ABSTRACT
With the changes in consumer profile, especially in tourism activity, facing the issues brought by globalization, greater access to and use of Technologies, and more recently, the restrictions imposed by the protocols to prevent contamination by the Covid-19 virus and its consequences, it has been necessary to change the way of experiencing tourism, leading the market to adapt to the new reality. Thus, the incentive to implement so-called Proximity Tourism has gathered strength, prompting the following research question: how has this type of tourism been addressed and how have the cities of the Brazilian Northeast have been working with this theme to promote their potential on the social network platform Instagram? The main objective of this study was to perform an observational analysis of what is being posted on this social network concerning proximity tourism, by investigating the use of the hashtag #turismodeproximity, and whether the cities of the Northeast of Brazil are using this Instagram tool. As the result of this research, it was found that of the total posts indexed with this hashtag, only a small number are directly related to this region, indicating a lack of dissemination, and consequently, failure to generate greater visibility for this tourism modality.
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Objective: to evaluate the effectiveness of Ivermectin and Atazanavir compared to placebo in the time to resolution of symptoms and duration of illness due to COVID-19. Method: observational, prospective, longitudinal, descriptive and analytical cohort study with symptomatic outpatients, followed for 06 months in two Basic Health Units for COVID-19 care in Teresina-Piaui, Brazil, from November to April 2021 identified by 1:1:1 random sampling. Reverse transcription polymerase chain reaction (RT-PCR) tests were performed for laboratory confirmation of suspected infection with the new coronavirus and sociodemographic and clinical evaluation. Results: of the 87 randomized patients, 62.1% (n=54) were male, with a mean age of 35.1 years, had a partner (53.9%), low income (50.6%), eutrophic (40.7%) and without health comorbidities (78.2%). There was no difference between the median time to resolution of symptoms, which was 21 days (IQR, 8-30) in the atazanavir group, 30 days (IQR, 5-90) in the ivermectin group compared with 14 days (IQR, 9-21) in the control group. At day 180, there was resolution of symptoms in 100% in the placebo group, 93.9% in the atazanavir group, and 95% in the ivermectin group. The median duration of illness was 8 days in all study arms. Conclusion: Treatment with atazanavir (6 days) and ivermectin (3 days) did not reduce the time to symptom resolution or the duration of illness among outpatients with mild COVID-19 compared to the placebo group. The results do not support the use of ivermectin and atazanavir for the treatment of mild to moderate COVID-19.
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This research aimed to understand the effects of the Covid-19 pandemic on the mental health of workers of hotel housekeeping departments in the city of Joao Pessoa/PB. A quantitative analysis was carried out, to measure the information gathered from workers of three medium-sized hotels in the capital of the state of Paraiba, using a questionnaire to gather data, and descriptive analysis for the data analysis. It was found that the Covid-19 pandemic had caused impacts on the mental health of workers in this area, mainly in terms of financial worries;fear of losing their jobs;fear of contracting the disease while at work;and fear that if infected, they might pass it on to other members of the family. Added to this were physical fatigue, obsession with cleaning, and stress.
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As a result of the COVID-19 pandemic, several hospitals around the world reported the transmission of the disease in inpatient units not directed to the care of patients affected by the disease. The objective was to report the epidemiological investigation of two outbreaks of COVID-19 in an onset of a university hospital in the general fields. It took place between July and October/2021, the data were analyzed with the SIR model (susceptible-infected-recovered) to obtain the transmission rate (R). In the first outbreak (July-August), 49 people were investigated, 25/49 (51.0%) cases, 10/25 (40.0%) staff, 15/25 (60.0%) patients, 8/25 (33.3%) medical clinic, 16/25 (66.7%) surgical clinic and 21/25 (84.0%) symptomatic. Among the cases in patients, 11/15 (73.3%) had onset of symptoms after 7 days of hospitalization. The 5W2H matrix was used as an action plan. After the execution of the actions, there were active cases for 7-10 days. The duration was 35 days, the most critical moment occurred 17 days after the first patient presented symptoms, there were 15 patients active at the same time and the R was 2.92. In the second outbreak (SeptemberOctober), 127 people were investigated and there were 6/127, of these 2/6 (33.3%) staff, 4/6 (66.6%) patients, 4/6 (66.6%) medical clinic, 2/6 (33.3%) surgical clinic, 4/6 (66.6%) symptomatic. After the execution of the actions, there were active cases for 7-10 days and there were no new cases. The duration was 18 days, the most critical moment occurred after 7 days of the first patient presenting symptoms, there were 6 people active at the same time and the R was 1.35. The first experience was effective, however late in controlling the cases. The second experiment, using data from the first, was timely, the investigation was more robust and contained the outbreak quickly and efficiently.
