It is mandatory to alert all professionals who need to do head and neck exams (including eye exams) of patients, with or without access to upper aerodigestive pathways (videolaryngoscopy, for example), rehabilitation procedures or even hygiene of this region (tracheostomies, dressings). Given the high professional risk, the Regional Council of Medicine of the State of São Paulo recommends that surgery and elective consultations be suspended, except for those of an oncological nature, in addition to urgencies and emergencies. Available in English. … Read More →
COVID-19: General guidelines for cardiovascular surgeons (standard guidelines – subject to change) [Originally published in Braz. J. Cardiovasc. Surg.]
In times of exponential Covid-19 infections and growing demand for health services, the surgeon has an important role in reinforcing the good health practices defined by the Brazilian Ministry of Health to the general population. Available in English. … Read More →
Lockdown or participatory health surveillance? Lessons from the Covid-19 [Originally published in Saúde debate, vol 44., no. 124]
In the second half of March 2020, the indiscriminate closure of cities (Lockdown) was discussed in Brazil, as opposed to the Chinese and Korean experience of epidemiological surveillance by popular mobilization with organization and information by the base, selec-tive closure, and maintenance of essential services such as health, food, and survival. … Read More →
Perceived vulnerability to Coronavirus infection: impact on dental practice [Originally published in Braz. Oral Res., vol. 34]
Our study shows high levels of vulnerability regarding contracting COVID-19 and avoiding dental care as perceived by the population over 60 years old and with a systemic disease. Available in English. … Read More →
Biological and social aspects of Coronavirus Disease 2019 (COVID-19) related to oral health [Originally published in Braz. Oral Res., vol. 34]
All elective dental treatments and non-essential procedures should be postponed, keeping only urgent and emergency visits to the dental office. The use of teledentistry (phone calls, text messages) is a very promising tool to keep contact with the patient without being at risk of infection. Available in English. … Read More →
Trying to make sense out of chaos: science, politics and the COVID-19 pandemic [Originally published in Cad. Saúde Pública, vol.36 no.5]
This essay discusses the proliferation of discourses about the COVID-19 pandemic, presenting the challenges both to science and public policies that such an information overload present, having Collins’ sociology of expertise as a theoretical framework. Available in English. … Read More →
Clinical trials on drug repositioning for COVID-19 treatment [Originally published in Rev Panam Salud Publica, vol 44]
Although drug repurposing has some limitations, repositioning clinical trials may represent an attractive strategy because they facilitate the discovery of new classes of medicines; they have lower costs and take less time to reach the market; and there are existing pharmaceutical supply chains for formulation and distribution. Available in English. … Read More →
No evidence supports the use of ether and chloroform inhalation for treating COVID-19 [Originally published in Rev Panam Salud Publica, vol 44]
In Brazil, fake news about the effectiveness of an ether and chloroform blend known as “lança perfume” or “loló” were spread on social media. There is no evidence supporting claims that ether and chloroform inhalation is useful in the treatment of COVID-19. Authorities should reinforce the need to seek information from government agencies and national and international health organizations. Available in English. … Read More →
Recommendations for a safety dental care management during SARS-CoV-2 pandemic [Originally published in Rev Panam Salud Publica, vol 44]
As the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is transmitted mainly through droplets, sneezes and aerosols, there is a high risk of transmission during dental procedures. This report describes measures that can be adopted by oral healthcare personnel to minimize the risk of cross-contamination in clinical practice during the current SARS-CoV-2 pandemic. Available in English. … Read More →
Ações federais para apoio e fortalecimento local no combate ao COVID-19: a atenção primária à saúde (APS) no assento do condutor
O Ministério da Saúde, por intermédio da Secretaria de Atenção Primária à Saúde e em parceria com a Secretaria de Vigilância em Saúde construiu e implementou estratégias da Atenção Primária à Saúde (APS) no âmbito do apoio aos gestores locais e em articulação com o Conselho Nacional de Secretários Estaduais (CONASS) e Municipais de Saúde (CONASEMS) para o combate ao COVID-19. Disponível em português. … Read More →
Gestión de seguridad psicológica del personal sanitario en situaciones de emergencia por COVID-19 en el contexto hospitalario o de aislamiento
La pandemia de la COVID-19 ha puesto a prueba los sistemas de salud en casi todos los países del mundo, los resultados de la propagación de la enfermedad han indicado que la seguridad psicológica del personal sanitario es condición indispensable para brindar cuidados a los enfermos, sin embargo, los documentos vigentes no tienen en cuenta de forma explícita ese aspecto. Disponible en español. … Read More →
Medidas de distanciamento social no controle da pandemia de COVID-19: potenciais impactos e desafios no Brasil
Para o controle da COVID-19 no Brasil, é imprescindível que essas medidas estejam aliadas ao fortalecimento do sistema de vigilância nos três níveis do SUS, que inclui a avaliação e uso de indicadores adicionais para monitorar a evolução da pandemia e o efeito das medidas de controle, a ampliação da capacidade de testagem, e divulgação ampla e transparente das notificações e de testagem desagregados. Disponível em português. … Read More →
Ion torrent-based nasopharyngeal swab metatranscriptomics in COVID-19
Herein, we describe the detection of a SARS-CoV-2 genome through metatranscriptome next-generation sequencing directly from the nasopharyngeal swab of a suspected case of local transmission of Covid-19, in Brazil. Depletion of human ribosomal RNA and use of an optimized in-house developed bioinformatics strategy contributed to successful detection of the virus. Available in English. … Read More →
What has the COVID-19 pandemic taught us about adopting preventive measures? [To be published in Texto contexto – enferm., vol. 29]
The epidemiological curve of the disease clearly shows the devastating proportions in Italy, Spain and the United States, surpassing China in death records, due to the delay in adopting the aforementioned measures. In Brazil, the rapid progression in relation to the world and Latin America points to an important increase in the number of cases. Conclusion: this is possibly the most serious pandemic in recent human history, and its course can be influenced by the rigor in adopting individual and collective behavioral measures. Available in English. … Read More →
An updated systematic review on the coronavirus pandemic: lessons for psychiatry [Originally published in Braz. J. Psychiatry]
The main findings highlight the negative emotion and stress experienced by healthcare workers who treat infected patients. The main symptoms included de novo complaints of insomnia, anxiety, and feelings of hopeless, as well as the reactivation of previous disorders, such as depression, anxiety and even suicidal behavior. These mental health problems not only affect patients but also medical workers. Available in English. … Read More →
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