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OBJECTIVE: To explore the experiences of a virtual group therapy programme for children with Osteogenesis Imperfecta (OI) who were unable to access face to face therapy due to a global pandemic. In a regional OI service up to 3 face to face 6-week therapy groups are offered for children during summer school holidays. Throughout the Covid-19 pandemic, OI children were at risk of deconditioning due to government restrictions in school attendance, exercise and socialisation. An alternative means of delivering therapy was required. METHOD(S): 30 families with school age children were invited to attend a virtual therapy group. Following initial interest from 21 children, 14 (age range 4-14 years) participated in a 5 week therapy group. Children were split into 3 age groups (4-7/8-12/13-14). Weekly 75 minute sessions comprised functional gross and fine motor activities. Educational elements with opportunities to explore thoughts and feelings were included. Each group were set a challenge to compete a virtual race from Bristol to Lands' End, recording their distance (walking, wheeling, cycling) throughout the week. Feedback was collected from participants and parents. RESULT(S): Feedback was received from 12/14 of attendees and parents and 4/7 who did not attend. Reasons for non-attendance included anxiety around video calls, other commitments and injuries. Of those that attended 100% (n=12) enjoyed the group and reported increased activity levels. Scavenger Hunt was cited as the favourite activity. 16.6% (n=2) children reported discussion on personal feelings uncomfortable. 16.6% (n=2) reported exercises were hard. 100% (n=9) of parents reported no significant difficulties with IT. Parent reported benefits included positive social interaction with other children with OI (66%, n=6), improving routine in preparation for school return (55%, n=5). Challenges for therapy team included identifying appropriate IT platform, choosing activities appropriate for various abilities and virtual instruction. Successes included time efficiency, full inclusion regardless of geographic location, increased activity levels of children with OI in preparation for school return. CONCLUSION(S): A safe, socially distanced method of delivering group therapy during a pandemic was achieved. Virtual therapy can be a useful adjunct, however this should not replace face to face therapy where possible.
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Introduction: The COVID-19 pandemic led to a quarantine in Peru seeking the greatest social distancing. Objective: To determine the effect of quarantine on eating behavior, physical activity and mental health before and during this period in older adults in Trujillo. Study: Observational, descriptive, longitudinal in 350 older adults, by means of virtual survey on frequency of food consumption, physical activity and changes in mental health, analyzed by chi-square. Findings: The intake of alcoholic beverages and fast food decreased. The level of physical activity decreased significantly. Feelings of loneliness, depression, anxiety, among others, increased. Perception of weight gain and waist size increase was found. Conclusions: COVID-19 quarantine in older adults decreased physical activity, affected mental health and gave perception of weight and waist size increase, without affecting eating behavior.
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BACKGROUND: Enhanced neural plasticity early after stroke suggests the potential to improve outcomes with intensive rehabilitation therapy. Most patients do not get such therapy, however, due to limited access, changing rehabilitation therapy settings, low therapy doses, and poor compliance. OBJECTIVE: To examine the feasibility, safety, and potential efficacy of an established telerehabilitation (TR) program after stroke initiated during admission to an inpatient rehabilitation facility (IRF) and completed in the patient's home. METHODS: Participants with hemiparetic stroke admitted to an IRF received daily TR targeting arm motor function in addition to usual care. Treatment consisted of 36, 70-minute sessions (half supervised by a licensed therapist via videoconference), over a 6-week period, that included functional games, exercise videos, education, and daily assessments. RESULTS: Sixteen participants of 19 allocated completed the intervention (age 61.3 ± 9.4 years; 6 female; baseline Upper Extremity Fugl-Meyer [UEFM] score 35.9 ± 6.4 points, mean ± SD; NIHSS score 4 (3.75, 5.25), median, IQR; intervention commenced 28.3 ± 13.0 days post-stroke). Compliance was 100%, retention 84%, and patient satisfaction 93%; 2 patients developed COVID-19 and continued TR. Post-intervention UEFM improvement was 18.1 ± 10.9 points (P < .0001); Box and Blocks, 22.4 ± 9.8 blocks (P = .0001). Digital motor assessments, acquired daily in the home, were concordant with these gains. The dose of rehabilitation therapy received as usual care during this 6-week interval was 33.9 ± 20.3 hours; adding TR more than doubled this to 73.6 ± 21.8 hours (P < .0001). Patients enrolled in Philadelphia could be treated remotely by therapists in Los Angeles. CONCLUSIONS: These results support feasibility, safety, and potential efficacy of providing intense TR therapy early after stroke. CLINICAL TRIAL REGISTRATION: clinicaltrials.gov; NCT04657770.
