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1.
2022 17th Iberian Conference on Information Systems and Technologies (Cisti) ; 2022.
Article in English | Web of Science | ID: covidwho-2084156

ABSTRACT

Tourism is facing serious difficulties worldwide due to the global pandemic COVID-19, translating considerably into an industry effort to compete in the marketplace. In effect, sustainable tourism is considered to have a symbiotic relationship with competitiveness that will allow organisations to make a difference. This means that the sustainability factors are positively related to the competitiveness indicators. In this context, as the oliviculture sector faces challenges in a changing market in terms of ecological, demographic, and consumption practices changes, it is considered that sustainable tourism will enable the sector to make a difference. For, the environmental and social changes of the stakeholders enhance the promotion of sustainability to meet their needs, which in turn increases the sector's competitive advantage. In this respect, the present study was based on a literature review consolidated in a bibliometric analysis to analyse sustainable tourism as a driver of competitiveness in the oliviculture industry. For this purpose, the Scopus database was used, in which 157 full articles published until September 2021 were obtained. Based on the results, using the Bibliometrix R, it was found that research in this field has emerged in the last 20 years and focuses particularly on the terms "competitiveness", "ecotourism" and "tourism development". In addition, the countries with the highest scientific production and citations, the main sources of publication in this field of research, the documents with the most citations as well as the co-citations between authors were analysed. Through bibliometric analysis, it is possible to provide researchers, policy-makers and managers with a current view of the undoubted role that sustainable tourism plays in the competitiveness of the olive sector. Considering the trends, it is therefore expected to contribute bases for future strategies aimed at overcoming obstacles, overcoming challenges, and seizing opportunities for a more competitive sector.

2.
2022 17th Iberian Conference on Information Systems and Technologies (Cisti) ; 2022.
Article in English | Web of Science | ID: covidwho-2083620

ABSTRACT

A bibliometric study is a method used to evaluate the productivity of scientific results in quantitative terms. Bibliometricians apply mathematical and statistical methods to quantify scholarly communications. Using the Bibliometrix program, a database compiled from SCOPUS and Web of science was studied to study the different scientific and literary behaviours of rural tourism development, tourism sustainability, and outdoor activities. In the main database steps, 161 articles were analysed, of which 61 were SCOPUS articles, and 100 were Web of Science articles. As per this database, the relationship between rural tourism with sustainable tourism and outdoor activities, through a bibliometric analysis, looks to study the annual scientific production, the research impact, the authors, and articles most relevant to the themes of research trends over the years. Several interesting and important conclusions were obtained from these results for developing the themes. The results of this study indicate that sustainable tourism and rural tourism have extreme relevance to the studies carried out. Hence, rural tourism and outdoor activities are increasingly sustaining a relationship of partnership, much due to the influences of COVID-19.

3.
Revista De Epidemiologia E Controle De Infeccao ; 12(2):1-17, 2022.
Article in English | Web of Science | ID: covidwho-2025833

ABSTRACT

Background and Objectives: Evidence suggests that the failure of epidemiological control impedes the resumption of socioeconomic activities. Therefore, this study aimed to describe epidemiological aspects and the pattern of mobility on each continent and to verify the association between the COVID-19 infection rate and time spent at home. Methods: We analyzed reports from Global Positioning System of 97 countries and their epidemiological indicators until May 27, 2020. Results: Cases of COVID-19 ranged from 22 to 1,745,803, and deaths ranged from 0 to 102,107. The highest rates per 100,000 population were observed in Europe and America. Approximately 54% of COVID-19 cases occurred in America and 51% of deaths in Europe. Countries reduced mobility in retail and recreation (-43.45%+/- 20.42%), grocery and pharmacy (-17.95%+/- 20.82%), parks (-18.77%+/- 37.34%), transit stations (-43.09%+/- 20.31%), workplaces (21.74%+/- 19.92%), and increased time spent at home (13.00%+/- 8.80%). Linear regression showed that European inhabitants stayed at home less when compared those on the American continent (beta=-4.933, SE=0.976, p<.001). In addition, every unit increase in the infection rate per 100,000 population increased 0.005 points in the mean time spent at home (beta=0.005, SE=0.001, p<.001). Conclusions: We provide evidence that increased infection rate of COVID-19 is associated with increased length of stay at home. As a main lesson, COVID-19 showed that in the absence of pharmacological resources, government authorities need to act quickly to contain the spread of infectious diseases.

