Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Alcance del uso de una página web en la enseñanza de vocabulario en idioma inglés con los docentes de primaria del sector rural de la Institución educativa Pedacito de Cielo AUV en Tebaida Quindío y de la Institución educativa San Francisco de la Sierra en Lérida Tolima

Este trabajo investigativo ha sido efectuado teniendo como propósito determinar los alcances que tiene el uso de la página web en los procesos de enseñanza del idioma inglés en los docentes de primaria del sector oficial rural de la Institución educativa Pedacito de Cielo AUV; Tebaida Quindío y de la Institución educativa San Francisco de la Sierra, Lérida Tolima. La metodología empleada en el marco de este estudio refirió un enfoque cualitativo de tipo descriptivo, la población se constituyó con 7 docentes de las instituciones educativas indicadas y quienes incluyeron en sus prácticas a los estudiantes de básica primaria de sus respectivas sedes. En el marco de este estudio se diseñó una página web, para la enseñanza del idioma inglés la cual contó con múltiples recursos multimediales y el análisis de la información recopilada se efectuó a través de la herramienta Atlas.ti. Esta herramienta creó en las instituciones educativas en las cuales se presentó y se aplicó, gran impacto, puesto que ofrece dos modalidades de trabajo, online y offline. Aquellas sedes que tienen conectividad, al conocer la interfaz, el material que allí se encuentra y al hacer uso de la plataforma Moodle logran hacer más lúdico el proceso de enseñanza del idioma inglés. Al mismo tiempo las sedes que no cuentan con conectividad pueden hacer uso de este recurso de modo offline. El ofrecer estas dos opciones permite de una u otra manera que los docentes dinamicen las clases, se sientan seguros con la utilización de la herramienta, ya que les ofrece una completa guía de trabajo que facilita y favorece su labor docente en la adquisición del vocabulario en el idioma extranjero inglés de sus estudiantes.MaestríaMagister en Recursos Digitales Aplicados a la Educació

CompACT, FAPIS, FIAT, GEDM, Friendship Scale: Adaptation and Validation to Spanish of interpersonal, psychological flexibility, and emotion dysregulation scales

Given the current scarcity of instruments for the evaluation of interpersonal, psychological and emotional functioning for Spanish-speaking populations, this study aims to translate said instruments and examine their construct validity and reliability in the spanish-speaking population. It will provide valid and reliable instruments for the evaluation of indicators of emotional, psychological and interpersonal functioning in the general Colombian population

Processed data

The data provided has been previously processed taking into account the randomization process that was carried out on the attention questions introduced within the repeated measures in order to confirm that the participants were completing those instruments consciously

Problemáticas psicosociales en el ámbito universitario y programas de prevención

el texto que se presenta aquí sistematiza las experiencias del proyecto “Diplomatura virtual en prevención de problemáticas psicosociales en el ámbito universitario con énfasis en adicciones”, auspiciado por el Centro Coordinador de la Investigación de la Federación Internacional de Universidades Católicas –FIUC-, en el que participaron las Universidades: Universidad Católica Luis Amigó (Colombia) a partir del reconocimiento como universidad que otorgó el Ministerio de Educación Nacional a la institución, el 10 de noviembre de 2016; Católica de Honduras Nuestra Señora Reina de la Paz; Católica de Costa Rica y Católica de Chile Cardenal Silva Henríquez. En la primera parte del texto se da cuenta del proyecto, sus antecedentes, objetivos, metodología y actividades; una reseña sobre las instituciones participantes y una reflexión sobre los problemas psicosociales de los universitarios hoy. En la segunda parte, se presentan los resultados de las pesquisas desarrolladas por cada una de la Universidades participantes, para dar cuenta de las problemáticas psicosociales que más afectan a sus propias comunidades educativas y del programa de prevención diseñado para intervenir dichos problemas

Memoria y legado : didácticas innovadoras para la formación en el SENA. Volumen 1

Aprender con otros. La sistematización como camino de investigación en el SENA, nace de la necesidad de recuperar desde la investigación la riqueza de las prácticas pedagógicas de las y los instructores a través de la producción del conocimiento crítico que emana de la práctica y las experiencias vividas en sus ambientes de formación. La sistematización de experiencias es una herramienta fundamental que permite contar lo vivido en la ejecución de la formación entre instructores, aprendices, familias, emprendedores, empresarios y la comunidad en general, empoderando al instructor para que se atreva a escribir y reflexionar sobre su práctica pedagógica desde una impronta de transformación en los territorios

ENGIU: Encuentro Nacional de Grupos de Investigación de UNIMINUTO.

El desarrollo del prototipo para el sistema de detección de Mina Antipersona (MAP), inicia desde el semillero ADSSOF perteneciente al programa de Administración en Seguridad y Salud en el trabajo de la UNIMINUTO, se realiza a partir de un detector de metales que emite una señal audible, que el usuario puede interpretar como aviso de presencia de un objeto metálico, en este caso una MAP. La señal audible se interpreta como un dato, como ese dato no es perceptible a 5 metros de distancia, se implementa el transmisor de Frecuencia Modulada FM por la facilidad de modulación y la escogencia de frecuencia de transmisión de acuerdo con las normas y resolución del Ministerio de Comunicaciones; de manera que esta sea la plataforma base para enviar los datos obtenidos a una frecuencia establecida. La idea es que el ser humano no explore zonas peligrosas y buscar la forma de crear un sistema que permita eliminar ese riesgo, por otro lado, buscar la facilidad de uso de elementos ya disponibles en el mercado