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The National Public Health Institutes (NPHI), members of the Latin American Regional Network of the International Association of National Institutes of Public Health, met face to face at the headquarters of the National Institute of Public Health of Mexico, in the City of Cuernavaca, from October 5 to 7, 2022, with the participation of the directors or their representatives of the NPHIs of Bolivia, Brazil, Colombia, Costa Rica, El Salvador, Mexico, Peru and Suriname and representatives of the South American Sub regional Program (SAM), and the Central American Sub regional Program (CAM) of the Pan American Health Organization (PAHO), the Organization of the Amazon Cooperation Treaty (OTCA), the Andean Health Agency/Hipolito Unanue Agreement (ORAS/CONHU) and the Central American Integration System (SICA/COMISCA), analyzing the role of the NPHI in combating health inequities;in confronting the global climate and environmental crisis;combating hunger, food insecurity and malnutrition;successes and challenges in responding to the Covid-19 pandemic;strengthening and continuous improvement of integrated disease surveillance and preparedness for health emergencies;as well as the various existing regional and sub-regional health cooperation programs, noticing that: 1. In the current scenario, the dominating development model is a generator of growing social inequalities, which determine serious inequities in the health conditions of our peoples. 2. Likewise, the current model of production and consumption, adopted at the global level, has increased hunger, food insecurity and malnutrition that possibly constitute nowadays the main health problem in our region. 3. The environmental crisis, which is also a product of the current global development model, has a significant impact on human and animal health and the interaction between both. 4. The NPHIs have played a role of major relevance in confronting the Covid-19 pandemic, not fully applying, however, their full potential for research and for proposing national plans for the disease control. 5. Health surveillance systems, in most of our countries, suffer from significant fragmentation between various sectors and within the health sector itself, implying, in any case, reactive actions that do not allow for anticipating the emergence of new pathologies or health emergencies. 6. The various regional and sub regional cooperation agencies and programs offer an enormous capacity for synergies and mutual cooperation.
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The purpose of this study was to contribute to the understanding of innovation and crowdfunding of International Olympic Sport Federations (IFs), which are the world governing bodies of their respective sports. Three research questions were addressed: the perceptions of the IFs on the implementation of their innovation programmes during the last four years (2016-2020), the impact of COVID-19 on the IFs capability to innovate, and the crowdfunding strategies of the IFs. A mixed method combining qualitative and quantitative approaches was used. An online semi-structured questionnaire which included an open answer section was completed by IFs executives (n = 22) and an analysis of the information provided by IFs through various content sources was conducted. Results showed that IFs with less funding had a significantly more innovative approach that their counterparts, that the perception of the impact of COVID-19 on the innovative capability was not unanimous, that they identified sport-specific programmes as the most innovative of all initiatives delivered during the pandemic, and that crowdfunding projects were implemented in their sport but mostly at individual and local levels. From a research perspective, since this is the first study that investigates the innovation and crowdfunding strategies of IFs, future directions include the need for further research with national and regional federations on these topics. Practical implications are suggested for IFs to deliver innovative programmes to satisfy their stakeholder needs and to consider new funding methods such as crowdfunding as part of their strategies.
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The COVID-19 pandemic required changes in habits. Tourism was one of the most affected sectors. The objective of the article was to analyze the negative impacts resulting from the pandemic on conservation projects, with emphasis on the Hyacinth Macaw Institute (Instituto Arara Azul - ITA). The research was developed through a literature review and documents from the ITA. In the years 2018 and 2019 the Hyacinth Macaw Institute received an average of 299 tourists per year, in 2020 this average dropped by 60%. With the restrictions imposed by the pandemic, people stopped traveling and visiting the projects, with this, the collection structure was affected. However, ecotourism was one of the first activities to be resumed, after a prolonged period of isolation, people look for activities that provide physical and mental well-being.
