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2.
Innovar ; 32(86):59-74, 2022.
Article in Spanish | Scopus | ID: covidwho-2081092

ABSTRACT

The covid-19 pandemic has had implications in multiple areas, including consumer behavior. One of the first segments affected by the pandemic was the food industry due to the demand of essential goods. This paper analyzes the main changes in food purchase and consumption habits during the covid-19 lockdowns in Bogotá. To do this, we proposed a quantitative, non-experimental field design with the participation of 506 university students. Findings show that consumption behaviors related to staying-at-home, such as online shopping, cooking and homemade food consumption, and the importance of logistics and digital strategies increased during the lockdowns. Furthermore, we defined three types of consumers: (i) those who showed significant changes in their habits during the lockdowns, (ii) those who kept relatively similar habits to those before the pandemic, and (iii) those who continued out-of-home habits despite lock-downs. Finally, this study seeks to outline a perspective that contributes to understanding consumer behavior and the changes caused by the covid-19 pandemic beyond the relationship between food consumption habits and health, which has been the dominant perspective in the existing literature. © 2022, Universidad Nacional de Colombia. All rights reserved.

3.
Mmwr-Morbidity and Mortality Weekly Report ; 71(36):1151-1154, 2022.
Article in English | Web of Science | ID: covidwho-2068408

ABSTRACT

What is already known about this topic? Before emergence of the SARS-CoV-2 B.1.1.529 (Omicron) variant, infectious SARS-CoV-2 was unlikely to be cultured at high cycle threshold (Ct) values. Based on this, low Ct values, which are suggestive of high RNA levels, are sometimes used as surrogate markers for infectiousness. What is added by this report? In a longitudinal study including daily nasal swabbing, although Omicron BA.1 sublineage infections exhibited higher Ct values than did pre-Omicron infections, culturable Omicron virus was still detected. Among virus-positive specimens, Ct values were higher for Omicron than for pre-Omicron specimens, especially during the first week of illness. What are the implications for public health practice? Supporting CDC guidance, these data show that Ct values likely do not provide a consistent proxy for infectiousness across SARS-CoV-2 variants.

4.
Ciriec-Espana Revista De Economia Publica Social Y Cooperativa ; 105:65-91, 2022.
Article in Spanish | Web of Science | ID: covidwho-2025309

ABSTRACT

Uruguayan cooperativism is characterized by strong links with guilds and unions, and the cooperative figure has often been a tool to address their demands. This is the case of the Cooperatives of Artists and Related Trades (CAOC), a new figure in the country, created as a result of negotiations between the Performing Arts Unions and the State, which seeks to include an informal and traditionally unprotected sector in the social security system. This paper analyzes, on the basis of a qualitative case study, the singularity of the relationship between these unions and the first two established artists' cooperatives (Valorarte and Coopaudem). The objective is to understand the functioning of these organizations which, as observed in the joint approach to the COVID-19 crisis, are a clear example of the possibility of generating strategic alliances between unionism and cooperativism. The leading role played by trade unions in the process of estabishing this type of cooperatives, as well as in the founding of the aforementioned CAOCs, confirms the clear relevance of this ooperatives as a trade union tool. Likewise, it is noted that this quasi-symbiotic relationship presents strengths in the operational aspect and in the achievement of the goals of each organization, constitutes a novel and innovative modality, but also compromises the principles of free membership and cooperative autonomy. Finally, it is assessed that this relation deepens the weaknesses these organizations inclusion and links with the rest of the cooperative sector, with whom it has had little contact since its inception.

