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1.
Pulmonology ; 2022 Jun 12.
Article in English | MEDLINE | ID: covidwho-1886044

ABSTRACT

The COVID-19 pandemic crisis, among so many social, economic and health problems, also brought new opportunities. The potential of telemedicine to improve health outcomes had already been recognised in the last decades, but the pandemic crisis has accelerated the digital revolution. In 2020, a rapid increase in the use of remote consultations occurred due to the need to reduce attendance and overcrowding in outpatient clinics. However, the benefit of their use extends beyond the pandemic crisis, as an important tool to improve both the efficiency and capacity of future healthcare systems. This article reviews the literature regarding telemedicine and teleconsultation standards and recommendations, collects opinions of Portuguese experts in respiratory medicine and provides guidance in teleconsultation practices for Pulmonologists.

2.
Revista Ciencias Administrativas ; 28:14, 2022.
Article in Portuguese | Web of Science Web of Science | ID: covidwho-1884591

ABSTRACT

The objective of the study was to analyze the impacts of the covid-19 pandemic on the Quality of Life at Work (QoLW) of the managers of the Federal Institute of Education, Science and Technology of Paraiba (IFPB), Joao Pessoa campus, in home office activities. It was an applied, exploratory-descriptive case study, with a non-probabilistic sample (n=39), selected for accessibility and convenience. Data were collected by sending an electronic questionnaire, processed and analyzed using descriptive statistics. There was a predominance of males (53.8%), aged between 30 and 39 years (43.6%), doctors (33%) and with a remunerated position. Managers' perceptions - regarding organizational, environmental and behavioral aspects in QWL in the home office in the pandemic context - were mostly positive, but they require improvement in organizational daily life.

3.
International Journal of Strategic Change Management ; 7(4):290-313, 2021.
Article in English | Scopus | ID: covidwho-1875145

ABSTRACT

Globalisation has changed the way business is viewed and oriented. Its impact is broad and wide-ranging, requiring an analysis and reflection of the existing business approaches and their respective practices. Covid-19 pandemic accelerated this situation and made it necessary for organisations to create new methods and tools to adapt to the actual context we are living in. This paper has as main goal to analyse the influence of strategy on the performance of REMAX real estate companies in Portugal. To achieve this objective, this research was developed according to a quantitative methodology, whose data was collected through a questionnaire survey, addressed to the directors boards of the real estate mediation companies of REMAX network, in Portugal, of which 70 valid answers were obtained. The obtained results show that the strategy has a strong influence on the performance. In addition, the results reveal that only the adopted prospective strategy by the companies has a direct impact on performance. The performance skills of the organisations, such as financial performance, customers and internal processes are the antecedents that most influence the strategy. © 2021 Inderscience Enterprises Ltd.

