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1.
Revista Olhres ; 10(1):18, 2022.
Article in Portuguese | Web of Science | ID: covidwho-1777197

ABSTRACT

This article is a qualitative research that addresses the conjuncture of public education in Parana during the Pandemic of the New Coronavirus (COVID-19). It is justified the impacts of the exceptional phenomenon that was presented to school managers, educators and basic education students in the period from 2020 to 2021 in Parana. As a methodology. it uses bibliographic research and aims to discuss about the challenges and dilemmas in the pedagogical work of teachers. It is considered that it was not possible to avoid the negative impacts on the teaching and learning process, and that among the adversities that drove in pedagogical work are the economic factor and technological limitation of students and educators.

2.
Revista Cientifica Da Faculdade De Educacao E Meio Ambiente ; 12:193-206, 2021.
Article in Portuguese | Web of Science | ID: covidwho-1743886

ABSTRACT

The work demonstrated the fragility and difficulties of the elderly in achieving treatment against the coronavirus in Public Health Units. hospitals, forcing him to take extreme and morally difficult decisions and measures, especially to which patients would be allocated to ICU beds, hurting the dignity of the human person of the elderly, especially when it put into effect the AMIB Protocol for allocation of resources in depletion during the pandemic caused by COVID-19, establishing evaluative criteria, imposing a specific reserve of ICUs for the elderly and limiting the priority of care for them. It showed that the life expectancy of the elderly cannot be considered as an evaluative "criterion" and included the technical decisions of the public authorities in the actions taken to treat the infected elderly. In this aspect, the State's limitations to confront COVID-19 were observed, making it necessary to discuss the topic, which permeates between law and ethics. Basic and descriptive research was used, as no definitive solutions were pointed out, only the description of the facts. The study was carried out by qualitative research without blemishing the quantitative data and the hypothetical deductive method allowed us to investigate the information from a rational point of view of the issue, thus leading to the hypotheses for solving the problem.

3.
Revista Pistis & Praxis-Teologia E Pastoral ; 13(3):1342-1356, 2021.
Article in Portuguese | Web of Science | ID: covidwho-1716075

ABSTRACT

Health care must be permeated by love, friendship and solidarity between the individuals involved in the process. The image of the Good Samaritan in the Gospel of Lk is considered a model of care and must be followed by everyone who intends to be ethical and competent in the act of caring. This research aimed to demonstrate, through a comparison of calculations and mathematical models, the variation between the cost of ICU/Covid-19 versus the cost of vaccine to combat Covid-19, having as a premise the care of the Brazilian population through vaccination in mass and the forecast for eradication of the disease in Brazil considering the image of the good Samaritan as a model of care and ethical attitude to be followed. The method adopted was the dialectical-descriptive method, preceded by a literature review with a qualitative approach. Data analysis was carried out by comparing the amounts spent on the three doses of vaccine as opposed to spending on hospitalization in the ICU Covid-19. The result obtained highlights that the temporal variation in the number of deaths between Jan./21 and Oct./21, after the start of vaccination, had a negative rate of-10.90%. It was concluded that corroborating scientific statements, the vaccine saves, therefore, vaccinating is an act of caring for and loving your neighbor, your population and that, within the primary obligation of caring for the population, it is the responsibility of the State.

5.
European Journal of Public Health ; 31, 2021.
Article in English | ProQuest Central | ID: covidwho-1514608

ABSTRACT

Background The COVID-19 pandemic appears to have contributed to change in eating habits for a significant part of the Portuguese population. The increase in the snacks consumption during the confinement period was reported by almost a third of the population. Often the snacks chosen are ultra-processed foods: industrial formulations that include excess of sugar, oils, fats, salt, and additives, antioxidant, stabilizers and preservatives substances in their ingredients. Excessive ultra-processed food consumption has been associated with worse health indicators. Objectives To develop informative educational material about ultra-processed foods and their health risks to be available to the general Portuguese population, and thus to promote food and nutrition literacy. Results The development of this new tool started in September 2020 and in April 2021 the booklet was approved by the UPPER Project team to be made available through digital media (cell phone, computer, laptop and tablet) or print. The booklet contains 33 pages with illustrative images and simple and didactic language. It is focused in seven main topics: “What are ultra-processed foods?”, “Which are they?”, “How to recognize them when purchasing?”, “What are worth for?”, “What is the relationship with health?”, and “What foods to choose?”. A short video with 2 minutes duration, summarizing and explaining the booklet, was also produced. The booklet impact will be piloted in a school intervention project that has been designed and submitted for ethical approval. Conclusions The developed booklet and explanatory video are didactic materials in simple language to achieve all general Portuguese population. Key messages The booklet is an instrument intending to improve literacy in ultra-processed foods. The booklet is a tool that can be used in health promotion programs and public policies in food and nutrition.

