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1.
Journal of Thoracic Oncology ; 17(9):S250, 2022.
Article in English | EMBASE | ID: covidwho-2031518

ABSTRACT

Introduction: In Portugal, in 2020, 5415 new lung cancer patients were diagnosed and 4797 deaths were caused by lung cancer. Lung cancer ranks third in terms of cancer incidence and is the leading cause of cancer mortality. Early diagnosis, complete and fast patient assessment and staging, multidisciplinary approach, access to personalized medicine, new treatment options and research are essential to improve survival and quality of life. Access to clinical trials is critical for this improvement.The aim of this study is to assess the techniques available to the diagnostic work-up, treatments, the waiting time and the needs perceived by physicians. Methods: The Portuguese Lung Cancer Study Group launched a survey in order to study the diagnostic approach and treatment of lung cancer patients in Portugal. An online survey with 47 questions was sent to all Portuguese hospitals that treat lung cancer, referring to the pre-COVID-19 pandemic experience. Results: Responses from 31 Portuguese hospitals were collected, between May and September 2020. Availability to bronchoscopy, image-guided transthoracic needle biopsy (TNB), endobronchial ultrasound- transbronchial needle aspiration (EBUS-TNBA), PET/CT, molecular biology testing is presented in table I. In 58% (n=18) the molecular biology test was performed as a "reflex test". About 68% (n=21) of hospitals used next generation sequencing. Two hospitals (7%) reported not having access to liquid biopsies.Video-assisted thoracoscopic surgery was the main surgical technique (61%;n=19). The waiting time for the first radiation oncology consultation was less than 15 days in 71% (n=26). About 61% (n=19) of hospitals had clinical trials. A wide majority of doctors (77%) would like to have more clinical trials. In 71% (n=22) of the hospitals, it was possible to refer patients to Palliative Care receiving systemic anticancer therapy. [Formula presented] Conclusions: Despite the limitations of the methods, this study allowed us to deepen our knowledge about the work-up technologies and treatments available for lung cancer patients in Portugal. It has also identified future opportunities, such as increasing accessibility to some diagnostic tools and clinical trials. Keywords: Diagnosis and treatment approach, Lung Cancer in Portugal, Health Services Research - Portugal

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Radiologia brasileira ; 55(2):V-VI, 2022.
Article in English | EuropePMC | ID: covidwho-1782247
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6th Latin American Conference on Learning Technologies, LACLO 2021 ; : 151-157, 2021.
Article in Portuguese | Scopus | ID: covidwho-1784512

ABSTRACT

The pandemic of COVID-19 forced all countries to establish quarantine protocols. Educational institutions around the world have had to adapt to some form of remote learning. In the study presented here, all students at a higher education institution specializing in business courses in São Paulo/Brazil were moved to the synchronous remote teaching modality. This movement generated several impacts on the assessment process, particularly on final averages and passed rates and attendance. These impacts were uneven depending on the type of content of each subject. This study used databases of grades and absences, as well as interviews with professors and course coordinators. This article seeks to integrate with other national studies on the impact of the pandemic on education, bringing quantitative data, taking as an example a Brazilian higher education institution. © 2021 IEEE.

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17th IEEE International Wireless Communications and Mobile Computing, IWCMC 2021 ; : 342-346, 2021.
Article in English | Scopus | ID: covidwho-1735822

ABSTRACT

Technology has become crucial in applying measures to refrain diseases' spread. Thus, computer vision can be an essential tool in this combat. This paper proposes and demonstrates an application that combines facial detection and artificial intelligence techniques to verify the use of masks by individuals within the range of the camera's vision field. In a pandemic period of COVID-19, it is necessary obtaining better control of mask usage in places where it is mandatory and providing quick identification of someone who will not comply with this rule. With this objective, a Machine Learning system was created to operate in real-time a classification of face mask usage to prevent the transmission of the virus and directly impact suppressing the pandemic. © 2021 IEEE

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International Conference on Intelligent Computing and Networking, IC-ICN 2021 ; 301:1-12, 2022.
Article in English | Scopus | ID: covidwho-1718596

