As preocupações com o meio ambiente em particular com a água, adquirem especial importância, porque as demandas estão se tornando cada vez maiores, sob o aspecto crescente da população e das atividades industriais. Quando se fala em água subterrânea, a primeira ideia que surge é que ela seja potável. Mas nem sempre isso é uma verdade. Em área urbana, os crescentes números de problemas devido a contaminação, na maioria das vezes por vazamentos de combustíveis oriundos dos tanques de armazenamento dos postos de gasolina. Sem falar nas indústrias que também oferecem potencial risco de contaminação para esses corpos hídricos e são pouco divulgadas. O presente trabalho tem como foco determinar os compostos clorobenzenos por cromatografia de fase gasosa com headspace (CG-HS) em matriz água e validar a metodologia. A metodologia usada neste estudo foi cromatografia de fase gasosa com headspace (CG HS), por ser uma técnica excelente e sensível e é utilizada para determinar compostos voláteis em baixas concentrações. Os dados obtidos foram tratados estatisticamente de modo avaliar a seletividade, os limites de detecção e quantificação, a faixa linear de trabalho, a linearidade e a recuperação. As recuperações variam de 80 a 110%, os coeficientes de variação obtidos foram menor que 20%, todas as substâncias estudadas apresentaram linearidade na faixa de trabalho de 0,8 a 100g.L-1. Foram estudadas 10 amostras de água subterrânea do Município do Rio de Janeiro e nas amostras analisadas foram encontrados todos os compostos em estudo, com faixa de concentração: monoclorobenzeno (<0,8 a 2,988g.L-1); 1,3-diclorobenzeno (<0,8 a 23,067g.L-1); 1,4-diclorobenzeno (nd a 16,160g.L-1); 1,2-diclorobenzeno (<0,8 a 48,685g.L-1); 1,3,5-triclorobenzeno (<0,8 a 21,900g.L-1); 1,2,4-triclorobenzeno (1,007 a 183,808g.L-1) e 1,2,3-triclorobenzeno (<0,8 a 126,886g.L-1) / The concerns with the environment, in particular with water, acquire special importance, because the demands become ever higher, under the growth of the population and industrial activities aspects. When speaking about underground water, the first notion that comes to mind is that it is potable water. But thats not always a true. In urban areas, the increasing numbers of problems due to contamination, is caused, most of time, by leaking gas tanks of gas stations. Not to mention industries that also offer the potential risk of contamination of these water bodies and that less divulged. The present work is focused in determining chlorobenzenes by headspace gas chromatography (HS-GC) in the water and validating its methodology. The methodology used in this work was headspace gas chromatography (HS-CG), because of its excellence technique and sensitive, applied for determining low concentrations volatile compounds. The data was statistically treated so to evaluate the selectivity, quantitation and detection limits, work range linearity, linearity and recovery. The recoveries vary between 80 to 110%, the variation obtained were less than 20%, all compounds present linearity in the work range 0,8 of 100g.L-1. . Ten samples of underground water of Rio de Janeiro were tested, and all the samples contained the studied compounds, as and range concentration: chlorobenzene (<0,8 a 2,988g.L-1), 1,3-dichlorobenzene (<0,8 a 23,067g.L-1), 1,4-dichlorobenzene (nd a 16,160g.L-1), 1,2-dichlorobenzene (<0,8 a 48,685g.L-1), 1,3,5-trichlorobenzene (<0,8 a 21,900g.L-1), 1,2,4-trichlorobenzene (1,007 a 183,808g.L-1) and 1,2,3-trichlorobenzene (<0,8 a 126,886g.L-1)

Muitos dos locais onde as atividades são realizadas nas academias de ginásticas são salas pequenas e fechadas com sistema de climatização artificial, freqüentados por um grande número de alunos realizando seus exercícios e profissionais auxiliando as atividades. Com isso, há uma intensa transpiração desses indivíduos, uma freqüente rotina de limpeza do piso e de equipamentos com pequenos intervalos, possibilitando a alterações da qualidade do ar indoor. O presente trabalho busca mostrar as tendências de variações nos valores das concentrações dos poluentes atmosféricos BTEX em ambiente indoor, especificamente na sala de spinning de uma academia de ginástica