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Sci Total Environ ; 753: 141757, 2021 Jan 20.
Artículo en Inglés | MEDLINE | ID: mdl-32891990


The world today is dealing with a havoc crisis due to the pervasive outbreak of COVID-19. As a preventive measure against the pandemic, government authorities worldwide have implemented and adopted strict policy interventions such as lockdown, social distancing, and quarantine to curtail the disease transmission. Consequently, humans have been experiencing several ill impacts, while the natural environment has been reaping the benefits of the interventions. Therefore, it is imperative to understand the interlinked relationship between human society and the natural environment amid the current crisis. Herein, we performed a meta-analysis of existing literature reporting the various impacts of COVID-19 on human society and the natural environment. A conceptual model was developed to portray and address how the interaction of the existing elements of both sub-components of the coupled human-environment system (CHES) - human society and natural environment - are impacted by the government interventions. Results revealed a suite of positive and negative impacts of COVID-19 on both the sub-components. Our model provides an explicit impression of the complex nexus of CHES amid the current crisis. The proposed conceptual model could help in understanding the complex nexus by identifying the route of short-term impacts of COVID-19 measures and thus may aid in identifying priority areas for discussion and planning in similar crises as well.

Betacoronavirus , Infecciones por Coronavirus , Ambiente , Pandemias , Neumonía Viral , Humanos , Cuarentena
Int. j. clin. health psychol. (Internet) ; 20(3): 183-191, sept.-dic. 2020. tab, graf
Artículo en Inglés | IBECS | ID: ibc-190835


BACKGROUND/OBJECTIVE: The outbreak of COVID-19 and the lack of vaccine made extraordinary actions such as social distancing necessary. While some individuals experience the restrictions on daily life as a heavy burden, others adapt to the situation and try to make the best of it. The present longitudinal study investigated the extent and predictors of the burden induced by the outbreak of COVID-19 in Germany. METHOD: Data were assessed in October 2019 using the DASS-21 and the PMH-Scale, and in March 2020 adding a six-item measure of burden and a 2-item rating of sense of control. RESULTS: In a sample of 436 participants, about 28% stayed in self-quarantine, 22 persons had relevant symptoms and one person was positively tested for COVID-19. Most participants experienced medium to high levels of burden but tried to make the best of it. Stress symptoms in 2019 predicted a higher level of burden and PMH predicted a lower level of burden in March 2020. Remarkably, depression and anxiety symptoms did not significantly predict burden. The protective effect of PMH and the negative impact of stress symptoms were mediated by perceived sense of control. CONCLUSIONS: The results emphasize the protective effect of PMH in extraordinary situations such as the current outbreak of COVID-19

ANTECEDENTES/OBJETIVO: El brote COVID-19 y la falta de vacuna hicieron necesarias acciones extraordinarias como la distancia social. Algunas personas experimentan las restricciones en la vida diaria como sobrecarga emocional y otras se adaptan a la situación, tratando de sacar lo mejor de ella. Se investigó el alcance y predictores de sobrecarga emocional inducida por el COVID-19 en Alemania. MÉTODO: Se evaluaron niveles de estrés y salud mental positiva en octubre de 2019 con DASS-21 y Escala-PMH, y en marzo de 2020, agregando medidas de sobrecarga emocional y percepción de control. RESULTADOS: En una muestra de 436 participantes, el 28% permaneció en cuarentena, 22 personas tuvieron síntomas relevantes y una dio positivo en COVID-19. La mayoría experimentaron niveles de sobrecarga emocional medio-alto, aunque trataron de sobrellevar la situación lo mejor posible. Los síntomas de estrés en octubre 2019 predijeron un nivel de sobrecarga más elevado en marzo 2020 y, contrariamente, los niveles de salud mental positiva en octubre 2019 predijeron un menor nivel de sobrecarga emocional en marzo 2020. Sorprendentemente, los síntomas de depresión y ansiedad no predijeron la sensación de sobrecarga posterior. El efecto protector de la salud mental positiva y el impacto negativo de los síntomas de estrés fueron mediados por la percepción de control. CONCLUSIONES: Se resalta el efecto protector de la salud mental positiva en situaciones extraordinarias como el brote COVID-19

