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1.
Societies ; 12(3):12, 2022.
Article in English | Web of Science | ID: covidwho-1917711

ABSTRACT

Introduction: The rapid global spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has made COVID-19 one of the biggest pandemics of all time, with several devastating public health challenges. In this study, we investigated the knowledge towards COVID-19 best practices in the north of Portugal. Methods: A descriptive cross-sectional study was performed with a convenience sample of the population of northern Portugal to assess their knowledge about COVID-19, SARS-CoV-2 and measures to prevent and mitigate pandemics. An online validated questionnaire was completed by 411 participants, from September to October 2020. Results: The overall correct knowledge was 81.3%, which indicates a good knowledge by the northern Portuguese respondents about COVID-19. The correct answer score differed considerably between men and women, being significantly higher among the latter (12.28 +/- 1.22;p = 0.011). Moreover, the highest knowledge was observed in participants who attended high school or above (12.27 +/- 1.21;p < 0.000). Conclusion: This study contributes to the analysis of COVID-19 knowledge by the northern Portuguese population, emphasizes the crucial role of health education in the control and mitigation of the COVID-19 pandemic, and provides field-based evidence to prevent the next pandemic event.

2.
Diabetes Technology and Therapeutics ; 24(SUPPL 1):A161-A162, 2022.
Article in English | EMBASE | ID: covidwho-1896121

ABSTRACT

Background and Aims: During the COVID 19 pandemic and due to lockdown periods there was a need to adapt diabetes consultations and organize health professionals in order to provide the best response to people with diabetes. Methods: In order to assess the patient's satisfaction with teleconsultations an on-line user satisfaction questionnaire was sent to all patients of the pediatric and Insulin pump Departments of APDP, who had consultation from March 16th to June 1st 2020. Results: The questionnaire was sent to 971 persons. The average age was 36.4±19.1 years, mostly female (53.1%), with higher education degree (46.9%). The results for medical consultations showed that 69.1% of the participants totally agree that the doctor was able to correctly interpret the current needs in diabetes management, and 49.5% totally agree and 35.6% agrees that the therapeutic adjustment was as efficient as if it had been performed in a face-to-face consultation. Regarding nursing consultations 56,7% completely agree or agree that it was possible to maintain adequate monitoring of diabetes. In relationship with nutrition 58,5% completely agree or agree that it was possible to clarify aspects related to food, carbohydrate counting or exercise efficiently. Conclusions: The results reveal that the majority of the patients felt supported in managing their diabetes and agree that teleconsultation with the multidisciplinary team was an adequate substitute for face-to-face consultation, it was possible to raise and clarify doubts about the management of diabetes and COVID-19 and that this model could complement face-to-face consultations.

3.
Hematology, Transfusion and Cell Therapy ; 43:S544, 2021.
Article in English | EMBASE | ID: covidwho-1859765

ABSTRACT

Introdução: A doença coronavírus 2019 (COVID-19) é uma infecção respiratória causada pelo coronavírus 2 da síndrome respiratória aguda grave (SARS-CoV-2), com uma gravidade dos sintomas que varia de uma doença leve a uma pneumonia viral grave que leva à síndrome do desconforto respiratório agudo potencialmente fatal. Os sintomas mais comuns são: febre, tosse, dispneia, mialgia e cansaço. A taxa de letalidade é baixa nas faixas etárias mais baixas e aumenta após os 60 anos de idade. Alguns estudos apontam que o vírus SARS-CoV-2 pode sobreviver em superfícies por vários dias, dependendo do tipo, temperatura ou umidade do ambiente. Os serviços de saúde, enquanto serviços essenciais, devem ter o cuidado excepcional para evitar a contaminação dos equipamentos, pacientes e profissionais. Em tempos de pandemia, tomar medidas que garantam a prevenção, a minimização ou a eliminação de riscos à saúde é fundamental. Por décadas, as normas relativas à biossegurança foram negligenciadas, mas, com o advento da COVID-19, medidas básicas estão sendo reconsideradas, principalmente no que diz respeito aos cuidados necessários para a minimização dos riscos biológicos ao profissional da saúde. A Agência Nacional de Vigilância Sanitária (ANVISA) define a Biossegurança como um conjunto de medidas técnicas que são de suma importância durante a manipulação de agentes e materiais biológicos. Inúmeras são as ações de controle que estão sendo reforçadas a partir das experiências de outros países e da experiência de saúde acumulada em tratamento de outras doenças respiratórias que apresentam meios de transmissão semelhante ao da COVID-19. Objetivo: Descrever as medidas de biossegurança utilizadas para prevenção da Covid 19;Contribuir com a construção de conhecimento sobre a Covid 19. Metodologia: Assim, baseados nestas experiências, faremos um relato de experiência das ações que foram tomadas para mitigar o efeito da COVID-19 em profissionais de saúde de um Hemocentro de Fortaleza. As medidas de enfretamento ao Covid 19 foram correlacionadas em cinco tópicos: Biossegurança e Trabalhador, Comunicação, Portas de Entrada, Doadores/ Pacientes e Insumos e EPIs. Conclusão: Os estudos e autoridades sanitárias de saúde mundial, nacional, estadual e municipal ainda não indicam um período para finalização da pandemia provocada pelo novo coronavírus. A importância de elaborar um Plano de Biossegurança veio garantir a segurança dos profissionais bem como pacientes/ doadores que precisam de atendimento no serviço. O trabalho de educação em saúde deve ser permanente visto que a doença vem sendo estudada e que pouco se sabe. As novas evidências apontam para cepas variantes fazendo com que as medidas de precauções não cessem e que os cuidados sejam redobrados, contínuos e regados de conscientização acerca das medidas sociais de minimização de contaminação.