do Rio de Janeiro. Para o monitoramento da qualidade do ar foram utilizados cartuchos de carvão ativado SKC, acoplado a uma bomba KNF com vazão de 1l min. Para a extração de cada amostra foi feita a análise cromatográfica com cromatógrafo a gás modelo 6890 acoplado a um espectrômetro de massa modelo 5973 da marca Agilent. Foram analisadas 34 amostras coletadas na salas de spinning durante as aulas com atividades aeróbicas, o que intensificava a respiração dos indivíduos, possibilitando uma maior inalação destes COVs. Em contrapartida, também foram coletadas 5 amostras outdoor, 4 delas pareadas indoor/ outdoor para uma análise comparativa das concentrações destes poluentes. Dentre os compostos orgânicos voláteis analisados, o tolueno é o BTEX mais abundante obtido neste trabalho, representando 81% destes COVs indoor. Todas as amostras medidas em pares indoor/ outdoor tiveram concentrações maiores no interior, exceto para o benzeno no dia 3/12/2010. Simples atividades usualmente realizadas pelo homem, como a inserção de piso emborrachado, manutenção do sistema de climatização artificial, e limpeza podem alterar o ar indoor. As conclusões alcançadas após as medições das concentrações de BTEX foram de que o ar indoor estava mais poluído do que o outdoor. Este monitoramento da qualidade do ar indoor ainda é escasso no Brasil. Alguns esforços tem sido feito em relação a ambientes confinados como a Portaria n&#730;3523 do Ministério da Saúde, regulamentando o controle dos ambientes climatizados e a Resolução n&#730;9 da Agência Nacional de Vigilância Sanitária, além da Resolução CONAMA n &#730;3 estabelecendo padrões de qualidade do ar para alguns compostos químicos, porém muitos compostos químicos ainda não são legislados ou não possuem a devida atenção, não sendo suficientes para contemplar a complexidade do assunto / In many gyms work-out activities take place in small enclosed rooms where the climate is controlled artificially. Normally, those rooms are full of students doing their workout and trainers helping them. Intense human transpiration requires a frequent floor and equipment cleaning routine. This routine, performed at short intervals can affect the indoor air quality. This study is aimed at showing varying concentration levels of the BTEX air pollutant at a gym in Rio de Janeiro, Brazil, specifically the spinning room. To monitor the air quality, activated charcoal cartridges (SKC) were used, coupled to a KNF pump with a flow rate of 1l min. For the extraction of each sample, a gas chromatographic analysis machine model 6890 was used coupled to an Agilent mass spectrometer model 5973. We analyzed a total of 34 air samples collected in the spinning room during active aerobic classes; the increased respiration from the subjects allow for a greater inhalation of VOCs. In Contrast, five samples were also collected outdoors; four of them were paired indoor / outdoor for comparative analysis of these pollutants. Among the volatile organic compounds analyzed, toluene was the most abundant BTEX found in this study, representing 81% of indoor VOCs. In all the indoor / outdoor paired samples, the concentration was higher in the interior samples, with one exception, benzene on 3/12/2010. Simple changes that can easily be done by man, such as the installation of rubberized flooring, regular maintenance of the air acclimatization equipment, and general cleanliness can greatly affect the indoor air quality. The conclusion achieved after looking at the BTEX measurements was that the indoor air was more polluted than the air outdoors. This air quality monitoring is still scarce in Brazil. Some efforts have been made in relation to confined spaces such as Ordinance n&#730; 3523 from the Ministry of Health, which regulates the air of air-conditioned environments and Resolution n&#730; 9 of the National Agency for Sanitary Vigilance, as well as Resolution CONAMA n&#730; 3 by setting standards for air quality for some chemical compounds, unfortunately many chemical compounds are not yet legislated or receive proper attention in this matter, therefore not giving this indoor air pollution matter enough grounds to address the complexity of the subject