4.
Hematology, Transfusion and Cell Therapy ; 43:S522-S523, 2021.
Article in English | EMBASE | ID: covidwho-1859727

ABSTRACT

Introdução: A Organização Mundial de Saúde (OMS) alerta que a atual pandemia pelo SARS-CoV-2 provocou grande impacto no suprimento de sangue, ocasionado pela redução significativa nas doações que repercutem nos hemocentros, que precisam reestruturar o serviço para o risco iminente de desabastecimento e o consequente comprometimento da assistência hospitalar. Entretanto, o serviço de hemoterapia deve estar atento às condições de vulnerabilidade que o doador estar exposto. Diante disso, foi identificada a necessidade de desenvolvimento de ações e adaptações na rotina de atendimento ao doador, visando uma maior segurança na prática de doação e também dos profissionais que atuam na linha de frente, para a manutenção dos estoques de sangue. Objetivo: Descrever a experiência do Hemocentro Hemope na adoção de ferramentas de gestão para enfrentamento do risco de contaminação pelo SARS-CoV-2, nos anos de 2020 e 2021. Material e métodos: Relato de experiência das atividades desenvolvidas pelos gestores e profissionais do Hemocentro Hemope para viabilizar o atendimento seguro ao doador de sangue durante a pandemia da Covid-19. Resultados: 1. Criação do Comitê de Contingência para enfrentamento da COVID-19: Formado por profissionais de diversas áreas hospitalares, com reuniões semanais e elaboração do Plano de Ações entregue ao Governo do Estado. Planejamento de previsão de insumos necessários de Equipamentos de Proteção Individual (EPI'S) e distribuição diária para os profissionais de saúde;2. Reestruturação física do Hemocentro: Colocação de um toldo para ampliar sala de espera da doação evitando aglomerações no hemocentro, com cadeiras, dispensers de álcool em gel e gelágua. Distanciamento e adesivação alternada das cadeiras dos candidatos à doação. Colocação de acrílicos protetores nos balcões da recepção da coleta de doador e na pré-triagem para proteção dos profissionais. Substituição das mesas de lanche por carteiras escolares nas duas copas do doador, para garantir isolamento no momento do lanche. 3. Ações de limpeza: Sanitização de todas as dependências do hemocentro a cada 72h. Colocação de dispensers de álcool em gel de parede em todas as áreas do hemocentro e frascos individuais em todas as cadeiras de doação. 4. Fluxo de atendimento aos doadores: Articulação junto ao Governo do Estado para implantação do Call Center para agendamento da doação de sangue, com readequação do fluxo de atendimento, priorizando o horário agendado;5. Educação em Saúde: Criação do acolhimento ao doador na portaria central e na recepção da coleta do doador realizada por profissionais de saúde e residentes de enfermagem, com orientações de higiene das mãos, oferecimento de álcool em gel, entrega de folders educativos sobre Covid-19, verificação de sintomas respiratórios e aferição de temperatura com termômetro infravermelho. Orientação de todos os captores de doadores sobre sintomatologia do Covid-19. Confecção de cartazes sobre higiene das mãos e uso obrigatório de máscaras. 6. Campanhas de Doação de sangue: Parceria com as Instituições Religiosas, Instituições de Ensino, Polícia Rodoviária Federal, Polícia Militar e Forças Armadas para realização de campanhas de doação de sangue. Realização da Campanha Junho vermelho nas Redes Sociais. Conclusão: As ações instituídas pelo Hemocentro Hemope, visando cumprir as normas de qualidade e segurança da OMS, possibilitou a reestruturação física do hemocentro, readequação no controle de fluxo de doadores evitando aglomerações, sanitização periódica do ambiente, realização de educação em saúde, oferecendo maior proteção aos doadores garantindo estoques seguros de hemocomponentes, necessários a assistência aos clientes do Sistema Único de Saúde.

5.
Hematology, Transfusion and Cell Therapy ; 43:S411-S412, 2021.
Article in Portuguese | EMBASE | ID: covidwho-1859672

ABSTRACT

Objetivos: Analisar o número de doadores de sangue do Hemocentro Regional de Santa Maria (HEMOSM), os quais apresentaram sorologia reagente ou inconclusiva para Doença de Chagas (DC), durante o período de fevereiro/2020 a julho/2021. Material e métodos: Trata-se de um estudo observacional retrospectivo, de abordagem quantitativa, realizado por meio da coleta de dados do Sistema HEMOVIDA (Sistema Nacional de Gerenciamento em Serviços de Hemoterapia) e dos arquivos do Laboratório de Sorologia do HEMOSM durante o período da Pandemia de COVID-19. As amostras de sangue dos doadores foram coletadas em tubos para a obtenção do soro empregado nos ensaios. A técnica para a detecção de anticorpos anti Trypanosoma cruzi foi a eletroquimioluminescência. Resultados: Dos 295 doadores que apresentaram algum impedimento durante a triagem sorológica, 23 deles tiveram as bolsas de sangue descartadas por Doença de Chagas, representando 8% das bolsas desprezadas pela triagem sorológica no mesmo período. Ainda, 4 apresentaram coinfecção por outros agentes etiológicos, sendo 3 por Treponema pallidum (sífilis) e 1 por HIV. Daqueles 23 doadores, 16 apresentaram sorologia reagente com detecção de anticorpos contra o T. cruzi, enquanto 7 apresentaram sorologia inconclusiva. Em relação ao sexo dos doadores, com resultados reagentes ou inconclusivos para a DC, 40% são mulheres e 60% homens. 70% dos doadores que apresentaram marcador sorológico para a DC são residentes da cidade de Santa Maria e os 30% restantes são residentes de cidades próximas pertencentes ao estado do RS. Discussão: A Doença de Chagas é uma condição crônica que leva aproximadamente 40% dos indivíduos infectados a desenvolverem sinais clínicos com envolvimento cardíaco ou digestivo. Trata-se de uma patologia parasitária decorrente da infecção pelo protozoário hemoflagelado T. cruzi, tendo como vetores os insetos triatomíneos. A transmissão pode ocorrer de forma vetorial (maior relevância epidemiológica), congênita, por transplante de órgãos, transmissão oral, através de acidentes de laboratórios e por transfusões sanguíneas, sendo este último modo de transmissão o que faz com que a DC seja pesquisada para doadores de sangue. A pesquisa da DC é importante pois 60% dos portadores do parasita não apresentam manifestações clínicas da doença. Os doadores com sorologia reagente ou indeterminada são convocados ao hemocentro para realização de nova coleta de sangue para confirmação dos resultados e para orientação a respeito do acompanhamento desta infecção. Nesse sentido, conforme os dados encontrados na presente amostra, percebe-se que foi identificado um número significativo de soropositivos para DC durante o período analisado, percentual aproximado ao do HIV, o que fundamenta a importância desse rastreio e da notificação em serviços de saúde. Conclusão: Em comparação com outras causas de descarte de hemocomponentes, como a triagem sorológica para sífilis e hepatites virais, a DC não tem grande destaque, mas de qualquer forma, mesmo que o resultado seja inconclusivo, todos os hemocomponentes produzidos a partir das doações desses voluntários devem ser descartados para a garantia da segurança transfusional.

