CLINICAL-EPIDEMIOLOGICAL RELATION BETWEEN SARS-COV-2 AND KAWASAKI DISEASE: AN INTEGRATIVE LITERATURE.

OBJECTIVE: To analyze the current scientific literature to document, in an integrative review, the main findings that correlate Kawasaki disease (KD) to COVID-19. DATA SOURCES: The search was carried out in June 2020 in the following databases: Biblioteca Virtual em Saúde (BVS), periódico da CAPES and U.S National Library of Medicine (PubMed). The combination of descriptors used was [(COVID-19 OR SARS-CoV-2) AND (Kawasaki disease)], and the inclusion criteria stipulated were studies published from January 2019 to June 2020, without restriction of language or location, and available online in full. News, editorials, comments, and letters, as well as duplicates and articles that did not answer the guiding question were excluded. DATA SYNTHESIS: A total of 97 articles were identified, of which seven comprised this review. The association of KD to the new coronavirus appears to trigger a severe clinical condition of vasculitis. Different from the usual, in this inflammatory syndrome, patients are older, and prevalence is higher in children from African or Caribbean ancestry; clinical and laboratory manifestations are also atypical, with a predominance of abdominal complaints and exaggerated elevation of inflammatory markers. In addition, there was a greater report of rare complications and greater resistance to the recommended treatment for KD. CONCLUSIONS: Pediatric COVID-19 and its potential association to severe KD, still unfamiliar to health professionals, reinforces the importance of testing patients with vasculitis for the new coronavirus and the need to wage high surveillance and preparation of the health system during the current pandemic.

Clinical-epidemiological relation between sars-cov-2 and kawasaki disease: an integrative literature / Relação clínico-epidemiológica entre sars-cov-2 e doença de kawasaki: uma revisão integrativa da literatura

ABSTRACT Objective: To analyze the current scientific literature to document, in an integrative review, the main findings that correlate Kawasaki disease (KD) to COVID-19. Data sources: The search was carried out in June 2020 in the following databases: Biblioteca Virtual em Saúde (BVS), periódico da CAPES and U.S National Library of Medicine (PubMed). The combination of descriptors used was [(COVID-19 OR SARS-CoV-2) AND (Kawasaki disease)], and the inclusion criteria stipulated were studies published from January 2019 to June 2020, without restriction of language or location, and available online in full. News, editorials, comments, and letters, as well as duplicates and articles that did not answer the guiding question were excluded. Data synthesis: A total of 97 articles were identified, of which seven comprised this review. The association of KD to the new coronavirus appears to trigger a severe clinical condition of vasculitis. Different from the usual, in this inflammatory syndrome, patients are older, and prevalence is higher in children from African or Caribbean ancestry; clinical and laboratory manifestations are also atypical, with a predominance of abdominal complaints and exaggerated elevation of inflammatory markers. In addition, there was a greater report of rare complications and greater resistance to the recommended treatment for KD. Conclusions: Pediatric COVID-19 and its potential association to severe KD, still unfamiliar to health professionals, reinforces the importance of testing patients with vasculitis for the new coronavirus and the need to wage high surveillance and preparation of the health system during the current pandemic.

RESUMO Objetivo: Analisar a literatura científica atual a fim de documentar, por meio de revisão integrativa, os principais achados que associam a doença de Kawasaki (DK) à doença do coronavírus (COVID-19). Fonte de dados: A busca ocorreu em junho de 2020, nas bases de dados: Biblioteca Virtual em Saúde (BVS), periódico da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) e U.S. National Library of Medicine (PubMed). Os descritores utilizados foram [(COVID-19 OR SARS-CoV-2) AND (Kawasaki Disease)], e os critérios de inclusão estipulados compreenderam estudos publicados de janeiro de 2019 a junho de 2020, sem restrição de idioma ou localização e disponíveis online integralmente. Foram excluídos notícias, editoriais, comentários e cartas de apresentação, assim como duplicatas e artigos que não respondiam à pergunta norteadora. Síntese dos dados: Identificaram-se 97 artigos, dos quais sete compuseram esta revisão. A associação da DK com o novo coronavírus parece desencadear um quadro de vasculite grave. Diferentemente do usual, nessa síndrome inflamatória, os pacientes são mais velhos e a descendência prevalente é africana ou caribenha; as manifestações clínicas e laboratoriais também são atípicas, com predomínio de queixas abdominais e elevação exagerada de marcadores inflamatórios. Além disso, houve maior relato de complicações raras e maior resistência ao tratamento preconizado para DK. Conclusões: A COVID-19 pediátrica e sua potencial associação com uma DK grave, ainda pouco conhecida pelos profissionais da saúde, reforçam a importância da testagem de pacientes com vasculite para o novo coronavírus e a necessidade de empreender alta vigilância e preparação do sistema de saúde durante a atual pandemia.

