Clinical-Epidemiological Profile of Hospitalized Patients with the New Coronavirus That Evolved to Death in Hospital of Infectious Diseases

Objective: to describe the clinical-epidemiological profile of patients hospitalized with the new coronavirus, who died at a referral hospital for infectious diseases. Method: cross-sectional study, conducted in a public hospital in the State of Ceara, Brazil, from January to March 2021, through access to the 244 medical records of patients who were hospitalized with COVID-19, with confirmatory examination of RT-PCR, rapid test, serology or tomography, between March and December 2020, and who evolved to death during hospitalization. Results: public formed by men, aged 60 years or older, married/stable union, retired, residing in the capital, with associated hypertension and diabetes, who died in March and June, in the ward. The main signs and symptoms at admission, they were oxygen saturation in ambient air below 92%, dyspnea, severe acute respiratory syndrome and fever;the main clinical indication for admission was respiratory failure;and the main therapeutic regimen used was a combination of other antibiotics, anticoagulants, azithromycin, corticosteroids and chloroquine/hydroxychloroquine. Conclusion: the study reveals a population of men, over 60 years of age, with a double burden of chronic non-communicable disease.

Playing and Socializing—Adults' Perceptions of the FIFA Digital Game

Gamers' perceptions of using competitive digital games, especially concerning anxiety and socialization, have raised doubts about the benefits of playing such games. Since different studies highlight different results, this research aims to explore these differences by analyzing the perceptions of adults involved in playing a competitive digital game, in this case, FIFA, considering data that were collected during the COVID-19 pandemic period. The main question is ‘How do adults perceive anxiety, stress, and socialization when playing the FIFA digital game?'. The research comprises two studies involving volunteer participants: In the first part, which adopts a qualitative approach, the participants' perceptions of what they think and feel when playing FIFA were analyzed and interpreted using text mining analysis. In the second, a quantitative study, FIFA users' perceptions of the gaming experience were statistically analyzed. The results show that adult users tend to refer to positive perceived stress and socialization. The fact that participants identified manipulations and interference in the game and no longer allowed its use to influence their mood reveals that perceptions of attacks of rage were considered possible reactions to the use of the game, interpreted from the interface, and leading to the creation of knowledge. © 2022 by the authors.

Amazon Experience of Severe Sarscov- 2 Infection in Children

BACKGROUND AND AIM: Some children can develop severe forms of SARS-CoV-2 infection either acutely or later. To identify the risk factors for worse outcomes in hospitalized children and adolescents with severe acute SARS-CoV-2 infection and MIS-C METHOD: This multicenter cohort study included all children and adolescents with confirmed or suspected critical SARSCoV- 2 infection admitted to the three PICU between April 2020 and September 2021. The exclusion criteria were immunocompromised status, and end-of-life decision. The main variables analyzed were epidemiological, clinical, and laboratory data, and ventilator settings at admission and after 72 h. The patients were divided into three groups (G): confirmed coronavirus disease (COVID-19) with multisystemic inflammatory syndrome in children (MIS- C) criteria (G1), confirmed COVID-19 without MIS-C criteria (G2), and MIS-C criteria without confirmed COVID-19. RESULT(S): The median age of the patients was 28 months in G1, with comorbidities in 40 patients (72.7%) (p < 0.0001). Moreover, invasive mechanical ventilation (IMV) was required in 44 patients (80%, p < 0.0001), and cardiogenic shock occurred in 26 patients (54.2%, p < 0.0001) in G1.Under nutrition (< 2 SD for weight), longer exposure time (odds ratio [OR]: 2.11;95% confidence interval [CI]: 1.37-3.25;p = 0.001), IMV time (OR: 2.6;95% CI: 1.15-5.85;p = 0.03), and length of hospital stay (OR: 10.94;95% CI: 1.93-63.1;p = 0.007) were associated with critical MIS-C in G1. CONCLUSION(S): In the Brazilian Amazon area, specifically in the Para state, we identified a cluster of more severe forms of pediatric acute or late SARS-CoV-2 infection. (Figure Presented).

Critical Progression, Risk Factors and Survival in Mis-C: Amazon Experience

BACKGROUND AND AIM: Highlighting the importance of risk factors for mortality in critical Multisystem Inflammatory Syndrome in children (MIS-C). To identify risk factors and survival time in children with critical MIS-C. METHOD(S): A multicenter prospective cohort in metropolitan Belem city, involving 65 children with critical MIS-C. We determined short-term (all-cause) mortality in MIS-C group compared with a cohort of 326 critical ill subjects followed up for a median of 5.4 months. The study outcome included the follows: death, need of invasive ventilation or more than 3 organs dysfunctions. Risk factors were tested using univariate regression models, followed by multivariable Cox regression models. RESULT(S): The main featuring were lymphopenia (day one median 1249, IQR: 960-1773 vs. 2393, IQR: 1108-4280.75, p=0.033, HR:1.0, CI: 0.99-1.1), hyperlactatemia (day three median 1.93, IQR:1.2-4.0 vs.1.6, IQR:1.0-2.5, p=0,020, HR: 1.17, CI:1.1-1.23), CK-MB (day one median 28.1, IQR: 24-84.1 vs. 13.3, HR:8.1-26.4, p=0.01, HR: 1.2, CI:1.0- 1.3), high troponin I (day one 0.28, IQR: 0.02-1.8 vs. 0.11, IQR:0.04-0.18, p<0.0001, HR:1.1, CI:1.0-1.2 and day three 0.2, IQR:0.012-13.4 vs. 0.06, IQR:0.02-0.10, p=0.002, HR: 1.09, CI: 1.07-1.2) and shock [26 (51%) vs.34 (22.4%), p<0.0001, HR: 6.7, CI: 3.9-11.7]. Comorbidities (HR:8.8, CI: 1.65-47.14, p=0.011) and high drive pressure (HR:5.9, CI:2.23-15.51, p<0.0001) were associated with mortality. Survival time in patients with MIS-C was shorter (mean 89.5;SD 8.4 vs. 134.8;SD 4.7 days, log-rank 29.7, p<0.0001). CONCLUSION(S): The main factors associated with critical MIS-C were comorbidities, high drive pressure and pneumonia at admission, with shorter survival times. (Figure Presented).

