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Background: Vaccination plays an essential role in controlling SARS-CoV- 2 pandemics. Due to initial concerns about hypersensitivity reactions (HR) to these new vaccines, our department, in articulation with Primary Healthcare Services (PHS) has developed several strategies to support COVID-19 vaccination. This work aims to describe those strategies and report the results. Method(s): The strategies developed for COVID-19 vaccination, from March to December 2021, included: 1) telephone support for health professionals (TS for HP) from the Vaccination Centres (VC), 2) priority appointments (PA) of patients classified as a higher risk for HR, 3) hospital vaccination of high-risk patients as defined by the national health authority. A retrospective and descriptive analysis of the support activity developed and from the data of patients vaccinated at the hospital in the same period were performed. Result(s): During the considered period, our department screened 1618 patients: 420 (26%) through telephone support for HP (TS for HP) from VC and 1198 (74%) at priority appointments (PA). After TS for HP, community vaccination (CV) was recommended in 87% (n = 364) of cases and a PA was advised in 13% (n = 56). Of the patients evaluated in PA, 80% were recommended CV, with restriction of the vaccine to administer in 28% of them. We always found an option to vaccine all. At the hospital were vaccinated 178 patients, 83% (n = 147) women, median age (P25-75) 61 (46-76) years. Hospital vaccination criteria were: past history of multiple drug HR (n = 93;52%), HR to vaccines (n = 46;26%), HR to the 1st dose of anti-SARS- CoV- 2 vaccine (n = 30;17%), idiopathic anaphylaxis (n = 10;6%) and systemic mastocytosis (n = 2;1%). 15% of patients (n = 26) performed skin tests with vaccines, which were negative in 25 and inconclusive in 1 case. 145 (82%) were first shots, 32 (18%) second shots, and one booster shot. Only one patient had a mild immediate reaction (2nd booster vaccination), promptly treated with antihistamine and corticosteroid. Conclusion(s): The collaboration strategies adopted by our department allowed the vaccination of 1618 patients and avoided vaccination delays in most of the VC contacts. In our sample, hospital vaccination of patients at higher risk for HR was safe.
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Conventional learning management systems are not usually designed for children-based audiences. The recent COVID-19 pandemics brought the urgency about thinking on dedicated design of learning environments for this kind of public, considering the impact that remote teaching brought to children in scholar ages all around the world. The present work aims to understand the usability of the child audience under systems and interfaces aimed at remote education, through research, bibliographic references, and practical examples. Its main objective is the development of a children-oriented Moodle interface that has been tested by teachers and pedagogical experts. © 2022 IEEE.
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INTRODUCTION: We aimed to describe the epidemiological situation during the Omicron variant circulation in light of genomic surveillance data in Martinique, a territory with low vaccination rates. PATIENTS AND METHODS: We exploited COVID-19 national databases of virological tests, for the collection of hospital data and for the sequencing data from December 13, 2021 to July 11, 2022. RESULTS: Three prevailing sub-lineages of Omicron have been identified in Martinique (BA.1, BA.2, BA.5) during this period causing three distinct waves characterized by an increase in virological indicators compared to previous waves, with moderate severity in the first and last waves, caused by BA.1 and BA.5, respectively. CONCLUSION: The SARS-CoV-2 outbreak is still progressing in Martinique. Genomic surveillance system in this overseas territory must be continued for rapid detection of emerging variants/sub-lineages.
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COVID-19 , Humans , Martinique/epidemiology , COVID-19/epidemiology , SARS-CoV-2/genetics , Disease OutbreaksABSTRACT
This study identifies the main results and research opportunities based on 52 hedge accounting-related studies, published in Scopus indexing journals from 2007-2019. The study was classified in five investigation groups based on their main topic, with Risk Management and Hedge Accounting being the topic most studied (18) and Regulatory Environment the least studied (six). The results show that during the period analysed, the journal with the largest number of publications on hedge accounting is in the United States of American and the most common origin of the journals is the United Kingdom (21). We have identified different research opportunities for each of the five groups and some general opportunities. The main opportunities relate to comparatives researches, considering samples from different countries, the development of methodologies for teaching hedge accounting and models for effectiveness measurement, the study of enterprise risk and disclosure analysis, and research on the impact of Covid-19 on hedge accounting through risk management. The study differs by identifying five classification groups for papers on hedge accounting, since prior studies didn't carry out such classification. The groups are: i) Regulatory Environment, ii) Academic Research, iii) Evolution of Hedge Accounting and Disclosure, iv) Hedge Effectiveness and v) Risk Management and Hedge Accounting. Furthermore, this study is, to our knowledge, the first bibliometric review done about hedge accounting. The paper is relevant to researchers because it points out opportunities for future studies, enabling the production of new research for a topic considered to be complex.
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Objective: To describe, through the scientific studies available in the national and international literature, the benefits of breastfeeding in the COVID-19 pandemic. Methods: This is a literary integrative review research, constructed from materials published between 2019 and 2020. For the selection of texts, an Internet survey was carried out using the databases of the Virtual Health Library. The keywords investigated were: Breastfeeding;COVID-19;Nurse;Pandemic and Obstetrics. Results: We included 18 articles that were considered relevant to the proposed topic. Two thematic categories were used: 1. Results of breastfeeding in pregnant and postpartum women with suspicion and confirmation of COVID-19;2. Actions for breastfeeding in times of COVID-19 pandemic. Conclusion: Breastfeeding should be encouraged even in women with COVID-19, provided hand hygiene and the use of a surgical mask are performed. Further studies with greater methodological rigor should be developed to overcome controversies on the matter. © 2022 Sociedad de Obstetricia y Ginecologia de Venezuela. All rights reserved.