Subject(s)
COVID-19 , Stroke Rehabilitation , Stroke , Telerehabilitation , Humans , Female , Middle Aged , Aged , Stroke Rehabilitation/methods , Feasibility Studies , Telerehabilitation/methods , Upper Extremity , Treatment Outcome , Recovery of FunctionABSTRACT
Objective: To analyze the association between social isolation (SI), physical activity level (PAL) and sedentary behavior in the university community in pandemic times. Methods: A cross-sectional epidemiological study was carried out from May 7 to June 4, 2020, with 194 participants linked to the Federal University of Jataí Universidade Federal de Jataí UFJ), in Goiás, Brazil. Data were collected using a form created on Google Forms® and sent to the email addresses of the academic community of UFJ to assess socioeconomic characteristics, lifestyle, body composition, physical activity level, and sedentary behavior, taking into account the periods prior to and during SI. Data were analyzed using descriptive and inferential statistics, with p<0.05 considered significant. Results: The study participants were predominantly women (n=141; 72.6%), 18-27 years old (n=100; 71%), single(n=96; 68%), students (n=110; 78%), and had no pre-existing diseases (n=94; 67%). Increases in the body mass and body massindex (BMI) (p<0.05) were observed during SI, and physical activity downtime increased for all participants, regardless of sex(p<0.05). Conclusion: SI recommended by health managers due to the pandemic caused by COVID-19 was responsible for inducing an increase in body mass and BMI accompanied by an increase in screen time during the week, as well as a decrease in the PAL of individuals belonging to the community of university students of UFJ. Descriptors: Coronavirus Infections; Sedentary Behavior; Motor Activity.
Objetivo: Analisar a associação de isolamento social (IS), nível de atividade física (NAF) e comportamento sedentário na comunidade universitária em tempos pandêmicos. Métodos: Estudo epidemiológico transversal realizado no período de 7 de maio a 4 de junho de 2020 com 194 participantes vinculados à Universidade Federal de Jataí (UFJ), Goiás, Brasil. Para coleta de dados, foi enviado ao e-mail da comunidade acadêmica da UFJ um formulário criado no Google Forms® para avaliar as características socioeconômicas, os hábitos de vida, a composição corporal, o nível de atividade física e o comportamento sedentário, levando em consideração o período anterior e durante o IS. Os dados foram analisados por estatística descritiva e inferencial, com p<0,05. Resultados: Os participantes do estudo foram, predominantemente, mulheres (n=141; 72,6%), na faixa etária de 18-27 anos (n=100; 71%), solteiras (n=96; 68%), discentes (n=110; 78%), com ausência de doenças pré-existentes(n=94; 67%). Durante o IS ocorreu aumento da massa corporal e do índice de massa corporal (IMC) dos indivíduos (p<0,05). Além disso, o tempo de inatividade física aumentou para todos os indivíduos, independente do sexo (p<0,05). Conclusão: O IS proporcionado pelos gestores de saúde em decorrência da pandemia ocasionada pela COVID-19 foi responsável por induzir um aumento da massa corporal e do IMC, acompanhado pela elevação do tempo de tela durante a semana e a diminuição do NAF dos indivíduos pertencentes à comunidade universitária da UFJ.
