alveolar damage (DAD), proliferative DAD, organizing pneumonia, acute fibrinous organizing pneumonia, interstitial pneumonia, bronchopneumonia, arteriolar thrombi, intracapillary megakaryocytes, and areas of normal lung. Hierarchical cluster analysis was performed. Results: Among 92 autopsies, 48 patients had complete clinical data. Four clusters were identified. Length-of-stay in ICU and in hospital (p<0.0001), days on mechanical ventilation (p<0.0001), days on positive pressure airway (p<0.0001), mean positive endexpiratory pressure PEEP (p=0.007), PEEP x days on mechanical ventilation (p=0.003), PEEP x days on positive pressure airway (p=0.003), worst serum albumin (p=0.017), interleukin 6 (p=0.047), and kidney SOFA (p=0.001) differed between clusters. The cluster characterized by prevalence of exudative-proliferative DAD and lung megakaryocytosis had the greater difference from the others. Conclusions: Our research sheds light on the correlations between clinical-laboratory-imaging pictures and histopathologic findings, with clues on the impact of therapeutic strategies on lung tissues.

19.
Boletin De La Asociacion De Geografos Espanoles ; - (91):47, 2021.
Article in English | Web of Science | ID: covidwho-1535010

ABSTRACT

In the face of the confusion and uncertainty that COVID-19 has caused over the last year, Geography has proven to be a useful aid in the interpretation of the spatial dynamics that explain the transmission of the virus. Applied cartography and GIS analysis of epidemiological data have been consolidated as essential tools for interpreting the health crisis. This paper explores the usefulness of maps for the study of the evolution of the pandemic in Castile and Leon, one of the Spanish regions with the highest levels of infection and mortality. Based on the statistical variables of sick and dead people at the scale of the Basic Health Area (BHA), a first analytical approach is carried out by means of a sequence of dynamic maps during the first wave. Afterwards, a systematic study is carried out using thematic mapping for the period of the three waves, a period between March 2020 and March 2021. The analysis unravels the differential impact of the disease between rural and urban areas and reveals the problems of the mismatch between the functional divisions of the territory (BHA, as units of health analysis) and the scale of administrative management (municipalities, as the effective scale of action).

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