4.
European journal of preventive cardiology ; 29(Suppl 1), 2022.
Article in English | EuropePMC | ID: covidwho-1999394

ABSTRACT

Funding Acknowledgements Type of funding sources: Other. Main funding source(s): This work was financially supported by the project POCI-01-0145-FEDER-030011, funded by FEDER, through COMPETE2020-POCI, and by national funds, through FCT/MCTES (PTDC/MEC-CAR/30011/2017). CIAFEL, UnIC and UMIB are supported by national funds through Fundação para a Ciência e Tecnologia, I.P. [(UIDB/00617/2020), (UIDB/00051/2020 and UIDP/00051/2020), and (UIDB/00215/2020 and UIDP/00215/2020), respectively]. CS received an individual grant from CAPES [BEX 0554/14-6]. Introduction Cardiac rehabilitation (CR) is an evidence-based recommended treatment of heart failure (HF) patients. During the COVID-19 pandemic, the shutdown of CR centers was necessary to limit the infection risk among high-risk patients. The integration of a home-based CR (HBCR) program in CR units can help to improve the delivery of care and improve cardiovascular outcomes of HF patients. Purpose To assess the effectiveness of an HBCR program in HF patients. Methods This is a sub­study of the EXercise InTervention in Heart Failure trial (EXIT-HF), which include forty-nine HF patients (preserved and reduced ejection fraction). The HBCR program consisted in 12-week combined exercise program (60%-80% of peak oxygen consumption (VO2 peak)), 2 training sessions per week, for a total of 24 sessions. Patients performed 4 supervised training sessions and the remaining sessions at home. All patients performed a cardiopulmonary exercise test (VO2 peak), the 6-minute-walking test (6MWT), collected blood analysis (plasma NT-proBNP), and answered the Minnesota Living with Heart Failure Questionnaire. Results Forty-two patients (86%) complete at least 80% of prescribed training sessions (age: 61.1±12;FEVE: 37.1±10.8). The HBCR program improve VO2 peak from 18.3 to 20.1ml/kg/min (+1.8 ml/kg/min;95%IC:1.4 to 2.4;p<0.001) and the walked distance at the 6MWT from 462 to 512 meters (+49 meters;95%IC: 38 to 60;p<0.001). In addition, overall quality of life was improved (-13 points;95%IC:-7.8 to -18.5;p<0.001), as well physical (-6.3 points;95%IC:-3.5 to -9;p<0.001) and emotional dimension of quality of life (-2.8points ;95%IC: -0.9 to -4.7;p=0.06). No significant change was found in NT-proBNP levels (820±1220 vs 674±903;p=0.285). Conclusions Our results showed that HBCR is feasible and can improve functional capacity and quality of life in HF patients.

