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1.
Int Breastfeed J ; 17(1): 58, 2022 08 17.
Article in English | MEDLINE | ID: covidwho-1993369

ABSTRACT

BACKGROUND: Women with COVID-19 experienced numerous concerns and doubts about the safety of breastfeeding their babies, and lack of support may have impacted breastfeeding practices. This study aims to compare breastfeeding beliefs, practices, and contact with healthcare professionals regarding the level of postnatal feeding support provided during the COVID-19 pandemic in Brazil, South Korea, Taiwan, Thailand, and the United Kingdom. METHODS: A multi-country cross-sectional study was conducted with postnatal women in five countries. Women up to six months postpartum were invited to complete an online survey concerning the transmission of preventative measures, beliefs toward breastfeeding, infant feeding practices in the last 24 hours and experiences of postnatal infant feeding support between July to November 2021. Bivariate and multivariate analyses were performed to identify the association. RESULTS: Of the 3,253 eligible responses received, 39.5% of children were aged between one and two months, but in Taiwan (36%) and South Korea (42.8%) they were between three and four months. The mean of the belief score was significantly different among countries (p < 0.0001). Women in Brazil and the UK had a higher rate of breastfeeding at the breast (90.7% and 85.4%, respectively) compared to the three Asian countries (p < 0.0001) while feeding with expressed breastmilk in Thailand (59.9%), Taiwan (52.6%), and South Korea (50.4%) was higher than the others (p < 0.0001). Brazil and UK mothers (mean = 16.0 and 14.5 respectively) had a higher mean score for belief toward breastfeeding during the COVID-19 than the others. These results are inversely associated with breastfeeding but positively related to formula feeding practice. Postnatal feeding support during the COVID-19 pandemic was mainly provided by healthcare professionals (67.1%) and peers / family through face-to-face personal contact (51.6%) in all countries. CONCLUSION: Some differences were found in breastfeeding beliefs during the COVID-19 pandemic in Asian countries. A positive breastfeeding belief was associated with the practice of breastfeeding at the breast. Women from all countries received postpartum infant feeding support from health professionals and peers / family through personal contacts. Governments need to emphasize and disseminate the importance of breastfeeding safety, especially in Asian countries.


Subject(s)
Breast Feeding , COVID-19 , Child , Cross-Sectional Studies , Female , Humans , Infant , Mothers , Pandemics
2.
Sleep Science ; 15:9, 2022.
Article in English | EMBASE | ID: covidwho-1935247

ABSTRACT

Introduction: The high consumption of alcoholic beverages contributes to the etiology and maintenance of several health problems. Binge-drinking is used to define the episodic excessive use of alcohol when a person consumes large doses of alcoholic beverages on a single episode. In adults, frequent alcohol consumption is associated with circadian and sleep misalignment, compromising functions in all physiological systems. Objective: To evaluate the association of binge-drinking alcohol during the COVID-19 pandemic with sleep quality. Methods: Cross-sectional, population-based study, between October and December 2020 in two medium-sized cities in Minas Gerais. Sleep was assessed by the Pittsburgh Sleep Quality Index, with a global score from 0 to 21. Scores of 5-10 indicate poor sleep quality. Alcohol consumption was evaluated by the frequency of consumption, and binge-drinking was evaluated by the question: “In the last 30 days, have you consumed 5 or more doses of alcoholic beverages (men) or 4 or more doses of alcoholic beverages (women) on a single occasion? One dose of alcohol is equivalent to one can of beer or one glass of wine, or one dose of distilled alcoholic beverage?”. Multivariate logistic regression was used to verify the association of binge-drinking alcohol with sleep quality. Results: Of the individuals evaluated, more than half had poor sleep quality (52.5%), were female (51.9%), black or brown (67.9%), with minimum high school education (56.5%), and family income below 5 minimum wages (60.4%). Alcohol consumption was reported by 58.2%, and prevalence of binge-drinking was 30.2%. In multivariate analysis, adjusted for sex, age, income and anxiety and frequency of alcohol consumption, individuals in binge-drinking had double the chance of had poor sleep quality (OR=2.06;95% CI 1.15-3.70). Conclusion: Individuals in binge-drinking during covid-19 pandemic are more likely to have poor sleep quality. Our results are important because the pandemic may have increased stress due to loss of income and employment, as well as increased social isolation. This stress can lead to increased binge-drinking and increased chances of having poor quality sleep.

