Introduction: The new corona virus (2019-nCoV OR HCOV-19 or CoV2), has emerged in China as the main cause of viral pneumonia (COVID-19, Coronavirus Disease-19). Objective: To provide evidence-based Physiotherapy and functionality in patients with adult and pediatric COVID-19. Methods: This is an integrative literature review using the MedLine / PubMed databases, library of Latin American and Caribbean Literature in Health Sciences (LILACS) and Physiotherapy Evidence Database (PEDRo). Results: Part of the patients with covid 19 show signs of respiratory deficiency with hypoxemia, with low severity in children. Impaired functionality is also expected. Conclusion: COVID-19 causes low pulmonary compliance and important changes in lung function with hypoxemia and cardiovascular repercussions. These changes lead to the need for Physiotherapy and the management of oxygen therapy and ventilatory support (invasive and non-invasive) for these patients.
Resumo O Sistema de Regulação do SUS é estratégico para organizar o acesso aos serviços de saúde. Em Manaus, sua gestão é realizada pelo Complexo Regulador. Tradicionalmente, a comunicação com os usuários era feita via SMS, recurso oneroso e com alcance de 30% do público agendado. A Secretaria Municipal de Saúde (SEMSA) desenvolveu e implantou, de forma pioneira no Brasil, uma solução digital de consulta on-line, visando modernizar a comunicação e ampliar o acesso. Este estudo descreve o desenvolvimento do sistema de informação e analisa seus impactos. Adotou-se abordagem mista, com análise quantitativa dos dados de marcação, confirmação e absenteísmo (2021-2024), utilizando Python, Matplotlib e Seaborn, além de projeções estatísticas. A análise qualitativa incluiu entrevistas com gestores. O sistema foi desenvolvido em PHP e MySQL, com práticas híbridas entre métodos ágeis e tradicionais. Os resultados indicam crescimento nas marcações (215 mil para 557 mil), redução do absenteísmo e triplicação das confirmações. A substituição do SMS gerou economia estimada de R$ 705 mil. Em 2025, o portal atingiu 80% dos usuários agendados, com média de 10 mil autorizações diárias. A experiência reforça que soluções digitais promovem avanços concretos na gestão e no acesso à saúde pública.
Schistosomiasis is a neglected tropical disease whose transmission is strongly influenced by environmental and hydrological conditions. In tropical regions, increasing climate variability and the intensification of extreme events raise important questions regarding how long-term climatic conditions and hydrological disturbances shape disease dynamics. This study investigated the temporal association between schistosomiasis incidence, mean annual temperature, accumulated annual precipitation, and flooding occurrence over a 25-year time series (2000-2024) in an Amazonian municipality. Annual confirmed cases were obtained from the municipal surveillance system, while climatic data were extracted from national meteorological and disaster monitoring databases. Associations were evaluated using population-adjusted negative binomial regression models. We observed interannual variability in case numbers with epidemic peaks coinciding with years characterized by flooding events. Flood occurrence was significantly associated with increased incidence and appeared to exert its strongest influence within the same epidemiological year, whereas the climatic average represented by accumulated precipitation showed no significant association. Mean temperature was negatively associated with case numbers. Although the ecological design precludes causal inference, the findings highlight the epidemiological relevance of hydrological disturbances beyond climatic averages in shaping schistosomiasis dynamics. Incorporating flooding indicators into surveillance systems may enhance early identification of high-risk periods and guide targeted control strategies in tropical regions subject to increasing environmental instability.
OBJECTIVES:to understand, from the perspective of professionals in specialized services, the aspects that influence latent Mycobacterium tuberculosis infection screening and treatment among people living with HIV. METHODS:a qualitative study was conducted with 25 professionals prescribing preventive treatment from Manaus, Recife, Rio de Janeiro, Campo Grande, and Porto Alegre. Data were collected between 2024 and 2025 using an electronic questionnaire and analyzed using Bardin's content analysis. RESULTS:four categories were identified: Professional qualification and commitment (autonomy and resistance to prescription); Structure and resources for care (exams, supplies, and infrastructure); Treatment adherence and continuity of care (low adherence and clinical follow-up); and Health management and policies (shortage of professionals, turnover, and centralization). FINAL CONSIDERATIONS:challenges persist in implementing preventive tuberculosis treatment among people living with HIV in Brazil, including professional resistance to prescribing, training gaps, regional inequalities in access, and social vulnerabilities.
Introduction: RSV accounts for a significant proportion of lower respiratory tract infections in children and adults. Older age and comorbidities increase susceptibility to severe forms. The risk of hospitalization is higher in people living in long-term care facilities for older adults (LTCFs). Objective: To analyze an RSV outbreak in an LTCF during the COVID-19 pandemic. Methods: Retrospective analysis of a respiratory viral outbreak in an LTCF in Vitória, detected through case monitoring by the municipality’s epidemiological surveillance. Samples were collected up to the 7th day of symptoms and analyzed by RT-qPCR to detect COVID-19; in symptomatic individuals who tested negative, influenza and RSV were also tested by RT-qPCR. The municipal surveillance and LACEN/ES agreed to investigate influenza-like illness cases in all LTCFs in the city during the pandemic using a molecular panel. Results: In early February 2021, the LTCF had 67 residents, of whom 25 developed influenza-like illness symptoms and were isolated: 16 male and 9 female. The predominant age group was 80 years and older (10), followed by 70–79 years (8) and 60–69 years (7). Comorbidities included cardiovascular disease (11), diabetes mellitus (5), neurological disease (1), and three smokers. All 25 symptomatic residents had a swab result negative for SARS-CoV-2 by RT-PCR, and 56% (14) had detectable RSV by RT-PCR. The remaining 11 symptomatic individuals were likely RSV, given that symptoms occurred during the outbreak. The attack rate ranged from 20.8% (confirmed cases) to 37.5% (including probable cases). Among the 14 confirmed cases, 4 were hospitalized (all >70 years) and 1 died (the most severe, with at least two comorbidities). Conclusion: The lack of rapid tests for RSV makes more frequent use of molecular testing necessary to assess its prevalence. The attack rate in this study was high. All patients were vaccinated for influenza and COVID-19. At least in LTCFs, incorporating RSV vaccination for older adults is necessary. The timing of this outbreak (summer) shows that RSV seasonality is variable in Brazil.