5.
European journal of preventive cardiology ; 29(Suppl 1), 2022.
Article in English | EuropePMC | ID: covidwho-1998789

ABSTRACT

Funding Acknowledgements Type of funding sources: Other. Main funding source(s): This work was financially supported by the project POCI-01-0145-FEDER-030011, funded by FEDER, through COMPETE2020-POCI, and by national funds, through FCT/MCTES (PTDC/MEC-CAR/30011/2017). CIAFEL, UnIC and UMIB are supported by national funds through Fundação para a Ciência e Tecnologia, I.P. [(UIDB/00617/2020), (UIDB/00051/2020 and UIDP/00051/2020), and (UIDB/00215/2020 and UIDP/00215/2020), respectively]. CS received an individual grant from CAPES [BEX 0554/14-6]. Introduction The current COVID-19 pandemic has led to significant changes in physical and mental health and has become a major challenge for cardiac rehabilitation (CR) programs. CR is an essential component in the treatment of heart failure (HF), as it improves cardiorespiratory fitness and quality of life, as well as reducing hospitalization rates. COVID-19 pandemic increased social isolation, and the CR centers were closed. Center-based CR requires the patient to travel to the hospital, which increases the risk of SARS-CoV-2 infection in this high-risk population. In this context, home-based CR can be an excellent strategy to reduce the physical and mental consequences of the social isolation imposed by the COVID-19 pandemic. Objective To test the effectiveness of a home-based CR program on cardiorespiratory fitness and anxiety and depression levels in individuals with HF during covid-19 pandemic. Methods Forty-two individuals with HF (age: 61.3±12.0;LVEF: 37.5±11.2) were included in this study. The exercise training program consisted in 12 weeks of combined exercise training (2x/week;60min/day, 60-80% VO2peak), with 4 supervised exercise sessions in the hospital context and the remaining at home. Patients were monitored using a heart rate monitor and weekly phone calls. The following parameters were evaluated: cardiorespiratory fitness through the 6-minute walk test (6MWT) and anxiety and depression levels through the Hospital Anxiety and Depression Scale (HADS). Results After the home-based CR program, there was a significant increase in the 6MWT of 49 meters (95%IC: 38 to 60;p<0.001) and a significant decrease in anxiety levels of -1.12 points (95%CI: - 2.163 to -0.075 p=0.036). No significant changes were found in depression levels (p=0.954). Furthermore, the improvements in cardiorespiratory fitness were significantly associated with the reduction in the levels of anxiety (r= -0.281;p=0.028) and depression (r=: -0.278;p=0.030). Conclusions The home-based CR program was able to improve cardiorespiratory fitness and this improvement was associated with a decrease in anxiety and depression levels in individuals with HF. The results suggest that home-based CR can be an important strategy to minimize the physical and mental impact induced by social isolation imposed by COVID-19 pandemic in HF patients.

6.
17th Iberian Conference on Information Systems and Technologies, CISTI 2022 ; 2022-June, 2022.
Article in English | Scopus | ID: covidwho-1975666

ABSTRACT

Tourism is facing serious difficulties worldwide due to the global pandemic COVID-19, translating considerably into an industry effort to compete in the marketplace. In effect, sustainable tourism is considered to have a symbiotic relationship with competitiveness that will allow organisations to make a difference. This means that the sustainability factors are positively related to the competitiveness indicators. In this context, as the oliviculture sector faces challenges in a changing market in terms of ecological, demographic, and consumption practices changes, it is considered that sustainable tourism will enable the sector to make a difference. For, the environmental and social changes of the stakeholders enhance the promotion of sustainability to meet their needs, which in turn increases the sector's competitive advantage. In this respect, the present study was based on a literature review consolidated in a bibliometric analysis to analyse sustainable tourism as a driver of competitiveness in the oliviculture industry. For this purpose, the Scopus database was used, in which 157 full articles published until September 2021 were obtained. Based on the results, using the Bibliometrix R, it was found that research in this field has emerged in the last 20 years and focuses particularly on the terms “competitiveness”, “ecotourism” and “tourism development”. In addition, the countries with the highest scientific production and citations, the main sources of publication in this field of research, the documents with the most citations as well as the co-citations between authors were analysed. Through bibliometric analysis, it is possible to provide researchers, policy-makers and managers with a current view of the undoubted role that sustainable tourism plays in the competitiveness of the olive sector. Considering the trends, it is therefore expected to contribute bases for future strategies aimed at overcoming obstacles, overcoming challenges, and seizing opportunities for a more competitive sector. © 2022 IEEE Computer Society. All rights reserved.

