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1.
Frontiers in psychiatry ; 12, 2021.
Article in English | EuropePMC | ID: covidwho-1728337

ABSTRACT

Introduction COVID-19 has generated great repercussions for the population globally;millions of deaths have been reported worldwide. The idea of death is especially exacerbated when there are close to death experiences that remind us how close we are to fatality. This is why it is important to measure fatalistic ideas of those who have not yet been infected. Objective To revalidate a scale that measures fatalistic perception prior to COVID-19 infection in a population of 13 Latin American countries. Methodology We conducted an instrumental study. We used a previously validated scale in Peru, with seven items divided into two factors and with five possible Likert-type responses (from strongly disagree to strongly agree). It was administered to a large population in 13 Spanish-speaking countries in Latin America;for each of the seven questions, 886 people were surveyed. With these results, descriptive and analytical statistics were performed. Results The mean, standard deviation, skewness, and kurtosis of the seven initial questions were adequate in most cases. In the confirmatory factor analysis, the lack of fit was improved with the indexes' modification technique, which let us delete items 1 and 6. Thus, we could obtain satisfactory goodness-of-fit indices (CFI = 0.972, TLI = 0.931, GFI = 0.990, AGFI = 0.961, RMSEA = 0.080, and RMR = 0.047). Therefore, the final two-factor structure had a fairly adequate Cronbach's α (0.72, with a 95% confidence interval = 0.70–0.73). Conclusions The scale that measures fatalism of Latin American countries in the face of the pandemic generated by COVID-19 was revalidated and shortened.

2.
Vaccines (Basel) ; 10(1)2021 Dec 30.
Article in English | MEDLINE | ID: covidwho-1580343

ABSTRACT

During the race for the development of a vaccine against COVID-19, even before its commercialization, part of the population has already shown a growing fear of its application. We designed an analytical cross-sectional study using an anonymous survey in the 25 departments of Peru. We surveyed whether the participants were planning on getting vaccinated, as well as other characteristics that were cross-checked in a uni-, bi- and multivariate manner. Of the 1776 respondents, 70% (1251) stated that they were planning to be vaccinated, 20% (346) did not know yet or doubted it, and 10% (179) did not want to be vaccinated. We observed that those who did not get infected with COVID-19 exhibited a higher frequency to not wanting or were uncertain about getting vaccinated (aPR: 1.40; 95% CI: 1.09-1.81; p-value = 0.008). In contrast, there was a lower frequency of vaccine refusal among university students (aPR: 0.75; 95% CI: 0.61-0.92; p-value = 0.005) and healthcare workers (aPR: 0.59; 95% CI: 0.44-0.80; p-value = 0.001); adjusted by place of residence. There is still an important percentage of respondents who do not want to be vaccinated or are hesitant to do it, which was associated with educational level, being a healthcare worker and if they were previously infected with COVID-19. Our results could offer useful information about COVID-19 vaccination campaigns.

3.
Electronic Journal of General Medicine ; 18(6):1-6, 2021.
Article in English | Academic Search Complete | ID: covidwho-1539045

ABSTRACT

Objective: To determine the association between depression, anxiety, and stress according to sociodemographic and occupational factors in Peruvian health professionals during the coronavirus disease 2019 (COVID-19) pandemic. Methods: Cross-sectional analytical and multicentre study, based on a virtual survey sent to Peruvian health personnel (from the 25 Peruvian regions) working during the COVID-19 pandemic. The three dependent variables (depression, anxiety, and stress) were measured with the Depression, Anxiety, and Stress Scale -21 (DASS-21) (Cronbach's Alpha: 0.93) and compared with sociodemographic and occupational variables. P-values were obtained through generalized linear models, adjusted for each location where the survey was sent. Results: Of the 550 participants, 2%, 13%, and 3% of them had severe or very severe depression, anxiety, and stress, respectively. In the multivariate analysis, we observed that professionals with a greater number of children had a lower frequency of severe depression (adjusted prevalence ratio (aPR): 0.37;95% confidence interval (CI): 0.17-0.79;p = 0.010). In addition, physicians had a lower frequency of severe anxiety (aPR: 0.37;95% CI: 0.18-0.75;p = 0.036), and professionals who lived in the Central region (aPR: 0.50;95% CI: 0.25-0.97;p = 0.042) and in the South of the country (aPR: 0.37;95% CI: 0.19-0.71;p = 0.003) had lower anxiety levels compared to those in the Northern region. With regard to severe stress, those who lived in the Central (aPR: 0.15;95% CI: 0.03-0.75;p = 0.021) and South regions (aPR: 0.19;95% CI: 0.04-0.79;p = 0.011) had lower stress levels. Conclusion: There were significant percentages of deteriorating mental health in Peruvian health professionals during the pandemic, which may have negative repercussions in the short-, medium-, and long-term. In this sense, additional governmental actions should be necessary to provide specific psychological and psychiatric support programs to these workers. [ FROM AUTHOR] Copyright of Electronic Journal of General Medicine is the property of Modestum Publications and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

