ISSN: 2447-2123 (Indexing period: 06/2020 - present) http://preprints.ibict.br/handle/1618034/30 2026-01-22T15:59:39Z 2026-01-22T15:59:39Z http://preprints.ibict.br/handle/1618034/95 2021-04-08T14:35:08Z

Preprint title (English): An emergency strategy framework for managing Covid-19 in long-term care facilities in Brazil Author(s): Lloyd-Sherlock, Peter; Freire Neto, João Bastos; Duarte, Meirelayne; Frank, Monica; Giacomin, Karla; Villas Boas, Paulo Jose Fortes; Saddi, Fabiana da Cunha; Wachholz, Patrick Alexander Editor responsible for the desk review: Moreira, Virgilio Garcia Abstract (English): This paper presents a novel policy framework to support government responses to COVID-19 in long-term care facilities (LTCFs) in low and middle-income countries. It focuses on issues that are of specific relevance to Brazilian policy-settings, including examples of its local implementation. The CIAT Framework combines and summarises broad elements for an emergency strategy to address the potential effects of COVID-19. The four steps of the Framework entail policies to coordinate, identify, assess and target support. Those policies can be applied immediately to mitigate the impact of the COVID-19 pandemic in LTCFs. It is, however, essential to situate these responses within a more comprehensive and permanent strategy. Inter-sectoral collaboration must evolve into a fully institutionalised system.

http://preprints.ibict.br/handle/1618034/91 2021-04-05T13:21:38Z

Preprint title (English): Gerontological training: the challenge of integrating the various professional categories (in Portuguese) Author(s): Sanchez, Maria Angélica; Santos, Wallace Hetmanek Editor responsible for the desk review: Lourenço, Roberto Alves Abstract (English): Gerontological training must be present in the discussion agenda of several training and professional qualification entities. Despite the expressive increase in life expectancy in Brazil, the number of qualified professionals to adequately meet the demands of the aging population is below what is necessary in the country. While many countries are already organizing themselves to elaborate norms and guidelines for gerontological education, Brazil still moves slowly in the definition of professional competences at different levels of education, hiding the visibility of the identity of professionals working in gerontology. This article aims to shed light on the theme of gerontological training based on gathering of efforts of scientific societies, professional councils, class associations, and educational institutions.

http://preprints.ibict.br/handle/1618034/86 2021-02-01T23:54:42Z

Preprint title (English): Estimates of infection and mortality from covid-19 in care homes for older people in Brazil Author(s): Wachholz, Patrick Alexander; Moreira, Virgilio Garcia; Oliveira, Déborah; Watanabe, Helena Akemi Wada; Villas Boas, Paulo José Fortes Editor responsible for the desk review: Camargos, Einstein Francisco Abstract (English): OBJECTIVE: To describe infection and mortality rates associated with COVID-19 in older people living in Brazilian care homes. METHODS: A descriptive cross-sectional study was conducted using primary and secondary data sources. Nationwide care home administrators were invited to report, via an online questionnaire, the occurrence of infection and mortality associated with COVID-19 from April to August 2020. State Public Prosecutor Offices, State Health Departments, and the Unified Social Security System were also contacted for information. Data were analyzed using descriptive statistics. RESULTS: Data were collected from 2154 care homes located in 14 states, covering 59 878 older residents. The incidence rate of COVID-19 was 6.57%, and 883 deaths were recorded in the period, with a case-fatality rate of 22.44%. CONCLUSIONS: The incidence and mortality rates observed in this study were lower than those observed in other (high-income) countries. Data sources related to COVID-19 outbreaks in Brazilian care homes are currently limited to self-report. Structuring and systematizing data recording and reporting in these settings is essential to better understand the spread of the virus and to protect care home residents in Brazil.

http://preprints.ibict.br/handle/1618034/60 2021-04-02T15:19:15Z

Preprint title (English): Chloroquine and hydroxichloroquine: potentially inappropriate medications for older people? (in Portuguese) Author(s): Gorzoni, Milton Luiz Editor responsible for the desk review: Lourenço, Roberto Alves Abstract (English): Introduction: Potentially inappropriate medications for older persons (PIM) cause more adverse effects than benefits. The Beers AGS 2019 Criteria (CB2019) considered five clinical situations as PIM. Can an analysis of medications for these clinical situations assist in prescribing the elderly? Looking for a practical example of this issue, we opted for the analysis of drugs currently questioned about safe use in older persons. Objective: To verify if Chloroquine and Hydroxychloroquine fit as PIM and if this analysis is clinically applicable. Methods: Systematizing the objective by the five clinical situations defined as PIM by CB2019. Results: Both fill four (Chloroquine) and five (Hydroxychloroquine) respectively from these clinical situations. This analysis allowed the probable definition of PIM for these drugs in a simple way through a brief analysis of accessible literature. Conclusion: Chloroquine and Hydroxychloroquine can be considered PIM. It is expected to replicate this analysis for other medications and to reduce iatrogenesis.