Humanos , Masculino , Femenino , Adulto Joven , Adulto , Persona de Mediana Edad , Anciano , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Neumonía Viral/epidemiología , Neumonía Viral/psicología , Pandemias , Cuarentena/psicología , Adaptación Psicológica , Estrés Psicológico/psicología , Depresión/psicología , Ansiedad/psicología , Estudios Longitudinales , Estudios Prospectivos , Alemania Occidental/epidemiología
Rehabilitación (Madr., Ed. impr.) ; 54(4): 269-274, oct.-dic. 2020.
Artículo en Español | IBECS | ID: ibc-192488


El sistema sanitario se encuentra ante una pandemia mundial en relación con la enfermedad por coronavirus 2019 (COVID-19). Los planes de preparación para emergencias a menudo no consideran cuestiones específicas de rehabilitación para pacientes hospitalizados ni para ambulatorios, aunque la Organización Mundial de la Salud aconseja incluir a profesionales de rehabilitación lo antes posible. Los planes de contingencia de los Servicios de Rehabilitación deben realizarse en coordinación con las otras áreas asistenciales. En esta revisión, se ha resumido y analizado la información disponible basada en una búsqueda cuidadosa de la literatura científica de COVID-19 y en la experiencia de un entorno concreto, para planificar la continuidad asistencial de rehabilitación para todos los pacientes y para ayudar a los equipos de rehabilitación en este periodo de confinamiento /desconfinamiento incierto

The health system is facing a global pandemic due to coronavirus disease 2019 (COVID-19). Emergency plans often fail to consider specific rehabilitation issues, whether inpatient or outpatient, although the World Health Organisation advises the inclusion of rehabilitation professionals as soon as possible. The contingency plans of rehabilitation services must be carried out in coordination with the other healthcare areas. This review was prepared with the current available evidence on COVID-19 and was based on the experience of a specific environment, to plan the continuity of rehabilitation care for all patients and to help rehabilitation teams in this period of lockdown and uncertain lifting of restrictions

Humanos , Cuarentena/psicología , Infecciones por Coronavirus/rehabilitación , Virus del SRAS/patogenicidad , Pandemias , Centros de Rehabilitación/organización & administración , Terapia por Ejercicio/métodos , Continuidad de la Atención al Paciente/organización & administración , Planes de Contingencia
Rev. enferm. UERJ ; 28: e51821, jan.-dez. 2020.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1117686


Objetivo: compreender a vivência do enfrentamento e repercussões da COVID-19, na percepção de mulheres em tratamento oncológico. Método: estudo qualitativo, do tipo ação-participante, fundamentado no Itinerário de Pesquisa de Paulo Freire, que possui três fases: Investigação Temática; Codificação e Descodificação; Desvelamento Crítico. Foi realizado Círculo de Cultura virtual, com a participação de 12 mulheres em tratamento do câncer de mama, de diferentes localidades do Brasil. Resultados: no Círculo de Cultura virtual discutiram dois temas: desafios no enfrentamento do câncer e da COVID-19; aprendizados gerados nessa vivência, considerando um renascimento das próprias cinzas. Considerações finais: o momento pandêmico tem instigado reflexões sobre o viver. Assim, as mulheres em tratamento oncológico e também em restrição social puderam expressar seus sentimentos, descobrindo e redescobrindo fragilidades e fortalezas para ressignificar e crescer como seres, em uma sociedade, que pode e deve articular estratégias para promoção da saúde.

