Introducción: Las enfermedades cardiovasculares son la principal causa de muerte en el mundo y están asociadas con mayor morbimortalidad por COVID-19. Los programas de inmersión en Medicina del Estilo de Vida consisten en una internación residencial que realiza un seguimiento profesional multidisciplinario. Objetivo: Evaluar el efecto del programa residencial de medicina del estilo de vida sobre los factores de riesgo para enfermedad cardiovascular: peso, presión arterial y glucemia. Métodos: Estudio longitudinal, comparativo, con intervención de un Programa de Medicina del Estilo de Vida. Se utilizaron datos retrospectivos de 2019-2021 de pacientes que habían completado la intervención por 14 días. Esta consistió en un seguimento integral: médico, nutricional, psicológico, físico y espiritual de los pacientes. Resultados: De los 53 pacientes evaluados, 26 realizaron la intervención antes de la pandemia, los cuales realizaron la internación con el motivo principal de pérdida de peso 34,62%. Los pacientes que realizaron la intervención dentro de la pandemia (N=27), el motivo principal de internación fue para tratamiento de enfermedades crónicas 33,33%. Glucemia: Inicial M=186,64, SD=81,73; Final M=119,93, SD=35,02. Reducción media de 66,71 mg/dl, estadísticamente significativa (t=4.3460, p=0,0008). PAS: Inicial M=127,76, SD=16,36; Final M=115,21, SD=14,87. Reducción media de 12,55 mmHg, estadísticamente significativa (t=4.7048, p=0,0001). Conclusiones: El efecto de la intervención fue significativa en los factores de riesgo cardiovascular evaluados: peso, glucemia y presión arterial sistólica. Fue posible disminuir los factores de riesgo para enfermedad cardiovascular con cambios intensivos en el estilo de vida. En tiempos de pandemia se enfatiza la relevancia de las intervenciones en medicina del estilo de vida.

Obesity in children and adolescents has increased exponentially around the world. Furthermore, the COVID-19 pandemic has led to a higher pediatric obesity rate. The excess adipose tissue generates a dysregulation of adiponectin, ghrelin, and leptin, among others. Metabolic alterations can develop cardiovascular disease, dyslipidemias, arterial hypertension, type 2 diabetes mellitus, nonalcoholic fatty liver disease, sleep disorders, and higher risk of COVID-19 severity. Obesity has different therapeutic approaches such as behavioral weight loss programs, pharmacologic treatments, and surgical procedures. Therefore, timely diagnosis and treatment are important to decrease the mortality in obesity among pediatric population.

Title: Drug Related Crimes and Overdoses during the COVID-19 Pandemic Format: Poster Authors: Janaya Colbert, Kristin Mahan, MA, Jill D. Stinson, PhD Department of Psychology, College of Arts & Sciences, East Tennessee State University, Johnson City, TN The COVID-19 pandemic affected many aspects of life, including restricting many people to their homes. During the lockdown, more people were isolated inside, which may have resulted in varying levels of drug and substance-related crimes, as well as overdose deaths. Increases in substance misuse may be associated with stress regarding COVID-19, but these events may be less often officially reported during the lockdown. An increase in substance use may also be associated with an increase in overdose deaths. In the present study, we will compare trends of drug and substance related outcomes before and during the pandemic in Tennessee, and differentiate effects between rural and urban counties. Data for this project were obtained from the Tennessee Bureau of Investigation’s (TBI) online incident-based reporting system and the County Health Rankings and Roadmaps online database. Variables of interest include all 95 Tennessee counties, number of driving under the influence (DUI) cases, number of drug/narcotic violation cases, and number of overdose deaths. In 2019, there were 19,556 reported DUI cases and in 2020, there were 17,578 reported DUI cases in Tennessee. In 2019, there were 50,618 reported drug/narcotic violations and in 2020, there were 49,875 reported drug/narcotic violations. In 2019 there were 4,776 reported overdose deaths and 5,097 reported overdose deaths in 2020. Utilizing 2x2 factorial ANOVAs, we will analyze the relationships between county type (i.e., urban vs. rural) and report year (i.e., 2019 vs. 2020) for each outcome of interest. Our hypotheses include: (a) there will be differences between urban and rural counties on the rates of drug and substance related outcomes (i.e., DUI cases, drug/narcotic violation cases, overdose deaths) pre- and mid-pandemic; (b) drug-related crimes and DUI cases decreased during the pandemic when compared to the previous year due to lockdown procedures and decreased ability to access substances; and (c) overdose deaths increased from pre- to mid- pandemic. Anticipated results will help examine how the COVID-19 pandemic has affected rates of drug and substance related crimes, which can help inform prevention and treatment strategies in the future. Additionally, potential discrepancies between rural and urban counties may highlight prevention and treatment disparities for those struggling with substance misuse, which can inform resource allocation within Tennessee.

