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1.
Lima; Perú. Ministerio de Salud; 20210600. 28 p.
Monografia em Espanhol | MINSAPERÚ | ID: biblio-1253799

RESUMO

La guía contiene los procedimientos sanitarios para la prevención y control de la COVID-19 en los viajeros que ingresan y salen del país por vía aérea, terrestre y fluvial en el contexto de la Emergencia Sanitaria por la pandemia de la COVID-19. Incluye modificatorio con R.M. N° 831-2021.


Assuntos
Aparelho Sanitário , Controle de Doenças Transmissíveis , Controle Sanitário de Viajantes , Controle , COVID-19 , Guias como Assunto
2.
Indian J Med Ethics ; VI(1): 1-3, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34081002

RESUMO

Public health emergencies require real-time, accurate information to guide effective and timely responses. This calls for rapid and timely publication of information to promote both its scientific validity and societal value. On the other hand, rapid publication poses a potential threat to the integrity of the information published. Inaccurate or incomplete information arises due to the difficulty in conducting rigorous studies during an ongoing emergency, and the race for the fame and prestige that come with being first. The balance between the potential risks and benefits of rapid publication can be achieved by adhering to the principles of publication ethics that promote the integrity, accuracy and value of scientific literature (1). We highlight ten potential challenges related to scientific publishing and dissemination of information during this pandemic, and the underlying principles of publication ethics that could guide us.


Assuntos
COVID-19 , Confiabilidade dos Dados , Guias como Assunto , Disseminação de Informação/ética , Pandemias/ética , Editoração/ética , Editoração/normas , Relatório de Pesquisa/normas , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , SARS-CoV-2
3.
Sex Reprod Health Matters ; 29(2): 1920566, 2021.
Artigo em Inglês | MEDLINE | ID: covidwho-1254261

RESUMO

India has the world's fastest growing outbreak of COVID-19. With limited mobility, increased reports of intimate partner violence, changes in living patterns of migrants, delays in accessing contraception and safe abortion care, and potential changes to decisions about parenting, there may be an increased need for abortion services in India due to the pandemic. The use of technology for providing abortion information and services has been well documented in global literature. The safety of abortion provision using telehealth has been established in several contexts including the United States and Australia. The importance of hotlines and other support systems that use technology to provide information and support to clients through their abortion is also highlighted in the literature. Several countries, such as the United Kingdom, France, New Zealand, and Pakistan are now allowing the use of technology for abortion/post-abortion care in light of the pandemic; however, India's telemedicine guidelines do not include abortion. In a country where the majority of abortions take place outside the health system, allowing the use of telemedicine for abortion can help bring legality to users, and expand access to those facing additional barriers in accessing the care they deserve. We outline models for telemedicine provision of abortion in India and discuss the regulatory changes required to make telehealth for abortion a reality in India.


Assuntos
Aborto Induzido/métodos , Aborto Induzido/normas , Guias como Assunto , Acesso aos Serviços de Saúde , Telemedicina/métodos , Telemedicina/normas , Aborto Induzido/legislação & jurisprudência , COVID-19/prevenção & controle , Feminino , Humanos , Índia/epidemiologia , Gravidez , SARS-CoV-2 , Telemedicina/legislação & jurisprudência
4.
Eur Rev Med Pharmacol Sci ; 25(10): 3898-3907, 2021 May.
Artigo em Inglês | MEDLINE | ID: covidwho-1264766

RESUMO

The World Cancer Research Fund and American Institute for Cancer Research (WCRF/AICR) advise cancer survivors to follow their lifestyle recommendations for cancer prevention.  Recent research indicates that a proper diet could exerts beneficial metabolic and immune effects in humans through the involvement of several, not yet properly known, metabolic pathways. Here, we argue that following WCRF/AICR recommendations could be a strategy to prevent cardiovascular outcomes [fulminant myocarditis, heart failure, venous thromboembolism (VTE)] and acute respiratory distress syndrome (ARDS) in patients during follow-up post COVID-19 infection. We discuss the metabolic effects of a WCRF/AICR based diet, highlighting on the involved cardio-metabolic pathways related on NLRP3 inflammasome-cytokines axis aimed to improve prognosis of COVID-19, especially in patients with cancer.


