[Addressing the vaccination hesitancy: communication, behavior and literature.] / Affrontare l'esitanza vaccinale tra comunicazione, comportamenti e letteratura.

Several studies worldwide have reported covid-19 vaccine hesitancy. In order to ensure national vaccination campaigns' effectiveness, attitudes and beliefs about vaccination uptake should be addressed by adopting behaviourally and communication informed strategies. This paper aims to highlight some relevant indications that can be effective in both developing awareness about the items a covid-19 vaccination campaign should be focused on, and to promote appropriate interventions using behavioural insights techniques and communication plans. Two documents in particular have been identified that could be helpful in counteracting vaccination hesitancy. The first one is a WHO meeting report that focuses on strategies for increasing motivation to be vaccinated by making vaccination easily accessible, attractive and socially relevant. The second document provides guidance for implementing a structured communication approach, responding to the population needs and prejudices through the adoption of dedicated tools and key messages. Finally, the specific information to be delivered in the fight against vaccination hesitancy is embedded within the general process of scientific communication, which brings complex issues into common terms.

A bibliometric review of COVID-19 from december 2019 to july 2020 / Revisión bibliométrica de COVID-19 en el periodo diciembre 2019 y julio 2020

Resumen Objetivo: realizar el análisis bibliométrico de COVID-19 durante diciembre de 2019 a 30 de junio de 2020. Métodos: revisión bibliométrica del total de la literatura y de lo relacionado con COVID-19 en las bases Pubmed, Scopus y Lilacs durante el periodo diciembre de 2019 a 30 junio de 2020. Se clasificaron los artículos por categorías (objetivo, país, especialidad) y se compararon con la literatura del año anterior. Resultados: se encontraron 27 373, 16 944 y 1083 publicaciones acerca de COVID-19 en Pubmed, Scopus y Lilacs respectivamente. La principal especialidad médica por búsqueda fue neumología. De acuerdo con el objetivo, el más encontrado fue tratamiento (50.0%). El país con más publicaciones fue Estados Unidos (28.9%) en Pubmed y Scopus. En el lapso COVID-19 las publicaciones de la enfermedad representan 0.06 del total. Conclusiones: existe un volumen importante de publicaciones relacionadas con COVID-19 en periodo de estudio, equivalente a 6% de las publicaciones totales, lo cual es significativo para una sola enfermedad.(Acta Med Colomb 2020; 45. DOI:https://doi.org/10.36104/amc.2020.1879).

Abstract Objective: to perform a bibliometric analysis of COVID-19 from December 2019 to June 30, 2020. Methods: a bibliometric review of all the literature and COVID-19 related material in the PubMed, Scopus and Lilacs databases from December 2019 to June 30, 2020. Articles were classified by categories (objective, country, specialty) and compared to the previous year's literature. Results: a total of 27,373, 16,944 and 1,083 publications on COVID-19 were found in PubMed, Scopus and Lilacs, respectively. The main medical specialty by search was pulmonology. The most frequently found objective was treatment (50.0%). The country with most publications was the United States (28.9%) on PubMed and Scopus. During the COVID-19 span, publications on the disease represented 0.06 of the total. Conclusions: there was a significant volume of COVID-19 related publications during the study period, equivalent to 6% of the total publications, which is significant for a single disease.(Acta Med Colomb 2020; 45. DOI:https://doi.org/10.36104/amc.2020.1879).

Storytelling on instagram as a light technology in heavy pandemic times / A contação de histórias no instagram como tecnologia leve em tempos pesados de pandemia / La narración de historias em instagram como tecnología ligera en tiempos de pandemia intensa

Resumo O artigo objetiva analisar as contribuições da contação de histórias para a saúde mental no contexto da pandemia de Covid-19. Trata-se de uma pesquisa-intervenção que posiciona o recurso das histórias como uma tecnologia leve em saúde, comprometida em reduzir distâncias, criar pontes entre as pessoas através do investimento na produção de vínculos e acolhimento. A contação de histórias articula literatura e psicologia, faz parte da caixa de ferramentas necessárias para a ativação de forças psíquicas expressivas dos afetos no cenário atual. O banco de dados da pesquisa pode ser designado como banco de histórias que passam por um processo de curadoria, sendo essa uma metodologia fundamental para o encadeamento de temas abordados nas histórias e a postagem das mesmas no Instagram do projeto. As histórias videogravadas foram analisadas a partir dos núcleos semânticos contexto-afeto-texto, com destaque para os conteúdos de memória e morte; e práticas de mutualidade em cuidado. A reação dos/as seguidores/as do Instagram expressam mensagens afetuosas aos/as contadores/as.

Resumen El artículo tiene como objetivo analizar las contribuciones de la narración a la salud mental en el contexto de la pandemia Covid-19. Se trata de una investigación-intervención que posiciona el recurso de las historias como una tecnología ligera en salud, comprometida con la reducción de distancias, creando puentes entre las personas a través de la inversión en la producción de vínculos y la acogida. La narración de cuenteros articula la literatura y la psicología, es parte de la caja de herramientas necesarias para la activación de las fuerzas psíquicas expresivas de los afectos en el escenario actual. La base de datos de investigación puede designarse como un banco de historias que se someten a un proceso curatorial, que es una metodología fundamental para vincular los temas tratados en las historias y publicarlos en el Instagram del proyecto. Se analizaron relatos videograbados a partir de los núcleos semánticos contexto-afecto-texto; con énfasis en los contenidos de la memoria y la muerte; y prácticas de cuidado mutuo en el cuidado. La reacción de los/las seguidores/as de Instagram expresan mensajes afectuosos a los/las cuenteros/as.