Neotropical carnivores: a data set on carnivore distribution in the Neotropics

Mammalian carnivores are considered a key group in maintaining ecological health and can indicate potential ecological integrity in landscapes where they occur. Carnivores also hold high conservation value and their habitat requirements can guide management and conservation plans. The order Carnivora has 84 species from 8 families in the Neotropical region: Canidae; Felidae; Mephitidae; Mustelidae; Otariidae; Phocidae; Procyonidae; and Ursidae. Herein, we include published and unpublished data on native terrestrial Neotropical carnivores (Canidae; Felidae; Mephitidae; Mustelidae; Procyonidae; and Ursidae). NEOTROPICAL CARNIVORES is a publicly available data set that includes 99,605 data entries from 35,511 unique georeferenced coordinates. Detection/non‐detection and quantitative data were obtained from 1818 to 2018 by researchers, governmental agencies, non‐governmental organizations, and private consultants. Data were collected using several methods including camera trapping, museum collections, roadkill, line transect, and opportunistic records. Literature (peerreviewed and grey literature) from Portuguese, Spanish and English were incorporated in this compilation. Most of the data set consists of detection data entries (n = 79,343; 79.7%) but also includes non‐detection data (n = 20,262; 20.3%). Of those, 43.3% also include count data (n = 43,151). The information available in NEOTROPICAL CARNIVORES will contribute to macroecological, ecological, and conservation questions in multiple spatio‐temporal perspectives. As carnivores play key roles in trophic interactions, a better understanding of their distribution and habitat requirements are essential to establish conservation management plans and safeguard the future ecological health of Neotropical ecosystems. Our data paper, combined with other largescale data sets, has great potential to clarify species distribution and related ecological processes within the Neotropics. There are no copyright restrictions and no restriction for using data from this data paper, as long as the data paper is cited as the source of the information used. We also request that users inform us of how they intend to use the data.

A segurança no transporte do paciente crítico em ambiente intra-hospitalar: uma revisão integrativa / Transport safety of the critical patient in intrahospital environment: an integrative review

Objetivo: Conhecer os principais riscos relacionados à segurança do paciente no transporte intra-hospitalar. Método: Trata-se de uma revisão integrativa, que utilizou os descritores: segurança do paciente, Cuidados críticos e transporte intra-hospitalar. Resultados: Analisaramse 12 artigos, todos na língua portuguesa, selecionados nas bases de dados BVS, CAPES e Google Acadêmico, delimitados ao período de 2010 a 2019. Conclusão: A alta incidência de eventos adversos em pacientes críticos durante o transporte intra-hospitalar torna imperativa a criação de protocolos institucionais para auxiliar e padronizar o transporte, minimizando erros e favorecendo uma prática segura.

Proposal for Inclusion of New Terms for Submission to the ICNP.

The present study aims to validate 15 terms and definitions for submission to the International Classification for Nursing Practice ICNP®. The terms were extracted from 148,299 narratives of the evolution of nursing care, free texts from Electronic Health Records, in a Brazilian university hospital. These terms were mapped with ICNP® 2013 for identifying differences, similarities and nonexistent terms. Definitions were made for the 15 most frequent nonexistent terms. Five Brazilian experts evaluated the settings through the Content Validity Index (CVI). Validation by 68 clinical practice experts is in progress. 2,638 different terms have been identified. After mapping and analysis, 15 terms were selected. Despite the importance of experts' assessment, the terminology is used by nurses in their daily practice. The classification of concepts is essential for the development of standards for Electronic Health Records.

