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1.
Esc. Anna Nery Rev. Enferm ; 26: e20210203, 2022. tab
Article in Portuguese | LILACS, BDENF | ID: biblio-1339876

ABSTRACT

RESUMO Objetivo analisar as características individuais, clínicas e os fatores associados à mortalidade de pacientes com COVID-19, em hospital público do estado do Paraná, Brasil. Métodos estudo seccional, retrospectivo, documental (n= 86), com pacientes adultos internados, de março a junho de 2020. Resultados a mortalidade foi de 12,8%, o grupo de maior risco foi de idosos com comorbidades, especialmente, cardiovasculares. A chance de óbito foi 58 vezes maior em idosos, comparada aos adultos, e oito vezes maior naqueles com comorbidades, comparadas aos hígidos. A maioria dos pacientes apresentou sintomatologia respiratória, febre e mialgia. Tratamento à base de antibióticos, anticoagulantes e antivirais, associado ao suporte ventilatório. As principais complicações foram hipóxia, insuficiência renal aguda e infecção secundária. Conclusão e implicações para a prática idosos com comorbidades cardiovasculares que necessitaram de cuidados intensivos apresentaram maior chance de óbito. Os resultados de um dos centros de referência na pandemia possibilitam discutir medidas epidemiológicas adotadas, com ênfase em conceitos restritivos nos primeiros meses.


RESUMEN Objetivo analizar las características individuales, clínicas y los factores asociados a la mortalidad en pacientes con COVID-19 en un hospital público del estado de Paraná. Métodos estudio transversal, retrospectivo, documental (n = 86), con pacientes adultos hospitalizados, de marzo a junio de 2020. Resultados la mortalidad fue del 12,8%, grupo de mayor riesgo para los ancianos con comorbilidades, especialmente enfermedades cardiovasculares. La probabilidad de muerte fue 58 veces mayor en los ancianos en comparación con los adultos y ocho veces mayor en aquellos con comorbilidades en comparación con los sanos. La mayoría de los pacientes presentaban síntomas respiratorios, fiebre y mialgia. Tratamiento a base de antibióticos, anticoagulantes y antivirales, asociado al soporte ventilatorio. Las principales complicaciones fueron hipoxia, insuficiencia renal aguda e infección secundaria. Conclusión e implicaciones para la práctica los ancianos con comorbilidades cardiovasculares que requirieron cuidados intensivos tenían una mayor probabilidad de muerte. Los resultados de uno de los centros de referencia pandémica permiten discutir las medidas epidemiológicas adoptadas, con énfasis en conceptos restrictivos en los primeros meses.


ABSTRACT Objective to analyze the individual and clinical characteristics and the factors associated with mortality in patients with COVID-19, in a public hospital in the state of Paraná, Brazil. Methods a cross-sectional, retrospective, documentary study (n= 86), with adult inpatients, from March to June 2020. Results mortality was 12.8%, the highest risk group was the elderly with comorbidities, especially cardiovascular ones. The chance of death was 58 times higher in the elderly compared to adults, and eight times higher in those with comorbidities compared to the healthy ones. Most patients presented with respiratory symptoms, fever, and myalgia. Treatment was based on antibiotics, anticoagulants and antivirals, associated with ventilatory support. The main complications were hypoxia, acute renal failure, and secondary infection. Conclusion and implications for practice elderly people with cardiovascular comorbidities who required intensive care had a higher chance of death. The results from one of the reference centers in the pandemic make it possible to discuss epidemiological measures adopted, with emphasis on restrictive concepts in the first months.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Health Profile , Death , SARS-CoV-2 , COVID-19/mortality , Respiration, Artificial , Cardiovascular Diseases , Comorbidity , Medical Records , Retrospective Studies , Risk Factors , Azithromycin/therapeutic use , COVID-19/drug therapy , Intensive Care Units , Length of Stay
2.
J. Health NPEPS ; 6(2): 1-17, dez. 2021.
Article in English | LILACS, BDENF, ColecionaSUS | ID: biblio-1342832

ABSTRACT

ABSTRACT Objective: to analyze survival and factors associated with increased risk of death for older adults diagnosed with COVID-19, living in the Northeast region of Brazil. Method: retrospective observational study developed with secondary data provided by the Brazilian Ministry of Health, between June 14 and December 26, 2020. The Kaplan-Meyer method, the time-dependent cox regression model was used, including covariates (age, sex, skin color, comorbidities, admission to the ICU, ventilatory support). Results: out of 9,306 individuals analyzed, 55.9% died and 44.1% survived. The highest risk of death was observed for those aged 80-89 (HR=1.95), brown-skinned (HR=1.99), with immunodeficiency (HR=1.259) or kidney disease (HR=1.147), admitted to the ICU (HR=1,795) and in use of ventilatory support (HR=1606). Conclusion: among older adults residing in the Northeast region of Brazil, there was a higher risk of death from COVID-19 for octogenarians, brown-skinned, with comorbidities, hospitalization in the ICU, followed by the use of ventilatory support. The creation of health prevention strategies that identify older adults with these profiles is suggested to prevent deaths in future pandemic situations.


RESUMENObjetivo: analizar la supervivencia y los factores asociados con un mayor riesgo de muerte en ancianos diagnosticados con COVID-19, residentes en la región Nordeste de Brasil. Método: estudio observacional retrospectivo desarrollado con datos secundarios proporcionados por el Ministerio de Salud de Brasil, entre el 14 de junio y el 26 de diciembre de 2020. Se utilizó el método de Kaplan-Meyer, modelo de regresión de Cox-tempo-dependiente, incluyendo covariables (edad, sexo, color de piel, comorbilidades, ingreso en UCI, soporte ventilatorio). Resultados: 9.306 personas analizadas, el 55,9% falleció y el 44,1% sobrevivió. El mayor riesgo de muerte se observó en las personas de 80 a 89 años (HR=1,95), color de piel morena (HR=1,99), inmunodeficiencia (HR=1,259), enfermedad renal (HR=1,147), con ingreso en UCI (HR=1.795) y uso de soporte ventilatorio (HR=1606). Conclusión: entre los ancianos residentes en la región Nordeste de Brasil, hubo mayor riesgo de muerte por COVID-19 para los octogenarios, color de piel morena, que tenían comorbilidades, hospitalización en la UCI, seguido del uso de soporte ventilatorio. Se sugiere la creación de estrategias de prevención en salud que identifiquen a las personas mayores con estos perfiles para prevenir muertes en futuras situaciones pandémicas.


