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1.
European Journal of Hospital Pharmacy. Science and Practice ; 29(Suppl 1):A195, 2022.
Article in English | ProQuest Central | ID: covidwho-1874620

ABSTRACT

Background and importanceIn 2019, the National Health System (NHS) approved funding for the indication of pre-exposure prophylaxis (PreP) as an strategy to prevent human immunodeficiency virus (HIV) infection in high-risk populations. The hospital pharmacy (HP), together with the Sexually Transmitted Infection (STI) centre, has created an interdisciplinary circuit where these individuals are closely monitored.Aim and objectivesTo characterise the user population of the HIV PrEP programme and assess the adequacy of the circuit, as well as the impact of the SARS-CoV-2 pandemic.Material and methodsRetrospective observational study of the PrEP programme from November 2019 to April 2021 carried out in the provincial STI treatment centre and the HP.The following were assessed: compliance with inclusion criteria, adherence to treatment and causes of discontinuation, toxicity, acquisition of STIs and interactions. Also variations during confinement and degree of involvement by COVID.Results169 males, aged 39.6±10.0 (range 19–64) years, all met at least one inclusion criterion in the last year: 75.7% (n=128) men who have sex with men (MSM) with more than 10 different sexual partners, 71.6% (n=121) MSM anal sex without condoms, 17.1% (n=29) MSM drug use, 10.7% (n=18) MSM with multiple PreP, 74.0% (n=125) MSM with at least one STI and one engaged in prostitution.30 clients discontinued medication: 33.3% (n=10) stopped risky practices, 20.0% (n=6) digestive toxicity (main adverse effect), 3.3% (n=1) poor adherence, 16.7% (n=5) client choice and 26.7% (n=8) drop out of follow-up. Mean adherence was 94.5±11.4.No patients acquired HIV during treatment, but other STIs were found (several users reported reduced of condom use): 36.7% (n=11) Treponema pallidum, 56.7% (n=17) Chlamydia trachomatis, 63.3% (n=19) Neisseria gonorrhoeae and 36.7% (n=11) Mycoplasma genitalum.This was a young population that does a lot of physical exercise and after the clinical interview it was discovered they were abusing protein shakes and anabolic steroids, therefore they were warned about it.During the confinement, 41 users were in treatment. Of the 37 who continued, 4 suffered from COVID.Conclusion and relevanceThe programme meets the requirements of the NHS, with high adherence to treatment and a good safety profile.Patients continued with PreP during confinement and there was a significant number affected by COVID.Clinical pharmaceutical follow-up has allowed preventive and corrective interventions, but more emphasis should be placed on the use of condoms and avoiding anabolic steroids given the possible renal repercussions.References and/or acknowledgementsConflict of interestNo conflict of interest