6.
Hematology, Transfusion and Cell Therapy ; 43:S309, 2021.
Article in Portuguese | EMBASE | ID: covidwho-1859633

ABSTRACT

Objetivos: Quantificar e identificar os motivos de desprezo de plaquetas coletadas por aférese no Hemocentro Regional de Santa Maria (HEMOSM), durante o período da pandemia de COVID-19. Material e métodos: Trata-se de uma pesquisa observacional retrospectiva, a qual foi realizada pela consulta de dados do Sistema HEMOVIDA (Sistema Nacional de Gerenciamento em Serviços de Hemoterapia) durante o período de fevereiro/2020 a julho/2021. Resultados: Dez bolsas de plaquetaférese foram descartadas no período examinado pelo estudo, destas, 6 unidades foram desprezadas devido à sorologia reagente, 2 unidades devido ao período de validade excedido e outras 2 unidades por outros motivos, 1 por intercorrência na coleta e a outra unidade por baixo volume do concentrado de plaquetas. Discussão: A coleta de plaquetas por aférese se distingue da coleta de plaquetas por fracionamento do sangue total (plaquetas randômicas) por acontecer em um sistema extracorpóreo, onde as plaquetas do doador (e parte do plasma) são separadas para a obtenção do hemocomponente de interesse. Os demais componentes sanguíneos são devolvidos à circulação do doador e todo o processo de coleta pode durar em torno de até 90 minutos. As plaquetas coletas por aférese são desleucocitadas (ou leucorreduzidas) durante a coleta, podendo ser produzidas 2 unidades do hemocomponente por doador. Ainda, 1 unidade de plaquetaférese pode corresponder a um pool de 8 a 10 plaquetas randômicas, e, portanto, possui menor risco de promoção de reações transfusionais. Dessa forma, as plaquetas coletadas por aférese, além de serem hemocomponentes com qualidade elevada e terem uma coleta onerosa (pelo valor dos kits e equipamentos), devem ser produzidos de forma a se evitar qualquer situação que possa inviabilizar a sua destinação para transfusão. Usualmente, novos doadores de plaquetas por aférese precisam realizar testes para a coleta do hemocomponente. Nestes testes, parâmetros hematológicos (ex., elevada contagem de plaquetas), imunohematológicos (ex, pesquisa negativa para anticorpos irregulares contra antígenos eritrocitários) e sorológicos (ausência de marcadores de doenças infecciosas transmitidas pelo sangue) devem ser atendidos para que então o candidato a doação passe a ser convidado a doar plaqueta por aférese. Infelizmente, podem ocorrer casos de soroconversão em doadores de aférese, ou a formação de anticorpos irregulares, o que leva ao desprezo dos hemocomponentes. Conclusão: O descarte de concentrado de plaquetas por aférese é indesejado, uma vez que, além do alto custo de produção destas bolsas, no período da pandemia houve uma queda das doações de sangue no HEMOSM, correspondendo a uma redução de aproximadamente 10% do total de doações (durante o primeiro ano da pandemia) em comparação com o mesmo período do ano anterior. Dessa forma, o desprezo de hemocomponentes torna ainda mais crítica a situação dos estoques de sangue, e além disso, considerando que concentrados de plaquetas possuem uma validade curta e que são comumente prescritos, é indesejável que estas bolsas sejam desprezadas por qualquer motivo, desde que garantidas a qualidade do hemocomponente e a segurança transfusional.

