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1.
Cogent Medicine ; 8, 2021.
Article in English | EMBASE | ID: covidwho-1617067

ABSTRACT

Background: Vaccination against COVID-19 in pediatric age has been a hot topic recently. This study aimed to assess parents' intention to vaccinate their children against COVID-19 and identify which factors may influence this decision. Methods: An observational study was conducted between June and July 2021 by applying an anonymous questionnaire to a sample of caregivers of children and adolescents followed in ambulatory care in a Portuguese central hospital. We included sociodemographic data, immunization history, personal background, exposure to COVID-19 and caregivers' beliefs. At the time of the study, there was still no official recommendation from health authorities regarding vaccination in pediatric age. Results: A total of 78 questionnaires were conducted. The mean age of the children was 9.2 years (±5.9), 56.4% were male, 94.8% had an updated immunization history, and 65.8% had extra vaccines. Of these children, 22.1% had comorbidities. Among the caregivers, 83.3% were mothers, the mean age was 39.4 years (±9.4), and 26.9% had attended university. The vaccine was considered safe by 61.5%, and 34.6% answered they did not know whether to consider it safe or not. Information about the vaccine was obtained through television in 84.6%, social networks in 42.3% and 34.6% in the information given by health professionals. Regarding the intention to vaccinate their children, 76.9% answered "yes", 7.7% did not answer and 15.4% answered "no". The vaccine's ineffectiveness (n=5) and inappropriate age (n=3) were the most cited reasons not to vaccinate. In 82.9%, the number of doses of the vaccine would not influence the decision. Conclusions: The study results show that caregivers have considerable resistance to the vaccination of children and adolescents against COVID-19, mainly based on the belief in the vaccine's ineffectiveness. The majority obtained information about the vaccine in the media, which reinforces the importance and the opportunity for intervention by transmitting credible and perceptible information in these media.

2.
Revista Juridica ; 4(66):593-636, 2021.
Article in Portuguese | Scopus | ID: covidwho-1599941

ABSTRACT

Objective: The objective of this research was to analyze how the Latin American indigenous population contributes to the paths of democracy and the difficulties experienced by the COVID 19 pandemic in 2020;as well as carrying out a case study to expose the measures adopted for the elections that took place in the indigenous villages of Vale do Javari, in Atalaia do Norte/AM, during COVID-19. Methodology: The methodology used was the deductive method;as for the means, the research was bibliographical and documentary, focusing on case studies, based on public data contained in the collection of the Regional Electoral Court of Amazonas;as for the purposes, the research was qualitative. Results: it was found, through studies produced in Bolivia, Chile, Mexico and Peru, that the indigenous vote is extremely important to ensure the democratic process and that, even in the face of the vulnerability of indigenous peoples to infectious diseases, how was the COVID-19 pandemic, it is necessary to ensure, through public health policies, the exercise of the most diverse rights of this indigenous population, including the right to democratic participation through the exercise of voting rights. Despite this observation, it was found that the Brazilian State did nothing to enforce this right;on the contrary, it promoted a genuine disrespect for the rights of traditional peoples, constitutionally guaranteed. As for the case study of the Javari Valley Villages, the possibility of harmonious coexistence of democratic exercise with the guarantee of the right to health for indigenous peoples was found, provided that specific protocols are adopted, such as the Sanitary Protocol for Entry into Indigenous Territories and Projection of Police Reinforcement, produced by the 42nd electoral zone in the Municipality of Atalaia do Norte/AM. Contributions: The study discloses an important issue for Brazilian society and for electoral justice, since it highlights (opens) the State's failure to assure traditional peoples (whom it treats as invisible) that it is necessary to ensure more effectively the constitutional right to vote for this population, since it is a right constitutionally guaranteed to this population. And as the study draws attention to this need, the Brazilian State will not be able to maintain its position of negligence. © 2021, Centro Universitario Curitiba - UNICURITIBA. All rights reserved.