7.
17th Iberian Conference on Information Systems and Technologies, CISTI 2022 ; 2022-June, 2022.
Article in English | Scopus | ID: covidwho-1975656

ABSTRACT

A bibliometric study is a method used to evaluate the productivity of scientific results in quantitative terms. Bibliometricians apply mathematical and statistical methods to quantify scholarly communications. Using the Bibliometrix program, a database compiled from SCOPUS and Web of science was studied to study the different scientific and literary behaviours of rural tourism development, tourism sustainability, and outdoor activities. In the main database steps, 161 articles were analysed, of which 61 were SCOPUS articles, and 100 were Web of Science articles. As per this database, the relationship between rural tourism with sustainable tourism and outdoor activities, through a bibliometric analysis, looks to study the annual scientific production, the research impact, the authors, and articles most relevant to the themes of research trends over the years. Several interesting and important conclusions were obtained from these results for developing the themes. The results of this study indicate that sustainable tourism and rural tourism have extreme relevance to the studies carried out. Hence, rural tourism and outdoor activities are increasingly sustaining a relationship of partnership, much due to the influences of COVID-19. © 2022 IEEE Computer Society. All rights reserved.

8.
European Journal of Preventive Cardiology ; 29(SUPPL 1):i40, 2022.
Article in English | EMBASE | ID: covidwho-1915574

ABSTRACT

Introduction: The current COVID-19 pandemic has led to significant changes in physical and mental health and has become a major challenge for cardiac rehabilitation (CR) programs. CR is an essential component in the treatment of heart failure (HF), as it improves cardiorespiratory fitness and quality of life, as well as reducing hospitalization rates. COVID-19 pandemic increased social isolation, and the CR centers were closed. Center-based CR requires the patient to travel to the hospital, which increases the risk of SARS-CoV-2 infection in this high-risk population. In this context, home-based CR can be an excellent strategy to reduce the physical and mental consequences of the social isolation imposed by the COVID-19 pandemic. Objective: To test the effectiveness of a home-based CR program on cardiorespiratory fitness and anxiety and depression levels in individuals with HF during covid-19 pandemic. Methods: Forty-two individuals with HF (age: 61.3±12.0;LVEF: 37.5±11.2) were included in this study. The exercise training program consisted in 12 weeks of combined exercise training (2x/week;60min/day, 60-80% VO2peak), with 4 supervised exercise sessions in the hospital context and the remaining at home. Patients were monitored using a heart rate monitor and weekly phone calls. The following parameters were evaluated: cardiorespiratory fitness through the 6-minute walk test (6MWT) and anxiety and depression levels through the Hospital Anxiety and Depression Scale (HADS). Results: After the home-based CR program, there was a significant increase in the 6MWT of 49 meters (95%IC: 38 to 60;p<0.001) and a significant decrease in anxiety levels of -1.12 points (95%CI: - 2.163 to -0.075 p=0.036). No significant changes were found in depression levels (p=0.954). Furthermore, the improvements in cardiorespiratory fitness were significantly associated with the reduction in the levels of anxiety (r= -0.281;p=0.028) and depression (r=: -0.278;p=0.030). Conclusions: The home-based CR program was able to improve cardiorespiratory fitness and this improvement was associated with a decrease in anxiety and depression levels in individuals with HF. The results suggest that home-based CR can be an important strategy to minimize the physical and mental impact induced by social isolation imposed by COVID-19 pandemic in HF patients.

9.
Virologie ; 26(2):181, 2022.
Article in English | EMBASE | ID: covidwho-1912989

ABSTRACT

Several COVID-19 vaccines have now been deployed to tackle the SARSCoV- 2 pandemic, most of them based on messenger RNA or adenovirus vectors. The duration of protection afforded by these vaccines is unknown, as well as their capacity to protect from emerging new variants. To provide sufficient coverage for the world population, additional strategies need to be tested. The live pediatric measles vaccine (MeV) is an attractive approach, given its extensive safety and efficacy history, along with its established large-scale manufacturing capacity. We develop an MeVbased SARS-CoV-2 vaccine expressing the prefusion-stabilized, membrane-anchored full-length S antigen, which proves to be efficient at eliciting strong Th1-dominant T-cell responses and high neutralizing antibody titers. In both mouse and golden Syrian hamster models, these responses protect the animals from intranasal infectious challenge. Additionally, the elicited antibodies efficiently neutralize in vitro the three currently circulating variants of SARS-CoV-2.

