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This patient was a 73-year-old man who initially came to our service with acute respiratory failure secondary to COVID-19. Soon after hospitalization, he was submitted to orotracheal intubation and placed in the prone position to improve hypoxia, due to severe acute respiratory syndrome (SARS). On the third day of hospitalization, he developed acute oliguric kidney injury and volume overload. The nephrology service was activated to obtain deep venous access for renal replacement therapy (RRT). The patient could not be placed in the supine position due to significant hypoxemia. A 50-cm Permcath (MAHURKARTM, Covidien, Massachusetts, USA) was inserted through the left popliteal vein. This case report describes a possible challenging scenario that the interventional nephrologist may encounter when dealing with patients with COVID-19 with respiratory impairment in the prone position.
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Objective: Legal education in Brazil faces a series of challenges to adapt to modern society needs, such as its dogmatism and technicality. In the opposite direction, the World Economic Forum presents that the necessary skills for the job market are behavioral competences, such as the complex problem resolution and creativity. A new layer was added to these challenges, based on the regulatory flexibility that increases the distance workload to undergraduate courses in Law, the effect of the pandemic of COVID-19. So, expand the incorporation of artificial intelligence in distance learning. Therefore, it is questioned what the limits for are incorporating artificial intelligence into distance legal education. Relating these technologies to the requirements of practical reasonableness means responding to the possibility of ethical standards limiting the use of artificial intelligence in distance learning in the legal field. Methodology: We chose to review the literature with a qualitative approach and use of the deductive method, seeking to present an interpretation of the studied phenomenon. The article is divided into three parts to describe the intensification of the crisis in Brazilian legal education, explain the concept of practical reasonableness and show the benefits of its requirements to integrate legal education and limit the use of artificial intelligence in distance learning. Results: The research results consisted of identifying the advantages of practical reasonableness requirements for legal education and the recommendation for the use of artificial intelligence in distance learning in the legal field. Contributions: The requirements of practical reasonableness contribute to the citizen education of law students, which can only be achieved with the participation of human teachers, limiting the use of artificial intelligence in this space to these ethical standards. © 2021, Centro Universitario Curitiba - UNICURITIBA. All rights reserved.
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Çok sayıda bulaşıcı olmayan hastalık ve viral enfeksiyonlar dahil akut solunum yolu hastalıkları için vitamin D yetersizliǧi potansiyel risk faktörü olarak kabul edilmektedir. D3 vita- mini grubundaki hastalara 10 ml fıstık yaǧında çözülmüş 200 000 IU D3 vitamini içeren solüsyon verilmiştir. Yazışma Adresi / Correspondence Address Manolya Kara VM Medical Park Pendik Hastanesi, Çocuk Saǧlıǧı ve Hastalıkları Kliniǧi, Ístanbul-Türkiye E-mail: manolya_kara@yahoo.com Gelis Tarihi: 19.02.2021 Kabul Tarihi: 24.02.2021 Çevrimiçi Yayin Tarihi: 02.04.2021
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Objectives: Reviewing the available literature on COVID-19 infection and the maternal and perinatal outcomes.
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Objectives: To review the available literature on the general aspects of SARS-CoV-2 infec-tion.
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Objectives: to review the available literature on the general aspects of SARS-CoV-2 infection. Methods: this is a narrative literature review carried out from March to September 2020. Results: COVID-19 caused by the new coronavirus or SARS-CoV-2, grows with devas-tating effects worldwide. The literature describes epidemiological data and mortality risk groups of the disease, which presents a high rate of transmission. Prevention is the most effective way to fight the disease, persisting the absence of strong evidence on the treatment. Vaccines are not yet available. Dexamethasone is effective in reducing mortality in severe forms. Conclusions: despite great efforts, as the number of confirmed cases increases, evidence on transmission, incidence, disease progression, lethality, effects and outcomes remain limited and without any high levels of evidence. Studies are still necessary for all aspects of the disease. © 2021, Instituto Materno Infantil Professor Fernando Figueira. All rights reserved.
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Objectives: Reviewing the available literature on COVID-19 infection and the maternal and perinatal outcomes. Methods: This is a narrative review oftheliteraturecarried out from March to September 2020, usingthe MESH: Coronavirus, Covid 19, SARS-CoV-2, pregnancy, gravidity, pregnancy complications and pregnancy complications infectius. All study designs, reviews, recommendations and technical notes were included, without distinction of language and that would bring the approach ofthe new coronavirus in the gestational and perinatal scenario. Results: The COVID-19 pandemic has had devastating effects, affecting millions of people and claiming almost a million lives worldwide. Initially, pregnant women were not seen as a risk group for the disease, however as the proportion of women affected during the pregnancy- puerperal cycle increased, several studies were published showing an increased risk of complications. Brazilian studies have also warned of a high number of maternal deaths, associated with the presence of comorbidities but, above all, with the social determinants of the disease and serious failures in care. Conclusion: The need for new studies with an adequate research design was observed, as many studies are only letters or small series of cases, in addition expert recommendations, without the necessary scientific rigor.