Fulminant myocarditis following SARS-CoV-2 mRNA vaccination rescued with venoarterial ECMO: A report of two cases

Objectives: Cases of fulminant myocarditis after mRNA COVID-19 vaccination have been reported. The most severe may need venoarterial extracorporeal membrane oxygenation (V-A ECMO) support. Here we report two cases successfully rescued with V-A ECMO. Method(s): We included all the cases supported with V-A ECMO for refractory cardiogenic shock due to myocarditis secondary to a mRNA SARS-COV2 vaccine in the high-volume adult ECMO Program in Vall Hebron University Hospital since January 2020. Result(s): We identified two cases (table). One of them was admitted for out-of-hospital cardiac arrest. In both, a peripheral V-A ECMO was implanted in the cath lab. An intra-aortic balloon pump was needed in one case for left ventricle unloading. Support could be successfully withdrawn in a mean of five days. No major bleeding or thrombosis complications occurred. Definite microscopic diagnosis could be reached in one case (Image, 3). Treatment was the same, using 1000mg of methylprednisolone/day for 3 days. A cardiac magnetic resonance 10 days after admission showed a significant improvement in systolic function and diffuse oedema and subepicardial contrast intake in different segments (Image, 1-2). Both patients were discharged fully recovered. Conclusion(s): V-A ECMO should be established in cases of COVID-19 vaccine-associated myocarditis with refractory cardiogenic shock during the acute phase. (Table Presented).

ACADEMIC AND SOCIOECONOMIC SCOPE OF SCHOLARSHIPS: CASE OF UNAH UNIVERSITY STUDENTS, HONDURAS

In Honduras, as in the rest of the world, the COVID-19 pandemic caused significant changes in the dynamics of higher education. In this context, understanding the impact of educational economic stimuli as mechanisms of equity, inclusion and reduction of student dropout becomes important. The present study analyzed the incidence of student scholarships on academic and socioeconomic aspects of students at the National Autonomous University of Honduras (UNAH) in the context of the pandemic during the first semester of 2021. The study applies a mixed approach and includes a sample of 747 students who answered an ad hoc survey and 26 students which participa-ted in interviews. The results show a higher prevalence of female students, with low socioeconomic income and from large families, among other socioeconomic factors that are analyzed. In addition, the findings systematize the contribution of scholarships as dropout reduction mechanisms and their link with different spheres of life of the student community. Finally, the results are discussed in the light of previous literature and the practical and institutional implications are analyzed in terms of future research and the implementation of comprehensive equity and dropout reduction policies. © 2022, University of Cienfuegos, Carlos Rafael Rodriguez. All rights reserved.

Efficacy of CytoSorb in a patient with VV ECMO secondary to severe acute respiratory syndrome due to coronavirus 2 (SARS-CoV-2). Case report and literature review

Adult respiratory distress syndrome (ARDS) due to the SARS-CoV-2 virus has high morbidity and mortality secondary to severe pulmonary involvement added to a dysregulated immune response that causes a cytokine storm and organ dysfunction. Veno-venous extracorporeal membrane oxygenation (VV ECMO) is a rescue support that has been demonstrating effectiveness in severe and refractory cases of ARDS;however, it can also generate a systemic inflammatory response due to the contact of blood with a foreign surface. For these reasons, blood purification strategies such as haeme adsorption with CytoSorb are a therapeutic alternative to an exaggerated release of cytokines. We describe the case of a young patient with severe and refractory ARDS due to SARS CoV-2 with the need for ECMO support, and subsequent symptoms of cytokine storm due to hypotension and multi-organ dysfunction, who required extracorporeal removal of cytokines with CytoSorb, with which he achieved clinical stabilization that allowed withdrawal of extracorporeal support. © 2021 Asociación Colombiana de Medicina Crítica y Cuidado lntensivo

Internet of Things (IoT)-Scope, Applicability and Communication Models Internet de las Cosas (IoT)-Ámbito de Aplicación y Modelos de Comunicación

This research aims to study the conception of the Internet of Things (IoT), the areas where it is used and the communication models of the Internet of Things. It was investigated by collecting bibliographic material on the internet of things, its scope of application and communication models. After the analysis it was determined that the internet of things allows the interconnection between different devices, machines and people. To establish the areas of use of the IoT, the European Union and Latin America and the Caribbean are taken as a reference, where strong use by the transport and logistics sector, the health sector and the government was evidenced. Finally, the communication models of the Internet of Things most used are: device-to-device connection, cloud device, connection through connection ports and data exchange through the backend. It was evidenced that the application of IoT in the key sectors for developing countries such as the countries of Latin America and the Caribbean, is still incipient, being 15%, 10%, 14%, 21% and 31% of application in the sectors such as Transportation, Retail, Manufacturing, Government and Health Care respectively. In the current post-pandemic context due to Covid-19, the use of IoT will allow the recovery of the economy and promote the sustainable development of the region. © 2022 Latin American and Caribbean Consortium of Engineering Institutions. All rights reserved.

