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1.
Revista De Investigaciones-Universidad Del Quindio ; 33(2):174-186, 2021.
Article in Spanish | Web of Science | ID: covidwho-2164687

ABSTRACT

In the context of the SARS COV-2 pandemic, a weak water governance is a health problem given that it is generally scarce;and in this case, it is not suitable for human consumption and the social actors are unaware of it. The text analyzes and links the results of two investigations from different but complementary fields of knowledge regarding the problem of the upper Lerma River basin, especially groundwater, showing an interdisciplinary exercise. The results reveal that the actors do not identify the problems of the basin, this limits their integration to the collegiate bodies of councils, commissions, or basin committees, even though the regulatory frameworks have spaces for these. CSOs, as social actors, still present areas of opportunity for their advocacy, even though in Mexico, there is a long history regarding their social participation.

2.
Journal of the Neurological Sciences ; 429, 2021.
Article in English | EMBASE | ID: covidwho-1466657

ABSTRACT

Background and aims: The number of cases of encephalitis in COVID-19 pandemic is increasing. We describe characteristics and outcome of encephalitis in COVID-19 (COV-ENC) patients in one of the most affected regions by COVID-19 of the world, Lombardia, during the first pandemic wave. Methods: A multi-center observational study on neurological complications in COVID-19 patients was conducted by the Italian society of Hospital Neuroscience (SNO). Adult patients admitted to 20 Neurological Departments in Lombardia between February-April 2020 with COV-ENC have been included. Results: 30 COV-ENC patients had a mean age of 66.5 years and male frequency of 56.6%. Altered consciousness was characterized by confusion in 86%, coma in 30%, delirium in 37.9% and alteration of personality traits in 27.6%. Epileptic seizures occurred in 74% of cases. One third of cases had hyperproteinorrachia, one third pleocytosis/hyperproteinorrachia, and remaining third had a normal CSF. PCR for SARS-CoV-2 was negative in all tested patients. EEG was altered in 82.7% of patients. Brain CT and MRI were normal in 9 patients, and among abnormal findings 9 patients had mesial temporal lesions, one of which confirmed with PET imaging. The course was favorable in 39.2% of patients, sequelae were few in 26.6% and moderate in 19.2%, while 20% of patients died. Conclusions: The outcome tends to be worse in male patients. PCR negativity seems to confirm an autoimmune etiology more than a direct invasion of the virus. However, a temporal lobe involvement, detected in 30% of patients with COV-ENC, suggests usual sites of encephalitis due to herpes virus.

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