4.
Hematology, Transfusion and Cell Therapy ; 43:S542-S543, 2021.
Article in Portuguese | EMBASE | ID: covidwho-1859762

ABSTRACT

Objetivos: Com o início da pandemia de COVID-19 em 2020, houve um aumento importante na demanda dos serviços de saúde assim como nos laboratórios de análises clínicas. O objetivo deste trabalho é avaliar o impacto da pandemia no perfil de exames de um laboratório de hemostasia da região da grande Florianópolis (SC). Material e métodos: Foram avaliados dados estatísticos de número de exames realizados de Tempo de Protrombina (TP), Tempo de Tromboplastina Parcial Ativada (TTPA), Dosagem de Fibrinogênio, D-Dímero (DD), Anticoagulante Lúpico (AL), Dosagem de Antitrombina (AT), Proteína C Funcional (PC), Proteína S Funcional (PS), Proteína S Livre (PSL), Dosagem de Fator VIII (FVIII), Tempo de Trombina (TT), em 2019 (pré-pandemia), em comparação com volume de exames realizados nos de 2020 e nos primeiros sete meses de 2021. Resultados: No ano de 2020, foi observada diminuição no número de todos os exames, com exceção do Fibrinogênio e do DD que apresentaram um aumento significativo em 2020 e 2021. Em relação ao ano de 2019, o fibrinogênio teve um aumento na média mensal de exames em 2020 de 93%, e de 285% em 2021. Também em relação ao ano de 2019, o DD teve um aumento de 306% em 2020, e de 769% em 2021. Em 2021 foi observado um aumento nos exames AL (13%), AT (11%) e TT (73%) em relação ao ano de 2019. Os demais exames não apresentaram aumento da demanda. Discussão: A diminuição no número dos exames no ano de 2020 foi um reflexo da queda no movimento de pacientes ambulatoriais no período de isolamento da pandemia. Em 2021 o aumento no número de exames foi devido ao agravamento do número de casos na região, com consequente aumento no número de internações. O grande aumento nos exames de Fibrinogênio e D dímero era esperado devido à natureza inflamatória e trombótica da doença. Eventos trombóticos ocorrem em até um terço dos pacientes com COVID-19, sendo predominantemente embolia pulmonar, e são associados com doença mais severa e mortalidade aumentada. Este fato pode estar associado ao aumento da demanda de exames para investigação de risco e de eventos trombóticos, como o Anticoagulante Lúpico e a Antitrombina. Conclusão: Através da análise dos dados, conclui-se que a pandemia determinou importantes impactos no laboratório de hemostasia, por conta das complicações trombóticas associadas à COVID-19.

