scholarly journals High SARS-CoV-2 infection rate after resuming professional football in São Paulo, Brazil

2021 ◽  
pp. bjsports-2021-104431
Author(s):  
Bruno Gualano ◽  
Gisele Mendes Brito ◽  
Ana Jéssica Pinto ◽  
Italo Ribeiro Lemes ◽  
Luciana Diniz Nagem Janot Matos ◽  
...  
Keyword(s):  
Infection Rate ◽  
Preventive Measures ◽  
Severe Disease ◽  
Sao Paulo ◽  
São Paulo ◽  
Policy Makers ◽  
Male Age ◽  
Reverse Transcription Pcr ◽  
High Prevalence ◽  
Accredited Laboratory

ObjectiveTo examine the SARS-CoV-2 infection rate in a cohort of 6500 professional athletes and staff during the 2020 football (soccer) season in São Paulo, Brazil.MethodsThis retrospective cohort study included 4269 players (87% male, age: 21.7±4.2 years) and 2231 staff (87% male, age: 42.6±11.9 years) from 122 teams (women: n=16) involved in eight leagues (women: n=2), which took place in São Paulo, Brazil. Between 4 July 2020 and 21 December 2020, swab samples were collected weekly (n=29 507) and tested for SARS-Cov-2 via reverse transcription-PCR by an accredited laboratory commissioned by the São Paulo Football Federation. We contacted the medical staff of each team with positive cases to collect information on disease severity.ResultsAmong 662 PCR-confirmed cases, 501 were athletes and 161 were staff. The new infection rate was 11.7% and 7.2% for athletes and staff, respectively. Athletes were more susceptible to infection than staff (OR: 1.71, 95% CI: 1.42, 2.06, p<0.001), although with lower chance for moderate to severe disease (OR: 0.06, 95% CI: 0.01, 0.54, p=0.012). Six teams had ≥20 individuals testing positive for SARS-CoV-2, whereas 19 teams had ≥10 confirmed cases. Twenty-five mass outbreaks were identified (≥5 infections within a team in a 2-week period). The prevalence of SARS-CoV-2 infections was similar in athletes and staff as the general population in São Paulo.ConclusionDespite weekly testing and other preventive measures, we found a high SARS-CoV-2 infection rate in athletes and staff after resuming football, which coincides with the high prevalence of infection in the community during the same period. These data may assist policy-makers and sports federations for determining if and when it is safe to resume competitions.

scholarly journals STANDARDIZED CLINICAL PATHWAYS FOR ESOPHAGECTOMY ARE NOT A REALITY IN BRAZIL, EVEN WITH A HIGH PREVALENCE OF ESOPHAGEAL CANCER AND ACHALASIA

2015 ◽  
Vol 28 (3) ◽  
pp. 190-192 ◽  
Author(s):  
Marina ZAMUNER ◽  
Fernando A. M. HERBELLA ◽  
José L. B. AQUINO
Keyword(s):  
Clinical Pathways ◽  
Early Mobilization ◽  
Sao Paulo ◽  
Work Team ◽  
Multidisciplinary Teams ◽  
São Paulo ◽  
Clinical Practices ◽  
Paulo State ◽  
High Prevalence ◽  
São Paulo State

Background: The adoption of standardized protocols and specialized multidisciplinary teams for esophagectomy involve changes in routines with the implantation of expensive clinical practices and deviations from ingrained treatment philosophies. Aim: To evaluate the prevalence of standardized protocols and specialized multidisciplinary teams in São Paulo state, Brazil. Methods: Institutions that routinely perform esophagectomies in São Paulo were contacted and questioned about the work team involved in the procedure and the presence of standardized routines in the preoperatory care. Results: Fifteen centers answered the questionnaire: 10 (67%) public institutions and five (33%) private. There were seven (47%) medical schools, six (40%) with a residency program and two (13%) nonacademic institutions. The mean number of esophagectomies per year was 23. There was a multidisciplinary pre-operative team in nine (60%). There was a multidisciplinary postoperative team in 11 (73%). Early mobilization protocol was adopted in 12 (80%) institutions, early feeding in 13 (87%), routinely epidural in seven (47%), analgesia protocol in seven (47%), hydric restriction in six (40%), early extubation in six (40%), standardized hospitalization time in four (27%) and standardized intensive care time in two (13%). Conclusion: The prevalence of standardized protocols and specialized teams is very low in Sao Paulo state, Brazil. The presence of specialized surgeons is a reality and standardized protocols related directly to surgeons have higher frequency than those related to other professionals in the multidisciplinary team.

