EPH22 Prevalence and risk factors of post COVID-19 condition in previously hospitalized patients in Bolivar, Colombia: an observational study

Objectives: To estimate the prevalence and risk factors of post-COVID-19 condition after at least three months of hospital discharge in a retrospective cohort of patients from a health insurance company (Mutual SER EPS) living in the north of Bolivar, a department of Colombia. Methods: Clinical and...

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Autores:
Lozano, A
Salcedo Mejía, F
ALVIS-ZAKZUK, NELSON J.
Fernandez Mercado, JC
Jerez Arias, M
Zakzuk Sierra, J
Alvis Guzman, N
Dueñas, C
Alvis Zakzuk, Nelson J.
Tipo de recurso:
Article of investigation
Fecha de publicación:
2022
Institución:
Corporación Universidad de la Costa
Repositorio:
REDICUC - Repositorio CUC
Idioma:
eng
OAI Identifier:
oai:repositorio.cuc.edu.co:11323/10726
Acceso en línea:
https://hdl.handle.net/11323/10726
https://repositorio.cuc.edu.co/
Palabra clave:
COVID-19
Colombia
Bolívar
Rights
embargoedAccess
License
Atribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0)
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network_acronym_str RCUC2
network_name_str REDICUC - Repositorio CUC
repository_id_str
dc.title.eng.fl_str_mv EPH22 Prevalence and risk factors of post COVID-19 condition in previously hospitalized patients in Bolivar, Colombia: an observational study
title EPH22 Prevalence and risk factors of post COVID-19 condition in previously hospitalized patients in Bolivar, Colombia: an observational study
spellingShingle EPH22 Prevalence and risk factors of post COVID-19 condition in previously hospitalized patients in Bolivar, Colombia: an observational study
COVID-19
Colombia
Bolívar
title_short EPH22 Prevalence and risk factors of post COVID-19 condition in previously hospitalized patients in Bolivar, Colombia: an observational study
title_full EPH22 Prevalence and risk factors of post COVID-19 condition in previously hospitalized patients in Bolivar, Colombia: an observational study
title_fullStr EPH22 Prevalence and risk factors of post COVID-19 condition in previously hospitalized patients in Bolivar, Colombia: an observational study
title_full_unstemmed EPH22 Prevalence and risk factors of post COVID-19 condition in previously hospitalized patients in Bolivar, Colombia: an observational study
title_sort EPH22 Prevalence and risk factors of post COVID-19 condition in previously hospitalized patients in Bolivar, Colombia: an observational study
dc.creator.fl_str_mv Lozano, A
Salcedo Mejía, F
ALVIS-ZAKZUK, NELSON J.
Fernandez Mercado, JC
Jerez Arias, M
Zakzuk Sierra, J
Alvis Guzman, N
Dueñas, C
Alvis Zakzuk, Nelson J.
dc.contributor.author.none.fl_str_mv Lozano, A
Salcedo Mejía, F
ALVIS-ZAKZUK, NELSON J.
Fernandez Mercado, JC
Jerez Arias, M
Zakzuk Sierra, J
Alvis Guzman, N
Dueñas, C
Alvis Zakzuk, Nelson J.
dc.subject.proposal.eng.fl_str_mv COVID-19
topic COVID-19
Colombia
Bolívar
dc.subject.proposal.spa.fl_str_mv Colombia
Bolívar
description Objectives: To estimate the prevalence and risk factors of post-COVID-19 condition after at least three months of hospital discharge in a retrospective cohort of patients from a health insurance company (Mutual SER EPS) living in the north of Bolivar, a department of Colombia. Methods: Clinical and sociodemographic data were collected from 181 COVID-19 patients who were hospitalized in the ward or intensive care unit (ICU) between March-2021 to August-2021. Patients who agreed to participate were evaluated by a structured telephone interview to identify persistent or new symptoms after at least three months of hospital discharge. Associations between at least one symptom and clinical and sociodemographic characteristics at admission were assessed through bivariate and multivariate logistic regression using a stepwise Akaike information criterion (AIC) selection. Adjusted odds ratios (aOR) are reported. Results: Mean age of patients was 56 years (SD: 17 years), 50.8% (n=92) were women and 23.2% (n=42) were previously admitted to ICU. One-hundred-three patients (56.9%) had at least one comorbidity; being hypertension (36.5%), type 2 diabetes mellitus (18.2%) and heart disease (8.28%) the most common. The presence of at least one symptom after three months of hospital discharge was reported by 141 (77.9%) patients. Most frequently symptoms were fatigue (54.1%), joint pain (45.3%), dyspnea (43.1%), sleep disorders (36.5%), chest pain (30.4%), and anorexia (30.4%). Symptoms were significantly more frequent in women (aOR: 2.45, 95% CI 1.14- 5.29, p=0.02) and ICU admitted patients (aOR: 3.10, 95% CI 1.02-9.45 p=0.05), but were not associated with age, having comorbidities, or a previous long hospital stay. Conclusions: As reported in other studies, in Bolivar -Colombia, the presentation of post COVID-19 symptoms is frequent in previously hospitalized patients. Being a women and ICU admission are potential risk factors for post COVID-19 condition.
publishDate 2022
dc.date.issued.none.fl_str_mv 2022
dc.date.available.none.fl_str_mv 2023
2024-02-16T22:38:01Z
dc.date.accessioned.none.fl_str_mv 2024-02-16T22:38:01Z
dc.type.spa.fl_str_mv Artículo de revista
dc.type.coar.spa.fl_str_mv http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.content.spa.fl_str_mv Text
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.citation.spa.fl_str_mv A Lozano, F Salcedo Mejía, N Alvis Zakzuk, JC Fernandez Mercado, M Jerez Arias, J Zakzuk Sierra, N Alvis Guzman, C Dueñas, EPH22 Prevalence and Risk Factors of Post COVID-19 Condition in Previously Hospitalized Patients in Bolivar, Colombia: An Observational Study, Value in Health, Volume 25, Issue 7, Supplement, 2022, Page S438, ISSN 1098-3015, https://doi.org/10.1016/j.jval.2022.04.775
dc.identifier.issn.spa.fl_str_mv 1098-3015
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/11323/10726
dc.identifier.doi.none.fl_str_mv 10.1016/j.jval.2022.04.775
dc.identifier.eissn.spa.fl_str_mv 1524-4733
dc.identifier.instname.spa.fl_str_mv Corporación Universidad de la Costa
dc.identifier.reponame.spa.fl_str_mv REDICUC – Repositorio CUC
dc.identifier.repourl.spa.fl_str_mv https://repositorio.cuc.edu.co/
identifier_str_mv A Lozano, F Salcedo Mejía, N Alvis Zakzuk, JC Fernandez Mercado, M Jerez Arias, J Zakzuk Sierra, N Alvis Guzman, C Dueñas, EPH22 Prevalence and Risk Factors of Post COVID-19 Condition in Previously Hospitalized Patients in Bolivar, Colombia: An Observational Study, Value in Health, Volume 25, Issue 7, Supplement, 2022, Page S438, ISSN 1098-3015, https://doi.org/10.1016/j.jval.2022.04.775
1098-3015
10.1016/j.jval.2022.04.775
1524-4733
Corporación Universidad de la Costa
REDICUC – Repositorio CUC
url https://hdl.handle.net/11323/10726
https://repositorio.cuc.edu.co/
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.ispartofjournal.spa.fl_str_mv Value in Health
dc.relation.citationstartpage.spa.fl_str_mv 438
dc.relation.citationissue.spa.fl_str_mv 7
dc.relation.citationvolume.spa.fl_str_mv 25
dc.rights.eng.fl_str_mv © 2022 Published by Elsevier Inc.
dc.rights.license.spa.fl_str_mv Atribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0)
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https://creativecommons.org/licenses/by-nc-nd/4.0/
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eu_rights_str_mv embargoedAccess
dc.format.extent.spa.fl_str_mv 1 página
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dc.coverage.country.none.fl_str_mv Colombia
dc.coverage.region.none.fl_str_mv Bolívar
dc.publisher.spa.fl_str_mv Elsevier Ltd.
dc.publisher.place.spa.fl_str_mv United Kingdom
dc.source.spa.fl_str_mv https://www.sciencedirect.com/science/article/pii/S1098301522009767?via%3Dihub
institution Corporación Universidad de la Costa
