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Copyright of GeSec: Revista de Gestao e Secretariado is the property of Sindicato das Secretarias e Secretarios do Estado de Sao Paulo (SINSESP) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of GeSec: Revista de Gestao e Secretariado is the property of Sindicato das Secretarias e Secretarios do Estado de Sao Paulo (SINSESP) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Iberoromania is the property of De Gruyter and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of GeSec: Revista de Gestao e Secretariado is the property of Sindicato das Secretarias e Secretarios do Estado de Sao Paulo (SINSESP) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Transplantation is the most efficient alternative to treat terminal functional kidney failure. To synthesize the literature on the topic, this systematic review sought to retrieve evidence that empirically analyzed the frequency of kidney transplantation in Brazil, relating it to the COVID-19 pandemic. The PUBMED, LILACS and SCIELO databases were consulted using the descriptors: "Transplantation", "Kidney", "COVID-19", and "Brazil". Thus, 146 studies were retrieved and only six were included in the review. The review showed that the COVID-19 pandemic had a negative impact on the number of kidney transplants, increased the transplant waiting list, reduced the number of donors, and there were reports of infections and deaths among patients undergoing kidney treatment and transplant recipients during the pandemic. These findings emphasize the need for more research and attention in the area of kidney transplantation and mitigate the effect of health crises similares to COVID-19. [ABSTRACT FROM AUTHOR]

Pregnant women considered at risk for coronavirus disease (COVID-19), the virus can cause some pregnancy complications such as miscarriages, intrauterine growth restrictions and even lead to a premature birth. The objective of this study was to characterize the newborns of mothers with a hypothesis or confirmed case of COVID 19 who were admitted to a neonatal isolation unit. The research was carried out through the analysis of the records of neonates, of both genders, admitted to the COVID unit between 2020 and 2021, regardless of their length of stay in the unit and their clinical situation. Most mothers were from Fortaleza, gestational age ranged between 28 and 41 weeks, the presence of neonatal infection was not relevant compared to maternal swab and cesarean delivery was the most practiced. Regarding the possible consequences generated for the newborn due to maternal COVID 19, we can conclude that COVID 19 does not have relevant repercussions for the newborns in the sample, as well as we cannot identify the presence of vertical transmission from mother to baby within the sample. [ABSTRACT FROM AUTHOR]

Covid-19 is an infectious disease that is part of a group of viruses responsible for causing severe acute respiratory syndromes, the Sars-Cov-2. To describe the persistence of symptoms in patients diagnosed with Sars-Cov-2 infection, the term Long-Covid has been used. Respiratory physiotherapy plays an important role in the face of persistent symptoms of Covid-19 in order to restore functionality impaired or lost by the pathology. The objective of the current research is to collect data from medical records and assemble a profile of patients with Long-Covid who sought physical therapy treatment. This is a research analysis of medical records with a diagnosis of Long-Covid who sought the sector to perform treatment between January/2021 and May/2022. A total of 55 medical records were collected and 11 were excluded for not meeting the inclusion criteria, including 20 males with an average age of 57 years and 24 females with an average age of 56 years. The main symptoms found in the research were tiredness, dyspnea and muscle pain. A population profile was found where the greatest demand for physiotherapeutic treatment was female, hypertensive individuals, who use continuous medication, and do not practice physical activities. Even most of the study population underwent hospitalizations, either in the ward or ICU, whose most persistent symptoms were fatigue, dyspnea and muscle pain, with mean blood pressure below expectations, a 6-minute walk test below ideal and average vital signs within the normal range. [ABSTRACT FROM AUTHOR]

Noninvasive mechanical ventilation (NIV) may reduce postoperative complications of obesity--associated restrictive pulmonary syndrome. We evaluated the effects of NIV use after extubation in patients undergoing bariatric surgery on acute changes in lung function. A randomized clinical trial was performed with patients in the immediate postoperative period of bariatric surgery. The intervention group used NIV for 1 hour after arrival at the post-anesthesia recovery room, the control group received standard care. Pulmonary function assessment was performed preoperatively, immediately after surgery and 1 hour after arrival in the recovery room. Statistical analysis was performed using the Generalized Estimation Equations test and Bonferroni's post-hoc test. The significance level adopted was 0.05. A total of 46 individuals were evaluated, of which 31 were able to perform spirometry in the pre and immediate postoperative period. The sample consisted of 25 women, mean age of 42.55 ± 10.39 years and mean Body Mass Index of 50.82 ± 10.20. Preoperative spirometry showed that most patients had mild restrictive disorders (46.7% versus 43.8%) or no respiratory disorder (40% versus 31.3%). In the post-extubation evaluation, most patients had severe restrictive disorder (66.7% versus 53.8%), after one hour in the recovery room, 64.3% versus 60% of patients had severe restriction and 21.4% versus 20% severe obstruction. It was concluded that the use of prophylactic NIV did not improve pulmonary function in the immediate postoperative period. [ABSTRACT FROM AUTHOR]

