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1.
Rec-Interventional Cardiology ; 4(3):173-180, 2022.
Article in English | Web of Science | ID: covidwho-2205345

ABSTRACT

Introduction and objectives: The Interventional Cardiology Association of the Spanish Society of Cardiology (ACI-SEC) and the Spanish Society of Pediatric Cardiology Working Group on Interventional Cardiology (GTH-SECPCC) introduce their annual activity report for 2020, the starting year of the pandemic of coronavirus disease (COVID-19). Methods: All Spanish centers with cath labs and interventional activity in congenital heart diseases were invited to participate. Data were collected online, and analyzed by an external company together with members from the ACI-SEC and the GTH-SECPCC. Results: A total of 16 centers participated (all of them public) including 30 cath labs experienced in the management of congenital heart diseases, 7 of them (23.3%) dedicated exclusively to pediatric patients. A total of 1046 diagnostic studies, and 1468 interventional cardiac catheterizations were registered. The interventional procedures were considered successful in 93.4% of the cases with rates of major procedural complications and mortality of 2%, and 0.1%, respectively. The most frequent procedures were atrial septal defect closure (377 cases), pulmonary angioplasty (244 cases), and the percutaneous closure of the patent ductus arteriosus (199 cases). Conclusions: This report is the first publication from the Spanish Cardiac Catheterization in Congenital Heart Diseases Registry. The data recorded are conditioned by the COVID-19 pandemic. Diagnostic cardiac catheterization still plays a key role in this field. Most interventional techniques have reported excellent security and efficacy rates.

2.
Neoliberalism and Unequal Development: Alternatives and Transitions in Europe, Latin America and Sub-Saharan Africa ; : 1-232, 2022.
Article in English | Scopus | ID: covidwho-2202314

ABSTRACT

Since the 1970s, neoliberalism has evolved from ideology to political programme, from political programme to public policy, and from public policy to constitutional rule. This process of change has been made possible through the endorsement of an uncritical, a-historical, and apolitical economic theory that legitimized technocratic despotism, financial deregulation, precarious labour, and constitutional-political emptying. This book examines critical perspectives in mainstream neoliberal development analysis. It examines the neoliberal experiment as a global historical construct through the cases of Africa, Latin America, and Europe. The analysis begins in 1980 with the Structural Adjustment Plans in Latin America and Africa, followed in 1990 by Maastricht in the case of Europe and the euphoric shift that took place, typified by the Africa Rising narrative, which attempts to promote the idea of an economically emerging continent. It also considers the weakness of the state resulting from neo-liberal austerity and fiscal stabilization policies, which have amplified the inability to collectively deal with the social, economic, and political impact of the COVID-19 crisis. One of the key features of the book is the extensive comparative analysis between regions, using case studies, including examples from African countries. The authors connect the different regional perspectives, included in the book, in a clear and coherent way, such that it will appeal to students and scholars interested in the social, economic, and political outcomes of globalization and will also be of interest to official development agencies and third sector organizations in Latin America, Sub-Saharan Africa and Europe. © 2022 selection and editorial matter, Fernando López-Castellano, Carmen Lizárraga and Roser Manzanera-Ruiz;individual chapters, the contributors.

3.
Emerg Infect Dis ; 28(13):129-137, 2022.
Article in English | PubMed | ID: covidwho-2162916

ABSTRACT

We documented the contributions of Field Epidemiology Training Program (FETP) trainees and graduates to global COVID-19 preparedness and response efforts. During February-July 2021, we conducted surveys designed in accordance with the World Health Organization's COVID-19 Strategic Preparedness and Response Plan. We quantified trainee and graduate engagement in responses and identified themes through qualitative analysis of activity descriptions. Thirty-two programs with 2,300 trainees and 7,372 graduates reported near-universal engagement across response activities, particularly those aligned with the FETP curriculum. Graduates were more frequently engaged than were trainees in pandemic response activities. Common themes in the activity descriptions were epidemiology and surveillance, leading risk communication, monitoring and assessment, managing logistics and operations, training and capacity building, and developing guidelines and protocols. We describe continued FETP contributions to the response. Findings indicate the wide-ranging utility of FETPs to strengthen countries' emergency response capacity, furthering global health security.