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spelling Atribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0)© 2022 Published by Elsevier Inc.https://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/embargoedAccesshttp://purl.org/coar/access_right/c_f1cfLozano, ASalcedo Mejía, FALVIS-ZAKZUK, NELSON J.Fernandez Mercado, JCJerez Arias, MZakzuk Sierra, JAlvis Guzman, NDueñas, CAlvis Zakzuk, Nelson J.virtual::237-12024-02-16T22:38:01Z20232024-02-16T22:38:01Z2022A Lozano, F Salcedo Mejía, N Alvis Zakzuk, JC Fernandez Mercado, M Jerez Arias, J Zakzuk Sierra, N Alvis Guzman, C Dueñas, EPH22 Prevalence and Risk Factors of Post COVID-19 Condition in Previously Hospitalized Patients in Bolivar, Colombia: An Observational Study, Value in Health, Volume 25, Issue 7, Supplement, 2022, Page S438, ISSN 1098-3015, https://doi.org/10.1016/j.jval.2022.04.7751098-3015https://hdl.handle.net/11323/1072610.1016/j.jval.2022.04.7751524-4733Corporación Universidad de la CostaREDICUC – Repositorio CUChttps://repositorio.cuc.edu.co/Objectives: To estimate the prevalence and risk factors of post-COVID-19 condition after at least three months of hospital discharge in a retrospective cohort of patients from a health insurance company (Mutual SER EPS) living in the north of Bolivar, a department of Colombia. Methods: Clinical and sociodemographic data were collected from 181 COVID-19 patients who were hospitalized in the ward or intensive care unit (ICU) between March-2021 to August-2021. Patients who agreed to participate were evaluated by a structured telephone interview to identify persistent or new symptoms after at least three months of hospital discharge. Associations between at least one symptom and clinical and sociodemographic characteristics at admission were assessed through bivariate and multivariate logistic regression using a stepwise Akaike information criterion (AIC) selection. Adjusted odds ratios (aOR) are reported. Results: Mean age of patients was 56 years (SD: 17 years), 50.8% (n=92) were women and 23.2% (n=42) were previously admitted to ICU. One-hundred-three patients (56.9%) had at least one comorbidity; being hypertension (36.5%), type 2 diabetes mellitus (18.2%) and heart disease (8.28%) the most common. The presence of at least one symptom after three months of hospital discharge was reported by 141 (77.9%) patients. Most frequently symptoms were fatigue (54.1%), joint pain (45.3%), dyspnea (43.1%), sleep disorders (36.5%), chest pain (30.4%), and anorexia (30.4%). Symptoms were significantly more frequent in women (aOR: 2.45, 95% CI 1.14- 5.29, p=0.02) and ICU admitted patients (aOR: 3.10, 95% CI 1.02-9.45 p=0.05), but were not associated with age, having comorbidities, or a previous long hospital stay. Conclusions: As reported in other studies, in Bolivar -Colombia, the presentation of post COVID-19 symptoms is frequent in previously hospitalized patients. Being a women and ICU admission are potential risk factors for post COVID-19 condition.1 páginaapplication/pdfengElsevier Ltd.United Kingdomhttps://www.sciencedirect.com/science/article/pii/S1098301522009767?via%3DihubEPH22 Prevalence and risk factors of post COVID-19 condition in previously hospitalized patients in Bolivar, Colombia: an observational studyArtículo de revistahttp://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85ColombiaBolívarValue in Health438725COVID-19ColombiaBolívarPublication969b7cc2-4eeb-48c0-b0b4-eb93f794dd65virtual::237-1969b7cc2-4eeb-48c0-b0b4-eb93f794dd65virtual::237-1https://scholar.google.com.co/citations?user=Paic_C8AAAAJ&hl=esvirtual::237-10000-0001-9382-214Xvirtual::237-1ORIGINALEPH22 Prevalence and Risk Factors of Post COVID-19 Condition in Previously Hospitalized Patients in Bolivar, Colombia.pdfEPH22 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ada en las Obras Colectivas.

