OBJECTIVE:To analyze the association between patients with diabetes mellitus and the increased severity and its complications that arise with a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.METHODS: This is a complementary review of literature in which 14 articles published in 2020 were selected. These reviewed articles were written in both Portuguese and English available in the SciELO and PubMed databases. This review also involved searching on websites of international and national organizations in order to gather information published by these bodies about diabetic population and coronavirus disease (COVID-19)-infected individuals. DISCUSSION:The presence of comorbidities in SARS-CoV-2-infected individuals causes an increase in the expression level of angiotensinconverting enzyme 2, facilitating the entry of the virus into the cell. Diabetes causes metabolic and vascular changes, thus weakening the immune system through the inhibition of the innate immune system and the secretion of various inflammatory cytokines. This hyperinflammation can lead to multiple organ failure. The interaction between this comorbidity and COVID-19 can worsen preexisting diabetes or predispose the onset of diabetes in non-diabetic individuals. CONCLUSIONS: Diabetes mellitus is related to the increased severity and complications of COVID-19. The association between diabetes and COVID-19 creates a devastating double pandemic, as it worsens the prognosis of COVID-19.
ARTIGO ORIGINAL Violência contra a mulher em tempos de COVID-19: o papel do médicoViolence against women in times of COVID-19: the role of the doctor Violencia contra la mujer en tiempos del COVID-19: el papel del médico ResumoMétodo: Pesquisa documental realizada em documentos oficiais e auxílio de literatura científica acessória atual sobre o papel do médico em meio ao aumento da violência contra a mulher durante o isolamento social. Objetivo: Analisar com base em documentos oficiais o papel do médico frente a violência doméstica no distanciamento social. Discussão: Foi observado que grande parte dessas mulheres não têm o auxílio correto por parte dos profissionais de saúde. A falta de sensibilidade e experiência da equipe para com esse tipo de circunstância, prejudica toda a dinâmica desse atendimento, e faz com que essa paciente continue sofrendo por falta acolhimento do serviço de saúde. Por este motivo, além de praticar medidas já existentes é função do médico auxiliar e informá-la de maneira efetiva sobre ações que a ajudem a sair da situação em segurança. Conclusão: Apesar do médico ter um papel essencial, a violência doméstica é um problema de diversas esferas e deve contar com ajuda de toda sociedade. Práticas educativas e um olhar mais atento a essas vítimas já era necessário, e agora com o seu cárcere se faz imprescindível.
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