Objetivo: Analizar la asociación entre el aislamiento social (AS), el nivel de actividad física (NAF) y la conducta sedentaria de la comunidad universitaria en tiempos de pandemia. Métodos: Estudio epidemiológico transversal realizado entre el 07 de mayo y el 4 de junio de 2020 con 194 participantes de la Universidad Federal de Jataí (UFJ), Goiás, Brazil. La recogida de datos se dio a través de un formulario del Google Forms® que ha sido enviado para el correo electrónico de la comunidad académica de la UFJ para la obtención de las características socioeconómicas, el estilo de vida, la composición corporal, el nivel de actividad física y la conducta sedentaria en el periodo antes y durante el AS. Se ha utilizado la estadística descriptiva e inferencial para el análisis de datos con p<0,05. Resultados: Los participantes del estudio eran predominantemente mujeres (n=141; 72.6%), entre 18 y 27 años de edad (n=100; 71%), solteras (n=96; 68%), estudiantes (n=110; 78%) sin enfermedades anteriores (n=94; 67%). Durante el AS ha sido observado el aumento en la masa corporal y en el Índice de Masa Corporal (IMC) (p<0.05) y la inactividad física ha aumentado para todos los participantes, independientemente del sexo (p<0.05). Conclusión: El AS proporcionado por los gestores de salud debido a la pandemia de la COVID-19 ha sido responsable por inducir el aumento en la masa corporal yen el IMC asociado con el aumento del tiempo de tela durante la semana así como la disminución del NAF de los individuos de la comunidad de estudiantes universitarios de la UFJ.
Subject(s)
Coronavirus Infections , Sedentary Behavior , Motor ActivityABSTRACT
In recent decades, there is a decreasing trend in physical activity, which might be associated with decline in physical and mental health among children and adolescents in China. The outbreak and spread of the COVID-19 further aggravated this trend. Under the background of normalized epidemic prevention and control, in order to deeply understand the relationship between physical activity and physical and mental health of children and adolescents, this study sorted out relevant domestic and foreign literatures, and analyzed the effects of physical activity on children and adolescents' health and fitness. The positive effects of physical activity, cognition, and mental health were found to be significantly different in the type, intensity, and time of physical activity in the related health effects. © 2022 Chinese Academy of Sciences. All rights reserved.
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The health of children and adolescents is of great significance to the realization of a "Healthy China". However, the current health problems of children and adolescents are showing a trend of frequent, high incidence and younger age. Complex and diverging characteristics of the environment, family and personal life behavior patterns contribute to risks and problems for children and adolescent health prevention and improvement. The outbreak and spread of COVID-19 epidemic has brought even more severe challenges to the health promotion of children and adolescents. In view of the connection between physical activity and the health benefits, consistent focus on "Physical Activity" and innovative ways and methods of health promotion through physical activity, can help provide an important guarantee for achieving the goal of "Healthy China". © 2022 Chinese Academy of Sciences. All rights reserved.
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Objective of the study was to assess the level of physical activity and its impact on the indicators of physical fitness of older people before and after the end of the pandemic. Methods and structure of the study. Since 2018, a pedagogical experiment has been conducted at the Faculty of Physical Education of the National Research Tomsk State University to study the effect of physical activity of older people on the duration and quality of their life. Since March 2020, due to the pandemic, organized classes have been suspended due to the high risk of COVID-19. The participants of the experiment were given methodical and practical recommendations for independent physical exercises. Immediately after the resumption of organized classes, a sociological survey and testing of the level of physical fitness were conducted. Results and conclusions. A break in organized physical exercises for older wom-en caused the following changes in their psychophysical state: all participants in the experiment noted a lack of physical activity;in 35% of the subjects during the pandemic, their own weight increased from 2 to 6 kg;25% experienced a depressed psychological state associated with limited communications and pro-longed solitude, and 30% of the participants in the experiment, by the end of the pandemic, noted a significant deterioration in well-being. The reasons for the decrease in the indicators of motor activity of the subjects are associated with irreversible age-related changes in the psychophysiological state of the organism of the participants in the experiment, supplemented by a forced two-year period of motor restrictions, as well as the lack of organized physical exercises with an instructor. © 2022, Teoriya i praktika fizicheskoy kul'tury i sporta. All rights reserved.
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The steady downward trend in children's health indicators in the context of the COVID-19 pandemic makes it necessary to search for new approaches to raising a healthy child in a preschool institution and family. The present study attempts to identify the level of manifestation of the voluntary behavior of senior preschoolers in motor activity as the basis for the growth of personal health potential. To meet that aim, the methods of mathematical statistics, especially Wilcoxon's t-test, are utilized. Based on the results, it can be concluded that the issue of developing the personal health potential in preschoolers, the manifestation of voluntariness, purposefulness, and independence in motor activity remains relevant. Assessment of voluntariness in motor activity demonstrates issues in nearly half of the children. Hence, the need to seek new pedagogical technologies, forms, methods, and means of developing the personal health potential of children seems crucial. © 2022, Centro Universitario Curitiba - UNICURITIBA. All rights reserved.