Objective: to understand the experience of coping with COVID-19, as perceived by women undergoing cancer treatment. Method: qualitative, participatory action research based on the three phases of Paulo Freire's Research Itinerary: Thematic Investigation; Coding and Decoding; and Critical Unveiling. A Culture Circle was held online with 12 women from different places in Brazil undergoing breast cancer treatment. Results: in the virtual Culture Circle, they discussed two themes: challenges in coping with cancer and COVID-10; and learning generated in that experience, with a view to rebirth from their own ashes. Final considerations: the pandemic has prompted thinking about living. Accordingly, women undergoing cancer treatment and also under social restrictions were able to express their feelings, and in discovering and rediscovering weaknesses and strengths, to resignify themselves and to grow in a society that can and should deploy strategies for health promotion.

Objetivo: comprender la experiencia de afrontamiento del COVID-19, según la perciben las mujeres en tratamiento oncológico. Método: investigación-acción cualitativa y participativa basada en las tres fases del Itinerario de Investigación de Paulo Freire: Investigación Temática; Codificación y decodificación; y revelación crítica. Se realizó un Círculo Cultural en línea con 12 mujeres de diferentes lugares de Brazil sometidas a tratamiento contra el cáncer de mama. Resultados: en el Círculo de Cultura virtual se discutieron dos temas: desafíos en el afrontamiento del cáncer y COVID-10; y el aprendizaje generado en esa experiencia, con miras a renacer de sus propias cenizas. Consideraciones finales: la pandemia ha llevado a pensar en vivir. En consecuencia, las mujeres en tratamiento oncológico y también bajo restricciones sociales pudieron expresar sus sentimientos, y al descubrir y redescubrir debilidades y fortalezas, resignificarse y crecer en una sociedad que puede y debe desplegar estrategias de promoción de la salud.

Humanos , Femenino , Adulto , Persona de Mediana Edad , Neoplasias de la Mama/psicología , Adaptación Psicológica , Cuarentena/psicología , Infecciones por Coronavirus/epidemiología , Promoción de la Salud , Aprendizaje , Brasil , Proceso Salud-Enfermedad , Telemedicina , Investigación Cualitativa , Emociones , Acontecimientos que Cambian la Vida
Rev. esp. cardiol. (Ed. impr.) ; 73(11): 910-918, nov. 2020. tab
Artículo en Español | IBECS | ID: ibc-192006


La pandemia producida por la infección por el coronavirus SARS-CoV-2 (COVID-19) ha cambiado la forma de entender nuestras consultas. Para reducir el riesgo de contagio de los pacientes más vulnerables (aquellos con cardiopatías) y del personal sanitario, se han suspendido la mayoría de las consultas presenciales y se han puesto en marcha las consultas telemáticas. Este cambio se ha implementado en muy poco tiempo, pero parece que ha venido para quedarse. No obstante, hay grandes dudas sobre aspectos organizativos, legales, posibilidades de mejora, etc. En este documento de consenso de la Sociedad Española de Cardiología, tratamos de dar las claves para mejorar la calidad asistencial en nuestras nuevas consultas telemáticas, revisando las afecciones que el cardiólogo clínico atiende con más frecuencia en su consulta ambulatoria y proponiendo unos mínimos en ese proceso asistencial. Estas enfermedades son la cardiopatía isquémica, la insuficiencia cardiaca y las arritmias. En los 3 escenarios tratamos de clarificar los aspectos fundamentales que hay que revisar en la entrevista telefónica, a qué pacientes habrá que atender en una consulta presencial y cuáles serán los criterios para su seguimiento en atención primaria. El documento también recoge distintas mejoras que pueden introducirse en la consulta telemática para mejorar la asistencia de nuestros pacientes