3.
Sleep Science ; 15:9-10, 2022.
Article in English | EMBASE | ID: covidwho-1935245

ABSTRACT

Introduction: During the pandemic, changes resulting from social and routine restrictions may have led to a change in sleep quality patterns. Furthermore, poor sleep quality may result in increased hunger and food intake, especially of ultraprocessed foods. Objective: To evaluate the association of sleep quality with food consumption pattern during the COVID-19 pandemic. Methods: Cross-sectional, population-based study, between October and December 2020 in two medium-sized cities in Minas Gerais. Sleep was assessed by the Pittsburgh Sleep Quality Index, with a global score from 0 to 21. Scores of 5-10 indicate poor sleep quality and greater than 10, a possible sleep disorder. The unhealthy eating indicator was designed according to food processing, unprocessed (fruits, vegetables and legumes, milk, and beans) and ultra-processed (processed meats, sweets, instant noodles, and soft drinks). Unprocessed foods consumed daily, and ultra-processed foods consumed never received the lowest score (zero). The highest score (four points) was received by unprocessed foods never, and ultraprocessed foods daily. The total score ranged from 0 (best) to 32 points (worst quality). It was subsequently categorized into quartiles and grouped to dichotomized variable: unhealthy food (2nd to 4th quartile;> 5 points) and healthy (1st quartile;< 4 points). Multiple logistic regression was used to verify the association of sleep quality with dietary consumption pattern. Results: Of the individuals evaluated, most were female (51.9%), black or brown (67.9%), with minimum high school education (56.5%), and family income below 5 minimum wages (60.4%). The food score ranged from 0 to 24 points, and 76.8% had an unhealthy eating pattern. Regarding sleep, 38.6% had poor quality, and 13.9% sleep disorder. In multivariate analysis, adjusted for sex, age, and income, subjects with poor sleep quality had 1.81 times the chance of having an unhealthy eating pattern (OR=1.81;95% CI 1.25- 2.62), and those with sleep disturbance had 2.28 times the chance of having an unhealthy eating pattern (OR=2.28;95% CI: 1.27-4.10). Conclusion: Individuals with poor quality and sleep disorders are more likely to have unhealthy eating during the pandemic of COVID-19. This study demonstrates the importance of investigating the repercussion of the pandemic on sleep and eating habits, and worsening health status of these individuals.

