5 research outputs found
ANALISIS DEL PROCESO DE RADIOTERAPIA TEORIA DE COLAS Y SIMULACION DISCRETA EN UNA INSTITUCION PRESTADORA DE SALUD
No full textANALISIS DEL PROCESO DE RADIOTERAPIA TEORIA DE COLAS Y SIMULACION DISCRETA EN UNA INSTITUCION PRESTADORA DE SALU
Memoria del primer foro sobre logros, problemas y propuestas de los cuerpos académicos de educación y humanidades de la Universidad Autónoma del Estado de México
Get PDFMotivados por el interés de dialogar nuestras preocupaciones cotidianas en torno al quehacer académico en la Universidad, e impulsados por la inquietud de compartir puntos de vista y apreciaciones acerca de la forma en que organizamos colectivamente el trabajo académico (en especial, de investigación) en los diferentes espacios de especialización disciplinaria e interdisciplinaria en los campos de las Ciencias de la Educación y las Humanidades, asistimos a la convocatoria para reflexionar qué tanto hemos avanzado como verdaderos equipos de trabajo (sobre todo en lo relativo a la investigación) y cuánto aún nos queda por hacer, a fin de coordinar esfuerzos individuales y sumar capacidades en proyectos y actividades comunes a cada cuerpo académico
Worldwide Disparities in Recovery of Cardiac Testing 1 Year Into COVID-19
No full textBACKGROUND The extent to which health care systems have adapted to the COVID-19 pandemic to provide necessary cardiac diagnostic services is unknown.OBJECTIVES The aim of this study was to determine the impact of the pandemic on cardiac testing practices, volumes and types of diagnostic services, and perceived psychological stress to health care providers worldwide.METHODS The International Atomic Energy Agency conducted a worldwide survey assessing alterations from baseline in cardiovascular diagnostic care at the pandemic's onset and 1 year later. Multivariable regression was used to determine factors associated with procedure volume recovery.RESULTS Surveys were submitted from 669 centers in 107 countries. Worldwide reduction in cardiac procedure volumes of 64% from March 2019 to April 2020 recovered by April 2021 in high- and upper middle-income countries (recovery rates of 108% and 99%) but remained depressed in lower middle- and low-income countries (46% and 30% recovery). Although stress testing was used 12% less frequently in 2021 than in 2019, coronary computed tomographic angiography was used 14% more, a trend also seen for other advanced cardiac imaging modalities (positron emission tomography and magnetic resonance; 22%-25% increases). Pandemic-related psychological stress was estimated to have affected nearly 40% of staff, impacting patient care at 78% of sites. In multivariable regression, only lower-income status and physicians' psychological stress were significant in predicting recovery of cardiac testing.CONCLUSIONS Cardiac diagnostic testing has yet to recover to prepandemic levels in lower-income countries. Worldwide, the decrease in standard stress testing is offset by greater use of advanced cardiac imaging modalities. Pandemic-related psychological stress among providers is widespread and associated with poor recovery of cardiac testing. (C) 2022 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation
Worldwide Disparities in Recovery of Cardiac Testing 1 Year Into COVID-19
Get PDFBackground: The extent to which health care systems have adapted to the COVID-19 pandemic to provide necessary cardiac diagnostic services is unknown. Objectives: The aim of this study was to determine the impact of the pandemic on cardiac testing practices, volumes and types of diagnostic services, and perceived psychological stress to health care providers worldwide. Methods: The International Atomic Energy Agency conducted a worldwide survey assessing alterations from baseline in cardiovascular diagnostic care at the pandemic's onset and 1 year later. Multivariable regression was used to determine factors associated with procedure volume recovery. Results: Surveys were submitted from 669 centers in 107 countries. Worldwide reduction in cardiac procedure volumes of 64% from March 2019 to April 2020 recovered by April 2021 in high- and upper middle-income countries (recovery rates of 108% and 99%) but remained depressed in lower middle- and low-income countries (46% and 30% recovery). Although stress testing was used 12% less frequently in 2021 than in 2019, coronary computed tomographic angiography was used 14% more, a trend also seen for other advanced cardiac imaging modalities (positron emission tomography and magnetic resonance; 22%-25% increases). Pandemic-related psychological stress was estimated to have affected nearly 40% of staff, impacting patient care at 78% of sites. In multivariable regression, only lower-income status and physicians’ psychological stress were significant in predicting recovery of cardiac testing. Conclusions: Cardiac diagnostic testing has yet to recover to prepandemic levels in lower-income countries. Worldwide, the decrease in standard stress testing is offset by greater use of advanced cardiac imaging modalities. Pandemic-related psychological stress among providers is widespread and associated with poor recovery of cardiac testing
