Cooperação entre a universidade pública e a gestão municipal no combate a COVID-19: experiências do serviço de teleatendimento em Viçosa, Minas Gerais

Diante do cenário da COVID-19, representantes da Universidade Federal de Viçosa, Prefeitura Municipal de Viçosa-MG, e outros serviços de saúde do município implementaram o serviço “Telessaúde Covid”. O objetivo é oferecer atendimento e monitoramento por telefone a pacientes residentes em Viçosa-MG. Até 31 de dezembro de 2020, dos 21.286 casos notificados no município, 85,5% foram testados. Após oito meses de funcionamento, o Telessaúde realizou 3.426 novos atendimentos e 2.407 notificações, perfazendo 11,3% do total de notificações do município, e um total de 17.071 atendimentos. O serviço realizado pelo Telessaúde COVID vem contribuindo nesse cenário epidêmico, destacando-se como grande facilitador aos pacientes nesse cenário atual, fazendo com que o paciente se sinta seguro, acolhido e cuidado pelo nosso serviço. Diante da vivência atual, esse serviço permanecerá como facilitador e integrador das ações em saúde como principal missão de colaborar no controle e combate a essa epidemia. Palavras-chave: Coronavírus. Telemedicina. Saúde

ANÁLISE DOS ATENDIMENTOS REALIZADOS PELO TELESSAÚDE-COVID EM UM MUNICÍPIO DE MINAS GERAIS

Objective: to analyze the sociodemographic and clinical profile of patients treated by the remote care service “Telessaúde-COVID” and the factors associated with positive results for COVID-19. Methods: an exploratory and analytical study, carried out based on the analysis of patient records treated by a remote care service called “Telessaúde-COVID”. Characteristics of the patients treated and variables related to the service's functioning were evaluated. Descriptive and inferential analysis was performed, using logistic regression. Results: 1,854 new patients were evaluated and an estimated 8,630 visits. There was a predominance of female patients (60.9%) and aged 20 to 59 years (75.9%). The most frequent signs and symptoms were: headache (41.8%), cough (33.3%) and runny nose (30.0%). Of the total number of patients, 66.4% were reported as suspected cases of COVID-19 and 14.5% had a positive result for COVID-19. The age of 60 years or more was more frequent among confirmed cases (26.6%). Most patients (80.4%) did not require face-to-face assistance. The positive results for COVID-19 were associated with the age of the patients (OR 1,020; I.C.95% 1,007-1,032); home contact with a positive/suspected case (OR 1,902; I.C95% 1,178 - 3,070); presence of nausea/vomiting (OR 2,403; I.C.95% 1,148 - 5,029) and changes in smell (OR 2,827; I.C.95% 1,294-6,176). Conclusion:  Telehealth-COVID was relevant in the management and notification of cases attended, avoiding the search for face-to-face consultations without clinical indication. Among the suspected cases, positivity for COVID-19 was associated with the elderly, history of home contact, gastrointestinal and olfactory symptoms.Objetivos: analisar o perfil sociodemográfico e clínico dos pacientes atendidos pelo serviço de atendimento remoto “Telessaúde-COVID” e os fatores associados aos resultados positivos para COVID-19. Métodos: estudo exploratório e analítico, realizado a partir da análise dos registros de pacientes atendidos por um serviço de atendimento remoto intitulado “Telessaúde-COVID”. Foram avaliadas características dos pacientes atendidos e variáveis relacionadas ao funcionamento do serviço. Realizou-se análise descritiva e inferencial, com utilização da regressão logística. Resultados: foram avaliados 1.854 novos pacientes e estimados 8.630 atendimentos. Houve predomínio de pacientes do sexo feminino (60,9%) e da faixa etária de 20 a 59 anos (75,9%).  Os sinais e sintomas mais frequentes foram: cefaleia (41,8%), tosse (33,3%) e coriza (30,0%). Do total de pacientes, 66,4% foram notificados como casos suspeitos de COVID-19 e 14,5% apresentaram resultado positivo para COVID-19. A idade igual ou superior a 60 anos foi mais frequente entre os casos confirmados (26,6%). A maioria dos pacientes (80,4%) não necessitou de atendimento presencial. Os resultados positivos para COVID-19 estiveram associados à idade dos pacientes (OR 1.020; I.C.95% 1.007-1.032); contato domiciliar com caso positivo ou suspeito (OR 1.902; I.C95% 1.178 – 3.070); presença de náuseas/vômitos (OR 2.403; I.C.95% 1.148 – 5.029) e alterações no olfato (OR 2.827; I.C.95% 1.294-6.176). Conclusões: o Telessaúde-COVID foi relevante na condução e notificação dos casos atendidos, evitando a procura por consultas presenciais sem indicação clínica. Dentre os casos suspeitos, a positividade para COVID-19 associou-se aos idosos, história de contato domiciliar, sintomas gastrointestinais e olfatórios

1st Workshop on Maritime Computer Vision (MaCVi) 2023: Challenge Results

The 1$^{\text{st}}$ Workshop on Maritime Computer Vision (MaCVi) 2023 focused on maritime computer vision for Unmanned Aerial Vehicles (UAV) and Unmanned Surface Vehicle (USV), and organized several subchallenges in this domain: (i) UAV-based Maritime Object Detection, (ii) UAV-based Maritime Object Tracking, (iii) USV-based Maritime Obstacle Segmentation and (iv) USV-based Maritime Obstacle Detection. The subchallenges were based on the SeaDronesSee and MODS benchmarks. This report summarizes the main findings of the individual subchallenges and introduces a new benchmark, called SeaDronesSee Object Detection v2, which extends the previous benchmark by including more classes and footage. We provide statistical and qualitative analyses, and assess trends in the best-performing methodologies of over 130 submissions. The methods are summarized in the appendix. The datasets, evaluation code and the leaderboard are publicly available at https://seadronessee.cs.uni-tuebingen.de/macvi.Comment: MaCVi 2023 was part of WACV 2023. This report (38 pages) discusses the competition as part of MaCV

Patient and clinician preferences for diabetes management among older adults with co-morbid HIV: A qualitative exploration.