4.
Hematology, Transfusion and Cell Therapy ; 43:S325-S326, 2021.
Article in English | EMBASE | ID: covidwho-1859639

ABSTRACT

Introdução: O aumento crescente da complexidade de casos relacionados a hemoterapia e avanços tecnológicos nos diagnósticos das doenças onco-hematológicas, associado ao aumento da expectativa de vida desta população, tem permitido que pacientes cada vez mais complexos sejam encaminhadas as especialidades médicas para definir o melhor tratamento a ser realizado. Objetivo: Realizar um levantamento do perfil epidemiológico das amostras de pacientes encaminhados para o laboratório de referência em imuno-hematológica para identificação de anticorpos irregulares devido transfusões ou sensibilizações. Materais e métodos: Levantamento estatístico utilizando o banco de dados do sistema informatizado do Banco de Sangue de São Paulo grupo gestor em hemoterapia. Resultados: 1.023 amostras de pacientes foram contabilizadas neste período do ano 2020, dos 1.023 pacientes 638 amostras eram do sexo feminino, e 385 amostras do sexo masculino. Quanto a idade recebemos amostras de pacientes com 1 dia de vida até 102 anos, de 0–10 (3,2%);0–20 (2,8%);21–30 (6,8%);31–40 (18,8%);41–50 (14,1%);51–60 (10,6%);61–70 (14,0%);71–80 (13,9%);81–90 (13,4%);91–102 (2,6%). Dentre as doenças relacionas estão aborto 45 (4,4%);Anemia hemolítica auto imune (IHAI) 6 (0,6%);Anemia sem especificação 105 (10,3%);Anemia Falciforme 36 (3,5%);COVID-19 53 (5,2%);Insuficiência Renal Crônica (IRC) 25 (2,4%);Leucemia sem especificação 87 (8,5%);Linfoma 55 (5,4%);Lúpus 5 (0,4%);Mielodisplasia 33 (3,2%);Mieloma Múltiplo 61 (6,0%);Neoplasia 16 (1,6%);Trombose 12 (1,2%);Transplante de Medula 11 (1,1%);Talassemia 16 (1,6%);Sepse 16 (1,6%);Sangramento 16 (1,6%);Parto 39 (3,8%). Nas identificações de anticorpos irregulares encontramos os seguintes anticorpos: D (162 – 15,8%);c (15 – 1,4%);C (8 – 0,8%);e (1 – 0,09%);E (75 – 7,3%);K (40 – 3,9%);Kpa (4 – 0,4%);Dia (28 – 2,7%);Fya (14 – 1,4%);Jka (10 – 1,0%);Jkb (4 – 0,4%);P1 (1 – 0,09%);S (3 – 0,3%);s (3 – 0,3%);M (27 – 2,3);N (2 – 0,2%);Lea (9 – 0,9%);Leb (1 – 0,09%);Lua (1 – 0,09%);Lub (1 – 0,09%);Fenotipagem estendida (276 – 27%);tipagem ABO direta/reversa (26 – 2,5%);TAD+/Auto+ (209 – 20,43%);Ausência de anticorpos (92 – 9,0%);auto e (3 – 0,3%. Crio aglutinina fria (12 – 1,2%). Conclusão: A maioria das amostras dos pacientes encaminhados ao laboratório de referência em imuno-hematologia para realizar os estudos imuno-hematógicos foram do sexo feminino, na faixa etária de 31–40 anos, as doenças com maior incidência foram leucemia, mieloma múltiplo, linfoma e COVID-19. Em relação aos anticorpos identificados o de maior prevalência foi D 15,8%. Esses resultados nos ajudam no planejamento e cuidado transfusional para esses pacientes.