b.	Distribuir copias o fonogramas de las Obras, exhibirlas públicamente, ejecutarlas públicamente y/o ponerlas a disposición pública, incluyéndolas como incorporadas en Obras Colectivas, según corresponda.

c.	Distribuir copias de las Obras Derivadas que se generen, exhibirlas públicamente, ejecutarlas públicamente y/o ponerlas a disposición pública.
Los derechos mencionados anteriormente pueden ser ejercidos en todos los medios y formatos, actualmente conocidos o que se inventen en el futuro. Los derechos antes mencionados incluyen el derecho a realizar dichas modificaciones en la medida que sean técnicamente necesarias para ejercer los derechos en otro medio o formatos, pero de otra manera usted no está autorizado para realizar obras derivadas. Todos los derechos no otorgados expresamente por el Licenciante quedan por este medio reservados, incluyendo pero sin limitarse a aquellos que se mencionan en las secciones 4(d) y 4(e).

4. Restricciones.
La licencia otorgada en la anterior Sección 3 está expresamente sujeta y limitada por las siguientes restricciones:

a.	Usted puede distribuir, exhibir públicamente, ejecutar públicamente, o poner a disposición pública la Obra sólo bajo las condiciones de esta Licencia, y Usted debe incluir una copia de esta licencia o del Identificador Universal de Recursos de la misma con cada copia de la Obra que distribuya, exhiba públicamente, ejecute públicamente o ponga a disposición pública. No es posible ofrecer o imponer ninguna condición sobre la Obra que altere o limite las condiciones de esta Licencia o el ejercicio de los derechos de los destinatarios otorgados en este documento. No es posible sublicenciar la Obra. Usted debe mantener intactos todos los avisos que hagan referencia a esta Licencia y a la cláusula de limitación de garantías. Usted no puede distribuir, exhibir públicamente, ejecutar públicamente, o poner a disposición pública la Obra con alguna medida tecnológica que controle el acceso o la utilización de ella de una forma que sea inconsistente con las condiciones de esta Licencia. Lo anterior se aplica a la Obra incorporada a una Obra Colectiva, pero esto no exige que la Obra Colectiva aparte de la obra misma quede sujeta a las condiciones de esta Licencia. Si Usted crea una Obra Colectiva, previo aviso de cualquier Licenciante debe, en la medida de lo posible, eliminar de la Obra Colectiva cualquier referencia a dicho Licenciante o al Autor Original, según lo solicitado por el Licenciante y conforme lo exige la cláusula 4(c).

b.	Usted no puede ejercer ninguno de los derechos que le han sido otorgados en la Sección 3 precedente de modo que estén principalmente destinados o directamente dirigidos a conseguir un provecho comercial o una compensación monetaria privada. El intercambio de la Obra por otras obras protegidas por derechos de autor, ya sea a través de un sistema para compartir archivos digitales (digital file-sharing) o de cualquier otra manera no será considerado como estar destinado principalmente o dirigido directamente a conseguir un provecho comercial o una compensación monetaria privada, siempre que no se realice un pago mediante una compensación monetaria en relación con el intercambio de obras protegidas por el derecho de autor.

