Your browser doesn't support javascript.
Show: 20 | 50 | 100
Results 1 - 8 de 8
Filter
1.
European Psychiatry ; 65(Supplement 1):S528, 2022.
Article in English | EMBASE | ID: covidwho-2154072

ABSTRACT

Introduction: The COVID-19 pandemic represented a serious strain on the mental health resilience worldwide. Implementation of restrictive rules implied the disruption of social networks, eliciting emotional exhaustion and intense response to fear. This was amplified by media spread of panic and fake news, representing risk factors for post traumatic stress disorder (PTSD). Fear can be dangerous, especially accounting premorbid psychopathological vulnerability, such as pathological personality traits. Emotional dysregulation increases fear levels, mediated by the relationship between emotional dysregulation and lack of tolerance. Objective(s): Clinical case presentation of patient who developed dissociative and behavioral symptoms following COVID-19 infection. Bibliographic research. Method(s): Bibliographic research using Pubmed. Clinical file consultation and patient interviews. Result(s): Heightened psychophysiological reactivity can result from the persistent fear experienced during a traumatic event and repeated memories related to it, leading to a sensitization of the response to fear. We present 57 year-old female patient, admitted to the COVID ward after trying to escape from home isolation due to positivity to COVID-19. In the hospital setting she developed dissociative symptoms, trying to escape from the ward and infect other people. Conclusion(s): Intense fear responses to COVID-19 are likely explained by poor emotion regulation capacities as well as dissociative mechanisms. Studies have shown that this pandemic was experienced as a real traumatic event and some studies have found that it may lead to the development of PTSD. Pathological personality is positively related to PTSD symptoms, attributable to higher levels of mood instability, cognitive/perceptual disorders, interpersonal dysfunctions and negative affection.

2.
Holos ; 38(2), 2022.
Article in English | Web of Science | ID: covidwho-2111188

ABSTRACT

The purpose of this article is to present an analysis of the humorous video Prantao do Chico: Caminhao "Cata Veio" from the Youtube (R) Reclamacao do Dia channel, as a tool to spread age in the midst of the pandemic by Covid-19. Methodologically, the research is classified as documentary and interpretive. The video analysis was inspired by the methodology "Analysis of moving images", by Diane Rose (2011), which is divided into four phases: selection, transcription, coding and tabulation. The humorous video, due to its lightness character, works as a cultural pedagogy for the diffusion of age, based on the ridicule and infantilization of old age. In addition to not contributing to the effective combat of Covid-19, as it does not have an instructive character, it is a derogatory material, which makes the old man invisible and disregards his wishes, desires and rights.

3.
Lancet Digital Health ; 4(8):E573-E583, 2022.
Article in English | Web of Science | ID: covidwho-2092794

ABSTRACT

Background Real-time prediction is key to prevention and control of infections associated with health-care settings. Contacts enable spread of many infections, yet most risk prediction frameworks fail to account for their dynamics. We developed, tested, and internationally validated a real-time machine-learning framework, incorporating dynamic patient-contact networks to predict hospital-onset COVID-19 infections (HOCIs) at the individual level. Methods We report an international retrospective cohort study of our framework, which extracted patient-contact networks from routine hospital data and combined network-derived variables with clinical and contextual information to predict individual infection risk. We trained and tested the framework on HOCIs using the data from 51 157 hospital inpatients admitted to a UK National Health Service hospital group (Imperial College Healthcare NHS Trust) between April 1, 2020, and April 1, 2021, intersecting the first two COVID-19 surges. We validated the framework using data from a Swiss hospital group (Department of Rehabilitation, Geneva University Hospitals) during a COVID-19 surge (from March 1 to May 31, 2020;40 057 inpatients) and from the same UK group after COVID-19 surges (from April 2 to Aug 13, 2021;43 375 inpatients). All inpatients with a bed allocation during the study periods were included in the computation of network-derived and contextual variables. In predicting patient-level HOCI risk, only inpatients spending 3 or more days in hospital during the study period were examined for HOCI acquisition risk. Findings The framework was highly predictive across test data with all variable types (area under the curve [AUC]-receiver operating characteristic curve [ROC] 0.89 [95% CI 0.88-0.90]) and similarly predictive using only contact-network variables (0.88 [0.86-0.90]). Prediction was reduced when using only hospital contextual (AUC-ROC 0.82 [95% CI 0.80-0.84]) or patient clinical (0.64 [0.62-0.66]) variables. A model with only three variables (ie, network closeness, direct contacts with infectious patients [network derived], and hospital COVID-19 prevalence [hospital contextual]) achieved AUC-ROC 0.85 (95% CI 0.82-0.88). Incorporating contact-network variables improved performance across both validation datasets (AUC-ROC in the Geneva dataset increased from 0.84 [95% CI 0.82-0.86] to 0.88 [0.86-0.90];AUC-ROC in the UK post-surge dataset increased from 0.49 [0.46-0.52] to 0.68 [0.64-0.70]). Interpretation Dynamic contact networks are robust predictors of individual patient risk of HOCIs. Their integration in clinical care could enhance individualised infection prevention and early diagnosis of COVID-19 and other nosocomial infections. Copyright (C) 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license.

