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Clinical and Spatial Characteristics of Severe Acute Respiratory Syndrome by COViD-19 in indigenous of Brazil

Advances in infectious Diseases 2021年第4期11卷 441-454页

作者： Daniele Melo Sardinha karla Valéria Batista Lima Ana Lúcia da Silva Ferreira Juliana Conceição Dias Garcez Thalyta Mariany Rêgo Lopes Ueno Yan Corrêa Rodrigues Anderson Lineu Siqueira dos Santos Rosane do Socorro Pompeu de Loiola Ricardo José de Paula Souza e Guimarães Luana Nepomuceno Gondim Costa Lima Programa de Pós-Graduaç ã o em Epidemiologia e Vigilancia em Saúde Instituto Evandro Chagas (PPGEVS/IEC) Ananindeua Brazil Programa de Pós-Graduaç ã o em Biologia Parasitária na Amazô nia Instituto Evandro Chagas and Universidade do Estado do Pará (PPGBPA/IEC/UEPA) Belém Brazil Programa de Pós-Graduaç ã o em Biologia Parasitária na Amazô nia Instituto Evandro Chagas and Universidade do Estado do Pará (PPGBPA/IEC/UEPA) Belém Brazil Secretaria de Estado de Saúde Pública do Pará(SESPA) Belém Brazil

The new coronavirus (SARS-CoV-2) broke out in Wuhan in China in December 2019, causing severe pneumonia and deaths, soon in March 2020, it reached pandemic level, affecting several countries including Brazil. The disease was named COViD-19, with characteristics of most infected having mild and moderate symptoms and a part severe symptom. The disease has already reached 158 ethnic groups, which have high vulnerability and limited access to health services. The objective is to investigate the clinical and spatial characteristics of Severe Acute Respiratory Syndrome of COViD-19 in the indigenous peoples of Brazil. it is an epidemiological, cross-sectional, analytical ecological study, based on data from the OpenDataSUS platform from 01/01/2020 to 31/08/2020. Profile variables, signs and symptoms and risk factors/comorbidities. The data were analyzed by Bioestat 5.3. There were 1,207 cases and 470 deaths. Profile: male gender (59.48%) means age 53 years. Signs and symptoms: fever (74.23%), cough (77.71%), sore throat (35.62%), dyspnea (69.34%), respiratory discomfort (62.80%), O2 saturation iated with mortality: dyspnea (80.0%) and O2 saturation isk factors and comorbidities (45.89%) were associated with deaths (54.04%). About comorbidities, chronic cardiovascular diseases represented (18.97%) and Diabetes Mellitus (18.97%), and associated with deaths: Chronic Cardiovascular Disease (24.46%). Being admitted to the iCU has a risk of death in (OR-3.96- i-2913/5383) followed by not being vaccinated against influenza (OR-1.85- i-1358/2528). The public and health policies of Brazil should be directed to control the dissemination of COViD-19 in this population, that COViD-19 evolves in the same intensity, however, the indigenous have vulnerabilities that can increase the impact of the pandemic in this population.

关键词： Severe Acute Respiratory Syndrome indigenous People SARS-CoV-2 COViD-19 Brazil

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深入开展质量管理的十条经验教训

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质量管理 1991年第4期 46-46页

作者： PaulJ.Motiska karla.shilliff

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代谢综合征、炎症与认知功能减退的危险

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美国医学会杂志（中文版） 2006年第3期25卷 189-189页

作者： Krisfine Yaffe Alka Kanaya karla Lindquist 李呈亿（译）

背景：已有几项研究报道了代谢综合征与心血管病的关系。尽管人们日益意识到，心血管危险因素可使发生认知功能减退和疾呆的危险性增加，但是有关代谢综合征与认知功能关系的资料很少。

关键词：认知功能减退代谢综合征心血管危险因素炎症心血管病功能关系

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Resolutive Results with Oral Corticosteroids for Patients with COViD-19 in Pulmonary inflammatory Phase. Successful Outpatient Experience during the Collapse of Belem Do Para Health System—Brazil