scholarly journals Evaluation of the infection rate of implants used for breast reconstruction at the Cancer Institute of the State of São Paulo

2014 ◽  
Vol 29 (3) ◽  
Author(s):  
PATRÍCIA NORONHA DE ALMEIDA ◽  
EDUARDO GUSTAVO PIRES DE ARRUDA ◽  
ALBERTO OKADA ◽  
EDUARDO MONTAG ◽  
MARCUS CASTRO FERREIRA ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Infection Rate ◽  
Sao Paulo ◽  
The State ◽  
São Paulo

Informal Settlement Upgrading and the Rise of Rental Housing in São Paulo, Brazil

2022 ◽  
pp. 0739456X2110654
Author(s):  
Kristine Stiphany ◽  
Peter M. Ward ◽  
Leticia Palazzi Perez
Keyword(s):  
Low Income ◽  
Informal Settlement ◽  
Rental Housing ◽  
Informal Settlements ◽  
Sao Paulo ◽  
São Paulo ◽  
Methodological Study ◽  
Urban Informality ◽  
Policy Makers ◽  
Public Investments

Rental housing was historically a minimal feature of urban informality. Now it is surging amid municipal attempts to “upgrade” informal settlements in São Paulo, Brazil. Drawing upon a mixed-methodological study of two favelas on São Paulo’s east side, we analyze how cycles of upgrading shape informal rental housing at the urban, community, block, and parcel levels, providing detailed comparative data for 2010–2020. Our findings suggest that rental housing redevelopment can increase precarity in urban living, but is an important source of low-income housing in already built-up and “consolidated” settlements where access is declining. Our study emphasizes the need for scholars, policy makers, and planners to further explore the praxis of informal renting and rental housing, which can be effective conduits for channeling public investments across consolidated informal settlements and into individual dwellings.

Length of stay and satisfaction shaping the competitiveness of international business tourism in São Paulo city, Brazil

2021 ◽  
pp. 135481662110563
Author(s):  
Paulo H A Feitosa ◽  
Amanda B A Silva
Keyword(s):  
Length Of Stay ◽  
International Business ◽  
Business Management ◽  
Sao Paulo ◽  
Curvilinear Relationship ◽  
São Paulo ◽  
Policy Makers ◽  
Tourist Satisfaction ◽  
Central Factor ◽  
Different Dimensions

The notion of competitiveness receives growing attention in the tourism literature as it is recognized as a central factor for success in the visitor economy. Despite the enthusiasm for the promised benefits of this approach, there are gaps in understanding the limits and possibilities of making the destination competitive by attracting visitors and expanding their spending, providing a satisfying experience. We study international business tourism in Sao Paulo city to empirically explore how length of stay determines different dimensions of tourist satisfaction. Estimates indicate that length of stay negatively affects the satisfaction dimensions studied. Likewise, there is no evidence of the existence of a curvilinear relationship between these variables. Implications for policy makers and business management are presented.

scholarly journals High prevalence of clindamycin resistance in Staphylococcus aureus blood culture isolates in São Paulo, Brazil

2017 ◽  
Vol 9 (04) ◽  
pp. 314-316 ◽  
Author(s):  
Felipe S. Lupinacci ◽  
Daniel Bussius ◽  
Felipe Acquesta ◽  
Gustavo Fam ◽  
Raphael Rossi ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Blood Culture ◽  
Susceptibility Testing ◽  
Sao Paulo ◽  
Resistance Rate ◽  
Blood Cultures ◽  
São Paulo ◽  
Inducible Clindamycin Resistance ◽  
Total Prevalence ◽  
High Prevalence

Abstract BACKGROUND: Clindamycin has become an important antimicrobial option for the treatment of Staphylococcus aureus. However, little is known about the current patterns of clindamycin-susceptibility in S. aureus invasive isolates, both in our country and in other developing countries in the world. AIMS: The aim of this study was to determine the prevalence of constitutive and inducible clindamycin resistance in methicillin-susceptible S. aureus (MSSA) and methicillin-resistant S. aureus (MRSA) blood culture isolates in São Paulo, Brazil. MATERIALS AND METHODS: From July 2011 to June 2012, all S. aureus isolates from blood cultures collected at our hospital were included in the study. Antimicrobial susceptibility testing was performed according to recommendations of the Clinical and Laboratory Standards Institute. RESULTS: Total prevalence of clindamycin resistance was 68%, including 7.2% with inducible resistance. In MRSA resistance rate was 90.8% whereas in MSSA the rate was 32.7%. CONCLUSIONS: Our high prevalence of clindamycin resistance highlights the importance of performing D-test in a routine base, as well of maintaining continued surveillance for the prevalence of clindamycin resistance.

