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2.
Revista De Epidemiologia E Controle De Infeccao ; 12(1):1-20, 2022.
Article in English | Web of Science | ID: covidwho-1887363

ABSTRACT

Background and objectives: understanding the clinical-epidemiological and environmental factors related to deaths due to COVID-19 and their distribution in space can serve as subsidies to direct and implement more effective health actions for vulnerable populations. Thus, the objective was to synthesize the scientific evidence related to risk factors and spatial distribution of deaths due to COVID-19 in the world. Content: this is an integrative literature review, and the following guiding question emerged: what is the scientific evidence related to risk factors and spatial distribution of deaths due to COVID-19 in the world? Searches were carried out in the Scientific Electronic Library Online (SciELO) and the Scopus, Web of Science and National Library of Medicine (PubMed) databases in June 2021. Original studies in Portuguese, English or Spanish, without time frame, excluding studies with a specific age group or with an audience with specific comorbidity, were used. A total of 25 studies were included, with findings in different scenarios around the world. Factors such as age, sex, pre-existing diseases were associated with deaths due to COVID-19, which had a heterogeneous spatial distribution and occurred in environmental, socioeconomic and geographic conditions peculiar to these territories. Conclusion: age equal to or greater than 60 years, males, cardiovascular diseases, diabetes mellitus and geographic areas with greater environmental pollution, greater population density and precarious sanitary conditions influenced the mortality of COVID-19.

3.
Revista Latino-Americana de Enfermagem ; 30, 2022.
Article in English | Scopus | ID: covidwho-1875200

ABSTRACT

Objective: to identify the diverse scientific evidence on the types of skin lesions caused due to the use of Personal Protective Equipment in health professionals during the COVID-19 pandemic and to verify the recommended prevention measures. Method: this is an integrative review carried out in the MEDLINE, CINAHL, LILACS, SCOPUS, Science Direct, Web of Science and SciELO databases. The search was conducted in a paired manner, constituting a sample of 17 studies categorized according to the types of skin lesions and preventive measures. Results: the main types of skin lesions related to mask use were stage 1 pressure ulcers, acne and cutaneous depression. Regarding the use of glasses and face shields, the most frequent were stage 1 and 2 pressure ulcers. Xerosis and irritant contact dermatitis occurred due to using gloves and protective clothing, respectively. The main preventive measures recommended were using hydrocolloid or foam dressing in the pressure regions, moisturizers and emollients. Conclusion: a considerable number of skin lesions associated with using the equipment were noticed, and the data obtained can guide the professionals in identifying risks and promoting preventive measures to avoid their occurrence. Descriptors: Personal Protective Equipment;Skin;Health Personnel;Skin Diseases;Disease Prevention;COVID-19. © 2022 Revista Latino-Americana de Enfermagem.

5.
European Journal of Public Health ; 31:525-525, 2021.
Article in English | Web of Science | ID: covidwho-1609725
6.
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.

7.
European Journal of Heart Failure ; 23:275-275, 2021.
Article in English | Web of Science | ID: covidwho-1548612
8.
European Journal of Public Health ; 31, 2021.
Article in English | ProQuest Central | ID: covidwho-1515080