7.
Embase; 2022.
Preprint in English | EMBASE | ID: ppcovidwho-337462

ABSTRACT

Background: Since the beginning of the COVID-19 pandemic, health professionals have been working under extreme conditions, increasing the risk of physical and mental illness. We evaluated the prevalence of burnout and its associated factors among postgraduate student residents in health professions during the global health crisis. Methods: Healthcare residents were recruited from all across Brazil between July and September 2020 through digital forms containing instruments for assessing burnout (Oldenburg Burnout Inventory (OLBI)), resilience (brief resilient coping scale (BRCS)) and anxiety, stress and depression (depression, anxiety and stress scale (DASS-21) and Patient Health Questionnaire (PHQ-9)). Additionally, the relationships between burnout and chronic diseases, autonomy and educational adequacy in the residency programme, personal protective equipment (PPE), workload and care for patients with COVID-19 were evaluated. The chi-square test, Student’s t test, Pearson’s correlation test and logistic regression were performed. Results: A total of 1,313 participants were included: mean (standard deviation) age, 27.8 (4.4) years;female gender, 78.1%;white race, 59.3%;and physicians, 51.3%. The overall prevalence of burnout was 33.4%. The odds (odds ratio [95% confidence interval]) of burnout were higher in the presence of pre-existing diseases (1.76 [1.26–2.47]) and weekly work > 60 h (1.36 [1.03–1.79]) and were lower in the presence of high resilience (0.84 [0.81–0.88]), autonomy (0.87 [0.81–0.93]), and educational structure (0.77 [0.73–0.82]), adequate availability of PPE (0.72 [0.63–0.83]) and non-white race (0.63 [0.47–0.83]). Burnout was correlated with anxiety (r = 0.47;p < 0.05), stress (r: 0.58;p < 0.05) and depression (r: 0.65;p < 0.05). Conclusions: We observed a high prevalence of burnout among residents during the COVID-19 pandemic. Individual characteristics and conditions related to the work environment were associated with a higher or lower occurrence of the syndrome.