The coronavirus disease 2019 (COVID-19) pandemic has changed how we view our consultations. To reduce the risk of spread in the most vulnerable patients (those with heart disease) and health personnel, most face-to-face consultations have been replaced by telemedicine consultations. Although this change has been rapidly introduced, it will most likely become a permanent feature of clinical practice. Nevertheless, there remain serious doubts about organizational and legal issues, as well as the possibilities for improvement etc. In this consensus document of the Spanish Society of Cardiology, we attempt to provide some keys to improve the quality of care in this new way of working, reviewing the most frequent heart diseases attended in the cardiology outpatient clinic and proposing some minimal conditions for this health care process. These heart diseases are ischemic heart disease, heart failure, and arrhythmias. In these 3 scenarios, we attempt to clarify the basic issues that must be checked during the telephone interview, describe the patients who should attend in person, and identify the criteria to refer patients for follow-up in primary care. This document also describes some improvements that can be introduced in telemedicine consultations to improve patient care

Humanos , Telecardiología , Consulta Remota/métodos , Infecciones por Coronavirus/epidemiología , Isquemia Miocárdica/epidemiología , Insuficiencia Cardíaca/epidemiología , Arritmias Cardíacas/epidemiología , Pautas de la Práctica en Medicina/tendencias , Pandemias/estadística & datos numéricos , Cuarentena/estadística & datos numéricos , Distancia Social , Infecciones por Coronavirus/transmisión , Mejoramiento de la Calidad/tendencias
Rev. clín. esp. (Ed. impr.) ; 220(8): 463-471, nov. 2020. tab, mapas, graf
Artículo en Español | IBECS | ID: ibc-192195


ANTECEDENTES: El primer caso de COVID-19 se detectó en México el 27 de febrero de 2020. El 30 de abril, 64 días después de este primer diagnóstico, el número de pacientes aumentó exponencialmente, alcanzando un total de 19.224 casos confirmados y 1.859 (9,67%) fallecidos. En respuesta a este brote global, resumimos el estado actual del conocimiento sobre COVID-19 en México. MÉTODOS: Los datos se obtuvieron del sitio web oficial del Ministerio de Salud en México. El período analizado fue entre el 27 de febrero y el 30 de abril de 2020. Los casos se confirmaron mediante RT-PCR en tiempo real y se analizaron los datos epidemiológicos, demográficos y clínicos. RESULTADOS: La mayoría de los casos de COVID-19 se ubicaron en la Ciudad de México. La edad promedio de los pacientes fue de 46 años. De los 12.656 casos confirmados, el mayor número de infectados ocurre en el rango de edad entre 30 y 59 años (65,85%), y hubo una mayor incidencia en hombres (58,18%) que en mujeres (41,82%). Los pacientes fallecidos tenían una o múltiples comorbilidades, principalmente hipertensión (45,53%), diabetes (39,39%) y obesidad (30,4%). En los primeros 64 días de epidemia, China había reportado 80.304 casos con una tasa de mortalidad del 3,66%. CONCLUSIONES: Nuestros resultados indican la transmisión temprana de COVID-19 en México. La epidemiología descriptiva muestra las similitudes entre los casos de COVID-19 de México y China. En el mismo período de la curva epidémica, observamos en México una reducción en el número de casos confirmados de COVID-19 y una mayor tasa de mortalidad en comparación con China

BACKGROUND: The first case of COVID-19 detected in Mexico was on the 27th of February 2020. On the 30th of April, 64 days after this first diagnosis, the number of patients had increased exponentially, reaching 19 224 confirmed cases and 1859 (9.67%) deaths. In response to this global outbreak, we summarize the current state of our understanding regarding COVID-19 in Mexico. METHODS: We obtained the data from the official website of the Ministry of Health in Mexico. The study period was between the 27th of February and the 30th of April 2020. The cases were confirmed using real-time reverse transcription-polymerase chain reaction, and we analysed epidemiological, demographic and clinical data. RESULTS: In Mexico, most cases of COVID-19 were located in Mexico City. The mean age of the patients was 46 years. Of the 12 656 confirmed cases, most infected individuals were between the ages of 30 and 59 years (65.85%), and there was a higher incidence rate in men (58.18%) than in women (41.82%). The patients who died had one or more comorbidities, mainly hypertension (45.53%), diabetes (39.39%) and obesity (30.4%). In the first 64 days of the epidemic, China had reported 80 304 cases with a mortality rate of 3.66%. CONCLUSIONS: Our results indicate an early transmission of COVID-19 in Mexico. The descriptive epidemiology shows similarities between the cases of COVID-19 in Mexico and those in China. In the same period of the epidemic curve, we observed a reduction in the number of confirmed cases of COVID-19 in Mexico and a higher mortality rate compared with that of China