Copyright of Revista Ciência & Saúde Coletiva is the property of Associacao Brasileira de Pos-Graduacao em Saude Coletiva and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Ciência & Saúde Coletiva is the property of Associacao Brasileira de Pos-Graduacao em Saude Coletiva and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Ciência & Saúde Coletiva is the property of Associacao Brasileira de Pos-Graduacao em Saude Coletiva and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Ciência & Saúde Coletiva is the property of Associacao Brasileira de Pos-Graduacao em Saude Coletiva and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of International Journal of Professional Business Review (JPBReview) is the property of Open Access Publications LLC and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of GeSec: Revista de Gestao e Secretariado is the property of Sindicato das Secretarias e Secretarios do Estado de Sao Paulo (SINSESP) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of GeSec: Revista de Gestao e Secretariado is the property of Sindicato das Secretarias e Secretarios do Estado de Sao Paulo (SINSESP) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Intercontinental Journal of Sport Management / Revista Intercontinental de Gestão Desportiva is the property of Revista Intercontinental de Gestao Desportiva and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Management Analysis / Revista Gestão em Análise is the property of Revista Gestao em Analise and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing & Health is the property of Journal of Nursing & Health (JONAH) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of GeSec: Revista de Gestao e Secretariado is the property of Sindicato das Secretarias e Secretarios do Estado de Sao Paulo (SINSESP) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To analyze the presence of acute kidney injury (AKI) in hospitalized older patients with COVID-19 and its association with hospital mortality. Methods: This was a retrospective observational case-control study of patients over 60 years of age hospitalized from April 01, 2020, to April 30, 2021, at a ward or intensive care unit (ICU) dedicated to COVID-19. The severity of AKI was stratified according to the Kidney Disease: Improving Global Outcomes (KDIGO) criteria. Binary logistic regression was used to determine the association of mortality in models with and without adjustment for previous comorbidities as risk factors. Results: Of 897 patients aged 19–107 years hospitalized with COVID-19, 398 aged ≥ 60 years were included. AKI was observed in 220 patients (55.27%), with stages 1, 2, and 3 in 25.87%, 5.52%, and 23.86%, respectively. Dialysis was required in 73 patients with AKI (33.18%), most of them were at stage 3 (91.89%). Fifty-four patients on dialysis died (73.97%). Increased AKI severity was associated with mortality even after removing the influence of associated risk factors (odds ratios 1.78, 2.35, and 3.51 at stages 1, 2, and 3, respectively). Conclusion: AKI was highly common in patients aged 60 years or older hospitalized with COVID-19, and its severity showed a progressive association with hospital mortality.

En marzo de 2020, ante la llegada de la COVID-19, España decretó uno de los confinamientos más estrictos de Occidente. Esta medida sanitaria tan extrema plantea un conflicto ético de valores que se traslada, en lo político, a los derechos fundamentales y, en última instancia, a los derechos humanos. En este artículo se repasan los derechos afectados y se analiza el confinamiento impuesto por España e imitado luego por los países latinoamericanos, con el prisma de los principios éticos relativos a la contención de epidemias. El confinamiento fue una intervención inédita, que no estaba probada y cuya eficacia era desconocida; conllevó una vulneración grave de los derechos civiles sin justificación científica y sin verdaderos resultados epidemiológicos. Evitar el mismo error en futuras pandemias depende en parte de un escrupuloso respeto por los principios éticos que ya están recogidos en la legislación vigente.

A pandemia de covid-19 no Brasil contou com um número expressivo de mortes. Os marcadores sociais foram elementos indispensáveis na compreensão de seus desdobramentos. Esta pesquisa voltou seu olhar à população indígena, sabendo que ela enfrenta problemas significativos de cunho estrutural, tendo como objetivo compreender como se deu a garantia de acesso e proteção à saúde desta população em um período atravessado por evidente política anti-indígena. Para tanto, foram analisados documentos de março de 2020 a março de 2022, localizados em plataformas virtuais, incluindo as normativas publicadas pelo Poder Executivo. Com auxílio do software Atlas.Ti® realizamos Análise Temática de Conteúdo dos documentos selecionados. Os resultados evidenciaram as articulações de base dos povos originários como ponto fundamental para a proteção de suas vidas e identidades. Sob o escopo de uma Bioética Latino-americana, cunhamos possibilidades de leitura dos achados, possibilitando sua compreensão por um viés crítico-social.

This document highlights that the Peruvian State took advantage of the pandemic as an opportunity to infringe upon the rights of indigenous peoples by accelerating the prior consultation processes in the mining sector, thus violating rights recognized in its own legislation and the jurisprudence of the Inter-American Court. The analysis of consultation processes (2020-2022) evidenced (I) lack of accessibility, as the State used legal Spanish in all process documents, despite the fact that in 77.7% of the communities, over 80% of the population had an indigenous language as their mother tongue; (II) lack of good faith, as 88% of the cases had stages shortened and the intercultural dialogue stage excluded; and (III) the failure to aim at reaching an agreement, using less time and recording only a matrix of agreements from one community.

