ABSTRACT
Objetivo: Desenvolver uma plataforma virtual de Teleconsulta para atendimento a casos suspeitos de Síndromes Gripais e infecção por COVID-19. Metodologia: Trata-se de um estudo de natureza aplicada, com desenvolvimento de produção tecnológica e inovadora, prospectivo, ecológico, descritivo, de série temporal. A população do estudo foi formada por qualquer pessoa sintomática para Síndromes Gripais por COVID-19, suspeitos ou confirmados, de qualquer local do Brasil. Este estudo foi realizado em duas etapas, a saber: Etapa I: Desenvolvimento da Aplicação para Plataforma de Teleconsulta. Etapa II: atendimento por meio de Teleconsulta de Casos suspeitos de COVID-19 e Sindromes Gripais. A metodologia utilizada para o desenvolvimento da aplicação proposta foi a modelagem por prototipação evolucionária. Resultados: Foram realizados 209 atendimentos na Plataforma de Teleconsulta, sendo 151 (70%) do sexo feminino e 65 (30%) do sexo masculino, com prevalência de idade variando de 20 a 29 anos (41%). Quanto ao risco de infecção por COVID-19, 42 (20%) tinham alto risco, 75 (36%) médio risco e 92 (44%) baixo risco. Os sintomas mais prevalentes foram: secreção nasal ou espirros (53%), dores no corpo (49%), dor de cabeça (47%), dor de garganta (46%), tosse seca (35%), Febre (31%), falta de ar (25%) e diarreia (23%). Inicialmente o teleatendimento foi composto por teletriagem com classificação de risco com base na sintomatologia dos pacientes que foram codificados com pontuações conforme a gravidade do sintoma para formas graves de COVID-19. A classificação de risco categorizou os pacientes em risco baixo (1 a 9 pontos), risco médio (10 a 19 pontos) e risco alto (20 a 36 pontos). Em seguida, a teleconsulta foi agendada conforme disponibilidade do paciente por meio do método SBAR para comunicação efetiva e ao término do atendimento um plano de cuidados com Sistematização da Assistência de Enfermagem SAE era encaminhado ao paciente por meio de WhatsApp ou e-mail. Conclusão: A plataforma de teleconsulta possibilitou a triagem dos pacientes, reduziu as visitas desnecessárias às unidades de emergência, permitiu a avaliação e monitoramento dos casos, bem como o acompanhamento de pacientes ambulatoriais que não necessitam de avaliação presencial.
Objective: To develop a virtual Teleconsultation platform for care of suspected cases of influenza syndromes and infection by COVID-19. Methodology: This is a study of applied nature, with development of technological and innovative production, prospective, ecological, descriptive, time series. The study population was made up of any person symptomatic for COVID-19 influenza syndromes, suspected or confirmed, from any location in Brazil. This study was conducted in two stages, namely: Stage I: Development of the Application for Teleconsultation Platform. Stage II: care through Teleconsultation of suspected cases of COVID-19 and influenza syndromes. The methodology used to develop the proposed application was evolutionary prototyping modeling. Results: There were 209 consultations in the Teleconsultation Platform, 151 (70%) were female and 65 (30%) were male, with prevalence of age ranging from 20 to 29 years (41%). As for the risk of infection by COVID-19, 42 (20%) had high risk, 75 (36%) medium risk and 92 (44%) low risk. The most prevalent symptoms were: nasal discharge or sneezing (53%), body aches (49%), headache (47%), sore throat (46%), dry cough (35%), fever (31%), shortness of breath (25%), and diarrhea (23%). Initially, the telecare was composed of teletry with risk classification based on the symptomatology of the patients who were coded with scores according to symptom severity for severe forms of COVID-19. The risk classification categorized patients into low risk (1 to 9 points), medium risk (10 to 19 points), and high risk (20 to 36 points). Then, the teleconsultation was scheduled according to the patient's availability through the SBAR method for effective communication and at the end of the service a care plan with Nursing Assistance Systematization - SAE was forwarded to the patient through WhatsApp or e-mail. Conclusion: Teleconsultation platform enabled patient triage, reduced unnecessary visits to emergency units, allowed the evaluation and monitoring of cases, as well as the follow- up of outpatients who do not need face-to-face evaluation.