5.
Hematology, Transfusion and Cell Therapy ; 43:S538-S539, 2021.
Article in Portuguese | EMBASE | ID: covidwho-1859754

ABSTRACT

Objetivos: Correlacionar os valores de dados laboratoriais – D-Dímero do primeiro dia (DD -ng/dL), Tempo de Protrombina (TP –segundos), Proteína C Reativa (PCR - mg/dL) – de pacientes COVID-19 positivo, com o desfecho de internação (alta hospitalar ou óbito), a necessidade de internação em Unidade de Terapia Intensiva (UTI), a necessidade de ventilação mecânica invasiva (VMI), a ocorrência de Trombose Venosa Profunda (TVP), Tromboembolismo Pulmonar (TEP), Acidente Vascular Cerebral Isquêmico (AVCI), Infarto Agudo do Miocárdio (IAM), a idade dos pacientes, a presença ou não de comorbidades e o gênero. Material e método: Trata-se de um estudo retrospectivo transversal observacional de análise sequencial e sigilosa de prontuários médicos. Foram incluídos no estudo os pacientes com COVID-19 confirmados por RT-PCR e com nível de D-Dímero acima de 1000 ng/mL, no período de março de 2020 a março de 2021. Para a análise dos dados foram utilizados os testes estatísticos Shapiro-Wilk, Mann-Whitney, Kruskal-Wallis, Teste de Dunn e Correlação de Spearman. Resultados: Foram incluídos 1220 pacientes, destes 42.5% tinham ao menos uma comorbidade, 31.6% necessitaram de ventilação mecânica invasiva, 17.6% necessitaram de internação em UTI, 57.4% tiveram alta hospitalar e 42.6% evoluíram para óbito. Dentre os pacientes analisados 2.5% apresentaram TVP, 2.6% TEP, 1.7% AVCI, 0.8% IAM. Resultado dos valores significativos: o grupo com alta hospitalar obteve intervalo interquartil (IQ) de DD = 1236.95-2742.87;IQ de TP = 11.1-12.7;IQ de PCR = 6.475-21.95. O grupo que evoluiu para óbito obteve IQ de DD = 1295.95-5376.3;IQ de TP = 11.4-13.5;IQ de PCR=8.75-27.15. O grupo que evoluiu com TEP apresentou IQ de DD = 2139.1-7252.3, já o que não evoluiu com TEP apresentou IQ de DD=1243.97-3558.12. O grupo submetido à VMI apresentou IQ de TP = 11.5-13.3;IQ de PCR=13.375-29.75, já o que não foi submetido apresentou IQ de TP = 11.1-12.9;IQ de PCR = 6.5-22.2. O grupo que necessitou de internação em UTI apresentou IQ de TP = 11.5-13.42;IQ de PCR=9.3-27.8, o que não necessitou apresentou IQ de TP=11.17-13;IQ de PCR = 6.975-23.5. Os pacientes do gênero feminino apresentaram IQ de TP=11.1-12.8, IQ de PCR = 6.8-22.6;os do gênero masculino apresentaram IQ de TP = 11.4-13.1, IQ de PCR = 7.8-25.4. Discussão: Conforme os valores encontrados, os pacientes com idade avançada apresentaram valores de DD, TP maiores e evoluíram mais para óbito;os do gênero masculino apresentaram maior mortalidade, PCR e TP comparado com o gênero feminino;os com comorbidades apresentaram PCR maior e evoluíram mais para óbito;os que tiveram alta apresentaram menor DD, PCR e idade e maior TP;os que necessitaram de VMI tiveram maior TP, PCR e óbitos;os que necessitaram de internação em UTI apresentaram maior valor de TP, PCR e mais óbitos;os que necessitaram mais dias de internação apresentaram menor TP, PCR e mais óbitos;os que evoluíram com TEP apresentaram DD maior;os que evoluíram com AVCi apresentaram maior TP;os que evoluíram com TVP, IAM e AVCi não apresentaram significância estatística de DD. Conclusão: Neste estudo, valores de DD maiores estiveram relacionados à maior mortalidade e à ocorrência de TEP. Valores de TP elevados relacionaram-se a maior mortalidade, internação em UTI, necessidade de VMI e presença de AVCi. Valores de PCR elevados estiveram relacionados à maior mortalidade, presença de comorbidade, internação em UTI e necessidade de VMI. Demais correlações não apresentaram relevância estatística.