4.
Heliyon ; 7(11): e08258, 2021 Nov.
Article in English | MEDLINE | ID: covidwho-1482618

ABSTRACT

INTRODUCTION: COVID-19 is a disease with worldwide impact that has fully caught attention of researchers. The Cuban scientific output, after one year of confronting this pandemic, has not been studied from a bibliometric perspective. OBJECTIVE: To characterize the output of original scientific articles and review articles on COVID-19 published by Cuban authors in the journals included in the Scopus bibliographic database, the collaborations in these publications and their impact, according to the citation of the research in the world literature. MATERIALS AND METHODS: A cross-sectional, descriptive and observational study was performed, using a bibliometric approach. A search strategy was used to retrieve articles on the subject and bibliometric indicators of output, visibility, leadership, collaboration and impact were studied. RESULTS: Cuba contributed 2.5% of the Latin American output and 0.2% of the world output. Of the national scientific output (133 articles, 111 original and 22 reviews), 84.2% were authored by a Cuban corresponding author (Cuban leadership). However, the majority (n = 20; 71.4%) of articles with international collaboration (n = 28; 21.1%) had foreign corresponding authors. Of the total, 33.8% (n = 45) corresponded to articles without collaboration. Only 13.5% of the articles (n = 18) were published in journals with high visibility (Q1). Of all the output, 68.4% (n = 91) was in Cuban journals. The output in English represented 29.3% (n = 39) and achieved greater impact than the articles in Spanish in terms of citations. As the visibility of the journals increased according to the quartiles where they are, the percentage of articles published in English and cited articles increased too, but Cuban scientific leadership decreased. CONCLUSIONS: The greater the leadership in Cuban research, the lower its impact, and the lower the indexes of international collaboration. Cuban researchers are not yet able to systematically generate research that has a significant impact on the international scientific community.

5.
PLoS One ; 16(9): e0257165, 2021.
Article in English | MEDLINE | ID: covidwho-1435607

ABSTRACT

BACKGROUND: The burden of the COVID-19 pandemic in Peru has led to people seeking alternative treatments as preventives and treatment options such as medicinal plants. This study aimed to assess factors associated with the use of medicinal plants as preventive or treatment of respiratory symptom related to COVID-19 during the pandemic in Cusco, Peru. METHOD: A web-based cross-sectional study was conducted on general public (20- to 70-year-old) from August 31 to September 20, 2020. Data were collected using a structured questionnaire via Google Forms, it consisted of an 11-item questionnaire that was developed and validated by expert judgment using Aiken's V (Aiken's V > 0.9). Both descriptive statistics and bivariate followed by multivariable logistic regression analyses were conducted to assess factors associated with the use of medicinal plants for COVID-19 prevention and respiratory symptom treatment during the pandemic. Prevalence ratios (PR) with 95% Confidence Interval (CI), and a P-value of 0.05 was used to determine statistical significance. RESULTS: A total of 1,747 respondents participated in the study, 80.2% reported that they used medicinal plants as preventives, while 71% reported that they used them to treat respiratory symptoms. At least, 24% of respondents used medicinal plants when presenting with two or more respiratory symptoms, while at least 11% used plants for malaise. For treatment or prevention, the multivariate analysis showed that most respondents used eucalyptus (p < 0.001 for both), ginger (p < 0.022 for both), spiked pepper (p < 0.003 for both), garlic (p = 0.023 for prevention), and chamomile (p = 0.011 for treatment). The respondents with COVID-19 (p < 0.001), at older ages (p = 0.046), and with a family member or friend who had COVID-19 (p < 0.001) used more plants for prevention. However, the respondents with technical or higher education used less plants for treatment (p < 0.001). CONCLUSION: There was a significant use of medicinal plants for both prevention and treatment, which was associated with several population characteristics and whether respondents had COVID-19.


Subject(s)
COVID-19/drug therapy , COVID-19/prevention & control , Plants, Medicinal , Respiratory System/drug effects , Surveys and Questionnaires , Adult , Aged , Cross-Sectional Studies , Female , Health Knowledge, Attitudes, Practice , Humans , Male , Middle Aged , Peru/epidemiology , Young Adult
6.
Sustainability ; 13(16):8949, 2021.
Article in English | MDPI | ID: covidwho-1348694

ABSTRACT

The current study aims to validate and apply an instrument to assess the relationship between communication overload, social overload, technostress, exhaustion and academic performance. We performed a cross-sectional, analytical study of 2286 university medical students to assess the influence of technostress as a mediator of social media overload, communication overload and mental exhaustion and its detrimental effect on the academic performance of university students in Peru during the COVID-19 pandemic. The research model was validated using partial least square structural equation modeling (PLS-SEM) to establish the influence of variables on the model. Communication and social overload were found to positively influence technostress by correlations of 0.284 and 0.557, respectively. Technostress positively influenced exhaustion by 0.898, while exhaustion negatively influenced academic performance by -0.439. Bootstrapping demonstrated that the path coefficients of the research model were statistically significant. The research outcomes may help university managers understand students’ technostress and develop strategies to improve the balanced use of technology for their daily academic activities.