RESUMOObjetivo: analisar a sobrevida e os fatores associados ao maior risco de morte para idosos com diagnóstico de COVID-19, residentes na região Nordeste do Brasil. Método: estudo observacional retrospectivo desenvolvido com dados secundários fornecidos pelo Ministério da Saúde do Brasil, entre 14 dejunho a 26 de dezembro de 2020. Utilizou-se o método de Kaplan-Meyer, o modelo de regressão de cox tempo-dependente, incluindo covariáveis (idade, sexo, cor da pele, comorbidades, admissão na UTI, suporte ventilatório). Resultados: 9.306 indivíduos foram analisados; 55,9% morreram e 44,1% sobreviveram. O maior risco de ocorrência de óbitos foi observado para aqueles entre 80-89 anos (HR=1,95), cor da pele parda (HR=1,99), imunodeficiência (HR=1,259), doença renal (HR=1,147), com admissão em UTI (HR=1,795) e uso de suporte ventilatório (HR=1.606). Conclusão: entre idosos residentes na região Nordeste do Brasil, constatou-se maior risco de óbitos por COVID-19 para octogenários, cor parda, que apresentaram comorbidades, internação em UTI, seguido do uso de suporte ventilatório. Sugere-se a criação de estratégias de prevenção em saúde que identifiquem idosos com esses perfis para prevenir óbitos em futuras situações de pandemia.


Subject(s)
Epidemiology , Risk Factors , Coronavirus , SARS-CoV-2
3.
Vaccimonitor (La Habana, Print) ; 30(3)2021. tab, graf
Article in Spanish | LILACS, CUMED | ID: biblio-1341780

ABSTRACT

Contar con métodos diagnósticos que reúnan ciertos atributos es vital para guiar las decisiones sanitarias, el contexto actual lo amerita. Con el objetivo de validar la capacidad de dos pruebas rápidas para detectar anticuerpos debido a la infección por SARS-CoV-2 en la Isla de la Juventud, Cuba, de abril a mayo de 2020, se realizó un estudio descriptivo de corte transversal de evaluación de pruebas rápidas: Wondfo (SARS-CoV-2 antibody test) y Lungene covid-19 IgG/IgM rapid test, en comparación con la prueba de reacción en cadena de la polimerasa en tiempo real. Se construyeron dos muestras homogéneas de 250 cada una, determinándose indicadores de validación. Se obtuvieron valores de sensibilidad de 6,6 por ciento y 8,3 por ciento respectivamente para cada prueba, mientras que la especificidad resultó superior para Wondfo (95 por ciento). Los valores predictivos positivos resultaron muy bajos, los negativos adecuados, superior en Lungene con el 94,8 por ciento. Los valores de razón de verosimilitud fueron clasificados como inútiles. En diferentes escenarios en cuanto a casos sintomáticos, se alcanzó sensibilidad del 50 por ciento en intervalo de 1 a 7 días para Wondfo. El área bajo la curva ROC para Wondfo fue 0,50 (IC95 por ciento=0,46-0,55) y para Lungene 0,46 (IC95 por ciento=0,38-0,55). El índice kappa para Wondfo fue de 0,025 y 0,010 para Lungene. Las pruebas rápidas exploradas mostraron muy baja sensibilidad, valor predictivo positivo y razón de verosimilitud inadecuada. La validez global de las pruebas no demostró un buen desempeño diagnóstico, marcado por el valor del área bajo la curva ROC(AU)


Having diagnostic methods that meet certain attributes is vital to guide health decisions, the current context warrants it. In order to validate the capacity of two rapid tests to detect antibodies due to SARS-CoV-2 infection in Isla de la Juventud, Cuba, from April to May 2020, a descriptive cross-sectional evaluation study was carried out. Rapid tests: Wondfo (SARS-CoV-2 antibody test) and Lungene covid-19 IgG/IgM, were compared to the real-time polymerase chain reaction test. Two homogeneous samples of 250 each were constructed, determining validation indicators. Sensitivity values of 6.6 percent and 8.3 percent respectively were obtained for each test, while the specificity was higher for Wondfo (95 percent). The positive predictive values were very low, the negative ones were adequate, higher in Lungene with 94.8 percent. Likelihood ratio values were classified as useless. In different scenarios in terms of symptomatic cases, sensitivity of 50 percent was reached in an interval of 1 to 7 days for Wondfo. The area under the ROC curve for Wondfo was 0.50 (95 percent CI = 0.46-0.55) and 0.46 for Lungene (95 percent CI = 0.38-0.55). The kappa index for Wondfo was 0.025 and 0.010 for Lungene. The rapid tests explored showed very low sensitivity, positive predictive value, and inadequate likelihood ratio. The global validity of the tests did not demonstrate a good diagnostic performance, marked by the value of the area under the ROC curve. The degree of agreement was poor(AU)


Subject(s)
Humans , Validation Studies as Topic , COVID-19 Testing/methods , SARS-CoV-2 , COVID-19 , Enzyme-Linked Immunosorbent Assay/methods , Epidemiology, Descriptive , Cross-Sectional Studies , Cuba
4.
Diagn. tratamento ; 26(4): 170-4, out-dez. 2021. tab
Article in Portuguese | LILACS | ID: biblio-1348619

ABSTRACT

Contextualização: A necessidade do distanciamento social para prevenção da transmissão da COVID-19 permitiu o uso da telemedicina para o atendimento on-line de pacientes em determinadas situações em que o contato direto profissional/paciente não fosse estritamente necessário. Objetivo: Desenvolver uma síntese baseada nas melhores evidências científicas disponíveis sobre o uso da telemedicina no contexto da pandemia de COVID-19. Desenho de estudo: Sinopse de evidências. Metodologia: Realizou-se a busca por estudos com maiores níveis de evidências nas bases de dados Medline/PubMed, na Cochrane Library e na Embase. A busca foi realizada em junho de 2021, não houve restrição de idioma. Resultados: Foram localizadas 157 citações, sendo 81 no MEDLINE/PubMed; 10 na Cochrane Library e 66 na Embase. Seis estudos foram incluídos, destes, cinco eram revisões sistemáticas e uma revisão de escopo. Os estudos incluídos pertenciam a diferentes áreas médicas como dermatologia e emergência médica. Esses estudos foram realizados principalmente na América do Norte, Europa e Ásia. Discussão: A maioria dos estudos são provenientes de estudos observacionais e concordam que o uso da telemedicina durante a pandemia foi favorável nas mais variadas especialidades, principalmente na coleta de dados para a triagem. Conclusões: Houve um aumento considerável do uso da telemedicina durante a pandemia da COVID-19, em âmbito tanto hospitalar como ambulatorial. As consultas a distância proporcionaram proteção e segurança tanto aos pacientes como aos profissionais de saúde. Os pacientes apresentaram-se satisfeitos com o atendimento virtual. No entanto, muitos são os desafios a serem superados para implementação da telemedicina como um todo.


