Approximately half of all women stopped smoking during pregnancy and, among these, approximately one third continued to abstain 4 years after delivery. The high proportion of relapse may be attributable to poor awareness or skepticism regarding the adverse effects of secondhand smoke on children or physiological and psychological dependence on nicotine.
Background and purpose: COVID-19-related acute neurological phenotypes are being increasingly recognised, with neurological complications reported in more than 30% of hospitalised patients. However, multicentric studies providing a population-based perspective are lacking. Methods:We conducted a retrospective multicentric study at five hospitals in Northern Portugal, representing 45.1% of all hospitalised patients in this region, between 1 March and 30 June 2020.Results: Among 1261 hospitalised COVID-19 patients, 457 (36.2%) presented neurological manifestations, corresponding to a rate of 357 per 1000 in the North Region. Patients with neurologic manifestations were younger (68.0 vs. 71.2 years, p = 0.002), and the most frequent neurological symptoms were headache (13.4%), delirium (10.1%), and impairment of consciousness (9.7%). Acute well-defined central nervous system (CNS) involvement was found in 19.1% of patients, corresponding to a rate of 217 per 1000 hospitalised patients in the whole region. Assuming that all patients with severe neurological events were hospitalised, we extrapolated our results to all COVID-19 patients in the region, estimating that 116 will have a severe neurological event, corresponding to a rate of nine per 1000 (95% CI = 7-11). Overall case fatality in patients presenting neurological manifestations was 19.8%, increasing to 32.6% among those with acute well-defined CNS involvement. Conclusions:We characterised the population of hospitalised COVID-19 patients in Northern Portugal and found that neurological symptoms are common and associated with a high degree of disability at discharge. CNS involvement with criteria for in-hospital admission was observed in a significant proportion of patients. This knowledge provides the tools for adequate health planning and for improving COVID-19 multidisciplinary patient care.
No presente artigo tivemos como objetivo realizar uma revisão bibliográfica elencando as produções científicas que tratam sobre a aproximação entre a Educação e a Tecnologia. Acreditamos que esse trabalho pode auxiliar aos pesquisadores iniciantes no tema e organizar a produção de um período, fornecendo um panorama dos assuntos pesquisados e evidenciando lacunas. Para realizar a coleta de dados dessa revisão bibliográfica, buscamos somente artigos completos no Portal de Periódicos Capes que deveriam ser publicados entre os anos de 2017 e 2022. Foram excluídos textos em língua estrangeira, que não fossem disponibilizados na íntegra de forma gratuita, que fossem revisões de literatura e que não fossem de periódicos revisados por pares. Como resultados ressaltamos a preocupação recorrente nos artigos: a implementação das tecnologias nos processos de ensino e aprendizagem. Isso pode ocorrer devido a essa aproximação ainda ser recente, denotando a necessidade de aprofundar a compreensão dos contextos educacionais e propor soluções. Os indivíduos que fazem parte desses processos também são preocupação das produções, que destacam a mudança nos papéis de professor, que atua como um mediador e não mais como a fonte de conhecimento, e de alunos, que devem desenvolver o senso crítico e a autonomia. O caminho a ser traçado para que a tecnologia não seja somente uma presença na sala de aula, sem fazer parte do planejamento e auxiliar os objetivos educacionais, ainda necessita ser percorrido sanando problemas que se apresentam nos campos material, de recursos humanos e institucional. Palavras-chave: Tecnologia. Educação. Pesquisa.
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