Objetivo: Desarrollar una plataforma de Teleconsulta virtual para atender casos sospechosos de síndromes gripales e infección por COVID-19. Metodología: Se trata de un estudio aplicado, con desarrollo de producción tecnológica e innovadora, prospectivo, ecológico, descriptivo, con serie de tiempo. La población de estudio estuvo formada por cualquier persona sintomática de síndromes gripales por COVID-19, sospechada o confirmada, de cualquier localidad de Brasil. Este estudio se realizó en dos etapas, a saber: Etapa I: Desarrollo de Aplicaciones para la Plataforma de Teleconsulta. Etapa II: atención mediante teleconsulta de casos sospechosos de COVID-19 y síndromes gripales. La metodología utilizada para el desarrollo de la aplicación propuesta fue el modelado por prototipo evolutivo. Resultados: Se realizaron 209 consultas en la Plataforma de Teleconsulta, 151 (70%) del sexo femenino y 65 (30%) del masculino, con prevalencia de edades entre 20 a 29 años (41%). En cuanto al riesgo de infección por COVID-19, 42 (20%) fueron de alto riesgo, 75 (36%) de riesgo medio y 92 (44%) de bajo riesgo. Los síntomas más prevalentes fueron: secreción nasal o estornudos (53%), dolor de cuerpo (49%), dolor de cabeza (47%), dolor de garganta (46%), tos seca (35%), fiebre (31%), falta de aliento (25%) y diarrea (23%). Inicialmente, la teleasistencia consistía en teleselección con clasificación de riesgo en función de la sintomatología de los pacientes a los que se codificaba con puntuaciones según la gravedad del síntoma para formas graves de COVID-19. La clasificación de riesgo clasificó a los pacientes en riesgo bajo (1 a 9 puntos), riesgo medio (10 a 19 puntos) y riesgo alto (20 a 36 puntos). Luego, se programó la teleconsulta de acuerdo a la disponibilidad del paciente a través del método SBAR para una comunicación efectiva y al final de la atención se remitió al paciente un plan de cuidados con Sistematización de Atención de Enfermería - SAE vía WhatsApp o correo electrónico. Conclusión: La plataforma de teleconsulta posibilitó el triaje de pacientes, redujo las visitas innecesarias a las unidades de emergencia, permitió la evaluación y seguimiento de casos, así como el seguimiento de pacientes ambulatorios que no requieren evaluación presencial.
ABSTRACT
Social gastronomy is a topic studied in recent years, mainly due to the continuous emergence of organizations categorized within this concept during the economic crisis and pandemic caused by the COVID-19 virus. However, very little research has been done on the team associated with social gastronomy. And in Brazil, this movement has been growing in recent years, highlighting here in this work a social project in partnership with the university in a peripheral neighborhood of one of the largest metropolises in Brazil, Fortaleza. The Federal University of Ceará Social Gastronomy Program (Gastronomia Social UFC), an extension program of the Federal University of Ceará, promotes qualification courses for young people and adults, residents of the city of Fortaleza-CE, especially in the neighborhoods that make up the Grande Bom Jardim (Canindezinho, Bom Jardim, Siqueira, Granja Portugal, and Granja Lisboa), in communities whose population is prone to social risks, since this entire area has a high level of violence and a low HDI. Therefore, the present study aims to analyze the social impacts of the courses offered by the Social Gastronomy Program in People's Garden in 2019. The research was qualitative, quantitative, exploratory, and descriptive, carried out between February and March of 2021 through an electronic form with a sample of 51 students participating in the courses. The results showed that the courses promoted favorable social impacts for the community and provided opportunities to improve the quality of life, skills, and techniques in gastronomy, fulfilling a role commonly expected by the extension of the Federal University of Ceará.
ABSTRACT
BACKGROUND: Adolescents have extensive use of screens and, they have common complains related to mental health. Here a systematic review was done to understand the association between screen time and adolescent's mental health. METHOD: This review was conducted in compliance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses - PRISMA. An update search was performed in January 2023 with the following keywords: "screen time," "adolescent," and "mental health" on PubMed, PsycINFO and Scopus databases. RESULTS: 50 articles were included, most have found associations between screen exposure and mental health in adolescents. The most used device by adolescents was the smartphone and the use on weekdays was associated with diminished mental well-being. Social media use was negatively associated with mental well-being and, in girls, associated at higher risk for depression. CONCLUSION: Excessive screen time in adolescents seems associated with mental health problems. Given the profusion and disparity of the results, additional studies are needed to clarify elements such as the screen content or the interaction of adolescents with different screen devices. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42022302817.