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The world is facing a serious viral infection caused by the new Severe Acute Respiratory Syndrome Coronavirus 2. We aimed to evaluate and map the high-risk clusters of COVID-19 in the State of Alagoas, a touristic area in northeastern Brazil, after two years of pandemic by a population-based ecological study, using COVID-19 cases reported in the State of Alagoas, between March, 2020 and April, 2022. We performed a descriptive and statistical analysis of epidemiological data. We then map high-risk areas for COVID-19, using spatial analysis, considering the incidence rate by municipality. 297,972 positive cases were registered;56.9% were female and 42.7% aged between 20 and 39 years old. Men (OR = 1.59) and older than 60 years old (OR = 29.64) had a higher risk of death, while the highest incidence rates of the disease occurred in the metropolitan region. Our data demonstrate the impact of COVID-19 in the State of Alagoas, through the two years of pandemic. Although the number of cases were greater among women and young adults, the chance of death was greater among men and older adults. High-risk clusters of the disease initially occur in metropolitan cities and tourist areas.
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Tourists' preference for ecological attractions was boosted in the post-Covid-19 period and reinforced the importance of ecotourism around the world, with the appreciation of domestic trips to destinations marketed as sustainable. Therefore, the general objective of this article is to reflect on potentialities and challenges for ecotourism in the municipality of Rancharia (SP, Brazil). It should be noted that Rancharia is part of the "Sol do Oeste" and "Oeste Rios" Circuits, so there is a regional articulation focused on a tourism policy. The research methodology consisted of a theoretical review on the topic of ecotourism, tourism planning and tourism sustainability, highlighting study concepts and perspectives. Documents provided by the municipal government were consulted, such as the Master Plan, the Master Plan for Tourism Development and the Urbanistic and Environmental Master Plan. To complement the analyses, an interview was conducted with the Director of the Municipal Department of Tourism, the main activity management sector on a local scale. The results show that Rancharia has the potential to perpetuate ecotourism practices, especially when it is verified the presence of expressive natural resources in its territory and the title of Municipality of Tourist Interest (MIT) conquered in 2007, when it started to receive funds for investments in infrastructure tourism, as well as resources from the Improvement Fund for Tourist Municipalities to benefit the activity. On the other hand, the challenges are related to the opening of private properties to public visitation, as they have natural attractions that already motivate flows of people, however, they also lack investments in infrastructure for access and permanence of visitors. Likewise, it is necessary to sensitize the community to the value of ecotourism as an alternative to socioeconomic development. From this, it would be possible to structure an ecotourism itinerary with an emphasis on practices and leisure activities in contact with nature, attracting more tourist flows to the municipality.
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This special issue on tourism in northeast Brazil includes five articles which deal with: the use of Instagram to promote proximity tourism in northeast Brazil;the visual language (images and colours) of tourism advertisements for the northeast region;the influence of time pressure on the intention to visit the destinations of Aracaju, Sergipe and Salvador, Bahia;community-based tourism in Prainha do Canto Verde, Beberibe, Ceara;and the effects of the COVID-19 pandemic on the mental health of hotel housekeeping staff in Joao Pessoa, Paraiba.
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This research has the goal to study the online reputation of tourism sector, specifically lodging accommodations in Sao Luis (MA), considering the perspective of users and their evaluations about the quality of provided services. Thus, the objective of this research is to analyze the online reputation of the lodging accommodations in the city of Sao Luis (MA) through the Booking.com platform, in the period of November and December of 2020 and January, February and march of 2021, from quantitative and qualitative data on the quality of provided services to users of the researched platform. For this, a descriptive and bibliographic research was used, analyzing a quantitative factor, which is the user's grades - evaluations - and a qualitative factor, which is their perception based on these grades. As a preview of the survey results, although some categories need improvement, it is noted a positive online reputation of the accommodations considered in the research, especially regarding that the study was carried out during the Covid-19 pandemic, a scenario that directly impacted the entire society, including the tourism sector.