6.
Nephrology Dialysis Transplantation ; 36(SUPPL 1):i461-i462, 2021.
Article in English | EMBASE | ID: covidwho-1402472

ABSTRACT

BACKGROUND AND AIMS: Coronavirus disease 2019 (COVID-19) has affected the care of patients on chronic hemodialysis (HD). It has been reported that older adults and those with comorbidities, such as diabetes mellitus, hypertension, cardiovascular disease and chronic kidney disease are prone to develop severe disease and poorer outcomes. By virtue of their average old age, multiple comorbidities, immunosuppression and frequent contact with other patients in dialysis facilities, chronic HD patients are at particular risk for severe COVID-19 infection. The aim of this study was to compare clinical presentation, laboratory and radiologic data and outcomes between HD and non-HD COVID-19 patients and find possible risk factors for mortality on HD patients. METHOD: A single center retrospective cohort study including patients on HD hospitalized with a laboratory confirmed COVID-19 infection, from March 1st to December 31st of 2020 and matched them to non-dialysis patients (non-HD) (1:1). Data regarding patient baseline characteristics, symptoms, laboratory and radiologic results at presentation were collected, as well as their outcomes. Categorical variables are presented as frequencies and percentages, and continuous variables as means or medians for variables with skewed distributions. A paired Student's t-test was performed on parametric continuous values or Mann-Whitney for non-parametric continuous variables. Chi-squared test was performed for comparing categorical variables. Logistic regression was used to identify risk factors for mortality on HD patients. A p-value of less than 0,05 indicated statistical significance. RESULTS: A total of 34 patients HD patients were included, 70,6% male, mean age of 76,5 years, median time of dialysis of 3,0 years. Among them 85,3% were hypertensive, 47,1% diabetic, 47,1% had cardiovascular disease, 30,6% pulmonary chronic disease and 23,5% cancer. The most frequent symptoms were fever (67,6%), shortness of breath (61,8%) and cough (52,9%). At admission, 55,9% of patients needed oxygen supply, one required mechanic ventilation and was admitted to intensive care unit. Regarding laboratory data, the most common features were lymphopenia in 58,9% (median-795/uL), elevated LDH in 64,7% (median-255 U/L), raised C-reactive protein in 97,1% (median-6,3 mg/dlL, raised D-dimer in 95,8% (median 1,7 ng/mL), and all patients presented high ferritin (median 1658 ng/mL) and elevated Troponin T (median 130ng/mL). The majority presented with radiologic changes, particularly bilateral infiltrates in 29,4%. Concerning clinical outcomes, the median hospitalization time was 11 days and 13 patients (38,2%) developed bacterial superinfection. Mortality rate was 32,4%. When matched to 34 non-HD patients there was no statistical significant differences in sex, age and comorbidities. The HD group had a tendency to more ventilator support need (p=0,051), higher ferritin and troponin levels (p=<0,001 for both), whereas the non-HD group presented with greater levels of transaminases (p= 0,017). There was o significant difference in hospitalization time (median of 11 vs 7 days, p=0,222) neither in mortality (median of 32,4 vs 35,3%, p=0,798). When the logistic regression was performed, only bacterial superinfection was a predictor for mortality on hemodialysis patients (p=0,004). CONCLUSION: Our study compared outcomes for COVID-19 patients on chronic HD to non-dialysis patients and showed no difference in hospitalization time nor in death rate. In spite of these results, the mortality in patients on chronic HD is still not negligible, with up to 32% of in-hospital mortality. Bacterial superinfection is a predictive risk factor for mortality. Hence the importance of interventions to mitigate the burden of COVID-19 in these patients, by preventing its spread, particularly in hemodialysis centers.

7.
Holos ; 37(4):25, 2021.
Article in Portuguese | Web of Science | ID: covidwho-1374695

ABSTRACT

This study seeks to understand the lessons learned from the experience of professors at the Federal University of Rio Grande do Norte (UFRN) in remote education during the Covid 19 pandemic. Data collection was carried out through in-depth interviews with question script semi-structured, and the analysis was based on the coding cycles of Saldalia (2016). The results obtained identified learning related to the need to adapt to the new context;teaching strategies;the lessons derived specifically from the new experience;the importance of considering the situation experienced and the demands of new students;preparation of professors and knowledge of the functionalities of the technologies adopted. The relevance of the study is based on the systematization of the teachings of professors regarding remote education to subsidize university decision-making as well as guide and facilitate the preparation of teachers for other similar experiences.

8.
Hematology, Transfusion and Cell Therapy ; 42:531, 2020.
Article in Spanish | ScienceDirect | ID: covidwho-893858
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