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1.
Open Forum Infectious Diseases ; 9(Supplement 2):S762, 2022.
Article in English | EMBASE | ID: covidwho-2189941

ABSTRACT

Background. Healthcare workers are at high risk of Covid-19 (C19) infection and received priority for C19 vaccinations. Therefore, we conducted a serosurvey to determine anti-C19 antibodies and evidence of C19 infection in health care employees who did or did not have direct contact with patients. Methods. 49 participants provided finger stick blood samples collected onto filter papers and tested for antibodies to C19 using Bio-Plex Pro Human SARS-CoV-2 IgG reagents. Antibodies to C19 nucleocapsid (N), receptor-binding domain (RBD), spike 1 (S1), and spike 2 (S2) were measured. Samples were collected 8 to 11 months after C19 vaccines were made available. Results. All participants received two doses of Pfizer BioNTech or Moderna RNA-based C19 vaccines, and all showed serological evidence of antibodies to C19 RBD, S1, and S2. Antibodies to N, considered a marker of C19 infection, were detected in 16 individuals, of whom 10 reported having a PCR documented C19 infections. 6 individuals had evidence of C19 infection of which they were not aware. Antibody levels were notably higher following infection and for not infected participants following Pfizer-BioNTech vaccination. There was a 20% higher infection rate in participants with direct patient contact. Conclusion. This vaccinated population had significant rates of strong antibody responses to C19 infection and a notable rate of C19 infections, most notable in those providing direct patient care.

2.
American Journal of Obstetrics and Gynecology ; 228(2, Supplement):S793, 2023.
Article in English | ScienceDirect | ID: covidwho-2175883
3.
American Journal of Obstetrics and Gynecology ; 228(2, Supplement):S790, 2023.
Article in English | ScienceDirect | ID: covidwho-2175879
4.
Supportive Care in Cancer ; 31(1):76, 2022.
Article in English | MEDLINE | ID: covidwho-2174187

ABSTRACT

PURPOSE: Latinx adults with cancer, as compared with non-Latinx White adults, are diagnosed with more advanced stages and experience worse quality of life. Identifying barriers in cancer care among low-income Latinx adults is crucial to designing and implementing culturally appropriate interventions. The objective of this study was to explore the specific barriers encountered by Latinx adults after a cancer diagnosis and perspectives on the use of community health workers (CHWs) to address these barriers.

5.
Nutricion Hospitalaria ; 28:28, 2022.
Article in Spanish | MEDLINE | ID: covidwho-2204806

ABSTRACT

Immunonutrition is a science that encompasses aspects related to nutrition, immunity, infection, inflammation and tissue damage. Immunomodulatory formulas have shown benefits in a wide variety of clinical situations. The objective of this work was to review the available evidence in immunonutrition (IN). For this, a bibliographic search has been carried out with the keywords: immunonutrition, arginine, glutamine, nucleotides, omega-3 fatty acids, ERAS, fast-track. Clinical trials, reviews and clinical practice guidelines have been included. IN has been shown to reduce postoperative fistulae in head and neck cancer patients and in gastric and esophageal cancer patients, infectious complications and hospital stay. Other clinical situations that benefit from the use of IN are pancreatic cancer surgery, colorectal cancer surgery and major burns. More controlled, prospective, and randomized studies are necessary to confirm the potential benefits of IN in other clinical situations such as non-esophageal thoracic surgery, bladder cancer, gynecological surgery, hip fracture, liver pathology and COVID-19, among others.

6.
Legado de Arquitectura y Diseno ; 17(32):61-68, 2022.
Article in Spanish | Scopus | ID: covidwho-2156640

ABSTRACT

The COVID-19 contingency transformed face-to-face classes into remote classes via the Internet. The teachers of the Bachelor's Degree in Architecture at the Universidad Veracruzana (UV) in Mexico stated in the meetings that they had observed low performance indicators in their students, assuming disinterest as the cause. In order to determine the main factors that affected their performance, an exploratory descriptive qualitative research was carried out, using a questionnaire as an instrument. The sampling was non-probabilistic by convenience. The results show that the most important obstacles for the students were the family and emotional effects of physical isolation due to the pandemic, while the motivation to study allowed them to face the changes and give continuity to their courses. Therefore, the teacher can favor external motivation by implementing didactic strategies that interest the students in their learning. © Legado de Arquitectura y Diseno 2022.