Assuntos
COVID-19/patologia , Dieta , Neoplasias/patologia , Consumo de Bebidas Alcoólicas , Peso Corporal , COVID-19/complicações , COVID-19/virologia , Bebidas Gaseificadas , Citocinas/metabolismo , Guias como Assunto , Humanos , Proteína 3 que Contém Domínio de Pirina da Família NLR/metabolismo , Neoplasias/complicações , Prognóstico , Carne Vermelha , Fatores de Risco , SARS-CoV-2/isolamento & purificação , Sobreviventes
5.
Western Pac Surveill Response J ; 12(1): 61-68, 2021.
Artigo em Inglês | MEDLINE | ID: covidwho-1259713

RESUMO

International borders to Vanuatu closed on 23 March 2020 due to the global COVID-19 pandemic. In May-July 2020, the Government of Vanuatu focused on the safe and timely return of citizens and residents while ensuring Vanuatu remained COVID-19 free. Under Phase 1 of repatriation, between 27 May and 23 June 2020, 1522 people arrived in the capital, Port Vila, and were placed in compulsory government-mandated 14-day quarantine in 15 hotels. Pre-arrival health operations included collection of repatriate information, quarantine facility assessments, training for personnel supporting the process, and tabletop and functional exercises with live scenario simulations. During quarantine, health monitoring, mental health assessments and psychosocial support were provided. All repatriates completed 14 days of quarantine. One person developed symptoms consistent with COVID-19 during quarantine but tested negative. Overall health operations were considered a success despite logistical and resource challenges. Lessons learnt were documented during a health sector after-action review held on 22 July 2020. Key recommendations for improvement were to obtain timely receipt of repatriate information before travel, limit the number of repatriates received and avoid the mixing of "travel cohorts," ensure sufficient human resources are available to support operations while maintaining other essential services, establish a command and control structure for health operations, develop training packages and deliver them to all personnel supporting operations, and coordinate better with other sectors to ensure health aspects are considered. These recommendations were applied to further improve health operations for subsequent repatriation and quarantine, with Phase 2 commencing on 1 August 2020.


Assuntos
COVID-19/prevenção & controle , Surtos de Doenças/prevenção & controle , Política de Saúde , Pandemias/prevenção & controle , Serviços Preventivos de Saúde/organização & administração , Serviços Preventivos de Saúde/estatística & dados numéricos , Quarentena/normas , COVID-19/epidemiologia , Guias como Assunto , Humanos , SARS-CoV-2 , Vanuatu/epidemiologia
6.
Indian J Med Ethics ; VI(1): 1-3, 2021.
Artigo em Inglês | MEDLINE | ID: covidwho-1257356

RESUMO

Public health emergencies require real-time, accurate information to guide effective and timely responses. This calls for rapid and timely publication of information to promote both its scientific validity and societal value. On the other hand, rapid publication poses a potential threat to the integrity of the information published. Inaccurate or incomplete information arises due to the difficulty in conducting rigorous studies during an ongoing emergency, and the race for the fame and prestige that come with being first. The balance between the potential risks and benefits of rapid publication can be achieved by adhering to the principles of publication ethics that promote the integrity, accuracy and value of scientific literature (1). We highlight ten potential challenges related to scientific publishing and dissemination of information during this pandemic, and the underlying principles of publication ethics that could guide us.