6.
Hematology, Transfusion and Cell Therapy ; 43:S419-S420, 2021.
Article in Portuguese | EMBASE | ID: covidwho-1859678

ABSTRACT

Objetivos: O hemograma é um exame complementar simples e recorrente, por isso, analisar a sua execução pelo Sistema Único de Saúde (SUS) pode revelar disparidades sociais, econômicas e regionais. Assim, objetiva-se investigá-lo em âmbito ambulatorial, durante os anos de 2011 a 2020 no estado do Pará. Material e métodos: Trata-se de um estudo retrospectivo e quantitativo, realizado com a coleta dados do Sistema de Informação de Ambulatoriais do SUS (SIA/SUS), do Departamento de Informática do SUS (DATASUS), no período de 2011 a 2020, por local de atendimento, com filtro de procedimentos para hemograma completo. Além disso, utilizou-se dados da Fundação Amazônia de Amparo a Estudos e Pesquisas (FAPESPA), para o cálculos demográficos da taxa. Resultados: Como resultados obtivemos total de 22.052.164 hemogramas no período, com média de 26,75 na taxa de realização de hemogramas para 100 habitantes (tH), sendo a maior em 2019 com 28,43 e a menor em 2020 com 24,97 - menor valor no intervalo estudado. Calculando-se a variação desse índice, na comparação com o ano anterior, obteve-se média de -0,27%, taxas negativas em 2013 (-3,85%), 2015 (-0,39%), 2016 (-0,53%) e a menor em 2020 com -12,18%;e taxas positivas em 2012 (3,52%), 2014 (2,96%), 2018 (1,89%), 2019 (0,03%), a maior em 2017 com 6,07%. Em relação aos municípios, Pau D'Arco obteve o maior valor no intervalo com tH de 68,26, seguido por São Geraldo do Araguaia (66,26) e Piçarra (64,99), a capital Belém figura em 16°lugar com 43,32, acima da média do estado. DISCUSSÃO: Em todo o Pará, e os 144 municípios analisados, no decorrer dos anos, visualizou-se uma possível tendência de aumento na quantidade total de hemogramas realizados em todo o estado até 2019, contudo após o cálculo da tH essa inclinação só foi regra a partir de 2017, apresentando alternância de aumento e queda em anos anteriores. Outrossim, destaca-se uma redução expressiva neste mesmo índice no ano de 2020, cuja causa pode estar relacionada a quarentena imposta pela pandemia de COVID-19. Quando analisado os municípios, Santarém foi o único que realizou mais de 1 milhão de coletas no intervalo analisado, além da capital, totalizando 1.298.846 (tH = 40,73). Porém, Pau D'Arco, São Geraldo do Araguaia e Piçarra foram os três que mais realizaram exames por habitantes, sendo que todas são cidades pequenas (a maior com 24.705 habitantes), o que indica a possibilidade de realização exagerada de exames. Finalmente, os municípios de Anajás, Aveiro, Bagre, Chaves, Santa Bárbara do Pará, São Caetano de Odivelas, não possuíam nenhum hemograma realizado no intervalo estudado e outros 35 municípios apresentaram pelo menos 1 ano com valores zerados, o que indica hipóteses como da necessidade de deslocamento para sua realização, ou inconsistência de dados. Conclusão: Diante do exposto, percebe-se que a execução de hemogramas pelo SUS no Pará, entre os anos de 2011 e 2020, foi marcada por um aumento quantitativo no intervalo. Entretanto, percebe-se uma flutuação no que tange a tH no mesmo período, com a maior taxa positiva ocorrendo em 2017 e a menor taxa negativa em 2020. Além disso, percebem-se diferenças marcantes entre as cidades evidenciando a possibilidade de concentração de realização de exames em centros urbanos maiores, ou exageros na sua solicitação. Assim, é importante a necessidade de dimensionar tal disparidade entre tais regiões.

7.
Diabetes Technology & Therapeutics ; 24:A161-A162, 2022.
Article in English | Web of Science | ID: covidwho-1848292
8.
Revista Cient..fica Multidisciplinar RECIMA21 ; 3(2), 2022.
Article in Portuguese | CAB Abstracts | ID: covidwho-1744313

ABSTRACT

Objective: To review the national scientific production on the effects of the pandemic by coronavirus and its reflex on health professionals, with emphasis on Burnout Syndrome and its main tripod: emotional exhaustion, depersonalization and reduction of personal achievement.