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The COVID-19 pandemic has changed all areas of human life and activity. A number of lifestyle changes associated with health risk factors have occurred, one of which is inactivity. The purpose of this study is to investigate the opinion of nursing students about their motor activity in the conditions of the COVID-19 pandemic. Material and methods: In our report, we have applied analysis of literary sources and a survey (on-line anonymous group survey). The opinion of 60 nursing students of second, third and fourth year at the Medical University - Varna was studied. The nurses received explanation for the purpose and methodology of the study, their anonymity was guaranteed, and their informed consent for the study was obtained. The study was conducted in August 2020-January 2021. Graphical analysis was used to visualize the observed processes and phenomena. To create the graphs, we used Microsoft Office Excel 2013. The data were processed using the IBM SPSS Statistics 19 statistical package. Results: The majority of the respondents shared that they had been less active compared to the time before the pandemic began. The search for alternatives for exercising and sports among students is hampered by a number of factors, which relate to the changes in the organization of life and educational activities associated with measures to stop the pandemic. Conclusion: The results of this study prove that the COVID-19 pandemic has had an impact on the lifestyle of the nursing students - most of them have reduced their motor activity. The data highlights the need to find alternatives and strategies to reduce the inactivity.
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Background: Recently, the Canadian 24-Hour Movement Guidelines for Adults were released, and included a revised physical activity (PA) recommendation. The recommendation of 150 minutes per week of moderate-to-vigorous intensity PA (MVPA) was revised, from requiring that MVPA be accrued in bouts of 10 minutes or more (bouted) to having no bout requirement (non-bouted). The objective of this study was to assess whether there were differences in sociodemographic, health and fitness characteristics of Canadians who met the bouted and non-bouted PA recommendations. Data and methods: Using adult (aged 18 to 79 years) accelerometer data from three combined cycles of the nationally representative Canadian Health Measures Survey (N = 7,102), this study compared adherence to the bouted and non-bouted recommendations. Differences in sociodemographic, health and fitness measures were assessed using independent t-tests and chi-squares. Multivariate linear and logistic regressions controlling for age, sex, household education and smoking examined associations with health and fitness measures. Results: More adults met the PA recommendation using the non-bouted versus bouted (45.3% vs. 18.5%) requirement. Characteristics of those who met the bouted and only the non-bouted recommendations were similar. Exceptions among those who met only the non-bouted recommendation compared with meeting the bouted recommendation included fewer adults aged 65 years and older; lower MVPA, recreation PA and transport PA; and higher sedentary time, light PA and grip strength. Interpretation: Although the removal of the 10-minute bout requirement increased the proportion of Canadian adults who met the PA recommendation, there were no substantial differences in the sociodemographic and health characteristics of the populations captured by the bouted and non-bouted definitions. Results help to inform the transition in reporting for PA surveillance.
Subject(s)
Accelerometry , Exercise , Accelerometry/methods , Adult , Canada , Cross-Sectional Studies , Demography , HumansABSTRACT
BACKGROUND: Little is known of whether Internet use is associated with physical activity among socially isolated older adults during the coronavirus disease 2019 (COVID-19) pandemic. This study investigated the association between Internet use and physical activity, and whether this association differs depending on social isolation among community-dwelling Japanese older adults. METHODS: A cross-sectional study was conducted with 1048 community-dwelling residents aged 65-90 years. Data were obtained using a self-reported questionnaire in August 2020. Physical activity was assessed using the International Physical Activity Questionnaire-Short Form. Multivariable logistic regression analyses were used to calculate the odds ratios (ORs) and 95% confidence intervals (CIs) for the associations between Internet use and moderate-to-vigorous physical activity (MVPA). RESULTS: Internet use showed a significant association with MVPA (OR = 1.42, 95% CI: 1.06-1.90) after adjusting for age, sex, self-reported socioeconomic status, and other health-related characteristics. When the results were stratified by social participation and living status, Internet use was associated with a significantly higher likelihood of MVPA among participants with no social participation (OR = 1.81, 95% CI: 1.03-3.17) and living with family (OR = 1.40, 95% CI: 1.02-1.93). CONCLUSION: Internet use was associated with sufficient physical activity, and this association may differ depending on the social isolation among community-dwelling older adults in Japan.