Humanos , Masculino , Femenino , Lactante , Preescolar , Niño , Adolescente , Adulto Joven , Adulto , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Infecciones por Coronavirus/epidemiología , Brotes de Enfermedades/estadística & datos numéricos , Control de Enfermedades Transmisibles/tendencias , Síndrome Respiratorio Agudo Grave/epidemiología , México/epidemiología , Infecciones por Coronavirus/transmisión , Cuarentena/tendencias , Pandemias/estadística & datos numéricos , Virus del SRAS/patogenicidad
Rev. bioét. derecho ; (50): 5-17, nov. 2020.
Artículo en Español | IBECS | ID: ibc-191343


La epidemia de la COVID-19 ha puesto en primer plano tensiones entre valores que se sintetizan en un dilema ético-político clásico: "seguridad-libertad" o "la salud como bien común-la salvaguarda de las libertades individuales". Al tratarse de una emergencia sociosanitaria, las medidas para su contención implican costes y sacrificios. También restricciones de derechos y libertades básicas. Determinar quién tiene que cargar con los costes se convierte en una cuestión acuciante con implicaciones morales. En este artículo, se plantea un ejercicio de filosofía aplicada a la salud pública en ocasión de esta pandemia y, a su vez, una genealogía de la relación entre la salud y la solidaridad basada en la máxima ciceroniana salus populi suprema lex esto

The COVID-19 epidemic has brought to the fore tensions between values that are synthesized in a classic ethical-political dilemma: "security-freedom" or "health as a common good-the safeguard of individual liberties". As it is a socio-sanitary emergency, the measures for its containment involve costs and sacrifices. Also, restrictions on basic rights and freedoms. Determining who has to bear the costs and what their magnitude should be becomes a pressing question with moral implications. In this article, an exercise in philosophy applied to public health is presented on the occasion of this pandemic and, in turn, a genealogy of the relationship between health and solidarity based on the Ciceronian maxim salus populi suprema lex esto

L'epidèmia de la COVID-19 ha posat en primer pla tensions entre valors recollits en un dilema ètico-polític clàssic: "seguretat-llibertat" o "la salut com a bé comú-la salvaguarda de les llibertats individuals". Quan es tracta d'una emergència sociosanitària, les mesures per a la seva contenció impliquen costos I sacrificis. També restriccions de drets I llibertats bàsiques. Determinar qui ha de carregar amb els costos esdevé una qüestió urgent amb implicacions morals. En aquest article, es planteja un exercici de filosofia aplicada a la salut pública en qüestió d'aquesta pandèmia i, a la vegada, una genealogia de la relació entre la salut I la solidaritat basada en la màxima ciceroniana salus populi suprema lex esto

Humanos , Derecho a la Libre Circulación , Cuarentena , Control Social Formal , Infecciones por Coronavirus/prevención & control , Neumonía Viral/prevención & control , Pandemias
Acta Med Port ; 33(11): 733-741, 2020 Nov 02.
Artículo en Inglés | MEDLINE | ID: mdl-33160423