ABSTRACT

Falls are one of the most common mechanisms of injury namely at home and in leisure time reaching one of the most vulnerable groups of the population such as the older ones, with expression in morbidity and mortality. The pandemic context we are experiencing it has had effects on the physical, mental and social wellbeing of populations but also on the use of health care whose magnitude and reasons are subject of discussion. The aim of this study is to understand the evolution of falls episodes in victims aged 65 and over, which needed attendance in the emergency room of the Health National Service Hospitals in Portugal based on hospital records, through EVITA system, between 2017 and 2020. A descriptive analysis of the data was performed, with the determination of absolute and relative frequencies (percentages). Bivariate comparisons were performed using Pearson's chi-square test with a significance level of 5%. In this analysis, the statistical program SPSS V.24 was used. In the four years between 2017 and 2020 the older people aged 65 and over represented 27% of the total of attendances in the emergency room. Considering the total of ED attendances in this age group 10% occurred due to fall at home or during leisure time. In the last four years there were 462 953 falls in people victims aged 65+, constituting 46% of hospital ED attendances by fall. From march to december 2020, falls episodes have remained below the values of similar periods in the previous four years (p < 0,01). The largest percentage decrease in falls in 2020 compared to the same period in 2019 occurred in april, with a decrease of 41%. Most of this falls in the study population occurred at home (61%), followed by falls in outdoor spaces (11%). Globally, this reality regarding to the decrease of the ED attendances during this pandemic context is not exclusive to Portugal. Key messages The older people represented 27% of the total of attendances in the emergency room in the four years in analysis. 10% of ED attendances occurred due to fall at home or during leisure time. From march to december 2020, was observed a significant decrease of falls episodes compared with the previous four years.

9.
Revista Tecnologia E Sociedade ; 17(49):238-250, 2021.
Article in Portuguese | Web of Science | ID: covidwho-1512773

ABSTRACT

The objective is to analyze the contributions of social media, in the format of lives, in health promotion in the context of physical distancing in the SARS-CoV-2 pandemic. This is an observational and bibliographic study of an exploratory analytical nature with a narrative approach, using data from streaming platforms and Google Trends from January to April 2020. Search for lives had a notable rise, especially between May and April, and these contribute for health promotion, mental health care, leisure, education, social relationships, entertainment, and emotional support as they articulate and permeate public policies associated with technologies. In addition, there is ample relevance regarding the social role they assume in encouraging donations. It is believed that these analyzes and information tend to cooperate with further investigations to better understand the contributions of digital technologies during the SARS-CoV-2 pandemic for people who have and/or are experiencing such experiences.

10.
Movement Disorders ; 36:S271-S272, 2021.
Article in English | Web of Science | ID: covidwho-1436917
11.
Revista Juridica ; 2(64):158-183, 2021.
Article in Portuguese | Scopus | ID: covidwho-1404236

ABSTRACT

Objectives: This paper analyzes the implications of the COVID-19 pandemic in international commercial contracts and its impacts on the obligations performance within the United Nations Convention on Contracts for the International Sale of Goods (CISG). Methodology: The research was conducted through an inductive, hypothetical approach, based on an understanding of legal concepts and a bibliographic/documentary survey, with an exploratory and conclusive objective. Results: The study leads to some conclusions regarding the total or partial failure to perform contracts due to the COVID-19 pandemic and its consequences on international trades. Contributions: This is a topical matter of great relevance, given its impacts on the different countries’ economies and on the society as a whole, which falls within the field of interest of international law. © 2021, Centro Universitário Curitiba - UNICURITIBA. All rights reserved.

12.
AHFE Conference on Human Factors and Ergonomics in Healthcare and Medical Devices, 2021 ; 263:651-658, 2021.
Article in English | Scopus | ID: covidwho-1359906

ABSTRACT

We want to promote a reflection about a revolution that happened in our lives in the year of 2020 when suddenly we became “imprisoned” trying to have a “new “normal life for which we were not prepared. Humanity should be prepared for this kind of challenges because its history is also the history of pandemics. In 2020 the world has assumed its vulnerability, its fragility face to the unknown. As Bernard-Henri Levi said, the virus is shaking the world and humanity has gone mad. We suddenly became aware of the fragility of social boundaries;Žižek said_ the classic definition of society - humans among humans, became meaningless. We pretend to promote a discussion and a reflection about the role of Design facing this majour challenges: how Design can, or should, be applied to a new reality on the behalf of security, but also on sociability and the preservation of intimacy knowing for sure that it will happen again. © 2021, The Author(s), under exclusive license to Springer Nature Switzerland AG.

