Cuidados inovadores de enfermagem na pandemia de COVID-19: relato de uma experiência extensionista

Among the professional skills necessary in the training of nursing students, there is that associated with working in health services. In this context of training, participation in university extension programs increases learning possibilities and allows approximation of theoretical-practical experience, providing activities for the benefit of the community. The objective of this article is to report the extension experiences of the project “Innovative Nursing Care”, during the COVID-19 pandemic. This is a descriptive, retrospective and cross-sectional report, carried out based on the experience of professors and undergraduate nursing students. It was possible to observe that the experience of nursing students from different undergraduate periods enabled them to learn about clinical care for patients with chronic conditions, providing better quality training for both scholarship students and volunteers during the stoppage of classes generated by the pandemic.Dentre as competências profissionais necessárias na formação do acadêmico de enfermagem, está aquela associada à atuação nos serviços de saúde. Nesse contexto de formação, a participação em programas de extensão universitária aumenta as possibilidades de aprendizado e permite a aproximação da vivência teórico-prática, proporcionando atividades em benefício da comunidade. Objetiva-se com esse artigo relatar as experiências extensionistas do projeto “Cuidados Inovadores de Enfermagem”, durante a pandemia de COVID-19.  Trata-se de um relato descritivo, retrospectivo e transversal, realizado a partir da vivência de docentes e acadêmicos da graduação em Enfermagem. Foi possível observar que a experiência dos acadêmicos do curso de enfermagem de diferentes períodos da graduação possibilitou o aprendizado em cuidados clínicos ao paciente em condições crônicas, proporcionando uma formação de melhor qualidade tanto para o acadêmico bolsista quanto os voluntários durante a paralisação das aulas geradas pela pandemia

Cuidados inovadores de enfermagem na pandemia de COVID-19: relato de uma experiência extensionista

Among the professional skills necessary in the training of nursing students, there is that associated with working in health services. In this context of training, participation in university extension programs increases learning possibilities and allows approximation of theoretical-practical experience, providing activities for the benefit of the community. The objective of this article is to report the extension experiences of the project “Innovative Nursing Care”, during the COVID-19 pandemic. This is a descriptive, retrospective and cross-sectional report, carried out based on the experience of professors and undergraduate nursing students. It was possible to observe that the experience of nursing students from different undergraduate periods enabled them to learn about clinical care for patients with chronic conditions, providing better quality training for both scholarship students and volunteers during the stoppage of classes generated by the pandemic.Dentre as competências profissionais necessárias na formação do acadêmico de enfermagem, está aquela associada à atuação nos serviços de saúde. Nesse contexto de formação, a participação em programas de extensão universitária aumenta as possibilidades de aprendizado e permite a aproximação da vivência teórico-prática, proporcionando atividades em benefício da comunidade. Objetiva-se com esse artigo relatar as experiências extensionistas do projeto “Cuidados Inovadores de Enfermagem”, durante a pandemia de COVID-19.  Trata-se de um relato descritivo, retrospectivo e transversal, realizado a partir da vivência de docentes e acadêmicos da graduação em Enfermagem. Foi possível observar que a experiência dos acadêmicos do curso de enfermagem de diferentes períodos da graduação possibilitou o aprendizado em cuidados clínicos ao paciente em condições crônicas, proporcionando uma formação de melhor qualidade tanto para o acadêmico bolsista quanto os voluntários durante a paralisação das aulas geradas pela pandemia

Air Travel Is Associated with Intracontinental Spread of Dengue Virus Serotypes 1–3 in Brazil

Dengue virus and its four serotypes (DENV-1 to DENV-4) infect 390 million people and are implicated in at least 25,000 deaths annually, with the largest disease burden in tropical and subtropical regions. We investigated the spatial dynamics of DENV-1, DENV-2 and DENV-3 in Brazil by applying a statistical framework to complete genome sequences. For all three serotypes, we estimated that the introduction of new lineages occurred within 7 to 10-year intervals. New lineages were most likely to be imported from the Caribbean region to the North and Northeast regions of Brazil, and then to disperse at a rate of approximately 0.5 km/day. Joint statistical analysis of evolutionary, epidemiological and ecological data indicates that aerial transportation of humans and/or vector mosquitoes, rather than Aedes aegypti infestation rates or geographical distances, determine dengue virus spread in Brazil

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research