INTRODUCTION: Portugal took early action to control the COVID-19 epidemic, initiating lockdown measures on March 16th when it recorded only 62 cases of COVID-19 per million inhabitants and reported no deaths. The Portuguese public complied quickly, reducing their overall mobility by 80%. The aim of this study was to estimate the initial impact of the lockdown in Portugal in terms of the reduction of the burden on the healthcare system. MATERIAL AND METHODS: We forecasted epidemic curves for: Cases, hospital inpatients (overall and in intensive care), and deaths without lockdown, assuming that the impact of containment measures would start 14 days after initial lockdown was implemented. We used exponential smoothing models for deaths, intensive care and hospitalizations and an ARIMA model for number of cases. Models were selected considering fitness to the observed data up to the 31st March 2020. We then compared observed (with intervention) and forecasted curves (without intervention). RESULTS: Between April 1st and April 15th, there were 146 fewer deaths (-25%), 5568 fewer cases (-23%) and, as of April 15th, there were 519 fewer intensive care inpatients (-69%) than forecasted without the lockdown. On April 15th, the number of intensive care inpatients could have reached 748, three times higher than the observed value (229) if the intervention had been delayed. DISCUSSION: If the lockdown had not been implemented in mid-March, Portugal intensive care capacity (528 beds) would have likely been breached during the first half of April. The lockdown seems to have been effective in reducing transmission of SARS-CoV-2, serious COVID-19 disease, and associated mortality, thus decreasing demand on health services. CONCLUSION: An early lockdown allowed time for the National Health Service to mobilize resources and acquire personal protective equipment, increase testing, contact tracing and hospital and intensive care capacity and to promote broad prevention and control measures. When lifting more stringent measures, strong surveillance and communication strategies that mobilize individual prevention efforts are necessary.

Betacoronavirus , Infecciones por Coronavirus/prevención & control , Urgencias Médicas/epidemiología , Epidemias/prevención & control , Pandemias/prevención & control , Neumonía Viral/prevención & control , Política Pública/legislación & jurisprudencia , Cuarentena/métodos , Ocupación de Camas , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/mortalidad , Infecciones por Coronavirus/transmisión , Cuidados Críticos/estadística & datos numéricos , Epidemias/estadística & datos numéricos , Hospitalización/estadística & datos numéricos , Humanos , Neumonía Viral/epidemiología , Neumonía Viral/mortalidad , Neumonía Viral/transmisión , Portugal/epidemiología , Cuarentena/estadística & datos numéricos
PLoS One ; 15(11): e0241949, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33170871


The ongoing COVID-19 pandemic has overwhelmingly demonstrated the need to accurately evaluate the effects of implementing new or altering existing nonpharmaceutical interventions. Since these interventions applied at the societal level cannot be evaluated through traditional experimental means, public health officials and other decision makers must rely on statistical and mathematical epidemiological models. Nonpharmaceutical interventions are typically focused on contacts between members of a population, and yet most epidemiological models rely on homogeneous mixing which has repeatedly been shown to be an unrealistic representation of contact patterns. An alternative approach is individual based models (IBMs), but these are often time intensive and computationally expensive to implement, requiring a high degree of expertise and computational resources. More often, decision makers need to know the effects of potential public policy decisions in a very short time window using limited resources. This paper presents a computation algorithm for an IBM designed to evaluate nonpharmaceutical interventions. By utilizing recursive relationships, our method can quickly compute the expected epidemiological outcomes even for large populations based on any arbitrary contact network. We utilize our methods to evaluate the effects of various mitigation measures in the District of Columbia, USA, at various times and to various degrees. Rcode for our method is provided in the supplementry material, thereby allowing others to utilize our approach for other regions.