ABSTRACT

Edge architectures have emerged as a solution for the development of Internet of Things (IoT) applications, especially in scenarios with ultra-low system latency requirements and a huge amount of data transmitted in the network. This architecture aims to decentralize systems and extend cloud resources to devices located at the edge of networks. Various benefits regarding local processing, lower latency, and better communication bandwidth can be highlighted. This study proposes an edge architecture which uses computer vision to detect people in agglomerations. To evaluate the performance of the proposed architecture, an use-case for agglomeration detection in the Covid-19 scenarios is presented. A comparative analysis of the detection is performed through videos from a public database. The obtained results demonstrate a gain in terms of computational performance with a video analysis in comparison to the best solutions available in the literature. The proposed solution can be a powerful edge tool to support the combat against Covid-19 Pandemic. © 2022, The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

8.
Revista Univap ; 27(55):12, 2021.
Article in Portuguese | Web of Science | ID: covidwho-1667836

ABSTRACT

In the hospital context, professionals need continuous updating and training. Nevertheless, high adherence by employees to improvement activities is not always achieved. The situation is aggravated in a pandemic context such as that experienced in 2020 in Brazil (and in the world) with COVID19, since the demands of professionals grow, and they are subjected to additional stress with the significant increase in hospitalizations and deaths. In addition, to avoid crowding, training activities now require environments with less concentration of people, instead of the traditional lectures in crowded auditoriums. Starting from bibliographic research and observations associated with the use of active methodologies in the field of Health, this work aims to present proposals for the application of such methodologies in the pandemic scenario, planning a diversified training structure suitable for the different sectors of a reference hospital in Vale do Paraiba (SP) to improve communication, knowledge, interaction and skill of the teams. In the context of COVID19, the advantages of active methodologies are evident, highlighting the greater involvement of professionals in training, with systemic interaction increasing the engagement of professionals. This more effective interaction among the areas and the expansion of the training of professionals enhances the improvement in the quality of care. Professional involvement also tends to reduce staff turnover and costs.

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European Journal of Public Health ; 31:2, 2021.
Article in English | Web of Science | ID: covidwho-1610008
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European Journal of Public Health ; 31:391-391, 2021.
Article in English | Web of Science | ID: covidwho-1610007
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Revista Juridica ; 4(66):488-519, 2021.
Article in Spanish | Scopus | ID: covidwho-1574328

ABSTRACT

Objective: The fight against the pandemic by COVID-19 has been a challenge for all States, due to the high level of contagion and the requirement for intensive care supplies and beds for the care of the most serious cases. Brazil has been fighting, in addition to the health crisis, several administrative, legislative and judicial problems related to procedures to combat the virus. The research aims to raise the context of Brazil and Mexico in this challenge, addressing issues such as administration, governance and related lawsuits-the latter concerning Brazil. Thus, the research will investigate how these States are facing the pandemic in terms of management, emphasizing administrative and legal aspects. Methodology: The method used combines the case study (considering Brazil and Mexico) with the development of deductive reasoning, starting from administrative organization and legal regulation. The research is based on literature review, documental and secondary data analysis. Results: The results show that Brazil has expertise in carrying out vaccinations, but that political divergences have hampered the fight against COVID-19, and that the Brazilian State may undertake efforts for a more active participation of the population, in order to legitimize the actions to fight it. to COVID-19, with the help and strengthening of local governments, as did Mexico, where the analysis demonstrates the lessons learned in combating the pandemic by strengthening governance and vaccine management by Solidarity Support Networks for Neighbors and Local Residents, coordinated by the municipal government. Contributions: The main contribution of the research is to allow the analysis of the contexts, problems and actions developed by Brazil and Mexico in confronting the pandemic by COVID-19. © 2021, Centro Universitario Curitiba - UNICURITIBA. All rights reserved.

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European Journal of Public Health ; 31, 2021.
Article in English | ProQuest Central | ID: covidwho-1515001