Objetivo: Analisar as desinformações em saúde checadas pela plataforma de fact-checking Agência Lupa a fim de entender como a desinformação em saúde foi compartilhada nas plataformas digitais nos primeiros meses após a pandemia da COVID-19, e quais foram as suas principais tendências no Brasil. Método: Adota-se a abordagem quali-quantitativa no processo de extração, interpretação e visualização dos conteúdos checados, por meio da técnica de raspagem de dados e análise de textos digitais. Resultado: Constata-se que os conteúdos desinformativos que imitam fontes confiáveis a partir de imagens e vídeos, circulados na plataforma WhatsApp, propagaram-se por múltiplos canais, dispersando a desinformação em saúde. Além disso, observa-se padrões de persistência e constância quanto ao termo Vacina, indicando-o como escopo de uma narrativa contínua de desinformação. Conclusões: Conclui-se que os aspectos das práticas de desinformação destacados pelo método adotado podem subsidiar estratégias de combate à desinformação em saúde no Brasil.

No texto, apontamos uma síntese de nosso trabalho investigativo em desenvolvimento no Programa de Mestrado Interdisciplinar em Humanidades, da Universidade da Integração Internacional da Lusofonia Afro–Brasileira/MIH/Unilab/CE. Partindo da perspectiva onde o professor também precisa tornar-se trabalhador da educação este artigo objetiva-se analisar as experiencias realizadas pelos estudantes em formação do curso em licenciatura em História da UNILAB-CE localizada em Redenção - CE. Os docentes em formação participaram do Programa Residência Pedagógica-CAPES nos anos de 2020 à 2022 e publicaram um ebook com suas experiências na escola-campo. A luz do materialismo histórico-dialético buscamos analisar de forma conjuntural as experiências e desafios retratadas no ebook, problematizando tanto o PRP-CAPES quanto os problemas estruturais que percorrem a educação. Nossas análises, desejam, dialeticamente, problematizar o Programa Residência Pedagógica-CAPES/UNILAB/CE em tempos pandêmicos do COVID-19, buscando compreender a consequência dessa conjuntura para o Programa somado a obrigatoriedade do ensino remoto intensificou a precarização do ensino e afetou o processo de ensino/aprendizagem e a formação docente dos estudantes. Outrora, procuramos entender como as experiências vividas pelos residentes nas escolas-campo fomentaram a implementação da Lei 11.645/08 que trata da obrigatoriedade do ensino de História Afro-brasileira e Povos indígenas. Nossas conclusões, após análises, nos levaram a considerar primeiramente o agravamento dos problemas educacionais, tanto estruturais quanto no processo de ensino-aprendizagem, para o PRP, para a formação dos docentes e os alunos das escolas-campo. Contudo podemos observar que várias estratégias didáticas como grupos de estudos e debates foram desenvolvidas para minimizar os efeitos do contexto vivido.

RESUMEN Objetivo: Valorar si en nuestra población los factores de riesgo cardiovascular (FRCV) se correlacionan con la severidad de la COVID-19 en pacientes hospitalizados. Material y Métodos: Estudio de cohortes retrospectivo de pacientes con COVID-19 ingresados entre los meses de abril y diciembre del 2020 en un centro terciario en el sur de España. Se valoró la asociación entre los FRCV y la severidad del SARS-COV2. Se consideró como COVID severo aquel que ingresó en la Unidad de Cuidados Intensivos (UCI) o que falleció. Resultados: Se analizaron 608 pacientes ingresados con diagnóstico de neumonía por COVID-19, la mediana de edad fue de 73 años (RIC: 64-81) años. Los pacientes fueron predominantemente varones (55,8%). La hipertensión arterial fue el FRCV más común (83,7%), seguido de la dislipemia (50,2%), diabetes (43,1%), obesidad (32,9%) y tabaquismo (15,6%). Durante la estancia un total del 25,8% de los pacientes tuvieron un pronóstico desfavorable: un 7,9% precisó ingreso en UCI y un 22,9% fallecieron. En el análisis multivariante resultaron variables independientes para padecer un COVID severo el género masculino (OR: 1,697; IC 95%: 1,138-2,532), la edad avanzada (OR: 1,697; IC 95%: 1,138-2,532), y la obesidad (OR: 1,634; IC95%: 1,370-1,947). Conclusión. Existe una gran prevalencia de FRCV en los pacientes ingresados por COVID 19 de nuestra población. La obesidad, junto con la edad avanzada y el género masculino se asocian con una mayor gravedad y mortalidad hospitalaria en los pacientes ingresados con SARS-CoV 2. ABSTRACT Objective: To assess whether cardiovascular risk factors (CVRF) are correlated with the severity of COVID-19 in hospitalized patients in our population. Material and Methods: Retrospective cohort study of patients with COVID-19 admitted between the months of April and December 2020 in a tertiary center in southern Spain. The association between CVRF and the severity of SARS-COV2 was assessed. Severe COVID was considered to be one who was admitted to the Intensive Care Unit (ICU) or who died. Results: 608 patients admitted with a diagnosis of COVID-19 pneumonia were analyzed, the median age was 73 years (IQR: 64-81) years. The patients were predominantly male (55.8%). Hypertension was the most common CVRF (83.7%), followed by dyslipidemia (50.2%), diabetes mellitus (43.1%), obesity (32.9%), and smoking (15.6%). During the stay, a total of 25.8% of the patients had an unfavorable prognosis: 22.9% died and 7.9% required admission in the ICU. In the multivariate analysis, significant independent variables were found for suffering from severe COVID: male sex (OR: 1,697; IC 95%: 1,138-2,532), age (OR: 1.697; CI 95%: 1,138-2,532), and obesity (OR: 1,634; 95% CI: 1,370-1,947). Conclusions: There is a high prevalence of CVRF in patients hospitalized for COVID 19 in our population. Obesity, along with older age and male gender, are associated with greater severity and hospital mortality in patients admitted with SARS-CoV-2