2.
Hematology, Transfusion and Cell Therapy ; 43:S530-S531, 2021.
Article in English | EMBASE | ID: covidwho-1859741

ABSTRACT

Introduction: While Covid-19 pandemic spreads around the world, there has been described different evolution in individuals according to risk groups. The onset of the disease, which is mainly associated with respiratory distress, has its classic imaging presentation as ground-glass opacities in computer tomography (CT), although there are plenty of other possible findings. In pediatrics, the infection has its own particularities, rarely presenting severe course. Since April 2020, even if uncommon and less prevalent than in adults, cases with worse outcome started being described, mainly associated with multisystem inflammatory syndrome. Oncologic patients have higher mortality rates, and in the hematologic malignancies, this risk factor is even more evident, where severe lymphopenia is frequent. Proportionally, there is still small data about pediatric leukemia patients during Covid-19 disease, as there is also lack of imaging descriptions. Objectives: Evaluation of pediatric patients under leukemia treatment that had Sars Cov 2 infection, correlating clinical and radiologic presentations. Material and methods: Data was collected from patients in the institution. Leukemia patients with molecular confirmation of Covid-19 were considered. Patients that didn't have confirmation of infection on RT-PCR test were excluded from analysis. Results: During the period from March 2020 to May 2021, there were 11 subjects with leukemia that had Sars Cov 2 proved infection. They were from 3 to 17 years old at Covid-19 diagnosis. From those, 6 had B ALL, 1 T ALL and 4 AML. 1 AML patient had previous allogeneic stem cell transplant. 6 patients had lymphocytes count < 550/mL. 6 patients underwent CT (5 with lymphopenia), and all presented radiologic signs. The main presentation was ground-glass opacity (GGO), present on all the 6 CTs. GGO was bilateral in 4 patients. The other findings were nodule (1), consolidation (1), interlobular septal thickening (1). The patient that presented consolidation had it localized, unilateral and perihilar. Regarding clinical evolution, 5 patients were classified as critical and transferred to ICU;all had a CT with GGO. 3 of them needed respiratory support and 1 needed only supplementary oxygen. This one had an atypical presentation, firstly suspected of transfusion-related acute lung injury, supported by clinical history. 2 patients had septic shock, renal failure and myocarditis combined. There was 1 decease (mortality 9% in the group), in a patient with severe respiratory presentation, associated with pulmonary Graft-versus-host disease. Discussion: This study showed that the main imaging finding in the group was GGO, which was present in all patients that had a CT performed. All the subjects that needed intensive care had imaging proof of pulmonary involvement, even if the complications were also due to multisystemic inflammation. CT has been described with a high sensitivity for symptomatic Covid-19, and when it is very typical, can be diagnostic also if a negative RT-PCR. Patients undergoing leukemia treatment are immunocompromised and have low anti-viral defense, which could lead to higher risk of worse onset. The exam was not done for all patients in this study, the choice for indicating CT was based on clinic presentation and laboratory, which could bring a bias on positivity for GGO. Conclusion: GGO is the main finding in CT scan in Covid-19, which was also found in this pediatric leukemia group.

3.
Periferia ; 13(3):211-229, 2021.
Article in Portuguese | Web of Science | ID: covidwho-1856352

ABSTRACT

This work is a qualitative biographical research, which aims to reflect the right to education and play of children who are the target audience of Early Childhood Education (El), for this, we resorted to the main educational public policies aimed at implementation of these rights, from which, we highlight the Common National Curriculum Base - BNCC (2017), the National Curriculum Reference for Early Childhood Education - RCNEI (1998), the Child and Adolescent Statute - ECA (1990), the Laws of Guidelines of Bases of National Education - LDB (1961;1971;1996), among other documents, we also rely on the studies of theorists such as Aries (1978), Saviane (2008;2018), Kunz (2015), among other authors. In this work, it is possible to perceive the gradual historical evolution of the conception of the child, currently recognized as a subject of rights, including the right to education and play in El institutions. We also emphasize our considerations about the defense of the child's right to education and to play, even in times of the Covid-19 pandemic and the absence of public policies in this adverse context.