9.
2021 IEEE Frontiers in Education Conference, FIE 2021 ; 2021-October, 2021.
Article in English | Scopus | ID: covidwho-1672655

ABSTRACT

This full paper aims to present a model of the Pedagogical Agents architecture to assist in activities and tutorial interventions for mastering the resolution of first-degree polynomial equations. With the impact of the educational situation in various parts of the world due to the Covid-19 pandemic and the difficulties identified in the interaction between student and teacher, this research uses a multi-agent approach to improve the architecture of an Intelligent Tutoring System aiming to assist in the context of distance education. Exploratory research in the literature was carried out, aiming at the problem and situation, which implies the process of development of the technological artifact and from the elaboration of a product based on the gaps found. As pedagogical support, Vygotsky's social interaction theory for instructional support is used. The implementation of this proposal will result in the improvement of Tutoring Systems, allowing to guarantee conditions for the teacher and the student to carry out the teaching and learning process flexibly and intelligently, aiming at the construction of knowledge. © 2021 IEEE.

11.
International Journal of Manpower ; 2021.
Article in English | Scopus | ID: covidwho-1595474

ABSTRACT

Purpose: The COVID-19 pandemic caused job losses to rise dramatically. Herein, the purpose of the article is to identify which personal and job characteristics make individuals more vulnerable or more resilient to COVID-19 unemployment in Portugal and thus to help policymakers, organizations and individuals themselves, in creating mechanisms to avoid unemployment within this new context. Design/methodology/approach: Using extensive personal and job-related data on the complete population of newly unemployed in Portugal over several months after the emergence of the COVID-19 pandemic, a logit model is estimated to identify the characteristics that make workers more resilient or more vulnerable to COVID-19 unemployment, in comparison with the pre-crisis period. Findings: The COVID-19 crisis is shown to be disruptive by changing the unemployment structure, increasing socioeconomic inequalities and weakening traditional mechanisms of employment protection. Additionally, the authors identify a higher vulnerability of low-skilled individuals and of those in occupations with low working-from-home feasibility and/or from non-essential sectors (particularly tourism). Practical implications: Policy indications are given aiming to protect the most vulnerable individuals, sectors and regions in Portugal, in this new and unprecedented context. Originality/value: A seven-month period following the emergence of the pandemic is considered, which allows investigating both the immediate and the medium-term effects of the COVID-19 crisis on job losses. Additionally, by matching data from three different sources, an extensive set of multilevel variables is considered, some of them new in the literature. © 2021, Emerald Publishing Limited.

12.
Pediatric Diabetes ; 22(SUPPL 30):81, 2021.
Article in English | EMBASE | ID: covidwho-1570999

ABSTRACT

Introduction: In March 2020 diabetes outpatient clinics were closed and consultations suspended due to the restrictions imposed by authorities in the context of the COVID-19 pandemic. Telemedicine in Brazil was then urgently officialized. Considering that the majority of our patients come from a low socioeconomic background, the only alternative of communication was through a free mobile app via cell phone. Objectives: The aim of this study was to evaluate patient satisfaction and the effectiveness of care delivered by teleconsultations via cell phone in this population. Methods: This was a questionnaire-based cross-sectional study, completed using Google forms, offered to every patient/carer from the Pediatric Diabetes Outpatient Clinic of Santa Casa de São Paulo who received telemedicine care during this period. Complementary data were obtained from patients' electronic medical records. Results: In 12 weeks (between March and June 2020), from a total of 154 appointments, 83%(n=88) of patients were attended via asynchronous teleconsultations using a mobile app, 16%(n=17) were in-person and 31.2%(n=48) did not attend the consultation. The great majority of patients had their insulin dose adjusted (87.6%;n=85). From those who answered the questionnaire (87%;n=77), 93%(n=72) approved the telemedicine consultation and 59% said that glycemic control improved afterward. There were also economic benefits and less waste of time reported. Only 3 patients declared that they did not feel safe without face-to-face care. 60% declared they would like to continue alternating presential with online consultations after the end of the pandemic. Conclusions: During COVID-19 pandemics, the transition to telemedicine was associated with patients' satisfaction and efficacy in treatment adjustments. Considering the socioeconomic characteristics of this population, telemedicine via mobile app was a good option for offering diabetes care during a period of isolation.