Infecciones por Coronavirus/diagnóstico , Modelos Teóricos , Neumonía Viral/diagnóstico , Algoritmos , Betacoronavirus/aislamiento & purificación , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Infecciones por Coronavirus/virología , Brotes de Enfermedades , District of Columbia/epidemiología , Humanos , Máscaras , Pandemias/prevención & control , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Neumonía Viral/virología , Cuarentena
BMC Nephrol ; 21(1): 470, 2020 11 10.
Artículo en Inglés | MEDLINE | ID: mdl-33172405


BACKGROUND: Coronavirus Disease 2019 (COVID-19) has substantially impacted the provision of medical services. During the pandemic, many medical services, including facilities providing care to patients with end stage renal disease faced challenges in safeguarding patients and staff while providing clinical care. This study aims to identify the extent, range, and nature of articles related to COVID-19 and maintenance hemodialysis to understand the research gaps and propose recommendations for future research. METHODS: Using the terms: "Dialysis" OR "RRT" OR "Renal replacement therapy" AND "SARS-COV-2" OR "COVID-19" OR "novel coronavirus" OR "2019-nCov", we performed a multi-step systematic search of the literature in the English language in Pubmed, Scopus, Embase, and Web of Science published from December 1, 2019, to May 13, 2020. Two authors separately screened the title and abstracts of the documents and ruled out irrelevant articles. We obtained a full report of the papers that met our inclusion criteria and screened the full texts. We conducted a descriptive analysis of the characteristics of the included articles and performed a narrative synthesis of the results. We conducted this scoping review in accordance with the PRISMA-ScR Checklist. RESULTS: We included 22 articles in this scoping review. Perspectives (n = 9), editorials (n = 4), and case series (n = 5) were the most common types of articles. Most articles were from Italy and the United States. Seventeen (77.3%) of the articles focused on the topic of recommendation for outpatient hemodialysis units. While many of the recommendations overlapped in several articles, there were also many unique recommendations. CONCLUSIONS: most of the articles are based on single-center experience, which spontaneously developed best practices. Many of these practices have formed the basis for policies and guidelines that will guide future prevention of infection and management of patients with End Stage Renal Disease (ESRD) and COVID-19.

Betacoronavirus , Infecciones por Coronavirus/epidemiología , Fallo Renal Crónico/terapia , Neumonía Viral/epidemiología , Guías de Práctica Clínica como Asunto , Diálisis Renal/normas , Adulto , Temperatura Corporal , Niño , Técnicas de Laboratorio Clínico , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/prevención & control , Amigos , Personal de Salud/educación , Hemodiálisis en el Domicilio , Humanos , Pandemias/prevención & control , Educación del Paciente como Asunto , Equipo de Protección Personal , Neumonía Viral/diagnóstico , Neumonía Viral/prevención & control , Cuarentena/métodos , Terapia de Reemplazo Renal , Evaluación de Síntomas
Epidemiol Serv Saude ; 29(5): e2020432, 2020.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-33175010


OBJECTIVE: To analyze the adherence of the population to physical contact restriction measures and the spread of COVID-19 in Brazil. METHODS: This was a web-based health survey carried out from April 24 to May 24 2020 using a chain sampling procedure. Intensity of adherence to physical contact restriction measures was analyzed according to sociodemographic characteristics, using logistic regression models to investigate associations with 'No/little adherence'. RESULTS: Of the 45,161 participants, 74.2% (73.8;74.6%) reported intense adherence to the measures. The group that did not adhere to the measures was characterized by men (31.7%), those aged 30 to 49 (36.4%), those with low education levels (33.0%), those who worked during the pandemic (81.3%), those resident in the North (28.1%) and Midwest (28.5%) regions of the country. In Brazil as a whole, there was a decrease in COVID-19 daily growth rates, from 45.4% to 5.0%. CONCLUSION: A large part of the Brazilian population adhered to physical contact restriction measures, which possibly contributed to decreasing the spread of COVID-19.