La Región de las Américas ha experimentado históricamente desigualdades sociales enraizadas en el colonialismo, las cuales se reflejan y reproducen en el ámbito de la salud. La incursión de la pandemia de COVID-19 afectó a toda la Región, pero golpeó con mayor fuerza a los grupos socialmente más desaventajados, y agravó las inequidades en salud. Bajo la premisa que las pandemias no son fenómenos socialmente neutrales, en este informe especial se analizan los impactos desiguales de la pandemia desde distintas perspectivas –histórica, epidemiológica, política, social, económica, ambiental y poblacional. Se ofrecen aquí reflexiones críticas sobre las implicaciones negativas de las desigualdades para el bienestar, no solo de las poblaciones más afectadas, sino de la sociedad en su conjunto. Se concluye con recomendaciones estratégicas para progresar hacia la equidad en salud en el escenario pospandémico. Se destaca la importancia de avanzar en la madurez de los sistemas de información para el monitoreo de la equidad en salud, la resiliencia de los sistemas de salud, y la implementación de políticas y prácticas explícitas dirigidas a eliminar las inequidades en salud. Se espera que todo lo anterior allane el camino hacia la prosperidad y el desarrollo sostenible en la Región.

Copyright of Retos: Nuevas Perspectivas de Educación Física, Deporte y Recreación is the property of Federacion Espanola de Asociaciones de Docentes de Educacion Fisica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introducción: Innumerables factores contribuyen en el tiempo a cambiar conductas relacionadas con el estilo de vida, la pandemia de COVID-19 no solo alteró las rutinas de los individuos, sino que también hizo cambios en los factores que influyen en sus condiciones crónicas. Objetivo: Conocer la percepción de los pacientes con enfermedades cardiometabólicas, con relación a las adaptaciones en su estilo de vida después del contagio por COVID-19. Materiales y Métodos: Estudio exploratorio con enfoque cualitativo, realizado con nueve pacientes diagnosticados con enfermedades cardiometabólicas y que resultaron positivos a COVID-19. La recolección se realizó a partir de entrevistas grabadas en audio semiestructurado y su contenido fue transcrito y procesado en el software IRAMUTEQ. Resultados: El discurso colectivo mostró que la contaminación masiva por coronavirus y, posteriormente, Long-COVID desencadenó muchos miedos y angustias, además de un aumento de los dolores musculares, cansancio y la falta de control de la presión arterial y/o la glucemia, impactando directamente en la rutina de vida diaria de los pacientes infectados, pero también hubo un despertar por cambios en el estilo de vida. Discusión: La complejidad de las experiencias relatadas por los pacientes infectados incide en el deseo de adoptar un estilo de vida saludable y la búsqueda de conocimiento. Conclusiones: El número de pacientes afectados por COVID-19 en sus fases aguda y prolongada es preocupante para la sociedad y los profesionales de la salud, siendo necesario ampliar estrategias que apunten a la calidad de la atención, buscando un adecuado seguimiento en las diferentes esferas de la atención.

Presents and analyzes data collected in the network research called "Education and Rural Schools in times of Covid-19 pandemic." It takes as analytical cut the 113 online questionnaires answered, between June and July 2020, by the students of the Bachelor of Rural Education course - Agrarian Sciences of the Federal University of the Recôncavo of Bahia. The objective is to discuss possibilities/impossibilities in the construction of the alternation regime as curricular organization of the Higher Education of the working peoples of the Rural Area, of the waters and of the forests in the pandemic period, giving voice to the students. As results we have the detailed profile of the respondents of the questionnaire and their indications about the teaching of the University in that period, problematizing possibilities and impossibilities of the curriculum alternating in Higher Education of the Rural area during the pandemic of the Covid-19.