7.
Frontiers in Virtual Reality ; 3, 2022.
Article in English | Scopus | ID: covidwho-2142373

ABSTRACT

Introduction: Among the different psychological sequelae of post-COVID syndrome are symptoms related to emotional impairment, mostly depression, anxiety, and post-traumatic stress disorder (PTSD). Objective: To describe and compare the prevalence and severity of PTSD, anxiety, depression, and fear of COVID-19 in survivors 3 months after discharge from the hospital. Methods: A cross-sectional descriptive study was conducted, a total of 227 survivors of COVID-19 participated;they were assessed 3 months after being discharged from the hospital. A psychological evaluation focused on anxiety, depression, PTSD, and fear was conducted. Statistical analysis through the t-test for independent samples was performed. Results: Of the patients, 64.5% were men, 60.9% required invasive mechanical ventilation (IMV) during hospitalization, and the average age was about 48.23 ± 14.33 years. Also, 40% showed symptoms associated with PTSD, 38.4% exhibited anxiety, 36.6% depression, and 36.12% exhibited fear of COVID-19. There were statistically significant differences between men and women, in PTSD (t = -3.414, df = 224, p = 0.001, x̅m = 5.10, x̅w = 6.32), depression (t = -4.680, df = 225, p = 0.000, x̅m = 3.64, x̅w = 7.18), anxiety (t = -3.427, df = 152.53, p = 0.001, x̅m = 3.78, x̅w = 6.20), and fear of COVID-19 (t = -3.400, df = 224, p = 0.001, x̅m = 11.88, x̅w = 15.19). Furthermore, there were also statistically significant differences between the type of treatment during hospitalization (IMV vs. without IMV), in PTSD (t = 2.482, df = 223, p = 0.014, x̅IMV = 5.21, x̅WIMV = 6.08) and anxiety (t = -2.006, df = 223, p = 0.046, x̅IMV = 4.05, x̅WIMV = 5.44). Conclusion: Survivors of COVID-19 experience a high prevalence of PTSD, anxiety, depression, and fear, even 3 months after discharge from the hospital. Females and patients who did not require IMV during hospitalization are the most affected population, presenting more severe symptoms of these psychological alterations. More research is required to know and observe the long-term evolution of these psychological alterations in this population. Copyright © 2022 Luna-Rodríguez, Peláez-Hernández, Orea-Tejeda, Ledesma-Ruíz, Casarín-López, Rosas-Trujillo, Domínguez-Trejo and Tepepa-Flores.

8.
Revista Latina de Comunicacion Social ; 2023(81):44-62, 2023.
Article in English, Spanish | Scopus | ID: covidwho-2090593

ABSTRACT

Introduction: Anti-vaccine disinformation is highly dangerous due to its direct effects on society. Although there is relevant research on typologies of hoaxes, denialist discourses on networks or the popularity of vaccines, this study provides a complementary and pioneering vision about the anti-vaccine discourse of COVID-19 on Twitter, focused on its spreaders’ behavior. Methodology: Given an initial sample of a hundred hoaxes (from December 2020 to September 2021) for the download of 200,246 tweets, around 36,000 tweets (N=36.292) that support or deny disinformation have been filtered through an algorithm for Natural Language Inference (NLI) to analyze their spreaders’ through their metrics in the platform. Results: In relative numbers, the results show, among others, more hoaxes with original content (not retweets) among accounts with more followers and those verified;more irruption of disinformation opposed to its objection by accounts created between 2013 and 2020, and the association of the acknowledgement (more presence in lists or many more followers than followed users) to the preference for denying false information instead of approving it. Discussion: The article shows how the typology of the accounts can be a predictive factor about the behavior of users who spread disinformation. Conclusions: Similar behavioral patterns of anti-vaccine discourse are revealed according to the accounts’ Twitter-related indicators. The size of the sample and the techniques used give a solid foundation for other comparative studies on disinformation about health and on other phenomena on social networks. © 2023, University of La Laguna. All rights reserved.