4.
REC: CardioClinics ; 2022.
Article in English, Spanish | EMBASE | ID: covidwho-2132200

ABSTRACT

This paper shows a selection of the most relevant articles in congenital heart diseases in the last year. About intervencional procedures, we comment the latest guidelines in 2021, as well as some interesting papers on the implementation of materials and techniques in the field of percutaneous treatment of congenital heart diseases. In cardiac imaging, we focus on articles related to the revolutionary advance of 4D-NMR and 3D echo in the study of these congenital diseases. Respect pediatrics, there are interesting studies about multisystem inflammatory syndrome linked to SARS-CoV-2 (MIS-C) and also in the field of hypertrophic cardiomyopathy. Related to surgery, we comment the hybrid technique for treating hypoplastic left ventricle. Finally, regarding arrhythmias in congenital heart disease, we focus our attention on atrial fibrillation, due to the peculiarities that exist in this type of patients. Copyright © 2022 Sociedad Espanola de Cardiologia

6.
Interciencia ; 47(9):381-386, 2022.
Article in Spanish | Web of Science | ID: covidwho-2093122

ABSTRACT

The objective of the research was to determine the effectiveness of a teleworking program applied by the National Superin-tendency of Customs and Tax Administration of Peru (SUNAT) with a view to describe its effectiveness during the period of confinement by COVID-19 in the country. The research carried out was of a descriptive correlational type, the population was of a finite type, made up of 74 SUNAT collaborators. A positive Spearman correlation, significant at 0,521, was generated between the labor flexibility variable and the productivity variable. The organizations that had not had the opportunity to work remotely before the COVID-19 pandemic, were affected by having to drastically assume a change for which they were not prepared, generating adaptation and productivity problems. It is concluded that the program that has been implemented in the population sample before the COVID-19 pandemic, allowed for a favorable organizational management to overcome the period of confinement without the adversities that arise in other work environments. Consequently, it is important to supervise, from a flexible view of work, since it is natural for staff to venture into social networks and other pages not directly related to work. In this sense, it is reasonable to propose as a productivity strategy, the fulfillment of goals to be executed in specific periods.

8.
American Journal of Transplantation ; 22(Supplement 3):664, 2022.
Article in English | EMBASE | ID: covidwho-2063499

ABSTRACT

Purpose: Transplantation of kidneys from donors with active SARS-CoV-2 infection is uncommon due to concerns about the risk of viral transmission and kidney quality. To date, there is no conclusive data that viral transmission from extra-pulmonary solid organ transplant is a possibility. Given the prevalence of SARS-CoV-2 infections in potential donors, the shortage of kidneys available for transplantation and the low risk of viral transmission, we developed a clinical protocol for accepting kidneys from donors with active SARS-CoV-2 infection and preserved kidney function. Method(s): Retrospective chart review of 5 kidney transplant recipients from 4 deceased donors with severe SARS-CoV-2 infection. Donor and recipient characteristics are reported using descriptive characteristics. Result(s): Donor creatinine ranged from 0.51 to 0.60 mg/dL and KDPI ranged from 14% to 52%. Three of the 5 kidneys came from donation after circulatory death donors. All recipients were fully vaccinated, and 4/5 received post-exposure prophylactic monoclonal antibody treatment. 3 recipients had delayed graft function but were off of dialysis by postoperative day 6 or 8. 3 recipients were readmitted, one for fluid overload and mild rejection on two different occasions, one for hypotension from dehydration and one for sepsis secondary to an aspiration pneumonia. The latter recipient subsequently died with a functioning graft secondary to a severe bacterial infection. This recipient was also found to have a femoral DVT during readmission on the contralateral side to the kidney graft. At 30 days post-transplant, no recipients displayed signs or symptoms of SARS-CoV-2 infection and the three who were readmitted tested negative for SARS-CoV-2 via nasopharyngeal swab. All had a creatinine less than 2 at the most recent follow up. Conclusion(s): Our findings suggest that kidney grafts from donors with severe SARSCoV- 2 infection but preserved kidney function can be safely used and have good early outcomes. However, more research is needed to determine the safety and long term outcomes of kidney transplantation from donors with severe COVID-19 pneumonia.