The implementation of a vaccine against COVID-19 is one of the most important health strategies to mitigate the spread of the disease. The objective of this study was to estimate the prevalence of the intention to be vaccinated against COVID-19 and its predictors in older Peruvian adults. This is a cross-sectional study, where information was collected through an online survey regarding vaccination intention of the participants, as well as sociodemographic and psychological variables. A multiple regression analysis was applied to identify predictors of intention to be vaccinated against COVID-19. We evaluated 245 participants, who had a mean age of 72.74 years old (SD = 6.66). 65.5% of these older adults expressed a high likelihood of accepting vaccination, while 20.9% expressed a low likelihood of accepting vaccination, and 13.6% were hesitant. Eleven predictors were identified that explained 66.69% of the intention to vaccinate against COVID-19. This identified place of residence, perceived likelihood of contracting COVID-19, severity of previous infection with COVID-19, fear of the disease, previous refusal of a vaccine, concerns about vaccine sales and speculation, and trust toward vaccines against COVID-19, as the main predictors. Our results show that confidence in vaccines and previous vaccine refusal are relevant predictors of intention to vaccinate against COVID-19 in older adults; these findings may be useful to guide the development of campaigns for the immunization of this vulnerable group in the current pandemic. © 2021, Associação Brasileira de Psicologia.

Bakgrund: Covid-19 är en pandemi som har inneburit stora utmaningar både för sjukvården och för de personer som lever med en sjukdom. Forskning visar att befolkningen har påverkats negativt av pandemin och detta har lett till ökad psykisk ohälsa. Sjuksköterskan hade innan covid-19 pandemin utmaningar med att identifiera samt vårda personer med ätstörningar. I samband med pandemin begränsades resurserna vilket försvårade sjuksköterskans arbete ytterligare. Syfte: Syftet var att beskriva personers upplevelser att leva med en ätstörning under covid-19 pandemin. Metod: Litteraturöversikten grundar sig på fem vetenskapliga artiklar där kvalitativ metod använts. Artiklarna togs fram med hjälp av strukturerade sökningar i CINAHL och PubMed. Artiklarna granskades med SBU granskningsmall för studier med kvalitativ forskningsmetodik. Fribergs metod användes för att analysera de vetenskapliga artiklarna. Resultat: Analysen resulterade i fyra kategorier. Kategorierna är: Känslor av frustration när vardagen begränsades, upplevelse av en försämring i sjukdomstillståndet, upplevelse av motstridiga känslor kring det professionella stödet samt Betydelsen av relationer och att vara beroende av andra. Slutsats: Resultatet visade att personer med en ätstörning fick ett ökat lidande på grund av covid-19 pandemin. Lidandet ökades på grund av den påtvingade isoleringen, vilket rubbade personernas vardagliga liv och rutiner. På grund av covid-19 pandemin blev även tillgängligheten till stöd och vård begränsade. Sjuksköterskan och andra vårdprofessioner ställs inför utmaningar under en pandemi och de begränsningar den medför. Vilket försvårar möjligheten att ge den personcentrerade vård som personer med en ätstörning är i behov av och som bidrar till att personen kan tillfriskna från sin sjukdom.