15.
Revista Brasileira de Marketing ; 20(2):352-378, 2021.
Article in English | Scopus | ID: covidwho-1296138

ABSTRACT

Purpose of the Study: The purpose of this paper is to systematically review the literature on consumption and consumer behavior in the first year of the COVID-19 pandemic. To accomplish this objective, this paper seeks to answer the following research questions: What is the current state of the art of the literature on the COVID-19 pandemic and consumption/consumer behavior? What are the disruptions in consumer’s lives that the literature has been discussing? What are the gaps in the research on Consumption/Consumer Behavior and the COVID-19 Pandemic? Methodology: We conducted a scoping review of the literature using data from the Scopus and Web of Science databases. We performed a bibliometric analysis, thematic analysis, and content analysis. Main Results: Brifely, we found seven main topics in the literature: Changes in Consumer Behavior;Coping with the Lockdowns;Information Seeking and Sharing;Psychological Effects;Addictive Behavior;Changes in Food Consumption;Panic Buying and Hoarding Behavior. Also, emerging themes from consumption, as the antecedents of consumption and the crisis effect on human behavior have been explored. The survey method using SEM is the principal methology and samples were mainly from the USA and China. Theoretical and Methodological Contributions: We provide evidence-based information to the marketing literature, consumer research, and practitioners on how the pandemic has affected the consumer domain. Relevance/Originality: We highlight consumer behavior in a pandemic context from a research and managerial perspectives. We provide a literature review that identify the topocs, methods, and overall discussions regarding the pandemic effects on consumption and consumer behavior that can support companies in undestanding the behavior and also trigger more research and development of public and organizational policies. Copyright © 2021 Korean College of Helicobacter and Upper Gastrointestinal Research.

16.
Ieee Latin America Transactions ; 19(6):1083-1089, 2021.
Article in English | Web of Science | ID: covidwho-1290933

ABSTRACT

This paper presents and compares three volume sensors to be used in mechanical ventilators developed in laboratory: volume sensor based on the Pitot tube, volume sensor based on the Venturi tube and infrared(IR) volume sensor. The three sensors were calibrated and tested with a mechanical ventilator in Pressure-controlled Ventilation (PCV) mode. The maximum pressure changed, keeping textitPositive End-Expiratory Pressure (PEEP) and respiratory rate fixed. For each maximum pressure value: the value measured by the sensor was compared with the reference value, the value informed by the mechanical ventilator. The infrared sensor showed better performance for the specific application in a mechanical ventilator, being the only sensor considered adequate between the tested ones.

17.
Critical Care Medicine ; 49(1 SUPPL 1):98, 2021.
Article in English | EMBASE | ID: covidwho-1193912

ABSTRACT

INTRODUCTION: Since the new coronavirus began to spread throughout the world children and adolescents were affected on a smaller scale than adults, being mostly asymptomatic carriers or having mild to moderate symptoms, with lower risk of developing serious complications. When infected, patients in the pediatric age group presented a range of varied symptoms associated with the virus, different from adults where the main clinical symptom was respiratory. METHODS: Eight patients were admitted to our pediatric intensive care unit with a diagnosis of SARS-CoV-2, confirmed by PCR or serology;of these 3 were asymptomatic or presented mild flu symptoms, 2 had clinical presentation typical of severe acute respiratory distress syndrome, 1 presented abdominal pain associated with multisystemic inflammatory syndrome, 1 had clinical presentation of acute respiratory distress syndrome and later admitted again to our service fulfilling criteria for multisystemic inflammatory syndrome and 1 presented ischemic stroke after SARSCoV- 2. Four patients with severe symptoms required ventilatory support through mechanical ventilation due to respiratory failure, in most cases, difficult to manage and with shock requiring vasoactive drugs. Unlike adults, none of the 8 patients required renal replacement therapy. No outcome evolved to death. RESULTS: The diagnosis and management of SARS-CoV-2 in pediatrics is a challenge, due to this varied clinic and little experience of professionals due to a small number of cases, making this study important for better knowledge about the disease, thus improving care.