3.
International Journal of Clinical Pharmacy ; 43(6):1747-1747, 2021.
Article in English | Web of Science | ID: covidwho-1558042
4.
European Journal of Heart Failure ; 23:42-42, 2021.
Article in English | Web of Science | ID: covidwho-1548691
5.
European Stroke Journal ; 6(1 SUPPL):510, 2021.
Article in English | EMBASE | ID: covidwho-1468009

ABSTRACT

Background and Aims: Data is scarce regarding thrombolysis (IV-tPA) and mechanical thrombectomy (MT) in patients with acute ischemic stroke (AIS) infected with SARS-CoV-2, but literature analysis reveals overall poor outcomes and increased mortality. We aimed to analyze complications and outcome at discharge of AIS treatments in SARSCoV-2 infected patients. Methods: Observational retrospective study including consecutive AIS patients with SARS-CoV-2 infection, treated with IV-tPA and/or MT in a tertiary center, between March 2020 and March 2021. Demographic and clinical data were obtained from clinical records. Results: Twelve patients were included;all were treated with MT, six also with IV-tPA. Seven patients were male (58.3%), median age 64 (IQR 24.5;37-87). All had mRankin<2 and >1 vascular risk factor. At stroke onset, three patients presented SARS-CoV-2 pneumonia, two requiring invasive ventilation. Median NIHSS was 18 (IQR 10;6-24). Median ASPECTS was 9 (IQR 2.75;7-10). Eleven patients (91.7%) presented anterior circulation stroke, four of these had tandem occlusions. Successful recanalization (TICI 2B or higher) was achieved in eight patients (66.7%), with a median stroke-recanalization time of 462.5 min (IQR 212;299-843). Active intracranial hemorrhage (n=1) was detected in one patient during angiography, before MT. Intraprocedural complications included multiple distal embolization (n=2), reocclusion (n=2), and vasospasm (n=1). Symptomatic hemorrhagic transformation occurred in four patients (33,3%). Regarding the outcome at discharge: eight patients died and three had mRankin >3. Conclusions: In our series of SARS-CoV-2 patients treated for AIS, most patients had an unfavorable outcome at discharge with a mortality rate of 66,7%.

6.
Int J Tuberc Lung Dis ; 25(9): 693-695, 2021 09 01.
Article in English | MEDLINE | ID: covidwho-1404011
7.
HemaSphere ; 5(SUPPL 2):387, 2021.
Article in English | EMBASE | ID: covidwho-1393389

ABSTRACT

Background: COVID-19 is a new infectious disease. The risk of death depends on previous comorbidities, but prothrombin time and low platelets count are also related to death. Aims: In this study, risk factors for death on hospital admission were evaluated. Methods: We included patients admitted to the Emergency Department of University Hospital Clementino Fraga Filho (HUCFF), Federal University of Rio de Janeiro (UFRJ), Brazil, from March to May/2020 with laboratory- confirmed Covid-19 infection. A confirmed case was defined by a positive result on a reverse-transcriptase-polymerase-chain-reaction assay of a specimen collected on a nasopharyngeal swab secretion. Admission results were collected through retrospective review of medical records. Death was the primary outcome. Data were expressed as median (range), or n/N (%);P values were calculated by Mann-Whitney or Fisher's exact test, as appropriate. A two-sided α of less than 0.05 was considered statistically significant. Results: We analysed 116 patients. The median age was 61 years (range 22-94), and most were male (55%). Ninety-nine (85%) had one or more chronic underlying diseases, mostly hypertension (69%). Ninety-six (83%) patients had pulmonary CT scan compatible with viral pneumonia on admission, 87% necessitated supplementary oxygen therapy, 38% needed mechanical ventilation, of which 71% died. Thirty-one (27%) patients died. Non-survivors were older (66 X 59 years;p=0.077), had a higher proportion of cardiopathy (45% X 13%;p=0.001), renal failure (36% X 9%;p=0.002) and diabetes (52% x 31%;p=0.050), and on hospital arrival, higher neutrophils counts (6.9 x 103/mm3 X 5.4x103/ mm3;p=0,037), higher neutrophils / lymphocytes ratio (7.4 X 5.1;p=0.012), higher CRP (174.4 X 102.7;p=0.004) and higher LDH (478 X 376;p=0.009). Level of hemoglobin, white blood cells, RDW, platelet count, PT and APTT were similar in survivors and non-survivors. Most patients (97%) received any low molecular weight heparin (LMWH). All patients who died received LMWH. Summary/Conclusion: That patients admitted with COVID-19 with respiratory symptoms who needed mechanical ventilation had a high mortality rate (71%). On admission, cardiopathy, renal failure and CRP level were independently predictive of death. Basic coagulation profile and blood counts (CBC) on admission were similar between alive and dead cases. Almost universal use of low molecular weight heparin precluded any further discussion on this subject.