Assuntos
COVID-19 , Confiabilidade dos Dados , Guias como Assunto , Disseminação de Informação/ética , Pandemias/ética , Editoração/ética , Editoração/normas , Relatório de Pesquisa/normas , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , SARS-CoV-2
8.
Western Pac Surveill Response J ; 12(1): 61-68, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34094627

RESUMO

International borders to Vanuatu closed on 23 March 2020 due to the global COVID-19 pandemic. In May-July 2020, the Government of Vanuatu focused on the safe and timely return of citizens and residents while ensuring Vanuatu remained COVID-19 free. Under Phase 1 of repatriation, between 27 May and 23 June 2020, 1522 people arrived in the capital, Port Vila, and were placed in compulsory government-mandated 14-day quarantine in 15 hotels. Pre-arrival health operations included collection of repatriate information, quarantine facility assessments, training for personnel supporting the process, and tabletop and functional exercises with live scenario simulations. During quarantine, health monitoring, mental health assessments and psychosocial support were provided. All repatriates completed 14 days of quarantine. One person developed symptoms consistent with COVID-19 during quarantine but tested negative. Overall health operations were considered a success despite logistical and resource challenges. Lessons learnt were documented during a health sector after-action review held on 22 July 2020. Key recommendations for improvement were to obtain timely receipt of repatriate information before travel, limit the number of repatriates received and avoid the mixing of "travel cohorts," ensure sufficient human resources are available to support operations while maintaining other essential services, establish a command and control structure for health operations, develop training packages and deliver them to all personnel supporting operations, and coordinate better with other sectors to ensure health aspects are considered. These recommendations were applied to further improve health operations for subsequent repatriation and quarantine, with Phase 2 commencing on 1 August 2020.


Assuntos
COVID-19/prevenção & controle , Surtos de Doenças/prevenção & controle , Política de Saúde , Pandemias/prevenção & controle , Serviços Preventivos de Saúde/organização & administração , Serviços Preventivos de Saúde/estatística & dados numéricos , Quarentena/normas , COVID-19/epidemiologia , Guias como Assunto , Humanos , SARS-CoV-2 , Vanuatu/epidemiologia
9.
Sex Reprod Health Matters ; 29(2): 1920566, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34078249

RESUMO

India has the world's fastest growing outbreak of COVID-19. With limited mobility, increased reports of intimate partner violence, changes in living patterns of migrants, delays in accessing contraception and safe abortion care, and potential changes to decisions about parenting, there may be an increased need for abortion services in India due to the pandemic. The use of technology for providing abortion information and services has been well documented in global literature. The safety of abortion provision using telehealth has been established in several contexts including the United States and Australia. The importance of hotlines and other support systems that use technology to provide information and support to clients through their abortion is also highlighted in the literature. Several countries, such as the United Kingdom, France, New Zealand, and Pakistan are now allowing the use of technology for abortion/post-abortion care in light of the pandemic; however, India's telemedicine guidelines do not include abortion. In a country where the majority of abortions take place outside the health system, allowing the use of telemedicine for abortion can help bring legality to users, and expand access to those facing additional barriers in accessing the care they deserve. We outline models for telemedicine provision of abortion in India and discuss the regulatory changes required to make telehealth for abortion a reality in India.


Assuntos
Aborto Induzido/métodos , Aborto Induzido/normas , Guias como Assunto , Acesso aos Serviços de Saúde , Telemedicina/métodos , Telemedicina/normas , Aborto Induzido/legislação & jurisprudência , COVID-19/prevenção & controle , Feminino , Humanos , Índia/epidemiologia , Gravidez , SARS-CoV-2 , Telemedicina/legislação & jurisprudência
10.
Eur Rev Med Pharmacol Sci ; 25(10): 3898-3907, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-34109598

RESUMO

The World Cancer Research Fund and American Institute for Cancer Research (WCRF/AICR) advise cancer survivors to follow their lifestyle recommendations for cancer prevention.  Recent research indicates that a proper diet could exerts beneficial metabolic and immune effects in humans through the involvement of several, not yet properly known, metabolic pathways. Here, we argue that following WCRF/AICR recommendations could be a strategy to prevent cardiovascular outcomes [fulminant myocarditis, heart failure, venous thromboembolism (VTE)] and acute respiratory distress syndrome (ARDS) in patients during follow-up post COVID-19 infection. We discuss the metabolic effects of a WCRF/AICR based diet, highlighting on the involved cardio-metabolic pathways related on NLRP3 inflammasome-cytokines axis aimed to improve prognosis of COVID-19, especially in patients with cancer.


