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The Covid-19 pandemic forced the world population to incorporate prevention activities into their daily lives to preserve people's physical health. In Colombia, the national government, through resolutions and decrees, regulated quarantine and preventive isolation in order not to saturate health services and intensive care units, which were not prepared to respond to the disease. In this sense, this article analyzed the habits of physical activity, well-being, and quality of life in preventive isolation - Covid-19 in Bogota, Colombia. A cross-sectional descriptive quantitative study was conducted on a sample of 1,775 people with an average age of 43.5+or-25.5 years, of which 50.9% (n=903) corresponded to women and 49.1% (n=872) to men. It was found that due to the confinement the consumption of coffee and alcoholic beverages increased, as well as a decrease in physical activity. In addition, manifestations of anxiety, depression and feelings of loneliness were identified, which directly affected people's well-being and quality of life. It is expected that this type of research will contribute to the understanding of the impact of the contingency measures taken by the different nations to curb Covid-19 infections on people's health.
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The use of plastics in the world is increasing, but their proper final arrangement is limited. Peru made regulatory efforts to reduce its use;however, they are isolated activities that have not represented a significant change in their management. This study allows to identify the presence of microplastic on one of the busiest beaches of the city of Lima Metropolitana, during the emergency period caused by the SARS-COV-2 pandemic. To achieve the objectives of the research, it has been sampled in high tide and supra-coastal areas, applying the methodology proposed in the Ministry of the Environment's Soil Sampling Guide. This study shows the presence of microplastics, with an abundance of 43 pieces per m2, and found that the predominance of the type of microplastic found is of secondary origin (polystyrene and polypropylene);however, 20.9% correspond to primary microplastics (pellets) whose source could not be determined. Finally, it is indicated that despite restrictions on the state of emergency the number of microplastics per m2 in Agua Dulce Beach between 2019 (40 pieces) and 2020 (43 pieces) increased by 7.5%.
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The COVID-19 pandemic had a significant impact on medical care and medical education in Peru. In response, the Peruvian American Medical Society (PAMS), a charitable medical organization based in the USA, pursued its medical and educational missions in Peru by adopting virtual learning technology. We developed closer collaborative relationships with several medical schools and the Peruvian Association of Medical Schools (ASPEFAM) while offering a faculty panel of twenty-four members to provide lectures and multidisciplinary webinars in Spanish. We conducted 19 webinars including COVID -19 and non-COVID-19 related topics that over the last two years attracted 14,489 participants from 23 countries. They were the foundation for twenty publications in Peruvian medical journals. Our clinical investigations competition was positively received as was our pilot project on research mentorship. The COVID -19 pandemic had a positive effect on the educational mission of PAMS in Peru.
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The pandemic scenario caused by Covid-19 generated negative impacts. Covid-19 has made it clear that our daily lives depend to a high degree on access to energy. Therefore, now more than ever, it is necessary to promote new activities such as local food production, but also local energy capture. This article is an attempt to expose and quantify the benefits of a renewable energy transition in Ecuador post Covid-19 and post-oil. The generation, consumption, and reserves of oil in Ecuador were characterized, and the concept of energy transition was applied to evaluate the possibilities of integration of renewables, the progressive exit of thermal power plants, and future energy strategies. The year 2015 was taken as a basis and it was determined that energy use was 154.0 TWh / year, which corresponds to an end-user of approximately 147 TWh / year. The objective was to reduce this end-use demand to 80.0 TWh/year by 2055 through the integration of renewables and energy efficiency, for which 5 transition phases were planned until a 100% renewable system was obtained. It is concluded that the energy transition in Ecuador is technically possible and economically viable, without giving up the energy well-being that we currently enjoy. However, results show that even 100% renewable is not enough to face climate change.
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Introduction: Faced with the pandemic produced by SARS-CoV-2, the Peruvian government implemented several measures such as the temporary closure of primary care facilities and the health system implemented various policies and strategies;one of them was to create and implement the Drug Delivery System for Chronic Patients (SIENMECRO) project. Background: To describe the creation and implementation process of SIENMECRO project. Methods: Qualitative case study that involved reviewing existing documentation such as texts and videos and conducting in-depth interviews with officials and collaborators involved since the preparation of SIENMECRO proposal. Results: SIENMECRO project emerges as a positive initiative with the aspiration of promoting an integrated health system that addresses the health reality from the social determinants of health, due to patients' difficulties to go to their controls and to receive their treatment. Although there was no comprehensive plan for the implementation and control of the project, it was essential to cover the need for health care for a vulnerable segment of the population, avoiding their transfer and preserving the health of the people most likely to suffer complications from COVID-19 infection. Conclusions: It is an initiative where the health system takes a more proactive role for the benefit of the population, implementing the use of technology of the information and communication in health care, articulating with the various providers and bringing services closer to the most vulnerable citizens.