Betacoronavirus , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Programas Obligatorios/estadística & datos numéricos , Pandemias/prevención & control , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Cuarentena/estadística & datos numéricos , Adolescente , Adulto , Factores de Edad , Anciano , Brasil/epidemiología , Escolaridad , Femenino , Humanos , Masculino , Persona de Mediana Edad , Características de la Residencia/estadística & datos numéricos , Factores Sexuales , Adulto Joven
Cien Saude Colet ; 25(11): 4249-4258, 2020 Nov.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-33175034


This study aimed to describe leisure-time physical activity (LPA) during the COVID-19 pandemic in a municipality of Rio Grande do Sul state, southern Brazil, according to gender, level of education, and adherence to social distancing. A population-based and cross-sectional descriptive study was carried out in Bagé (RS), Brazil. LPA during the pandemic, place of activity, and Physical Education professional's supervision, were described. The sample included 377 adults, and 24.4% reported LPA during the pandemic. Marked inequalities were observed. LPA prevalence among men was 20 percentage points (pp) higher than women and 40 pp higher among those with higher schooling than those with lower schooling. Among those reporting LPA, 53.5% practiced at home, and 64.8% did not report Physical Education professional supervision. No differences were observed between LPA and level of social distancing. Besides the recurrent discourse that people should include physical activity in the pandemic context, in the light of the marked inequalities observed, this study addressed sociocultural aspects and emphasized that LPA promotion initiatives require humanized approaches that consider the unequal living conditions of Brazilians.

Betacoronavirus , Infecciones por Coronavirus/epidemiología , Ejercicio Físico , Educación y Entrenamiento Físico/estadística & datos numéricos , Neumonía Viral/epidemiología , Actividades Cotidianas , Adulto , Brasil/epidemiología , Ciudades/epidemiología , Estudios Transversales , Escolaridad , Femenino , Humanos , Actividades Recreativas , Masculino , Pandemias , Cuarentena , Factores Sexuales , Encuestas y Cuestionarios/estadística & datos numéricos , Factores de Tiempo
Epilepsy Behav ; 112: 107476, 2020 11.
Artículo en Inglés | MEDLINE | ID: mdl-33181895


The current pandemic of coronavirus disease 2019 (COVID-19) that led to an unprecedented crisis with significant health, social, and economic repercussions presented more serious concerns for those living with some chronic conditions such as epilepsy. This study was aimed to find out impact of the COVID-19 pandemic on management of epilepsy. A cross-sectional study was conducted through telephone interviews, targeting 213 caregivers of pediatric patients with epilepsy, belonging to underserved areas of Faisalabad, Punjab, Pakistan. A simple questionnaire was designed to record the responses of participants relevant to the direct and indirect effects of COVID-19 pandemic and their knowledge about possible ways that can be accessed for the management of epilepsy during an ongoing pandemic. The current study, which holds 77% of the respondents from rural areas and 23% from urban settings, showed that partial measures of lockdown taken to stop or slow the spread of COVID-19 resulted in adverse economic and health outcomes in the said population including cancelation of follow-up visits, worsening of seizures, job loss, burden of antiepileptic drugs (AEDs) costs, and discontinuation of medicines. Furthermore, knowledge about alternative ways to access health facilities was found very poor among caregivers. Income sources of poor people disrupted by lockdown can lead to unintentional nonadherence to medication, which is a clear picture of inequitable distribution of resources. This study highlights the major issues faced by the caregivers during this ongoing pandemic of COVID-19.

Anticonvulsivantes , Infecciones por Coronavirus/prevención & control , Coronavirus , Epilepsia/tratamiento farmacológico , Accesibilidad a los Servicios de Salud , Neumonía Viral/prevención & control , Cuarentena/psicología , Aislamiento Social , Anticonvulsivantes/economía , Anticonvulsivantes/provisión & distribución , Anticonvulsivantes/uso terapéutico , Betacoronavirus , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Estudios Transversales , Epilepsia/epidemiología , Femenino , Recursos en Salud , Humanos , Estudios Longitudinales , Masculino , Cumplimiento de la Medicación , Pakistán , Pandemias , Neumonía Viral/epidemiología , Neumonía Viral/psicología , Convulsiones/epidemiología , Encuestas y Cuestionarios , Telemedicina , Poblaciones Vulnerables