13.
Allergy: European Journal of Allergy and Clinical Immunology ; 76(SUPPL 110):465-466, 2021.
Article in English | EMBASE | ID: covidwho-1570398

ABSTRACT

Background: Dupilumab has been recently approved for treatment in patients with severe AD in Portugal-until now there is no published data regarding Portuguese experience in Allergy centers. Method: Cross sectional clinical and laboratory assessment of 33 patients (pts) with moderate to severe AD treated with dupilumab (dupi) for at least 16 weeks (W): prospective evaluation of severity scores (SCORAD-Scoring Atopic Dermatitis, EASI-Eczema Area and Severity Index, P-VAS-Pruritus Visual Analogic Scale), report of adverse events up to 52 weeks of treatment. SCORAD and EASI were assessed in 23 pts at W52, P-VAS in 21 pts at W52. Results: Of the 33 pts, 18 were female (55%) with a mean age (SD, range) of 35.3 years (13.2, 15-60). In 16 pts the age of onset was before 2 years old, mean (SD) disease duration 28.1 years (12);94% patients had a diffuse pattern of skin lesions;97% of pts had allergic rhinitis, 82% asthma, 52% conjunctivitis and 30% food allergy. Median total IgE at baseline was of 6313 U/ml (P25-P75: 2842-12491) with a 76% reduction at W52 in 16 pts. Median eosinophil count at baseline was 520 eosinophils/mm3 (P25-P75: 270-740). Before starting dupi 29 pts had been treated with cyclosporine. At the beginning, 15 pts were under oral corticosteroids, 14 under oral systemic immunosuppressive drugs (all pts but two stopped both until W12 of dupi) and 5 switched from omalizumab. At baseline, median SCORAD and EASI were 69.3 and 24.2 points. At W16, W36 and W52, median SCORAD was 27.4, 22.3 and 21.5, and median EASI 5.3, 4.1 and 2.1. At W16, the EASI-50, EASI-75 and EASI-90 were achieved by 91%, 61% and 18% pts, and at W52, by 87%, 70% and 52% pts. The mean percentage of SCORAD reduction at W16 and W52 was 55% and 73%;and of EASI was 76% and 82%. At W16 and W52, an improvement of ≥4 points in P-VAS was achieved by 77% and 95% pts. There was a mean reduction of P-VAS at W2, W4, W16 and W52 of 2.6;3.6;4.7 and 6.3 points, respectively. Conjunctivitis was reported in 10 (30%) pts, two of them with keratoconjunctivitis and blepharitis, without needing to interrupt treatment;two pts also had facial erythema. One patient had COVID, and dupilumab scheme treatment was maintained. Conclusion: The majority of AD patients had a significant and consistent improvement in all the severity scores, after one year of treatment with dupilumab. No relevant adverse events were reported.

14.
Clinical Nutrition ESPEN ; 46:S607, 2021.
Article in English | ScienceDirect | ID: covidwho-1540489
15.
United European Gastroenterology Journal ; 9(SUPPL 8):786-787, 2021.
Article in English | EMBASE | ID: covidwho-1491000

ABSTRACT

Introduction: At pediatric age, an emergency endoscopic procedure is required in a limited number of circumstances, mainly due to accidental foreign body ingestion (FBI), gastrointestinal bleeding and caustic ingestion. FBI may represent most of the procedures, occurring typically in young children (6 months to 3 years of age) at home. Although most FBIs in the gastrointestinal tract pass spontaneously without complications, endoscopic or surgical removal may be required in a few cases. SARS-CoV2 pandemic has led to significant family lifestyle changes, which forced children to stay at home for prolonged periods of time. It has been suggested that pandemic contingency may have increased the frequency of domestic accidents during lockdown period (namely FBI and caustic ingestion) and consequently the risk of potentially fatal episodes, as compared with non-pandemic periods. Aims & Methods: A retrospective analysis of the overall admissions to the pediatric emergency department of a tertiary referral hospital center with need of emergency endoscopy was performed. Children and adolescents aged between 0 and 18 years were included in the study. We compared the first 6 months of the pandemic (peak months April to September 2020-Group A) with the homologous period of the previous year (2019-Group B). The aim of the study was to evaluate if the changes in the lifestyle and hospital practices imposed by the pandemic had an impact on the frequency and profile of the emergency endoscopy. Chi-square and Mann-Whitney U tests were used for statistical analysis using IBM-SPSS®. Statistically significance was considered when p-value was under 0.05. Results: A total of 89 cases were analyzed (54% of the admissions in group A). Median age of admissions was 4.5 years. Groups did not differ for gender (p = 0.399) or age (p = 0.242). Concerning overall emergency endoscopies, 28% (25/89) occurred in children under the age of two, with most of these episodes occurring in Group A (19/89;p = 0.009). Groups did not differ considering the endoscopy indication (foreign body ingestion, caustic ingestion, food impaction and digestive hemorrhage) (p=0.899), nor about the presence of associated lesions (p = 0.597). The most frequent ingestions were caustics (18%, 16/89), coins (17%, 15/89), food impaction (12%, 11/89) and batteries (10%, 9/89). However, battery ingestions and food impactions were more frequent in 2020, respectively 67% (9/89;p = 0.419) and 64% (7/89;p = 0.49). There were no statistically significant differences on the time delay to reach the emergency department (p = 0.934) or on the time delay since emergency room admission until the endoscopic procedure (p = 0.266). More foreign bodies were removed in Group A (p = 0.026) and when lesions were present, they were more frequently seen on the esophagus (p = 0.007). Most of the patients (84%) were discharged home, after a brief recovery time after the procedure, with no difference between groups (p = 0.397). Conclusion: This study shows that there were no significant differences between both groups on the number and type of emergency endoscopies, on the time to reach the emergency room or to the performance of the endoscopy. Children under the age of 2 had more episodes with need of emergency endoscopy during the pandemic as compared to the homologous period. Overall, the pandemic did not seem to affect the quality of healthcare practice concerning emergency endoscopic procedures.