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The National Public Health Institutes (NPHI), members of the Latin American Regional Network of the International Association of National Institutes of Public Health, met face to face at the headquarters of the National Institute of Public Health of Mexico, in the City of Cuernavaca, from October 5 to 7, 2022, with the participation of the directors or their representatives of the NPHIs of Bolivia, Brazil, Colombia, Costa Rica, El Salvador, Mexico, Peru and Suriname and representatives of the South American Sub regional Program (SAM), and the Central American Sub regional Program (CAM) of the Pan American Health Organization (PAHO), the Organization of the Amazon Cooperation Treaty (OTCA), the Andean Health Agency/Hipolito Unanue Agreement (ORAS/CONHU) and the Central American Integration System (SICA/COMISCA), analyzing the role of the NPHI in combating health inequities;in confronting the global climate and environmental crisis;combating hunger, food insecurity and malnutrition;successes and challenges in responding to the Covid-19 pandemic;strengthening and continuous improvement of integrated disease surveillance and preparedness for health emergencies;as well as the various existing regional and sub-regional health cooperation programs, noticing that: 1. In the current scenario, the dominating development model is a generator of growing social inequalities, which determine serious inequities in the health conditions of our peoples. 2. Likewise, the current model of production and consumption, adopted at the global level, has increased hunger, food insecurity and malnutrition that possibly constitute nowadays the main health problem in our region. 3. The environmental crisis, which is also a product of the current global development model, has a significant impact on human and animal health and the interaction between both. 4. The NPHIs have played a role of major relevance in confronting the Covid-19 pandemic, not fully applying, however, their full potential for research and for proposing national plans for the disease control. 5. Health surveillance systems, in most of our countries, suffer from significant fragmentation between various sectors and within the health sector itself, implying, in any case, reactive actions that do not allow for anticipating the emergence of new pathologies or health emergencies. 6. The various regional and sub regional cooperation agencies and programs offer an enormous capacity for synergies and mutual cooperation.
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Background: COVID-19 patients may experience lon-lasting symptoms from weeks to even months. Aim: To evaluate long-term cognitive impairment based on the severity of symptoms of COVID-19 infection in a primary health system setting. Material and methods: From a database of 363 patients, 83 cases aged 47 +or- 15 years, (58% females) were selected from June to August 2020. In patients who survived the virus, 24 infection-related symptoms were collected to create three severity clusters (mild, moderate, and severe). The follow-up time was at least seven months. Comparing the first two clusters with the severe cluster, the existence of brain fog and risk factors (obesity, hypertension, diabetes, chronic lung disease, and hypothyroidism) were analyzed. Results: Thirty-one patients (37%) had persistent symptoms lasting up to 240 days. Fifty-one patients (61%) experienced brain fog. Concentration was affected by symptom severity (odds ratio [OR] 3.63, 95% confidence interval [CI] 1.26-10.46, p = 0.02). Short- or long-term memory loss was not affected. Moreover, symptom severity was related to brain fog (OR 3.16, 95% CI 1.05-9.51, p = 0.04). Patients with persistent symptoms had a concentration impairment associated with severity patterns (OR 24.3, 95% CI 1.73-340.11, p = 0.03). Conclusions: Brain fog is associated with symptom severity in COVID-19 survivors and lasts for more than eight months.