Hybrid teaching in deaf education during the pandemic: training challenges

The year of 2020 was very important to (re)think Education in Brazil, since it was the year when the educational community had to resignify itself in the face of the new challenges imposed by the Covid-19 pandemic, requiring training to train teachers in the so-called "new" teaching modality. In this sense, this work aims to make a cut of what happened and is happening in the academic environment after the pandemic was decreed. The research in question investigates, under the bias of qualitative analysis, using questionnaires, the main difficulties encountered by teachers from inclusive high school classrooms and professionals from multifunctional resource classrooms, in the learning process of deaf students, with the use of technologies and the real need to train these teachers in terms of hybrid teaching. The theoretical bases guiding this textual construct were: Giroto (2012), Moran (2015), Moreira (2020), and Quadros (2003). The results point to efforts in the context of teaching deaf students, as changes in educational paradigms have re-signified and are resignifying agents, modes/means, instruments, and educational purposes, in addition to pointing out the need for innovations in educational practices.

Food insecurity and its determinants in a vulnerable area of Santiago, Chile

This study aims to identify the determinants associated to food insecurity in a group of households composed of schoolchildren and their mothers/caregivers, who lived in a low-to-medium community development index area of the city of Santiago, Chile with a high presence of migrant population. The non-probabilistic and convenience sample was made up of 646 people, who answered a series of surveys with the aim of characterizing this group in sociodemographic terms (sex, age, number of inhabitants in the household, place of food purchase, conditional or non-conditional state transfer program beneficiary status, persons in charge of purchasing food for the household, mothers/caregivers education level and basic knowledge of food and nutrition). To assess moderate-to-severe food insecurity and severe food insecurity, the Food Insecurity Experience Scale-FIES was applied between September and October 2021. Logistic regression analysis were used to carry out multivariate analyses, with the use of stepwise back-and-forward strategies for the selected variables and defining p < 0.05. These models were adjusted per number of inhabitants in the household. The results indicate that 25.4% of households presented moderate-to-severe food insecurity, and 6.4% severe food insecurity experience. The variables that presented significant odds of risk to food insecurity were being a migrant, low maternal education level, low performance on basic knowledge in nutrition and when the father was responsible for food purchases. Several public policies have been implemented in Chile during the most recent decades aimed at increasing access to healthier foods and the implementation of healthier food environments. Despite this, there are still social and economic health determinants that contribute to the risk of odds insecurity for the most vulnerable groups in the country, thus putting at risk the fulfillment of the human right to adequate food at risk.

HOME OFFICE AND HUMAN BEHAVIOR DURING THE PANDEMIC: EVIDENCE FROM THE EMPLOYEES OF A CREDIT UNION

The study aims to observe the perception of home office work and the behavior of employees of a credit union. A descriptive, survey and case study, quantitative/qualitative research was carried out. Data collection and analysis took place through interviews and forms. The results indicate that this type of work has shown positive and negative aspects. Regarding the positive aspects, several employees highlight the practicality and economy. However, the main negative points deal with the difficulty in adapting to the sharing of space between work and family. The research contributes to companies, as it enables the construction of strategies to improve the quality of life of workers and productivity in this modality.

PET–Health Interprofessionality CER II: Group narratives on everyday work activities in front of the changes driven by Covid-19

This article recounts the experiences of a group of students, preceptors and tutors participating in the Education through Work for Health Program- PET-Health Interprofessionality at the Federal University of Sao Paulo in the context of the Covid-19 pandemic. We constructed collective narratives based on the students’, preceptors’ and tutors’ accounts. The narratives reveal personal difficulties, distress caused by social distancing, changes at work and the university, and concern with offering new forms of care to service users. The findings demonstrate that online activities demand much more from the actors involved, prompting them to reflect on interprofessional education. Using narratives, we recount what happens in a context of ruptures and how the group became stronger and reinvented care strategies. By narrating touching group experiences as a group, these experiences become collective and share a way of experiencing the world.

PET-Health Interprofessionality CER II: group narratives on everyday work activities in front of the changes driven by Covid-19

This article recounts the experiences of a group of students, preceptors and tutors participating in the Education through Work for Health Program- PET-Health Interprofessionality at the Federal University of Sao Paulo in the context of the Covid-19 pandemic. We constructed collective narratives based on the students', preceptors' and tutors' accounts. The narratives reveal personal difficulties, distress caused by social distancing, changes at work and the university, and concern with offering new forms of care to service users. The findings demonstrate that online activities demand much more from the actors involved, prompting them to reflect on interprofessional education. Using narratives, we recount what happens in a context of ruptures and how the group became stronger and reinvented care strategies. By narrating touching group experiences as a group, these experiences become collective and share a way of experiencing the world.