8.
Hematology, Transfusion and Cell Therapy ; 43:S4-S5, 2021.
Article in Portuguese | EMBASE | ID: covidwho-1859583

ABSTRACT

Introdução: Anemias carenciais são patologias de alta prevalência dentre as doenças da série vermelha, o qual a Deficiência de Vitamina B12 se destaca na sua pluralidade de sintomas clínicos. Objetivos: Relatar caso de paciente internada por Covid-19 com quadro clínico grave de anemia, paraparesia e psicose por Deficiência de B12. Relato de caso: Paciente sexo Feminino, 45 anos, sem comorbidades prévias, internada em junho/2021 em enfermaria Covid-19 devido sintomas respiratórios altos com teste Rápido sorológico por método imunocromatográfico positivo. Iniciou há 08 meses quadro progressivo de astenia, parestesia de membros inferiores, evoluindo progressivamente para paraparesia, associado nos últimos 02 meses com quadro de embotamento, alucinações visuais e sonoras, déficit cognitivo e retenção urinária. Em hemograma prévio a internação apresenta resultado: HB 6,0. Ht 17,9%, VCM 111,9. HCM 37,5;CHCM 37,5;RDW 18,5%;Leucócitos: 2800;BAST: 2%;SEGMEN: 40%;LINF 56%;EOSI 1%;MONO: 1%;PLAQ 149.000;DHL 1.920U/L;PCR 12,7. FERRITINA 339 ALT: 23, AST: 31. MAGNÉSIO 1,7. SÓDIO 146. POTASSIO 4,5;FOSFORO 3,49;CALCIO TOTAL: 8,61;CLORO: 98;UREIA 25. CREAT 0,46. Foi solicitado dosagem de VIT B12 e ácido fólico, demonstrado seguintes resultados: Acido fólico sérico >20 ng/mL. Vitamina B12 sérica: < 50,00 pg/mL. Foi iniciado reposição na primeira semana com Cobalamina 15.000ui divididas em 03 doses em dias alternados, posteriormente com 5.000ui/semana. Sua resposta ao tratamento na primeira semana foi a normalização da contagem de plaquetas e de leucócitos (177.000 e 5050 respectivamente), melhora dos sintomas psiquiátricos e neuro cognitivo, e breve melhora da parestesia e paraparesia de membros inferiores. A paciente foi encaminhada para Endoscopia Digestiva Alta e Ressonância Magnética de Coluna Lombossacra em sua alta da enfermaria Covid-19 para investigação etiológica Discussão: Diante do contexto da Pandemia Covid-19, a investigação de sinais e sintomas clínicos não compatíveis com a infecção em uma internação, torna-se importante para o atendimento integral ao paciente, reconhecendo e investigando diagnósticos diferenciais que podem coexistir. Em meio aos sintomas psiquiátricos e neurológicos, a investigação de Deficiência de Vitamina B12 entra como importante hipótese diagnóstica diante de alterações hematológicas associado ao quadro clínico. Conclusão: no contexto da Pandemia, vários diagnósticos podem ser elucidados em meio a coexistência de infecção por Covid-19.

9.
Atelie Geografico ; 15(1):170-193, 2021.
Article in Portuguese | Scopus | ID: covidwho-1835458

ABSTRACT

The current article has the main goal of debate the dynamics in the spread of Covid-19 based on the mobility of patients in the urban area of São Luís, Maranhão State. The time frame include the first 100 days of the pandemic, in the urban area of São Luís. The acknowledged data consists of ICU (intensive care units) spaces and the viral evolution during this time frame. The main data sources are the “Datasus” and the Maranhão State of health department. The characteristic suggests that the concentration of medical-hospital equipments in few cities, specially in Imperatriz, is considered a big bottle neck related to the fight against the pandemic Sars-CoV-2, since it requires more people mobility from centers with less health service offers to the ones with more health service offers, resulting into bigger contamination areas. Thereby the disease dissemination works in an hierarchical way in the urban area of the city, information that is not always clear in the data presented by the epidemiologic report. © 2021, Universidade Federal de Goias. All rights reserved.

10.
Educar Em Revista ; 38:21, 2022.
Article in Portuguese | Web of Science | ID: covidwho-1822310

ABSTRACT

This study analyzes the implementation of remote education in the state of Minas Gerais in the context of the Covid-19 pandemic, based on an emergency public educational policy - the Regime Especial de Atividades Nao Presenciais [Special Regime for Non-Attendance Activities] (REANP). The concept of institutional implementation arrangement is used as a theoretical-methodological framework in the analysis of educational policy. The methodological approach is qualitative and consists of document analysis, through content analysis, based on legislation and REANP manuals. It is also complemented by an exploration of quantitative data from the Pesquisa Nacional por Amostra de Domicilios Continua [Continuous National Household Sample Survey] (Continuous PNAD). The results show a difficulty in implementing the REANP public policy due to the significant digital inequality with regard to access to the internet, open TV channel and ownership of equipment, which are essential resources for the implementation of REANP and can accentuate educational inequalities in public schools of the state of Minas Gerais.

11.
Medicina (Brazil) ; 54(4), 2021.
Article in English | Scopus | ID: covidwho-1811327

ABSTRACT

Purpose: To determine the association between diagnosis of COVID-19 and the economic class, race/skin color, and adherence to social distancing in Brazilian university students. Methods: This is a nationwide cross-sectional study carried out with online questionnaires applied to Brazilian university students, at 94 universities in the public and private education network. Self-reported age, sex, economic class data, race/skin color, COVID-19 diagnosis, and adherence to social distancing measures were collected. Results: 5,984 individuals were evaluated. No significant association was found between the diagnosis of COVID-19 and economic class and race/skin color in the multivariable analysis. However, we observed that there were significant associations between the diagnosis of COVID-19 and partial adherence to social distancing, with leaving home only for going to work (PR: 1.35;95% CI: 1.10–1.66;p < 0.01) and with non-adherence to social distancing (PR: 1.96;95% CI: 1.29–2.97;p <0.01). Conclusion: The diagnosis of COVID-19 was associated with age, non-adherence and partial adherence to social distancing measures in Brazilian university students, but was not associated with race/skin color and economic class. © 2021 Faculdade de Medicina de Ribeirao Preto - U.S.P.. All rights reserved.