4.
Brazilian Journal of Infectious Diseases ; 26, 2022.
Article in Portuguese | EMBASE | ID: covidwho-1693882

ABSTRACT

A criptococose é uma doença fúngica e oportunista, causada pelo fungo da classe Blastomycetes, da família Cryptococcaceae e apresenta duas espécies patogênicas: C. neoformans e C. gattii. A infecção pode ser adquirida por quaisquer indivíduos saudáveis ou não, mas, as pessoas mais suscetíveis são os portadores de SIDA. A infecção no homem acontece por via respiratória;a levedura atinge os pulmões e, dependendo do estado imunológico do paciente, dissemina-se através por vias hematogênica ou linfática, para o sistema nervoso central, globo ocular e tecido cutâneo. O exame direto com coloração de tinta de nanquim é de fácil execução, rápido e barato permitindo a visualização das estruturas características do Cryptococcus spp, porém, o padrão-ouro para o diagnóstico é a associação do exame histopatológico com a cultura. Anfotericina B, é um medicamento fungicida que em associação a 5-flucitosina, constitui primeira opção de tratamento. Descrição do caso: Paciente feminina, 36 anos, venezuelana, com diagnostico de infecção pelo HIV há aproximadamente 2 anos, porém sem tratamento antirretroviral regular. Foi admitida em agosto de 2021 no Hospital de referência de Roraima por alteração neurológica (afasia, hemiparesia direita e alteração da marcha) com achados sugestivos de leucoencefalopatia multifocal progressiva (LEMP) na ressonância magnética do encéfalo;foi diagnosticada também com COVID-19. Durante a internação, evoluiu com surgimento de lesões elevadas, circunscritas, hipercrômicas em face, pescoço, tronco e membros superiores e lesão ulcerada de bordas elevadas de aproximadamente 5 cm na face medial do tornozelo esquerdo. Realizada biópsia das lesões que demonstraram infiltrado inflamatório linfohistiocitário, com esporos fúngicos de variados tamanhos, com cápsula espessa que se coram pela coloração HE e mais nitidamente pelo Grocott sugestivo de infecção por Cryptococcus neoformans. Análise de líquor realizado em 2 oportunidades teve exames diretos e culturas negativas para estruturas fúngicas;não foi possível realizar teste de aglutinação em Latex para Cryptococcus. Fez uso de Anfotericina B lipossomal e Fluconazol por 2 semanas, evoluindo com boa resposta cutânea, porém sem melhora do quadro neurológico. Comentário: A criptococose cutânea localizada uma condição na qual as lesões estão confinadas à pele, não disseminadas sistemicamente e ao mesmo tempo, não estão associadas a fungemia.

5.
Brazilian Journalism Research ; 17(3):536-561, 2021.
Article in English | Scopus | ID: covidwho-1675558

ABSTRACT

The recent rise of right-wing populism has given new momentum to the discussion about the meaning of populism around the world and the covid-19 pandemic added yet another layer to the issue. Considering the growing circulation of the term "populism" in public discourse, as well as the volatility of its meaning, this paper seeks to identify the different constructions of meaning around this phenomenon by Brazilian media during the covid-19 pandemic. Through quantitative and qualitative analysis, in which we used the perspective of media framings, we examine 170 articles from 17 Brazilian media outlets published between March 1st and October 1st, 2020. The results allow us to conclude that there are circumstantial meanings of populism that were incorporated during the pandemic, especially related to an antiscientific approach. © 2021 Associacao Brasileira de Pesquisadores de Jornalismo. All rights reserved.

6.
Perception ; 50(1_SUPPL):139-139, 2021.
Article in English | Web of Science | ID: covidwho-1619379
7.
Revista De Climatologia ; 21:179-187, 2021.
Article in Spanish | Web of Science | ID: covidwho-1576647

ABSTRACT

In this study, the levels of environmental awareness were determined through the mathematization of three climatic elements (Temperature, Solar Lighting and Wind Speed) and the element that aroused the greatest interest, in the university students of the city of Lima, during the year 2021, in times of Covid-19;with data obtained from Weather Spark;through a questionnaire of sixteen reagents to 176 university students to measure the levels of environmental awareness in its dimensions: cognitive, affective, conative and active. Concluding that more than 50% of university students had little knowledge of the mathematization of climatic elements for environmental awareness;the majority high level of affectivity, 68.21% indicated having intermediate intention (conative dimension), and 55.44 %, indicated having high activity;evidencing the affinity, intention and action to achieve environmental awareness through the mathematization of these climatic elements;solar lighting being the most prone element, arousing greater interest, because its equation had a high coefficient of determination (92.83 %);In addition, in the answers to the questionnaire, the preference for illuminated days was deduced, such as those of the year 2020.