8.
Diabetes Metab Syndr ; 15(4): 102188, 2021.
Article in English | MEDLINE | ID: covidwho-1293736

ABSTRACT

AIM: The pandemic has generated the need for COVID-19 patients to be treated as best as possible; however, the effect of these treatments on glycemic control has not yet been taken into account. This article aims to determine whether the daily variation of glucose is influenced by the use of corticosteroids in COVID-19 patients treated in Lima-Peru. METHODOLOGY: A prospective cohort study was undertook, in which glucose was measured four times a day in 53 patients hospitalized due to COVID-19. These values were associated with the use of corticosteroids and adjusted for other socio-educational variables, all by means of PA-GEE models. RESULTS: Nested multivariate analysis of daily glucose variation found that those using corticosteroids increased the daily average glucose as well as the first and last glucose measurements, this is, at 6am and 10pm, respectively (all p-values <0.026). An increase in glucose levels was also observed in those with diabetes (all p-values <0.001). In contrast, we found that there was a decrease in the last glucose measurement of the day in obese patients (p-value = 0.044). CONCLUSIONS: The patients who used corticosteroids for the treatment of COVID-19 increased the average glucose per day, especially in the first and last measurement.


Subject(s)
Adrenal Cortex Hormones/adverse effects , Blood Glucose/analysis , COVID-19/drug therapy , Hyperglycemia/pathology , SARS-CoV-2/isolation & purification , Aged , Blood Glucose Self-Monitoring/methods , COVID-19/epidemiology , COVID-19/virology , Female , Humans , Hyperglycemia/chemically induced , Hyperglycemia/metabolism , Male , Middle Aged , Peru/epidemiology , Prospective Studies
9.
Electronic Journal of General Medicine ; 18(3):1-6, 2021.
Article in English | CINAHL | ID: covidwho-1219665

ABSTRACT

Introduction: Fear is a natural response to something unknown. In the current scenario, it is important to assess it in relation to the coronavirus disease-19 (COVID-19) pandemic in Latin American countries. Objective: To determine the fear perception according to factors associated with the COVID-19 pandemic in Peru. Methods: An analytical cross-sectional study was conducted based on a virtual questionnaire. The main question was "how much fear people had of COVID-19?", using a scale from zero (without fear) to 10 (very fear). This scale was divided into tertiles, and the upper tertile was the reference category (compared to the middle and lower tertiles). Statistical significances between fear perception of COVID-19 and sociodemographic data were calculated. Results: A total of 3887 participants responded the questionnaire about fear perception. In the multivariate analysis was found that women (adjusted prevalence ratio (aPR): 1.37;95% confidence interval (CI) : 1.26-1.48;p<0.001), people aged 20-29 (aPR: 1.84;95% CI: 1.06-1.50;p=0.005), 30-39 (aPR: 1.53;95% CI : 1.28-1.82;p<0.001), 50-59 (aPR: 1.43;95% CI: 1.12-1.84;p=0.005), and with 60 or more years (aPR: 1.46;95% CI: 1.03-2.07;p=0.032), as well as respondents who had some risk for complications due to COVID-19 (aPR: 1.49;95% CI: 1.32-1.69;p<0.001) were very afraid of the disease. On the other hand, people affiliated with evangelical religions (aPR: 0.79;95% CI: 0.65-0.96;p=0.018), agnostics (aPR: 0.80;95% CI: 0.68-0.94;p=0.008), atheists (aPR: 0.67;95% CI: 0.48-0.95;p=0.024), and health professionals (aPR: 0.81;95% CI: 0.70-0.93;p=0.003) were less afraid of COVID-19. Conclusion: There was a notorious fear perception of the COVID-19 pandemic by the Peruvian population. In this context, the fear was associated with important variables. Thus, the provision of further emotional support services for this population should be considered in the face of the current pandemic.

10.
Diabetes Metab Syndr ; 15(3): 765-770, 2021.
Article in English | MEDLINE | ID: covidwho-1126808

ABSTRACT

BACKGROUND AND AIM: COVID-19 has affected the world population, with a higher impact among at-risk groups, such as diabetic patients. This has led to an exponential increase in the number of studies related to the subject, although their bibliometric characteristics are unknown. This article aims to characterize the world scientific production on COVID-19 and diabetes indexed in Scopus. METHODS: Articles on the subject were retrieved using a search strategy and bibliometric indicators of production, visibility, collaboration and impact were studied. RESULTS: The total scientific production was 1956 documents, which have 35086 citations and an h-index of 67. Articles published in Diabetes and Metabolic Syndrome: Clinical Research and Reviews (n = 127), as well as those by researchers from the United States (n = 498) predominated. Articles by Chinese authors (n = 314) had the highest impact according to the received citations (n = 21757). India, China and Spain are leading countries in terms of the research in which they participate. There is extensive international scientific collaboration led by China, the United States and Italy. CONCLUSION: The volume of publications on COVID-19 and diabetes and their scientific impact show the incentive that the study of these diseases represents for the scientific community worldwide.