12.
Asia-Pacific Journal of Business Administration ; : 20, 2022.
Article in English | Web of Science | ID: covidwho-1799406

ABSTRACT

Purpose Companies' relationship with their customers through e-commerce platforms has increased considerably in the past few years, bringing new challenges concerning service guarantees (SG). This study aims to propose a framework of the relations between customers' expectations on SG, their negative experiences and their attitudes and behavioural intentions towards an e-commerce platform. Design/methodology/approach The research had a qualitative and descriptive approach. Testimonials from clients of an online e-commerce platform were obtained through interviews via videoconference and non-participant observation on a complaints website in Brazil. The testimonies were analysed through content analysis. Findings The customer expectations regarding the SG offered by the e-commerce platform are congruent with the five categories of the theory that support this research. Customer testimonials on the complaints site show that their negative experiences with the e-commerce platform generated negative emotional, cognitive and behavioural responses towards the company. A framework was proposed, including customers' expectations regarding SG, their negative experiences and their repercussions on clients' attitudes and behavioural intentions. Originality/value This article is the only that contemplates customers' expectations about SG in an e-commerce platform, relating them to attitudes and behavioural intentions. Thus, its framework demonstrates the relationships between customer expectations about SGs, their negative experiences and attitudinal and behavioural repercussions. This article brings academic and managerial contributions for companies and managers of e-commerce platforms. It contributes to clients and consumer protection associations by revealing problems they face with SG on e-commerce platforms. This research can be used by those responsible for elaborating laws and public policies to regulate and inspect the relationships between e-commerce platforms and their customers.

13.
4th International Workshop on Gerontechnology, IWoG 2021 ; : 225-232, 2022.
Article in English | Scopus | ID: covidwho-1797716

ABSTRACT

The COVID-19 pandemic has brought consequences for the mental health of older adults, with a major impact expected in the long time. The aim of this study was to compare the cognition, feelings of loneliness and depressive symptomatology of institutionalized and noninstitutionalized older adults of a rural municipality. Methods: This is a quantitative, cross-sectional study, with a sample of 252 people over 65 years old residing in a rural municipality of the Alentejo region, Portugal. The group of institutionalized elderly was composed of 116 participants and the group of elderly residents at home was composed of 136 participants. Results: Statistically significant differences were obtained between the groups, with the institutionalized elderly obtaining higher levels of depression and loneliness and greater cognitive impairment compared to the elderly residing at home. Moreover, the greater the loneliness, the greater the depression and cognitive impairment. Conclusion: A change in social and health policies is needed, with emphasis on issues related to the mental health of institutionalized older adults. © 2022, The Author(s), under exclusive license to Springer Nature Switzerland AG.

14.
4th International Workshop on Gerontechnology, IWoG 2021 ; : 399-407, 2022.
Article in English | Scopus | ID: covidwho-1797712

ABSTRACT

Prevent and control healthcare-associated infections (HAIs) is a priority in healthcare assistance, not only due to present COVID-19 pandemic. Annually, around 3.2 million patients are affected by one of these infections and it is estimated that without controlling them, by 2050, 10 million more people could die every year, with especial relevance among elderly with infectious situations representing a third of mortality in people over 65 years old. Higher Education Institutions (HEI) in healthcare area have an important role in this panorama, by preparing students to be future professionals, stimulating them to have an innovative and entrepreneurial approach to today’s real-life challenges. A mixed-methods research was conducted, at European level (in Portugal, Finland, Poland and Spain), to facilitate learning of good practices on HAIs prevention and control while developing innovative solutions. 1475 participants were enrolled, from all partner HEI: 79 professors and mentors were interviewed (individual or focus group), 1326 final year nursing students made a self-report inventory (application of InovSafeCare Scale) and 70 students participated on focus group (agile piloting of the Model). The result of this research is a pedagogical model that mixes dimensions and methods that take nursing students closer to the demands of HAIs prevention and control and capacitates them to transfer knowledge to work settings with an innovative and entrepreneurial perspective – the InovSafeCare Model. © 2022, The Author(s), under exclusive license to Springer Nature Switzerland AG.

