O artigo destaca a classe de risco e os consensos dos requisitos mínimos de biossegurança para atividades em laboratórios clínicos e diagnósticos com o SARS-COV-2, assim como, a prevenção de riscos biológicos aos profissionais, evitando disseminação acidental às famílias e à comunidade. Disponível em português. … Read More →
Vulnerabilidade estrutural dos hospitais e cemitérios e crematórios da cidade de São Paulo à COVID-19
Incluímos em nossas análises óbitos confirmados e óbitos suspeitos de COVID-19. Os principais objetivos deste relatório são: (1) descrever a estrutura do fluxo de vítimas entre localidades e (2) sugerir mudanças no fluxo com base em distâncias geográficas de maneira a evitar uma potencial sobrecarga do sistema funerário. Sugere-se à prefeitura da cidade de São Paulo que seja realizado um planejamento para uma potencial sobrecarga do sistema funerário (isto é, número de sepultamentos) da cidade de São Paulo com base nos resultados apresentados. Disponível em português. … Read More →
Disseminação da COVID-19 em cidades e comunidades ribeirinhas da Amazônia Central
As populações da Amazônia são extremamente vulneráveis à COVID-19 devido ao intenso fluxo entre as localidades rurais e as sedes municipais e à falta de infraestrutura de saúde básica adequada na região. O objetivo deste estudo foi (1) avaliar o efeito da medida de distanciamento social sobre a disseminação da COVID-19 em sedes municipais e (2) estimar o impacto da redução do contato entre a população rural e urbana sobre a contaminação de localidades rurais da Amazônia Central, região do Médio Solimões. Nossos resultados indicam que o distanciamento social pode reduzir significativamente a velocidade de contaminação da população em sedes municipais. Disponível em português. … Read More →
Medicamentos utilizados no tratamento da COVID-19 em pacientes com insuficiência renal: uma atualização
Até o momento, não há estudos que auxiliem os profissionais de saúde no ajuste de dose destes medicamentos. Assim, este estudo tem como objetivo revisar e discutir o tema, levando em consideração os fatores relacionados à lesão renal na COVID-19, bem como aspectos farmacocinéticos e recomendações de doses dos principais medicamentos utilizados para COVID-19. Disponível em português. … Read More →
Influência do distanciamento social causado pela pandemia da COVID-19 nos atendimentos de emergência e internações em pediatria
O objetivo deste artigo foi comparar o número de atendimentos em emergências pediátricas e internações hospitalares, considerando um período de tempo no qual vigoravam medidas de distanciamento social e restrição de mobilidade urbana, com o mesmo período em anos anteriores à pandemia da COVID-19. Realizamos um estudo de uma série de casos de atendimentos em duas emergências pediátricas e internações hospitalares entre 16 de março e 16 de abril de 2020 (primeiro mês de distanciamento social no Estado do Rio de Janeiro). Disponível em português. … Read More →
Seroprevalence of IgG and IgM anti-SARS-CoV-2 among voluntary blood donors in Rio de Janeiro, Brazil
Although our findings resulted from a convenience sample, they match some basic premises: the increasing trend over time, since the epidemic curve in the state is still on the rise; the higher prevalence among the youngest who are more likely to circulate; and the higher prevalence among the less educated as they have more difficulties in following the social distancing recommendations. Despite the study limitations, it is possible to infer that protective levels of natural herd immunity to SARS-CoV-2 are far from being reached in Rio de Janeiro. Available in English. … Read More →
Medical care for spinal diseases during the COVID-19 pandemic [Originally published in Clinics, vol. 75]
To guide specialists involved in the treatment of spinal disorders, this editorial summarizes the recommendations of the North American Spine Society, the American College of Surgeons, and the document signed by the Brazilian Spine Society, the Brazilian Society of Neurosurgery, and the Brazilian Society of Orthopedics and Traumatology. Available in English. Image:
Meta Zahren. … Read More →
I am having trouble keeping up with virtual teaching activities: Reflections in the COVID-19 era [Originally published in Clinics, vol. 75]