c.	Si usted distribuye, exhibe públicamente, ejecuta públicamente o ejecuta públicamente en forma digital la Obra o cualquier Obra Derivada u Obra Colectiva, Usted debe mantener intacta toda la información de derecho de autor de la Obra y proporcionar, de forma razonable según el medio o manera que Usted esté utilizando: (i) el nombre del Autor Original si está provisto (o seudónimo, si fuere aplicable), y/o (ii) el nombre de la parte o las partes que el Autor Original y/o el Licenciante hubieren designado para la atribución (v.g., un instituto patrocinador, editorial, publicación) en la información de los derechos de autor del Licenciante, términos de servicios o de otras formas razonables; el título de la Obra si está provisto; en la medida de lo razonablemente factible y, si está provisto, el Identificador Uniforme de Recursos (Uniform Resource Identifier) que el Licenciante especifica para ser asociado con la Obra, salvo que tal URI no se refiera a la nota sobre los derechos de autor o a la información sobre el licenciamiento de la Obra; y en el caso de una Obra Derivada, atribuir el crédito identificando el uso de la Obra en la Obra Derivada (v.g., "Traducción Francesa de la Obra del Autor Original," o "Guión Cinematográfico basado en la Obra original del Autor Original"). Tal crédito puede ser implementado de cualquier forma razonable; en el caso, sin embargo, de Obras Derivadas u Obras Colectivas, tal crédito aparecerá, como mínimo, donde aparece el crédito de cualquier otro autor comparable y de una manera, al menos, tan destacada como el crédito de otro autor comparable.

d.	Para evitar toda confusión, el Licenciante aclara que, cuando la obra es una composición musical:

i.	Regalías por interpretación y ejecución bajo licencias generales. El Licenciante se reserva el derecho exclusivo de autorizar la ejecución pública o la ejecución pública digital de la obra y de recolectar, sea individualmente o a través de una sociedad de gestión colectiva de derechos de autor y derechos conexos (por ejemplo, SAYCO), las regalías por la ejecución pública o por la ejecución pública digital de la obra (por ejemplo Webcast) licenciada bajo licencias generales, si la interpretación o ejecución de la obra está primordialmente orientada por o dirigida a la obtención de una ventaja comercial o una compensación monetaria privada.

ii.	Regalías por Fonogramas. El Licenciante se reserva el derecho exclusivo de recolectar, individualmente o a través de una sociedad de gestión colectiva de derechos de autor y derechos conexos (por ejemplo, los consagrados por la SAYCO), una agencia de derechos musicales o algún agente designado, las regalías por cualquier fonograma que Usted cree a partir de la obra (“versión cover”) y distribuya, en los términos del régimen de derechos de autor, si la creación o distribución de esa versión cover está primordialmente destinada o dirigida a obtener una ventaja comercial o una compensación monetaria privada.

e.	Gestión de Derechos de Autor sobre Interpretaciones y Ejecuciones Digitales (WebCasting). Para evitar toda confusión, el Licenciante aclara que, cuando la obra sea un fonograma, el Licenciante se reserva el derecho exclusivo de autorizar la ejecución pública digital de la obra (por ejemplo, webcast) y de recolectar, individualmente o a través de una sociedad de gestión colectiva de derechos de autor y derechos conexos (por ejemplo, ACINPRO), las regalías por la ejecución pública digital de la obra (por ejemplo, webcast), sujeta a las disposiciones aplicables del régimen de Derecho de Autor, si esta ejecución pública digital está primordialmente dirigida a obtener una ventaja comercial o una compensación monetaria privada.

5. Representaciones, Garantías y Limitaciones de Responsabilidad.
A MENOS QUE LAS PARTES LO ACORDARAN DE OTRA FORMA POR ESCRITO, EL LICENCIANTE OFRECE LA OBRA (EN EL ESTADO EN EL QUE SE ENCUENTRA) “TAL CUAL”, SIN BRINDAR GARANTÍAS DE CLASE ALGUNA RESPECTO DE LA OBRA, YA SEA EXPRESA, IMPLÍCITA, LEGAL O CUALQUIERA OTRA, INCLUYENDO, SIN LIMITARSE A ELLAS, GARANTÍAS DE TITULARIDAD, COMERCIABILIDAD, ADAPTABILIDAD O ADECUACIÓN A PROPÓSITO DETERMINADO, AUSENCIA DE INFRACCIÓN, DE AUSENCIA DE DEFECTOS LATENTES O DE OTRO TIPO, O LA PRESENCIA O AUSENCIA DE ERRORES, SEAN O NO DESCUBRIBLES (PUEDAN O NO SER ESTOS DESCUBIERTOS). ALGUNAS JURISDICCIONES NO PERMITEN LA EXCLUSIÓN DE GARANTÍAS IMPLÍCITAS, EN CUYO CASO ESTA EXCLUSIÓN PUEDE NO APLICARSE A USTED.