Muitos dos locais onde as atividades são realizadas nas academias de ginásticas são salas pequenas e fechadas com sistema de climatização artificial, freqüentados por um grande número de alunos realizando seus exercícios e profissionais auxiliando as atividades. Com isso, há uma intensa transpiração desses indivíduos, uma freqüente rotina de limpeza do piso e de equipamentos com pequenos intervalos, possibilitando a alterações da qualidade do ar indoor. O presente trabalho busca mostrar as tendências de variações nos valores das concentrações dos poluentes atmosféricos BTEX em ambiente indoor, especificamente na sala de spinning de uma academia de ginástica do Rio de Janeiro. Para o monitoramento da qualidade do ar foram utilizados cartuchos de carvão ativado SKC, acoplado a uma bomba KNF com vazão de 1l min. Para a extração de cada amostra foi feita a análise cromatográfica com cromatógrafo a gás modelo 6890 acoplado a um espectrômetro de massa modelo 5973 da marca Agilent. Foram analisadas 34 amostras coletadas na salas de spinning durante as aulas com atividades aeróbicas, o que intensificava a respiração dos indivíduos, possibilitando uma maior inalação destes COVs. Em contrapartida, também foram coletadas 5 amostras outdoor, 4 delas pareadas indoor/ outdoor para uma análise comparativa das concentrações destes poluentes. Dentre os compostos orgânicos voláteis analisados, o tolueno é o BTEX mais abundante obtido neste trabalho, representando 81% destes COVs indoor. Todas as amostras medidas em pares indoor/ outdoor tiveram concentrações maiores no interior, exceto para o benzeno no dia 3/12/2010. Simples atividades usualmente realizadas pelo homem, como a inserção de piso emborrachado, manutenção do sistema de climatização artificial, e limpeza podem alterar o ar indoor. As conclusões alcançadas após as medições das concentrações de BTEX foram de que o ar indoor estava mais poluído do que o outdoor. Este monitoramento da qualidade do ar indoor ainda é escasso no Brasil. Alguns esforços tem sido feito em relação a ambientes confinados como a Portaria n&#730;3523 do Ministério da Saúde, regulamentando o controle dos ambientes climatizados e a Resolução n&#730;9 da Agência Nacional de Vigilância Sanitária, além da Resolução CONAMA n &#730;3 estabelecendo padrões de qualidade do ar para alguns compostos químicos, porém muitos compostos químicos ainda não são legislados ou não possuem a devida atenção, não sendo suficientes para contemplar a complexidade do assunto / In many gyms work-out activities take place in small enclosed rooms where the climate is controlled artificially. Normally, those rooms are full of students doing their workout and trainers helping them. Intense human transpiration requires a frequent floor and equipment cleaning routine. This routine, performed at short intervals can affect the indoor air quality. This study is aimed at showing varying concentration levels of the BTEX air pollutant at a gym in Rio de Janeiro, Brazil, specifically the spinning room. To monitor the air quality, activated charcoal cartridges (SKC) were used, coupled to a KNF pump with a flow rate of 1l min. For the extraction of each sample, a gas chromatographic analysis machine model 6890 was used coupled to an Agilent mass spectrometer model 5973. We analyzed a total of 34 air samples collected in the spinning room during active aerobic classes; the increased respiration from the subjects allow for a greater inhalation of VOCs. In Contrast, five samples were also collected outdoors; four of them were paired indoor / outdoor for comparative analysis of these pollutants. Among the volatile organic compounds analyzed, toluene was the most abundant BTEX found in this study, representing 81% of indoor VOCs. In all the indoor / outdoor paired samples, the concentration was higher in the interior samples, with one exception, benzene on 3/12/2010. Simple changes that can easily be done by man, such as the installation of rubberized flooring, regular maintenance of the air acclimatization equipment, and general cleanliness can greatly affect the indoor air quality. The conclusion achieved after looking at the BTEX measurements was