BackgroundOlder adults with HIV are at increased risk of developing certain chronic health conditions including type 2 diabetes mellitus (T2DM). As the number and complexity of conditions increases, so do treatment and health care needs. We explored patient and clinician preferences for HIV+T2DM care and perceived solutions to improving care.MethodsWe conducted an exploratory qualitative study comprised of individual in-depth interviews. Participants included English-speaking patients aged 50 and older living with HIV and T2DM and infectious disease (ID) and primary care (PC) clinicians from a large academic health center in Chicago. Thematic analysis drew from the Framework Method.ResultsA total of 19 patient and 10 clinician participants were interviewed. Many patients reported seeking HIV and T2DM care from the same clinician; they valued rapport and a 'one-stop-shop'. Others reported having separate clinicians; they valued perceived expertise and specialty care. Nearly all clinicians reported comfort screening for T2DM and initiating first line oral therapy; ID clinicians reported placing referrals for newer, complex therapies. Patients would like educational support for T2DM management; clinicians would like to learn more about newer therapies and easier referral processes.ConclusionsPatient-centered care includes managing T2DM from a variety of clinical settings for individuals with HIV, yet strategies are needed to better support clinicians. Future research should examine how best to implement these strategies

Zika Virus infection damages the testes in pubertal common squirrel monkeys (Saimiri collinsi)

Foundation for Research Support of the State of Pará (FAPESPA), grant number: ICCAF: 009/2018; National Council for Scientific and Technological Development (CNPq) agencies to S.R.R.A.S. by Zika fast-track Project, grant number: 440405/2016-5) agencies to P.F.d.C.V.Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Ananindeua, PA, Brasil / Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Programa de Pós-graduação em Virologia. Ananindeua, PA, Brasil.Federal University of Pará. Laboratory of Amazon Animal Biotechnology and Medicine. Castanhal, PA, Brazil / Federal University of Pará. Postgraduate Program in Animal Reproduction in the Amazon. Castanhal, PA, Brazil.Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Centro Nacional de Primatas. Ananindeua, PA, Brasil.Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Centro Nacional de Primatas. Ananindeua, PA, Brasil.Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Centro Nacional de Primatas. Ananindeua, PA, Brasil.Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Ananindeua, PA, BrasilFederal Rural University of the Amazon. Institute of Health and Animal Production. Laboratory of Animal Pathology. Belém, PA, Brazil.Federal University of Pará. Laboratory of Amazon Animal Biotechnology and Medicine. Castanhal, PA, Brazil / Mamirauá Institute for Sustainable Development. Tefé, AM, Brazil.Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Centro Nacional de Primatas. Ananindeua, PA, Brasil.Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Centro Nacional de Primatas. Ananindeua, PA, Brasil.Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Centro Nacional de Primatas. Ananindeua, PA, Brasil.Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Centro Nacional de Primatas. Ananindeua, PA, Brasil.The Brazilian Institute for the Environment and Renewable Natural Resources. Belém, PA, Brazil.Federal Rural University of the Amazon. Institute of Health and Animal Production. Laboratory of Animal Pathology. Belém, PA, Brazil.Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Ananindeua, PA, Brasil / Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Programa de Pós-graduação em Virologia. Ananindeua, PA, Brasil.Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Ananindeua, PA, Brasil / State University of Pará. Center of Biologic and Health Sciences. Department of Pathology. Belém, PA, Brazil.Federal University of Pará. Laboratory of Amazon Animal Biotechnology and Medicine. Castanhal, PA, Brazil / Federal University of Pará. Postgraduate Program in Animal Reproduction in the Amazon. Castanhal, PA, Brazil / Federal University of Pará. School of Veterinary Medicine. Castanhal, PA, Brazil.Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Ananindeua, PA, Brasil / Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Programa de Pós-graduação em Virologia. Ananindeua, PA, Brasil.Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Centro Nacional de Primatas. Ananindeua, PA, Brasil.Fertilidade / genéticaDuring the Zika virus (ZIKV) outbreak and after evidence of its sexual transmission was obtained, concerns arose about the impact of the adverse effects of ZIKV infection on human fertility. In this study, we evaluated the clinical-laboratory aspects and testicular histopathological patterns of pubertal squirrel monkeys (Saimiri collinsi) infected with ZIKV, analyzing the effects at different stages of infection. The susceptibility of S. collinsi to ZIKV infection was confirmed by laboratory tests, which detected viremia (mean 1.63 × 106 RNA copies/µL) and IgM antibody induction. Reduced fecal testosterone levels, severe testicular atrophy and prolonged orchitis were observed throughout the experiment by ultrasound. At 21 dpi, testicular damage associated with ZIKV was confirmed by histopathological and immunohistochemical (IHC) analyses. Tubular retraction, the degeneration and necrosis of somatic and germ cells in the seminiferous tubules, the proliferation of interstitial cells and an inflammatory infiltrate were observed. ZIKV antigen was identified in the same cells where tissue injuries were observed. In conclusion, squirrel monkeys were found to be susceptible to the Asian variant of ZIKV, and this model enabled the identification of multifocal lesions in the seminiferous tubules of the infected group evaluated. These findings may suggest an impact of ZIKV infection on male fertility