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1.
Clinical Rheumatology ; 2023.
Article in English | EMBASE | ID: covidwho-2174230

ABSTRACT

Rheumatic autoimmune diseases are associated with a myriad of comorbidities. Of particular importance due to their morbimortality are cardiovascular diseases. COVID-19 greatly impacted the world population in many different areas. Patients with rheumatic diseases had to face changes in their healthcare, in addition to unemployment, a decrease in physical activity, social isolation, and lack of access to certain medications. This review summarizes the impact of COVID-19 pandemic on cardiovascular risk factors, comorbidities, and unhealthy behaviors in patients with rheumatic inflammatory autoimmune diseases, particularly focused on rheumatoid arthritis and systemic lupus erythematosus. Searches were carried out in MEDLINE/PubMed and Scopus from August to December 2022. Four reviewers screened the title and of retrieved records. Potentially eligible reports were then reviewed in full text. Differences were reconciled by either consensus or discussion with an external reviewer. During the COVID-19 pandemic, patients with rheumatic diseases showed an increase in the prevalence of mental health disorders (43.2-57.7%), reduced physical activity (56.8%), and a worsening in eating behaviors. Alcohol intake increased (18.2%), especially in early phases of the pandemic. Smoking prevalence decreased (28.2%). Dyslipidemia and hypertension showed no changes. The pandemic and lockdown affected rheumatic patients not only in disease-related characteristics but in the prevalence of their cardiovascular comorbidities and risk factors. Lifestyle changes, such as healthy eating, physical activity, and optimal management of their rheumatic diseases and comorbidities, are essential to manage the long-lasting consequences of the COVID-19 outbreak.Key Points* During the COVID-19 pandemic, anxiety, depression, sedentarism, obesity, and a worsening in eating behaviors increased.*Patients with rheumatic diseases and comorbidities have worse clinical outcomes and a higher cardiovascular disease burden than those without them.*Comparative studies are necessary to precisely elucidate the pandemic's impact on the prevalence of cardiovascular disease, risk factors, and comorbidities in patients with rheumatoid arthritis and systemic lupus erythematosus. Copyright © 2023, The Author(s), under exclusive licence to International League of Associations for Rheumatology (ILAR).

2.
Journal of Neuro-Ophthalmology ; 42(4):E600-E601, 2022.
Article in English | Web of Science | ID: covidwho-2126095
3.
Poblacion y Salud en Mesoamerica ; 19(2), 2022.
Article in Spanish | Scopus | ID: covidwho-2091059

ABSTRACT

As a direct or indirect consequence of the COVID-19 pandemic, joint other public health problems, Mexico is one of the most affected countries in terms of excess mortality, which is generalized and heterogeneous at the state level. That is why, the paper’s aim is to quantify it at national and subnational level both through the percentage of excess mortality (% EM) and using differences in life expectancies (EMex ) by sex. For (EMex ), mortality tables are constructed with specific rates that are estimated through a non-parametric approach so-called controlled and segmented smoothing. The results show the greatest excesses in male population and for some states of the country. Likewise, regarding EMex, strong setbacks in life expectancy can be observed including the Mexico City. © 2022, Universidad de Costa Rica. All rights reserved.

5.
Poblacion Y Salud En Mesoamerica ; 19(2):20, 2022.
Article in Spanish | Web of Science | ID: covidwho-1614359

ABSTRACT

As a direct or indirect consequence of the COVID-19 pandemic, joint other public health problems, Mexico is one of the most affected countries in terms of excess mortality, which is generalized and heterogeneous at the state level. That is why, the paper's aim is to quantify it at national and subnational level both through the percentage of excess mortality (% EM) and using differences in life expectancies (EMex) by sex. For (EMex), mortality tables are constructed with specific rates that are estimated through a non-parametric approach so-called controlled and segmented smoothing. The results show the greatest excesses in male population and for some states of the country. Likewise, regarding EMex, strong setbacks in life expectancy can be observed including the Mexico City.

7.
Radiotherapy and Oncology ; 161:S1248-S1249, 2021.
Article in English | EMBASE | ID: covidwho-1492825

ABSTRACT

Purpose or Objective: Cancer diagnostics and surgery have been disrupted by the response of health care services to the coronavirus disease pandemic. With the COVID-19 irruption in 2020, some radiotherapy treatments were omitted, delayed, changed intent or shifted to a hypofractionated scheme. The purpose of this study is to investigate the effect, direct or indirect, that COVID-19 has had on radiotherapy treatments in comparison with previous years. Materials and Methods: All treatments from 2018 (1521), 2019 (1498) and 2020 (1613) were analysed. Treatments were separated into two categories regarding treatment intent: curative or palliative. Moreover curative treatments were classified by site or pathology: H&N, lung, rectum, prostate, breast, central nervous system (CNS), gynaecological, SBRT and other sites. Percentage of hypofractionated treatments per year (for those with curative intent) was also taken into account. Results: Regarding treatment intent, we have found that the number of palliative treatments was similar to previous years: 38% in 2020, 37 % in 2018 and 35% in 2019. Figure I shows the percentage of hypofractionated treatments. During 2020 there were 10% hypofractionated treatments more than 2019, which is more than a threefold increase compared to the growth between 2018 and 2019 (3%). (Figure Presented) Conclusion: On one side, reasons related directly or indirectly with COVID-19 do not had an effect on the treatment intent in our department: similar number of palliative treatments was reported during 2020. On the other side, the use of hypofractionated schemes was accelerated during the pandemic, following national and international recommendations. This has allowed reducing treatment time bringing more comfort to the patients. To resume, it is difficult to assess whether the pandemic had a negative effect on cancer treatments based on treatment intent. Deeper analysis of cancer staging could reveal a different result related to collateral damage to the pandemic.

8.
COVID-19 emotions psychometrics education Psychiatry ; 2020(Salud Mental)
Article in English | Nov-Dec | ID: covidwho-1122219

ABSTRACT

Introduction. Due to the worldwide COVID-19 health contingency, school activities in Mexico were suspended, as a result of which students of all educational levels began to carry out their learning activities at home. Objective. Adapt a Socioemotional Skills (SES) Survey to the context of COVID-19 and undertake a diagnosis of the emotional state, stress, and learning experiences of Mexican junior and senior high school students. Method. A test battery was administered to 205 students from nine states in the country from schools where Ensena por Mexico collaborates, and an exploratory factor analysis (EFA) was conducted for the SES survey. In addition, a Pearson's correlation was calculated between SES and stress levels. Results. The EFA yielded four components that explain 51.71% of the sample variance. In addition, statistically significant negative correlations were found between SES and stress in the health field (r = -.316, p < .01) and SES and school stress (r = -.606, p < .01). Discussion and conclusion. The results showed that a high level of socio-emotional skills is related to a lower level of stress in students

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