9.
Journal of Clinical Oncology ; 40(16), 2022.
Article in English | EMBASE | ID: covidwho-2005650

ABSTRACT

Background: For patients with cancer, the COVID-19 pandemic has increased morbidity and mortality due to their bigger susceptibility to infection and to the discontinuity of treatment. In this context, telemedicine has become an invaluable tool for cancer care. The purpose of this study is to describe the impact of telemedicine in the care of cancer patients from a Latin American public institution. Methods: Retrospective, descriptive and cross-sectional study of cancer patients who received medical care through telemedicine from the Department of Medical Oncology of the Instituto Nacional de Enfermedades Neoplasicas (INEN) during the COVID-19 pandemic, from March 2020 to February 2021. Data collection was performed in real time by medical oncologists. Impact was mesuared with a comparison between the amount of cancer care during the COVID 19 pandemic vs the previous year. A modified version of the University of Kansas Cancer Center telephone satisfaction survey was conducted. Variables included the process of requesting an appointment by telemedicine, satisfaction with telemedicine service and distribution of drugs. Results: 16 456 telemedicine visits were carried out in one year time, 96.1% were conducted by telephone and only 3.9% used a video communication platform. 73% of patients were female and 62% were in the age group from 31 to 60 years old. 43% corresponded to solid tumors where breast cancer was the most frequent diagnosis. Patients in active treatment represented 70% (n = 11587), with 64% of patients being treated with curative intent and 36% within the palliative setting. Regarding the result of telemedicine visits, 62% (n = 10,281) had a medical prescription (40% corresponded to hormonal therapy;and 19%, to intravenous or subcutaneous systemic treatment). Overall, 8% (n = 56) of cases required an in-person visit. In the annual comparative analysis (against in-person visits during the previous year), the gap was 23% (60%, 20%, 8% and 13% during the first, second, third and fourth quarters, respectively). According to the type of medical care, telemedicine accounted for the 27.6% of the total medical care employed during in the year. The maximum level of usage was in May 2020 with 52% and in February 2021 with 48%, coinciding with the first and second waves of COVID in Peru. The satisfaction survey was applied to 5765 randomly chosen patients from July to October 2020. The mean scores for the 3 variables studied were: 4.6 / 5 points for the process of requesting an appointment, 4.58 / 5 points for telemedicine service and 4.33 / 5 points for the distribution of medicines and orders. Conclusions: Telemedicine is key to guarantee the continuity of care for cancer patients with an adequate level of satisfaction. If the Telemedicine service had not been implemented, the number of medical consultations would have dropped to 40% in comparison to the previous year.

10.
Journal of the American College of Cardiology ; 79(9):2104-2104, 2022.
Article in English | Web of Science | ID: covidwho-1849490
11.
Psychology, Society and Education ; 14(1):13-21, 2022.
Article in Spanish | Scopus | ID: covidwho-1847947

ABSTRACT

Digital media have acquired a key role in the social dynamics among adolescents, increasing the prevalence of risk behaviors such as cyberbullying. Although its study has increased in recent decades, there are still few studies focused on the effects of a specific type of cybervictimization, such as cyber-rumor. The aims of this study were first to examine whether victims of cyber-rumor have higher levels of internalizing symptoms and second to explore whether resilience mediates this association, controlling for the sex effect. A total of 558 students (54.3% girls) aged between 13 and 17 years old (M = 14.65;SD = 1.19) participated in the study. Data processing followed a mediation model through PROCESS. The results evidenced that both girls and cyber-rumor victims presented higher levels of depression, anxiety and stress. The mediation models showed that resilience only mediated the effect that being victim of cyber-rumor had on levels of depression and anxiety, but not on stress levels. Sex was not found to moderate such effects. In conclusion, these results underscore the importance of attending to cyberaggression phenomena given their effects on social and emotional well-being identified in this study. This suggests the need to design prevention programs that include among their strategies the promotion of skills for coping with cyber-rumor. © 2022. Psy, Soc & Educ.