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Dairy production systems in Ecuador have been studied in the last 10 years. During the Covid-2019 pandemic, the entire human society was harmed and agricultural activities affected by the disease and by the restrictions implemented to prevent its spread. The dairy industry did not escape this global situation and was affected in various countries. Reports from Ecuador and Asian countries indicate the unfavorable effect that this global health emergency situation had on dairy production. However, according to a report by the Argentine Dairy Chain Observatory1, world milk production had a constant growth of around 3%. It is considered that the activities carried out by veterinarians, milking and animal handling operators, inseminators and by the personnel dedicated to the management of paddocks were affected by Covid-19. Likewise, the supply of medicines, agricultural inputs and technology had a critical situation due to the pandemic. In addition, the response times were not always adequate, especially due to the absenteeism of livestock personnel, human mortality and effects on the health and well-being of people . Therefore, it is of interest to investigate the effects the pandemic could have on the country's cattle farms. The objective of this work was to evaluate whether the pandemic period affected milk production per hectare per year in Ecuadorian herds.
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Due to COVID-19, universities have shifted to offer online learning for their students from traditional face-to-face learning. Despite various efforts made by university administrators for their students' online learning during the COVID-19 pandemic, not much has been identified about how students perceived online learning and what factors affected their online learning engagement and outcomes. Examining students' motivation, self-efficacy, and anxiety as key factors for their online learning engagement and outcomes, this study conducted a self-administered online survey with college students in three countries: the U.S., South Korea, and Colombia. This study used SEM to test hypotheses and conducted a multi-group analysis to find differences among students. The findings indicated that students' self-efficacy and anxiety significantly impacted their online learning engagement, influencing online learning outcomes. Although students were highly engaged in online learning, their perceived online learning was not so effective and rigorous compared to face-to-face learning.
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Introduction: COVID-19 vaccines stimulate immune processes that allow SARS-CoV-2, which affected a large part of the population, to be mitigated. The research on the adverse reactions presented by the COVID-19 vaccines must be continuous, since at present there is not enough information on their consequences. Background: to determine the possible adverse reactions in young and older adults belonging to the Recinto Umpechico, inoculated against SARS-CoV-2 in Santo Domingo, during 2021. Method: a descriptive study was carried out in a population of 600 residents of said locality, inoculated against SARS-CoV-2. Non-probability convenience sampling was used, with a sample of 235 inhabitants. The study variables were: adverse reactions to COVID-19 vaccines, name of the vaccine received, number of doses, intensity and duration of symptoms, medications used to mitigate said adverse reactions. Results: 31.5% of the respondents who presented symptoms were male. The most common vaccine was Pfizer with 47.65%, with a percentage of symptoms of 29.36%. The most common adverse reaction was arm pain with 31.98%, lasting two to three days, equivalent to 48.96%;62.65% used paracetamol and 20.5% used cold water baths to reduce symptoms. Conclusions: the vaccines manufactured by the different pharmaceutical companies cause adverse reactions that range from mild to severe, manifesting at any age and for a short or long term, which in most cases are easily treated with pharmacological and non-pharmacological medications.
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Introduction: COVID-19 caused healthcare professional workers have faced the pandemic on the frontline at the risk of being infected with the virus. Despite the low mortality rate at present and the low presence of patients with COVID-19 in health care centers, the application of a fourth booster dose has generated different positions among several countries. Background: to determine whether personnel considered being at high risk of vulnerability in the city of Santo Domingo de los Colorados, Ecuador, have favorable intentions for receiving the fourth booster dose of the COVID-19 vaccine. Method: a quantitative study of correlational scope and cross-sectional design was developed. A questionnaire consisting of 16 questions measured the following variables: risk of infection, perceived knowledge of the vaccine, confidence in the vaccine and intention to be vaccinated;this questionnaire was applied to 375 participants. Statistical analyses were developed using the microsoft Excel spreadsheed and Statistical Packagefor Social Sciences 21 (SPSS 21). Results: statistical analyses showed that the risk of infection (beta = 0.178**), perceived knowledge about the vaccine (beta = 0.218**) and confidence about the vaccine (beta = 0.192**) are significantly correlated with the intention to be fully vaccinated, thus showing the need for a fourth booster dose by vulnerable sectors. Conclusion: this is the first research that presents results regarding the intention to vaccinate vulnerable people and highlights the intention to access a fourth booster dose.
