Your browser doesn't support javascript.
Show: 20 | 50 | 100
Results 1 - 11 de 11
Filter
1.
Revista Cient..fica Multidisciplinar RECIMA21 ; 2(11), 2021.
Article in Portuguese | CAB Abstracts | ID: covidwho-1727532

ABSTRACT

Introduction: According to ANVISA, hands are the main source of transmission and dissemination of microorganisms, both for patients and for nursing professionals who work. One of the most used precautions as prevention of Covid19 was precisely the hygiene of the hands.

3.
Brazilian Journal of Infectious Diseases ; 26, 2022.
Article in Portuguese | EMBASE | ID: covidwho-1693883

ABSTRACT

O objetivo desse relato de caso foi demonstrar as particularidades no diagnóstico e possíveis diagnósticos diferenciais em pacientes imunossuprimidos com síndrome febril aguda. Paciente feminina, 37 A, auxiliar administrativo, portadora de artrite reumatoide, imunossuprimida em uso de Simponi associado a Metotrexato 10 mg/semana, com diagnóstico anterior de tumor desmóide em 2016. Após a 2ª dose de Simponi, cursa com quadro agudo de cefaleia de característica persistente, refratária a uso de sintomáticos, acompanhado de náuseas, com queda relativa do estado geral, sudorese de característica noturna, mialgia difusa e episódios recorrentes de febre. Durante esse período foi imunizada com a 2ª dose da vacina para o covid-19. Após a vacinação surgiu nova sintomatologia, disúria isolada. Diante disso, conduzimos com a internação hospitalar para rastreio infeccioso e vigilância clínica. Foi interrogado descompensação infecciosa viral, ITU, reação medicamentosa de suspeição pouco provável e doença hematológica. Foi solicitado laboratório completo, incluindo sorologias virais para citomegalovírus, EBV, parvo vírus, toxoplasmose, leptospirose, hemocultura de 2 amostras de sítios diferentes, EAS e urocultura, ferritina e triglicerídeos devido a febre com alterações de transaminase, aventando um possível quadro viral desencadeado por síndrome hematofágica. Complementando com exames de imagem, como USG de abdome total para avaliar a possibilidade de hepatoesplenomegalia e USG de cervical para avaliar linfonodos. Paciente evolui com piora clínica em vigência de dor abdominal. Solicitada tomografia de abdome, apresentando imagem com vesícula parcialmente distendida, associado à presença de líquido perivesicular, A clínica cirúrgica opta por abordagem invasiva, sendo realizado colecistectomia videolaparoscopia. No pós-operatório, ficando aos cuidados intensivos pela UTI e escalonado para tazocin (D10). Após resultado da sorologia para leptospirose com IgM reagente interrompeu uma longa série de exames negativos e febre prolongada, sem diagnóstico. Apresentou evolução clínica satisfatória, resultando em alta hospitalar. A artrite reumatoide é acompanhada de sintomas constitucionais inespecíficos, principalmente a febre baixa em pacientes imunossuprimidos. O diagnóstico de leptospirose foi concluído mais tardiamente, quando os exames da admissão foram disponibilizados. Um caso de uma enfermidade de alto impacto, contudo negligenciada como problema de saúde pública.

4.
Revista Baiana de Enfermagem ; 36, 2022.
Article in English | Scopus | ID: covidwho-1687639

ABSTRACT

Objective: to describe adversities experienced by nursing professionals in intensive care units in times of COVID-19. Method: descriptive and exploratory research, with a qualitative approach, involving 28 nursing professionals from intensive care units in the state of Rio de Janeiro in April 2020. Data processed in the Interface de R pour Analyses Multidimensionnelles de Textes et de Questionnaires. Results: by the Descending Hierarchical Classification, three classes were obtained: fear of the unknown and lack of personal protective equipment and support to nursing professionals;lack of flows, protocols, information, materials and training of teams to promote safe assistance;and stress in caring for patients with positive COVID-19, risk of contamination and death and constant need for guidance on preventive measures. Final considerations: such adversities influenced the care practice and psychoemotional health of nursing professionals, and public policies and management and care strategies were needed to minimize them. © 2022 Universidade Federal da Bahia. All rights reserved.