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Objective: To describe recommendations for the care and handling of preterm infants in the COVID-19 pandemic scenario. Methods: Integrated Literature Review (ILR) conducted in 2020 in databases in the Virtual Health Library (VHL) by extracting scientific productions from the databases: MEDLINE, SCIELO, PUBMED and LILACS, with a final sample of 14 publications. Results: Among the recommendations found in the studies analyzed, regarding childbirth, it is recommended to choose the best time, route and place, prioritizing the use of a negative pressure room. After delivery, newborns should have the umbilical cord clamped, be cleaned and dried as soon as possible, and isolated and tested early. After initial care, the use of a mask and hand hygiene is recommended before each meal or other close contact with the newborn. Ideally, suspected or contaminated RN should be kept in isolation and constantly monitored, with a quarantine period of at least 14 days. Conclusions: The knowledge of nurses and other health care professionals about prevention and control measures for newborn infection with COVID-19 is critical to the prevention, control, and reduction of the impact of the pandemic on the neonatal population. © 2021 Sociedad de Obstetricia y Ginecologia de Venezuela. All rights reserved.
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Motivation The Solidarity Economy movement emerged in Latin America in the 1970s and 1980s as an alternative mode of production led by mutual principles, such as co-operative work, self-management, and consensual distribution of economic gains. Much has been developed on its potential to include groups marginalized by capitalism in new development schemes, but to date there has been no work regarding immigrants' participation specifically. This research aims to fill this gap. Purpose The article investigates the importance of the partnership between institutions in the host country and immigrants to their insertion in the Solidarity Economy Fairs in Florianopolis. It questions to what extent it has furthered income generation, the formation of social identity, and the construction of community ties. Methods and approach The approach is anchored in intervention-research, proposing a socio-analytical intervention (Aguiar & Rocha, 2007). To pursue qualitative research, an online form was distributed to participants at the Immigrant Fair. The form comprised semi-structured interviews, with the possibility of giving free answers. Findings The data analysis reveals the nuances of the life trajectory of recent immigrants in Brazil: people, mostly of Latin American origin, over 30 years of age, seeking economic insertion in another country. For them, the Solidarity Economy has offered a possibility for social and economic insertion in Brazil. The opportunity for marginalized populations to engage with the Solidarity Economy offers an effective tool against systemic competition. The Fair operates as an alternative to the insertion into the capitalist market for outsider groups, enabling new ways to conduct economic life within the capitalist economy. Policy implications Our findings suggest that the Fair has provided immigrants both the means to obtain a weekly (although unstable) financial income and their social integration-it requires interaction with other immigrants, state agents, tourists, and the local community. The social isolation resulting from the COVID-19 pandemic has jeopardized both outcomes. In order to consolidate solidarity ventures and immigrants' enterprises, there is an urgent need to implement a public policy regarding immigrants' social and economic rights in Santa Catarina State.
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A virus outbreak challenges the economic, medical, and public health infrastructure worldwide. More than one virus capable of triggering diseases have been identified per year since 1972, which requires the development of new ways of treatment and prevention, however, such processes are not rapid and easy. With the pandemic scenario experienced since early 2020, several drugs with well-known purposes have gained prominence, due to speculation of their use in the treatment against the new coronavirus. Among the main drugs studied, the vast majority contain a heterocyclic structure. In this review, we presented the traditional and efficient synthesis of 15 drugs that have been studied for the COVID-19 treatment, containing in their structure heterocycles like indole, quinoline, pyrimidone, tetrahydrofuran, pyrrolidine, triazole, pyridazine, pyrazole, pyrrolopyrimidine, azetidine, pyrrolotriazine, pyrazine, tetrahydropyran, benzofuran, spiroketal, and thiazole. Furthermore, we have shown the original applications, as well as their structure–activity relationship and what is their situation as a drug candidate against COVID-19. Thus, the objective was to consolidate the main synthetic and pharmacological aspects involving clinically developed heterocycles that at some point were presented as promising against SARS-CoV-2. © 2021 Wiley Periodicals LLC.
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Dancing has been recommended as a suitable home-based physical activity during the quarantine period associated with the COVID-19 pandemic. Dancing can reduce sedentary behavior and thereby maintain physical and emotional health. The aim of this article was to provide support to dance, fitness, and/or other health professionals in guiding individuals wishing to practice dancing activities at home. By considering dancing as a strategy to increase levels of physical activity at home, this article is divided into three sections: i) the structure of a dance session, ii) elements of aerobic fitness, and iii) safety considerations. A home setting dance session lasts ~40-50 minutes, including the warm-up, the specific dancing activities, and the cool-down. © 2021 SHAPE America.
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Introduction: The COVID-19 pandemic has brought many challenges to oncology care, leading to the implementation of new operational models in health management and care. Objective: To describe the experiences related to the implementation of health management and care models in cancer treatment centers during the COVID-19 outbreak. Materials and Methods: A qualitative descriptive case report was conducted including experiences from March 5 to January 31, 2021. Reports were provided by different cancer treatment centers in São Paulo, Brazil. Results: Actions such as identification of patients eligible for telemedicine and telenursing strategies, preparation of COVID-19-free environments for healthcare professionals and patients, and support for educational actions to increase knowledge and adoption of safety behavior for healthcare professionals and patients were observed in the three reports. Discussion: A common element described in the reports is the implementation of actions to improve the safety of healthcare professionals, patients and the environment, as well as the continuity of cancer care. Scientific literature and recommendations of advisory boards, associations and organizations were supplementary to the measures applied. Conclusions: Social distancing due to the risk of COVID-19 spread proved to a successful field for the introduction of new health management and care in cancer treatment. Although there will certainly be loss and damage to cancer treatment processes during this pandemic, mapping the drop in cancer diagnosis, as well as treatment interruptions, is essential to mitigate any consequences. Copyright: © 2021 INFORMS