ABSTRACT
It remains unclear whether a previous history of tropical infectious diseases and a second SARS-COV-2 infection may influence the likelihood of later symptoms. In this prospective cohort study, individuals infected with SARS-CoV-2 were followed up by telephone shortly after diagnosis of COVID-19 and again 12 months later. Poisson regression was used to identify the predictors of the highest number of symptoms in the post-COVID-19 syndrome. A total of 1,371 patients with COVID-19, with a mean age of 39.7 ± 11.7 years and 50% female, were followed for 12 months. Reinfection was found in 32 (2.3%) participants, and 806 (58.8%) individuals reported a previous history of dengue, malaria, Zika, chikungunya, leprosy, and visceral leishmaniasis. Eight hundred seventy-seven (63.9%) participants reported late symptoms related to COVID-19. After adjusting for multiple factors, female sex, non-White race, number of acute-phase symptoms, body mass index, and reinfection were independent predictors of higher number of symptoms in post-COVID-19 syndrome. Female sex, non-White race, number of acute-phase symptoms, body mass index, and reinfection, but not previous endemic tropical diseases, were associated with long-term symptoms.
Subject(s)
COVID-19 , Zika Virus Infection , Zika Virus , Humans , Female , Adult , Middle Aged , Male , COVID-19/epidemiology , Cohort Studies , Prevalence , SARS-CoV-2 , Post-Acute COVID-19 Syndrome , Prospective Studies , ReinfectionABSTRACT
BACKGROUND: Diabetic foot ulcers are chronic wounds that are difficult to heal, with a high rate of recurrent hospitalizations. Due to its multifactorial complexity, treatment must be considered as multidisciplinary, with adjuvant therapy required to aid the healing process. OBJECTIVES: To identify physiotherapeutic interventions for the treatment of diabetic foot ulcers through a systematic literature review. DATA SOURCES: PubMed, Cochrane Library, SciELO and Web of Science were searched in April 2020. STUDY SELECTION OR ELIGIBILITY CRITERIA: The inclusion criteria for this review were: randomised controlled trial published in the last 5 years; written in Portuguese, English or Spanish; subjects aged>â¯18 years with a diagnosis of diabetic foot ulcers; and physiotherapeutic intervention in combination with multidisciplinary wound management. The methodological quality was assessed using the PEDro scale. RESULTS: Eight studies were included. Physiotherapists can treat diabetic foot ulcers using therapeutic exercises, electrotherapy, manual therapy and assistive technologies. All physiotherapeutic interventions were adjuvant to standard treatment for wounds provided by other health professionals. The main outcomes were wound size and healing time, with highly favourable results obtained for the experimental groups compared with the control groups. CONCLUSIONS: Therapeutic exercise, electrotherapy, manual therapy and assistive technologies are physiotherapeutic modalities that, when combined with standard treatment, have been shown to be beneficial in the healing of diabetic foot ulcers.
Subject(s)
Diabetic Foot , Physical Therapy Modalities , Humans , Combined Modality Therapy , Diabetic Foot/therapy , Electric Stimulation Therapy , Exercise Therapy , Randomized Controlled Trials as Topic , Wound Healing , Treatment OutcomeABSTRACT
O objetivo do presente manuscrito é apresentar uma proposta de produção da avaliação semestral de Educação Física na educação infantil, que possa subsidiar a prática pedagógica dos professores atuantes nessa etapa da educação básica, tendo como referência as experiências desenvolvidas na Rede Municipal de Ensino de Florianópolis. As discussões englobam as problemáticas da avaliação, aspectos da legislação educacional, a importância dos registros; e indicam as ações em torno de uma docência compartilhada como modo de qualificar a prática da avaliação no contexto da educação infantil.
The objective of this manuscript is to present a proposal for the production of the semiannual evaluation of Physical Education in early childhood education, which can subsidize the pedagogical practice of teachers working in this stage of basic education, having as a reference the experiences developed in the Municipal Education Network of Florianópolis. Discussions include the issues of evaluation, aspects of educational legislation, the importance of records; and indicate actions around shared teaching as a way to qualify the practice of evaluation in the context of early childhood education.
El objetivo de este manuscrito es presentar una propuesta para la producción de la evaluación semestral de la Educación Física en la Educación Infantil, que pueda subsidiar la práctica pedagógica de los docentes que laboran en esta etapa de la educación básica, teniendo como referencia las experiencias desarrolladas en el Red Municipal de Educación de Florianópolis. Las discusiones incluyen los temas de evaluación, aspectos de la legislación educativa, la importancia de los registros; e indicar acciones en torno a la enseñanza compartida como forma de calificar la práctica de la evaluación en el contexto de la educación infantil.