5.
An Sist Sanit Navar ; 45(2)2022 Jul 01.
Article in Spanish | MEDLINE | ID: covidwho-2006702

ABSTRACT

BACKGROUND: The clinical spectrum of COVID-19 varies from no or mild symptoms to pneumonia with fatal complications. The aim of the study was to find predictors of mortality and admission in the intensive care unit (ICU) in patients hospitalized for COVID-19. METHODS: Retrospective study of a cohort of patients admitted for COVID-19 between March 2020 and February 2021. Demographic, clinical, radiological and laboratory variables were described at admission. Independent predictors of mortality and ICU admission were identified by means of backward stepwise logistic regression and described in terms of odds ratio (OR) and 95% confidence interval (95%CI). RESULTS: A total of 883 patients were included, 51.8% men with a mean age of 68; 1.8% readmissions. 17.6% of patients died (n=154). The independent predictors of mortality were age (OR=1.071; 95%CI: 1.046-1.095), percentage of oxygen saturation (SatO2) (OR=0.938; 95%CI: 0.903-0.974), diastolic blood pressure (DBP, OR= 0.972; 95%CI: 0.955-0.989), creatinine (OR=1.516; 95%CI: 1.088-2.113), INR (OR=1.199; 95%CI: 1.012-1.419) and sodium (OR=1.082; 95%CI: 1.037-1.128). Eight percent of patients were admitted to ICU; the independent predictors were: male sex (OR=2.079; 95%CI: 1.099-3.935), age (OR=0.960; 95%CI: 0.942-0.979), SatO2 (OR=0.925; 95%CI: 0.889-0.962), creatinine (OR=1.551; 95%CI: 1.118-2.152) and C-reactive protein (CRP, OR=1.003; 95%CI: 1.000-1.007). CONCLUSION: The identification of independent predictors of mortality (age, SatO2, DBP, creatinine, INR, sodium) and ICU admission (sex, age, SatO2, creatinine, and CRP) allowed for the stratification of patients to adapt clinical care protocols to these findings, thereby improving medical decisions.


Subject(s)
COVID-19 , Aged , C-Reactive Protein , Creatinine , Female , Humans , Male , Prognosis , Retrospective Studies , Sodium
7.
Emergencias ; 34(3):196-203, 2022.
Article in Spanish | Web of Science | ID: covidwho-1976066

ABSTRACT

Objective. To validate a previously described hospital emergency department risk model to predict mortality in patients with COVID-19. Methods. Prospective observational noninterventional study. Patients aged over 18 years diagnosed with COVID-19 were included between December 1, 2020, and February 28, 2021. We calculated a risk score for each patient based on age >= 50 years (2 points) plus 1 point each for the presence of the following predictors: Barthel index <90 points, altered level of consciousness, ratio of arterial oxygen saturation to fraction of inspired oxygen <400, abnormal breath sounds, platelet concentration <100 x 10(9)/L, C reactive protein level >= 5 mg/dL, and glomerular filtration rate <45 ml/min. The dependent variable was 30-day mortality. We assessed the score's performance with the area under the receiver operating characteristic curve (AUC). Results. The validation cohort included 1223 patients. After a median follow-up of 80 days, 143 patients had died;901 patients were classified as having low risk (score, <= 4 points), 270 as intermediate risk (5-6 points), and 52 as high risk (>= 7 points). Thirty-day mortality rates at each risk level were 2.8%, 22.5%, and 65.4%, respectively. The AUC for the score was 0.883;for risk categorization, the AUC was 0.818. Conclusion. The risk score described is useful for stratifying risk for mortality in patients with COVID-19 who come to a tertiary-care hospital emergency department.

8.
Palliative Medicine ; 36(1 SUPPL):108, 2022.
Article in English | EMBASE | ID: covidwho-1916768

ABSTRACT

Background/aims: Palliative care professionals (PCP) work in an environment of great emotional impact where patients and caregivers present high levels of emotional distress and suffering. Working in these units frequently involves high levels of emotional distress. The emergence of the COVID-19 pandemic has intensified this emotional distress. The aim of this work was to analyze the levels of emotional distress of palliative care health professionals during the second wave of the pandemic in Spain. Methods: A descriptive cross-sectional study of palliative care health professionals who responded to an online survey during the second COVID-19 pandemic in Spain (July 2020). 95 palliative care professionals (58 women and 37 men) with a mean age of 45.72 ± 11.71 years responded to an online survey voluntarily, after giving informed consent. In addition to sociodemographic variables, anxiety, depression, emotional distress, post-traumatic stress, and questions related to the COVID-19 situation and the institution were analyzed. The study was approved by the Ethics Committee of the Autonomous University of Barcelona. Results: 53.7% of the health professionals reported anxiety, 46.7% depression, 54.5% emotional distress, and 28% post-traumatic stress disorder (PTSD). A 26.5% of the professionals think that they require psychological help. 32.8% believe that they feel recognized by their institution, and 28.7% feel cared for by their institution. We observe that the professionals who feel recognized by their institutions experience less emotional distress (p<0.01) and believe they need less psychological support (p<0.05) than those who do not perceive it. Conclusions: A high emotional impact generated by the COVID-19 pandemic is observed in PC professionals. It would be necessary to provide psychological resources related to emotional regulation and coping strategies to deal with this situation of high emotional impact generated by the pandemic and promote their well-being and facilitate coping of future pandemics.