9.
Investigacion en Educacion Medica ; 11(44):23-33, 2022.
Article in Spanish | Scopus | ID: covidwho-2081312

ABSTRACT

Introduction: Professional exam is a theoretical and practical evaluation with high consequences and carried out at the end of medical training. Due to COVID-19 face-to-face exams were suspended. Telesimulation is a strategy that uses telecommunications and simulation resources to create learning and assessment environments at distant sites. In the School of Medicine in Mexico City, a high-consequence exam was carried out by telesimulation to assess clinical skills. Objective: To analyze the correlation between results of the online theoretical phase (National Center for Higher Education Evaluation, CENEVAL carried out) and the practical phase by telesimulation (the School of Medicine carried out). Method: This is a descriptive, cross-sectional and correlational study. It included students who applied practical and theoretical phases during the 2020 year. Pearson or Spearman correlation and simple linear regression analysis were carried out. Results: 75 students participated. On a scale from 700 to 1300, the theoretical exam score was 1014.62 ± 26.38. On a scale from 0 to 100, the practical exam score was 69.18 ± 13.93. Correlation was 0.70 (p≤0.01, 95% CI 0.50- 0.77). R2 0.43 (p≤0.01). This study showed a moderately high correlation between online theoretical assessment and practical assessment by telesimulation. The theoretical result phase determined 43% of result practical phase result. Conclusions: Using simulation with learning and knowledge technologies has eliminated some barriers derived from social distancing;therefore, it has been possible to assess clinical skills during the COVID-19 pandemic. Telesimulation is a useful tool to evaluate some dimensions of clinical competence and since it favors measures to contain COVID-19, in the current educational context it can be used in high-consequence exams at the end of medical training. © 2022, Universidad Nacional Autonoma de Mexico. All rights reserved.

11.
ASAIO Journal ; 68(Supplement 3):15, 2022.
Article in English | EMBASE | ID: covidwho-2057923

ABSTRACT

Introduction: Extracorporeal membrane oxygenation (ECMO) provides advanced cardiopulmonary circulatory support for patients with cardiac and/or respiratory failure. There is an incremental use of ECMO in Latin America in the last years, given recent data on its beneficial effect on cardiogenic shock and also because of the lack of other ventricular assist devices. Method(s): Retrospective analyses of all patients who were supported with Extracorporeal Membrane Oxygenation (ECMO) at a tertiary care institution in Mexico City from January 2014 until March 2022. Result(s): A total of 53 patients were treated with ECMO support, 39 (73.5%) with veno-arterial (VA) ECMO and 14 (26.4%) with veno-venous ECMO. The median patient age was 41.8 and 37 patients were male. Primary ECMO indications were cardiogenic shock (42, 79.2%), acute respiratory distress syndrome related to COVID-19 infection (8, 15%), high-risk TAVI (1, 1.8%), cardiac arrhythmia ablation (1, 1.8%), respiratory failure secondary to pulmonary thromboendarterectomy (1,1.8%). For the case of cardiogenic shock causes, there were divided as follows postcardiotomy (23), post-myocardial infarction (10), myocarditis (3), Takotsubo cardiomyopathy (1), pulmonary thromboendarterectomy and cardiogenic shock (5) (Image). The overall mortality rate of our study was 52.8%. Conclusion(s): Extracorporeal membrane oxygenation is an effective therapy growing in use in our country, provides a therapy that is beneficial for a wide spectrum of diseases. Our study revealed a similar mortality rate according to international registries. Given the lack of other circulatory support devices in our region more efforts are needed in order to expand ECMO therapy.

12.
International Journal of Radiation Oncology, Biology, Physics ; 114(3):e422-e423, 2022.
Article in English | CINAHL | ID: covidwho-2036110
13.
Handbook of Research on Digital Innovation and Networking in Post-COVID-19 Organizations ; : 239-250, 2022.
Article in English | Scopus | ID: covidwho-2024567

ABSTRACT

COVID-19 has generated a context full of questions about the effects of mental health in the economic or social sphere. Significant changes in consumer behavior have been investigated. As consumers reduced their purchases in physical establishments and increased online purchases, retailers took measures to minimize health risks, but also to retain consumers. The objective of this research is to identify the intellectual structure of the research field on anxiety and consumption, including the main lines of research in the area, the sources of knowledge, and the connection points that are helping to spread this knowledge. To do this, this research uses a bibliometric methodology based on co-citations. This research concludes that academics must incorporate anxiety in their models and that companies must take this variable into account in the design of their business strategies. We have to legitimize anxiety as one more variable influences on consumer behavior. © 2022 by IGI Global. All rights reserved.