Subject(s)
Bibliometrics , COVID-19/epidemiology , Diabetes Mellitus/epidemiology , Abstracting and Indexing/methods , Abstracting and Indexing/statistics & numerical data , Adult , Aged , China/epidemiology , Databases, Factual , Humans , International Cooperation , Italy/epidemiology , Middle Aged , Publishing/statistics & numerical data , Publishing/supply & distribution , SARS-CoV-2 , United States/epidemiology , Young Adult
11.
Revista de la Asociación Española de Especialistas en Medicina del Trabajo ; 29(3):184-193, 2020.
Article in Spanish | GIM | ID: covidwho-1126028

ABSTRACT

ABSTRACT Objective: To determine the psychometric properties of the original four-item Occupational Insecurity Scale in Peruvian workers. Material and Methods: Transversal and instrumental study that took the Work Insecurity Scale to be able to validate it in the context of the COVID-19. With a sample of 332 workers from public and private entities, the form and content of the scale was validated. Results: Aiken’s V was found with values > 0.70 for the four items. The values of asymmetry and kurtosis were 24.3. In addition, AFE is justified with a KMO (0.780) and a Bartlett (654,235;gl = 6;p < 0.001). As a result, all items were condensed into a single factor. Finally, the values (λ) for the one-dimensional model were significant (item 1 = 0.85;item 2 = 0.90;item 3 = 0.84;item 4 = - 0.40). Conclusions: The Perceived Insecurity at Work Scale (LABOR-PE-COVID-19) is a valid, clear and representative scale.

12.
Rev. Cuerpo Méd. Hosp. Nac. Almanzor Aguinaga Asenjo ; 13(4): 366-371, Feb. 14, 2020.
Article in Spanish | WHO COVID, LILACS (Americas) | ID: covidwho-1100513

ABSTRACT

Introducción. En diversas partes del mundo, incluido Perú, existe déficit de recursos humanos para la atención de los pacientes COVID-19, por lo que, se está reclutando a los médicos recién egresados. Material y Métodos: Estudio transversal analítico, mediante una encuesta virtual se preguntó acerca de la posibilidad de ser reclutado para la atención de pacientes con Coronavirus, así como, otras percepciones de esta posibilidad (obteniendo un Alpha de Cronbach: 0,86); se obtuvo estadística analítica. Resultados: De 352 encuestados, el 54% manifestó que si aceptaría ser reclutado. En el análisis multivariado, se encontró que a más percepción fatalista de la enfermedad aceptaría menos ser reclutado en un hospital (p<0,001); sin embargo, si se sentirían bien capacitados (p<0,001), cómodos apoyando en hospitales (p=0,015), capaces de atender en forma general (p<0,001) y podrían trabajar en un lugar con muchos casos (p<0,001); ajustado por dos variables. Conclusión: Si bien no hubo una gran mayoría que quisiese ser reclutados, si esto pasaría, se tendrían que adaptar y manifestaron que estarían cómodos y capacitados atendiendo a pacientes con esta patología.


Introduction. Worldwide, including Peru, there is a shortage of human resources to attend for COVID-19 patients, for which reason, newly graduated doctors are being recruited. Material and Methods: Analytical cross-sectional study, using a virtual survey, asked about the possibility of being recruited to care for patients with Coronavirus, as well as other perceptions of this possibility (obtaining a Cronbach's Alpha: 0.86); analytical statistics were obtained. Results: Of 352 respondents, 54% stated that they would accept to be recruited. Multivariate analysis revealed that more fatalistic disease perception takes less be recruited in a hospital (p <0.001); however, if they felt well trained (p <0.001), comfortable supporting in hospitals (p= 0.015), able to provide general care (p <0.001) and could work in a place with many cases (p <0.001); adjusted for two variables. Conclusion: Although there was not a large majority who wanted to be recruited, if this would happen they would have to adapt and they stated that they would be comfortable and trained attending to patients with this pathology.

13.
Saudi Pharm J ; 29(1): 1-11, 2021 Jan.
Article in English | MEDLINE | ID: covidwho-1065393

ABSTRACT

Self-medication impacts both negatively and positively the health of people, which has become evident during the COVID-19 pandemic. The study aimed to assess the prevalence of self-medicated drugs used for respiratory symptoms, as COVID-19 preventive, for its symptoms or once tested positive. To determine the perception of symptom relief and demographic variables that promote self-medication in Peru. We performed a cross-sectional, analytical, multicenter study in 3792 study respondents on the use, the reason for use, and perception of relief after the use of six drugs during the quarantine period. An online questionnaire was developed, pretested and submitted to the general public. Multivariable logistic regression was used to ascertain factors that influence an individual's desire to self-medicate, associations were considered significant at p < 0.05 and using region (coast, mountain and jungle) as cluster group. The majority of respondents self-medicated with acetaminophen for respiratory symptoms and mainly because they had a cold or flu. It was observed that all the surveyed drugs (acetaminophen, ibuprofen, azithromycin, penicillin, antiretrovirals and hydroxychloroquine) were consumed for various symptoms including: fever, fatigue, cough, sneezing, muscle pain, nasal congestion, sore throat, headache and breathing difficulty. Over 90% of respondents perceived relief of at least one symptom. Multivariable logistic regression showed that older people have a higher frequency of antiretroviral self-medication, respondents who currently have a job had a higher frequency of penicillin self-medication, and that respondents from the Andes consumed less acetaminophen, while the ones from the rainforest consumed it more. There were significant percentages of self-medication, including drugs without sufficient scientific evidence. Age, region where one lived and job status were variables associated with self-medication frequency. Continuous awareness and sensitization about the risks of self-medication are warranted.