Subject(s)
Telemedicine , Remote Consultation , Videoconferencing , SARS-CoV-2 , COVID-19
5.
Bol. micol. (Valparaiso En linea) ; 36(2): 14-19, dic. 2021.
Article in Spanish | LILACS | ID: biblio-1352557

ABSTRACT

Ha surgido una nueva variante de preocupación de SARS-CoV-2, cuyos efectos en la evolución de la pandemia parecen inciertos. Sin embargo, ha comenzado a surgir evidencia con respecto al comportamiento viral en cuanto a su transmisibilidad, unión a receptor de la célula hospedadora y escape del sistema inmune. Presentamos una revisión actualizada de los datos existentes en la literatura respecto a los aspectos microbiológicos y epidemiológicos que pueden ayudarnos a comprender las futuras investigaciones en esta variante.(AU)


A new variant of concern for SARS-CoV-2 has emerged, the effects of which on the evolution of the pandemic appear uncertain. However, evidence has begun to emerge regarding viral behavior in terms of its transmissibility, receptor binding on the host cell, and escape from the immune system. We present an updated review of the existing data in the literature regarding the microbiological and epidemiological aspects that can help us understand future research on this variant.(AU)


Subject(s)
Evolution, Molecular , SARS-CoV-2/genetics , Virulence , Behavior , SARS-CoV-2/pathogenicity , COVID-19/epidemiology
6.
Medicina (B.Aires) ; 81(supl.2): 1-32, dic. 2021. graf
Article in Spanish | LILACS | ID: biblio-1351083

ABSTRACT

Resumen En las últimas décadas ha habido un importante desarrollo de dispositivos inhalados (DI) que permiten aumentar la eficacia de las drogas y disminuir los eventos adversos. Su correcto uso es de fundamental importancia para el control de las enfermedades respiratorias obstructivas. En la Argentina no existen recomendaciones locales sobre el uso de los DI. Se revisó la base biofísica, indicación, ventajas y limitaciones, técnica de correcto uso, errores frecuentes, mantenimiento y limpieza de cada DI. El uso de nebulizaciones ha quedado restringido a la administración de drogas que no están disponibles en otros DI (ejemplo: tratamiento de fibrosis quística), o ante la falla de los otros DI. No deben ser usados durante la pandemia de SARS-CoV2. Los inhaladores de dosis medida (aerosol) deben ser indicados siempre con aerocámaras (AC), las que reducen la incidencia de eventos adversos y aumentan el depósito de la droga en el pulmón. Son los dispositivos de elección junto a los inhaladores de polvo seco. Los aerosoles se deben usar en pacientes que no generan flujos inspiratorios altos. Los inhaladores de polvo seco deben recomendarse en aquellos que pueden realizar flujos inspiratorios enérgicos. Se revisaron los diferentes DI en fibrosis quística y en pacientes con asistencia respiratoria mecánica. La elección del DI dependerá de varios factores: situación clínica, edad, experiencia previa, preferencia del paciente, disponibilidad de la droga y entrenamiento alcanzado con el correcto uso.


Abstract Last decades, a broad spectrum of inhaled devices (ID) had been developed to enhance efficacy and reduce adverse events. The correct use of IDs is a critical issue for controlling obstructive respiratory diseases. There is no recommendation on inhalation therapy in Argentina. This document aims to issue local recommendations about the prescription of IDs. Each device was reviewed regarding biophysical laws, indication, strength, limitations, correct technique of use, frequent mistakes, and device cleaning and maintenance. Nebulization should be restricted to drugs that are not available in other IDs (for example, for treatment of cystic fibrosis) or where other devices fail. Nebulization is not recommended during the SARS-CoV2 pandemic. A metered-dose inhaler must always be used with an aerochamber. Aerochambers reduce the incidence of adverse events and improve lung deposition. Metered-dose inhalers must be prescribed to patients who cannot generate a high inspiratory flow and dry powders to those who can generate an energetic inspiratory flow. We reviewed the use of different IDs in patients with cystic fibrosis and under mechanical ventilation. The individual choice of an ID will be based on several variables like clinical status, age, previous experience, patient preference, drug availability, and correct use of the device.


Subject(s)
Humans , Asthma , COVID-19 , Argentina , RNA, Viral , Pulmonary Disease, Chronic Obstructive , SARS-CoV-2
7.
Arch. argent. pediatr ; 119(6): e594-e599, dic. 2021.
Article in English, Spanish | LILACS, BINACIS | ID: biblio-1343025

ABSTRACT

Existe abundante bibliografía relacionada con el impacto de la pandemia de la enfermedad por el coronavirus 2019 (COVID-19) en la salud mental y social de niños, niñas, adolescentes y jóvenes. Un altísimo porcentaje de esta población tuvo síntomas emocionales y el nivel de ansiedad, depresión y pensamientos suicidas aumentaron considerablemente. Los adultos responsables de generar una red de soporte sufrieron el impacto con síntomas emocionales, inseguridad laboral y económica. En muchos niños, sin un entorno contenedor, aumentó la exposición a experiencias adversas, por lo que la pandemia puede considerarse como una experiencia adversa en sí misma. Se revisó el efecto a futuro de estas experiencias desfavorables en la infancia y cómo, con adecuado soporte familiar y social, podría disminuirse la sensibilidad al estrés generando mecanismos de resiliencia.La responsabilidad como ciudadanos y profesionales de la salud es reflexionar, discutir y desarrollar estrategias para mitigar estos daños que pueden tener graves consecuencias en la salud mental y física durante la niñez y la adultez.


There is plenty bibliography about the impact of the coronavirus disease 2019 (COVID-19) pandemic on the mental and social health of children, adolescents, and youth. A very high percentage of this population developed emotional symptoms and their levels of anxiety, depression, and suicidal ideatio increased considerably. The adults who were responsible for generating a support network were impacted and suffered emotional symptoms and job and economic uncertainty. In many children, without a supportive context, exposure to adverse experiences increased, so the pandemic may be considered an adverse experience itself. The future effect of such unfavorable experience on childhood and how family and social support may help to reduce stress through the development of resilience were reviewed. As citizens and health care providers, our responsibility is to reflect, discuss, and develop strategies to mitigate such damage that may have severe consequences on the mental and physical health of children and adults.