Introduction and Objectives: Digital health (DH) is a broad concept, bringing together technology and healthcare, that is playing an increasingly important role in the daily routine of healthcare professionals (HCPs) and promises to contribute to the prevention and treatment of cardiovascular disease. There are no solid data on the position of Portuguese HCPs toward the implementation of DH in cardiovascular medicine. This national cross-sectional study aims to provide a snapshot of DH implementation in Portuguese cardiovascular HCP routines and to identify both expectations and barriers to its adoption. Methods: An 18-question survey was created specifically for this study and distributed to 1174 individuals on the Portuguese Society of Cardiology mailing list. Results: We collected 117 valid responses (response rate 10%). Almost all participants had smartphones and laptops, and two-thirds had tablets. Electronic medical information systems were the most used DH tool (84% of respondents) and were considered the most important for improving cardiovascular care. Implantable technologies (sensors and devices), telemedicine and social media were used by more than two out of three respondents and considered «very important» or «extremely important» by most of them. Most participants showed positive expectations regarding the impact of DH in cardiovascular medicine: 78% agreed that DH could improve health outcomes, 64% that it promotes health literacy and 63% that it could decrease healthcare costs. The top-rated barriers were patients’ inability to use smartphones, limited access to electronic devices, and lack of legal regulation of DH. Conclusion: Most Portuguese cardiovascular HCPs had at least three electronic devices (mainly smartphones, laptops and tablets) and showed positive expectations regarding DH's current and future impact on cardiovascular medicine. Patient DH literacy, technology adoption, and DH regulation were identified as the most important barriers to increasing the adoption of DH tools in cardiovascular medicine. Resumo: Introdução e objetivos: A saúde digital é um conceito amplo, que junta a tecnologia aos cuidados de saúde, desempenhando um papel cada vez mais importante na prática clínica diária dos profissionais de saúde e promissor na prevenção e tratamento de doenças cardiovasculares. Não existem dados consistentes que avaliem a posição dos profissionais de saúde portugueses em relação à implementação da saúde digital na medicina cardiovascular. Por conseguinte, este estudo visa compreender o panorama geral da implementação da saúde digital na rotina diária dos profissionais de saúde cardiovascular em Portugal e identificar tanto as expectativas como os obstáculos à sua adoção. Métodos: Um inquérito de 18 perguntas foi construído para as necessidades específicas deste estudo e distribuído a 1174 potenciais respondedores da mailing list da Sociedade Portuguesa de Cardiologia. Resultados: Foram obtidas 117 respostas válidas (taxa de resposta ao inquérito de 10%). Quase todos os respondedores tinham um smartphone e um computador portátil e dois terços tinham um tablet. Os sistemas eletrónicos de informação médica foram a ferramenta mais utilizada (84% dos inquiridos) e considerada a mais relevante para melhorar os cuidados de saúde cardiovasculares. Mais de dois terços dos inquiridos relataram utilizar tecnologias implantáveis (sensores ou dispositivos), telemedicina e as redes sociais e todas estas ferramentas foram consideradas «muito relevantes» ou «totalmente relevantes» pela maioria. A maior parte dos respondedores demonstrou expectativas positivas relativamente ao impacto da saúde digital na medicina cardiovascular: 78% concordaram que esta pode melhorar os outcomes em saúde, 64% que promove a literacia em saúde e 63% que pode diminuir os custos dos cuidados de saúde. A incapacidade dos pacientes de utilizar smartphones, o acesso limitado a dispositivos eletrónicos e a falta de regulamentação legal da saúde digital foram as barreiras mais cotadas. Conclusão: Globalmente, a maioria dos profissionais de saúde cardiovascular em Portugal tinha pelo menos três dispositivos eletrónicos (principalmente smartphones, computadores portáteis e tablet) e mostrou expectativas positivas relativamente ao impacto atual e futuro da saúde digital na medicina cardiovascular. A literacia e a adoção de tecnologia relacionada com a saúde digital pelos pacientes, bem como a falta de regulamentação jurídica, foram identificados como os obstáculos mais importantes para aumentar a adoção de ferramentas de saúde digital na medicina cardiovascular.

Introducción: Este reporte presenta el caso de un paciente colombiano adulto, de sexo masculino, sin antecedentes de trombocitopenia ni trastornos hematológicos, que desarrolló una púrpura trombocitopénica autoinmune paucisintomática leve y crónica, una rara complicación posterior a la vacunación con ARNm contra el virus SARS-CoV-2. Hasta donde se sabe, este es el primer caso documentado en Colombia de púrpura trombocitopénica autoinmune asociada al uso de vacunas de ARNm (BNT162b2 o ARNm-1273), con un seguimiento clínico integral de 2 años. Descripción del caso: El paciente recibió la primera y segunda dosis de la vacuna de ARNm BNT162b2 en junio de 2021, la primera dosis de refuerzo en noviembre de 2021 (ARNm-1273) y la segunda dosis de refuerzo (ARNm BNT162b2) en junio de 2022. Se documentó trombocitopenia (

Introducción: La enfermedad de COVID-19 ha sido una de las pandemias más perjudiciales para la humanidad, por lo cual, garantizar la adherencia a medidas preventivas y de control es fundamental. Esta adherencia depende en gran medida de los conocimientos, actitudes y prácticas (CAP) de la población frente al COVID-19. Objetivo: Identificar el nivel de conocimientos, actitudes y prácticas hacia la prevención de COVID-19 y sus factores asociados en Oaxaca, México. Materiales y Métodos: Estudio transversal y analítico, en mayores de edad a través de una encuesta en línea sobre CAP. Se aplicó estadística descriptiva, y chi cuadrada o exacta de Fisher para comparaciones categóricas. Se analizaron los factores asociados a un mayor nivel de CAP calculando OR´s a través de regresión logística. Resultados: En total 176 personas participaron, de los cuales 82,42% fueron mujeres y 81,83% fueron