18.
Critical Care Medicine ; 49(1 SUPPL 1):87, 2021.
Article in English | EMBASE | ID: covidwho-1193890

ABSTRACT

INTRODUCTION: The World Health Association declared at match 2020 that the disease caused by nCoV-2019, the SARS-Cov-2, became a pandemic infection. The majority of patients infected by this new virus presented fever, cough and dyspnea, but also were reported cases of pneumonia leading to acute distress respiratory syndrome, acute kidney injury and encephalitis. Also, some patients presented a transient ischemic attack or a brain stroke as a complication of the infection. We will report a case of a pediatric patient that evolved with ischemic stroke after infection by nCoV-2019. METHODS: An 8 years old female patient, with previous asymptomatic infection by nCoV-2019 and no past medical history, started headache, abdominal pain and persistent fever for seven days evolving to left hemiparesis. At clinical assessment presented with ocular opening only when called (Glasgow coma scale of 14), tachypnea, dyspnea, hypotension, grade 3 muscular strength on left leg and grade 0 on left arm. Due to hypotension, at emergency sector, were initiated treatment with fluid resuscitation, but patient evolved to refractory shock needing vasoactive drugs and transference to intensive care unit. Performed cranial CT scan that showed recent extensive ischemic injury on territory supplied by left middle cerebral artery and occlusion of right internal carotid artery bifurcation. On laboratory tests patient presented increased C-reactive protein (35,8 mg/dL), ferritin (807 mg/ dL), D-dimer (13,69 μg/mL), ESR (50 mm/h) and troponin (0,097 ng/mL) with negative RT-PCR for SARS-CoV-2 and serology for SARS-CoV-2 with negative IgM, negative IgA and positive IgG. Towards this clinical case, patient fulfilled criteria for Pediatric Multisystem Inflammatory Syndrome temporally associated with SARS-CoV-2 (PIMS-TS), so were initiated treatment with human immunoglobulin 2g/Kg at the 3rd day after the admission of the patient on the intensive care unit. Patient evolved hemodynamically stable, being possible to suspend vasoactive drugs at the 4th day after admission. RESULTS: Although PIMS-TS is still considered a rare outcome, recognize its clinical and laboratorial manifestations and its possible complications, like the ischemic stroke, is essential to make an adequate and a timely management during patient hospitalization.

19.
Einstein-Sao Paulo ; 19:8, 2021.
Article in English | Web of Science | ID: covidwho-1121200

ABSTRACT

Objective: Since the rising of coronavirus disease 2019 (COVID-19) pandemic, there is uncertainty regarding the impact of transmission to cancer patients. Evidence on increased severity for patients undergoing antineoplastic treatment is posed against deferring oncologic treatment. We aimed to evaluate the impact of COVID-19 pandemic on patient volumes in a cancer center in an epicenter of the pandemic. Methods: Outpatient and inpatient volumes were extracted from electronic health record database. Two intervals were compared: pre-COVID-19 (March to May 2019) and COVID-19 pandemic (March to May 2020) periods. Results: The total number of medical appointments declined by 45% in the COVID-19 period, including a 56.2% decrease in new visits. There was a 27.5% reduction in the number of patients undergoing intravenous systemic treatment and a 57.4% decline in initiation of new treatments. Conversely, there was an increase by 309% in new patients undergoing oral chemotherapy regimens and a 5.9% rise in new patients submitted to radiation therapy in the COVID-19 period. There was a 51.2% decline in length of stay and a 60% reduction in the volume of surgical cases during COVID-19. In the stem cell transplant unit, we observed a reduction by 36.5% in length of stay and a 62.5% drop in stem cell transplants. Conclusion: A significant decrease in the number of patients undergoing cancer treatment was observed after COVID-19 pandemic. Although this may be partially overcome by alternative therapeutic options, avoiding timely health care due to fear of getting COVID-19 infection might impact on clinical outcomes. Our findings may help support immediate actions to mitigate this hypothesis.

20.
Angiologia e Cirurgia Vascular ; 16(3):120-121, 2020.
Article in Portuguese | EMBASE | ID: covidwho-1074042
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