10.
International Conference on Tourism, Technology and Systems, ICOTTS 2021 ; 284:11-21, 2022.
Article in English | Scopus | ID: covidwho-1899040

ABSTRACT

This article appears as an essential contribution for decision-makers in the Cape Verdean tourism sector given the impact that the number of overnight stays has on the economy of the country and the Sal Island, which until 2018 had been increasing every year. Since seasonality is a strong feature of the island’s tourism, decision-makers are interested in knowing the seasonal variation in tourism demand. Thus, this study focussed on the application of the Box-Jenkins method to the time series of the monthly number of nights stays in tourist establishments on the Sal Island, Cape Verde, over the period from January 2000 to December 2018, to find a model that better describes the series and with good forecast results for the year 2019. Several SARIMA models were studied using the Box-Jenkins method, with the SARIMA (1, 1, 1 ) (0, 1, 1 ) 12 and the SARIMA (2, 1, 0 ) (0, 1, 1 ) 12 demonstrating the best predictive performance in the test phase. However, in forecasting the series for the year 2019, the SARIMA (2, 1, 0 ) (0, 1, 1 ) 12 achieved the best results with a MAPE = 6.77%. This model can be used to simulate and analyze the number of overnight stays that be expected on the Island, if the tourism sector was not affected by the pandemic caused by COVID-19. © 2022, The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

11.
Journal of Heart and Lung Transplantation ; 41(4):S130-S131, 2022.
Article in English | Web of Science | ID: covidwho-1849380
13.
Journal of Heart & Lung Transplantation ; 41(4):S396-S396, 2022.
Article in English | Academic Search Complete | ID: covidwho-1783395

ABSTRACT

The manifestations and complications of SARS-CoV-2 infection in solid organ transplant are poorly known. Lung Transplant group is an immunocompromised group with a shock organ of COVID-19. For this, we analyze the possible risk factors associated with an unfavorable outcome Retrospective study between the period march 2020 until june 2021. We analysed the database of Lung Transplant and medical records. It included all patients with a confirmed diagnosis of COVID-19 in our cohort with RT-PCR SARS-COV-2 or rapid test and chest computed tomography compatible. We analyzed demographic features and outcomes: sex;type of transplant (unilateral or bilateral);presence of chronic graft dysfunction;transplant time;confirmed prior rejections;history of SAH and/or DM;nosocomial transmission infection;report of fever and/or dyspnea;need for hospitalization and/or ICU;use of an O2 nasal catheter and/or mechanical ventilation;need of dyalisis;associated bronchopneumonia (confirmed by culture);and previous use of 2 or more immunosuppressants. Statistical analysis was performed and multivariate analysis In our cohort, we had 213 patients in follow-up (March 2020) and during this period 29 (13.6%) patients with COVID-19 were evaluated. These 23 with diagnosis and supervised treatment in our service and 6 patients in external follow-up of the infectious condition. Overall death was 31% (9).The mean age of patients is 46 years (±15.66), being 51.8% male and 48.2% female. A multivariate analysis, only dialysis (HR 9.186 - CI 1.804-46.758 - p=0.008) and bronchopneumonia (HR 7.554 - CI 1.510-37.790 - p=0.014) are associated with a negative outcome. The lethality is high in this group of patients. Our data was shown that dialysis and bronchopneumonia are associated with a higher risk of death in this group of patients infected with COVID-19. We emphasize that the limitation of this work is mainly due to the small sample analyzed. We suggest more studies are necessary. [ FROM AUTHOR] Copyright of Journal of Heart & Lung Transplantation is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

14.
Journal of Heart & Lung Transplantation ; 41(4):S130-S131, 2022.
Article in English | Academic Search Complete | ID: covidwho-1783350