17.
International Journal of Contemporary Hospitality Management ; 2021.
Article in English | Scopus | ID: covidwho-1276332

ABSTRACT

Purpose: This paper aims to address the immediate effects of the COVID-19 crisis in the Portuguese tourism and hospitality industry by examining whether some specific characteristics make people more vulnerable or more immune to unemployment. Design/methodology/approach: Using an extensive micro-level data set of personal and job-related attributes containing all unemployed individuals in the Portuguese tourism and hospitality industry, a logit model with 56,142 observations is estimated to assess how each characteristic contributed to the unemployment odds during the COVID-19 crisis (until the end-July 2020), relatively to the pre-COVID period. Findings: The most vulnerable workers to COVID-19 unemployment seem to be older, less educated, less qualified, women and residents in regions with a higher concentration of people and tourism activity. Moreover, the COVID-19 crisis is generating a new type of unemployment by also affecting those who were never unemployed before, with more stable jobs and more motivated at work, while reducing voluntary disruptions. Practical implications: Public effort should be made not only to increase workforce education but especially to reinforce job-specific skills. The COVID-19 crisis has broken traditional protective measures against unemployment and separated workers from their desired occupations, which justifies new and exceptional job preservation measures. Policy recommendations are given aiming at strengthening worker resilience and industry competitiveness in the most affected sub-sectors and regions. Originality/value: This study extends the current understanding of worker vulnerability to economic downturns. Herein, this paper used a three-level approach (combining socio-demographic, work-related and regional factors), capturing the immediate effects of the COVID-19 crisis and focussing on the tourism and hospitality industry (the hardest-hit sector worldwide). © 2021, Emerald Publishing Limited.

18.
Sustainability (Switzerland) ; 13(8), 2021.
Article in English | Scopus | ID: covidwho-1218998

ABSTRACT

The COVID pandemic has touched many aspects of everyone’s life. Education is one of the fields greatly affected by it, as students and teachers were forced to move online and quickly adapt to the online environment. Assessment is a crucial part of education, especially in STEM fields. A gap analysis was performed by expert groups in the frame of an Erasmus+ project looking at the practices of six European countries. Specialists teaching university-grade mathematics in seven European institutions were asked about their perception of gaps in the assessment of students both before (2019) and during (2021) the pandemic. This qualitative study looks at the difference in perception of such gaps after almost one year of online teaching. The analysis of their responses showed that some gaps were present before the pandemic, as well as others that are specific to it. Some gaps, such as the lack of IT infrastructure and the need to adapt materials to an online environment, have been exacerbated by the outbreak. © 2021 by the authors. Licensee MDPI, Basel, Switzerland.

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Rev Med Suisse ; 17(733):703-707, 2021.
Article in French | PubMed | ID: covidwho-1172188

ABSTRACT

Compared with the general population, oncology patients face a higher morbidity and mortality caused by the COVID-19 pandemic. As a result, health systems had to quickly adapt cancer care in order to maintain the best quality and patient safety. From March to May and from October to December 2020, 254 patients diagnosed with cancer and tested positive for SARS-CoV-2 benefited from a tele-health monitoring at the Oncology Department at CHUV. This article describes the key points of the development, implementation and operation of this tele-health monitoring, enabled by an interdisciplinary and inter-professional collaboration between different units and healthcare professionals.

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