Introducción: El sueño es fundamental para la calidad de vida y puede afectar el bienestar y la salud mental de los individuos. Objetivo: Analizar la calidad del sueño y satisfacción laboral en enfermeras españolas tras la pandemia por COVID-19. Materiales y Métodos: Estudio transversal utilizando el Pittsburgh Sleep Quality Index (PSQI), el Cuestionario de Satisfacción Laboral Font Roja y variables sociodemográficas y laborales. Se empleó un muestreo en "bola de nieve" mediante divulgación en redes sociales. Resultados: La puntuación media del PSQI fue de 9,75 ± 4,36 puntos. La peor calidad del sueño se identificó en participantes sin personas a cargo (p=0,031;β=3,329;IC95%=0,035-6,354) y en aquellos con dependientes distintos de los hijos (p=0,022;β=4,121; IC95%= 0,575-7,667). Sin embargo, ser doctor (p=0,001; β=-3,406; IC95%=-5,503-1,309) o especialista (p=0,021; β=-1,639; IC95%=-3,031- -0,247) se asoció con una mayor calidad del sueño. La mejor satisfacción laboral se identificó en mujeres (p=0,034;β=0,104;IC95%=0,007-0,201), que no trabajaban con pacientes COVID (p=0,049;β=-0,085; IC95%=-0,174- -0,003). Discusión: Es crucial mejorar las condiciones laborales, como la ratio enfermera-paciente y la distribución de los turnos de trabajo, para mejorar la calidad del sueño de las enfermeras. Conclusiones: Las enfermeras españolas presentan una mala calidad del sueño. No tener personas a cargo y tener dependientes distintos de los hijos fueron factores de riesgo de mala calidad del sueño. La satisfacción laboral fue mayor en mujeres que no trabajaban con pacientes COVID-19. No se encontró relación entre la satisfacción laboral y la calidad del sueño de los trabajadores.

O Brasil enfrentou uma das maiores crises de saúde devido a rápida contaminação da população brasileira pelo vírus da Covid-19. Este artigo objetiva a discussão a respeito da responsabilidade civil do Estado na manutenção do abastecimento de água durante a pandemia da Covid-19, uma vez que esse serviço é fundamental para que haja o mínimo existencial para a sobrevivência e dignidade do ser humano. Assim, utilizou-se de uma abordagem qualitativa, de cunho bibliográfica e da coleta de dados para demonstrar a importância da manutenção do abastecimento de água, bem como a relação inversamente proporcional do acesso à água nos estados e o número dos casos de covid nessas regiões. Conclui-se, portanto, que a solução mais efetiva repousa na contraprestação total por parte do Estado para que se garanta pelo menos o mínimo existencial e, como consequência, se tenha um isolamento social eficaz, diminuindo assim as chances de proliferação da Covid-19.

Este artículo presenta un estudio cualitativo sobre los cambios en las dinámicas turísticas con base en la interacción del sector público, privado y comunidades de acogida durante la pandemia de COVID-19. Cuatro comunidades rurales ubicadas en el Área de Biosfera del Macizo del Cajas (ABMC), ubicadas en el sur de Ecuador fueron consideradas como casos de estudio para entender si la resiliencia fue un mecanismo usado para afrontar la crisis. Como método de recolección de datos se realizaron entrevistas semiestructuradas con residentes de las comunidades, autoridades y empresarios privados involucrados en los territorios de estudio. Los resultados indican que los valores simbólicos de las comunidades emergieron durante la crisis. Sin embargo, lo privado mantuvo su intención de mantenerse a flote y lo público intensificó las acciones que venían realizando antes de la pandemia. Se concluye que la COVID-19 destacó las reacciones fragmentadas hacia el turismo. Por lo tanto, la resiliencia comunitaria, centrada en los recursos y capacidades locales se adapta utilizando sus activos, mientras que la resiliencia del sector turístico aspira a regresar a la normalidad.

Objetivo: O quadro atípico resultado da pandemia da Covid-19 evidenciou os problemas gerados pela instabilidade econômica na vida da sociedade em geral. Foram eles: desemprego em massa, aumento de inflação e inadimplência, diminuição da atividade econômica causada pelas restrições de circulação por todo o mundo, aumento da demanda por crédito e investimentos, fechamento de empresas, entre outros. Diante desse cenário, esta pesquisa tem o objetivo de analisar os impactos da instabilidade econômica causada pela Covid-19 no volume da concessão de crédito no Brasil. Metodologia: A metodologia utilizada na pesquisa foi realizada a partir de modelos de regressão de séries temporais no mercado brasileiro e com base nos valores históricos de variáveis macroeconômicas. O período estudado é de fevereiro de 2013 até abril de 2023, sendo divididos períodos pré-pandemia (02/2013-02/2020) e de pandemia (03/2020-04/2023). Resultados: Foi verificado que o impacto da pandemia da Covid-19 foi pequeno no volume de concessão de crédito ao controlar-se por outras características macroeconômicas. Há indícios de que apenas o ano de 2020 tenha tido maiores variações, sendo a média do período de 2020 a 2023 pouco diferente do período anterior à pandemia. Contribuições do Estudo: Esse estudo adiciona mais um aspecto ao impacto da covid-19 na economia brasileira e complementa estudos anteriores que verificaram impactos de outras crises no volume de concessão de crédito. A partir dos resultados apresentados, é possível verificar que outros fatores são mais relevantes para a definição de volume de concessão de crédito mesmo em momentos de crise financeira.