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This study verified the influence of the addition of castanets almond flour (Terminalia catappa L.) in the fermentation process of bread, analyzing attributes such as volume, weight, color, and flavor. The actions were coordinated remotely, in a domestic environment, in the city of Fortaleza (Ceara, Brazil) due to the restrictions caused by the pandemic of the new coronavirus (SARS-CoV-2). About 2 kg of castanets were collected and the processing process included washing, pulp extraction, drying, roasting, and endocarp breaking. The ingredients were placed in a bowl and homogenized until completely incorporated, following the process of kneading, resting, kneading, shaping, fermentation and cooking. For the study, the evaluation was carried out in quadruplicate, with four samples of each dough, these being named Basic Bread (PB) and Chestnut Bread (PC). The dough showed growth between minutes 0 to 60, however, there was a regression between minutes 90 to 120. It is possible to observe that the dough reached its peak of fermentation between 30 and 60 minutes. The PB samples showed an external golden color and white crumb caused by the Maillard Reaction, possibly from the added butter, and had small alveoli. The PB sample had a neutral taste but was salty. No interference was observed in the bread fermentation process with the addition of castanets flour.
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The measure of physical isolation adopted during a pandemic affected the daily routine of the whole world, including in the sports environment. Therefore, the study sought to compare the coping strategies used by Paralympic boccia athletes during the pandemic period. The sample consisted of 43 athletes (30 men and 13 women) aged 29.95-11,76 years. To identify and measure coping strategies, the ACSI-28 (athletic coping skills inventory) questionnaire was used in its version adapted to Portuguese and added to an electronic form. In data analysis, normality was verified by the Shapiro-Wilk test. After that, all inferential comparison analyzes were measured via nonparametric statistical tests with paired post-hoc DSCF tests. Thus, the results showed that there were significant differences between comparisons in terms of experience, "+10 years", "5 to 10 years", and "1 to 3 years" on the subscales "goals and mental preparation" (6.00+or-1.75 vs 5+or-1.50 vs 5+or-1.50;p<0.05;ES: 0.26) and "trainability" (9.00+or-3.25 vs 6.00+or-0.500 vs 8.00+or-3.00;p<0.05;ES: 0.19). More and less experienced athletes in the boccia modality showed superiority in facing the pandemic period, as they obtained better indices in the "goals and mental preparation and trainability" dimensions of coping strategies compared to their peers with less experience.
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Due to the COVID-19 pandemic, commercial relations have undergone many changes. The advancement of digital technologies that allow instantaneous and real-time communication regardless of geographical distance have changed several daily activities, among them, the way of buying and selling. In the case of agriculture, the direct sale of agricultural products to final consumers, through social networks, emerges as a new form of rural business. However, the encounter between interested parties occurs, most of the time, informally, and it is up to producers and consumers to "meet" in order to sell and buy. In this context, the Fair in the Palm of Your Hand project aims to act as an agent between these two ends so that the encounter is facilitated. To this end, a methodology for Technical Assistance and Rural Extension (ATER) was developed with the aim of creating a digital platform (application and website) that would allow these transactions to be carried out more quickly and credibly. The research area includes locations in the state of Espirito Santo (Brazil) that already have producers and consumers capable of meeting this new market dynamic.
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In the backdrop of the COVID-19 pandemic, ensuring the safety of health care services remains a serious, ongoing challenge. This once-in-a-century global health crisis exposed the vulnerability of healthcare delivery systems and the subsequent risks of patient harm. Given the scale of the occurrence and costs of preventable patient safety events, intervention and investment are still relatively modest. Good patient safety governance focuses on what leaders and policy makers can do to improve system performance and reduce the financial burden of avoidable care. Moreover, it is essential in driving progress in improving safety outcomes. This report examines how patient safety governance mechanisms in OECD countries have withstood the test of COVID-19 and provides recommendations for countries in further improving patient safety governance and strengthening health system resilience.
