Evaluation of the Ebserh network contingency plan for coping with the pandemic Covid19, 2020

O Plano de Contingência do Hospital Universitário de Brasília para o enfrentamento da COVID-19 (PC COVID-19/HUB-UnB) estabeleceu as medidas para a Emergência de Saúde Pública de Importância Internacional (ESPII) decorrente da infecção humana pelo novo Coronavírus (Covid-19), conforme as orientações das autoridades sanitária do Brasil, do Governo do Distrito Federal (GDF) e normas da EBSERH. Diante desse contexto emergencial, este projeto se propõe a avaliar o grau de implantação do PC COVID-19 HUB-UnB e fornecer subsídios à gestão local para avaliação de desempenho do referido plano. Trata-se de um estudo de caso, baseado em metodologia qualitativa e quantitativa, observacional, realizado no Hospital Universitário de Brasília. Os procedimentos propostos foram baseados na abordagem metodológica da pesquisa avaliativa de “análise de implantação”

Abordagem Multidisciplinar no Tratamento de Emergências Cardiovasculares em Pacientes Pediátricos. Revisão Integrativa

To evaluate the challenges in the diagnosis and treatment of pediatric primary arterial hypertension, considering the effectiveness of the diagnosis, adherence to treatment, quality of life, blood pressure control and long-term impact. Methods: This is an integrative review developed through research in the PubMed database, using the following search strategy (((Hypertension) AND ((Child) OR (Adolescent)) AND (((Treatment) AND (Diagnosis )) OR (Management))) NOT ((Adult) OR (Newborn) OR (Pregnancy)). 3075 articles were found, of which 60 articles were pre-selected after applying the inclusion and exclusion criteria. 41 were removed after the selection. reading and initial analysis, totaling 19 for complete analysis. Results: The studies indicate the relationship between obesity and a sedentary lifestyle with cases of pediatric hypertension. increase in cardiovascular events. Dietary measures are emphasized as the main therapeutic approach, with few studies targeting medications used that are confirmed to be safe. Final considerations: The importance of lifestyle changes is highlighted, in addition to rigorous screening measures. in order to prevent future complications. Keywords: Cardiology, Pediatrics, Care.Analisando os obstáculos no diagnóstico e tratamento da hipertensão arterial primária em crianças, levando em conta a eficácia do diagnóstico, adesão ao tratamento, qualidade de vida, controle da pressão arterial e impacto a longo prazo. A metodologia consistiu em uma revisão integrativa realizada através de pesquisa na plataforma PubMed, com a seguinte estratégia de busca (((Hipertensão) E ((Criança) OU (Adolescente)) E (((Tratamento) E (Diagnóstico)) OU (Controle))) NÃO ((Adulto) OU (Recém-nascido) OU (Gravidez)). Foram identificados 3075 artigos, dos quais 60 foram pré-selecionados após aplicação dos critérios de inclusão e exclusão. Após análise inicial, 41 foram excluídos, totalizando 19 para análise detalhada. Resultados indicam a correlação entre a obesidade e o sedentarismo com casos de hipertensão em crianças. Devido à natureza silenciosa da doença e aos sintomas inespecíficos, intervenções tardias podem aumentar os eventos cardiovasculares. Enfatiza-se a dieta como principal intervenção terapêutica, com poucos estudos sobre a segurança dos medicamentos usados. Conclui-se ressaltando a importância da mudança de estilo de vida e de um rigoroso rastreamento para evitar complicações no futuro

Seasonality of mortality under climate change: a multicountry projection study

A warming climate can substantially change the seasonality of mortality in the future. Our projections suggest that health-care systems should consider preparing for a potentially increased demand during warm seasons and sustained high demand during cold seasons, particularly in regions characterised by arid, temperate, and continental climates

Global, regional, and national burden of mortality associated with cold spells during 2000–19: a three-stage modelling study

Cold spells are associated with substantial mortality burden around the world with geographically varying patterns. Although the number of cold spells has on average been decreasing since year 2000, the public health threat of cold spells remains substantial. The findings indicate an urgency of taking local and regional measures to protect the public from the mortality burdens of cold spells