Title: Covid-19 Educational Disruption and Delivery Redesign on Traditional BSN Student NCLEX Performance Purpose: The purpose of the study was to understand the educational disruption and delivery redesign (EDDR) caused by the Covid-19 pandemic on ETSU Baccalaureate of Science in Nursing (BSN) students and the impact on the nursing workforce. Student progress was evaluated by exploring student grade point average (GPA), socio economic determinants of health, Assessment Technologies Institute (ATI) Test of Essential Academic Skills (TEAS) scores and ATI comprehensive predictor scores on student first-time National Council Licensure Exam for Registered Nurses (NCLEX-RN) pass rates to evaluate the supply of nurses ready to address the national nursing shortage. Methods: A descriptive longitudinal design with a dose-response analysis was used. A purposive convenience sample of educational records of all traditional BSN students entering the program between Spring 2017 and Fall of 2020 were collected. The primary outcome variable was first-time NCLEX pass rates. COVID-related EDDR was the primary independent variable. Results: Results are forthcoming, as preliminary data is in the analysis phase. Conclusions: The COVID-19 pandemic exacerbated the nursing shortage. Undergraduate nursing education programs are integral to ameliorating the nursing shortage; however, the impact of COVID on traditional BSN education and associated outcomes was not well understood. Study results may provide foundational data to garner HRSA and other educational grants to inform future educational delivery redesigns, improve nursing education, inform educational policy, and improve nursing care delivery and patient outcomes.

The COVID-19 pandemic is an event that disrupted routines and mental health of youth. To control the spread of the virus, strategies such as extensive closures and school moving to online platforms took place across Canada. News articles were released daily about COVID-19 and its effects on youth mental health, the impacts of disrupted routines, and available supports. The purpose of this thesis is to explore how youth mental health was portrayed in news articles during the first year of the COVID-19 pandemic. I explored how journalists portrayed and disseminated information about youth mental health and corresponding supports and psychosocial services during this time was completed. News articles from two major Ontario news outlets published from March 11th, 2020, to January 31st, 2021, were retrieved from the ProQuest Canadian Major Dailies database by searching the terms “coronavirus” and/or “COVID-19”. The articles were then filtered to retrieve those related to child and youth mental health. In total, n=391 articles were included in the final analysis. The text and language in the media articles were analyzed following a six-step process of thematic analysis. My analysis revealed five themes: 1) Youth mental health challenges throughout the COVID-19 pandemic; 2) inequity and disproportionate impacts among youth; 3) effects of public health isolation and distancing measures; 4) impacts of the pandemic on schooling; and 5) managing the impacts of the pandemic. To summarize and integrate the themes, I created a conceptual model that shows the potential for intended and unintended impacts of the pandemic restriction measures on youth mental health. This analysis provides a view of youth mental health in Ontario news media during the first year of the COVID-19 pandemic, underscoring the importance of psychosocial services in future disaster risk management.