8.
Occupational and Environmental Medicine ; 78(SUPPL 1):A78, 2021.
Article in English | EMBASE | ID: covidwho-1571272

ABSTRACT

Introduction On March 11, 2020, the World Health Organization declared the existence of a pandemic by SARS-CoV-2. On May 10, 2021, Brazil had reached the 410,000 mark, becoming the second country in number of deaths from COVID-19 and more than 15 million infected. COVID-19 generates withdrawal from work activities and consequent social security benefits. Knowing the profile of employees and benefits can contribute to a better overview of occupational approaches to COVID-19. Objective To analyze social security benefits generated by COVID-19 leave in Brazil. Methodology Descriptive analysis of data from the Observatory of Safety and Health at Work, in the period 2020, referring to social security benefits by COVID-19, with a comparative analysis of the year 2019. All social security gaps were considered. Used ICD-10 = U07 and B34. Data analyzed: state of Brazil, occupation, economic activity, notification with 'report of work accident-CAT', age, gender, economic sector. Results 50 thousands were dismissed from social security benefits in 2020 according to CID U07 and B34. The state of Sao Paulo had the highest frequency with 36%. Men were 68%. The most prevalent economic sector was hospital (15%) and the occupation was nursing technicians (38%) The most frequent age group in men was 18-24 years and in women, it was 35 to 39 years. Conclusion Occupational epidemiology acting in the analysis of secondary, social security data on COVID-19 can contribute to the definition of public policies, expanding health promotion and prevention.

9.
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.

10.
14th IEEE International Conference on Industry Applications (INDUSCON) ; : 475-480, 2021.
Article in Portuguese | Web of Science | ID: covidwho-1550754

ABSTRACT

The COVID-19 pandemic has affected people's lives as well as the economies of several countries, the health, education, and transportation sectors, among others. To try to contain the spread of the virus, several countries have implemented health barriers at airports, bus stations, stations, company entrance halls, and other shared spaces to detect patients with any symptom of the viral infection. Since fever is one of the most recurrent symptoms of the disease, a rush to the markets for devices to measure body temperature has begun. Thermal imaging cameras, also known as thermal imagers, are other devices used to measure temperature, employing technology known as infrared thermography, a non-invasive, fast and objective tool. In this study, we applied machine learning transfer on YOLO to detect the hottest regions of the human face in thermographic images, allowing the identification of feverish state in humans. To do this, the artificial intelligence algorithms detect the regions of interest in thermographic images, which are: the eyes, forehead and ears, and then the temperatures in these regions are analyzed. The developed software showed excellent performance in detecting the established regions of interest, which adequately indicates the maximum temperature within the regions of interest, and that the choice of the maximum temperature method was adequate.

11.
Research and Practice in Thrombosis and Haemostasis ; 5(SUPPL 2), 2021.
Article in English | EMBASE | ID: covidwho-1509062

ABSTRACT

Background : The variation in human blood serum metabolites resulting from an infection can improve diagnosis. Aims : To map serum signatures of hospitalized symptomatic patients, positive or negative to SARS-CoV-2. Methods : Patients ( n = 64) admitted to Anhembi Field Municipal Hospital, a hospital set up for initial care to patients with moderate symptoms, were analyzed being discriminated in positive ( n = 32) or negative. Age and gender were matched to ensure homogeneity in the basal metabolic rates. Three Nuclear Magnetic Resonance (NMR) data set were recorded on Bruker AVANCE III spectrometer for serum samples analyzed in MetaboAnalyst 5.0 software platform. Results : The results for positive and negative patients were: mean age 54.92 ± 12.41 and 54.30 ± 12.15, and 50% female in each group. The ethnicity was 56.2% vs . 46.8% caucasian, 34.3% mixed race in both groups, and 9.3% vs . 12.5% black in positive and negative groups, respectively. BMI was 24 ± 6.93 vs . 33.5 ± 7.85 in comparison to positive and negative patients, respectively. In both groups 50% of patients presented alveolar infiltrate. Although the groups were not paired by comorbidities, they were homogeneous ensuring that the metabolic variation is due to COVID-19. Clinical symptoms were also remarkably similar between the groups (Table 1). The Partial Least Squares -Discriminant Analysis (PLS-DA) performed onto noesy1d data discriminated positively from negative patients (Figure 1.A). Also, it covered lower variance (Figure 1.B). Combining NMR techniques, it was possible to depict the main metabolites that distinguished the COVID-19 signatures. Alanine, glucose, cholesterol, and glutamine were increased, and lactate decreased (Figure 1.C.) in COVID-19. Conclusions : These results suggest NMR as an excellent tool to differentiate hospitalized patients with moderate symptoms as COVID-19 positive or negative.