9.
Nephrology Dialysis Transplantation ; 37(SUPPL 3):i239-i240, 2022.
Article in English | EMBASE | ID: covidwho-1915706

ABSTRACT

BACKGROUND AND AIMS: Acute kidney injury (AKI) has been described as a frequent complication in patients with COVID-19. The incidence of AKI is estimated to be around 5%-80% depending on the series;however, data characterizing the type of AKI and the evolution of renal function parameters in the medium-long term are still limited. METHOD: Based on the initial AKI-COVID Registry, we developed an extended registry where we registered retrospectively new variables that included clinical and demographic characteristics, infection severity parameters and data related to AKI (ethology, KDIGO classification, need of renal replacement therapy, analytic values: baseline creatinine, maximum creatinine during admission, creatinine at discharge or death, creatinine at 1 month after hospitalization and urinary parameters). Recovery of kidney function was defined as difference in at discharge or posthospitalization creatinine < 0.3 mg/dL with respect basal creatinine. RESULTS: Our analysis included 196 patients: 74% male, mean age 66 + 13 years;65% hypertensive, 33% diabetic and 22% chronic kidney disease. According to the KDIGO classification: 66% AKI KDIGO3, 17% KDIGO2 and 15% KDIGO1. Creatinine values are summarized in Table 1. We found significant differences in the baseline/high creatinine differential;these differences were lost after hospitalization. The main types of AKI were prerenal (35%) and acute tubular necrosis secondary to sepsis (ATN) (53%). 89% of patients with ATN presented AKI KDIGO 3, compared with 57% in the prerenal group (P < .001). Patients with prerenal AKI had greater comorbidity. On the other hand, patients with ATN AKI developed more serious COVID-19 infection: higher percentage of severe pneumonia, admission to the intensive care unit and need for orotracheal intubation. The analytical parameters were more extreme in patients with ATN AKI, except for creatinine and urea upon admission, which were higher in the prerenal AKI group. A total of 89 patients died during the study;65% of ATN AKI patients versus 31% of prerenal-AKI patients (P < .001). The ATN was a mortality risk factor, whit a hazard ratio 2.74 [95% confidence interval (95% CI )1.29-5.7] (P = .008) compared with the prerenal AKI. CONCLUSION: AKI in hospitalized patients with COVID19 presented with two different clinical patterns. Prerenal AKI more frequently affected older, more comorbid patients, and with a mild COVID19 infection. The NTA AKI affected younger patients, with criteria of severity of infection and multiplying mortality almost three times. In analytical control 1-month post-hospitalization, most of the patients recovered their kidney function. Although the implications of AKI associated with COVID-19 in the development of chronic kidney disease are still unclear, our data suggest that most patients will recover kidney function in a medium term. (Table Presented).

10.
Revista Espanola de Salud Publica ; 94(e202007083), 2020.
Article in Spanish | CAB Abstracts | ID: covidwho-1871329

ABSTRACT

The SARS-CoV-2 pandemic has had a major impact on birth care and lactation. The lack of knowledge regarding the transmission mechanisms and the potential risks for the mother and the newborn, even when the vertical transmission of the virus has not been demonstrated, has led to the abandonment of practices such as skin-to-skin and the early initiation of breastfeeding (BF), which offer great benefits for maternal and child health. Taking into account the available scientific evidence and the protective effect of BF, the World Health Organization (WHO), and other organisms recommend, in cases of suspected or confirmed SARS-CoV-2 infection of the mother, maintaining mother-child contact and BF, adopting preventive measure procedures to minimize the risk of contagion. These measures include hand hygiene, before and after contact with the newborn and the use of a mask. If a temporary separation of mother and child is required, it is recommended to feed the newborn with expressed breast milk. The presence of IgA antibodies against SARSCoV- 2 has been confirmed in the milk of infected women, so BF could reduce the clinical impact of the disease in the infant, if it becomes infected.