5.
Brazilian Journal of Infectious Diseases ; 26, 2022.
Article in Portuguese | EMBASE | ID: covidwho-1693847

ABSTRACT

Introdução: A infecção viral aguda do trato respiratório corresponde a 80% de todas as doenças respiratórias agudas, levando a grande morbimortalidade. Em menores de cinco anos, a mortalidade global combinada de apenas influenza e VRS atinge 300.000 mortes a cada ano. Objetivo Avaliar a prevalência de vírus respiratórios em crianças menores de 5 anos internadas em um hospital terciário antes e durante a pandemia de COVID-19. Método: Estudo descritivo transversal incluindo amostras de swab nasofaríngeo de crianças < 5 anos para a pesquisa de Adenovírus (ADE), Influenza A (FLUA), Influenza B (FLUB), Parainfluenza 1, 2 e 3 e Vírus Respiratório Sincicial (VRS) pelos métodos de Imunofluorescência indireta (triagem) e imunofluorescência direta (identificação do vírus). Foram incluídas amostras analisadas nos meses de agosto a setembro de 2019 (antes da pandemia de COVID-19), agosto a setembro de 2020 e agosto a setembro de 2021 (durante a pandemia). Resultados: Entre 1° de Agosto/2019 e 30 de Setembro/2019, 139 testes foram realizados e 33 (23,7%) amostras foram positivas. O vírus mais prevalente foi FLUA com 7 casos positivos (21,2%), seguido de Parainfluenza tipo 3 com 6 casos (18,2%), VRS com 5 casos (15,2%) e Parainfluenza tipo 2 com 4 casos (12,2%). Em 2020, no primeiro ano de pandemia, 44 testes foram realizados e apenas 1 amostra foi positiva para o ADE. Em 2021, um total de 148 testes foram realizados no período de estudo e 81 (54,7%) amostras tiveram resultado positivo para os vírus pesquisados. VRS e Parainfluenza tipo 3 foram responsáveis por 94% dos casos de infecções em crianças <5 anos na instituição, 50 (61,7%) e 26 (54,7%) casos positivos, respectivamente. No ano de 2019, a maioria dos pacientes positivos estavam na faixa etária de 2 a 3 anos (91%). Já em 2021, 77% dos casos positivos foram observados em crianças menores de 1 ano. Na pesquisa de SARS-CoV-2, de 61 pacientes testados, apenas 2 (3%) apresentaram resultado positivo. Conclusão: Após o segundo ano da pandemia de COVID-19 (2021), houve um aumento dos casos de infecção por VRS e Parainfluenza tipo 3 quando comparado ao mesmo período de 2020 e 2019. Além disso, houve uma concentração de casos positivos na faixa etária de 0 a 2 anos durante a pandemia. Essa alteração no perfil de positividade entre os anos de 2020 e 2021 pode ser devido ao relaxamento das medidas de prevenção ao SARS-CoV-2, uma vez que essas medidas também contribuem para o controle de outras infecções respiratórias.

6.
Mundo Amazonico ; 12(1):43-64, 2021.
Article in Spanish | Web of Science | ID: covidwho-1178598

ABSTRACT

The new coronavirus pandemic has been causing devastating effects that are felt differently among the population, as regional, socioeconomic, racial and gender inequalities tend to be intensified in times of crisis. In Brazil, the most precarious regions and their vulnerable social groups feel the impacts caused by the necessary changes to prevent and face the risks produced by the pandemic more intensely. This article seeks to reflect on the main impacts of the pandemic context on the daily lives of members of university communities in the Northeast region of Brazil. The analysis was based on a qualitative and quantitative research, whose data were generated through a digital form answered by members of the nine states that make up the region. The results achieved indicate that the adaptability needs due to the adverse situations presented by the pandemic encounter unequal conditions of adhesion between the different members of the university communities, reflecting on the development of tensions and anxieties in a scenario of uncertainties regarding the possibilities of survival, as well as the challenges that these adversities pose for higher education institutions.

7.
Revista Juridica ; 5(62):1-27, 2020.
Article in Portuguese | Scopus | ID: covidwho-994878

ABSTRACT

Objective: It analyzes the use of telework in the context of Pandemic (Covid-19), its concept and legal provision based on Law No. 13,467 / 2017, which amended the CLT. It discusses the modalities and characteristics of teleworking, subordination, control of their journey and the right to disconnect, directing the study to the scope of notary and registry services, with analysis of the regulations issued by the National Council of Justice in this regard, in comparison with practical aspects of the activity. We used the deductive method based on bibliographic material consisting of books and periodicals of doctrinal content, norms and jurisprudence. Methodology: This is an exploratory, qualitative research based on a deductive reasoning line, based on bibliographic and documentary review techniques. Results: As inovações levadas a efeitos pela reforma trabalhista foram salutares para uma garantira de direitos dos teletrabalhadores, mesmo que não totalmente. E no âmbito das serventias extrajudiciais, conclui-se que andou bem o CNJ sendo a regulamentação dada pelo Provimento nº 54/2016 e pela Resolução 277/2016 mais um degrau na evolução da eficiência da atividade notarial e de registro, com importantes reflexos na otimização dos serviços oferecidos aos usuários desses serviços públicos, em especial em tempos de Pandemia. Contributions: The main contribution of the work is to identify the positive and negative externalities of the telework regulations in the Brazilian notary and registry services, focusing on the adversities caused by Pandemic (COVID-19). © 2020, Centro Universitário Curitiba - UNICURITIBA. All rights reserved.

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