4.
European psychiatry : the journal of the Association of European Psychiatrists ; 65(Suppl 1):S528-S528, 2022.
Article in English | EuropePMC | ID: covidwho-2073816

ABSTRACT

Introduction The COVID-19 pandemic represented a serious strain on the mental health resilience worldwide. Implementation of restrictive rules implied the disruption of social networks, eliciting emotional exhaustion and intense response to fear. This was amplified by media spread of panic and fake news, representing risk factors for post traumatic stress disorder (PTSD). Fear can be dangerous, especially accounting premorbid psychopathological vulnerability, such as pathological personality traits. Emotional dysregulation increases fear levels, mediated by the relationship between emotional dysregulation and lack of tolerance. Objectives Clinical case presentation of patient who developed dissociative and behavioral symptoms following COVID-19 infection. Bibliographic research. Methods Bibliographic research using Pubmed®. Clinical file consultation and patient interviews. Results Heightened psychophysiological reactivity can result from the persistent fear experienced during a traumatic event and repeated memories related to it, leading to a sensitization of the response to fear. We present 57 year-old female patient, admitted to the COVID ward after trying to escape from home isolation due to positivity to COVID-19. In the hospital setting she developed dissociative symptoms, trying to escape from the ward and infect other people. Conclusions Intense fear responses to COVID-19 are likely explained by poor emotion regulation capacities as well as dissociative mechanisms. Studies have shown that this pandemic was experienced as a real traumatic event and some studies have found that it may lead to the development of PTSD. Pathological personality is positively related to PTSD symptoms, attributable to higher levels of mood instability, cognitive/perceptual disorders, interpersonal dysfunctions and negative affection. Disclosure No significant relationships.

5.
FEBS Open Bio ; 12:331-332, 2022.
Article in English | EMBASE | ID: covidwho-1976630

ABSTRACT

In early 2020, the COVID-19 pandemic forced the higher education institutions to adapt to a new form of teaching and learning, from presential to full remote, blended and hybrid environment. This challenge had a particular impact in the life sciences field where the courses have a high content of laboratorial classes. The main issue was how to transition from hands-on practical classes to remote instruction, assuring that our students continued engaged and acquiring the necessary skills, in a short amount of time. To address this, we took advantage of already available digital tools that facilitated the interface with the students such as Moodle, Skype, Teams and ZOOM and explored online resources such as virtual labs, simulations and video demonstrations. Additionally, several classes and laboratorial experiments were recorded by the teachers in the school labs and the research labs where we develop our research activity. The creation of teachers' work groups to share experiences and tools was key in the success of this process. To ensure the students evaluation we used preferentially Moodle platform which allowed the used of digital tools to control and prevent fraud by copying, plagiarism or false identity. Despite all efforts from teachers and students, crucial elements of the high education experience, particularly for undergraduates, were disrupted. Namely the student-teacher and student-student contact and interaction and the integration in the academic setting, resulting in stress and feeling of isolation and overwhelm. Even with the difficulties faced by all the academic community, we observed no major changes regarding the academic success reflected in the final grades, comparing with previous years. In our understanding the core skills proposed for these courses were acquired successfully and the digital tools used with exception for the student's evaluation, are now considered an added value and bring flexibility to the teaching-learning process.