6. Limitación de responsabilidad.
A MENOS QUE LO EXIJA EXPRESAMENTE LA LEY APLICABLE, EL LICENCIANTE NO SERÁ RESPONSABLE ANTE USTED POR DAÑO ALGUNO, SEA POR RESPONSABILIDAD EXTRACONTRACTUAL, PRECONTRACTUAL O CONTRACTUAL, OBJETIVA O SUBJETIVA, SE TRATE DE DAÑOS MORALES O PATRIMONIALES, DIRECTOS O INDIRECTOS, PREVISTOS O IMPREVISTOS PRODUCIDOS POR EL USO DE ESTA LICENCIA O DE LA OBRA, AUN CUANDO EL LICENCIANTE HAYA SIDO ADVERTIDO DE LA POSIBILIDAD DE DICHOS DAÑOS. ALGUNAS LEYES NO PERMITEN LA EXCLUSIÓN DE CIERTA RESPONSABILIDAD, EN CUYO CASO ESTA EXCLUSIÓN PUEDE NO APLICARSE A USTED.

7. Término.

a.	Esta Licencia y los derechos otorgados en virtud de ella terminarán automáticamente si Usted infringe alguna condición establecida en ella. Sin embargo, los individuos o entidades que han recibido Obras Derivadas o Colectivas de Usted de conformidad con esta Licencia, no verán terminadas sus licencias, siempre que estos individuos o entidades sigan cumpliendo íntegramente las condiciones de estas licencias. Las Secciones 1, 2, 5, 6, 7, y 8 subsistirán a cualquier terminación de esta Licencia.

b.	Sujeta a las condiciones y términos anteriores, la licencia otorgada aquí es perpetua (durante el período de vigencia de los derechos de autor de la obra). No obstante lo anterior, el Licenciante se reserva el derecho a publicar y/o estrenar la Obra bajo condiciones de licencia diferentes o a dejar de distribuirla en los términos de esta Licencia en cualquier momento; en el entendido, sin embargo, que esa elección no servirá para revocar esta licencia o que deba ser otorgada , bajo los términos de esta licencia), y esta licencia continuará en pleno vigor y efecto a menos que sea terminada como se expresa atrás. La Licencia revocada continuará siendo plenamente vigente y efectiva si no se le da término en las condiciones indicadas anteriormente.

8. Varios.

a.	Cada vez que Usted distribuya o ponga a disposición pública la Obra o una Obra Colectiva, el Licenciante ofrecerá al destinatario una licencia en los mismos términos y condiciones que la licencia otorgada a Usted bajo esta Licencia.

b.	Si alguna disposición de esta Licencia resulta invalidada o no exigible, según la legislación vigente, esto no afectará ni la validez ni la aplicabilidad del resto de condiciones de esta Licencia y, sin acción adicional por parte de los sujetos de este acuerdo, aquélla se entenderá reformada lo mínimo necesario para hacer que dicha disposición sea válida y exigible.

c.	Ningún término o disposición de esta Licencia se estimará renunciada y ninguna violación de ella será consentida a menos que esa renuncia o consentimiento sea otorgado por escrito y firmado por la parte que renuncie o consienta.

d.	Esta Licencia refleja el acuerdo pleno entre las partes respecto a la Obra aquí licenciada. No hay arreglos, acuerdos o declaraciones respecto a la Obra que no estén especificados en este documento. El Licenciante no se verá limitado por ninguna disposición adicional que pueda surgir en alguna comunicación emanada de Usted. Esta Licencia no puede ser modificada sin el consentimiento mutuo por escrito del Licenciante y Usted.