15.
Humanid. Inov. ; 8(61):145-158, 2021.
Article in Portuguese | Web of Science | ID: covidwho-1790571

ABSTRACT

The pandemic caused by the new coronavirus has caused significant impacts in all social segments, including Science Education. We developed this article of qualitative character, to understand the perceptions and implications of graduate students in Education for Science and Mathematics about the consequences of the pandemic for Science Education and teacher training. For this, we used as an instrument of collection an online questionnaire, with three open questions on the theme. The answers obtained were categorized and analyzed through content analysis, based on studies by Bardin (2011), from which two very evident reflective categories emerged: Science Teaching and technological innovations and transformations in the teacher training process. The results obtained in this study demonstrated several interpretations of the participants about this historical moment, the difficulties, challenges, and possibilities that can guide the theoretical, epistemological and practical discussions and reflections of the readers on the theme.

16.
Ann Surg Oncol ; 29(5): 2773-2783, 2022 May.
Article in English | MEDLINE | ID: covidwho-1779708

ABSTRACT

BACKGROUND: The purpose of this article is to summarize the opinions of the surgical oncology leaders from the Global Forum of Cancer Surgeons (GFCS) about the global impact of COVID-19 pandemic on cancer surgery. METHODS: A panel session (virtual) was held at the annual Society of Surgical Oncology 2021 International Conference on Surgical Cancer Care to address the impact of COVID-19 on cancer surgery globally. Following the virtual meeting, a questionnaire was sent to all the leaders to gather additional opinions. The input obtained from all the leaders was collated and analyzed to understand how cancer surgeons from across the world adapted in real-time to the impact of COVID-19 pandemic. RESULTS: The surgical oncology leaders noted that the COVID-19 pandemic led to severe disruptions in surgical cancer care across all domains of clinical care, education, and research. Several new changes/protocols associated with increased costs were implemented to deliver safe care. Leaders also noted that preexisting disparities in care were exacerbated, and the pandemic had a detrimental effect on well-being and financial status. CONCLUSIONS: The COVID-19 pandemic has led to severe disruptions in surgical cancer care globally. Leaders of the GFCS opined that new strategies need to be implemented to prepare for any future catastrophic events based on the lessons learned from the current events. The GFCS will embark on developing such a roadmap to ensure that surgical cancer care is preserved in the future regardless of any catastrophic global events.


Subject(s)
COVID-19 , Neoplasms , Surgeons , Surgical Oncology , COVID-19/epidemiology , Humans , Neoplasms/surgery , Pandemics
17.
Revista De Comunicacion-Peru ; 21(1):451-468, 2022.
Article in Spanish | Web of Science | ID: covidwho-1780423

ABSTRACT

Corporate Social Responsibility (CSR) is considered a legitimizing activity for organizations and an essential value for reputation fundamentally in crises. Social networks, especially Twitter, are beneficial tools for CSR communication. This social network is considered the ideal tool for communication management during critical situations. Thus, the main objective of this research is to analyze how the most responsible companies in the Spanish energy sector communicate their CSR actions and policies during the pandemic on Twitter. Through the content analysis of 3,146 tweets published during 12 months, the study evaluates the activity, topics and communicative approach of CSR messages posted during the health crisis. Despite the pandemic situation, the results suggest that organizations have not significantly changed their roadmap in the communication of their CSR actions.

