http://preprints.ibict.br/handle/1618034/9 2025-12-26T00:33:02Z 2025-12-26T00:33:02Z http://preprints.ibict.br/handle/1618034/122 2021-06-07T17:31:09Z

Preprint title (English): COVID19, why was Canada more effective in communicating through Social Media than Brazil? Author(s): Paulino, Rita de Cássia Romeiro Editor responsible for the desk review: Seixas, Lia Abstract (English): In our research, we observed that one of the key points in combating Pandemic is the ways in which governments have organized themselves to combat Disinformation and disseminate data based on science. We intend to show contrasts and communicational similarity to combat Covid19 from the Canadian and Brazilian governments. Through the Techniques of Analysis of Social Networks and Weekly Analysis of the Networks formed, we identified in the period from Nov to Dec of 2020, the strategies and agents of communication (OutDegree characteristic) that were more effective to guide and distribute information about COVID19 in profiles in the Twitter from the Ministries of Health of Canada and Brazil. We concluded that the Canadian Ministry of Health and government agents identified during the research (InDegree characteristic) formed a more effective communication triangle in the speeches to combat the pandemic, differently from the Brazilian Ministry of Health, which did not present any highlighted agents and communicated measures combat weapons not valid by WHO.

http://preprints.ibict.br/handle/1618034/121 2021-05-10T19:00:19Z

Preprint title (English): Postmortem qualitative analysis of psychological, occupational, and environmental factors associated with lethal anesthetic and/or opioid abuse among anesthesiologists: case series Author(s): Serebrenic, Flavia; Carmona, Maria José Carvalho; Cunha, Paulo Jannuzzi; Malbergier, André Editor responsible for the desk review: Barros, Guilherme Antonio Moreira de Abstract (English): Background: Anesthetic and/or opioid abuse is more prevalent among anesthesiologists than in other medical specialties and it has been associated with high mortality. The aim of this study was to evaluate factors associated with lethal anesthetic and/or opioid abuse among anesthesiologists. Methods: We evaluated psychological factors, and occupational history and circumstances of death of anesthesiologists who died from anesthetic abuse. Data were obtained post-mortem from colleagues, and relatives. After finding eligible cases, we identified the key informants, who were interviewed personally or via email, through the qualitative method known as “Psychological Autopsy”. Results: 18 cases of death were identified, but we were able to interview 44% of them (N=8), most of whom were young males. They died at home or at the hospital and were found ‘at the scene’. Being an introspective person, who did not share personal issues at workplace was the most prevalent personal characteristic. At work, they seemed to perform very well their functions, but some present subtle changes such as to staying more than usual at the workplace and and/or neglecting some of their responsibilities. The main reported factors to explain their substance abuse were emotional problems including psychiatric, excessive hours of work and other health factors. Conclusion: This study identified that emotional disturbances, compulsive work and general health problems were the more prominent factors involved with those deaths. Further larger studies are needed to better under-stand how these factors could be early identified in order to timely prevent anesthetic and/or opioid abuse and several deaths among anesthesiologists.

http://preprints.ibict.br/handle/1618034/120 2021-05-10T17:58:46Z

Preprint title (English): Nursing Path of Nursing Care in Pediatric Patient with acute respiratory failure in the Pediatric Unit Emergency Area (in Spanish) Author(s): Astudillo, María Editor responsible for the desk review: Jarrín Yerovi, Luis Gustavo Abstract (English): Acute respiratory failure (ARF) is the pulmonary inability to comply with the gas exchange of oxygen and carbon dioxide between the ambient air and the circulating blood1, it is accompanied by several signs and symptoms such as tachypnea, cyanosis, among others2, it is of sudden onset , and constitutes the cause of admission to emergency units, for this reason the World Health Organization (WHO) indicates that “hundreds of millions of people suffer the consequences of respiratory diseases every day3. In the Basic Indicators-Ecuador 2 012 of the Ministry of Public Health of Ecuador registers 4 122 deaths by ARI corresponding to the Province of Pichincha 8254, in the Hospital de Especialidades Carlos Andrade Marín (HECAM), the first cause of admission corresponds to pneumonia with 41.29% in the period January-September 2 018 (General Coordination of Planning and Statistics HECAM). The proposed route constitutes a tool that allows the nursing staff to carry out an effective evaluation of pediatric patients with acute respiratory failure, through an initial assessment, primary and secondary evaluation, with the purpose of avoiding complications during the management of pediatric patients with Acute respiratory failure in the Pediatric Emergency Area Unit (UPAE).

http://preprints.ibict.br/handle/1618034/119 2021-05-10T17:46:36Z

Preprint title (English): Comprehensive evaluation of the patient with obesity candidate for bariatric and endocrine metabolic surgery (in Spanish) Author(s): Vargas Córdova, Ronnal Paricio; Arias Trujillo, Adriana del Consuelo Editor responsible for the desk review: Jarrín Yerovi, Luis Gustavo Abstract (English): Currently, obesity is considered a pandemic, the incidence of which has tripled in the last 30 years, and has generated increasing public health problems. Based on the guidelines of the American Association of Endocrinologists (AACE), the Society for Obesity, the American Society for Metabolic and Bariatric Surgery (ASMBS), the Association for Obesity Medicine and the American Association of Anesthesiologists, the present document, in order to become the roadmap that guides the procedure to be followed in patients suffering from this chronic disease and who attend the San Francisco General Hospital. Obesity is recognized as a global disease and is a pathology characterized by the use of various medications due to related comorbidities, such as: cardiovascular disease, type 2 diabetes mellitus, chronic kidney disease, non-alcoholic fatty liver, metabolic syndrome and various types of cancers . This protocol contains the highest level of evidence available to date, in relation to the surgical and non-surgical management of the patient with a diagnosis of obesity, including topics such as the identification of candidate patients for bariatric procedures, type procedures that should be offered, as well as preoperative and intraoperative management and follow-up post-operative care. Since the publication by the American Society for Metabolic and Bariatric Surgey (ASMBS) in 2013 of the guidelines for the management of patients with obesity, there has been a significant increase in publications that support excellent results for the treatment of patients with obesity and type 2 diabetes mellitus by bariatric and metabolic surgery. In 2016, the publication of the Diabetes Surgery Summit (DSS2) marks a difference in the management of patients with type 2 diabetes mellitus, which is why they have grown substantially and the evidence shows that the bariatric metabolic management of these patients is superior to medical management and lifestyle changes when assessing glycemic control and remission of comorbidities. With the prior evaluation of the multidisciplinary team, we will have scientific information of the highest level that allows us to have a patient with optimal recovery applying the criteria of Enhanced Recovery after Bariatric Surgery (ERASb) Obesity in Ecuador has become a public health problem, so in the pediatric population, overweight and obesity have increased since 1986, going from 8% to 26% by 2012 in the 11-year-old group. 19 years old. The prevalence of overweight and obesity in the adult population in Ecuador is 62.8%, according to sex, the prevalence of overweight and obesity is 5.5% higher in women (65.5%) than in men (60%), and the highest rate of obesity and overweight occurs between the fourth and fifth decades of life, with prevalences higher than 73%.