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Health 2021年第8期13卷 830-838页

作者： Roberto S. Zeballos Luciana N. L. Cruz Vânia C. R. Brilhante Adriana V. Lima Carlliane L. L. P. Martins karla N. A. Lima Michele C. G. L. Leão Belinete L. Cruz Alessandra B. Dysarz Paulo C. B. Lobato Erika S. Almeida Rute A. P. Costa Klevison C. Araújo Augusto C. C. Almeida Leônidas B. D. Junior Kathia O. Harada Rita H. V. S. Araújo Elaine X. Prestes ivete M. S. Souza Avany M. P. Pereira Antônio B. M. A. Rocha iracema A. Estevão Fagnei i. C. Carvalho Paulo M. P. Melo Clinical Care Sao Paulo Brazil instituto de Ciencias da Saude Faculdade de Medicina Universidade Federal do Para Belem Brazil Fundacao Publica Estadual Hospital de Clinicas Gaspar Vianna Belem Brazil Hospital da Policia Militar do Para Belem Brazil imunoclinic Belem Brazil Universidade Estadual do Para Fundacao Santa Casa de Misericordia do Para Belem Brazil Clinica Barros Cirurgia Plastica Belem Brazil Secretaria de Estado de Saude Publica Castanhal Brazil Centro de Tratamento Oncologico Belem Brazil Sociedade Brasileira de Valorizaç ã o das Sociedades Medicas—SOBEMED S&#227 o Paulo Brazil Clinica de Nutrologia Sao Luiz Brazil Hospital Nipo Brasileiro de Olhos Belem Brazil Centro de Ciencias Biologicas e da Saude Universidade do Estado do Para Belem Brazil Hospital Regional do Baixo Amazonas Santarem Brazil Clinica Vallinoto Secretaria de Saude de Barcarena Barcarena Brazil Estrategia Saude da Familia Secretaria Municipal de Saude de Ananindeua Centro Universitario do Estado do Para Belem Brazil A. M. P. Endocrinologia Belem Brazil instituto Avertano Rocha Belem Brazil Departamento de Neurocirurgia Hospital Militar de Area De Sao Paulo Sao Paulo Brazil

in the face of new diseases, medicine needs to reinvent itself in order to contain and control epidemics, such as the one we have recently faced, COViD-19, a disease with a wide spectrum of clinical severity. A new moment has been established, since the application of well-known, effective and safe medications for other diseases, has shown high success rates in the treatment of COViD-19. Thereunto, studies with early intervention are needed, which can change the unfavorable outcome of patients. in this article, we report the successful experience using an oral strategy during the collapse of Belem (Para, Brazil) Health System. Two hundred and ten patients were diagnosed with respiratory failure due to COViD-19, with no option of hospital treatment due to lack of beds and resources. These patients were then started on therapeutic regimen consisting of 40 mg prednisolone, 40 mg enoxaparin and macrolides (500 mg clarithromycin, 500 mg axetylcefuroxime) associated and followed in outpatient facilities. Two hundred and eight patients had an excellent therapeutic response and there were only two fatalities. These results push research boundaries, valuing outpatient treatment with early use of prednisolone in the initial pulmonary phase, preventing severe COViD-19 pneumonitis. Adoption of the proposed treatment intends to reduce the need for hospitalization, as well as lethality, with social robust benefits and incalculable economic savings since involves the use of accessible, safe and not expensive medications.

关键词： COViD-19 Corticosteroids Pulmonary inflammatory Phase Collapse Brazil

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海峡文化艺术中心

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当代建筑 2020年第2期 80-93页

作者：徐宗武唐悦兴宋宇辉董伟星陈宗瑞徐雅婧吴晓晨胡林英李磊董序飞高颖丁文杰付中科林丽群顾工钟岱容张世宪侯鹏张谷桦何敏王志明刘娟王铁英张彦旭戎操熊施诺周旭辉孙路军魏鹏飞马琦郑晓晨钟诚郝晓磊王静满孝新赵阳宋亭亭李超英武瑜丛阳王科韩占强杜懿凡彭化强安娜张晖吴松霖佩卡.萨米宁 Martin Lukasczyk 施宣宇赖林莉李伟官晓晶赵亦周 Masahide Nakane Matti Kankkunen Anna Blomqvist Clara Juan uros Kostic Antonio Barquinha Martin Genet 窦剑 Dragan Jevtic Pauli Rikaniemi Tuukka Päivärinne Timo Kujala Piercarlo Torri Sami Lauritsalo Simon Richardus 尹亮 Tuomas Pinomaa Fan Yujing Siiri Murtola Beatriz Redondo Jazz Fu Tristan Hughes Jarkko Salminen karla Diaz Mia Bungers Marcelo Diez 章勇(摄) 中国建筑标准设计研究院有限公司中国中建设计集团有限公司不详

理念与建筑的互慕相成福州,是中国古代海上丝绸之路的起点之一,也是21世纪海上丝绸之路的战略支点城市。作为福州市的文化地标,海峡文化艺术中心必然将是一座肩负着文化传承与创新重任,并兼具地域性和国际性的中国建筑。以此作为本次设... 详细信息

理念与建筑的互慕相成福州,是中国古代海上丝绸之路的起点之一,也是21世纪海上丝绸之路的战略支点城市。作为福州市的文化地标,海峡文化艺术中心必然将是一座肩负着文化传承与创新重任,并兼具地域性和国际性的中国建筑。以此作为本次设计的出发点,是中国、芬兰两国设计团队在设计之初就达成的高度共识。《茉莉花》是歌剧《图兰朵》中广为传唱的东方小调,并早已成为中国文化的代表符号之一。同时,茉莉花是福州市的市花,在西汉时期就已在福州被栽种,是福州文化的重要组成部分。可以说,茉莉花是中西文化的交汇点,是中国与世界相互连接的桥梁之一。由此,茉莉花这一自然天成的形象,成为中芬两国设计师的共同选择。

关键词：文化艺术中心文化传承与创新自然天成古代海上丝绸之路《茉莉花》文化地标战略支点高度共识

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