12.
Revista Cubana de Medicina Militar ; 50(4), 2021.
Article in Spanish | Scopus | ID: covidwho-1801644

ABSTRACT

Introduction: Infection with SARS-CoV-2 induces a prothrombotic state in patients, by the combination of hyperinflammatory response and hypoxia. In Cuba, the drug called Jusvinza, based on an immunomodulatory peptide, is used for the treatment of patients with COVID-19, who present signs and symptoms of hyperinflammation. Objectives: To describe the clinical course and behavior of various biomarkers associated with the inflammation and coagulation, in a group of critically ill patients with COVID-19 treated with Jusvinza, compared to a group of patients who did not receive treatment with this peptide. Methods: 40 critically ill patients with COVID-19 were included. The patients were divided into 2 groups: 20 patients were treated with Jusvinza and 20 were not treated with this peptide (control group). Demographic characteristics, comorbidities, vital signs, respiratory parameters and inflammation and coagulation biomarkers were obtained from the medical records of each patient. Results: Treatment with Jusvinza induced a clinical improvement in the patients, associated with the decrease of several inflammation and coagulation biomarkers. Patients treated with Jusvinza had a significantly higher survival than patients not treated with this peptide. Conclusions: Jusvinza is able to control hyperinflammation and hypercoagulation in critical ill patients with COVID-19. © 2021, Editorial Ciencias Medicas. All rights reserved.

13.
Journal of New Approaches in Educational Research ; 11(1):31-48, 2022.
Article in English | Web of Science | ID: covidwho-1761184

ABSTRACT

Leisure activities shared by grandparents and grandchildren provide important benefits. The health and humanitarian crisis caused by the coronavirus (COVID-19) pandemic has made it necessary to use digital tools to alleviate the lack of contact between adults and children. This paper had as its aim to identify the digital leisure shared by grandparents and their pre-adolescent grandchildren (10-12 years old) before and during the pandemic, as well as its contribution to intergenerational well-being from a holistic paradigm, ultimately aiming to determine whether that digital leisure constitutes an experience of human development for young and old people alike. 'T he sample was made up of 153 grandparents of 10-to-12-year-old children living in the north of Spain. Alongside the use of an ad hoc questionnaire, descriptive and inferential analyses were carried out. Most intergenerational leisure activities ceased to be performed during the lockdown, except for those that could be carried out remotely, thanks to information and communication technologies, which ensured the continuity of social and family interactions. Technological connectivity between generations provided greater support to communication and meaningful relationships, additionally facilitating active aging processes.

16.
Pasos-Revista De Turismo Y Patrimonio Cultural ; 20(1):55-68, 2022.
Article in Spanish | Web of Science | ID: covidwho-1689582

ABSTRACT

The Covid-19 pandemic is having a devastating impact on the travel industry. The consequences of the virus are beginning to be seen in the form of mergers, closures or acquisitions that will leave behind a new landscape in the travel agency sub-sector. This study analyses the situation of Spanish travel agencies and, on the basis of this research, proposes a manual of good practices for their recovery. A total of 726 travel agents were contacted through an online survey. The study shows that the current situation is perceived as a turning point from which a change must take place in the market, ranging from technological innovation to the marketing of more sustainable products, including a possible change of business model. After participatory observation in the sector and analysis of the results obtained, a manual of good practices is proposed in the form of a decalogue which, when put into practice, will help to guarantee the future of travel agencies, already affected by the changes brought about by the appearance of new players in the area of tourism intermediation.

17.
Revista Eletronica Pesquiseduca ; 13(32):1141-1156, 2021.
Article in Portuguese | Web of Science | ID: covidwho-1679122

ABSTRACT

This essay presents a critical analysis of teachers' professional identity within the context of assessments in the period marked by the COVID-19 pandemic. Considerations were made regarding the evaluation of students during the specific dynamics of a process marked by sensitive changes in the universe of Brazilian education in 2020 and 2021. The reinvention of teaching practice was highly needed, which sparks off a debate surrounding the teacher's role in the changes of assessment practices. In this sense, the fine line between teaching and learning is questioned, changing the aforementioned "formula" for the conduction of activities and the reception of answers, in view of an unbridled search for attendance, and not for systemic learning. The considerations point to a necessary dialogue about the relationship between the teaching profession and assessment.

