10 research outputs found

    COVID-19 outcomes in people living with HIV: Peering through the waves

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    Objective: To evaluate clinical characteristics and outcomes of COVID-19 patients infected with HIV, and to compare with a paired sample without HIV infection. Methods: This is a substudy of a Brazilian multicentric cohort that comprised two periods (2020 and 2021). Data was obtained through the retrospective review of medical records. Primary outcomes were admission to the intensive care unit, invasive mechanical ventilation, and death. Patients with HIV and controls were matched for age, sex, number of comorbidities, and hospital of origin using the technique of propensity score matching (up to 4:1). They were compared using the Chi-Square or Fisher's Exact tests for categorical variables and the Wilcoxon for numerical variables. Results: Throughout the study, 17,101 COVID-19 patients were hospitalized, and 130 (0.76%) of those were infected with HIV. The median age was 54 (IQR: 43.0;64.0) years in 2020 and 53 (IQR: 46.0;63.5) years in 2021, with a predominance of females in both periods. People Living with HIV (PLHIV) and their controls showed similar prevalence for admission to the ICU and invasive mechanical ventilation requirement in the two periods, with no significant differences. In 2020, in-hospital mortality was higher in the PLHIV compared to the controls (27.9% vs. 17.7%; p = 0.049), but there was no difference in mortality between groups in 2021 (25.0% vs. 25.1%; p > 0.999). Conclusions: Our results reiterate that PLHIV were at higher risk of COVID-19 mortality in the early stages of the pandemic, however, this finding did not sustain in 2021, when the mortality rate is similar to the control group

    Darcy Ribeiro e o enigma Brasil: um exercício de descolonização epistemológica

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    Darcy Ribeiro desafia a ausência de um modo singular de imaginação sociológica a caracterizar o pensamento brasileiro, não se deixando guiar por parâmetros exógenos ditados por uma pretensa modernidade que ignora a positividade das experiências aqui existentes. Tomando, de um lado, "O processo Civilizatório" (2001), e de outro, "O Povo Brasileiro" (1995), busco, neste ensaio, uma hermenêutica do legado de Darcy Ribeiro. Minha hipótese é a de que há questões presentes na obra darcyniana capazes de gestar, ainda hoje, uma "crítica descolonizadora nas ciências sociais latino-americanas", impactando a geopolítica do conhecimento que, historicamente, apartou as culturas que investigam, daquelas que são investigadas. Talvez, o pensamento social mameluco nos inspire a crer que a criatividade humana seja capaz de superar os reais danos impostos historicamente pela lógica da modernidade-colonialidade, somando às ciências sociais novas formas de cognição.<br>Darcy Ribeiro challenges the absence of a particular way of sociological imagination to characterize the Brazilian thought, not allow themselves to be guided by a presumed modernity that ignores the positivity of the experiences available here. Taking on the one hand, "The Civilizin Process" (2001), and the other, "The Brazilian People" (1995), in this essay, I seek a hermeneutics of the Darcy Ribeiro's legacy. My hypothesis is that there are issues present in the Darcy's studies still capable of carrying a "critical decolonizing the social sciences in Latin America", impacting the geopolitics of knowledge that historically separated the cultures that investigate from those are investigated. Perhaps, the Mameluco social thought inspire us to believe that human creativity can overcome the historically real damage imposed by the logic of modernity-coloniality, adding to the social sciences new forms of cognition
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