14.
Kasmera ; 48(1):e48118032020-e48118032020, 2020.
Article in English | LILACS (Americas) | ID: covidwho-1016803

ABSTRACT

El coronavirus ha generado una suerte de "histeria colectiva"en diversas poblaciones. Por lo tanto, nuestro objetivo fue validar un test que mida el fatalismo ante la posibilidad de contagio por el coronavirus. Se realizó un proceso de validación en cinco fases: Búsqueda de la literatura y construcción del primer borrador, juicio de fondo con 28 expertos, evaluación de forma con 280 personas, piloto para análisis factorial exploratorio en 389 personas (en ambas se contó con 17 ciudades de Perú) y confirmación de la validez del constructo final con 10 expertos. Los estadísticos de KMO (0,779) y Bartlett (572,6;gl = 21;p <0,001) presentaron resultados aceptables y significativos. La varianza total explicada por los 7 ítems distribuidos en 2 factores es de 58,9%, lo cual es adecuado. Los análisis robustos muestran que la estructura factorial es satisfactoria (X2 = 21,161;p = 0,007;CFI = 0,984;GFI = 0,996;TLI = 0,957;RMSEA = 0,067 y RMSR = 0,033). Se generó una escala de 7 ítems para medir las medidas fatalistas que las personas podrían tener o tomar si es que llegasen a enfermarse del coronavirus Coronavirus has generated a kind of "mass hysteria"in various populations. A validation process was generated for a test that measures fatalism in the face of the possibility of infection by the coronavirus. A validation process was carried out in five phases: literature search and construction of the first draft, substantive judgement with 28 experts, formal evaluation with 280 people, pilot for exploratory factor analysis in 389 people (in both cases there were 17 cities in Peru) and confirmation of the validity of the final construct with 10 experts. The statisticians of KMO (0.779) and Bartlett (572.6;gl = 21;p <0.001) presented acceptable and significant results. The total variance explained by the 7 items distributed in 2 factors is 58.9%, which is adequate. Robust analyses show that the factor structure is satisfactory (X2 = 21.161;p = 0.007;IFC = 0.984;GFI = 0.996;TLI = 0.957;RMSEA = 0.067 and RMSR = 0.033). A 7-item scale was generated to measure the fatalistic measures people might have or take if they became ill with the coronavirus

15.
Rev. cuba. invest. bioméd ; 39(2):e698-e698, 2020.
Article in Spanish | LILACS (Americas), Grey literature | ID: grc-741567

ABSTRACT

RESUMEN Introducción: En crisis sanitarias mundiales los medios de comunicación son importantes para informar sobre los temas relevantes a la población. Objetivo: Caracterizar y encontrar asociaciones de la percepción de miedo o exageración que transmiten los medios de comunicación en la pandemia del COVID-19 en ciudades del Perú. Métodos: Estudio transversal analítico y multicéntrico. Se realizó una encuesta virtual a 4009 personas, en 17 ciudades del Perú, del 15-20 de marzo del 2020. El instrumento, previamente validado, evaluó tres factores: la exageración de los medios;el miedo generado y la comunicación que provenía del personal de salud, familiares y amigos. Los coeficientes de relación y los valores p fueron calculados a través del uso de modelos lineales generalizados, con familia Gaussian y función de enlace identity. Se consideraron a los valores de p &lt;0,05 como estadísticamente significativos. Resultados: Los participantes percibieron que las redes sociales (64 %) y la televisión (57 %) exageraban la información;también, los participantes manifestaron que la televisión (43 %) y las redes sociales (41 %) aumentaron la percepción del miedo. En cuanto a su familia/amigos, percibían que exageraban la situación (39 %) y generaban miedo (25 %). Al análisis multivariado, las mujeres (p&lt;0,001), las que tuvieron secundaria completa (p=0,023), las universitarias (p=0,037) y con postgrado (p=0,002) tuvieron un menor puntaje total de miedo y percepción de exageración. Conclusiones: La percepción de exageración y generación de miedo en la población fueron en mayor medida ocasionados por la televisión y las redes sociales. ABSTRACT Introduction: In global health crises the media is important for reporting on important issues to the population. Objective: To characterize and find associations of perceived fear or exaggeration conveyed by the media in the COVID-19 pandemic. Methods: Analytical and multicenter cross-sectional study. A virtual survey was conducted among 4009 people, in 17 cities of Peru, from March 15-20, 2020. The instrument, previously validated, evaluated three factors: the exaggeration of the media;the fear generated and the communication coming from health personnel, family members and friends. Relationship coefficients and p-values were calculated through the use of generalized linear models, with Gaussian family and identity linkage function. Values of p &lt;0.05 were considered statistically significant. Results: Social networks (64%) and television (57%) were perceived by all participants as exaggerating information;also, television (43%) and social networks (41%) increased the perception of fear. As for their family/friends, they perceived that they exaggerated the situation (39%) and generated fear (25%). In the multivariate analysis, women (p&lt;0.001), those who had completed high school (p=0.023), were university students (p=0.037) and those with a postgraduate degree (p=0.002) had a lower total score of fear and perception of exaggeration. Conclusions: The perception of exaggeration and fear generation in the population were mostly caused by television and social networks.