11.
Revista Espanola de Salud Publica ; 96(e202203036), 2022.
Article in Spanish | GIM | ID: covidwho-1871298

ABSTRACT

Background: After the acute period of infection by the SARS-CoV-2 virus (COVID-19), multi-organ signs and symptoms may remain. This study tried to compare the perception of the state of health and the sequelae in Navarra-Osasunbidea health workers after COVID-19, with the previous situation through the Health Survey.

12.
Ansiedad Y Estres-Anxiety and Stress ; 28(2):100-107, 2022.
Article in English | Web of Science | ID: covidwho-1869987

ABSTRACT

The objective of this study is to make a quick assessment of the psychological resources and emotional distress of the general population locked down during the COVID-19 pandemic (in Catalonia, Spain), and to observe their evolution over the course of two waves during lockdown: at two weeks and at one month (April 1th to 3th and April 17th to 19th). The longitudinal study collected data from 29,231 participants aged 18 or older through an online platform who answered questions which evaluated: optimism, uncertainty, perceived competence, self-efficacy, emotional distress, current job situation, sadness and anger in conjunction with sociodemographic variables. The main results indicated that general beliefs about the future, uncertainty, and optimism, together with beliefs about one's own conduct, such as perceived competence when facing the situation or self-efficacy to maintain routines, could predict the emotional distress experienced by an individual. A clear gender pattern was found. Between the two waves, optimism, perceived competence to manage the situation and self-efficacy to maintain routines decrease, uncertainty grows, and emotional distress remains. Taking these results into account we can prevent possible emotional scars and offer coping strategies to overcome the pandemic and the future situations of confinement in a more efficient way.

13.
PubMed; 2021.
Preprint in English | PubMed | ID: ppcovidwho-331941

ABSTRACT

Background/Objectives: Obesity decreases the secretion of SARS-CoV-2-specific IgG antibodies in the blood of COVID-19 patients. How obesity impacts the secretion of autoimmune antibodies in COVID-19 patients, however, is not understood. The serum of adult COVID-19 patients contains autoimmune antibodies generated in response to virus-induced tissue damage and cell death leading to the release of intracellular antigens not known to be immunogenic autoantigens. The objective of this study is to evaluate the presence of autoimmune antibodies in COVID-19 patients with obesity. Subjects/Methods: Thirty serum samples from individuals who tested positive for SARS-CoV-2 infection by RT-PCR were collected from inpatient and outpatient settings. Of these, 15 were lean (BMI<25), and 15 were obese (BMI a30). Control serum samples were from 30 uninfected individuals, age-gender- and BMI-matched, recruited before the current pandemic. Serum IgG antibodies against two autoimmune specificities, as well as against SARS-CoV-2 Spike protein, were measured by ELISA. IgG autoimmune antibodies were specific for malondialdehyde (MDA), a marker of oxidative stress and lipid peroxidation, and for adipocyte-derived protein antigens (AD), markers of virus-induced cell death in the obese AT. Results: Our results show that SARS-CoV-2 infection induces anti-MDA and anti-AD autoimmune antibodies more in lean than in obese patients as compared to uninfected controls. Serum levels of these autoimmune antibodies, however, are always higher in obese versus lean COVID-19 patients. Moreover, because the autoimmune antibodies found in serum samples of COVID-19 patients have been correlated with serum levels of C-reactive protein (CRP), a general marker of inflammation, we also evaluated the association of anti-MDA and anti-AT antibodies with serum CRP and found a significant association between CRP and autoimmune antibodies in our cohort of lean and obese COVID-19 patients. Conclusions: Our results highlight the importance of evaluating the quality of the antibody response in COVID-19 patients with obesity, particularly the presence of autoimmune antibodies, and identify biomarkers of self-tolerance breakdown. This is crucial to protect this vulnerable population that is at higher risk of responding poorly to infection with SARS-CoV-2 compared to lean controls.