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In 2021, the number of children who required PC for STH decreased for pre-SAC from 291.2 million to 260.6 million and for SAC from 732.3 million to 653.7 million (Figure 2). This change was mainly due to revision of the numbers of children who require PC for STH in India, which decreased from 103.5 to 80.7 million for pre-SAC and from 332.1 to 259.1 million for SAC. The decreases were based on impact assessment surveys conducted in the past few years, which changed the endemicity status of some districts. Globally, PC coverage of SAC increased from 47% in 2020 to 62.9% in 2021.The number of SAC reached with deworming increased almost to that before the COVID-19 pandemic (411 million in 2021, 344 million in 2020, 455.9 million in 2019), indicating that countries are recovering.
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One of the biggest global public health crisis began in Wuhan, China at the end of 2019. That emergency was the emergence of SARS-CoV-2 and the disease COVID-19, a highly transmissible acute respiratory syndrome. The pandemic declaration by the WHO in March 2020 caused the world to take on several measures to combat and contain the virus. Initially, social isolation and lockdown were the main initiatives, as there were no forms of treatment or prevention of the disease. These restrictive measures generate a change in the habit of the population that triggered serious physical and psychological impairments. One of the consequences was the increase in the use of substances of abuse and, consequently, substance use disorder, including tobacco. During the pandemic, cigarette consumption increased from 10 to 30% worldwide, whereas smoking is the main cause of preventable death and a risk factor for several diseases. Along with alcohol, nicotine has a greater addictive power than illicit drugs. Substance use disorders and COVID-19 have a synergistic effect, in this way, we seek to integrate neurochemical, cognitive and behavioral aspects that led to increased consumption and/or relapse in nicotine consumption and the used therapy.
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Cattle is one of the main items in the Brazilian productive guideline and an important export product. During the covid-19 pandemic, the price of beef occupied a prominent position in agricultural sector analyzes due to the prices increases. The objective of this research is to observe the national production behavior, exports, and domestic supply. Therefore, a domestic supply forecast was made for January 2021 to December 2022 (24 months). Based on the results obtained, it was found that the beefs supply available to the Brazilian market will not present an expressive upward behavior that compensates the evolution in beef export to international markets. Thus, a shift in the price of beef in the domestic market to higher levels may be observed.
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The article presents an account of the experience carried out during the COVID-19 syndemic, from the implementation actions of agroforestry systems aimed at productive inclusion, health and quality of life in the Koyakati Village - Mae Maria Indigenous Land -, in Bom Jesus do Tocantins-southeast of Para. These actions are part of the ArticulaFito project and result from a diagnosis of the national production base of medicinal plants and socio-biodiversity products, where the need for recovery and conservation of degraded areas was identified as a factor of fragility of productive relations, especially with regard to territories of populations and traditional communities, pressured by predatory production models that negatively impact the ways of life and health of these populations. The Value Links-B methodology was applied in the diagnosis with a view to drawing up an action plan aimed at the challenges diagnosed in the chain of Brazil nut (Bertholletia excelsa Bonpl.), a species categorized as threatened with extinction due to population decline. Then, it indicates the agroforestry systems, to guarantee the adequate management of the native agroextractive species and, in this way, to conserve biodiversity, as well as guarantee the access to the raw material. The implementation actions of the Agroecological Experimentation Unit (UEA) are described here, with the objective of strengthening production systems and, thus, generating employment and income, in order to improve health indicators in these territories.
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The COVID-19 pandemic has highlighted that access to timely health spending data is crucial for informed policy-making. This Health Working Paper summarises and compares the methodologies applied in around half of OECD countries to estimate public and private health spending for the most recent year (i.e. t-1) as well as the approaches taken by the OECD Secretariat to fill existing data gaps for the remaining OECD countries. For the first time, the paper also explores the feasibility of nowcasting health spending for the current year (i.e. t) and examines data sources that could be potentially useful in such an exercise. While this review should help OECD countries that do not yet have experience in estimating health spending for year t-1 to improve the timeliness in their data reporting, a special focus in this paper lies on testing the applicability of the methods in low- and middle-income countries (LMIC), using the WHO Western Pacific Region (WPRO) as an example. Generally, different data sources exist in many countries that would allow for a more timely estimation for health spending aggregates.