16.
Rev. habanera cienc. méd ; 19(2):e3233-e3233, 2020.
Article in Spanish | LILACS (Americas), Grey literature | ID: grc-741566

ABSTRACT

RESUMEN Introducción: la pandemia del COVID-19 ha generado reacciones diversas, pero estas aún no han sido medidas en la población latinoamericana. Objetivo: determinar los factores asociados a la percepción de fatalismo ante la infección del COVID-19 en pobladores de 20 departamentos del Perú. Material y Métodos: estudio transversal analítico, de tipo multicéntrico que con una muestra de 2466 personas en 20 departamentos del Perú midió el fatalismo ante la pandemia del COVID - 19 a través de una encuesta validada (Alpha Crombach: 0,78) que consistía en 7 ítems. El análisis estadístico fue realizado en función de cada ciudad y se consideró significativos p &lt;0,05. Resultados: de los 2466 encuestados, el 36 % se deprimirían, el 26 % piensa que podrían fallecer, el 17 % dice que esto es evidencia del fin del mundo y el 9 % podrían tomar una decisión fatal. Las mujeres tuvieron mayor frecuencia de 3 de las conductas fatalistas (contagiarse p=0,020;contagiar a otros p=0,004 y deprimirse p=0,020). A mayor edad hubo 5 percepciones (contagiar a otros p=0,007;complicarse p&lt;0,001;deprimirse p&lt;0,001, pensar que morirían p&lt;0,001 o suicidarse p=0,014). Los que tenían un riesgo para complicación por COVID-19 tuvieron 4 percepciones (contagiar a otros p=0,024;complicarse p=0,002;pensar que morirían p&lt;0,001 y que esto es señal del fin del mundo p=0,039). El ser agnóstico tuvo menor frecuencia de 5 percepciones, el ser ateo en 2. Conclusión: Se halló muchas ideas fatalistas entre la población ante la pandemia de coronavirus. ABSTRACT Introduction: The COVID-19 pandemic has generated diverse reactions, but these have not yet been measured in the Latin American population. Objective: To determine the factors associated with the perception of fatalism in the face of COVID-19 infection in inhabitants of 20 cities in Peru. Material and Methods: A cross-sectional, multicenter study with a sample size of 2 466 people from 20 cities of Peru that measured fatalism during the COVID-19 pandemic was conducted through a validated survey (Cronbach´s alpha: 0,78) consisting of 7 items. Statistical analysis was conducted in terms of each city, and p &lt;0,05 was considered significant. Results: Of the 2 466 respondents, 36 % were depressed, 26 % thought that they might die, 17 % say that this was evidence of the end of the world, and 9 % could make a fatal decision. Women were more likely to engage in three of the fatalistic behaviors (becoming infected, p = 0,020;infecting others, p = 0,004, and becoming depressed, p = 0,020). At an older age there were 5 perceptions (infecting others, p = 0,007;becoming complicated, p &lt;0,001;becoming depressed, p &lt;0,001, thinking they would die, p &lt;0,001;or committing suicide, p = 0,014). Those at risk of complications of COVID-19 had 4 perceptions (infecting others, p = 0,024;becoming complicated, p = 0,002;thinking they would die, p &lt;0,001;and thinking that this is a sign of the end of the world, p = 0,039). Respondents who were agnostic exhibited a lower frequency in 5 perceptions, while atheist respondents showed a lower frequency in 2 perceptions. Conclusion: Many fatalistic ideas are found among the population in the face of the coronavirus pandemic.