14.
Revista Portuguesa de Estudos Regionais ; - (60):133-147, 2022.
Article in Spanish | Scopus | ID: covidwho-1766764

ABSTRACT

The pandemic became a great challenge for many aspects of life, economic performance is no ex-ception. There is evidence that the Employed Economically Active Population (EAP) decreased in Mex-ico as an effect of Covid-19, however, the behavior of the income of the Economically Active Population (EAP) that remained employed is unknown. In this context, the objective of this research is to analyze the behavior of the EAP income for each sector of activity in Mexico in times of pandemic (2020 and 1 quarter of 2021). As a methodology, the Mincer wage model was used and the rate of revenue growth was observed. The data were obtained from the National Survey of Occupation and Employment (NSOE). The results show that the EAP that works in the sectors of "Agriculture, livestock, forestry, fishing and hunting" and "Mining", suffered the greatest decrease in their income. Finally, it is concluded that Covid-19 caused the decrease in the EAP in Mexico, but also the decrease in the income of those people who have kept their jobs. © 2022, Revista Portuguesa de Estudos Regionais. All rights reserved.

15.
Rev Esp Salud Publica ; 96, 2022.
Article in Spanish | PubMed | ID: covidwho-1762273

ABSTRACT

OBJECTIVE: After the acute period of infection by the SARS-CoV-2 virus (COVID-19), multi-organ signs and symptoms may remain. This study tried to compare the perception of the state of health and the sequelae in Navarra-Osasunbidea health workers after COVID-19, with the previous situation through the Health Survey. METHODS: Through a descriptive cross-sectional study, using a reduced questionnaire from the 2017 National Health Survey sent to health workers from the Navarre-Osasunbidea Health Service COVID-19 cases after 3 and 6 months, from April to July 2021 and compared with 2017. Differences were described through means, percentages and prevalence ratio, with 95% confidence intervals. RESULTS: Of 938 surveys sent, 93 of 3 months (46.3%) and 305 of 6 months (41.4%) were received, 87% of women and 13% of men and 43 years of average age and 64.3% were from nursing and 19.1% from medicine. The percentage that assessed their health status as good or very good was significantly lower at 6 months than health workers and the general population in 2017 (70.2% vs 80.4% and 75.5%), the limitation for the habitual activity (39.8% and 35.1% vs 18.3%), headache 2.7 times more frequent, the days of activity restriction (41.5 and 26.7 vs 7.5) and on bed. Mental health problems, concentration (45.2% and 43.9%), loss of sleep (44.1% and 43.3%) and consumption of tranquilizers and antidepressants (2 and 3 times more) stood out, although not of medical consultations. CONCLUSIONS: Navarre health workers diagnosed with COVID-19 in 2020 and early 2021 refer to the worst assessment of their health status at 3 and 6 months, greater limitation for usual activities, more frequent headaches and mental health problems, compared to the pre-pandemic period.

16.
20.
Revista Espanola De Nutricion Humana Y Dietetica ; 25:19, 2021.
Article in Spanish | Web of Science | ID: covidwho-1622863

ABSTRACT

Introduction: The pandemic caused by COVID-19 has led to taking extreme actions aimed at reducing the spread of the virus by drastically changing the lifestyles of students, and causing negative effects in situations that influence the quality of sleep and eating behavior. The aim was to associate sleep quality and eating behavior in Mexican university students during confinement by SARS-Cov-2 (COVID-19). Methodology: Cross-sectional study carried out using a web form, in a sample of 821 students, the quality of sleep was evaluated with the self-application of the Pittsburg Sleep Quality Index validated in Spanish and eating behavior with the validated Eating Behavior Questionnaire. Statistical analyzes for the association between sleep quality and eating behavior were determined with chi square, with statistical significance of 5%. OR were calculated by binary logistic regression using SPSS 25.0 software. Results: Alterations in sleep quality were found with association to unhealthy eating behaviors, mainly in the following behaviors;students who eat less than 3 meals a day during the week (OR=0.74;95%CI: 0.60,0.92), those who showed liking for alcoholic beverages (OR=1.1;95%CI: 1.04,1.18), those who showed liking for the habitual consumption of packaged foods (OR=1.12;95%CI: 1.01,1.24), students do not include vegetables or salads in their main meal time during the day with a risk of 1.07 times more of having poor quality of sleep (OR=1.07;95%CI: 1.01,1.13) young people do not consume fruits in their main meal of the day (OR=1.05;95%CI: 1.02,1.12), compared to good sleepers. Conclusions: Weight loss was mainly mediated by energy restriction, REI was not superior to REC as a therapeutic intervention, since weight loss seems to be mediated by the level of energy restriction and not because it is performed continuously or discontinuous.

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