Resumo Tendo em vista a relevância do impacto da pandemia de covid-19, este ensaio estabelece como reflexão o racismo ambiental e a saúde no estado do Piauí, no sentido de contribuir para o efetivo desenvolvimento de informações que possam servir de diretrizes para ações de prevenção mais eficazes. Visamos compreender o racismo ambiental como processo relacionado às desigualdades, mas, também, na operatória da política pública de definir os grupos prioritários para a manutenção de sua saúde, além de colocar em questão quais estratégias devem ser construídas para garantir a saúde desses grupos vulneráveis. Assim, a quebra dessa realidade para que sejam alcançados benefícios deve acontecer a partir da mudança de postura do Estado e da sociedade como um todo.
included 37 patients, 33 with chronic migraine and 4 with episodic. 81% were women, with an average age of 51±9 years, 13 received erenumab, 20 fremanezumab and 4 galcanezumab. Erenumab reduced the number of headache days by an average of 18 days in 7 patients, and the number of attacks halved in 8 and the consumption of symptomatic medication in 7. Only 14 patients with fremanezumab reached 12 weeks of therapy, 13 decreased the number of migraine days/month by an average of 11 days, 3 reduced the number of attacks by half, and 5 the consumption of symptomatic medication. Only 2 of 4 patients treated with galcanezumab decreased the number of days of migraine an average of 16 days, halved the number of attacks and the consumption of symptomatic medication. Treatment was discontinued for ineffectiveness in 12 patients (7 with erenumab, 3 with fremanezumab and 2 with galcanezumab). The most frequent adverse effects common to the three mAb were constipation and administration-related reactions. Erenumab also produced paresthesia (23%) and asthenia (8%). Conclusion and relevanceTaking into account that the number of patients was similar in both groups, fremanezumab has a better clinical benefit in reducing the number of days of migraine, and erenumab in reducing the number of attacks by half, and decrease the consumption of symptomatic medication, being generally well-tolerated drugs.
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