ABSTRACT

Lung transplantation has currently become a therapeutic option in severe cases of COVID-19, which present extensive and irreversible lung damage. We aim to assess demographic characteristics, and evolution of pre-transplant SARSCoV2 infection, complications, and post-transplant survival. Retrospective case series from 4 Lung Transplant Centers of 3 Latin American countries: Chile, Brazil, and Mexico, including patients that underwent lung transplantation for post-COVID19 end stage lung failure. From January 2020 to September 2021, 13 bilateral lung transplants due to severe cases of post-COVID19 lung failure were performed. 69.2% in men, with an average age of 44 years (range 25 to 61 years). From symptoms onset, average intubation time was 12.9 days, and connection to ECMO was, on average, at 12.3 days, (range 2 to 28 days). Transplants were on average at 85.5 days from the connection to ECMO (range 52 to 167). Mean was BMI was 28.3 kg/m2 (range 24.4 to 35.5). One patient had previous comorbidity (arterial hypertension). Before transplantation, 100% were connected to ECMO, none of them were sedated, 11 achieved standing, 3 of which kept walking, and 53.8% maintained spontaneous ventilation. Transplant surgical approach used was Clamshell in 11 patients and median sternotomy 2. Intra-operative cannulation was performed in 100%, being veno-venous in 2 and veno-arterial in 10 of them. 61.5% of the cases (8 patients) remained on ECMO after surgery, for an average of 6.6 days (0 to 22).61.5% of the patients had complications, being bleeding, vascular stenosis, infections, and kidney failure are described. Overall survival was 53.8% (7 patients) with a median follow-up of 64 days. The 30-day survival rate was 75%. Average time to discharge was 44.6 days after transplantation, with total average time of hospitalization of 142 days (74 to 257). Transplantation is considered as part of the therapeutic arsenal in those patients who have confirmed irreversibility of lung damage, despite medical support. However, the delay in transplantation and the consequent connection to prolonged ECMO is observed consistently in our countries, probably due to a low rate of organ donation. This exhibits the need for a better assessment on when to perform the transplant, considering the low donor rate of lung transplant programs in Latin American countries. [ FROM AUTHOR] Copyright of Journal of Heart & Lung Transplantation is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

15.
Brazilian Journal of Infectious Diseases ; 26, 2022.
Article in English | EMBASE | ID: covidwho-1693869

ABSTRACT

Introdução/Objetivo: A pandemia da COVID-19 tem imposto grandes mudanças para o mundo, entre elas, o manejo e o diagnóstico de pacientes com essa enfermidade, que se tem mostrado um desafio ainda a ser superado, visto a alta transmissibilidade da COVID-19 e a similaridade dela com outras enfermidades como a Influenza. Dessa forma, o objetivo deste estudo é analisar variáveis como internações, mortalidade e gastos hospitalares referentes à Influenza no período da pandemia da COVID-19 e proporcionar medidas para se enfrentar essa e futuras pandemias. Métodos: Com base no sistema de dados da plataforma DATASUS realizou-se um estudo epidemiológico descritivo, em que foram coletadas informações sobre o número de internações, taxa de mortalidade, óbitos por faixa etária e gastos totais com hospitalizações, por influenza, no Brasil, de janeiro a setembro dos anos de 2017, 2018, 2019 e 2020. Procedeu-se à análise percentual e média dos dados, comparando a média dos últimos três anos ao ano de 2020, ano de pandemia. Resultados: Durante a pandemia da COVID-19, foram observadas 2147,11 internações, 6,59% de mortalidade nas internações e R$ 2.284.781,40 gastos com internações por gripe influenza. Esses números representam aumentos de 29,62%, 74,93% e 78,2%, respectivamente, nas médias de 1656,51 internações, de 3,77 % na taxa de mortalidade e do valor total de R$ 1.282.138,43 gastos com internações pela gripe influenza, os quais foram observados nos primeiros nove meses dos anos de 2017 a 2019. No ano de 2020, as faixas etárias de 80 anos ou mais, 70 a 79 anos e 60 a 69 anos obtiveram, 428, 329 e 258 óbitos, que representam, nessa ordem, aumentos de 72,85%, 179,6% e 268,57%, em comparação aos últimos três anos. Conclusão: O atual estudo cumpriu seus objetivos, com o foco na análise da situação do vírus influenza, no período da pandemia em 2020 e os três anos anteriores, verificando o aumento das internações, taxa de mortalidade e dos gastos hospitalares. Também, buscou analisar as dificuldades no diagnóstico e de coinfecções com a influenza, juntamente com a pandemia da COVID-19, o que causou atraso nas notificações e confirmações dos casos que, consequentemente, resultou em mortes e piores desfechos dos casos clínicos. Embora seja uma pandemia da atualidade, foi possível analisar a necessidade de maiores preparos para esse cenário, com investigações e monitoramento de cepas virais, para haver posteriormente medidas de prevenção e controle.