Factors related to severe dengue during an epidemic in Vitória, State of Espírito Santo, Brazil, 2011.

INTRODUCTION: The prognosis of dengue depends on early diagnosis and treatment, which can help prevent severe forms whose characteristics were evaluated here. METHODS: A cross-sectional study was conducted involving dengue cases in Vitória, State of Espírito Santo, Brazil, in 2011. RESULTS: Two health regions registered 56.3% of 371 cases of severe dengue. Of these cases, 21.3% presented with dengue hemorrhagic fever. There were associations between dengue hemorrhagic fever with younger ages and a longer time before receiving care. CONCLUSIONS: There was a greater involvement of dengue hemorrhagic fever in young people. Delay in care, poor urban quality and high endemicity were identified as possible risk factors for dengue severity.

Factors related to severe dengue during an epidemic in Vitoria, State of Espirito Santo, Brazil, 2011

Introduction The prognosis of dengue depends on early diagnosis and treatment, which can help prevent severe forms whose characteristics were evaluated here. Methods A cross-sectional study was conducted involving dengue cases in Vitória, State of Espírito Santo, Brazil, in 2011. Results Two health regions registered 56.3% of 371 cases of severe dengue. Of these cases, 21.3% presented with dengue hemorrhagic fever. There were associations between dengue hemorrhagic fever with younger ages and a longer time before receiving care. Conclusions There was a greater involvement of dengue hemorrhagic fever in young people. Delay in care, poor urban quality and high endemicity were identified as possible risk factors for dengue severity. .

Relação entre mês de nascimento e estatura de atletas do mundial de futebol sub 17 / Relationship between month of birth and height of athletes in the under 17 World Cup

O Efeito da Idade Relativa que consiste na vantagem obtida pelo atleta nascido mais próximo ao início do ano de seleção, mostra-se uma variável importante para o desenvolvimento de talentos, particularmente, devido aos aspectos maturacionais. Objetivou-se analisar a distribuição das datas de nascimento dos atletas de futebol, participantes do mundial sub17, e verificar diferenças na estatura dos mesmos. Para isso, foram coletados junto ao site oficial da FIFA os dados referentes aos 1479 atletas inscritos nas últimas três competições (2007, 2009 e 2011). Posteriormente, os dados foram divididos pelo quartil da data de nascimento e também, pela zona de posição do campo. Para a comparação da representatividade proporcional de cada quartil da data de nascimento, foi utilizado o teste de qui-quadrado com correção de Bonferroni. Para a comparação das estaturas por quartil da data de nascimento e setor do campo, utilizou-se a análise de variância ANOVA em esquema fatorial 2x2. Também foi empregada uma análise de correlação de Spearman para a verificação de associação entre as variáveis. Diferenças foram encontradas na distribuição dos quartis da data de nascimento, com predomínio de atletas nascidos no primeiro e segundo quartis da data de nascimento, e nas estaturas dos atletas, sendo que os atletas nascidos no primeiro e segundo quartis da data de nascimento apresentaram estatura média superior. Concluiu-se que o efeito da idade relativa é um fator que pode influenciar a seleção de jogadores de futebol e que influencia a estatura (variável maturacional).

The Relative Age Effect, which consists in the advantage obtained by an athlete born closer to the beginning of the year selection, is shown as an important variable for the development of talent, particularly due to maturational aspects. The objective of this study was to analyze the distribution of the birth dates of the soccer players participating in the Under 17 World Championship, and verify the differences in their height. In order to do so, data referring to 1479 athletes registered in the last three competitions (2007, 2009 and 2011) was collected from the official FIFA site. Subsequently, the corresponding data was divided into birth date quartiles and also zone position of the field. For the comparison of proportional representativeness of each birth date quartile, it was used the chi-squared test with Bonferroni correction. The ANOVA factorial 2x2 was applied to compare the heights by birth date quartile and by zone position of the field. A Spearman correlation analysis was also used to verify the association between the variables. Differences were found in the distribution of birth date quartiles, with a predominance of athletes born in the first and second quartiles; and in the height of the athletes, having athletes who were born in the first and second quartiles a higher average height. It was concluded that the relative age effect is a factor that may influence the selection of soccer players and that influences the height (a maturational variable).