6.
Humanidades & Inovacao ; 8(68):377-387, 2021.
Article in Portuguese | Web of Science | ID: covidwho-1894270

ABSTRACT

The present work has as premise to discover what the Physical Education teachers of Miracema do Tocantins and region do to maintain a leisure routine during the COVID-19 pandemic. Based on this objective, we describe brief notes about leisure and the covid-19 pandemic and how this disease has impacted the leisure practices of Physical Education teachers. The study was carried out remotely using an online questionnaire, prepared through google forms. Participants were Physical Education teachers from the cities of Miracema, Lajeado, Tocantinia and Miranorte, all located in the state of Tocantins. Of the 25 teachers who participated in the survey, only 12 answered the questionnaire correctly, leaving no answer blank. It is considered that the pandemic has changed leisure habits on the part of teachers, as many of them cite covid-19 as an obstacle to the continuity of leisure activities, therefore, a careful look at the possible effects that the pandemic may have on long term is necessary.

7.
Educacion Fisica Y Ciencia ; 23(4):15, 2021.
Article in Portuguese | Web of Science | ID: covidwho-1667940

ABSTRACT

The purpose of this article is to share reflections regarding our experiences with teaching Physical Education at High School developed in two public schools in the interior of the State of Bahia, in the first school unit in 2021. The construction of the reports used the following as data source: i) the records and reports of the centers of the Pedagogical Residency Program of each school;ii) the official documents that guide High School;and iii) teacher observation records. The experience reports point out important aspects about the teaching of Physical Education at High School in the midst of the COVID-19 pandemic, such as: a) the difficulties in carrying out practical experiments in remote education;b) the importance of preparing study scripts;c) the concern with the large number of students who do not participate in synchronous activities;d) the limitations of evaluating learning. We conclude that it is not possible to provide quality school Physical Education in remote, virtual or distance format, since it is not possible to guarantee at High School the deepening of the contents of Body Culture without carrying out practical experiments, in groups, and under the responsibility of a teacher in person.

8.
J Hosp Infect ; 117: 124-134, 2021 Nov.
Article in English | MEDLINE | ID: covidwho-1373121

ABSTRACT

BACKGROUND: Nosocomial outbreaks of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) are frequent despite implementation of conventional infection control measures. An outbreak investigation was undertaken using advanced genomic and statistical techniques to reconstruct likely transmission chains and assess the role of healthcare workers (HCWs) in SARS-CoV-2 transmission. METHODS: A nosocomial SARS-CoV-2 outbreak in a university-affiliated rehabilitation clinic was investigated, involving patients and HCWs, with high coverage of pathogen whole-genome sequences (WGS). The time-varying reproduction number from epidemiological data (Rt) was estimated, and maximum likelihood phylogeny was used to assess genetic diversity of the pathogen. Genomic and epidemiological data were combined into a Bayesian framework to model the directionality of transmission, and a case-control study was performed to investigate risk factors for nosocomial SARS-CoV-2 acquisition in patients. FINDINGS: The outbreak lasted from 14th March to 12th April 2020, and involved 37 patients (31 with WGS) and 39 employees (31 with WGS), 37 of whom were HCWs. Peak Rt was estimated to be between 2.2 and 3.6. The phylogenetic tree showed very limited genetic diversity, with 60 of 62 (96.7%) isolates forming one large cluster of identical genomes. Despite the resulting uncertainty in reconstructed transmission events, the analyses suggest that HCWs (one of whom was the index case) played an essential role in cross-transmission, with a significantly greater fraction of infections (P<2.2e-16) attributable to HCWs (70.7%) than expected given the number of HCW cases (46.7%). The excess of transmission from HCWs was higher when considering infection of patients [79.0%; 95% confidence interval (CI) 78.5-79.5%] and frail patients (Clinical Frailty Scale score >5; 82.3%; 95% CI 81.8-83.4%). Furthermore, frail patients were found to be at greater risk for nosocomial COVID-19 than other patients (adjusted odds ratio 6.94, 95% CI 2.13-22.57). INTERPRETATION: This outbreak report highlights the essential role of HCWs in SARS-CoV-2 transmission dynamics in healthcare settings. Limited genetic diversity in pathogen genomes hampered the reconstruction of individual transmission events, resulting in substantial uncertainty in who infected whom. However, this study shows that despite such uncertainty, significant transmission patterns can be observed.


Subject(s)
COVID-19 , Cross Infection , Explosive Agents , Bayes Theorem , Case-Control Studies , Cross Infection/epidemiology , Disease Outbreaks , Genomics , Health Personnel , Humans , Phylogeny , SARS-CoV-2
SELECTION OF CITATIONS
SEARCH DETAIL