17.
Medwave ; 20(7), 2020.
Article in English | LILACS (Americas) | ID: covidwho-882118

ABSTRACT

Introducción El personal de salud, entre ellos los médicos, es parte fundamental en primera línea de defensa ante la pandemia de COVID-19, causada por SARS-Cov-2. Objetivo Caracterizar la clínica y evolución de los primeros casos de contagio por coronavirus en médicos de Perú. Metodología Se presentan una serie de seis casos de médicos infectados por coronavirus, con positividad confirmada para COVID-19, mostrando la evolución diaria desde el diagnóstico de la enfermedad, sus principales signos y síntomas, la evolución de los mismos y hasta el desenlace en cada caso. Resultados De los casos estudiados, cinco fueron hombres, tenían una mediana de edad de 28 años (rango intercuartílico: 27 a 33). Tres de ellos trabajaban más de 12 horas al día en servicios de hospitalización y emergencia;y tres no contaban con mascarilla como método de protección personal. Los síntomas más frecuentes fueron la temperatura axilar superior a 38 grados Celsius, el malestar general, la tos seca y la odinofagia (este último en tres pacientes). En cuanto al diagnóstico con la prueba molecular, tuvo una mediana de tres días de demora (con rango: de 2 a 6 días). Los síntomas que más persistieron fueron la tos seca (presente durante 10 días en cuatro médicos), y la disgeusia como síntoma único, que tuvo la mayor duración (15 días en un solo médico). En los seis casos la evolución fue favorable. Sin embargo, aún se tienen deficiencias para la definición de reincorporación laboral a sus centros hospitalarios. Discusión A pesar de ser un número pequeño de casos, es el primer reporte en personal de salud y que detalla día a día la evolución de los síntomas de COVID-19. Esto puede servir para la salud ocupacional, e incluso como base para la vigilancia y monitorización de los casos en una población mayor. Introduction Health personnel, including physicians, are a fundamental part of the first line of defense against the SARS-CoV-2 pandemic. Objective To characterize the clinical manifestations and course of the first cases of contagion by SARS-CoV-2 in doctors of Peru. Methodology We present a series of six cases of doctors infected by SARS-CoV-2, with confirmed positivity for COVID-19, showing the daily evolution from the diagnosis of the disease, its main signs and symptoms, evolution, and until the outcome in each case. Results Five were men. The median age was 28 years (interquartile range: 27 to 33). In three cases the physician worked more than 12 hours a day in emergency and hospitalization services and not wear a mask at all times. The most frequent symptoms were axillary temperature above 38°C, malaise, dry cough, and odynophagia (the latter in three of the cases). The diagnosis was made at a median of 3 days (interquartile range: 3 to 4 days). The symptoms that persisted the most were dry cough (present during ten days in four doctors). Dysgeusia was the only symptom with the most extended duration (15 days in only one doctor). In the six cases, the course was favorable. However, these doctors found it difficult to return to functions in their hospital centers adequately. Discussion Despite a small number of cases, it is the first report detailing the evolution of symptoms day by day, which can help for occupational health and even for case surveillance and monitoring.

18.
Medwave ; 20(7): e7994, 2020 Aug 13.
Article in Spanish | MEDLINE | ID: covidwho-725747

ABSTRACT

INTRODUCTION: Health personnel, including physicians, are a fundamental part of the first line of defense against the SARS-CoV-2 pandemic. OBJECTIVE: To characterize the clinical manifestations and course of the first cases of contagion by SARS-CoV-2 in doctors of Peru. METHODOLOGY: We present a series of six cases of doctors infected by SARS-CoV-2, with confirmed positivity for COVID-19, showing the daily evolution from the diagnosis of the disease, its main signs and symptoms, evolution, and until the outcome in each case. RESULTS: Five were men. The median age was 28 years (interquartile range: 27 to 33). In three cases the physician worked more than 12 hours a day in emergency and hospitalization services and not wear a mask at all times. The most frequent symptoms were axillary temperature above 38°C, malaise, dry cough, and odynophagia (the latter in three of the cases). The diagnosis was made at a median of 3 days (interquartile range: 3 to 4 days). The symptoms that persisted the most were dry cough (present during ten days in four doctors). Dysgeusia was the only symptom with the most extended duration (15 days in only one doctor). In the six cases, the course was favorable. However, these doctors found it difficult to return to functions in their hospital centers adequately. DISCUSSION: Despite a small number of cases, it is the first report detailing the evolution of symptoms day by day, which can help for occupational health and even for case surveillance and monitoring.


INTRODUCCIÓN: El personal de salud, entre ellos los médicos, es parte fundamental en primera línea de defensa ante la pandemia de COVID-19, causada por SARS-Cov-2. OBJETIVO: Caracterizar la clínica y evolución de los primeros casos de contagio por coronavirus en médicos de Perú. METODOLOGÍA: Se presentan una serie de seis casos de médicos infectados por coronavirus, con positividad confirmada para COVID-19, mostrando la evolución diaria desde el diagnóstico de la enfermedad, sus principales signos y síntomas, la evolución de los mismos y hasta el desenlace en cada caso. RESULTADOS: De los casos estudiados, cinco fueron hombres, tenían una mediana de edad de 28 años (rango intercuartílico: 27 a 33). Tres de ellos trabajaban más de 12 horas al día en servicios de hospitalización y emergencia; y tres no contaban con mascarilla como método de protección personal. Los síntomas más frecuentes fueron la temperatura axilar superior a 38 grados Celsius, el malestar general, la tos seca y la odinofagia (este último en tres pacientes). En cuanto al diagnóstico con la prueba molecular, tuvo una mediana de tres días de demora (con rango: de 2 a 6 días). Los síntomas que más persistieron fueron la tos seca (presente durante 10 días en cuatro médicos), y la disgeusia como síntoma único, que tuvo la mayor duración (15 días en un solo médico). En los seis casos la evolución fue favorable. Sin embargo, aún se tienen deficiencias para la definición de reincorporación laboral a sus centros hospitalarios. DISCUSIÓN: A pesar de ser un número pequeño de casos, es el primer reporte en personal de salud y que detalla día a día la evolución de los síntomas de COVID-19. Esto puede servir para la salud ocupacional, e incluso como base para la vigilancia y monitorización de los casos en una población mayor.


