Occurrence of emerging contaminants in surface water bodies of a coastal province in Ecuador and possible influence of tourism decline caused by COVID-19 lockdown.

Emerging contaminants in water bodies is an issue of concern due to their impact on the ecosystem and human health. The COVID-19 pandemic has forced the implementation of protective measures such as social distancing, lockdowns, and remote work, which have affected the tourism influx. This study aimed to evaluate the occurrence of emerging pollutants in bodies of water in Esmeraldas, a coastal province of Ecuador, before and during the COVID-19 pandemic in a highly touristic region. For this purpose, surface waters from 14 beaches and ten river mouths were sampled at two-time points in November 2019 and November 2020. Compounds widely consumed in Ecuador: acetaminophen, caffeine, sodium diclofenac, trimethoprim, and sulfamethoxazole were extracted from water samples by solid phase extraction SPE and detected with a UPLC-QTOF-MS system. We found a decrease in the occurrence of caffeine from 100 % to 4.2 % of caffeine and 25 % to 0 % of diclofenac, likely related to the decline in tourist afflux due to the lockdown measures. Most of the compounds diminished in terms of frequency and/or concentration; however, as COVID-19 treatments make use of different pharmaceutical compounds such as antivirals, antibiotics, antiparasitics, or glucocorticoids, future studies should include these to assess their environmental impact.

Diagnostico de la situacion del servicio de enfermeria en el Hospital San Vicente de Paul. Fomeque / Diagnosis of the situation of the nursing service in Hospital San Vicente de Paul. Fomeque

El hospital San Vicente de Paul de Fomeque (Cundinamarca) es un hospital local dependiente de la regional de Caqueza que ofrece 3 tipos de servicio: hospitalario, ambulatorio y extramural. El presente estudio de la situacion de enfermerria en el hospital, analizando los servicios, la organizacion y distribucion del personal, y los programas de salud en cuanto a fucionamiento, normas e infrestructura indica que los programas de salud se estan ejectuando en la institucion y se ajustan a las normas establecidos, con amplia cobertura. Sin embargo, hay fallas de infraestructra por falta de personal capacitado en el manetenimiento hospitalario, demuestra la ausencia de labores educativas a la comunidad, suplidas temporalmente con estrategias de participacion de la familia en el cuidado de los ninos hospitalizados. Desde el punto de vista de enfermeria anota alta rotacion de personal recien egresado sin programas a largo plazo. Se identifica como prioritario el entremanmeinto de las auxiliares de enfermeria para contribuir a la realizacion de los programas de salud..