The Multi-Country Multi-City Collaborative Research Network An international research consortium investigating environment, climate, and health

Research on the health risks of environmental factors and climate change requires epidemiological evidence on associated health risks at a global scale. Multi-center studies offer an excellent framework for this purpose, but they present various methodological and logistical problems. This contribution illustrates the experience of the Multi-Country Multi-City Collaborative Research Network, an international collaboration working on a global research program on the associations between environmental stressors, climate, and health in a multi-center setting. The article illustrates the collaborative scheme based on mutual contribution and data and method sharing, describes the collection of a huge multi-location database, summarizes published research findings and future plans, and discusses advantages and limitations. The Multi-Country Multi-City represents an example of a collaborative research framework that has greatly contributed to advance knowledge on the health impacts of climate change and other environmental factors and can be replicated to address other research questions across various research fields.The MCC Collaborative Research Network: Antonio Gasparrini, London School of Hygiene & Tropical Medicine, London, UK; Michelle Bell, Yale University, New Haven CT, USA; Yuming Guo, Monash University, Melbourne, Australia; Yasushi Honda, National Institute for Environmental Studies, Tsukuba, Japan; Veronika Huber, LMU Munich, Munich, Germany; Jouni J. K. Jaakkola, University of Oulu, Oulu, Finland; Aleš Urban, Czech Academy of Sciences, Prague, Czech Republic; Ana Maria Vicedo-Cabrera, University of Bern, Bern, Switzerland; Pierre Masselot, London School of Hygiene & Tropical Medicine, London, UK; Francesco Sera, University of Florence, Florence, Italy; Rosana Abrutzky, Universidad de Buenos Aires, Buenos Aires, Argentina; Shilu Tong, Chinese Center for Disease Control and Prevention, Beijing, China; Micheline de Sousa Zanotti Stagliorio Coelho, University of São Paulo, São Paulo, Brazil; Paulo Hilario Nascimento Saldiva, NSPER, São Paulo, Brazil; Eric Lavigne, University of Ottawa, Ottawa, Canada; Patricia Matus Correa, Universidad de los Andes, Santiago, Chile; Nicolás Valdés Ortega, Universidad Católica de Chile, Santiago, Chile; Haidong Kan, Fudan University, Shanghai, China; Samuel Osorio, University of São Paulo, São Paulo, Brazil; Dominic Roye, Climate Research Foundation, Madrid, Spain; Souzana Achilleos, University of Nicosia Medical School, Nicosia, Cyprus; Jan Kyselý, Czech Academy of Sciences, Prague, Czech Republic; Hans Orru, University of Tartu, Tartu, Estonia; Ene Indermitte, University of Tartu, Tartu, Estonia; Marek Maasikmets, Estonian Environmental Research Centre, Tallinn, Estonia; Niilo Ryti, University of Oulu, Oulu, Finland; Mathilde Pascal, Santé Publique France, Saint Maurice, France; Alexandra Schneider, Helmholtz Zentrum München – German Research Center for Environmental Health, Neuherberg, Germany; Susanne Breitner, LMU Munich, Munich, Germany; Klea Katsouyanni, National and Kapodistrian University of Athens, Greece, and Imperial College, London; Antonis Analitis, National and Kapodistrian University of Athens, Greece; Evangelia Samoli, National and Kapodistrian University of Athens, Greece; Hanne Krage Carlsen, University of Gothenburg, Gothenburg, Sweden; Fatemeh Mayvaneh, University of Münster, Münster, Germany; Alireza Entezari, Hakim Sabzevari University, Khorasan Razavi, Iran; Patrick Goodman, Technological University Dublin, Ireland; Ariana Zeka, UK Health Security Agency, London, UK; Raanan Raz, The Hebrew University of Jerusalem, Israel; Paola Michelozzi, Lazio Regional Health Service, Rome, Italy; Francesca de’Donato, Lazio Regional Health Service, Rome, Italy; Matteo Scortichini, Lazio Regional Health