Subject(s)
Humans , Male , Female , Child , Adolescent , Pandemics , Adverse Childhood Experiences , COVID-19 , Anxiety , Health Personnel , SARS-CoV-2
8.
Arch. argent. pediatr ; 119(6): 414-418, dic. 2021. tab, ilus
Article in English, Spanish | LILACS, BINACIS | ID: biblio-1342853

ABSTRACT

El compromiso renal en los pacientes pediátricos con enfermedad por el coronavirus 2019 (COVID-19, por su sigla en inglés) varía entre el 10 % y el 80 %. Dado que existe limitada información sobre su pronóstico, se realizó este estudio con el objetivo de describir la evolución en el corto plazo de pacientes a quienes se les detectó compromiso renal durante la internación por COVID-19. Estudio observacional y transversal que incluyó pacientes entre 1 mes y 18 años con COVID-19 con compromiso renal. Se excluyeron aquellos con patología renal conocida. Se identificaron 27 pacientes con afectación renal, en 14 de ellos se pudo realizar seguimiento para estudiar la evolución renal luego de 3 meses del diagnóstico. Todos habían normalizado los niveles de creatinina plasmática durante la internación y al momento del control ambulatorio, realizado a los 145 días (92-193), todos se encontraban normotensos y con hallazgos urinarios normales, excepto uno que persistía con microhematuria. La evolución fue favorable; la mayoría de los pacientes presentaron remisión completa del compromiso renal.


Renal involvement among pediatric patients with coronavirus disease 2019 (COVID-19) ranges between 10 % and 80 %.Given the limited information about its prognosis, the objective of this study was to describe the short-term course of patients in whom renal involvement was detected during hospitalization due to COVID-19. This was an observational, cross-sectional study in patients aged 1 month to 18 years who had COVID-19 and renal involvement. Those with a known kidney disease were excluded. A total of 27 patients with renal involvement were identified; 14 of them were followed-up to study their disease course for 3 months after diagnosis. All of the patients had achieved normal plasma creatinine levels during hospitalization and, at the time of outpatient follow-up, which took place 145 days (92-193) later, all had normal blood pressure and urinary values, except for 1 patient who continued with microscopic hematuria. Course was favorable; in most patients, renal involvement had fully resolved.


Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Adolescent , Acute Kidney Injury , COVID-19 , Prognosis , Cross-Sectional Studies , SARS-CoV-2 , Hematuria
9.
Ciênc. Saúde Colet ; 26(12): 5915-5924, Dez. 2021. tab
Article in Portuguese | LILACS | ID: biblio-1350502

ABSTRACT

Resumo Este artigo é fruto de resultados preliminares de uma pesquisa em andamento com motoristas por aplicativo e tem por objetivo discutir sobre como tem se dado o jogo de forças nas relações que se estabelecem entre as empresas, os trabalhadores, os órgãos reguladores e a sociedade. O estudo exploratório, com abordagem qualitativa, utilizou análise documental, questionário e entrevistas semiestruturadas com motoristas ligados a associações do Rio de Janeiro/RJ. Tendo como base o referencial teórico-metodológico da Ergologia, e a partir dos espaços micro e macroscópico da vida social, a análise se deu em uma perspectiva tripolar, abarcando os polos referentes à atividade humana, ao mercado e à política. Os resultados apresentam normas antecedentes que vêm sendo construídas sobre este trabalho na relação com as empresas, com os passageiros e entre os próprios motoristas, além de questões trazidas a partir da pandemia de COVID-19. Conclui-se ser necessário não contrapor a evolução tecnológica à conquista de direitos e da saúde dos trabalhadores, sendo imperativo lembrar que nenhuma ação que vise garantir a conciliação entre saúde, trabalho e direitos conseguirá avançar sem contar com uma dinâmica frutífera, e tendencialmente equilibrada, entre os três polos mencionados.


Abstract This paper is the product of an ongoing research's preliminary results with app drivers and aims to discuss how the game of forces has occurred in the relationships established between companies, workers, regulatory bodies, and society. This exploratory qualitative study employed document analysis, a questionnaire, and semi-structured interviews with drivers linked to associations in Rio de Janeiro (RJ), Brazil. The analysis was conducted from a tripolar perspective based on the theoretical-methodological framework of Ergology and social life's micro and macroscopic spaces, encompassing the poles referring to human activity, the market, and politics. The results show a background of norms built on this work about the relationship with companies, passengers, and the drivers themselves, besides issues raised from the COVID-19 pandemic. We can conclude that it is necessary not to counteract technological evolution to achieve workers' rights and health. We should recall that no action aimed at ensuring the reconciliation of health, work, and rights will advance without relying on a fruitful and balanced trend between the three poles mentioned.


Subject(s)
Humans , Mobile Applications , COVID-19 , Brazil , Pandemics , SARS-CoV-2
10.
Ciênc. Saúde Colet ; 26(12): 5897-5904, Dez. 2021. tab, graf
Article in Spanish | LILACS | ID: biblio-1350491

ABSTRACT

Resumen El presente ensayo critico-reflexivo problematiza las dinámicas laborales en el marco de la informalidad considerado como un determinante para acceso al sistema de salud en México y discute la vulnerabilidad de los trabajadores ante la pandemia por el virus SARS-CoV-2. El presente trabajo pretende contribuir en la visibilización del problema para motivar la construcción en propuestas que contribuyan a mejorar la vida de trabajadores y trabajadoras garantizando su derecho a la salud.


Abstract This critical-reflective essay problematizes the labor dynamics in the framework of informality considered as a determinant for access to the health system in Mexico and discusses the vulnerability of workers to the pandemic caused by the SARS-CoV-2 virus. This analysis aims to contribute to the construction of proposals aimed at improving the lives of male and female workers by guaranteeing their right to health.