Objetivo: Analisar o impacto da pandemia de Covid-19 na celeridade dos periódicos que publicam artigos na área ciências contábeis à luz da teoria da contingência. Metodologia: Trata-se de uma pesquisa documental. Foram mapeados e explorados 31 periódicos dentre o período pandêmico de 2019 a 2022, com um total de 2.290 artigos analisados individualmente. Como estratégia para análise dos dados foi adotada nesta pesquisa a análise descritiva dos dados e a análise do conteúdo. Resultados: Nos achados principais da pesquisa foi encontrado que, o impacto da pandemia da Covid-19 nos periódicos investigados foi de 47% em relação a média de dias entre a entrega da submissão e o aceite da pesquisa pelo periódico. Além disso, foi encontrado que no geral, os periódicos tiveram um aumento na média de dias nas avaliações acima de 20%. Ademais, ao apurar estes achados, constatou-se que foi confirmada as afirmações da teoria contingencial para este fenômeno, visto que Covid-19 trouxe um cenário de insegurança e novas adaptações para todas as entidades. Contribuições do Estudo: Esta pesquisa contribuiu para confirmar a relação da teoria contingencial com a celeridade das avaliações dos periódicos da área de ciências contábeis, principalmente em relação as incertezas e as adaptações encontradas pelas organizações durante a pandemia da Covid-19. Ademais, as evidências coletadas são de grande valia para os discentes, professores, pesquisadores, gestores dos periódicos e o público em geral, pois por meio dos resultados encontrados, haverá o direcionamento para a escolha do envio dos artigos na atualidade.

COVID-19 is a disease that has a wide clinical spectrum that ranges from completely asymptomatic conditions to severe pulmonary infection. The social isolations recommended by health authorities, despite being necessary to prevent the spread of the disease, may had have a negative impact on the mental health of the population with an increase in the number of cases of anxiety, depression and other psychological disorders. In this context, temporomandibular dysfunction (TMD), a multifactorial disease that including the psychological factor, may have worsened after the start of the pandemic period. The aim of this study was to verify whether there was a worsening of TMD symptoms during the pandemic period and what they were. The research was carried out on patients treated at the TMD clinic of Odontoclínica Central da Marinha (OCM), located in the city of Rio de Janeiro-RJ, Brazil. A retrospective cross-sectional study was carried out by collecting data from 784 electronic medical records of patients aged of 12 and over, before the pandemic, in 2019, and during the pandemic, in 2020, according to the eligibility criteria. The results obtained through statistical analyses revealed a worsening of TMD symptoms during the pandemic period. There was an increase in emergency consultations and cases of muscle and join pain. The worsening of TMD symptoms might be associated with the negative impact of the pandemic on the mental health of OCM patients.

Apresenta uma pesquisa que investigou a percepção de adolescentes sobre sua aprendizagem escolar antes da pandemia, durante o isolamento social e, atualmente. Seguindo um delineamento metodológico exploratório-descritivo e transversal, de abordagem quantitativa, a amostra foi composta por sessenta e quatro (n=64) adolescentes, entre 14 e 17 anos, de três escolas da região metropolitana de Porto Alegre/RS. A coleta de dados foi realizada no primeiro semestre de 2022, utilizando-se um questionário autoaplicável. Foi realizada uma análise descritiva da distribuição de frequência das variáveis e o Teste de Friedman para comparar dados e verificar a existência de diferenças significativas. O nível de significância adotado foi de 5%. Os resultados indicam que os adolescentes avaliaram negativamente as aulas online entendendo que durante o período de isolamento social, as aulas online foram de baixa qualidade técnica e pedagógica e que não contribuíram para o seu aprendizado, acarretando fraca assimilação dos conteúdos ministrados.

Em atendimento à Chamada CNPq/MCTIC n. 06/2021 - A transversalidade da ciência, tecnologia e inovações para o planeta, lançada em meio à pandemia de Covid-19, professores da Universidade Federal do Oeste da Bahia escreveram o projeto intitulado “A transversalidade da ciência, tecnologia e inovação no enfrentamento da Covid-19: construindo caminhos pós-pandemia”. Várias atividades, tais como oficinas, palestras, exposições de experimentos científicos, debates e mesas redondas foram programadas, no formato remoto, e inseridas em um evento intitulado IV Jornada Científica do Oeste Baiano. O evento teve, em média, 300 participantes, e se apresentou como uma proposta bastante exitosa para o que foi planejado, uma vez que, mesmo em tempos de pandemia, foi possível fazer divulgação científica, socializando conhecimentos acerca de diversos temas, como saúde com informações sobre a Covid-19, bem-estar do homem e da mulher, empoderamento feminino, mostrando que ainda existe muito espaço a ser conquistado pela mulher na ciência.