Assuntos
COVID-19/patologia , Dieta , Neoplasias/patologia , Consumo de Bebidas Alcoólicas , Peso Corporal , COVID-19/complicações , COVID-19/virologia , Bebidas Gaseificadas , Citocinas/metabolismo , Guias como Assunto , Humanos , Proteína 3 que Contém Domínio de Pirina da Família NLR/metabolismo , Neoplasias/complicações , Prognóstico , Carne Vermelha , Fatores de Risco , SARS-CoV-2/isolamento & purificação , Sobreviventes
11.
Nursing ; 51(7): 24-32, 2021 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-34156997

RESUMO

ABSTRACT: Basic guidelines are necessary for international networking in nursing. This article outlines the benefits of and strategies for networking, highlights the social and behavioral considerations of social networking, and presents potential guidelines for further discourse.


Assuntos
Guias como Assunto , Cooperação Internacional , Enfermeiras e Enfermeiros/psicologia , Rede Social , Humanos
13.
Lima; Perú. Ministerio de Salud; 20210500. 69 p. tab.
Monografia em Espanhol | MINSAPERÚ | ID: biblio-1224701

RESUMO

El documento contiene los procedimientos y criterios técnicos para el cuidado de salud mental de mujeres en situación de violencia ocasionada por la pareja o expareja, que acuden a los establecimientos de salud a nivel nacional.


Assuntos
Violência , Mulheres , Saúde Mental , Guias como Assunto , Violência contra a Mulher , Instalações de Saúde
14.
Rev Bras Enferm ; 74(suppl 1): e20201080, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34037167

RESUMO

OBJECTIVE: to describe the experience of a private outpatient network for hematology and oncology treatment in the adoption of management tools to face the risk of contamination by SARS-CoV-2. METHOD: an experience report on the use of a root cause analysis method to identify potential risks of contamination by COVID-19 among patients and employees. Through the risks identified through the Ishikawa Diagram, we built an action plan, linked to the 5W2H tool, for planning and decision-making implemented. RESULTS: the number of attendances in person and people circulating in the units was reduced, protective distance measures and new protection barriers were fundamental to control the risks of spreading COVID-19 in patients and employees. FINAL CONSIDERATIONS: the management tools served as a valuable tool in the construction of measures, making the measures in question more clearly and applicable.


Assuntos
Adaptação Psicológica , Instituições de Assistência Ambulatorial/estatística & dados numéricos , COVID-19/psicologia , Oncologia/métodos , Saúde do Trabalhador , Guias como Assunto , Humanos , Pandemias , Equipamento de Proteção Individual , SARS-CoV-2
17.
J Law Med Ethics ; 49(1): 132-138, 2021.
Artigo em Inglês | MEDLINE | ID: covidwho-1221087

RESUMO

Escalating demands for limited food supplies at America's food banks and pantries during the COVID-19 pandemic have raised ethical concerns underlying "first-come, first-served" distributions strategies. A series of model ethical principles are designed to guide ethical allocations of these resources to assure greater access among persons facing food insecurity.


Assuntos
Planejamento em Desastres , Assistência Alimentar/ética , Guias como Assunto , Alocação de Recursos/ética , COVID-19/epidemiologia , Emergências , Assistência Alimentar/organização & administração , Abastecimento de Alimentos , Humanos , Saúde Pública , Alocação de Recursos/organização & administração , Estados Unidos
18.
J Prim Care Community Health ; 12: 21501327211017016, 2021.
Artigo em Inglês | MEDLINE | ID: covidwho-1228978