5.
Bakhtiniana ; 16(4):103-128, 2021.
Article in English, Portuguese | Scopus | ID: covidwho-1599704

ABSTRACT

This research is in line with the postulates of the Bakhtin Circle regarding the dialogism of language, particularly, the active responsiveness assigned to any utterance in response to others. Within the scope of Dialogic Discourse Analysis, we propose an interface with some elements of the Functional Discourse Grammar for linguistic analysis of utterances. Our objective is to evaluate how the responsive attitude is established in the discourse of the Government of Sao Paulo in regard to statements by the Federal Government, in order to build an institutional policy in times of covid-19 pandemic. Through the analysis of two videos, we have found that the responsive attitude which the Government of the State Sao Paulo seeks to demonstrate does not necessarily configure attitudes of responsibility towards the less fortunate. However, it reaches its objective, which is to oppose to the Federal Government's discourse guiding the attitudes of the population in the pandemic scenario. © 2021. All Rights Reserved.

6.
Revista Portuguesa de Imunoalergologia ; 29(3):197-207, 2021.
Article in Portuguese | Scopus | ID: covidwho-1449545

ABSTRACT

Background: Allergic disease, allergic rhinoconjunctivitis/bronchial asthma, are very prevalent worldwide, and the poten-tially modifying therapy is immunotherapy with aeroallergens. In December 2019 a new coronavirus (SARS-CoV-2) was iden-tified in China, causing a pandemic with devastating effects. For this reason, the State of Emergency (SE) was declared in Portugal for the first time in this pandemic, between 18 March and 2 May 2020, and all non-urgent activity was suspended in our hospital, including the administration of subcutaneous immunotherapy with aeroallergens (SCITA). Objective: Cha-racterize the dose adjustments according to the delay in SCITA administration, verify the safety of the dose administered when resuming SCITA and evaluate the worsening of symptoms of the allergic disease, in patients under SCITA program that inter-rupted it during the SE. Material and methods: An analysis of the SCITA clinical records of the 195 patients who interrupt-ed the maintenance dose during EE was performed. According to the symptoms and the delay interval, the dose was reduced or a new initiation protocol was performed, according to our Allergen Immunotherapy Functional Unit protocol, adapted from international guidelines for this specific time. Results: 7.7% of patients had worsening of allergic symptoms during the interruption period and 6.2% resorted to rescue therapy. 96.4% decreased the dose in SCITA resumption, with a decrease that was mostly greater than predicted, according to our protocol. Immediate local reactions were recorded in 9.2%, with no ana-phylactic reactions. After recovery, 9.7% worsened symptoms and 5.1% resorted to rescue therapy. Conclusions: The pandemic made it very difficult to monitor patients’ chronic pathologies, including allergic diseases. The majority of patients did not report worsening of symptoms and few had adverse reactions in the resumption of SCITA, demonstrating the safety of the dose adjustment protocol. © 2021 Sociedade Portuguesa de Alergologia e Imunologia Clínica. Published by Publicações Ciência & Vida.

7.
Revista Portuguesa de Imunoalergologia ; 29(3):179-196, 2021.
Article in Portuguese | Scopus | ID: covidwho-1449544

ABSTRACT

Background: Subcutaneous immunotherapy with aeroallergen (SCITA) was stopped in some departments during the lock-down period due to the COVID-19 pandemic. Objectives: To evaluate the impact of SCITA interruption on symptoms, the need for control medication, the quality of life, and the expectations and degree of safety / fear of patients on returning to the hospi-tal. Methods: Self-completion of an anonymous survey for patients over 12 years in the first 5 weeks of SCITA restart. CARAT was used as an instrument to assess rhinitis and asthma control. Results: 77 patients (90% adults, 68% women) were included, all with rhinitis and 40% with asthma. The average time interval between the last administration and the restart of SCITA was 13 ± 2.48 weeks. Seven percent of patients were seen in an emergency / unscheduled appointment due to the exacerbation of respiratory symptoms and only 1 had COVID-19. CARAT-Total scores showed control of rhinitis and asthma, respectively, in 35% and 66% patients. The proportion of uncontrolled patients rised with the increase in the SCITA interruption period (IP). The majority (> 90%) of patients reported no significant impact on their quality of life and maintained the usual control medication (48%), expressed concern about losing the benefits of SCITA with its interruption (62%) and reported feeling safer in the vaccination offices compared to the hospital building or waiting room. Conclusions: An increase in the frequency of uncontrolled patients with an increase in IP was observed. For most patients, the IP did not have a significant impact on quality of life. The frequency of patients who needed to be observed in an emergency / unscheduled appointment was low and only 1 reported having had COVID-19. The perception of safety in the vaccination room is higher than in the hospital’s common spaces. © 2021 Sociedade Portuguesa de Alergologia e Imunologia Clínica. Published by Publicações Ciência & Vida.