Subject(s)
Humans , Male , Female , SARS-CoV-2 , COVID-19 , Health Personnel , Pandemics , Health Services Accessibility , Mexico/epidemiology
11.
Ciênc. Saúde Colet ; 26(12): 6117-6128, Dez. 2021. tab
Article in Portuguese | LILACS | ID: biblio-1350484

ABSTRACT

Resumo O objetivo deste artigo foi verificar a prevalência e fatores associados à insatisfação com o trabalho docente entre professores(as) da rede pública estadual de educação básica do estado de Minas Gerais durante a pandemia da COVID-19. Inquérito epidemiológico do tipo websurveys, realizado com esses(as) professores(as) entre agosto e setembro de 2020 via formulário digital. A variável dependente foi a satisfação com o trabalho durante a pandemia, sendo os(as) satisfeitos(as) a categoria de referência. Foi utilizada a Regressão Logística Multinomial. Participaram do estudo 15.641 professores(as) de 795 municípios. Em relação a satisfação com o trabalho, 21,6% estavam satisfeitos(as), 44,7% indiferentes e 33,7% insatisfeitos(as). As chances de estarem insatisfeitos(as) foram maiores entre aqueles(as) sem cônjuge (OR=1,23), maior tempo de docência (OR=1,19), dificuldade com atividades remotas (OR=37,60), sem posse de computador (OR=1,40), tabagistas (OR=1,27), em uso de bebida alcoólica (OR=1,54), sedentários(as) (OR=1,22) e atividade de lazer ausente (OR=1,49). As mudanças causadas no sistema educacional diante da pandemia impactaram a rotina do(a) professor(a), contribuindo para a insatisfação com o trabalho deste(a) profissional.


Abstract This article aimed to verify the prevalence and factors associated with dissatisfaction with teaching work among teachers from the state public basic education network in the state of Minas Gerais during the COVID-19 pandemic. This is a websurvey, carried out with these teachers between August and September 2020 via digital form. The dependent variable was job satisfaction during the pandemic, with satisfied people being the reference category. Multinomial Logistic Regression was used. 15,641 teachers from 795 municipalities participated in the study. Regarding work satisfaction, 21.6% were satisfied, 44.7% were indifferent and 33.7% were unsatisfied. The chances of being unsatisfied were higher among those without a spouse (OR=1.23), longer teaching time (OR=1.19), difficulty with remote activities (OR=37.60), without possession of a computer (OR=1.40), smokers (OR=1.27), using alcoholic beverages (OR=1.54), sedentary (OR=1.22) and absent leisure activities (OR=1.49). The changes caused in the educational system in the face of the pandemic impacted the teacher's routine, contributing to the dissatisfaction with the work of this professional.


Subject(s)
Humans , Pandemics , COVID-19 , Brazil/epidemiology , SARS-CoV-2 , Job Satisfaction
12.
Ciênc. Saúde Colet ; 26(12): 6105-6116, Dez. 2021.
Article in Portuguese | LILACS | ID: biblio-1350490

ABSTRACT

Resumo O texto contém uma proposta atualizada de política de Ciência, Tecnologia e Inovação em Saúde no Brasil e a pertinência da atualização decorre do desastre nas atividades nesse terreno verificadas no país desde o início do atual governo federal em 2019, bem como dos desafios colocados pela emergência da pandemia COVID-19 desde 2020. Ele está organizado em cinco seções, a saber: Pesquisa em Saúde; Inovação Produtiva; Avaliação e Incorporação de Tecnologias em Saúde; Propriedade Intelectual em Saúde; Novos desafios colocados pela Pandemia. Os autores fazem parte do Comitê de Assessoramento em Ciência, Tecnologia e Inovação da Abrasco.


Abstract The text presents an updated proposal for a Health Science, Technology and Innovation Policy in Brazil, following the huge political turmoil in the country since 2019 and the COVID-19 pandemic since 2020. The proposal is presented in five sections: Scientific Research; Productive Innovation; Health Technology Assessment and Incorporation; Intellectual Property in Health; New challenges posed by the Pandemic. The authors take part in the Advisory Committee in Science, Technology and Innovation of the Brazilian Association of Collective Health.


Subject(s)
Humans , Pandemics , COVID-19 , Technology , Brazil , SARS-CoV-2 , Health Policy
13.
An. Fac. Cienc. Méd. (Asunción) ; 54(3): 25-32, Dec. 2021.
Article in Spanish | LILACS | ID: biblio-1352900

ABSTRACT

Introducción: La pandemia de COVID-19 ha provocado cambios que afectan los sistemas de salud y el abordaje de las enfermedades infecciosas a nivel mundial. La esperanza de recuperar un cierto nivel de "normalidad" se basa en el desarrollo de vacunas. Objetivos: El objetivo de este estudio fue describir las actitudes hacia la vacuna COVID-19 en la población paraguaya, explorando factores que podrían ser abordados para apoyar la campaña de vacunación contra el SARS-CoV-2. Materiales y métodos: Estudio transversal y descriptivo. Los participantes fueron reclutados a través de una encuesta basada en Internet, difundida a través de las redes sociales, durante el mes de marzo de 2021. Todos los participantes recibieron información completa sobre el objetivo del estudio, la privacidad y el procesamiento de datos. Resultados: De los 2297 participantes, el 67,9% (n=1559) eran mujeres, el 49,9% (n=1147) estaban empleados, el 89,1% (n=2046) reportaron educación universitaria y el 96,6% (n=2218) eran de áreas urbanas. En general, el 81,8 % (n=1879) de los participantes afirmó que estarían dispuestos a vacunarse contra el COVID-19 si hubiera una vacuna disponible. Se ha encontrado una relación significativa entre haber solicitado la vacuna antigripal y la intención de vacunarse frente al COVID-19 (p<0,0001), con un OR: 3,09 (IC 95% 2,1-4,5). Conclusión: El porcentaje de participantes inclinados a vacunarse contra el COVID-19 es similar al de aquellos que esperan una inmunización adecuada de la vacuna. Las agencias gubernamentales y de salud deben hacer un esfuerzo para brindar información precisa que responda a las inquietudes de las personas sobre la vacunación, en cualquier nivel de la sociedad.


Introduction: Insufficient physical activity is one of the main public health problems globally. Teen behavior patterns and lifestyle may affect their physical and mental health. Objectives: The objective of this study was to know the patterns of physical activity and sedentary behaviors in the adolescent population nationwide. Materials and methods: A quantitative, observational, descriptive cross-sectional study, the questionnaire of the Global School Health Survey was applied in school adolescents of the eighth and ninth grades of the 3rd cycle of Basic School Education and the 1st, 2nd and 3rd year of Secondary Education in 49 schools and colleges in the country. 1,803 students aged 13 to 15 years were included in this study. Results. 27% of adolescents between the ages of 13 and 15 in Paraguay are active, being significantly higher in men than in women (p-value 0.000) and 22% are inactive more frequently in women than in men (p-value 0.000). It was observed that 33.5% of the adolescents had sedentary behavior, 43.4% of the adolescents did not use active displacement to attend school. Adolescents who did not participate in physical education classes at school accounted for 15.6%. Conclusion: Although 27% of adolescents between the ages of 13 and 15 are active, the large percentage of inactive adolescents with sedentary behavior is worrying.