Application of the Study of Methods to Improve Production in a Textile Company

The present paper aims to present the results of the application of the tools and techniques provided by methods engineering to improve the production of sweatshirts in the sewing/assembling area of a textile company located in the city of Santa Anita (Lima-Peru);affected by low production efficiency and excessive processing times of sewing;in addition to a reduction in workforce due to the current COVID-19 epidemic situation, and an unattended demand for the product. Faced with this new reality, we proceeded to collect data and make operation time measurements, to tabulate the results and make comparisons, with the objective of making a diagnosis and to propose a method improvement in the sewing/assembling process that adapts to the new post COVID-19 situation. The improvement implementation in the sewing/assembling process, increased the efficiency of sewing time by 27.46%, and the production rate by 26.09%, besides of being sustainable due to the efficient use of resources. © 2022 Latin American and Caribbean Consortium of Engineering Institutions. All rights reserved.

Technology implemented to job performance in COVID-19 times in uncontrolled scenarios

The main purpose of this article is to analyze job performance in the times of COVID 19 in uncontrolled scenarios in Lima in the year 2021. The research presents a basic type, a qualitative approach, and the inquiry process is inductive. The method is phenomenological, since it seeks to describe and understand the research variable: job performance under the COVID 19 scenario, based on the experiences and experiences of the participants. It was applied to 5 employees (1 Director, 1 Coordinator and 03 Assistants) belonging to an organization based in Lima. The semi-structured interview technique was obtained, which focuses on the dialogue between two people and lasts between 25 and 35 minutes, through telephone calls and video calls. © 2022, Associacao Iberica de Sistemas e Tecnologias de Informacao. All rights reserved.

Distribution Model of Mobile Plants of Oxygen to satisfy its requirement in a Hospital Center in Second Wave of Covid-19

The emerge of a second wave of COVID-19 in Peru, brought as one of its consequences, the high demand for medicinal oxygen consumption emphasizing the importance of the distribution of the plants that produce it to satisfy the hospitals that require it. Faced with this, the search for an answer must not only cover the projected needs within the next few months, it must also be at the lowest possible cost. The LINGO program uses various methods to solve different decision-making problems. Among these, the Integer Linear Programming is one of the methods that give the possibility of achieving the objective of this research. In the development of this paper we will see step by step how the data from one of Lima city hospital was applied to a model created specifically for the distribution of mobile oxygen plants, resulting in its effectiveness, complying with the parameters established. © 2021 Latin American and Caribbean Consortium of Engineering Institutions. All rights reserved.

Recommendations for the reopening and activity resumption of the neurogastroenterology units in the face of the COVID-19 pandemic. Position of the Sociedad Latinoamericana de Neurogastroenterología. / Recomendaciones para la reapertura y reinicio de actividades de las Unidades de Neurogastroenterología ante la pandemia por COVID-19. Posicionamiento de la Sociedad Latinoamericana de Neurogastroenterología.

The COVID-19 pandemic has forced the establishment of preventive measures against contagion during the performance of diagnostic and therapeutic tests in gastroenterology. Digestive tract motility tests involve an intermediate and elevated risk for the transmission of COVID-19 infection. Given their elective or non-urgent indication in the majority of cases, we recommend postponing those tests until significant control of the infection rate in each Latin American country has been achieved during the pandemic. When the health authorities allow the return to normality, and in the absence of an effective treatment for or preventive vaccine against COVID-19 infection, we recommend a strict protocol for classifying patients according to their infectious-contagious status through the appropriate use of tests for the detection of the virus and the immune response to it, and the following of protective measures by the healthcare personnel to prevent contagion during the performance of a gastrointestinal motility test.