18.
REC: CardioClinics ; 57:S29-S35, 2022.
Article in English | EMBASE | ID: covidwho-1676896

ABSTRACT

Cardiovascular disease is the leading cause of mortality. The COVID-19 pandemic has worsened the control of risk factors and has led to an increase in heart failure and infarction mortality. There is an urgent need to optimize prevention and cardiac rehabilitation. Fortunately, we have more efficient solutions than ever before. Prescribing lifestyle and physical exercise to all cardiovascular patients. Potent lipid-lowering drugs are already well established and others will be soon, there are new aspects to improve the control of arterial hypertension, and the new era in global diabetes protection is being consolidated. Cardiac rehabilitation is much more digital and at home and the new 2021 European cardiovascular prevention guidelines insist on primary prevention and new emerging risk factors.

19.
Digital Education Review ; - (40):122-140, 2021.
Article in English | Web of Science | ID: covidwho-1652191

ABSTRACT

Networked society before pandemic situation had become the context of a technology-supported environment for learning and teaching. Since COVID-19 pandemic occurred learning happened essentially mediated through connected smart devices that demand digital skills and reinforced Smart learning. This study aims to present a descriptive and comparative analysis focusing on digital competences in three different areas: Use, Learning and Critical thinking, justified in a global situation of intensive use of technology. Each area was analyzed considering the five subareas of digital competence: information management, communication, content creation, safety and problem solving. The study was designed under a non-experimental quantitative methodology in which higher education students from Spain, Colombia, Ecuador, and Mexico participated (N=926). Results show significant differences among countries that could help to improve not only formal education in Higher Education, but the digital skills needed for lifelong learning among citizenship in next future conditioned by recent global situation of pandemic.

20.
J Midwifery Womens Health ; 67(1): 95-106, 2022 01.
Article in English | MEDLINE | ID: covidwho-1598330

ABSTRACT

INTRODUCTION: Cesarean rates are particularly high among Hispanic women in some regions of the United States, placing a disproportionate health burden on women and their newborns. This integrative review synthesized the literature on mode of birth (vaginal vs cesarean) and related childbirth complications (hemorrhage, surgical site infection, perineal trauma) among Mexican American women living in the United States. METHODS: Four electronic databases, PubMed, Embase, CINAHL, and SCOPUS, were searched to identify studies meeting the inclusion criteria, research studies that included Mexican American women who were pregnant or postpartum. Results were limited to English language and publications that were peer-reviewed and published before May 2020. Covidence was used in article identification, screening, and assessment. Critical appraisal of the research was performed using the Quality Assessment Tool for Studies with Diverse Designs. RESULTS: Ten articles met inclusion criteria. In some studies, Mexican American women born in the United States were more likely to have cesareans than women born in Mexico; in other studies, these findings were reversed. Mexican American women often had lower unadjusted cesarean rates compared with non-Hispanic white women, but adjusting for birth facility (some facilities perform more cesareans than others), sociodemographic, and risk factors often revealed Mexican American women have a higher adjusted risk for cesarean birth. Women with higher socioeconomic status had higher cesarean rates compared with women with lower socioeconomic status. In studies of birth outcome by level of acculturation, women who were US-oriented had higher rates of cesarean and more frequent perinatal complications. By ethnic subgroup, rates of cesarean and complications varied among Hispanic women. DISCUSSION: Birth facility was associated with perinatal outcomes for Mexican American women; those who gave birth at higher-performing facilities had better outcomes when compared with women who gave birth at lower-performing facilities. After adjusting for pregnancy complications, Mexican American women had a greater risk for cesarean birth compared with non-Hispanic white women, a finding that may have clinical practice implications. Level of acculturation affected birth outcomes, but more research using precise instruments is needed.


Subject(s)
Acculturation , Mexican Americans , Cesarean Section , Female , Humans , Infant, Newborn , Parturition , Pregnancy , United States/epidemiology
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