8.
European Psychiatry ; 64(S1):S42, 2021.
Article in English | ProQuest Central | ID: covidwho-1357078

ABSTRACT

COVID-19 has impacted psychiatric education at many levels from postgraduate training to Continuous Medical Education (CME). We invited participants at the European Union of Medical Specialists (UEMS) who are national representatives to share how COVID-19 has impacted postgraduate training and Continuous Professional Development (CPD) in their countries. They were asked to report the challenges but also the opportunities created by the pandemic and their answers were analysed. Several themes emerged. Challenges in postgraduate training have been absences caused by COVID, redeployment, reduced interactions and postponement of assessments. The mental health of trainees was affected, including burnout. Interestingly in some places, like Denmark, training was less impacted as psychiatry was designated as ‘critical’ and therefore no redeployment. Exams have moved online and there have been concerns about cheating in the new format. In countries where it is obligatory to be uptodate with CME/CPD to maintain medical registration, the usual requirements were waived. Conferences and live events have moved online and webinars became popular and widely accepted. Some positive developments included rapid adoption of technology, for consultations and training, increased relevance of CPD/CME, emphasis on team cohesion and recognition of the need for self-care and team support. The pandemic also fostered international collaboration, e.g. sharing guidelines for new ways of working. Some of the innovations described, mainly related to the adoption of technology and remote working will likely be taken in the future. However, the sentiment remains that live exchanges are valuable and should be resumed as soon as it is safe.DisclosureNo significant relationships.

9.
RISTI - Revista Iberica de Sistemas e Tecnologias de Informacao ; 2021(E41):221-231, 2021.
Article in Portuguese | Scopus | ID: covidwho-1231740

ABSTRACT

With the pandemic of COVID-19, the demand for Information Systems for the health sector increased. Investing in IS can be an effective strategy to reduce the risk of contagion and to improve medical and administrative decisions. The results found in this research were unanimous regarding the lack of user involvement in the system, the very low formal training, the impact on the quality and waste of information due to the lack of integration between systems and the high risk of their degradation. At a time when the whole society is apprehensive about how to deal with COVID-19 safely, technology is a fundamental ally in the development of alternatives, accelerating innovations. In the current moment of COVID-19, the only resource that manages to connect people to their needs is technology not only as a collaboration tool, but as an information system, reducing the gap and becoming a critical success factor. © 2021, Associacao Iberica de Sistemas e Tecnologias de Informacao. All rights reserved.

10.
12.
European Early Childhood Education Research Journal ; : 13, 2021.
Article in English | Web of Science | ID: covidwho-1054123

ABSTRACT

The COVID-19 pandemic has caused a world crisis of an unprecedented nature. In March 2020, due to closing of non-essential private and public educational institutions, early childhood professionals had to quickly adapt and respond to the demands for social distancing, hygiene, new protocols and transition to online education. Alternatively, educators engaged in distance teaching and learning, when the families they serve lacked technological resources for online modalities. The present study examines how early childhood teachers in the United States and several Latin American countries are facing the challenges presented by COVID-19. The study clearly reflects the relevancy of the challenges faced by educators of young children, such as lack of preparation for distance teaching and learning, deficiencies in the pre-and in-service trainings to address the educational needs of young children distantly, and the need to work differently with caregivers. Teacher training and development should include the knowledge, skills, and dispositions necessary to successfully reconsider and participate in distance teaching and learning.

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