Pandemic challenges for sports programs and projects for people with disabilities: Healthy routine challenge program

The rapid spread of the new coronavirus throughout the world, brought uncertainty about how to control the disease and many People with Disabilities who practiced physical and sports activities had to stop practicing these activities due to the impact of the pandemic. With this, the Paripe Sports Project of Sergipe (PPdSE), launched itself in the mission of creating the Programa Desafio Routina Saudavel (Routine Healthy Challenge), which mobilizes itself to fight social distance by building a healthy routine for everyone involved in its activities as students and teachers. The purpose of this study was to describe the actions taken, the difficulties and the perspectives experienced from the implementation of the Healthy Routine Challenge Program. Monthly challenges were carried out and every five weeks the goals of the actions taken were changed. The impact of the Healthy Routine Challenge was positive and the importance of this multidisciplinary monitoring was proven, serving as a support network. Our greatest perspective is that the program can serve as an example for other people and that they may be taking advantage of the program to promote a better quality of life and routine in other people.

Clinical case: Secondary pulmonary embolism in a patient with COVID-19

The Coronavirus disease 2019 (COVID-19) whose etiologic agent is a betacoronavirus, SARS-CoV-2. Emerged in a chinese province in December of 2019, becoming a pandemic that challenges global public health. It usually presents as a flu-like syndrome, with the possibility of progressing to severe acute respiratory syndrome. In addition, it can lead to cytokine storm syndrome that results in hyperinflammation, exacerbates immune response and may generate changes in the individual's coagulation, causing thromboembolic complications. This article reports the case of a 58-year-old patient diagnosed with COVID-19, who was still in-home isolation and developed dyspnea and hemoptysis on the fourth day of illness. The diagnosis of pulmonary thromboembolism (PTE) was confirmed by contrast- enhanced pulmonary artery tomography. The patient was admitted for clinical treatment, requiring follow-up in the Intensive Care Unit (ICU) between the third and fifth day of hospitalization. After discharge from the ICU, the patient evolved without further complications, being discharged on the tenth day of hospitalization. © 2020 Faculdade de Medicina de Ribeirao Preto - U.S.P.. All rights reserved.