Bakgrund: I början av december 2019 kom de första rapporterna om viruset Severe Acute Respiratory Syndrome Coronavirus 2 som orsakar sjukdomen Coronavirus Disease 2019 (covid-19). Många som genomgått en covid-19-infektion får långvariga besvär. Syfte: Syftet var att undersöka eventuella samband mellan riskfaktorer och kvarvarande symtom efter genomgången covid-19 upp till sex månader efter utskrivning från sjukhus. Metod: Studien är en icke-experimentell prospektiv longitudinell kohortstudie. Kohorten består av 37 patienter som vårdades på ett sjukhus i Västra Götaland för covid-19 under perioden juni 2020 till februari 2021. Potentiella riskfaktorer, biomarkörer och infektionsparametrar under sjukhusvistelsen analyserades tillsammans med patienternas självskattade upplevelse av symtom enligt skalan Post Covid-19 Functional Status (PCFS), vid en, tre och sex månader efter genomgången covid-19. Resultat: Resultatet av analysen visade signifikanta relationer mellan rökning (p=.018), sekundära diagnoser under vårdtiden (p=.003), en ålder &gt;65 år (p=.014) samt att ha en cancerdiagnos (p=.046) och att rapportera kvarvarande symtom som påverkar vardagen. Trötthet och nedsatt ork var de vanligast rapporterade symtomen post-covid, följt av andningsrelaterade besvär. Vid sex månaders uppföljning rapporterar 62% ett eller flera kvarvarande symtom. Slutsats: Då detta är en liten studie kan inga säkra slutsatser dras från analysen. Studien visar dock att det finns anledning till oro angående de långsiktiga konsekvenserna av covid-19. / Background: In early December 2019, reports came about the Severe Acute Respiratory Syndrome Coronavirus 2 causing Coronavirus Disease 2019 (COVID-19). Many who have gone through COVID-19 get long-term symptoms. Aim: The aim was to investigate possible links between risk factors and persisting symptoms after having COVID-19, up to six months after discharge from hospital. Method: The study is a non-experimental prospective longitudinal cohort study. Included were 37 patients who were treated for COVID-19 at a Swedish hospital between June 2020 and February 2021. Potential risk factors, biomarkers and vital signs during the hospital stay were analyzed together with patients' self-assessed experience of symptoms and functionality according to Post COVID-19 Functional Status (PCFS), up to six months after having COVID-19. Results: Significant relationships are shown between smoking (p = .018), secondary diagnoses during the hospital stay (p = .003), age&gt; 65 years (p = .014) and having a cancer diagnosis (p = .046) and to report persistent symptoms that affect daily life. Fatigue was the most commonly reported symptom, followed by respiratory symptoms. At the six-month follow-up, 62% of patients report one or more remaining symptoms. Conclusion: As this was a small scale study, no definite conclusions can be drawn from the analysis. However, the study shows that there is cause for concern regarding the long term consequences of COVID-19. / <p>Program: - (fristående kurs) </p>

Este trabajo hace una reflexión acerca del rol de las bibliotecas como centro de acceso a la literatura y a la cultura para la infancia y la juventud durante la pandemia de la COVID-19. Empieza con una cartografía de las iniciativas dirigidas a este público promovidas por las bibliotecas públicas de la ciudad de São Paulo, Brasil, entre marzo y mayo de 2020. Este análisis revela que las acciones digitales de las bibliotecas se concentraron en difusiones audiovisuales de mediación de lectura y de cuentacuentos, accesibles desde las redes sociales. Entretanto, las bibliotecas no han ejercitado con la misma fuerza su papel de curadoras de contenidos digitales, en un tiempo en que estos pasaron a ser la única opción para muchas familias. Proponemos que las bibliotecas subrayen su papel de curaduría y sugerimos el formato podcast como posibilidad de acción colaborativa de calidad estética y cultural entre bibliotecas y sus comunidades.

La enfermedad por coronavirus 2019 (COVID-19) es una pandemia según declaraciones de la Organización Mundial de la Salud. Afecta tanto a la población adulta como pediátrica; sin embargo, la mayor información publicada corresponde a los primeros, generando una brecha de conocimiento con respecto a los niños. El compromiso pulmonar parece ser la manifestación más frecuente de la enfermedad, aunque se han reportado afecciones extrapulmonares como derrame pericárdico y enfermedades cerebrovasculares en adultos; sin embargo, según nuestra revisión ninguna ha sido reportada en niños. Presentamos el caso de un paciente varón de 7 años con antecedentes de asma y sobrepeso que presentó la COVID-19, fue hospitalizado a través del servicio de emergencia por neumonía y evolucionó con insuficiencia respiratoria que requirió soporte ventilatorio invasivo. Durante su hospitalización presentó taponamiento cardiaco y hemorragia intracerebral con evolución desfavorable y desenlace fatal.