Subject(s)
Mental Health , Screen Time , Female , Humans , Adolescent , Smartphone , Depression , Psychological Well-BeingABSTRACT
Objective: to analyze the prevalence of tuberculosis, coronavirus, chronic conditions and vulnerabilities among migrants and refugees in Brazil. Method: this is a cross-sectional study of the electronic survey type conducted with international migrants during the COVID-19 pandemic. Descriptive statistics was applied for the analysis, with calculation of position and dispersion measures. Regarding the categorical variables, relative and absolute frequencies were estimated. Results: the study participants were 553 migrants and refugees, verifying 3.07%, 7.2% and 27.3% prevalence of tuberculosis, COVID-19 and chronic conditions, respectively. Among the vulnerabilities, 32% reported unemployment, 37.6% moved to Brazil as a result of the social situation in their countries and 33.6% were living as refugees or sheltered people. Conclusion: tuberculosis, chronic diseases and COVID-19 presented higher prevalence values in migrants and refugees than in the general population. As this is a population group that still has significant difficulty accessing health services and social protection systems, based on diverse evidence, the study will subsidize public policies, Nursing care and the incorporation of new routines in the service. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
ABSTRACT
OBJECTIVE: to analyze the prevalence of tuberculosis, coronavirus, chronic conditions and vulnerabilities among migrants and refugees in Brazil. METHOD: this is a cross-sectional study of the electronic survey type conducted with international migrants during the COVID-19 pandemic. Descriptive statistics was applied for the analysis, with calculation of position and dispersion measures. Regarding the categorical variables, relative and absolute frequencies were estimated. RESULTS: the study participants were 553 migrants and refugees, verifying 3.07%, 7.2% and 27.3% prevalence of tuberculosis, COVID-19 and chronic conditions, respectively. Among the vulnerabilities, 32% reported unemployment, 37.6% moved to Brazil as a result of the social situation in their countries and 33.6% were living as refugees or sheltered people. CONCLUSION: tuberculosis, chronic diseases and COVID-19 presented higher prevalence values in migrants and refugees than in the general population. As this is a population group that still has significant difficulty accessing health services and social protection systems, based on diverse evidence, the study will subsidize public policies, Nursing care and the incorporation of new routines in the service.
Subject(s)
COVID-19 , Refugees , Transients and Migrants , Tuberculosis , Humans , COVID-19/epidemiology , Prevalence , Cross-Sectional Studies , Pandemics , Tuberculosis/epidemiology , Chronic DiseaseABSTRACT
In February 2021, Peru launched a vaccination campaign among healthcare personnel using BBIBP-CorV inactivated whole virus (BBIBP-CorV) COVID-19 vaccine. Two doses of BBIBP-CorV vaccine are recommended, 21 days apart. Data on BBIBP-CorV vaccine effectiveness will inform the use and acceptance of vaccination with BBIBP-CorV vaccine. We evaluated BBIBP-CorV vaccine effectiveness among an existing multi-year influenza cohort at two hospitals in Lima. We analyzed data on 290 participants followed between February and May 2021. Participants completed a baseline questionnaire and provided weekly self-collected anterior nasal swabs tested for SARS-CoV-2 by rRT-PCR for sixteen weeks. We performed multivariable logistic regression models adjusting for pre-selected characteristics (age, sex, exposure to COVID-19 patients, work in intensive care unit or emergency department, BMI, and exposure time in days). BBIBP-CorV vaccine effectiveness was calculated after the two-week post-vaccination period as (1-Odds Ratio for testing SARS-CoV-2 positive)x100%. SARS-CoV-2 was detected by rRT-PCR among 25 (9%) participants during follow-up (February-May 2021). Follow-up period ranged 1-11 weeks (median: 2 weeks). Among cohort participants who were fully vaccinated the adjusted vaccine effectiveness against SARS-CoV-2 infection was estimated as 95% (95% CI: 70%, 99%) and 100% (95% CI: 88%, 100%) for those partially vaccinated. During the study period, vaccination of healthcare personnel with BBIBP-CorV vaccine was effective at reducing SARS-CoV-2 infections in the weeks immediately following vaccination. This information can be used to support vaccination efforts in the region, especially among those who could be concerned about their effectiveness.