that the indoor air was more polluted than the air outdoors. This air quality monitoring is still scarce in Brazil. Some efforts have been made in relation to confined spaces such as Ordinance n&#730; 3523 from the Ministry of Health, which regulates the air of air-conditioned environments and Resolution n&#730; 9 of the National Agency for Sanitary Vigilance, as well as Resolution CONAMA n&#730; 3 by setting standards for air quality for some chemical compounds, unfortunately many chemical compounds are not yet legislated or receive proper attention in this matter, therefore not giving this indoor air pollution matter enough grounds to address the complexity of the subject

Cette thèse porte sur le développement d’un procédé industriel propre constitué par un couplage absorption-distillation, destiné aux traitements d’effluents gazeux chargés par un Composé Organique Volatil (COV). L’absorption est effectuée dans un microabsorbeur à film tombant. La première étape de ce travail consiste à caractériser le transfert de matière dans cet appareil, lors de l’absorption gaz/liquide du Perchloroéthylène (PCE) par le Di(2-EthylHexyl)Adipate (DEHA). Les expériences ont montré la faisabilité et l’intérêt de cette opération dans un micro-contacteur. En effet, les efficacités d’épuration obtenues sont comparables à celles des procédés classiques (jusqu’à 97%) et les quantités de solvant d’absorption utilisées sont très faibles. Une étude paramétrique a révélé une intensification significative du transfert de matière, côté gaz, et un gain en compacité, à la suite de la minimisation de l’épaisseur de la veine de gaz (2mm) et du débit de la phase gazeuse. Cette étude a également montré la limite du microabsorbeur à traiter de grands débits de gaz avec de bonnes efficacités, causée par la faible influence qu’exerce la vitesse du gaz sur le coefficient de transfert de matière. Ce comportement a été expliqué, grâce à des simulations en 2D, par une dispersion importante des profils de concentration indiquant une limitation diffusionnelle. Cette dernière provient essentiellement du régime laminaire lisse et de la petite taille caractérisant ce type de micro-procédé. Pour s’affranchir de cette limitation, la turbulence doit être favorisée dans le gaz. La deuxième étape de ce travail concerne l’extrapolation du microabsorbeur de laboratoire à l’échelle industrielle des PME/PMI, basée sur le concept du numbering-up. A l’issu des calculs, un absorbeur microstructuré efficace (95%), et compact (surface occupée ˜ 0,5m2) a été développé. Pour rentabiliser son fonctionnement, un recyclage par distillation flash du solvant d’absorption a été étudié. Les résultats obtenus ouvrent la voie sur une technique d’épuration prometteuse, qui nécessite néanmoins une validation théorique et expérimentale du couplage absorbeur-distillateur / This project focuses on the development of an industrial process, in which a coupled absorption/distillation unit is developed to treat gaseous effluents contaminated by a Volatile Organic Compound (VOC). Absorption is performed in a falling film microabsorber. The first stage of this work consists in characterizing the mass transfer in this device. The gas/liquid absorption of Perchloroethylene (PCE) by Di (2-EthylHexyl) Adipate (DEHA) is used as test case. Experiments showed the feasibility and the benefit of this separation process operated in a micro-contactor. Indeed, the purification efficiencies obtained are comparable to those of conventional processes (97%). Moreover, the required absorption solvent quantities are very low. A parametric study revealed significant mass transfer intensification on gas side and a gain in compactness due to the minimization of gas cavity thickness (2mm) and gas flowrate. This study also showed the limits of microabsorbers to handle large gas flowrates with good efficiencies, due to a low influence of gas velocity on the mass transfer coefficient. This behaviour was explained, thanks to 2D simulations, by a significant dispersion of concentration profiles, which indicates a diffusion limitation. The latter comes mainly from smooth laminar flow and the small size, a typical characteristic of