16.
Brazilian Journal of Infectious Diseases ; 26, 2022.
Article in Portuguese | EMBASE | ID: covidwho-1693845

ABSTRACT

Introdução: O vírus do Nilo Ocidental, inicialmente isolado em Uganda em 1937, constitui uma das arbovirose de maior distribuição atual (1). No Brasil, há registros de casos humanos apenas no Piauí, onde dez pessoas foram diagnosticadas de 2014 a 2020 (1). A transmissão ocorre pela picada de mosquito Culex e aves migratórias são os principais hospedeiros (1). Apenas 20 a 40% dos pacientes infectados cursam com sintomas, geralmente leves, como náusea, vômito, cefaleia, mialgia, exantema, febre e adinamia (2). Com maior gravidade, a forma neuroinvasiva cursa com encefalite, meningite ou paralisia flácida (2). O diagnóstico pode ser obtido por sorologia ou PCR séricos, mas na doença neuroinvasiva os testes também devem ser realizados no líquor (2). Objetivo: Relatar o primeiro caso humano de febre do Nilo Ocidental (FNO) diagnosticado em Minas Gerais. Descrição do caso: Paciente de sexo feminino, 78 anos, covid-19 confirmado há 19 dias, procurou atendimento informando diplegia facial, disfagia e tetraparestesia, com tetraparesia há 2 dias. Informa que sintomas gripais iniciaram 10 dias após vacinação covid-19, sendo medicada com sintomáticos, sem sinais de gravidade. Após liberação de isolamento, permaneceu com dor e parestesia em MMII, ascendente e progressiva. Nega fenômenos isquêmicos ou hemorrágicos, alergias, viagens recentes, porém identificou ave morta em quintal da residência. Hipertensa, em uso de losartana e metoprolol. Durante internação, houve piora do quadro neurológico, disfonia, tetraplegia e insuficiência respiratória. Foi tratada com imunoglobulina, esteve 18 dias internada, com melhora paulatina do déficit motor, disfagia e fala. Como parte da investigação de síndrome febril inexplicada com quadro neurológico, foi realizado rastreio de arboviroses no líquor, confirmando-se o diagnóstico de febre do Nilo Ocidental por PCR. Comentários: Como apenas 1-2% dos casos de FNO são diagnosticados, a vigilância e o rastreio de doenças neuroinvasivas por arboviroses permitem compreender a dinâmica de transmissão do agravo no Brasil, com vistas à suspeita, notificação, investigação e manejo adequado.

17.
Clinical and Experimental Ophthalmology ; 49(8):960-960, 2022.
Article in English | Web of Science | ID: covidwho-1548317
18.
Education Excellence and Innovation Management: A 2025 Vision to Sustain Economic Development during Global Challenges ; : 18504-18513, 2020.
Article in English | Web of Science | ID: covidwho-1329450