ABSTRACT

Health-care workers (HCWs) on the frontlines have a high risk of acquiring and dying from covid-19. Nursing professionals (NP) represent over half of HCWs in Brazil, a country with high morbidity and mortality from covid-19, above all in 2021. The absenteeism and death of nursing professionals due to covid-19 have a major impact on the workforce. As part of the research by Fiocruz on working conditions among HCWs, including those considered “invisible,” we have conducted this study of death among graduated nurses. Although they represent 4 out of 5 members of nursing teams in Brazil, the technicians and assistant nurses remains largely unseen and are covered by the “invisible” HCW study. We analyzed data from Federal Council of Nurses, publicized at the website Observatorio da Enfermagem. The sociodemographic profile, professional category and timeline of nursing professional deaths were considered. The time period of the study was from March 2020 to March 2021. A total of 670 professionals of the nursing team died, 200 of these were nurses. Among nurses: 59.5% were female and 81.5% were up to 60 years old. Our study registers a concentration of deaths in the North region. Despite having fewer registered professionals, it had the highest number of deaths (29.5%), and the Southeast had the second highest percentage (26.5%). A slow decline was observed until December, when Brazil experienced a “second wave” of Covid-19. Vaccination of Nurses began in late January 2021;therefore, there was not enough time to assess the impact on morbidity and mortality. The results of a study of almost 50 professional categories are under analysis and will be published shortly. Key messages This study is about death by COVID-19 among nurses in Brazil. This study is part of a large one on professional categories, essentials to supporting health care system, conducted by FIOCRUZ.

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European Journal of Public Health ; 31, 2021.
Article in English | ProQuest Central | ID: covidwho-1515000

ABSTRACT

Health-care workers (HCWs) on the frontlines of the 2019 Coronavirus Disease 2019 (COVID-19) have a high risk of acquiring and dying from the disease. Brazil is a country with high morbimortality and ranks highest in general mortality from COVID-19. A large proportion of medical doctors (MDs) is dying, impacting in the workforce. As part of the research by Fiocruz on working conditions among HCWs, we have conducted this study of death among MDs. We analyzed data from Federal Council of Medicine, the only national platform with details about deaths in MDs. A broad search of other sources, including the Ministry of Health, was done, but unfortunately, the data does not exist. A total of 622 MDs died from March 2020 to March 2021: 87.6% male and 75% over age 60. The Southeast had the highest percentage (34.7%), followed by the Northeast (27.2%), and rankings by state showed Rio de Janeiro (15.8%), followed by São Paulo, Pará, Paraná and Paraíba, totalizing 50.1%. The specialties with highest mortality were gynecology (12.2%), pediatrics (10.0%), internal medicine (9.3%), general surgery (7.8%) and cardiology (7.6%). May 2020 was the month of worst mortality (16.9%) followed by July and June. A slow decline was observed until October, when Brazil begun to experience the “second wave”. The vaccination of MDs began at the end of January 2021 and has not been sufficient time to evaluate the impact on morbimortality. The results of a study of 50 professional categories are under analysis and will be published soon as well as a study of “invisible” HCWs, who do not have specific training but are essential to supporting health care system, from primary care units to high-complexity hospitals. We hope that the results of these studies will improve links among managers, those who define public policies, and union leaders, achieving better workplace and living conditions, minimizing health and socioeconomic disparities. Key messages This study is about death by COVID-19 among medical doctors in Brazil, as part of a large one on professional categories, essentials to supporting health care system, conducted by FIOCRUZ. This stdy is part of a large one on professional categories, essentials to supporting health care system, conducted by FIOCRUZ.

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Management Decision ; ahead-of-print(ahead-of-print):18, 2021.
Article in English | Web of Science | ID: covidwho-1324866

ABSTRACT

Purpose The purpose of this paper is to identify the configurations of working capital and customer and supplier diversification employed by successful small and medium-sized enterprises (SMEs) before and during the COVID-19 pandemic. Design/methodology/approach This study employed a combinatory methodology to analyze how 124 Brazilian SMEs configured - before and during the pandemic - the size of their working capital and their levels of dependency on clients and suppliers. Findings High levels of working capital and supplier diversification were found to be key to SMEs' ability to thrive before and during the pandemic. However, while SMEs that were growing prior to the pandemic depended on a few major customers, firms flourishing during this time have divided their sales among many clients. Research limitations/implications This study focuses on what configurations SMEs have adopted during the crisis. Qualitative studies are needed to identify how SMEs reconfigure themselves in the face of a major crisis. Practical implications The results of this study indicate that SMEs hit by the pandemic should avoid retrenchment strategies. They might have better chances of success if they embrace their vulnerability and take risks to foster growth. Social implications The results of the study can help SMEs respond to the economic crisis caused by COVID-19, which has already caused the failure of millions of businesses worldwide. Originality/value This is the first empirical investigation of SMEs that are weathering the pandemic, and in this study, the authors have analyzed the three aspects of their operations, which have been struck the hardest by the crisis.