Se propone una investigación acerca de la participación de las bibliotecas universitarias del ámbito público y privado de Argentina en el uso y la gestión de los cursos en línea masivos y abiertos (MOOC) y de otros dispositivos de instrucción en línea a partir de la pandemia de COVID-19. En función de los resultados obtenidos por el equipo de investigación en un proyecto previo sobre la misma temática, se aplicará un estudio exploratorio, multi metodológico y no experimental con el objetivo de conocer el rol de las bibliotecas universitarias con relación al dictado de MOOC y de otros dispositivos de instrucción en línea en el período de la pandemia y la pospandemia, con énfasis en los programas ofrecidos de forma gratuita y abierta. A su vez, se explorará en qué medida las bibliotecas bajo análisis se encuentran vinculadas con los servicios de tecnología de la universidad y se estudiarán los mecanismos de almacenamiento, difusión y preservación digital de los MOOC y otros dispositivos de instrucción en línea = An investigation is proposed on the participation of public and private university libraries in Argentina on the use and management of massive open online courses (MOOCs) and other online learning devices in the wake of the COVID-19 pandemic. Based on the results obtained by the research team in a previous project on the same topic, an exploratory, multi-methodological and non-experimental study will be applied with the aim of understanding the role of university libraries in relation to the delivery of MOOCs and other online learning devices in the period of the pandemic and post-pandemic, with emphasis on free and open programs. In turn, the extent to which the libraries under analysis are linked to university technology services will be explored, and the mechanisms of storage, dissemination, and digital preservation of MOOCs and other online learning devices will be studied.

Introducción. Ante la orden del gobierno colombiano de iniciar clases en el año 2021 bajo la modalidad alterna, la reacción de los maestros, inicialmente, fue desacatada bajo el argumento que podrían ser contagiados de COVID-19 por sus alumnos, pero debido a presión gubernamental retornaron gradualmente a las aulas. El objetivo del estudio fue identificar la presencia y niveles del síndrome de burnout durante la modalidad alterna en los docentes vinculados a una institución educativa de Santander, Colombia. Métodos. Investigación descriptiva, se trabajó con una muestra de carácter censal conformada por 28 docentes, a quienes se les aplicó el Cuestionario de burnout de Maslach, el cual está constituido por tres subescalas, agotamiento emocional, desempeño personal y despersonalización. Resultados. los datos muestran bajos niveles en las subescalas de agotamiento emocional y despersonalización y alto en la de desempeño personal, y aunque se evidencian la inexistencia de desgaste profesional, se resalta que el 21.4% de los participantes muestran señales de agotamiento emocional. Conclusión. En este grupo de profesores no se evidenciaron síntomas del síndrome de burnout, llevando a suponer que la mayoría cuenta con factores protectores, como vivir con su pareja e hijos, y que en la institución se les ha brindado herramientas para el abordaje del estrés. Recomendaciones. Se considera importante profundizar en la identificación de los factores protectores contra el desgaste profesional en esta población.

Objective. To assess changes in reproductive, maternal, newborn, child, and adolescent health (RMNCAH) in Haiti from August 2018 to September 2021, before and during the COVID-19 pandemic. Methods. A retrospective study using surveillance data from the Haitian Unique Health Information System, examining two periods: pre- and peri-COVID-19 pandemic. Health indicators at the national level in the two periods were compared using two-sample t-tests for proportions, and average absolute monthly changes were calculated using variance-weighted regression. Results. There was a statistically significant decline in the proportion of most of the indicators assessed from the pre- to the peri-COVID-19 pandemic period. However, the most affected indicators were the proportions of pregnant women with four antenatal care visits, with five antenatal care visits or more, and those who received a second dose of tetanus vaccine, which decreased by over 4 percentage points during the two periods. Likewise, the proportions of children who received diphtheria, tetanus, and pertussis (DTaP), BCG, polio, pentavalent, and rotavirus vaccines also all declined by over 8 percentage points. In contrast, pneumococcal conjugate vaccine increased by over 4 percentage points. A statistically significant decrease was also observed in the average absolute monthly changes of several reproductive and child health indicators assessed. Conclusions. The COVID-19 pandemic may have contributed to the decline observed in several RMNCAH indicators in Haiti. However, the role played by the sociopolitical crisis and control exercised by armed groups over the population in the last three years cannot be ruled out.

Between 2020 and 2023, a period of time assailed by the COVID-19 pandemic, society – as a worldwide social system –experienced a novel kind of communication. The tendency for this communication to exponentially expand is due to the global numbers of people dead, dying or infected. Pandemic communication has arisen in the present to perpetuate itself in all ambiences for every social system around the globe. The health system, in turn, basing itself on the health/disease code, has reacted according to its own logic in the coordination of the actions of doctors. However, the true/false nature of communication arising from questions related to COVID-19 has taken a long time to be tested by the science system. Vaccines and possible treatments for the disease have created issues for political, economic, moral, religious and media matters. The continually expanding trend in pandemic communication has proven that it can hinder the functional differentiation of social systems. Legal communication has not been able to avoid all of the controversy. In the specific case of Law, the problem entails both the judicialization of health and the reverse (where Health becomes Law). Based on the Social Systems Theory Applied to Law, the paper argues that the maintenance of the functional differentiation of the Law system becomes necessary so as for Health not to become Law (and vice versa).