Subject(s)
Clinical Laboratory Techniques , Coronavirus Infections/physiopathology , Infectious Disease Transmission, Patient-to-Professional , Physicians , Pneumonia, Viral/physiopathology , Adult , COVID-19 , COVID-19 Testing , Coronavirus Infections/diagnosis , Coronavirus Infections/transmission , Cough/epidemiology , Cough/virology , Dysgeusia/epidemiology , Dysgeusia/virology , Female , Fever/epidemiology , Fever/virology , Humans , Male , Masks/statistics & numerical data , Pandemics , Peru , Pneumonia, Viral/diagnosis , Pneumonia, Viral/transmission
19.
Kasmera ; 48(1):e48106042020-e48106042020, 2020.
Article in English | LILACS (Americas) | ID: covidwho-646701

ABSTRACT

El coronavirus ha generado la última pandemia, por lo que, el conocer a esta enfermedad es importante en todas las poblaciones. Para eso se validó una escala breve para la medición de los conocimientos básicos acerca del Coronavirus (KNOW-P-COVID-19). Primero realizó una búsqueda bibliográfica, luego se sistematizó y obtuvo los aspectos más importantes, luego una validación del constructo con expertos, posteriormente el análisis factorial exploratorio y se aplicó la encuesta a un gran grupo poblacional peruano. Todos los ítems recibieron una evaluación favorable de los expertos (V de Aiken >0,70);todos los valores del límite inferior (Li) del IC 95% son apropiados (Li >0,59) y todos los valores del coeficiente V fueron estadísticamente significativos. En el Análisis Factorial Exploratorio (AFE), el Coeficiente de KMO = 0,690 y el valor p del chi cuadrado <0,001;el índice GFI (Goodness of Fit Index) = 0,992;el CFI (Comparative Fit Index) = 0,916 y el indicador RMSEA (Root Mean Square Error of Approximation) = 0,034. La escala final se quedó con 9 indicadores, con dos factores: "indicaciones o acciones post infección"y "los síntomas y conocimiento previos". Se validó una escala del conocimiento básico en la enfermedad causada por COVID-19 The coronavirus has generated the last pandemic, therefore, knowing this disease is important in all populations. For this, a short scale was validated to measure basic knowledge about Coronavirus (KNOW-P-COVID-19). First, it carried out a bibliographic search, then it was systematized and obtained the most important aspects, then a validation of the construct with experts, then exploratory factor analysis and the survey was applied to a large Peruvian population group. All items received a favorable evaluation from the experts (Aiken's V>0.70);all the lower limit values (Li) of the 95% CI are appropriate (Li>0.59) and all the values of the V coefficient were statistically significant. In the Exploratory Factor Analysis (AFE), the KMO Coefficient = 0.690 and the p value of the chi square <0.001;the GFI index (Goodness of Fit Index) = 0.992;the CFI (Comparative Fit Index) = 0.916 and the RMSEA indicator (Root Mean Square Error of Approximation) = 0.034. The final scale was left with 9 indicators, with two factors: "indications or actions post infection"and "the previous symptoms and knowledge". A basic knowledge scale in the disease caused by COVID-19 was validated

20.
Kasmera ; 48(1):e48106042020-e48106042020, 2020.
Article in English | LILACS (Americas) | ID: covidwho-646119

ABSTRACT

La pandemia generada por la COVID-19 progresa diferente cuando llega a cada territorio, se comparó la progresión de casos de Coronavirus en la primera semana de la pandemia en cada país en Latinoamérica. Se realizó un estudio descriptivo, con la información de los casos confirmados en cada país, esto desde que se anunciara el primer caso en cada territorio. Se muestran las progresiones en formas de gráficas, con los casos totales y ajustados por la densidad poblacional. Uruguay y Panamá fueron los países que destacaron de todos los evaluados, tuvieron una mayor cantidad de casos confirmados ponderados en la primera semana de la pandemia. Así mismo, estos dos países también fueron los que tuvieron mayor cantidad de casos absolutos (no ponderados por la cantidad de población), así como, el país de Venezuela;que incluso se piensa que tiene más casos, por sus problemas políticos. Hubo algunas diferencias en la cantidad de casos que se presentaron en cada país Latinoamericano al final de su primera semana de epidemia COVID-19;esto podría deberse a las políticas gubernamentales que se tomaron antes y durante esos primeros días, las cuales deben servir como ejemplo para el actuar en futuros casos similares The pandemic generated by COVID-19 progresses differently when it reaches each territory, the progression of Coronavirus cases in the first week of the pandemic was compared in each country in Latin America. A descriptive study was carried out, with the information of the confirmed cases in each country, this since the first case was announced in each territory. Progressions are shown in graphical forms, with total cases and adjusted for population density. Uruguay and Panama were the countries that stood out from all those evaluated, they had a greater number of confirmed cases weighted in the first week of the pandemic. Likewise, these two countries were also those with the highest number of absolute cases (not weighted by the number of population), as well as the country of Venezuela;that he is even thought to have more cases, due to his political problems. There were some differences in the number of cases that occurred in each Latin American country at the end of its first week of the COVID-19 epidemic;this could be due to the government policies that were taken before and during those first days, which should serve as an example for acting in future similar cases

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