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Hispania ; 104(1):27-30, 2021.
Article in English | Scopus | ID: covidwho-1209659

ABSTRACT

In this article, "presentism"- bringing current events into the classroom to discuss historically rooted structural inequalities (Spratt and Draxler 2019) - is examined as a pedagogical tool in the context of a service-learning class in which students participate with different Latinx partnerships. During COVID-19, this service-learning class has been restructured as a distance learning experience where students meet synchronously with different schools organizing projects that range from bilingual readings to university and career orientations. A presentist pedagogy is employed to explore how COVID-19 has exacerbated the inequalities in Latinx communities and how these inequalities relate to current and historical issues of access, language, and race. It is argued that embracing a presentist perspective in Hispanic Studies is necessary to make our courses relevant to the present crisis. AATSP Copyright © 2021.

17.
Journal of Thoracic Oncology ; 16(3):S285-S286, 2021.
Article in English | EMBASE | ID: covidwho-1159457

ABSTRACT

Introduction: The first patient with COVID-19 in Portugal was diagnosed on March 2. There was a lack of knowledge concerning the risks of COVID-19 infection in lung cancer patients, prognostic factors, the influence of cancer treatments and cure criteria. Treatments and consultations were readjusted in order to maintain the ones that increase patients’ survival, while reducing the risks of SARS-CoV-2 infection. International and national “guidelines” were followed, but each hospital had its own strategies to reduce COVID-19 risk. Purpose: The Portuguese Lung Cancer Study Group launched a survey in order to study the early impact of COVID-19 in lung cancer patients, changes in treatments and the way of implementation of COVID-free circuits. Methods: A survey was sent to lung cancer doctors of all the Portuguese hospitals. Results: At the data cut-off, information from twenty one hospitals was collected, corresponding to about 66% (n=3.446) of each year new diagnoses of lung cancer in Portugal. In March and April there was a reduction in newly lung cancer diagnosed patients while comparing with 2019: in March, 86% had a reduction;in April, 90% of the hospitals reported a reduction and it was greater than 40% in eight hospitals (38%). About 62% of the doctors considered less referral from primary care as a cause, and 33% delayed biopsies or other imaging exams. The most difficult exams to obtain were CT guided biopsies and EBUS for 48%. The majority of the hospitals (57%) were also referral for COVID-19 patients’ treatment. In 48% of the lung cancer treating departments’ there were doctors reallocated to COVID-19 treatment areas. In 48% the assistance teams were divided into teams that weren’t previously working together. The majority of doctors (90%) reported having individual protection equipment available. Hospitals performed teleconsultation (100%), and, in seven hospitals (33%), more than half of the consultations were done using communication technology. All the hospitals were able to perform SARS-CoV-2 testing. It was done before every cycle of chemotherapy in 90% of the hospitals. In the majority (67%) it was only performed before day D1, in D1 and D8 chemotherapy protocols. About 19% reported changes in prescription of adjuvant chemotherapy and in maintenance chemotherapy, 33% increased the prescription of oral chemotherapy, 33% changed the periodicity, 29% reported reduction in inclusion in clinical trials. In 33% there was an earlier end of chemotherapy in ECOG2 and vulnerable patients. In 38% the prescription of G-CSF (Granulocity-colony stimulating factor) increased, being used for prophylaxis if the risk of febrile neutropenia was more than 10-15%. The periodicity of consultations was changed for patients under TKI treatment in 86%, and 67% hospitals reported changes in immune checkpoint inhibitor treatment schedule. In 29% oral drugs could be delivered at patients’ home. All the patients admitted for surgery were tested for SARS-CoV-2, and 86% performed SARS-COV-2 testing before radiotherapy. Conclusion: Portuguese hospitals responded to the sudden need of creation of COVID-free circuits, change protocols and even teleconsultation. With a larger follow up we will study the late consequences of COVID-19 pandemic in lung cancer diagnosis and treatment. Keywords: COVID-19, survey, Portuguese Lung Cancer Study Group

18.
J. bras. pneumol ; 46(5):e20200464-e20200464, 2020.
Article in English | LILACS (Americas), Grey literature | ID: grc-742995
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