18.
Retos ; 45:978-985, 2022.
Article in Spanish | Scopus | ID: covidwho-1935038

ABSTRACT

It is important to consider the educational process and the status of the teaching staff in order to create a suitable environment in the classroom.Although there are numerous evidences on quality of life in university teachers, there are few studies that investigate the teacher at the basic and intermediate level.The study is of a quantitative, non-experimental and cross-sectional approach with a descriptive-comparative design.The sample was selected under a non-probabilistic criterion, including 117 teachers (66 from Chile and 51 from Colombia) from public and private institutions. In both countries, Emotional Role was the most affected dimension, followed byVitality and Physical Role, while the dimension with the best score was Physical Function.When comparing both countries, Colombia showed better scores in 6 of the 8 dimensions, with Chile only obtaining a better score in Physical Role and General Health, but these differences were not statistically significant. In both genders, only in Mental Health statistically significant differences were obtained.The results suggest that in terms of quality of life, the confinement experienced during the pandemic together with the rapid adaptations teachers had to make in digital skills during the school closures would have had an impact on the emotional well-being of teachers and especially on the mental health of female teachers. © 2022 Federacion Espanola de Docentes de Educacion Fisica. All rights reserved.

19.
Obstetrics and Gynecology ; 139(SUPPL 1):36S-37S, 2022.
Article in English | EMBASE | ID: covidwho-1925563

ABSTRACT

INTRODUCTION: Immunization against SARS-COV-2 protects pregnant persons from severe COVID-19 illness. Pregnant individuals are less likely (19.2%) to be vaccinated against COVID-19 than their non-gravidas counterparts (69.6%). This disparity may be attributed to a lack of knowledge regarding the risks of SARS-COV-2 infection in pregnancy and the benefits and safety of vaccination. This study aims to determine the impact of patients' self-reported COVID-19 knowledge on COVID-19 vaccination rates during pregnancy. METHODS: A total of 359 postpartum patients consented to participate in an institutional review board-approved cross-sectional survey at an urban academic medical center in Miami, Florida between July and September 2021. Participants self-reported their COVID-19 vaccination status and answered questions to assess their general knowledge regarding COVID-19 infection and its impact on pregnancy, as well as knowledge of current guidelines for vaccination in pregnancy and safety of vaccination in pregnancy and breastfeeding. Correct responses to each item earned 1 point, while incorrect responses detracted 1 point, yielding knowledge scores ranging from -5 to +5. RESULTS: The mean knowledge score across participants was 1.7±1.77. Controlling for age and education, a 1-point increase in knowledge score was associated with a 1.6-times increase in the odds of vaccination. There was a monotonic increase in vaccination rates as knowledge score rose (P<.001). CONCLUSION: The strongly positive correlation between knowledge scores and vaccination emphasizes the vital role that knowledge plays in the decision to be vaccinated for gravida individuals. This elucidates the importance of empowering pregnant persons with reputable and accurate information to increase the likelihood of vaccination in this at-risk population.

20.
Obstetrics and Gynecology ; 139(SUPPL 1):37S, 2022.
Article in English | EMBASE | ID: covidwho-1925093

ABSTRACT

INTRODUCTION: Immunization plays an essential role in protecting the mother and child dyad from serious illnesses. Despite current recommendations from the American College of Obstetricians and Gynecologist, Advisory Committee on Immunization Practices, and Centers for Disease Control and Prevention, vaccination rates in the U.S. are significantly below 100%. The aim of this study is to assess uptake of influenza, Tdap, and COVID-19 vaccination in pregnancy among a culturally diverse population in South Florida. METHODS: An institutional review board-approved cross-sectional survey was administered among inpatient postpartum persons between July and September 2021. The 359 enrolled participants completed a survey assessing basic demographics and vaccination history. Chisquare tests, set at a significance level of P<.05, compared uptake of each vaccine by ethnicity and U.S.-born status. RESULTS: Of the 359 participants, 67.7% self-identified as White, 67.4% reported Hispanic ethnicity, and 68.5% were non-U.S.-born. Compared to the 2019-2020 national average, Tdap vaccine uptake in this cohort was higher (74.7% versus 56.6%) and influenza vaccine uptake was lower (45.1% versus 61.2%). COVID-19 vaccine uptake during the study period mirrored the national average (18.1% versus 18.9%). Generally, there was higher vaccination uptake among Hispanics and non-U.S.-born individuals. However, a significant difference was only observed for uptake in influenza vaccine between U.S.-born and non-U.S.-born persons (chisquare=11.54, P=.0007). CONCLUSION: The suboptimal rates of influenza, Tdap, and COVID-19 vaccination seen in this cohort demonstrate the necessity for interventions to improve education about the safety and effectiveness of vaccination in pregnancy. Furthermore, increased efforts to maximize availability and access to vaccines during prenatal care are also needed. Together, these strategies may increase vaccine uptake in pregnancy, especially across diverse populations.

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