Subject(s)
COVID-19ABSTRACT
Patients with acute myeloid leukemia (AML) are at high risk of mortality from coronavirus disease 2019 (COVID-19). The optimal management of AML patients with COVID-19 has not been established. Our multicenter study included 388 adult AML patients with COVID-19 diagnosis between February 2020 and October 2021. The vast majority were receiving or had received AML treatment in the prior 3 months. COVID-19 was severe in 41.2% and critical in 21.1% of cases. The chemotherapeutic schedule was modified in 174 patients (44.8%), delayed in 68 and permanently discontinued in 106. After a median follow-up of 325 days, 180 patients (46.4%) had died. Death was attributed to COVID-19 (43.3%), AML (26.1%) or to a combination of both (26.7%). Active disease, older age, and treatment discontinuation were associated with death, whereas AML treatment delay was protective. Seventy-nine patients had a simultaneous AML and COVID-19 diagnosis, with an improved survival when AML treatment could be delayed. Patients with COVID-19 diagnosis between January and August 2020 had a significantly lower survival. COVID-19 in AML patients was associated with a high mortality rate and modifications of therapeutic algorithms. The best approach to improve survival was to delay AML treatment.
Subject(s)
COVID-19Subject(s)
Betacoronavirus , Coronavirus Infections , Pandemics , Physician-Patient Relations , Pneumonia, Viral , COVID-19 , Humans , SARS-CoV-2ABSTRACT
Objetivo: Descrever impactos que o isolamento social pode acarretar na saúde mental dos idosos durante a pandemia. Método: Trata-se de uma revisão bibliográfica integrativa, utilizando os descritores "Coronavirus Infections ", "Pandemics", "Mental Health ", e "Aged", realizando a combinação entre si e o operador boleano OR como estratégia de busca nas bases de dados: LILACS, SciELO, WEB OF SCIENCE. Adotados critérios de inclusão: publicações no período de 2020 que tratassem do assunto, em português e inglês. Como critérios de exclusão: repetição nas bases de dados, artigos fora do contexto quanto a pergunta norteadora da pesquisa. Resultado: Foram encontrados 32 artigos, selecionados 26, e destes foram analisados 08. Conclusão: A saúde mental em período de pandemia foi explícita como um fator de impacto, refletindo os desfechos favoráveis e desfavoráveis no contexto da saúde mental. É evidente a necessidade de promoção para intervenções afim de minimizar impactos negativos para a saúde mental.(AU) Objective: To describe the impacts that social isolation can have on the mental health of the elderly during the pandemic. Method: This is an integrative bibliographic review, using the descriptors "Coronavirus Infections", "Pandemics", "Mental Health", and "Aged", making the combination between you and the Boolean operator OR as a search strategy in the databases data: LILACS, SciELO, WEB OF SCIENCE. Adopted inclusion criteria: publications in the period of 2020 that dealt with the subject, in Portuguese and English. As exclusion criteria: repetition in the databases, articles out of context regarding the guiding question of the research. Result: 32 articles were found, selected 26, of which 8 were analyzed. Conclusion: Mental health in a pandemic period was explicit as an impact factor, reflecting favorable and unfavorable outcomes in the context of mental health. The need for promotion for interventions is evident in order to minimize negative impacts on mental health.(AU) Objetivo: Describir los impactos que el aislamiento social puede tener en la salud mental de los ancianos durante la pandemia. Método: Esta es una revisión bibliográfica integradora, utilizando los descriptores "Infecciones por coronavirus", "Pandemias", "Salud mental" y "Envejecido", haciendo la combinación entre usted y el operador booleano O como una estrategia de búsqueda en las bases de datos. datos: LILACS, SciELO, WEB OF SCIENCE. Criterios de inclusión adoptados: publicaciones en el período de 2020 que trataron el tema, en portugués e inglés. Como criterios de exclusión: repetición en las bases de datos, artículos fuera de contexto sobre la cuestión orientadora de la investigación. Resultado: Se encontraron 32 artículos, se seleccionaron 26, de los cuales se analizaron 8. Conclusión: La salud mental en un período de pandemia fue explícita como factor de impacto, reflejando resultados favorables y desfavorables en el contexto de la salud mental. La necesidad de promover intervenciones es evidente para minimizar los impactos negativos en la salud mental.(AU)