Recommendations for the reopening and activity resumption of the neurogastroenterology units in the face of the COVID-19 pandemic. Position of the Sociedad Latinoamericana de Neurogastroenterología

The COVID 19 pandemic has forced the establishment of measures to avoid contagion during diagnostic and therapeutic tests in gastroenterology. Gastrointestinal motility studies involve a high and intermediate risk of transmission of infection by this virus. Given its elective or non-urgent indication in most cases, we recommend deferring the performance of these tests until there is a significant control of the infection rate in each country, during the pandemic. When health authorities allow a return to normalcy and in the absence of effective treatment or a preventive vaccine for COVID 19 infection, we recommend a strict protocol to classify patients according to their infectious-contagious status through the appropriate use of tests to detect the virus and its immune response, as well as the use of protective measures to be followed by health personnel to avoid contagion during the performance of a gastrointestinal motility test. Resumen La pandemia por COVID 19 ha obligado a establecer medidas para evitar los contagios durante la realización de pruebas diagnósticas y terapéuticas en gastroenterología. Los estudios motores del tubo digestivo implican un riesgo elevado e intermedio de trasmisión de la infección por este virus. Dada su indicación electiva o no urgente en la mayoría de los casos, recomendamos diferir la realización de estas pruebas hasta que haya un control significativo de la tasa de infección en cada país, durante la pandemia. Cuando las autoridades sanitarias permitan el regreso a la normalidad y en ausencia de un tratamiento efectivo o una vacuna preventiva de la infección por COVID 19, recomendamos un protocolo estricto para clasificar a los pacientes de acuerdo a su estatus infecto-contagioso mediante el uso apropiado de pruebas para la detección del virus y su respuesta inmune, así como el uso de medidas de protección que deberá seguir el personal de la salud para evitar el contagio durante la realización de una prueba de motilidad gastrointestinal.

[E-health tools to overcome the gap in epilepsy care before, during and after COVID-19 pandemics]. / Herramientas de salud digital para superar la brecha de atención en epilepsia antes, durante y después de la pandemia de COVID-19.

INTRODUCTION: Epilepsy is a common chronic neurological disorder that affects around 50 million worldwide and there is an abundance of literature on the health care gap for this sector of the population. This gap will increase with the current pandemic due to COVID-19. AIM: To evaluate the current availability of digital health tools for the care of people with epilepsy according to the world medical literature and their use during said pandemic. DEVELOPMENT: We reviewed the publications in scientific journals in the last decade that had as their main topic the use of digital health tools or telemedicine focused on the care of patients with epilepsy, including 4 months after the national quarantines due to the appearance of the virus SARS-CoV-2. Seventeen publications were found on the use of telemedicine focused on epilepsy. The most widely used tools internationally are online platforms, followed by mobile applications, videoconferences, epileptic seizure capture systems, checklists, algorithms for understanding medical data, phone calls, tele-encephalography and text messages. None was published during the COVID-19 current pandemic. CONCLUSIONS: Although there is little literature on the use of digital health tools focused on epilepsy, there are several that can be used to fight the attention gap, especially in this global pandemic by COVID-19 that forces quarantines of people and communities for long periods. It is necessary to remove barriers and facilitate patient access to these new information technologies.

TITLE: Herramientas de salud digital para superar la brecha de atención en epilepsia antes, durante y después de la pandemia de COVID-19.Introducción. La epilepsia es un trastorno neurológico crónico común que afecta alrededor de 50 millones de personas en el mundo y abunda la bibliografía sobre la brecha de atención en salud a este sector de la población. Dicha brecha aumentará con la pandemia actual de COVID-19. Objetivo. Evaluar la disponibilidad actual de herramientas de salud digital para la atención a personas con epilepsia según la literatura médica mundial y su uso durante dicha pandemia. Desarrollo. Se hizo una revisión de las publicaciones en revistas científicas en la última década que tuvieran como tema principal el uso de herramientas de salud digital o telemedicina enfocada a la atención de los pacientes con epilepsia, incluyendo cuatro meses después de las cuarentenas nacionales por la aparición del virus SARS-CoV-2. Se encontraron 17 publicaciones sobre el uso de telemedicina enfocada a la epilepsia. Las herramientas más utilizadas internacionalmente son las plataformas en línea, seguidas de las aplicaciones móviles, videoconferencias, sistemas de captación de crisis epilépticas, listas de verificación, algoritmos de comprensión de datos médicos, llamadas telefónicas, telelectroencefalografía y mensajes de texto. Ninguna se publicó durante la presente pandemia. Conclusiones. Hay poca bibliografía sobre herramientas de salud digital enfocadas a epilepsia, pero existen varias que pueden emplearse para luchar contra la brecha de atención, especialmente en esta pandemia mundial de COVID-19 que obliga a las personas y comunidades a mantenerse en cuarentena por la emergencia sanitaria. Es necesario eliminar barreras y facilitar el pronto acceso de los pacientes a estas nuevas tecnologías de información.