Guillain-Barré syndrome after coronavirus disease 2019 vaccine: A temporal association.

Background: Guillain-Barré syndrome (GBS) is an acute monophasic immune-mediated polyradiculoneuropathy, preceded by gastrointestinal or respiratory infections in up to two-thirds of patients. On rare occasions, people develop GBS after vaccination, but no causal association has been proven. In the current coronavirus disease 2019 (COVID-19) pandemic, some cases have been reported associating COVID-19 vaccine with GBS. Case presentation: We report a case of a 62-year-old woman with GBS after the first dose of the Oxford/AstraZeneca vaccine against SARS-CoV-2. The symptoms started 3 weeks after the vaccine, and were characterized by ascending and progressive paresthesia in the upper and lower limbs, followed by loss of strength of the upper limbs and dysphagia for solids. The hypothesis of GBS was confirmed by clinical presentation compatible with albuminocytologic dissociation in cerebrospinal fluid and based on the Brighton criteria level 2. The treatment was a 5-day course of intravenous immunoglobulin with an improvement of symptoms. Conclusions: In the absence of other causes, the diagnosis of GBS was made, with evidence of a clear temporal association with COVID-19 vaccine. However, a cautious position is important when assigning a particular side-effect directly to a vaccine. It is important to emphasize that it is a temporal association only and the benefits of COVID-19 vaccination continue to outweigh the possible consequences.

Prática baseada em evidência no contexto dos núcleos de apoio a saúde da família em chapecó / Práctica basada en evidencia en núcleos de apoyo a salud de la familia en chapecó / Evidence-based practice in the context of the family health support centers in chapecó

RESUMO Objetivo: analisar a Prática Baseada em Evidência no trabalho dos profissionais da equipe do Núcleo de Apoio à Saúde da Família. Método: estudo descritivo realizado no município de Chapecó - Santa Catarina. A população do estudo foi composta de 28 profissionais que atuavam nos núcleos, no ano de 2016. A análise dos dados ocorreu por estatística descritiva. Resultados: os profissionais destacaram dificuldades em converter as necessidades de conhecimento em questão de pesquisa, mas se disseram aptos para levantar evidências científicas e identificar os principais tipos e fontes de informação existentes. Entre os obstáculos para o desenvolvimento da Prática Baseada em Evidência, mencionaram a alta carga de trabalho e a falta de incentivo dos gestores. Conclusão: os profissionais necessitam se apropriar dos elementos da Prática Baseada em Evidência, auxiliando as equipes na resolução dos problemas de saúde.

RESUMEN Objective: to analyze Evidence-Based Practice in the work of the professionals of the Family Health Support Center team. Method: descriptive study carried out in the municipality of Chapecó - Santa Catarina. The study population consisted of 28 professionals working in the centers in the year 2016. Data analysis was performed through descriptive statistics. Results: the professionals highlighted difficulties in converting knowledge needs into research questions, however, reported that they were able to collect scientific evidence and identify the main types and sources of information existing. Among the obstacles to the development of Evidence-Based Practice, they mentioned the high workload and lack of incentives from the managers. Conclusion: the professionals need to appropriate the elements of Evidence-Based Practice, helping the teams in the resolution of health problems.

ABSTRACT Objective: to analyze Evidence-Based Practice in the work of the professionals of the Family Health Support Center team. Method: descriptive study carried out in the municipality of Chapecó - Santa Catarina. The study population consisted of 28 professionals working in the centers in the year 2016. Data analysis was performed through descriptive statistics. Results: the professionals highlighted difficulties in converting knowledge needs into research questions, however, reported that they were able to collect scientific evidence and identify the main types and sources of information existing. Among the obstacles to the development of Evidence-Based Practice, they mentioned the high workload and lack of incentives from the managers. Conclusion: the professionals need to appropriate the elements of Evidence-Based Practice, helping the teams in the resolution of health problems.

Consequências do uso de drogas: a ótica de adolescentes pertencentes ao meio rural / Consecuencias del abuso de substancias: la perspectiva de adolescentes pertenecientes a las zonas rurales / Consequences of drug use: perspective of the adolescent in rural areas

Objetivo: conhecer a ótica de adolescentes rurais sobre as consequências do uso de drogas. Método: Trata-se de uma pesquisa qualitativa, realizada pela metodologia criativo-sensível, com adolescentes do oitavo ano de uma escola rural. Resultado: Durante as produções artísticas e depoimentos, os adolescentes do meio rural expressaram que o uso de drogas gera consequências de saúde e sociais, destacando a exposição ao sexo inseguro (gravidez precoce e doenças sexualmente transmissíveis – DSTs), a violência física e sexual (estupro e atentado ao pudor) e os acidentes de trânsito. Conclusão: Os adolescentes pertencentes ao meio rural têm um olhar ampliado a respeito das consequências do uso de drogas. Contudo, isso não significa que estão protegidos diante dessa problemática. Nesse caso, os setores saúde e escolar precisam manter/realizar ações de prevenção ao uso e abuso de drogas junto aos adolescentes.

Objective: to know the perspective of rural teenagers on drug use consequences. Method: This is a qualitative research, carried out by creative - sensitive method, with teenagers in the eighth year of a rural school. Result: During artistic productions and testimonials, the teenagers from rural areas expressed that the use of drugs generates health and social consequences, highlighting the exposure to unsafe sex (early pregnancy and STD), physical and sexual violence (rape and indecent assault) and car accidents. Conclusion: Adolescents from the rural area have an extending look about the consequences of drug use. However, this does not mean that they are protected against this problem. In this case, the health sector and school need to keep/take actions to prevent drug use and abuse among adolescents.

Objetivo: conocer la perspectiva de los adolescentes rurales sobre las consecuencias del consumo de drogas. Método: Se trata de uma investigación cualitativa, llevada a cabo por el método creativo - sensible, con los adolescentes octavo año en una escuela rural. Resultado: Durante las producciones artísticas y testimonios, los adolescentes de las zonas rurales expresaron que el uso de drogas genera consecuencias sociales y de salud, destacando la exposición a relaciones sexuales sin protección (el embarazo precoz y enfermedades de transmisión sexual), la violencia física y sexual (violación y exposición indecente) y accidentes de tráfico. Conclusión: Adolescentes del área rural tienen una mirada ampliada sobre las consecuencias del consumo de drogas. Sin embargo, esto no quiere decir que están protegidos contra este problema. En este caso, El sector de la salud y la escuela necesitan mantener/adoptar medidas para prevenir el uso y abuso de drogas entre los adolescentes.