Subject(s)
COVID-19 , Pandemics , Aged , COVID-19/epidemiology , Cross-Sectional Studies , Exercise , Humans , Independent Living , Internet Use , Japan/epidemiologyABSTRACT
Leisure Physical Activities are important strategies for disease prevention, health promotion, well-being, socialization and personal development. However, in 2020, programs with face-to-face services were suspended due to the coronavirus, among them, the Segundo Tempo Universitario Program, which required the planning/preparation/implementation of a project adapted to the pandemic reality. This manuscript aims to present and describe the planning/preparation and implementation of the offer of Systematized Physical Leisure Activities and asynchronous guidelines during the pandemic. Structured in three phases (diagnosis, elaboration and implementation) it was carried out using Information and Communication Technologies, with asynchronous assistance - video classes. To do so, it resorted to the flow - lesson plan, recording of video lessons, hosting on YouTube and publication on the Facebook page. It is concluded that the project, through the new reality imposed by the coronavirus, created an alternative for university students to occupy their available time with systematized Physical Leisure Activities in safety, maintaining social distance, favoring the promotion of health, well-being, socialization family and personal development.
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Introduction. As a preventive measure to limit contagion in the face of the COVID-19 pandemic, confinement was implemented. This event limited the availability of food and favored the consumption of less healthy processed and non-perishable foods, behaviors that can be seen related to mental health disorders such as stress, anxiety and depression. Methods. It's quantitative, descriptive, cross-sectional study, with non-probabilistic convenience sampling carried out between August-October, 2020 with the participation of 1657 Latin American people from the general population. The Depression, Anxiety and Stress Scales-21 questionnaire and the eating behaviors questionnaire associated with stress, anxiety and depression-17 were applied. Ordinal logistic regression was used to assess the association between variables. Results. 62% presented some degree of depression, 55.9% anxiety and 55.2% stress. An association was found between stress with physical activity (p 0.048), fish consumption (p 0.041), water (p 0.003), breads / desserts (p 0.005), fast foods (p <0.001), sugary drinks (p 0.035), tea and infusions (p 0.023) and cocoa and its derivatives (p 0.018);anxiety with physical activity (p 0.006), intake of vegetables (p 0.022), fish (p 0.031), oils (p 0.008), breads / desserts (p 0.026), fast foods (p <0.001), tea and infusions (p 0.018), cocoa and derivatives (p 0.038) and vitamin supplements (p 0.016);depression with physical activity (p 0.037), consumption of fruits (p 0.012), water (p 0.012), coffee (p 0.045), breads / desserts (p 0.003), fast foods (p <0.001). Conclusions. An association was found between the consumption of certain foods and high levels of stress, anxiety and depression.
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Background: Hospitalized patients with COVID-19 can have persistent symptoms a medium term. However, it is unknown the consequences a long term of survivors none hospitalized. The aim of this study was to describe the functional state and the quality of life in COVID-19 survivors that did not require hospitalisation. After this, physical activity, dyspnoea, disability and anxiety/ depression was evaluated and relationship between them. Methods: A multicentre cross-sectional study with Primary Care patients was carried out. By means of an interview, status functional was valued with Post-COVID-19 Functional Status Scale (PCFS) and the 1-Minute-Sit-to-Stand (1MSTS) test. Health-Related Quality of life was measured with EuroQol (EQ-5D-5L). Level of physical activity was quantified with International Physical Activity Questionnaire (IPAQ). Dyspnoea was valued with Modified Medical Research Council scale (mMRC). Disability was measured with General Activity Limitation Indicator (GALI). And, anxiety/depression was calculated with Hospital Anxiety and Depression scale (HADS). Results: The study included 120 patients with an evolution time of 6.33 +/- 3.15 months. According to PCFS scale, 2.5% of patients showed severe functional limitations, 31.7% moderate and 16.7% slight. 45.8% had a score in 1-MSTS test lower for percentile 25 and 63,3% showed decline of quality of life. 43.3% showed a low physical activity level and 50% moderated. 57.5% had dyspnoea, 24.2% suffer from anxiety/depression and 46.6% claimed that they felt limited. Conclusion: Results suggest that people who had suffered from mild COVID-19, who have not required hospitalisation, they show functional limitations and a decrease in Health-Related Quality of life.