Reduction of cardiac imaging tests during the COVID-19 pandemic: The case of Italy. Findings from the IAEA Non-invasive Cardiology Protocol Survey on COVID-19 (INCAPS COVID)

Background: In early 2020, COVID-19 massively hit Italy, earlier and harder than any other European country. This caused a series of strict containment measures, aimed at blocking the spread of the pandemic. Healthcare delivery was also affected when resources were diverted towards care of COVID-19 patients, including intensive care wards. Aim of the study: The aim is assessing the impact of COVID-19 on cardiac imaging in Italy, compare to the Rest of Europe (RoE) and the World (RoW). Methods: A global survey was conducted in May–June 2020 worldwide, through a questionnaire distributed online. The survey covered three periods: March and April 2020, and March 2019. Data from 52 Italian centres, a subset of the 909 participating centres from 108 countries, were analyzed. Results: In Italy, volumes decreased by 67% in March 2020, compared to March 2019, as opposed to a significantly lower decrease (p &lt; 0.001) in RoE and RoW (41% and 40%, respectively). A further decrease from March 2020 to April 2020 summed up to 76% for the North, 77% for the Centre and 86% for the South. When compared to the RoE and RoW, this further decrease from March 2020 to April 2020 in Italy was significantly less (p = 0.005), most likely reflecting the earlier effects of the containment measures in Italy, taken earlier than anywhere else in the West. Conclusions: The COVID-19 pandemic massively hit Italy and caused a disruption of healthcare services, including cardiac imaging studies. This raises concern about the medium- and long-term consequences for the high number of patients who were denied timely diagnoses and the subsequent lifesaving therapies and procedures

International Impact of COVID-19 on the Diagnosis of Heart Disease

Background: The coronavirus disease 2019 (COVID-19) pandemic has adversely affected diagnosis and treatment of noncommunicable diseases. Its effects on delivery of diagnostic care for cardiovascular disease, which remains the leading cause of death worldwide, have not been quantified. Objectives: The study sought to assess COVID-19's impact on global cardiovascular diagnostic procedural volumes and safety practices. Methods: The International Atomic Energy Agency conducted a worldwide survey assessing alterations in cardiovascular procedure volumes and safety practices resulting from COVID-19. Noninvasive and invasive cardiac testing volumes were obtained from participating sites for March and April 2020 and compared with those from March 2019. Availability of personal protective equipment and pandemic-related testing practice changes were ascertained. Results: Surveys were submitted from 909 inpatient and outpatient centers performing cardiac diagnostic procedures, in 108 countries. Procedure volumes decreased 42% from March 2019 to March 2020, and 64% from March 2019 to April 2020. Transthoracic echocardiography decreased by 59%, transesophageal echocardiography 76%, and stress tests 78%, which varied between stress modalities. Coronary angiography (invasive or computed tomography) decreased 55% (p &lt; 0.001 for each procedure). In multivariable regression, significantly greater reduction in procedures occurred for centers in countries with lower gross domestic product. Location in a low-income and lower–middle-income country was associated with an additional 22% reduction in cardiac procedures and less availability of personal protective equipment and telehealth. Conclusions: COVID-19 was associated with a significant and abrupt reduction in cardiovascular diagnostic testing across the globe, especially affecting the world's economically challenged. Further study of cardiovascular outcomes and COVID-19–related changes in care delivery is warranted

Impact of COVID-19 on Diagnostic Cardiac Procedural Volume in Oceania: The IAEA Non-Invasive Cardiology Protocol Survey on COVID-19 (INCAPS COVID)

Objectives: The INCAPS COVID Oceania study aimed to assess the impact caused by the COVID-19 pandemic on cardiac procedure volume provided in the Oceania region. Methods: A retrospective survey was performed comparing procedure volumes within March 2019 (pre-COVID-19) with April 2020 (during first wave of COVID-19 pandemic). Sixty-three (63) health care facilities within Oceania that perform cardiac diagnostic procedures were surveyed, including a mixture of metropolitan and regional, hospital and outpatient, public and private sites, and 846 facilities outside of Oceania. The percentage change in procedure volume was measured between March 2019 and April 2020, compared by test type and by facility. Results: In Oceania, the total cardiac diagnostic procedure volume was reduced by 52.2% from March 2019 to April 2020, compared to a reduction of 75.9% seen in the rest of the world (p&lt;0.001). Within Oceania sites, this reduction varied significantly between procedure types, but not between types of health care facility. All procedure types (other than stress cardiac magnetic resonance [CMR] and positron emission tomography [PET]) saw significant reductions in volume over this time period (p&lt;0.001). In Oceania, transthoracic echocardiography (TTE) decreased by 51.6%, transoesophageal echocardiography (TOE) by 74.0%, and stress tests by 65% overall, which was more pronounced for stress electrocardiograph (ECG) (81.8%) and stress echocardiography (76.7%) compared to stress single-photon emission computerised tomography (SPECT) (44.3%). Invasive coronary angiography decreased by 36.7% in Oceania. Conclusion: A significant reduction in cardiac diagnostic procedure volume was seen across all facility types in Oceania and was likely a function of recommendations from cardiac societies and directives from government to minimise spread of COVID-19 amongst patients and staff. Longer term evaluation is important to assess for negative patient outcomes which may relate to deferral of usual models of care within cardiology