Service, Rome, Italy; Massimo Stafoggia, Lazio Regional Health Service, Rome, Italy; Masahiro Hashizume, The University of Tokyo, Tokyo, Japan; Yoonhee Kim, University of Tokyo, Tokyo, Japan; Chris Fook Sheng Ng, The University of Tokyo, Tokyo, Japan; Barrak Alahmad, Harvard University, Boston, MA, USA; John Paul Cauchy, Malta; Magali Hurtado Diaz, National Institute of Public Health, Cuernavaca, Mexico; Eunice Elizabeth Félix Arellano, National Institute of Public Health, Cuernavaca, Mexico; Ala Overcenco, National Agency for Public Health of the Ministry of Health, Labour and Social Protection of the Republic of Moldova, Moldova; Jochem Klompmaker, National Institute for Public Health and the Environment, Bilthoven, the Netherlands; Shilpa Rao, Norwegian Institute of Public Health, Oslo, Norway; Gabriel Carrasco, Universidad Peruana Cayetano Heredia, Lima, Peru; Xerxes Seposo, Hokkaido University, Sapporo, Japan; Paul Lester Carlos Chua, The University of Tokyo, Tokyo, Japan; Susana das Neves Pereira da Silva, Instituto Nacional de Saúde Dr. Ricardo Jorge, Lisbon, Portugal; Joana Madureira, Instituto Nacional de Saúde Dr. Ricardo Jorge, Porto, Portugal; Iulian-Horia Holobaca, Babes-Bolay University, Cluj-Napoca, Romania; Ivana Cvijanovic, Barcelona Institute for Global Health, Barcelona, Spain; Malcolm Mistry, London School of Hygiene & Tropical Medicine, London, UK; Noah Scovronick, Emory University, Atlanta, USA; Fiorella Acquaotta, University of Torino, Italy; Rebecca M. Garland, University of Pretoria, Pretoria, South Africa; Ho Kim, Seoul National University, Seoul, South Korea; Whanhee Lee, Pusan National University, Yangsan, South Korea; Aurelio Tobias, Spanish Council for Scientific Research, Barcelona, Spain; Carmen Íñiguez, Universitat de València, Spain; Bertil Forsberg, Umeå University, Umeå, Sweden; Martina S. Ragettli, Swiss Tropical and Public Health Institute, Allschwill, Switzerland; Yue Leon Guo, National Taiwan University College of Medicine, Taipei, Taiwan; Shih-Chun Pan, National Health Research Institutes, Zhunan, Taiwan; Shanshan Li, Monash University, Melbourne, Australia; Ben Armstrong, London School of Hygiene & Tropical Medicine, London, United Kingdom; Valentina Colistro, University of the Republic, Montevideo, Uruguay; Antonella Zanobetti, Harvard University, Boston, MA, USA; Joel Schwartz, Harvard University, Boston, MA, USA; Tran Ngoc Dang, Duy Tan University, Da Nang, Vietnam; Do Van Dung, University of Medicine and Pharmacy, Ho Chi Minh City, VietNam). Past members: Simona Fratianni, University of Torino, Italy; Julio Cesar Cruz, National Institute of Public Health, Cuernavaca, Mexico; Caroline Ameling, National Institute for Public Health and the Environment, Bilthoven, Netherlands; Daniel Oudin Åström, Umeå University, Umeå, Sweden.Peer reviewe

Author Correction: Rapid increase in the risk of heat-related mortality

Heat-related mortality has been identified as one of the key climate extremes posing a risk to human health. Current research focuses largely on how heat mortality increases with mean global temperature rise, but it is unclear how much climate change will increase the frequency and severity of extreme summer seasons with high impact on human health. In this probabilistic analysis, we combined empirical heat-mortality relationships for 748 locations from 47 countries with climate model large ensemble data to identify probable past and future highly impactful summer seasons. Across most locations, heat mortality counts of a 1-in-100 year season in the climate of 2000 would be expected once every ten to twenty years in the climate of 2020. These return periods are projected to further shorten under warming levels of 1.5 °C and 2 °C, where heat-mortality extremes of the past climate will eventually become commonplace if no adaptation occurs. Our findings highlight the urgent need for strong mitigation and adaptation to reduce impacts on human lives