Abstract This article aims to analyze the contributions of the storytelling to mental health in the context of the Covid-19 pandemic. It is an intervention-research that places this story device as light health technology. It is committed to reduce distances, create bridges between people through investment in bonding and welcoming. Storytelling articulates literature and psychology, and is part of the toolbox that is necessary for the activation of expressive psychic forces of affections in the current scenario. The research database can be designated as a bank of stories that undergo a curatorial process, which is a fundamental methodology for linking topics covered in the stories and posting them on the project's Instagram. The videotaped stories were analyzed from mutual-care practices and the context-affection-text semantic nuclei, with emphasis on the contents of memory and death. The reactions of Instagram followers express affectionate messages to the storytellers.

value of cardiac biomarkers in COVID-19 disease / Valor pronóstico de biomarcadores cardíacos en la enfermedad por COVID-19

Resumen Introducción: En la enfermedad por COVID-19 se ha establecido que los pacientes con enfermedad cardiometabólica de base tienen mayor riesgo de presentar desenlaces adversos. Esto ha incrementado el interés en estudiar variables cardiovasculares relevantes, para plantear su correlación con los desenlaces clínicos en esta población. Objetivo: Describir el valor pronóstico de los biomarcadores cardíacos en la enfermedad por COVID-19. Métodos: Revisión no sistemática de la literatura en bases de datos como PubMed, Google Scholar, Clinical Key, SciELO, entre otras, utilizando palabras clave, términos planos y términos MeSh. Resultados: Se eligieron 22 bibliografías, entre ellas artículos de revisión de tema, revisiones sistemáticas, metaanálisis, estudios observacionales y artículos originales publicados hasta la fecha (mayo 13 de 2020), que en su mayoría describen la alteración de biomarcadores cardiacos y su relación con la evolución clínica de los pacientes con COVID-19. Discusión: Se encontró que la troponina y el péptido natriurético se comportan como factores de riesgo independientes para compromiso clínico severo, requerimiento de soporte ventilatorio o hemodinámico, estancia en la UCI, y aumento de la mortalidad. Conclusiones: Es razonable plantear el uso de estos biomarcadores en la estratificación del riesgo en pacientes con COVID-19 y enfermedad cardiovascular establecida.

Abstract Introduction: It has been established that patients with an underlying cardiometabolic disease and COVID-19 infections, have a higher risk of an adverse outcome. This has led to an increase in the interest of studying relevant cardiovascular variables, in order to establish their association with clinical outcomes in this population. Objective: To describe the prognostic value of cardiac biomarkers in disease caused by COVID-19. Methods: A non-systematic review of the literature was carried out in data bases that included PubMed, Google Scholar, Clinical Key, SciELO, using the key words, plain terms, and MeSH terms. Results: A total of 22 articles were chosen. They consisted of review articles on the subject, systematic reviews, meta-analyses, observational studies, and original articles published up until 13 May 2020. The majority of them described the changes in cardiac biomarkers and their relationship with the clinical outcome of patients COVID-19. Discussion: It was found that Troponin and Natriuretic Peptide behaved as independent risk factors for severe clinical compromise, requiring ventilatory or haemodynamic support, admission to ICU, and an increase in mortality. Conclusions: It is reasonable to recommend the use of these biomarkers in the risk stratification in patients with COVID-19 and an established cardiovascular disease.

Coronavirus disease 2019 (COVID-19): an evidence map of medical literature.

BACKGROUND: Since the beginning of the COVID-19 outbreak in December 2019, a substantial body of COVID-19 medical literature has been generated. As of June 2020, gaps and longitudinal trends in the COVID-19 medical literature remain unidentified, despite potential benefits for research prioritisation and policy setting in both the COVID-19 pandemic and future large-scale public health crises. METHODS: In this paper, we searched PubMed and Embase for medical literature on COVID-19 between 1 January and 24 March 2020. We characterised the growth of the early COVID-19 medical literature using evidence maps and bibliometric analyses to elicit cross-sectional and longitudinal trends and systematically identify gaps. RESULTS: The early COVID-19 medical literature originated primarily from Asia and focused mainly on clinical features and diagnosis of the disease. Many areas of potential research remain underexplored, such as mental health, the use of novel technologies and artificial intelligence, pathophysiology of COVID-19 within different body systems, and indirect effects of COVID-19 on the care of non-COVID-19 patients. Few articles involved research collaboration at the international level (24.7%). The median submission-to-publication duration was 8 days (interquartile range: 4-16). CONCLUSIONS: Although in its early phase, COVID-19 research has generated a large volume of publications. However, there are still knowledge gaps yet to be filled and areas for improvement for the global research community. Our analysis of early COVID-19 research may be valuable in informing research prioritisation and policy planning both in the current COVID-19 pandemic and similar global health crises.