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OBJECTIVE: The aim of this scope review was to map the available scientific evidence on physical activity counseling for adults during the COVID-19 pandemic. METHODS: The search was performed in PubMed, Web of Science, Scopus, SPORTDiscus, LILACS, SciELO, and CINAHL databases. Studies that described the population of adults over 18 years of age that used physical activity counseling during the COVID-19 pandemic context were selected. Data extracted were author, study location, sample, age group, sex, population characteristics, design, means used for intervention, time of intervention, professionals involved, and intervention or counseling strategy. RESULTS: Physical activity counseling interventions were aimed at participants with insufficient levels of physical activity or with comorbidities; counseling was carried out in the online format; by health professionals, in the highest proportion of coaches, physicians, researchers, and nutritionists; through educational contents regarding the practice of physical activity; and using the transtheoretical model of behavior change as a reference method. CONCLUSIONS: The results of this review can provide tools for health professionals to assist in the process of coping with physical inactivity.
Subject(s)
COVID-19 , Adolescent , Adult , COVID-19/epidemiology , Counseling/methods , Exercise , Humans , Pandemics , Sedentary BehaviorABSTRACT
Objective: NA Background: Chronic inflammatory demyelinating polyneuropathy is an immune-mediated polyneuropathy characterized by peripheral demyelination, resulting in symmetrical sensory loss and distal and proximal muscle weakness. While CIDP has been reported after influenza, tetanus, and other common vaccinations, this is the first reported case of CIDP after Pfizer COVID-19 vaccination to our knowledge. Design/Methods: NA Case Presentation: A 34-year-old right-handed male with an unremarkable past medical history presented with bilateral distal paresthesias, proximal and distal muscle weakness, and fine motor difficulties. Symptoms initially manifested with toe numbness, approximately two weeks after receiving the first dose of the Pfizer COVID-19 vaccine. Paresthesias gradually progressed from lower extremities to upper extremities. Two months after the initial COVID-19 vaccine, symptoms worsened with decreased muscle strength, difficulties with fine motor activities, difficulties climbing stairs, and lifting objects above his head. Neurologic evaluation revealed 4/5 strength in upper and lower extremities, generalized hyporeflexia, decreased vibration, and proprioception. MRI of the brain and spine revealed no abnormalities. Nerve conduction studies were consistent with demyelination and cerebral spinal fluid analysis revealed albuminocytologic dissociation. The patient was diagnosed with CIDP and began steroids after poor response to a four-day treatment course of IVIG 2g/kg which resulted in partial improvement of strength. The patient continues to follow up with long-term prednisone therapy. Conclusions: Demyelinating polyneuropathies are a rare complication of vaccination. While the benefits outweigh the risks of immunization, we aim to inform of this potential complication.