Subject(s)
SARS-CoV-2 , COVID-19 , Population , Behavior , Immunization , Vaccination , COVID-19 Vaccines
14.
Ciênc. Saúde Colet ; 26(12): 6017-6026, Dez. 2021.
Article in Portuguese | LILACS | ID: biblio-1350506

ABSTRACT

Resumo Diante da emergência em saúde pública de importância internacional provocada pela COVID-19, trabalhadores da pesca artesanal, em diálogo com lideranças e acadêmicos brasileiros criaram, em março de 2020, um Observatório sobre os impactos dessa pandemia em comunidades pesqueiras. O objetivo deste artigo é analisar a experiência de vigilância popular da saúde de pescadores e pescadoras através de boletins diários produzidos no Observatório. Trata-se de um processo de monitoramento que possibilitou ampliar o reconhecimento da diversidade de modos de vida das populações vulneráveis que entrelaça saúde, ambiente e trabalho. O estudo utilizou metodologia qualitativa, horizontal e emancipatória e buscou aproximações à prática da ecologia dos saberes, tendo como resultados: construção compartilhada de informações e conhecimentos com base em experiências sociais heterogêneas; prática da ouvidoria coletiva com a valorização de saberes construídos nas lutas sociais; avaliação conjunta de iniquidades em saúde pública, conflitos territoriais e racismo ambiental, estrutural e institucional; orientação das lideranças sociais e captação de recursos através de editais públicos. Revela-se, assim, dinamicidade e horizontalidade de aprendizados com base na solidariedade e emancipação social a partir do interconhecimento.


Abstract Considering the public health emergency of international importance caused by COVID-19, artisanal fishing workers, engaging in a dialogue with Brazilian leaders and scholars, created an Observatory on the impacts of this pandemic on fishing communities in March 2020. The purpose of this article is to analyze the experience of popular surveillance of fishermen and fisherwomen's health through daily reports produced at the Observatory. It is a monitoring process that allowed broadening the recognition of the diversity of vulnerable populations' ways of life that intertwine health, environment and work. The study used a qualitative, horizontal and emancipatory methodology and sought approaches to the practice of the ecology of knowledges, with the following results: shared construction of information and knowledges based on heterogeneous social experiences; practice of collective ombudsman with the appreciation of knowledges built in social struggles); joint assessment of public health inequities, territorial conflicts, and environmental, structural, and institutional racism; guidance of social leaders and fundraising through public notices. Thus, the dynamics and horizontality of learning based on solidarity and social emancipation from inter-knowledge are revealed.


Subject(s)
Humans , Health , COVID-19/epidemiology , Brazil/epidemiology , Knowledge , Racism , SARS-CoV-2
15.
Article in English | LILACS, CUMED | ID: biblio-1341784

ABSTRACT

Vaccine development using different platforms is one of the important strategies to address coronavirus disease pandemic. The global need for vaccines requires effective vaccine approaches and collaboration between pharmaceutical and biotechnological companies, governments and the industrial and academic sectors. About 72 percent of the vaccine candidates are being developed by the private sector, while 28 percent are carried out by the public sector and different non-profit organizations. COVID-19 vaccines are based on complete viruses (inactivated or attenuated), viral vectors (replicating or not), antigenic subunits (proteins or peptides), nucleic acids (RNA or DNA) or virus-like particles. Important aspects of vaccine development include manufacturing flexibility, speed, cost, safety, cellular and humoral immunogenicity, vaccine stability and cold chain maintenance. Vaccines can be prepared using different manufacturing platforms, computational biology, gene synthesis, structure-based antigen design and protein engineering. Individual confidence, convenience and complacency are factors that affect the attitude towards acceptance of COVID-19 vaccination. This could be complicated by socio-demographic, psychologic, cognitive and cultural factors(AU)


El desarrollo de vacunas utilizando diferentes plataformas es una de las estrategias importantes para abordar la pandemia de COVID-19. La necesidad mundial de vacunas requiere enfoques de vacunas eficaces y la colaboración entre las empresas farmacéuticas y biotecnológicas, los gobiernos y los sectores industrial y académico. Alrededor del 72 por ciento de los candidatos vacunales están siendo desarrolladas por el sector privado, mientras que el 28 por ciento, por el sector público y diferentes organizaciones sin fines de lucro. Las vacunas contra la COVID-19 se basan en virus completos (inactivados o atenuados), vectores virales (replicantes o no), subunidades antigénicas (proteínas o péptidos), ácidos nucleicos (ARN o ADN) o partículas similares a virus. Aspectos importantes del desarrollo de vacunas incluyen la flexibilidad de fabricación, la velocidad, el costo, la seguridad, la inmunogenicidad celular y humoral, la estabilidad de la vacuna y el mantenimiento de la cadena de frío. Las vacunas se pueden preparar con precisión utilizando diferentes plataformas de fabricación, biología computacional, síntesis de genes, diseño de antígenos basado en estructuras e ingeniería de proteínas. La confianza individual, la conveniencia y la complacencia son factores que afectan la actitud hacia la aceptación de la vacunación contra la COVID-19. Esto podría complicarse por factores sociodemográficos, psicológicos, cognitivos y culturales(AU)


Subject(s)
Humans , Male , Female , COVID-19 Vaccines/therapeutic use , SARS-CoV-2
16.
Rev. colomb. anestesiol ; 49(4): e601, Oct.-Dec. 2021. tab
Article in English | LILACS, COLNAL | ID: biblio-1341249

ABSTRACT

The SARS-CoV-2 pandemic has infected over 95 million people worldwide and over 2 million in Colombia. The healthcare personnel (HCP) in our country account for more than 3,800 cases and 197 deaths until January 2021 1. Being a highly contagious virus, it has changed medical practice and exposed HCP who are at risk of becoming victims with every patient they see. The primary routes of transmission of SARS-CoV-2 are through respiratory droplets and contact with infected patients or any nearby surfaces or objects which the patient has used. Airborne transmission of the virus is possible when conducting aerosol generating procedures 2. Among HCP, those who are more exposed to aerosols are more vulnerable to get the disease: anesthesiologists, emergency physicians, internists and intensivists, as well as ENT doctors, ophthalmologists, maxillofacial surgeons, head and neck surgeons, dentists, gastroenterologists, pulmonologists, respiratory therapists, scrub nurses, nursing staff, inter alia.