12.
Research and Practice in Thrombosis and Haemostasis ; 5(SUPPL 2), 2021.
Article in English | EMBASE | ID: covidwho-1509022

ABSTRACT

Background : The main factors associated with disease severity in COVID-19 are age, sex, body weight, hypertension, and diabetes. Biomarkers of hemostatic activation have been shown to be independent predictors of disease severity in different populations of inpatients. Aims : To evaluate whether biomarkers of hemostatic activation were associated with clinical outcomes in patients admitted to a field hospital, set up to provide initial care to patients in the early symptomatic phase of COVID-19. Methods : Data and samples were obtained from June to September 2020. Laboratory evaluation included complete blood counts, PT, aPTT, fibrinogen, D-dimer, factor VIII activity, Von Willebrand Factor (VWF) (activity and antigen), C reactive protein (CRP) and Pselectin (ELISA). Patients were segregated by outcome, with clinical deterioration defined as need for ICU, mechanical ventilation, pulmonary embolism, deep vein thrombosis or death. Results : In total 209 were enrolled in the study, of which 24 presented clinical deterioration (11.5%). Clinical data are described in Table 1. No differences could be observed between patient subgroups regarding the presence of fever (63.2% vs . 62.5%), dry cough (75.1% vs . 87.5%) and dyspnea (65.9% vs . 54.2%) at admission. As main comorbidities, the groups presented chronic obstructive pulmonary disease (2.2% vs 8.3%), asthma (3.2% vs 4.2%), chronic heart failure (1.1% vs 8.3%), arterial hypertension (46% vs 41.7%) and diabetes (28.1% vs 33.3%) in comparing improved with clinical deterioration patients. Laboratory markers of hemostatic activation are shown in Table 2. In general, it was verified a significant decrease in platelet number, and an increase in the parameters of aPTT, CRP, vWF antigen and ristocetin cofactor. Conclusions : Our results demonstrate that hemostasis activation is associated with clinical deterioration even at the early phases of COVID-19.

13.
Otolaryngology - Head and Neck Surgery ; 165(1 SUPPL):P106, 2021.
Article in English | EMBASE | ID: covidwho-1467817

ABSTRACT

Introduction: With the emergence of SARS-CoV-2 infection, concern for the most vulnerable populations has become an urgency. Several studies warn of the weakness of patients with head & neck cancer (HNC). The objective is to describe the sociodemographic and clinical profile of patients with HNC with a positive diagnosis for COVID-19 who required hospitalization. Method: In this prospective observational study, carried out from March to May 2020, we included individuals of both sexes, enrolled in the Head and Neck Surgery Department of the Brazilian National Cancer Institute and diagnosed with COVID-19 who needed hospitalization. Results: A total of 1153 patients were attended in this period;30 patients required hospitalization and tested positive for COVID-19. The group had a mean age of 62.4 years, with a prevalence of male patients (n = 20;66.67%). There was a predominance of elderly (63.33%), self-declared White (73.32), married (53.32), with low education (56.58%), and smokers (56.67%). Most patients had advanced clinical oncological staging (III-IV;53.33%), approximately. The larynx was the site with the highest prevalence of individuals (n = 7), followed by the thyroid (n = 5) and the oral cavity (n = 5). Systemic arterial hypertension and diabetes mellitus were the most prevalent comorbidities. It was observed that 60% of patients delayed the start of cancer treatment due to a positive diagnosis for COVID-19. Ten deaths had been confirmed, for a mortality rate of 33.3% in the sample. Conclusion: The present study describes a group of patients with HNC at increased risk for hospitalization infected by COVID-19: elderly individuals, with advanced tumors, economically disadvantaged, and undergoing cancer diagnosis and treatment who were not in social isolation.