In theory, we have been able to adapt these practices for teaching medicine. However, the title of this text (“I am having trouble keeping up with virtual teaching activities”) stems from a recurring complaint, and it elicits a deep reflection on whether we, professors and students, are capable of assimilating extensive knowledge in a short period while remodeling the entire education system. Available in English. Image: Allie. … Read More →
Do we have enough evidence to use chloroquine/hydroxychloroquine as a public health panacea for COVID-19? [Originally published in Clinics, vol. 75]
Although chloroquine/hydroxychloroquine might yield promising results, they should not be announced as a cure by politicians and the mass media, as they have never been tested as treatments for Coronaviridae viruses. Clinical trials are ongoing during the course of this pandemic, yet no scientific evidence has been found to support the widespread use of these medications. Available in English. Image: analuisa gamboa. … Read More →
A company doctor’s role during the COVID-19 pandemic [Originally published in Clinics, vol. 75]
Doctors working in companies must use their technical knowledge to ensure the best actions to protect the health of the workers. Concurrently, they must be aware of the work environment and the production process to suggest the best adaptations. In the current pandemic situation, the role of a doctor in a company has been strategic in ensuring the best health conditions at the workplace. Available in English. Image: Marcelo Leal. … Read More →
Spotlight for healthy adolescents and adolescents with preexisting chronic diseases during the COVID-19 pandemic [Originally published in Clinics, vol. 75]
In conclusion, spotlight and recommendations for healthy adolescents and adolescents with preexisting chronic diseases during the COVID-19 pandemic should be reinforced for all subjects, particularly for those under quarantine/lockdown. Further studies will be necessary to clarify and to assess specific adolescent populations during this emerging infectious disease pandemic. Available in English. Image: Kate Trifo. … Read More →
Social Distancing and Coordination
The social distance critical to alleviate the spread of COVID-19 is quite insufficient. In order to contribute to the literature, “(1) When a rare virus such as COVID-19 appears, when the total level of social distance has natural inertia; (2) Open national public statements are essential to reduce this inertia and adjust the public’s behavior to a new, optimal social distance level. (3) When individuals are not adequately informed about optimal social distance levels over time, national communication is more effective than local communication. Available in English. … Read More →
Older adults living under social distancing: possibilities for tackling COVID-19 [Originally published in Rev. bras. geriatr. gerontol., vol.23 no.2]
Data from the latest bulletin from the Ministry of Health, dated April 4, 2020, revealed 10,278 cases and 431 deaths, with more than 80% of fatalities caused by the new coronavirus involving older people, and almost the same number having at least one risk factor constantly related to COVID-19, with an emphasis on heart disease and diabetes. This suggests that more comprehensive measures are needed to protect this population. Image: Big Dodzy. … Read More →
Health professionals fight against COVID-19 [Originally published in Acta paul. enferm. vol.33]
Health professional are at a higher risk for the infection. In Brazil, as well as in other countries, thousands of health professionals have to leave their positions due to COVID-19 infection and many have died. Data of health professionals team providing frontline care for COVID-19 show physical and mental exhaustion, difficult in triage decision, anxiety for the pain of losing a patient and a colleague, all in addition to the infection risk and possibility of passing the infection to their family. Image: Ashkan Forouzani. … Read More →
Monitoring the number of COVID-19 cases and deaths in Brazil at municipal and federative units level
We present a dataset containing the reported number of COVID-19 cases and deaths at municipal and federative units level in Brazil. Data is aggregated daily from official sources with the most updated numbers, providing a reliable, free and simple resource for researchers, health authorities and general public. Interactive pages in English and Portuguese are available, containing maps, graphs and tables with all the data. Data about recovered, suspected and tests made are also available for most federative units. Available in English. … Read More →
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