Care for neonates with confirmed or suspected COVID-19: update after a year of pandemic

Advances in the knowledge of the particularities of COVID-19 in the neonatal period have led to some changes in the recommendations for clinical practice, reasons that motivated us to present this article with the aim of updating the aspects related to the care of newborns with suspected or confirmed COVID-19 after a year of pandemic. Neonatal SARS-CoV-2 infection can be congenital or intrapartum or postpartum acquired. The incidence of SARS-CoV-2 positive infants in COVID-19-positive women near delivery is 1.8-2.7%. About 55% of neonates with COVID-19 have clinical manifestations. Of special interest, due to its severity, is the fetal inflammatory response syndrome or neonatal multisystem inflammatory syndrome, of rare presentation. The possibility of occurrence of congenital and intrapartum neonatal infection justifies the implementation of actions for its diagnosis and prevention. Breastfeeding in children of women with COVID-19 should be maintained. During cardiopulmonary resuscitation and respiratory care, compliance with strict protective measures is required. COVID-19 has particularities in the newborn with respect to other ages. The clinical evaluation of the newborn with suspected COVID-19 should take into account the multiple patterns that link the various alterations that occur in the mother-child day by day in the perinatal period, with a view to optimizing the diagnosis, classification and treatment of this disease in the neonatal period. © 2021, Editorial Ciencias Medicas. All rights reserved.

Digital Multilateralism in Practice: Extending Critical Policy Ethnography to Digital Negotiation Sites

The COVID-19 pandemic has significantly increased the use of online tools in the conduct of multilateral environmental negotiations. Although scholars have recognized that information and communication technologies have gradually been reshaping traditional diplomatic practice, such technologies are not considered to be transformative of diplomatic practice itself. However, owing to the COVID-19 pandemic states have had to rush into unprecedented and unpredictable forms of digital cooperation that are poorly understood. To illuminate this uncharted area, our research applies combined digital and critical policy ethnography to two online dialogues within the framework of ongoing negotiations under the United Nations Convention on the Law of the Sea toward a new treaty for the protection and sustainable use of marine biodiversity beyond national jurisdiction. Digital critical policy ethnography conducted at two online sites enables us to study the political effects of emerging international practices. We re-interpret digital diplomacy in terms of "communities of practice" developing across, and connecting physical and digital sites. Virtual communications amongst state and non-state actors mirror traditional forms of diplomacy whilst introducing new practices that may change conventional forms of international treaty-making. We propose the term digital multilateralism to capture these new forms and conclude that it can have two effects: deepen the background knowledge of actors that form a community of practice and create new inequalities.