Assessment of the Surgical Site Infection Rate Detected Through Post-discharge Vigilance at a Medium-sized Hospital in Såo Paulo

2014 ◽  
Vol 42 (6) ◽  
pp. S51-S52
Author(s):  
Daiane Cais ◽  
Lanuza Duarte ◽  
Fernanda Minenelli ◽  
Analu Mancini ◽  
Maria Lucia Biancalana ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Infection Rate ◽  
Sao Paulo ◽  
São Paulo ◽  
Site Infection ◽  
Surgical Site Infection Rate ◽  
Post Discharge

scholarly journals Management and Clinical Characteristics in Children with SARS-CoV-2 Infection: Experience in a highly complex public hospital in the city of São Paulo

2020 ◽  
Author(s):  
Rafael Santos Rodrigues Vieira ◽  
Erisson Linhares de Aguiar ◽  
Nara Michelle de Araújo Evangelista ◽  
Sergio Antonio Bastos Sarrubbo ◽  
Helmar Abreu Rocha Verlangieri ◽  
...  
Keyword(s):  
Clinical Characteristics ◽  
Pediatric Patients ◽  
Severe Disease ◽  
Clinical Manifestations ◽  
Sao Paulo ◽  
World Health ◽  
São Paulo ◽  
Pediatric Hospital ◽  
Multiprofessional Team ◽  
The City

AbstractIn February 2020, the World Health Organization designated the disease COVID-19, which means Coronavirus disease 2019. The virus that causes COVID-19 is designated as severe acute respiratory syndrome by Coronavirus 2 (SARS-CoV-2). The virus tends to determine clinical manifestations more frequently in adults and, especially, in the elderly, with high mortality in the population with chronic diseases. Most studies confirm the trend towards less severe disease in pediatric patients, and few studies describe the behavior of the virus in children. In late February 2020, a public pediatric hospital in the city of São Paulo, in the face of the announced epidemic, through its multiprofessional team, prepared itself to the care of patients with SARS-CoV-2 infection, determing certain clinical protocols defining the flow of care and therapeutic procedures to patients. This study intends to present the clinical characteristics and evolution of the disease by SARS-CoV-2 in pediatric patients seen in a public pediatric hospital of high complexity, evaluating the effectiveness and acceptance of the measures adopted. As a result, a good evolution of the disease was observed in the affected children, even in those with comorbidities. There was a trend towards a greater number of days of hospitalization and the need for ICU in patients with comorbidities and progression with clinical worsening after initial improvement. The protocols adopted and the flow instituted allowed good adherence by the multidisciplinary team.

Natural Infection Rate of Known Tomato Chlorosis Virus-Susceptible Hosts and the Influence of the Host Plant on the Virus Relationship With Bemisia tabaci MEAM1

Plant Disease ◽  
2020 ◽  
Author(s):  
Arnaldo Esquivel-Fariña ◽  
Jorge Alberto Marques Rezende ◽  
William M. Wintermantel ◽  
Laura Jenkins Hladky ◽  
Daiana Bampi
Keyword(s):  
Infection Rate ◽  
Bemisia Tabaci ◽  
Host Plants ◽  
Natural Infection ◽  
Sao Paulo ◽  
Cultivated Plants ◽  
São Paulo ◽  
Susceptible Host ◽  
External Sources ◽  
Tomato Chlorosis Virus