La pandemia por SARS-CoV-2 ha contagiado más de 95 millones de personas en el mundo y más de 2 millones en Colombia. El personal de salud (PS) en nuestro país presenta más de 34.800 casos y 197 muertes a enero de 2021 (1). Su alta contagiosidad llegó para cambiar la manera de ejercer la medicina, exponiendo con cada atención al PS a convertirse en una víctima más. La principal vía de transmisión del SARS-CoV-2 es por gotas respiratorias y por contacto con pacientes infectados o superficies cercanas u objetos que este haya utilizado. La transmisión aérea del virus es posible al efectuarse procedimientos que pueden generar aerosoles (2). Dentro del PS, aquellos que más se exponen a aerosoles son los más vulnerables a adquirir esta enfermedad: anestesiólogos, emergenciólogos, internistas e intensivistas, así como otorrinolaringólogos, oftalmólogos, cirujanos maxilofaciales, cirujanos de cabeza y cuello, odontólogos, gastroenterólogos, neumólogos, terapeutas respiratorios, instrumentadores quirúrgicos y personal de enfermería, entre otros.


Subject(s)
Humans , Povidone-Iodine , COVID-19 , Saliva , Health Personnel , Disease Transmission, Infectious , SARS-CoV-2
17.
Rev. colomb. anestesiol ; 49(4): e202, Oct.-Dec. 2021. tab, graf
Article in English | LILACS, COLNAL | ID: biblio-1341238

ABSTRACT

Abstract Introduction Information regarding the clinical behavior and the anesthetic and perioperative management in pregnant patients with SARS-CoV-2 is starting to appear in the literature in the form of case reports or case series. However, strong evidence and recommendations are still limited. Objective To describe the clinical characteristics, the results of anesthetic and perioperative management, and complications in seroprevalent pregnant women for SARS-CoV-2 infection, delivered by cesarean section. Methodology Observational study in which 107 clinical records of pregnant women who were seroprevalent for SARS-CoV-2 infection were reviewed and analyzed between April and June, 2020. Demographic, clinical and serological data were collected, as well as data on the anesthetic technique and intraoperative and postoperative complications. Results Of the 107 pregnant women with SARS-CoV-2 infection, 99 (92.52%) were asymptomatic and 8 (7.48%) had mild symptoms. The most frequent reasons for cesarean section were cephalo-pelvic disproportion in 20 (18.68%), previous cesarean section in 20 (18.68%) and non-reassuring fetal status in 14 (13.08%). Anesthesia technique was neuraxial in all cases, with spinal used in 100 (93.5%), combined spinal-epidural in 4 (3.7%) and epidural catheter in 3 (2.8%) patients. No deaths had occurred until the third postoperative day of follow-up. Conclusions The majority of pregnant women with SARS-CoV-2 infection are asymptomatic. In this work, spinal, combined spinal-epidural and epidural neuroxial anesthesia techniques were shown to be effective and safe for these patients and their newborn babies.


Resumen Introducción La información del comportamiento clínico, manejo anestésico y perioperatorio en gestantes con SARS-CoV-2 empieza a aparecer en la literatura mediante reportes de casos o serie de casos. Aún son limitadas la evidencia contundente y las recomendaciones. Objetivo Describir las características clínicas, resultados del manejo anestésico, perioperatorio y complicaciones en gestantes seroprevalentes para infección por SARS-CoV-2, cuyo parto fue por cesárea. Metodología Estudio observacional en el cual se revisaron y analizaron 107 historias clínicas de gestantes seroprevalentes para infección por SARS-CoV-2, de abril a junio del 2020. Se recolectaron datos demográficos, clínicos, serología, técnica anestésica y complicaciones intra y postoperatorias. Resultados De las 107 gestantes con infección por SARS-CoV-2, 99 (92,52 %) fueron asintomáticas y 8 (7,48 %) presentaron síntomas leves. Los motivos más frecuentes de cesárea fueron: desproporción céfalo-pélvica 20 (18,68 %), cesárea previa 20 (18,68 %) y estado fetal no tranquilizador 14 (13,08 %). La técnica anestésica fue neuro axial en su totalidad, espinal en 100 (93,5 %), combinada espinal-epidural en 4 (3,7 %) y epidural con catéter en 3 (2,8 %) pacientes. No se registraron muertes hasta el tercer día postoperatorio de seguimiento. Conclusiones Las gestantes con infección por SARS-CoV-2 presentan -en su mayoría- infecciones asintomáticas. En este trabajo, la anestesia neuro axial: espinal, combinada espinal-epidural y epidural, se presentan como técnicas efectivas y seguras para estas pacientes y sus recién nacidos.


Subject(s)
Humans , Female , Pregnancy , Cesarean Section , SARS-CoV-2 , Anesthesia , Peru , COVID-19 , Anesthesia, Epidural
18.
Infectio ; 25(4): 289-292, oct.-dic. 2021. tab, graf
Article in Spanish | LILACS, COLNAL | ID: biblio-1286724

ABSTRACT

Resumen La trombosis de senos venosos cerebrales es un evento infrecuente en la población pediátrica y sus manifestaciones clínicas pueden variar dependiendo de la localización y extensión de la lesión, etiología o grupo etario (1); así mismo, la asociación de esta patología con virus es poco común, sin embargo, se han repor tado casos de trombosis de senos venosos en pacientes adultos con SARS-CoV-2 en relación con los mecanismos de lesión endotelial y respuesta inflamatoria que desencadena mecanismos procoagulantes. A continuación se presenta el primer caso reportado en Colombia de un caso de trombosis venosa cerebral en un lactante previamente sano, que debuta con un cuadro infeccioso gastrointestinal que resuelve y una semana después se presenta con cefalea y paralisis del VI par craneal derecho. Se documentó por angioto mografía trombosis del seno venoso sagital con extensión a senos transversos; los laboratorios fueron negativos para otras causas sistémicas y con prueba de anticuerpos para coronavirus positiva.


