ABSTRACT
Methods: This is a case series, carried out from March to July 2020, with data recorded in the nutritional monitoring records of patients hospitalized with COVID-19. The variables analyzed were: demographic (age and sex);clinical (comor-bidities, underlying disease and outcome), anthropometric, biochemical and nutritional support. Results: The sample consisted of 102 patients, 65.7% had the severe acute respiratory syndrome, the main underlying disease observed was heart disease (23.5%) and 69.3% of patients were discharged from the ICU. Regarding nutritional variables, approximately 50% of patients received enteral feeding and 73.3% started early. Concerning biochemical markers, patients who died had higher C-reactive protein (CRP)/albumin ratios (p=0.024) and CRP concentrations (p=0.012) when compared to those who progressed to dis-charge from the ICU. In addition, it is observed that the eld-erly (adjusted HR = 3.62;95%CI 1.19 - 10.97) and early ini-tiation of enteral nutritional therapy (adjusted HR = 10.62;95%CI 2.41 - 46 .87) were factors related to ICU discharge. Conclusion: Monitoring the inflammatory process using different markers seems to be a good parameter for the clinical evolution of these patients. In addition, the benefits of early enteral nutrition therapy may be associated with better clinical outcomes and reduced complications during hospitalization.
ABSTRACT
This is a qualitative, exploratory and descriptive research, linked to the project of the Nucleus for the repair of pulmonary ventilators (NRVP). Objective: to report the experiences and reflections of a team of nursing teachers who work in the repair of pulmonary respirators. The reflections contributed to coping with COVID-19, its daily implications. Fostering the creation of a specific training course for the maintenance of hospital equipment is a necessity in force at this time of the pandemic and in the post-pandemic. The strategy developed for the repair and maintenance of pulmonary respirators, in coping with COVID-19 should be configured as a legacy of this period and as a social contribution of those involved in the process. In this way, we can say that the attitude of creating the repair nucleus was constituted as a social action, of volunteering and engagement of the participants that integrate the responses of the teaching and research institutions to the crisis of COVID-19 in Brazil. .
Subject(s)
Anus Neoplasms/diagnosis , COVID-19 , Colorectal Neoplasms/diagnosis , Early Detection of Cancer/trends , Health Services Accessibility/trends , Adult , Aged , Aged, 80 and over , Anus Neoplasms/economics , Anus Neoplasms/epidemiology , Anus Neoplasms/pathology , Brazil/epidemiology , Colorectal Neoplasms/economics , Colorectal Neoplasms/epidemiology , Colorectal Neoplasms/pathology , Cross-Sectional Studies , Early Detection of Cancer/economics , Female , Health Services Accessibility/economics , Humans , Male , Medically Uninsured/statistics & numerical data , Middle Aged , Neoplasm Staging , Referral and Consultation/economics , Referral and Consultation/trendsABSTRACT
At the beginning of 2020 Covid-19-a disease caused by a new type of coronavirus-was classified as a pandemic by the World Health Organization and affected countries on all continents, leading to the death of hundreds of thousands of people. In Brazil, the disease has also spread quickly, requiring measures of social isolation. Marked by overcrowding and precarious infrastructure, brazilian prisons have become an issue of concern for national and international organizations that have demanded releasing measures. In this context, this article analyzes the National Penitentiary Department's proposal to use containers to shelter prisoners, which is against Resolution 62/2020 of the National Council of Justice, that pointed to the reduction of the population deprived of liberty. It is discussed how the disregard for releasing measures and the demand for even more rights-violating propositions lead to the ratification of a death policy for prisoners. © 2020.