RESUMO

BACKGROUND: Coronavirus infection (COVID) presents with flu-like symptoms and can cause serious complications. Here, we discuss the presentation and outcomes of COVID in an ambulatory setting along with distribution of positive cases amongst healthcare workers (HCWs). METHOD: Patients who visited the COVID clinic between 03/11/2020 and 06/14/2020 were tested based on the CDC guidelines at the time using PCR-detection methods. Medical records were reviewed and captured on a RedCap database. Statistical analysis was performed using both univariate and bivariate analysis using Fischer's exact test with 2-sided P values. RESULTS: Of the 2471 evaluated patients, 846 (34.2%) tested positive for COVID. Mean age of positivity was 43.4 years (SD ± 15.4), 60.1% were female and 49% were Black. 58.7% of people tested had a known exposure, and amongst those with exposure, 57.3% tested positive. Ninety-four patients were hospitalized (11.1%), of which 22 patients (23.4%) required ICU admission and 10 patients died. The overall death rate of patients presenting to clinic was 0.4%, or 1.2% amongst positive patients. Median length of hospital stay was 6 days (range 1-51). Symptoms significantly associated with COVID included: anosmia, fever, change in taste, anorexia, myalgias, cough, chills, and fatigue. Increased risk of COVID occurred with diabetes, whereas individuals with lung disease or malignancy were not associated with increased risk of COVID. Amongst COVID positive HCWs, the majority were registered nurses (23.4%), most working in general medicine (39.8%) followed by critical care units (14.3%). DISCUSSION/CONCLUSION: Blacks and females had the highest infection rates. There was a broad range in presentation from those who are very ill and require hospitalization and those who remain ambulatory. The above data could assist health care professionals perform a targeted review of systems and co-morbidities, allowing for appropriate patient triage.


Assuntos
Assistência Ambulatorial/estatística & dados numéricos , COVID-19/diagnóstico , Guias como Assunto , Pessoal de Saúde/estatística & dados numéricos , Pacientes Ambulatoriais/estatística & dados numéricos , Triagem , Adulto , Idoso , COVID-19/epidemiologia , Teste para COVID-19 , Infecção Hospitalar , Feminino , Hospitalização , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Estudos Retrospectivos , SARS-CoV-2 , População Urbana
20.
J Occup Environ Hyg ; 18(6): 265-275, 2021 06.
Artigo em Inglês | MEDLINE | ID: covidwho-1228372

RESUMO

The COVID-19 pandemic has caused a high demand for respiratory protection among health care workers in hospitals, especially surgical N95 filtering facepiece respirators (FFRs). To aid in alleviating that demand, a survey of commercially available filter media was conducted to determine whether any could serve as a substitute for an N95 FFR while held in a 3D-printed mask (Stopgap Surgical Face Mask from the NIH 3D Print Exchange). Fourteen filter media types and eight combinations were evaluated for filtration efficiency, breathing resistance (pressure drop), and liquid penetration. Additional testing was conducted to evaluate two filter media disinfection methods in the event that the filters were reused in a hospital setting. Efficiency testing was conducted in accordance with the procedures established for approving an N95 FFR. One apparatus used a filter-holding device and another apparatus employed a manikin head to which the 3D-printed mask could be sealed. The filter media and combinations exhibited collection efficiencies varied between 3.9% and 98.8% when tested with a face velocity comparable to that of a standard N95 FFR at the 85 L min-1 used in the approval procedure. Breathing resistance varied between 10.8 to >637 Pa (1.1 to > 65 mm H2O). When applied to the 3D-printed mask efficiency decreased by an average of 13% and breathing resistance increased 4-fold as a result of the smaller surface area of the filter media when held in that mask compared to that of an N95 FFR. Disinfection by dry heat, even after 25 cycles, did not significantly affect filter efficiency and reduced viral infectivity by > 99.9%. However, 10 cycles of 59% vaporized H2O2 significantly (p < 0.001) reduced filter efficiency of the media tested. Several commercially available filter media were found to be potential replacements for the media used to construct the typical cup-like N95 FFR. However, their use in the 3D-printed mask demonstrated reduced efficiency and increased breathing resistance at 85 L min-1.


Assuntos
COVID-19/prevenção & controle , Desinfecção/normas , Contaminação de Equipamentos/prevenção & controle , Teste de Materiais/normas , Respiradores N95/virologia , Exposição Ocupacional/prevenção & controle , Pandemias/prevenção & controle , Poluentes Ocupacionais do Ar/análise , Análise de Falha de Equipamento/estatística & dados numéricos , Guias como Assunto , Humanos , Exposição por Inalação/análise , SARS-CoV-2
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