8.
World Conference on Information Systems and Technologies, WorldCIST 2021 ; 1367 AISC:630-640, 2021.
Article in English | Scopus | ID: covidwho-1265464

ABSTRACT

The State of São Paulo was the epicenter of COVID-19 in Brazil, with a high impact on society, causing many deaths and significant losses to the economy. A milestone in confronting the pandemic was creating an Intelligent Monitoring System, whose mission was to consolidate and integrate data to support the state government in its strategic decisions. Overcoming the challenges of integration, anonymity, and privacy was essential to validate and make governmental actions legal and ethical. We present the technical aspects, the information integration and good practices in disseminating strategic data on mobility, health, and economy to support strategic decision making. © 2021, The Author(s), under exclusive license to Springer Nature Switzerland AG.

9.
Journal of Heart and Lung Transplantation ; 40(4):S502-S502, 2021.
Article in English | Web of Science | ID: covidwho-1187408
10.
Critical Care and Shock ; 24(1):32-40, 2021.
Article in English | Scopus | ID: covidwho-1136785

ABSTRACT

Objective: We aimed to describe the characteristics and outcomes of patients with coronavirus disease 2019 (COVID-19) admitted to an intensive care unit (ICU) in Portugal. Design: This is an observational retrospective study. Demographic and clinical data were col-lected. Respiratory failure treated with invasive mechanical ventilation (IMV) and death during ICU stay were the main outcomes evaluated. Setting: This study was conducted in the Infectious Diseases ICU of Centro Hospitalar e Uni-versitário de São João, in Porto, Portugal, be-tween March 11 and August 17, 2020. Patients and participants: All consecutive patients with confirmed Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infec-tion, admitted to the ICU during the study peri-od were enrolled, and 62 patients were included. Measurements and results: The median age was 71 years (IQR, 54-78) and 39 (62.9%) were male. Thirty-four (54.8%) patients received. IMV in contrast to 28 (45.2%) who were not intubated and the median lowest PaO2/FiO2 was 86 (IQR, 70-113) in IMV and 150 (94-257) in non-IMV patients. Several patients with severe hypoxemic COVID-19 were treated without IMV, especially with high flow nasal cannu-la (HFNC). Overall mortality was 21.8% and older age, male sex, active cancer, lower lym-phocyte count, higher aspartate aminotransfer-ase (AST) level, and higher creatinine level at admission, hematologic dysfunction, and renal dysfunction during ICU stay were all associated with fatal outcome. Mortality was lower than observed in other series of critically ill patients, although comparisons are limited by different ICU admission criteria, management practices, and duration of follow-up. Conclusions: This study provides data regard-ing the characteristics and outcomes of COVID-19 critically ill patients that can be used to op-timize ICU preparedness in the future. © 2021, The Indonesian Foundation of Critical Care Medicine. All rights reserved.

11.
IEEE Int. Smart Cities Conf., ISC2 ; 2020.
Article in English | Scopus | ID: covidwho-965600

ABSTRACT

Although Information and Communication Technology-ICT solutions have been used for a long time in various sectors of the economy, recent developments in Communications, IoT, Data Science and Artificial Intelligence have brought very attractive possibilities for their wider adoption, especially with regard to cities and its citizens.In this article, some aspects of the international and the Brazilian technical regulations are addressed, with special attention to issues of interest to cities. The General Data Protection Law of Brazil is highlighted.Some specific projects and initiatives related to smart cities are also presented and commented on, such as the National IoT Plan and its consequences, besides other initiatives to address smart cities.Additionally, some aspects of present days combat actions in the Covid-19 pandemic and its relationships with public policies applied to cities are highlighted.Finally, considerations about the need for effective and efficient public policies to reinforce the resilience of cities, including tackling biological hazards, are addressed. © 2020 IEEE.

SELECTION OF CITATIONS
SEARCH DETAIL