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1.
Transdisciplinary Journal of Engineering and Science ; 12, 2021.
Article in English | Scopus | ID: covidwho-1705477
2.
World Leisure Journal ; 63(3):229-243, 2021.
Article in English | CAB Abstracts | ID: covidwho-1638267

ABSTRACT

This qualitative research analysed how the pandemic caused by COVID-19 influenced the leisure of older adults who frequent urban public parks in a city in southern Brazil. Semi-structured interviews were conducted by telephone with 23 older adults, 16 women and 7 men (60 years old), who frequented urban parks before the beginning of the pandemic. The interviews were specifically designed for this research and addressed (a) the participants' perspectives on the concept of leisure;(b) the influence of COVID-19 on leisure and (c) leisure events and activities during the pandemic. The data was analysed using the content analysis technique. The participants reported that their leisure was affected by COVID-19, mainly due to pandemic-related restrictions which make social, cultural, touristic and physical activities unfeasible and reduced their leisure participation in urban public parks. Furthermore, findings suggest that the COVID-19 pandemic reduced the freedom and autonomy of older adults, and increased inequality, fear and lack of time, resulting in greater leisure constraints. With more time at home and in contact with friends and family, albeit virtually, leisure has been re-defined, denoting different and important configurations for older adults. Esta pesquisa qualitativa analisou como a pandemia causada pela COVID-19 influenciou o lazer de idosos frequentadores de parques p..blicos urbanos em uma cidade do sul do Brasil. Entrevistas semiestruturadas foram realizadas por telefone com 23 idosos, 16 mulheres e sete homens (60 anos), que frequentavam parques urbanos antes do in..cio da pandemia. As entrevistas foram elaboradas especificamente para esta pesquisa e abordaram: (a) as perspectivas dos participantes sobre o conceito de lazer;(b) a influ..ncia da COVID-19 no lazer;e (c) eventos e atividades de lazer durante a pandemia. Os dados foram analisados por meio da t..cnica de an..lise de conte..do. Os participantes relataram que seu lazer foi afetado pela COVID-19, principalmente devido ..s restri....es relacionadas .. pandemia que inviabilizam as atividades sociais, culturais, tur..sticas e f..sicas e reduzem a participa....o no lazer em parques p..blicos urbanos. Al..m disso, os resultados sugerem que a pandemia da COVID-19 reduziu a liberdade e a autonomia dos idosos e aumentou a desigualdade, o medo e a falta de tempo, resultando em maiores restri....es de lazer. Com mais tempo em casa e no contato com amigos e familiares, ainda que virtualmente, o lazer foi redefinido, denotando configura....es diferentes e importantes para os idosos.

4.
Annals of Oncology ; 32:S1141, 2021.
Article in English | EMBASE | ID: covidwho-1432876

ABSTRACT

Background: Cancer patients appear to be a vulnerable group in COVID-19 pandemic. We aimed to compare clinical characteristics and outcomes of cancer and non-cancer patients with COVID-19 admitted to an intensive care unit (ICU). Methods: We conducted a retrospective case-control study in patients with laboratory-confirmed COVID-19, with and without cancer, admitted to the ICU of “Centro Hospitalar Universitário do Porto” from 2nd March 2020 to 31st January 2021. Patients were matched according to age, gender and underlying comorbidities. Clinical, laboratory and radiological findings were obtained from medical records. COVID-19 related outcomes of both groups were compared using logistic regression. Results: 29 critical COVID-19 cancer patients (cases) and 29 critical COVID-19 non-cancer patients (controls) were enrolled. Fever, dyspnea and cough were the most common presenting symptoms in both groups. Lymphopenia and elevated lactate dehydrogenase were the most common laboratory findings in both groups and anemia was observed significantly more often in cancer patients (75.9% vs 44.8%;p=0.031). Ground glass opacities were more frequently seen in controls (100% vs 67%;p=0.018). Univariate regression revealed that invasive mechanical ventilation (IMV) need on ICU admission was significantly higher among cancer patients [48% vs 7%;odds ratio (OR)= 12.600, 95% confidence interval (CI) 2.517-63.063, p=0.002] but there was no significant impact either on global need of IMV during all-length ICU stay (76% vs 55%;OR= 2.554, 95% CI 0.831-7.842, p=0.102) or on mortality rates (59% vs 38%;OR= 2.318, 95% CI 0.809-6.644, p=0.118). A multivariate model showed an increase in the adjusted risk of IMV need at ICU admission (adjusted OR= 14.036, 95% CI 1.337-153.111, p=0.028). The length of ICU stay, time to death and rate of complications were not impacted by the presence of cancer. Conclusions: In this study critical cancer patients with COVID-19 had an increased risk for IMV need at ICU admission but not for IMV need during all-length ICU stay or mortality rates. Despite evolving more rapidly to respiratory failure (RF) cancer patients did not have significant increase on mortality, stressing the importance of aggressive treatment in this group of patients. Legal entity responsible for the study: The authors. Funding: Has not received any funding. Disclosure: All authors have declared no conflicts of interest.

6.
Journal of Clinical Rheumatology ; 27(SUPPL 1):S19, 2021.
Article in English | EMBASE | ID: covidwho-1368233

ABSTRACT

Objectives: To determine the main risk factors associated with COVID-19 in SLE patients. Methods: The Reuma CoV Brazil is a multicenter, observational, prospective cohort designed to monitor immune-mediated rheumatic diseases patients during SARS-CoV-2 pandemic in Brazil. SLE adult patients according to SLE SLICC criteria classification (2012), with and without (control group-CG) COVID-19 diagnosis were matched. Demographic data, managing of COVID-19, comorbidities, clinical characteristics (disease activity: Patient Report Outcomes-PROs, Physician Global Assessment and SLEDAI-2 K)were collected. Results: From May 2020 to January 2021, 604 SLE patients were included, 317 (52.4%) with COVID-19 and 287 (47.6%) in the CG. Both groups were homogeneous and comparable regarding sex and comorbidities. SLE patients with COVID-19 declared a lower level of social isolation (49.5% vs. 61.9%;p = 0.002), worked more commonly in health professions (10.4% vs. 3.5%;p = 0.002), presented more frequently joint (32.5% vs. 22.0%;p = 0.004) and hematological manifestations (18.0% vs. 11.5%;p = 0.025). SLEDAI-2 K did not differ among groups prior and after COVID-19 infection. However, considering the mean duration of COVID-19 symptoms (12.1 ± 8.8 days), infected patients had more severe disease activity's PROs after resolution of COVID-19 symptoms (2.9 ± 2.9 vs. 2.3 ± 2.6;p = 0.031). The hospitalization rate was 20.5% (n = 65), of whom 23 (7.2%) needed intensive care unit and 14 (4.4%) patients died. Hypertension [5,26 (1,9714,07);p = 0.001] and recently cyclophosphamide pulses [39,21 (4,17-368,53);p = 0.001] were associated with hospitalization and patients who received telemedicine medical care presented 72% less chance of hospitalization [0.28 (0.09-0.83);p = 0.023). Conclusion: COVID-19 was associated with a lower level of declared social isolation and more severe disease activity perception after SARS-CoV-2 infection according to PROs. Hypertension and cyclophosphamide were associated with hospitalization and telemedicine can be a useful tool for SLE patients with COVID-19. These data should be considered to perform public health policy and national guidelines to manage SLE patients during the pandemic, as well as to prioritize some special groups for the immunization program.

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