Tomato chlorosis virus (ToCV; genus Crinivirus, family Closteroviridae) was identified in tomato crops in the state of São Paulo, Brazil in 2006. Management strategies to control external sources of inoculum are necessary, because chemical control of the whitefly vector Bemisia tabaci MEAM1 has not efficiently prevented virus infections and no commercial tomato cultivars or hybrids are resistant to this crinivirus. We first evaluated the natural infection rate of some known wild and cultivated ToCV-susceptible hosts and their attractiveness for B. tabaci MEAM1 oviposition. Physalis angulata was the most susceptible to natural infection in all six exposures in 2018 and 2019. No plants of Capsicum annuum (cv. Dahra) or Chenopodium album became infected. Solanum melongena (cv. Napoli) had only two infected plants of 60 exposed. C. annuum and C. album were the least preferred, and Nicotiana tabacum and S. melongena were the most preferred for whitefly oviposition. In addition, from 2016 to 2019, we surveyed different tomato crops and the surrounding vegetation to identify ToCV in weeds and cultivated plants in the region of Sumaré, São Paulo state. Only Solanum americanum, vila vila (S. sisymbriifolium) and C. album were found naturally infected, with incidences of 18%, 20% and 1.4%, respectively. Finally, we estimated the ToCV titer (isolates ToCV-FL, USA and ToCV-SP, Brazil) by RT-qPCR in different ToCV-susceptible host plants and evaluated the relationship between virus acquisition and transmission by B. tabaci MEAM1. The results clearly showed significant differences in ToCV concentrations in the tissues of ToCV-susceptible host plants, which appeared to be influenced by the virus isolate. The concentration of the virus in plant tissues, in turn, directly influenced the ToCV-B. tabaci MEAM1 relationship and subsequent transmission to tomato plants. To minimize or prevent the damage from the tomato yellowing disease through management of external sources of ToCV, it is necessary to correctly identify the potentially important ToCV-susceptible hosts in the vicinity of new plantings.

scholarly journals Prevalence of self-reported chronic diseases in individuals over the age of 40 in São Paulo, Brazil: the Platino study

2012 ◽  
Vol 28 (5) ◽  
pp. 905-912 ◽  
Author(s):  
Andréa K. Carvalho ◽  
Ana Maria B. Menezes ◽  
Aquiles Camelier ◽  
Fernanda Warken Rosa ◽  
Oliver A. Nascimento ◽  
...  
Keyword(s):  
Chronic Diseases ◽  
Sao Paulo ◽  
São Paulo ◽  
High Prevalence ◽  
Over 40 Years

Few studies have been conducted to determine the prevalence of chronic diseases and its impact in individuals aged 40 years or over in Brazil. The objective of this study is to evaluate the prevalence of some common chronic diseases in the Brazilian subgroup assessed by the PLATINO study using a self-reported survey. A total of 918 individuals (55% women) with a mean age of 54.6 ± 10.9 years were evaluated. The most prevalent diseases were obesity (62.5%), hypertension (39.2%) and gastritis (30.9%). We conclude from this study that there is a high prevalence of chronic diseases in the population over 40 years of age: 88% of the population suffers from a minimum of one disease and 26% of the sample suffers from at least three diseases. We also observed that the number of comorbidities increases with age.

scholarly journals Trauma and envenoming caused by stingrays and other fish in a fishing community in Pontal do Paranapanema, state of São Paulo, Brazil: epidemiology, clinical aspects, and therapeutic and preventive measures

2012 ◽  
Vol 45 (2) ◽  
pp. 238-242 ◽  
Author(s):  
Vidal Haddad Junior ◽  
Edson Luiz Fávero Junior ◽  
Felipe Augusto Horácio Ribeiro ◽  
Bruno da Costa Ancheschi ◽  
Gabriel Isaac Pereira de Castro ◽  
...  
Keyword(s):  
Preventive Measures ◽  
Epidemiological Data ◽  
Sao Paulo ◽  
Clinical Aspects ◽  
São Paulo ◽  
Fishing Community ◽  
Yellow Catfish ◽  
Work Related ◽  
Folk Remedies ◽  
Pimelodus Maculatus

INTRODUCTION: Accidents caused by fish are common in inland fishing communities in Brazil, being work-related injuries in the majority of cases. These populations have no information on the mechanisms of trauma or envenoming. METHODS: Through a questionnaire administered to fishermen, we obtained clinical and epidemiological data on accidents in Rosana, Pontal do Paranapanema, State of São Paulo, Brazil. These data were analyzed and converted into an easily understood prevention and treatment program for the colony. RESULTS: Thirty-nine fishermen replied to the survey. All of the patients had been hurt by fish. Of those mentioned, the yellow catfish (Pimelodus maculatus) was the main fish species associated with injuries, but others also caused trauma to the fishermen. Six fishermen had been envenomed by stingrays. Pain and ulcers were the main symptoms and were described as intolerable. Approximately half of those injured were treated using traditional folk remedies. CONCLUSIONS: The fishermen suffered multiple accidents with catfish, which are venomous and cause intense pain, as well as trauma due to other fish, such as surubins, traíras, freshwater croakers, and piranhas. Approximately 16% of those interviewed presented with envenomation from stingrays. Our data and previous experience in the area led to the creation of a pamphlet with clear language that can effectively help fishermen in the region, an area in need of health services and disease prevention. This initiative also applies to the whole La Plata River basin, which has similar fauna.

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