ABSTRACT
Objetivo: Descrever impactos que o isolamento social pode acarretar na saúde mental dos idosos durante a pandemia. Método: Trata-se de uma revisão bibliográfica integrativa, utilizando os descritores "Coronavirus Infections ", "Pandemics", "Mental Health ", e "Aged", realizando a combinação entre si e o operador boleano OR como estratégia de busca nas bases de dados: LILACS, SciELO, WEB OF SCIENCE. Adotados critérios de inclusão: publicações no período de 2020 que tratassem do assunto, em português e inglês. Como critérios de exclusão: repetição nas bases de dados, artigos fora do contexto quanto a pergunta norteadora da pesquisa. Resultado: Foram encontrados 32 artigos, selecionados 26, e destes foram analisados 08. Conclusão: A saúde mental em período de pandemia foi explícita como um fator de impacto, refletindo os desfechos favoráveis e desfavoráveis no contexto da saúde mental. É evidente a necessidade de promoção para intervenções afim de minimizar impactos negativos para a saúde mental.(AU) Objective: To describe the impacts that social isolation can have on the mental health of the elderly during the pandemic. Method: This is an integrative bibliographic review, using the descriptors "Coronavirus Infections", "Pandemics", "Mental Health", and "Aged", making the combination between you and the Boolean operator OR as a search strategy in the databases data: LILACS, SciELO, WEB OF SCIENCE. Adopted inclusion criteria: publications in the period of 2020 that dealt with the subject, in Portuguese and English. As exclusion criteria: repetition in the databases, articles out of context regarding the guiding question of the research. Result: 32 articles were found, selected 26, of which 8 were analyzed. Conclusion: Mental health in a pandemic period was explicit as an impact factor, reflecting favorable and unfavorable outcomes in the context of mental health. The need for promotion for interventions is evident in order to minimize negative impacts on mental health.(AU) Objetivo: Describir los impactos que el aislamiento social puede tener en la salud mental de los ancianos durante la pandemia. Método: Esta es una revisión bibliográfica integradora, utilizando los descriptores "Infecciones por coronavirus", "Pandemias", "Salud mental" y "Envejecido", haciendo la combinación entre usted y el operador booleano O como una estrategia de búsqueda en las bases de datos. datos: LILACS, SciELO, WEB OF SCIENCE. Criterios de inclusión adoptados: publicaciones en el período de 2020 que trataron el tema, en portugués e inglés. Como criterios de exclusión: repetición en las bases de datos, artículos fuera de contexto sobre la cuestión orientadora de la investigación. Resultado: Se encontraron 32 artículos, se seleccionaron 26, de los cuales se analizaron 8. Conclusión: La salud mental en un período de pandemia fue explícita como factor de impacto, reflejando resultados favorables y desfavorables en el contexto de la salud mental. La necesidad de promover intervenciones es evidente para minimizar los impactos negativos en la salud mental.(AU)
ABSTRACT
ABSTRACT Chloroquine and hydroxychloroquine have shown promising preliminary results and have been discussed as therapeutic options for patients with Covid-19. Despite the lack of robust evidence demonstrating the benefits and justifying the use of one of these drugs, the final decision is the responsibility of the attending physician and should be individualized and shared, whenever possible. This position statement recommends dosage adjustment for these drugs in the context of renal impairment. RESUMO Em razão de resultados preliminares promissores, a hidroxicloroquina e a cloroquina têm sido discutidas como opção terapêutica para pacientes com Covid-19. Apesar da ausência de estudos robustos que evidenciem o benefício e justifiquem o uso de uma dessas drogas, a decisão final compete ao médico assistente, devendo ser individualizada e, sempre que possível, compartilhada. A presente nota pretende orientar o ajuste posológico dessas drogas no contexto da disfunção renal.