Abstract Cerebral venous sinus thrombosis is infrequent in the pediatric population and its clinical manifestations may vary depending on the anatomical location and the extent of the lesion, etiology or age group(1). The association of this pathology with viruses is uncommon, however, cases in adults with SARS-Cov2 have been reported triggered by procoagulant mechanisms due to endothelial injury and inflammatory response. The following article is the first reported case in Colombia of cerebral venous thrombosis in a previously healthy child, who debuted with gastrointestinal infectious disease and a week later with headache and sixth right cranial nerve palsy . The diagnosis of sagittal venous sinus thrombosis with extension to transverse sinuses was documented in a computed tomography angiography; laboratories for systemic diseases were negative and antibodies for coronavirus were positive.


Subject(s)
Humans , Male , Infant , Sinus Thrombosis, Intracranial , SARS-CoV-2 , COVID-19 , Thrombosis , Viruses , Coronavirus , Venous Thrombosis , Cranial Nerve Diseases , Transverse Sinuses , Headache
19.
Infectio ; 25(4): 256-261, oct.-dic. 2021. tab, graf
Article in Spanish | LILACS, COLNAL | ID: biblio-1286719

ABSTRACT

Resumen Objetivo: Determinar los factores de riesgo en adultos con COVID-19 en población rural andina durante 2020. Métodos: En este estudio de cohorte retrospectivo multicéntrico, incluimos a 184 pacientes adultos (≥18 años) con pruebas serológicas y moleculares para CO VID-19 de tres hospitales de la sierra peruana (Ancash y Apurímac) incluidos con sospecha clínica entre abril y junio. Se utilizó análisis descriptivos y regresión logística univariable para explorar los factores de riesgo asociados a los pacientes con COVID-19. Resultados: Del total de pacientes, 14 (7.6%) tuvieron SARS-CoV-2. En los pacientes infectados 12 (85.7%) fueron varones con promedio de edad de 47.3±21 años. Las comorbilidades estuvieron presentes en cerca de la tercera parte de pacientes, siendo la hipertensión y diabetes las más frecuentes (ambas 14.3%), y la sinto matología más frecuentes fueron fiebre y cefalea (57.2%). La regresión univariable mostró mayores probabilidades de infección con SARS-CoV-2 en la población rural andina asociada con la edad avanzada (OR: 1.1 IC95% 0.7-1.8; p=0,019), comorbilidades previas (OR: 1.7, IC95% 0.32-9.39; p=0,006), y sintomatología previa (OR: 49.8, IC95% 5.6-436.9; p=0,0011). Conclusiones: Los posibles factores de riesgo como la edad avanzada, las comorbilidades y sintomatología previas están relacionados con el desarrollo de CO VID-19 en población rural andina de Perú.


Abstract Objective: To determine the risk factors in adults with COVID-19 in the rural Andean population during 2020. Methods: This multicenter retrospective cohort study included 184 adult patients (≥18 years) with COVID-19's serological and molecular tests from three Hospitals in the Peruvian mountains (Ancash and Apurímac) included with clinical suspicion between April and June. Descriptive analysis and univariate logistic regression were used to explore the risk factors associated with patients with COVID-19. Results: Of total of patients, 14 (7.6%) had a SARS-CoV-2. In infected patients 12 (85.7%) were men with an average age of 47.3±21 years. Comorbidities were present in about a third of patients, with hypertension and diabetes being the most frequent (both 14.3%), and the most frequent symptoms were fever and hea dache (57.2%). Univariate regression showed higher probabilities of infection with SARS-CoV-2 in the rural Andean population associated with advanced age (OR: 1.1 95% CI 0.7 - 1.8; p = 0.019), previous comorbidities (OR: 1.7, 95%CI 0.32 - 9.39; p = 0.006), and previous symptoms (OR: 49.8, 95%CI 5.6 - 436.9; p = 0.0011). Conclusions: Possible risk factors such as advanced age, comorbidities and previous symptoms are related to the development of COVID-19 in the rural Andean population of Peru.


Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Middle Aged , Aged , COVID-19 , Peru , Rural Population , Risk Factors , Cohort Studies , SARS-CoV-2 , Headache , Hospitals , Hypertension , Infections
20.
Ciênc. Saúde Colet ; 26(11): 5589-5598, nov. 2021. tab, graf
Article in Portuguese | LILACS | ID: biblio-1350480

ABSTRACT

Resumo A 16ª Conferência Nacional de Saúde demonstrou o interesse do controle social em intervir sobre as políticas públicas a fim de garantir o direito às tecnologias de saúde. O projeto Integra - Integração das Políticas de Vigilância em Saúde, Assistência Farmacêutica, Ciência, Tecnologia e Inovação em Saúde -, nasce da parceria entre o Conselho Nacional de Saúde, a Escola Nacional dos Farmacêuticos e a Fundação Oswaldo Cruz (Fiocruz), com apoio da Organização Pan-Americana de Saúde (OPAS) com objetivo de fortalecimento da participação e engajamento social na temática e a integração das políticas e práticas de saúde em diferentes setores da sociedade (movimentos sociais, controle social e profissionais de saúde), tendo as diversas etapas relacionadas ao acesso aos medicamentos (pesquisa, incorporação, produção nacional e serviços) como mote principal, no cenário da pandemia de COVID-19. Oferta-se, neste projeto, capacitação para grupos de lideranças nas regiões de saúde e atividades de grande abrangência nacional e política. Espera-se alcançar o estabelecimento de uma rede intersetorial, integrada de lideranças capazes de atuar colaborativamente para a defesa do desenvolvimento da ciência, das políticas públicas, da soberania nacional e do controle social da saúde.


Abstract The 16th National Health Conference illustrated the interest of health councils to intervene in public policies in order to guarantee the right to health technologies. The INTEGRA project (Integration of policies for Health Surveillance, Pharmaceutical Care, Science, Technology, and Innovation in Health) is a partnership among the National Health Council, the National School of Pharmacists, and the Oswaldo Cruz Foundation (Fiocruz), with support from the Pan American Health Organization (PAHO), with the goal of strengthening participation and social engagement in the theme, as well as the integration of health policies and practices within different sectors of society (social movements, health councils, and health professionals), with the various stages related to the access to medicines (research, incorporation, national production, and services) being the main theme in the context of the COVID-19 pandemic. It seeks to offer training for leadership groups in the health regions and activities with a broad national and political scope, and it hopes to establish an intersectorial and integrated network of leaders capable of acting collaboratively to defend the development of science, public policies, national sovereignty, and social control of health.


Subject(s)
Humans , Social Participation , COVID-19 , Biomedical Technology , Pandemics , SARS-CoV-2 , Health Policy
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