Articles: covid-19.
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This retrospective descriptive study analyzes the clinical and epidemiological characteristics, the disease evolution and its association with laboratory markers of poor prognosis of the first 100 patients with COVID-19 admitted to internal medicine wards at the Hospital de Clínicas José de San Martín, University of Buenos Aires. Thirty-one patients were nursing home residents, the most common clinical manifestations were fever, cough and odynophagia. ⋯ Patients older than 70 years had higher acute phase reactants showing an exaggerated inflammatory response. Mortality was high (13%), compared to most reports (5%), probably because of the advanced age of our population and the unfavorable clinical conditions they presented at admission.
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The COVID-19 pandemic has caused a worldwide disruption. Most people have never witnessed such a global threat, and the world's leaders have not dealt with a crisis of this magnitude; moreover, Research & Innovation (R&I) teams have little time to invent new pharmaceutical therapies. Nations are trying to implement controlling strategies for avoiding significant losses, but this pandemic has already imprinted itself upon their citizens' psyche, created social anxiety, and disrupted national economies. ⋯ Moreover, it proposes a humanistic approach based on not only controlling strategies involving containment and social isolation but also the ecological balance considering the human, societal, and ecological health as a system-wide emergent property. Conceptual frameworks of resilience are discussed-as mapping methodologies to structure the discourse-focusing on the role of leadership and empowerment. Furthermore, some positive insights are discussed, as a transdisciplinary integrator and solidarity facilitator of coping, mitigation, and decision-making in the time of uncertainty and anxiety created by the COVID-19 pandemic.
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Observational Study
[Teledermatology during de COVID-19 pandemic in a public hospital].
Telemedicine refers to the use of information and communication technologies to provide health care. Dermatology is particularly suited for this virtual modality. The COVID-19 pandemic significantly increased the use of telemedicine worldwide which has demonstrated to be useful in promoting social distancing and in avoiding the overload of the healthcare system. ⋯ Most of the consultations were follow-up's and in a lower percentage, due to reactivation of the underlying disease or another reason. Patients who completed the survey reported not having difficulties and were able to resolve their consultations through virtual care. Doctors involved in this study were totally satisfied with the experience and they felt that teledermatology was a valid resource to continue with their medical training and would choose to use it in the near future.