ABSTRACT

The global pandemic scenario, marked by the new coronavirus (covid-19), makes evident the need for companies to react in their strategy (communication, distribution and sales). In this sense, this study aims to understand the value proposition by investing in the quality of the online sales process in the food sector based on the dimensions of service quality, identifying attributes that customers recognize value. It is intended to apply a questionnaire using the WEBQUAL model to understand the perceptions of customers on the company's website. In the end, we intend to understand the importance of the quality of the digital commerce process in companies in Portugal as a blue ocean strategy. In particular, the contribution of the quality of the digital commerce process (quality of processes) in the segment of food companies in Portugal. The research methodology is exploratory. The method used is descriptive, quantitative and based on the administration of an online questionnaire that applies the WEBQUAL model. In an interdisciplinary perspective, this study presents inputs for marketing, strategy and the quality of services. At the end, lines of future research will be presented.

19.
Clinical & Experimental Rheumatology ; 07:07, 2021.
Article in English | MEDLINE | ID: covidwho-1305088

ABSTRACT

OBJECTIVES: To evaluate the incidence of COVID-19 and its main outcomes in rheumatic disease (RD) patients on hydroxychloroquine (HCQ) compared to household cohabitants (HC). METHODS: This is a 24-week nationwide prospective multi-centre cohort with a control group without RD and not using HCQ. All participants were monitored through scheduled phone interviews performed by health professionals. Details regarding COVID-19 symptoms, and epidemiological, clinical, and demographic data were recorded on a specific web-based platform. COVID-19 was defined according to the Brazilian Ministry of Health criteria and classified as mild, moderate or severe. RESULTS: A total of 9,585 participants, 5,164 (53.9%) RD patients on HCQ and 4,421 (46.1%) HC were enrolled from March 29th, 2020 to September 30th, 2020, according to the eligibility criteria. COVID-19 confirmed cases were higher in RD patients than in cohabitants [728 (14.1%) vs. 427 (9.7%), p<0.001] in a 24-week follow-up. However, there was no significant difference regarding outcomes related to moderate/ severe COVID-19 (7.1% and 7.3%, respectively, p=0.896). After multiple adjustments, risk factors associated with hospitalisation were age over 65 (HR=4.5;95%CI 1.35-15.04, p=0.014) and cardiopathy (HR=2.57;95%CI 1.12-5.91, p=0.026). The final survival analysis demonstrated the probability of dying in 180 days after a COVID-19 diagnosis was significantly higher in patients over 65 years (HR=20.8;95%CI 4.5-96.1) and with 2 or more comorbidities (HR=10.8;95%CI 1.1-107.9 and HR=24.8;95%CI 2.5-249.3, p=0.006, respectively). CONCLUSIONS: Although RD patients have had a higher COVID-19 incidence than individuals from the same epidemiological background, the COVID-19 severity was related to traditional risk factors, particularly multiple comorbidities and age, and not to underlying RD and HCQ.

20.
Smart Innov. Syst. Technol. ; 209:498-508, 2021.
Article in English | Scopus | ID: covidwho-968435

ABSTRACT

The Tourism Area Life Cycle destination goes through different phases from its exploration until its decline or rejuvenation. The knowledge about these different phases allows the improvement of investment decisions by the private sector or by the government, in a context of challenges and opportunities. The main objective of this study was to verify in which phase the Island of Sal and Cape Verde were at an individual and competitive level during the period 2010–2018, considering the Tourism Development Index (TDI). To calculate the TDI, destinations with the same ‘sun and beach’ market were chosen, such as the Dominican Republic, Morocco, Tunisia and the Canary Islands, because they compete for the same European market and their geographical proximity to this market;data from government and non-government sources were used. It was concluded that the Island of Sal is in the Development phase, the same phase as that of Cape Verde. As for competitiveness, they are in the exploration and stagnation phase, both needing to increase the TDI to 48% and 43%, respectively to reach the involvement phase. For the calculation of the TDI, data from Cape Verde can be used to analyse the Sal Island index and vice versa. Strategic policies must be considered in the long term, incorporating information on the relative positions of direct competitors and unexpected events such as COVID 19, which can be seen as an opportunity to diversify the offer, create new segments and discover new inbound markets. © 2021, The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

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