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Introduction: the quality of medical care is directly related to the appropriate work environment and the satisfaction of the health staff. With the appearance of COVID-19, the work environment in health institutions has worsened. Background: to identify the factors that influence the work environment of the public and private health institutions of Santo Domingo de los Tsachilas, Ecuador, during the period June-August 2021. Method: implementation of a study with a quantitative approach of correlational scope and transectional design in 349 health workers, to whom a 25-questions questionnaire was applied, that measured factors such as: contagion risk, working hours, medical resources and job stability. The results of the study were statistically analyzed through SPPS 20 and AMOS 24, with the previous development of Cronbach's alpha. Results: 94% of the participants considered the work environment of their institutions as inappropriate, while 6% said they did not. Females, and ages ranging between 22-35 years predominated. All the variables of the hypothesized model exceeded 0.70 and the total Cronbach's alpha reached 0.728;the hypothesized model met the convergent and discriminant validity of the variables. The risk of contagion yielded a value of beta=0.148, while the working day resulted with beta=0.010, medical resources beta=0.006 and job stability beta=0.007. Conclusions: the findings determined that the risk of contagion is the most influential factor in the work environment of the institutions under study during the beginning of the COVID-19 pandemic.
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Introduction: risk factors associated with complications in the mother-child pair include: history of hypertensive disorders, adolescent pregnancy, drug use, unfavorable obstetric history with a background of miscarriages or abortions, sexually transmitted diseases and urinary tract infections. Background: to identify the obstetric risk in times of COVID-19 pandemic at the "Bastion Popular" health area, Guayaquil, Ecuador, from January to June 2021. Method: a descriptive-transversal field research was carried out, with a quantitative approach, which favored the analysis of the obstetric risk categories recorded in the medical history of 117 pregnant women, who signed an informed consent, for the collection of data through home visits, using the obstetric risk scale or score. Results: outcomes assessment showed, as main result, that the most frequent obstetric risk group was the age group 20 to 24 and the high risk factor was the main category identified. Obstetric risk increased proportionally when the interpregnancy interval was reduce. Conclusions: young women between 20 and 24 years of age are those who presented the highest obstetric risk, which is correlate with a higher number of gestations, abortions, deliveries and cesarean sections. Therefore, it is necessary to provide women with information about pregnancy and its complications, so that they are able to identify risk factors during pregnancy, delivery and the puerperium.
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Introduction: despite the devastating effect of COVID-19, many nations have lifted their restrictions. It is necessary to keep addressing this problem using the promotion via, in order to increase people's health training. Background: to assess the efficacy of an educational program performed to increase the level of knowledge concerning COVID-19 in patients who live in the Aponwao Village, Caroni, Venezuela, during the period November 2021-February 2022. Method: a pre-experimental intervention study was carried out, with a before-and-after design implied. A total of 85 patients were chosen as sample, selected by simple random sampling. It was applied a survey to all the patients selected, an educationaldidactic and interactive program was designed and implemented, and a final evaluation was carried out to verify the effectiveness of the program. Results: female sex was the most representative group (54.1%) and 41.2% of patients were in the age group of 25 to 44. The predominant risk factor was the non-use of means for prevention against COVID-19 infection (28.6%) and 17.6% of patients surveyed suffered from hypertension. Before carried out the intervention study, 48.2% of participants had an insufficient level of knowledge;after applied the educational program, 52.9% increase their knowledge passing to "Good" knowledge level. Conclusions: the implementation of the educational program made possible to increase the level of knowledge concerning COVID-19, so that its efficacy for preventing this infection in Primary Health Care it is effective.
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The Amazon is home to important wildlife and a biodiversity hotspot of global importance. The ancestral knowledge kept by Indigenous communities about its fauna and flora contributes further to its irreplaceable value. The Peruvian Amazon was heavily struck by the COVID-19 epidemic with a cumulative incidence of 725, a mortality rate of 34 per 100,000 inhabitants, and a case fatality rate of 4.6% by the end of July 2020. In this work, we review scientific literature and media to trace the events that happened at the beginning of the COVID-19 epidemic in the Peruvian Amazon. Results are synthesized in three observations: (1) the evolution of the COVID-19 epidemic within the Peruvian Amazon and the response of the Peruvian health care system, (2) Confusing information about Ivermectin use for COVID-19 treatment and prevalent self-medication (3) The response of the traditional Indigenous health care system to the COVID-19 epidemic. These three observations are interdependent. There is an unexploited potential for integrative approaches linking traditional medical practices (TMP) and biomedical approaches and they may benefit from the interactions that occur between them. Synergies can also be explored between the human and animal health care sector, especially in terms of the use and stewardship of medicines. We conclude that there is a benefit of the One Health approach in the region, which can go through the common ambition to improve the integrated health of people, animals and ecosystems, facilitate the enhancement of equity and inclusion while improving access to health services and conserving biodiversity.