18.
Open Forum Infectious Diseases ; 8(SUPPL 1):S576-S577, 2021.
Article in English | EMBASE | ID: covidwho-1746340

ABSTRACT

Background. Brazillian authorities reported a total of 16.3 million cases and 454. 000 deaths during COVID-19 pandemic in Brazil by may 2021. It became necessary to educate healthcare professionals on diagnosis and treatment of the syndrome. Game based learning surfaced as an effective alternative, since it promotes critical thinking and problem solving skills. A team of Brazilian and Peruvian students, physicians, designers and programmers gathered to create a decision based computer game that simulates a hospital scenario and allows medical students to analise, make decisions and receive feedback. This work describes the creative process and showcase the initial version of the software. Methods. Professors and students of Medicine, Information Technology (IT), Design and Architecture from Brazil and Peru assembled a team in order to develop the computer game. Clinical cases were created by the medical students and professors, comprising medical procedures for the treatment and management of COVID 19, and a video game script was developed exploring gamification principles of challenge, objectivity, persistence, failure, reward and feedback. Algorithms (image 1) were created, under supervision of professors of Medicine, to define possible courses of action and outcomes (e.g. gain or loss of points, improvement or worsening of the patient). Students of Design created artistic elements, and IT students programmed with a game engine software. This fluxogram, written in portuguese, describes in detail all the possible courses of actions that can be exercised by the player. It is created by a team of Professors of Medicine and medical students, in accordance with evidence-based guidelines. Primarily, this document guides the programmers and designers throughout the development phase of the game. Results. Initially, an expandable minimum viable product was obtained. The game, visualized on image 2, consists in a non-playable character and a playable character (i.e. doctor), with a scenario and a dialogue script simulating a clinical examination of a COVID 19 patient. The player can interact with certain elements within the game, e.g. the computer and other characters, to retrieve test results or start dialogues with relevant information. Hospital scenario and dialogue window between doctor (player in black) and patient (non playable character) are displayer in the game engine software (Unity 2D). On the bottom half of the screen, the dialogue box allows the player to collect the patient's medical history. The player can interact with certain elements to obtain relevant information to make decision and progress in the game. Conclusion. The game allows medical students to practice diagnosis and treatment of COVID 19. Future versions will include assessment reports of player's actions, and a new score system will be implemented. New diseases will be incorporated in the gameplay to match the variety of scenarios offered by real hospitals and patients. Artificial intelligence will be employed to optimize gameplay, feedback and learning.

19.
Boletim Goiano de Geografia ; 41:41, 2021.
Article in Portuguese | CAB Abstracts | ID: covidwho-1744754

ABSTRACT

The current article has the main goal of debate the dynamics in the spread of Covid-19 based on the mobility of patients in the urban area of Imperatriz, Maranh..o State. The time frame include the first 100 days of the pandemic, in the urban area of Imperatriz. The acknowledged data consists of ICU (intensive care units) spaces and the viral evolution during this time frame. The main data sources are the "Datasus" and the Maranh..o State of health department. The characteristic suggests that the concentration of medical-hospital equipments in few cities, specially in Imperatriz, is considered a big bottle neck related to the fight against the pandemic Sars-CoV-2, since it requires more people mobility from centers with less health service offers to the ones with more health service offers, resulting into bigger contamination areas. Thereby the disease dissemination works in an hierarchical way in the urban area of the city, information that is not always clear in the data presented by the epidemiologic report.

20.
Revista Cient..fica Multidisciplinar RECIMA21 ; 3(2), 2022.
Article in Portuguese | CAB Abstracts | ID: covidwho-1744315

ABSTRACT

Introduction: In late 2019, several cases of Coronavirus disease 2019 (COVID-19) were diagnosed in Wuhan, China, and then also diagnosed in other regions of the world, creating a global pandemic. Stroke is a heterogeneous syndrome comprising several pathophysiological mechanisms, many of which appear to be influenced by SARS-CoV-2 infection. This review article was developed to summarize information on the relationship between stroke and SARS-CoV-2 infection. Methodology:This is an integrative literature review. Data collection took place in December 2021 and January 2022 in the following databases: PubMed, Scielo and LILACS. To search for articles, the descriptors "COVID-19" were used;"cerebrovascular accident" and "cerebral ischemia", combined by Boolean operators. Results and discussion: Patients with COVID-19 who had stroke had more severe conditions, longer hospitalizations, higher mortality, but had comorbidities similar to patients who had stroke without the presence of SARS-COV-2 viral infection. Final considerations:With this study, it is possible to conclude that more articles are needed that faithfully seek the relationship between COVID-19 and CVA. To date, studies have shown a greater number of strokes related to severe cases of COVID-19, with higher mortality and longer hospital stays. Confounding factors need to be considered, such as age and more prevalent comorbidities in the populations studied.

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