14.
European Psychiatry ; 64(S1):S168, 2021.
Article in English | ProQuest Central | ID: covidwho-1357130

ABSTRACT

IntroductionCOVID-19 raises serious concerns regarding its unknown consequences for health, including psychiatric long term outcomes. Historically, influenza virus has been responsible for pandemics associated with schizophrenia. Epidemiological studies showed increased risk for schizophrenia in children of mothers exposed to the 1957 influenza A2 pandemic. Controversy remains concerning the mechanisms of pathogenesis underlying this risk.ObjectivesWe aim to review the evidence for the association between influenza infection and schizophrenia risk, the possible pathogenic mechanisms underlying and correlate these findings with the schizophrenia hypothesis of neurodevelopment.MethodsWe reviewed literature regarding evidence from epidemiological, translational animal models and serological studies using medline database.ResultsThe biological mechanisms likely to be relevant account to the effects of infection-induced maternal immune activation, microglial activation, infection-induced neuronal autoimmunity, molecular mimicry of the influenza virus, neuronal surface autoantibodies and psychosis with potential infectious antecedents. Influenza infection may fit into the theory of the neurodevelopment of schizophrenia as a factor that alters the normal maturation processes of the brain (possible second or third hit).ConclusionsInfluenza infection has multiple pathogenic pathways in both pre and post natal processes that might increase the risk of schizophrenia or psychosis. The existing evidence regarding the relationship between influenza virus and psychosis might help us draw similar long-term concerns of COVID-19.DisclosureNo significant relationships.

16.
Boletim do Museu Paraense Emilio Goeldi:Ciencias Humanas ; 16(1), 2021.
Article in Portuguese | Scopus | ID: covidwho-1259272

ABSTRACT

The pandemic of coronavirus Sars-CoV-2 that causes Covid-19 disease has infected a high number of people and caused deaths in Brazil. Thus, this study seeks to identify and understand the impact of this sanitary crisis on small-scale farmers who comprise one of the vulnerable groups of the Brazilian society. We applied questionnaires and gathered reports of participants from different regions and the results indicate that farmers have suffered from the negative impacts of pandemic on multiple dimensions regarding production, commercialization, income, human health, and forms of communication. However, they have been able to overcome some of the challenges brought by the pandemic due to a set of factors, mainly collective actions and solidarity network, individual creative solutions, and public policies. © 2021 Museu Paraense Emilio Goeldi. All rights reserved.

17.
Humanidades & Inovacao ; 8(34):324-336, 2021.
Article in Portuguese | Web of Science | ID: covidwho-1250117

ABSTRACT

In this article we analyze transcripts of lives that dealt with themes related to Early Childhood Education in Covid-19 times, from the perspective of the defense of children and infants, with input in Childhood Pedagogy and Childhood Sociology, transmitted between April and June 2020 The transcripts used as a basis for this analysis were recorded by their own authors and through them we found reflections in three spheres, the most evident and for this reason being the object of analysis of this article the 'Political formation and analysis of the situation'. Considering that it is urgent to consider children and their childhoods in proposals aimed at Early Childhood Education in this context of the pandemic, research based on the transcriptions of speeches from these lives made it possible to make visible the scenario composed of reflections, dilemmas and tensions present in this historical and time frame, preserving the representative and dynamic essence of the expression of the lived in real time.

18.
Holos ; 36(5):16, 2020.
Article in Portuguese | Web of Science | ID: covidwho-1011803

ABSTRACT

The objective of this article is to analyze how the hotel management of Canoa Quebrada-CE is experiencing the context of the pandemic of the Covid-19. In view of this, we sought to understand the impact of the pandemic on the hotel business and to identify the actions adopted and / or planned by the organizations to adapt to the new scenario. This is a qualitative, descriptive research. To this end, interviews were conducted with eight representatives of the Canoa Quebrada-CE sector hotel. Based on Bardin's Content Analysis (2006), it was observed that managers are assuming little prospective behavior, reacting to the environment of uncertainty and loss of revenue only as a last resort and when forced to make strategic decisions. This study contributes to the analysis and discussion of an emerging theme, which represents a social and economic framework for the hotel sector and the world economy.

20.
Hematology, Transfusion and Cell Therapy ; 42:523, 2020.
Article in Spanish | ScienceDirect | ID: covidwho-893846
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