Consumption of ultraprocessed foods by elementary school students associated with insufficient physical activity during the covid-19 pandemic

Objective: This study sought to analyze the consumption of ultra-processed foods and associated factors in elementary school II students. Materials and Methods: A descriptive, cross-sectional, quantitative study was carried out. Data collection was performed using Google Forms. The variables analyzed in the study were: food consumption, sociodemographic and anthropometric profile, level of physical activity, sedentary behavior, perception of body image, screen time, sleep patterns and self-perception of health status. Pearson's chi-square test was performed to assess associations between variables. Results: A total of 287 adolescents participated in the study, with a mean age of 12.97 years SD +/- 1.30, of which 60.3% (n=173) were female and 39.7% (n=114) were male. It was identified that most students (63.4%;n=182) excessively consumed ultra-processed foods during the period of social isolation due to the Covid-19 pandemic. A significant association was observed among students who practice physical activity less than 180 minutes per week (p=0.022). Conclusion: It is concluded that the social isolation imposed by the Covid-19 pandemic impacted the eating behavior of students, with a high prevalence of consumption of ultra-processed foods being recorded, this condition being associated with physical inactivity.

Pandemic Crisis Brings More Digital Governmental Services to Mobile Devices-But Are They Accessible to People with Disabilities?

This paper presents an exploratory study to investigate the level of accessibility of Brazilian governmental mobile applications with essential services with increased use during the COVID-19 pandemic. Evaluations were performed using automated tests on the applications, using the MATE (Mobile Accessibility Testing) tool. The study included fifteen applications, divided into three groups: health, public banking and social and information services. The problems encountered were categorized according to the Web Content Accessibility Guidelines (WCAG) and British Broadcasting Corporation (BBC) Mobile accessibility criteria. The results show the main types of violations of the guidelines in government applications, with a discussion of how these errors impact the use of users and possible difficulties users with different disabilities would encounter. Many such applications still present severe accessibility problems, such as unlabeled images with CAPTCHA, lack of labels for form fields, color contrast and inaccessibility of buttons and interface activators. The paper presents implications for the improvement of these technologies and recommendations to overcome the accessibility issues encountered to improve the continued use of these technologies by people with disabilities during and after the COVID-19 pandemic. © 2021 ACM.

COVID-19 and Sickle Cell Disease: A new challenging dilemma in an old disease

The authors bring reflections about people with sickle cell disease in the pandemic era. They comment on some common clinical situations in these two diseases which may delay or confuse the diagnosis of COVID-19 in patients with sickle cell disease. We consider that people with sickle cell disease are part of the risk group for the complications of COVID-19 and the topic should be addressed in the scientific literature. © 2021, Instituto Materno Infantil Professor Fernando Figueira. All rights reserved.

Work context and clinical manifestations of COVID-19 in health professionals Contexto de trabajo y manifestaciones clinicas de la COVID-19 en profesionales de salud

Objective: To analyze associations between work context and clinical manifestations of COVID-19 in health professionals. Methods: This is a cross-sectional study, with health professionals from the northeast of Brazil, from the medical, nursing and physiotherapy categories from different areas of expertise. A Google Forms questionnaire was sent through social networks, gathering demographic, academic, work context, clinical manifestations and data related to testing for COVID-19 (the test performed was not specified) and whether the result confirmed infection active or presence of antibodies (categorized as positive). Pearson's chi-square test and multivariate binary logistic regression analysis were performed, with Wald's chi-square test, considering p-value <0.05, Odds Ratio and 95% confidence interval. Results: A total of 1,354 professionals agreed to participate in the study. Of these, 324 reported a positive test for COVID-19, with a prevalence of 23.9% (324/1,354). There was a statistical association between symptom onset and positive result (p=0.000). The work context characteristics related to the number of jobs, practice setting, contact with critically ill patients and employment in the capital were the independent variables associated with a positive result for COVID-19 (p<0.05). It was identified that 54.8% of the dependent variable can be related to the work sector, number of jobs, fever, loss of smell and taste. Conclusion: Health professionals from urban centers, hospitals, critical care units and those with more than one job are more affected by COVID-19, with the positive test result being closely related to the symptoms of fever, loss of smell and taste that are characteristic of the illness.