Factors associated with adolescents' perception of four types of domestic violence in Honduras/Central America during the COVID-19 pandemic. (preprint)

Introduction: The confinement measures applied during the pandemic brought as a consequence an increase in domestic violence, this problem has not been investigated from the perspective of adolescents in Central America. Objective: To determine the factors associated with adolescents' perception of four types of domestic violence in Honduras during the COVID-19 pandemic. Methodology: Cross-sectional analytical study, secondary database, inquired about the perception of four types of domestic violence during the highest peak of the first wave of the pandemic. A multivariate analysis including socio-familial variables was performed, and descriptive and analytical results were obtained. Results: Of the 3272 young people surveyed, verbal violence was associated with a basic educational level (p<0.001), alcohol consumption (p<0.001) and that the father (p=0.040), mother (p<0.001) or siblings (p<0.001) had suffered violence at home. For psychological violence, the father (p=0.031), the mother (p<0.001) or the siblings (p<0.001) had suffered domestic violence. For physical violence, basic education level (p=0.002), the father (p=0.005), the mother (p<0.001) or the siblings (p<0.001) had suffered violence at home. Sexual violence was associated with drug use in the last six months (p<0.001). Discussion: Multiple associations were found with four types of violence perceived by adolescents, which should serve to generate psychological support programs for this group, which has problems due to the stage of life they are in.  Conclusion: Honduran adolescents were exposed to four types of violence in the first wave of the COVID-19 pandemic. Among the associated factors were educational level, alcohol and other drug consumption, and a history of violence in the first degree of consanguinity.

Neck pain, dry eye and Sjogren's syndrome in Latin American students during the first wave of COVID-19: Frequencies and associated factors (preprint)

Introduction: Virtual classes brought many changes to the lives of students, not only the fact of being more exposed to screens, but also because of the repercussions. Aim: To determine the factors associated with suffering from neck pain, dry eye and Sjogren's syndrome in students in Latin America during the first wave of COVID-19. Methodology: Analytical cross-sectional study, using the COM and DEQ-5 scales, neck pain and dry eye/Sjogren's syndrome, respectively, were measured; socio-educational variables were associated with them. Discussion: Of the 3939 students, those who lived in Panama, Chile and Bolivia were the ones who suffered the most from these pathologies. These pathologies were associated with the greater number of hours of computer use (all values p<0,001) and sex (all values p<0,002), medical students had more frequent dry eye and Sjogren's syndrome (both p<0,031), Graduate students had more neck pain (p<0.001), but college students had less dry eye (p=0.025) and those at private universities had more neck pain (p=0.024). Discussion: Important results of these three pathologies were found, this serves so that students can be evaluated in depth in each university, for a specialized diagnosis and try to avoid medium and long-term consequences for the constant use of electronic devices. Conclusion: Neck pain, dry eye and Sjogren's syndrome in students were associated with more hours of computer use and female sex, medical students had more frequent dry eye and Sjpogren's syndrome, graduate students had more neck pain, university students had less dry eye and those from private universities had more neck pain.

A influência do isolamento social na incidência de positividade nos testes de covid-19 em região metropolitana de São Paulo, Brasil

Introdução: com a chegada da pandemia de SARS-CoV-2 (Coronavirus 2 da síndrome respiratória aguda grave) ao Brasil, especialmente na cidade de São Paulo, houve a necessidade de aplicar medidas de distanciamento social associado a testagem, que abrangesse todos os municípios. A região metropolitana de São Paulo compreende 39 municípios e possui uma rede de laboratórios habilitados a realizar a testagem para a detecção do coronavírus, tanto testes sorológicos quanto moleculares. O Laboratório de Análises Clínicas do Centro Universitário ABC/FMABC foi um dos primeiros laboratórios a receber a certificação e habilitação para realizar os testes RT-PCR (reação da transcriptase reversa seguida pela reação em cadeia da polimerase) na região metropolitana de São Paulo. Objetivo: analisar a influência da adoção do isolamento social na incidência de positividade nos testes de COVID-19 em região metropolitana de São Paulo, Brasil. Método: estudo descritivo realizado no período de março a maio de 2020, os dados epidemiológicos foram coletados de cada unidade atendida e organizada pela equipe de controladoria de dados do Laboratório de Análises Clínicas da FMABC. Os dados epidemiológicos, demográficos e laboratoriais foram extraídos do sistema Matrix® de gerenciamento de dados ambulatoriais. Foram inseridos os casos clinicamente suspeitos e confirmados por testes de laboratório (RT-PCR e testes sorológicos). Os testes foram divididos em testes sorológicos no teste molecular RT-PCR, em amostras de raspado de mucosa nasofaríngea coletada com Swab estéril. Resultados: foram avaliados o teste de RT-PCR e a presença de anticorpos (IgA, IgM e IgG) em amostras de sangue de 16.297 pacientes. Foram realizados 22.718 testes para o diagnóstico de COVID-19, tanto RT-PCR (10.410 testes), quanto testes sorológicos para detecção de anticorpos anti-SARS-CoV-2, IgA, IgM e IgG, um total de 16.297 pacientes foram avaliados, 63% mulheres e 37% homens. Observou-se que as políticas de isolamento social adotadas nesse período continham a expansão massiva da contaminação, pelo menos enquanto as taxas de isolamento social eram superiores a 55%. Conclusão: nossos dados demonstraram a efetividade do isolamento social na retenção da positividade da contaminação do SARS-CoV-2 nas cidades contempladas pelo serviço de testagem do Centro Universitário Saúde ABC, pelo menos nos três primeiros meses.Alternate abstract: Introduction: With the arrival of the SARS-CoV-2 (Coronavirus 2 of severe acute respiratory syndrome) pandemic in Brazil, especially in the city of São Paulo, there was a need to apply social isolation policies associated with testing, covering all municipalities. The Clinical Analysis Laboratory of Centro Universitário FMABC was one of the first laboratories to receive certification and qualification to perform RT-PCR (reverse transcriptase reaction followed by polymerase chain reaction) tests in the metropolitan region of São Paulo. Objective: Aim to analyze the influence of adopting social isolation on the incidence of positivity in COVID-19 tests in the metropolitan region of São Paulo, Brazil. Methods: a descriptive study carried out from March to May 2020, epidemiological data were collected from each unit served and organized by the data controllership team of the Clinical Analysis Laboratory of FMABC. Epidemiological, demographic, and laboratory data were extracted from the Matrix® outpatient data management system. Clinically suspected cases and confirmed by laboratory tests (RT-PCR and serological tests) were entered. The tests were divided into serological tests using the RT-PCR molecular test, on samples of nasopharyngeal mucosal scrapings collected with sterile Swab. Results: It were evaluated PCR test and antibody presence (IgA, IgM and IgG) in blood samples of 16.297 patients. 22.718 tests were performed for the diagnosis of COVID-19, both RT-PCR (10.410 tests) and serological tests to detect anti-SARS-CoV-2 antibodies, IgA, IgM and IgG, a total of 16.297 patien s were assessed, 63% women and 37% men. It was observed that the social isolation policies adopted during this period contained the massive expansion of contamination, at least while the social isolation rates were above 55%. Conclusion: The data of this study demonstrated the effectiveness of social isolation in containing the positive contamination of SARS-CoV-2 in the metropolitan region of São Paulo, at least for the first three months.