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Background-Aim: Post-mortem studies showed that in patients with COVID-19 the poor prognosis is due not only to the worsening of the ventilation function but it can be related to the perfusion impairment due to massive pulmonary thrombosis or micro-thromboembolism. We aimed to investigate the clinical impact of lung perfusion (Q) scintigraphy in patients discharged after COVID-19 disease but still symptomatic for dyspnea. Methods: 33 patients (pts), discharged at least 1 month after COVID- 19, underwent Q scan at T0 (1-3 months after acute disease) and at T1 (after 6 months if lung perfusion defects were evident at T0). Inclusion criteria were (1) residual dyspnea: mild (12/33pts), at minimal motor activity (9/33) and after prolonged effort (12/33), (2) No thromboembolism at CT pulmonary angiography during hospitalization. Exclusion criteria were: previous history of lung disease (e.g. Cancer, COPD, emphysema) or abnormal pulmonary CT findings (e.g. lung bullae). Planar and Q-SPECT/CT images were obtained for evaluation of lobar or segmental or subsegmental peripheral perfusion defects for each bronchopulmonary segment. Perfusion images were qualitatively and semiquantitatively analysed. Q-lung software by GE Healthcare was used for SPECT/CT images for obtaining percent evaluation of pulmonary lobar perfusion (counts/volume % for each lobe), considering as normal a value of defect within: - 5%/each lobe, if represented in ≥ 1 lobe. Q-scan was then compared with high resolution CT (HRCT) obtained during hospitalization in the acute phase (T-acute) and repeated after 1-3 months (T0). Significant pulmonary perfusion defects at Q scan were considered for addressing targeted therapy. Results: At T0: preserved lung perfusion was observed in 17/33 pts, thus excluding the vascular cause for the symptoms. Lung perfusion defects were detected in 16/33 patients who underwent T0 and T1 control. Defects were scored as following: severe (7 pts with dyspnea at minimal motor activity), at least one wedge-shaped peripheral defect estimated as ≥ 50% of a pulmonary segment without corresponding HRCT abnormalities, suggesting a new CTPA within 3 months and an appropriate therapeutic strategy;moderate (6 pts with dyspnea after prolonged effort): consisting in multiple (>3) subsegmental defects;-mild: (3 pts with mild dyspnea ≤ 3 sub-segmental defects). At T1 lung perfusion improvement (≥ 10% vs pathological lobe in T0), was observed in a total of 8/16 pts. Conclusions: In the age of precision medicine, Q scan-SPECT/CT in pts with recent COVID-19 can address clinical knowledge and management of SARS-CoV-2-induced lung abnormalities, suggesting the differential diagnosis with respiratory disease of different etiology and the appropriate patient-centered therapeutic strategies.
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The problem of primary prevention of venous thromboembolism (VTE) is currently extremely important throughout the world for various specialists, especially in general surgery, orthopedics, intensive care and therapy. Among all preventive measures, special attention should be paid to anticoagulation in acute phase of disease at the in-hospital stage and early after discharge. This review is devoted to dosage, regimen and duration of anticoagulation depending on the risk of VTEC, efficacy and safety of parenteral and oral anticoagulants. Criteria for anticoagulation dose increment or prolongation of therapy to the outpatient stage are also proposed: high and extremely high level of D-dimer with additional risk factors of VTEC, obesity, reduced motor activity in postoperative period, previous VTEC, additional Caprini scores due to a widespread new coronavirus infection. Conclusions about the need to revise the guidelines on primary prevention of VTEC are made.
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Introduction: Confinement has led to changes in the work patterns of some workers that have an impact on habits such as physical activity. Objective:The aim was to analyse differences in sedentary time and physical activity before (2018) and after the pandemic (2021) in sedentary workers (N=44), differentiated by sex, who switched to teleworking. Material and Methods: Single-group retrospective observational before-after study. The variables age, sex, sedentary time and energy expenditure in metabolic equivalents were collected. Percentages, mean, median and standard deviation were calculated. Mann-Whitney U-test, t-test for independent and related samples and the sign test for absence of symmetry were applied. Results: Sedentary time decreased between 2018 and 2021 (p=0.005). Total expenditure and partial expenditure for heavy and light physical activity increased between the two years (p<0.001). Conclusion: Switching to telework decreased sedentary time and increased heavy and light physical activity.
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Robotic platforms for helping people with disabilities are being developed with the aim of providing both rehabilitation treatment and assistance in improving their quality of life, mainly for those who have mobility problems or some type of functional disability. Currently, according to the WHO (World Health Organization), existing rehabilitation services have been disrupted in 60–70% of countries due to this pandemic, because of the need to avoid human contact. [...]countries must face major challenges to ensure the health and autonomy of their disabled population. In [7], Vicente-Samper et al. propose mixing data from a personal device (that measures motor activity with an inertial sensor, heart rate, and body temperature) with that from an environmental device (based on a camera for tracking people around the user in order to detect social interactions) into a standard database where machine learning algorithms can extract user models (i.e., concentration level—distracted vs. focused—of the user while performing a task, such as reading a book).