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Covid-19 has not only affected the health of the population but has also deteriorated the economies and industries of the countries;one of them, which is the most affected, is undoubtedly tourism. The impact of the Covid-19 on the Bolivian tourism industry warned that about 3,020 million BOB$ would be lost in 2020. The main receptive inbound markets in Bolivia drastically decreased their trips and the impact derived from the absence of tourism caused more than 140 thousand people to lose their job source. Undoubtedly, the tourism micro entrepreneur was the one who received the greatest impact, since nearly 50% of the productive units closed operations in the months following the start of the pandemic. However, Bolivian entrepreneurs saw in this interruption an opportunity to think and reinvent themselves by migrating to the computer world.
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Ecuador is a tourist destination for the American continent with a predominance of exuberant landscapes and a seductive historical and cultural richness. The direct incidence of COVID-19 has transformed the usual tourist patterns and favoured the identification of new leisure possibilities in rural areas. The aim of the article is to assess the changes in tourism demand in Ecuador and the potential of rural tourism for the revival of the sector. Theoretical, empirical and statistical methods were applied, including analytical-synthetic, hypothetical-deductive and documentary review, in support of the search for information and its systematisation, while descriptive statistics were used to consolidate graphs and trends that reinforce the scientific basis of the research. This it possible to confirm that rural tourism is a high-impact niche market for diversifying the Ecuadorian economy, re-establishing tourist flows and contributing to the development and preservation of indigenous communities and their culture, as it guarantees the protection of existing ecosystems and their value as an attraction.
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COVID-19 marked the lives of human beings from every point of view. Daily social dynamics and lifestyles had to be adapted to the new conditions of social isolation to which humanity was subjected. Social gaps and inequalities were accentuated and the vulnerability of certain social groups became more visible, especially among older adults. For this reason, the objective of this study is to analyze knowledge about the prevention of COVID-19 and its relationship with the socio-family environment of the elderly. Based on its compliance, a non-experimental and cross-sectional investigation of a correlational type was developed based on a quantitative approach. The study population consisted of 375 older adults who live in the community of Santa Martha in the city of Chone, of which 74 met the requirements for both inclusion and exclusion. The data obtained were analyzed through descriptive and inferential statistics using Microsoft Excel, as well as SPSS version 26 and Pearson's chi-square software. This research made it possible to determine, among other results, that the prevention measures against COVID-19 are not applied by the majority of the elderly, despite their knowledge.
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Background: Confinement is an effective measure to control COVID-19, but it can have repercussions on lifestyle-related behaviors, especially among adolescents. Poor quality diet and low physical activity could trigger weight gain and the appearance of chronic non-communicable diseases at an early age. Aim: To study the changes in eating and physical activity patterns before and during the first COVID-19 confinement in Chilean adolescents. Material and Methods: Chilean adolescents aged between 10 and 19 years were invited to answer an online survey with 47 questions about dietary habits and physical activity. Results: The survey was answered by 420 participants and only four adolescents declined to answer it. Changes in eating patterns were evidenced, such as an increase in lunch consumption from 54.1 to 83%, and a decrease in the consumption of both healthy and unhealthy foods. Also, significant changes were observed in physical activity patterns, and an increase in the time spent sitting, from 4.7 to 5.8 hours during confinement. Conclusions: The first confinement for COVID-19 modified eating and physical activity patterns in Chilean adolescents towards unhealthy habits, which if maintained, could negatively affect their health and quality of life.
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This study attempted to identify the overall impact of COVID-19 on the restaurant industry in Colombia through the interviews with ten restaurant owners or chefs (e.g., fine-dining, family-dining, casual dining, and quick-service restaurants). Adopting the three phase post-pandemic planning framework, this study examined how the restaurants responded, recovered, and renewed their businesses and what survival strategies they have been implementing to respond to the new normal after the COVID-19 outbreaks. Findings of the study indicated the restaurants in Colombia focused on and developed four operational survival strategies: operational transformation and challenges, government support, social responsibility, and precautionary measurement practices, focusing on their core value and assets such as employees and menus.