[S1 guidelines for the management of postviral conditions using the example of post-COVID-19]. / Leitlinie S1 für das Management postviraler Zustände am Beispiel Post-COVID-19.

These S1 guidelines are an updated and expanded version of the S1 guidelines on long COVID differential diagnostic and management strategies. They summarize the state of knowledge on postviral conditions like long/post COVID at the time of writing. Due to the dynamic nature of knowledge development, they are intended to be "living guidelines". The focus is on practical applicability at the level of primary care, which is understood to be the appropriate place for initial access and for primary care and treatment. The guidelines provide recommendations on the course of treatment, differential diagnostics of the most common symptoms that can result from infections like with SARS-CoV-2, treatment options, patient management and care, reintegration and rehabilitation. The guidelines have been developed through an interdisciplinary and interprofessional process and provide recommendations on interfaces and possibilities for collaboration.

Symptoms and risk factors for hospitalization of COVID-19 presented in primary care : An exploratory retrospective study.

OBJECTIVE: To increase knowledge of discrete symptoms shall help to avoid misinterpretation of test results and to gain better understanding of associations between early symptoms and severe disease to provide additional criteria for targeted early interventions. DESIGN: Retrospective observational study. SETTING: Austrian GP practices in the year 2020, patients above 18 years were included. PARTICIPANTS: We recruited 25 practices which included 295 participants with a positive SARS-CoV­2 test. MAIN OUTCOME MEASURES: Data collection comprised basic demographic data, risk factors and the recording of symptoms at several points in time in the course of the illness. Descriptive analyses for possible associations between demographics and symptoms were conducted by means of cross tabulation. Group differences (hospitalized yes/no) were assessed using Fisher's exact test. The significance level was set to 0.05; due to the observational character of the study, no adjustment for multiplicity was performed. RESULTS: Only one third of patients report symptoms generally understood to be typical for COVID­19. Most patients presented with unspecific complaints. We found symptoms indicating complicated disease, depending on when they appear. The number of symptoms may be a predictor for the need of hospital care. More than 50% of patients still experience symptoms 14 days after onset. CONCLUSION: Unspecific symptoms are valuable indicators in the detection of early COVID­19 disease that practitioners and the general public should be aware of also in the interpretation of low sensitivity tests. Monitoring patients using the indicators we identified may help to identify patients who are likely to profit from early intervention.

[Guideline S1: Long COVID: Diagnostics and treatment strategies]. / Leitlinie S1: Long COVID: Differenzialdiagnostik und Behandlungsstrategien.

This guideline comprises the state of science at the time of the editorial deadline. In view of the high turnover of knowledge the guideline is designed as a living guideline. The main objective was to provide a tool for the use in primary care, being considered well suited as a first point of entry and for the provision of care. The guideline gives recommendations on the differential diagnosis of symptoms following SARS-CoV­2 infection, on their therapeutic options, as well as for guidance and care of the patients concerned. It also offers advice concerning return to daily life and rehabilitation. Long COVID being a very variable condition, we chose an interdisciplinary approach.

Quando a participação popular é inócua: o greenwashing do carvão na região metropolitana de Porto Alegre/RS / When citizen participation is innocuous: the greenwashing of coal in the metropolitan area of Porto Alegre/Brazil

O presente ensaio propõe análise crítica dos mecanismos participativos utilizados no processo de licenciamento do Projeto Mina Guaíba, na Região Metropolitana de Porto Alegre. Cobrindo 4.380 hectares trata-se da maior lavra de carvão mineral a céu aberto no país, visando abastecer Polo Carboquímico composto por termelétrica, usina de gaseificação e indústrias de fertilizantes a serem construídos por estatais chinesas. Apresenta a hipótese que a decisão pela construção do polo foi incentivada pelo governo da China que, desde a crise de poluição atmosférica pelas termelétricas a carvão, em 2013, financia a exportação da capacidade ociosa de planejamento e construção de instalações industriais. De modo receptivo, o governo gaúcho criou, em 2017, o programa PROCARVÃO-RS buscando atrair expertise e capital chinês. Com base em referencial metodológico estabelecido por pesquisa pelo IPEA, e utilizando a Escada de Arnstein, conclui que as audiências públicas realizadas na região metropolitana são inócuas quanto aos objetivos da Política Gaúcha sobre Mudanças Climáticas, na medida em que não alteram escopo ou alcance da implantação da lavra, se restringindo a adicionar eventuais medidas compensatórias.(AU)

This essay proposes a critical analysis of the participatory mechanisms used in the licensing process of the Project Mina Guaíba in the metropolitan area of Porto Alegre, Rio Grande do Sul state. Covering 4,380 hectares, it will become the largest open-pit mine in the country, aiming to supply a thermoelectric power plant, gasification plant and fertilizer industries built by Chinese state-owned companies. It discusses the hypothesis that the decision to build the pole was encouraged by the Chinese government, which, since the 2013 air pollution crisis, has financed the export of idle capacity for planning and building industrial facilities. In a receptive way, the state government created, in 2017, the PROCARVÃO-RS program seeking to attract Chinese expertise and capital. Using the Ladder of Citizen Participation by Arnstein as reference, it concludes that public hearings held in the metropolitan region are innocuous within the objectives of the state?s Climate Change Policy, as they do not alter the project, restricting itself to adding compensatory measures.(AU)