micro-processes. To overcome this limitation, turbulence should be promoted in the gas. The second stage of this work concerns the microabsorber extrapolation from laboratory scale to industrial SMEs, based on the numbering-up concept. Calculations predict high throughputs with a microstructured absorber of competitive efficiency (95%) and high compactness (area occupied ˜ 0.5 m2). For profitable operation, solvent absorption recycling by a flash distillation is studied. The results lead to a promising treatment technique, which still requires a theoretical and experimental validation of the coupled absorber-distiller unit

La pollution atmosphérique résulte d’un mélange complexe de composés, des gaz et des particules, dont les effets sont notoirement néfastes. Les composés organiques volatils (COV) tiennent un rôle prépondérant dans la chimie atmosphérique et sont précurseurs d’ozone et d’aérosols organiques secondaires (AOS). En Île-de-France, l’exposition à la pollution est préoccupante ; or, des incertitudes significatives sont toujours associées aux sources de polluants, ainsi qu’à leur intensité et leurs variabilités à différentes échelles de temps et très peu d’investigations ont porté sur la quantification de l’exposition individuelle. Dans ce contexte, cette thèse a cherché à mieux caractériser les variabilités temporelle et spatiale de la pollution en Île-de-France.La fiabilité discutable des capteurs portables a été dépassée par l’élaboration d’un protocole de sélection et de qualification comprenant différents tests en mesures fixes, en chambre et en mobilité. Cette nouvelle méthodologie, basée notamment sur l’utilisation d’un outil combinant différents indicateurs statistiques, a été appliquée pour retenir l’AE51, le Cairclip et le Canarin, mesurant respectivement le carbone suie (BC), le dioxyde d’azote (NO2) et les particules (PM).Ces trois capteurs ont été déployés au cours de campagnes de mesures impliquant une trentaine de volontaires. L’exposition individuelle ainsi quantifiée est plus élevée à l’automne qu’au printemps et varie de manière substantielle en fonction des différents environnements fréquentés. La proximité de la circulation routière (pour le BC et le NO2) ainsi que les activités de cuisine et la fumée de tabac (pour les PM) présentent des contributions importantes à l’exposition totale (jusqu’à 34 %, 26 % et 44 % respectivement), alors même que le temps passé dans ces environnements est faible.En plus du trafic routier, le BC est traditionnellement imputé au feu de bois. Une campagne hivernale de mesures (3,5 mois) a permis d’imputer respectivement 22 % et 47 % des COV mesurés à ces deux sources. Certains composés ont été mesurés et associés au feu de bois pour la première fois en air ambiant comme le benzènediol et le méthylbutènone. Une comparaison avec l’inventaire régional des émissions a permis d’identifier des similitudes et des différences pour proposer des améliorations. / Air pollution results from a complex mixture of compounds, gases and particulate matter, whose effects have proven to be harmful. Volatile organic compounds (VOCs) play a major role in atmospheric chemistry and are precursors of ozone and secondary organic aerosols (SOAs). In Île-de-France, exposure to pollution is a concern; however, significant uncertainties are still associated with the pollutants’ sources, as well as their intensity and variability at different time scales, and very few investigations have focused on quantifying personal exposure. In this context, this research sought to better characterize the temporal and spatial variabilities of pollution in Île-de-France.The questionable reliability of portable sensors has been addressed by the design of a selection and qualification protocol including various tests in static measurements, controlled chamber and mobility. This new methodology, based in particular on the use of a tool combining different statistical indicators, was applied to choose the AE51, Cairclip and Canarin, measuring black carbon (BC), nitrogen dioxide (NO2) and particulate matter (PM) respectively.These three sensors were deployed during measurement campaigns involving about thirty volunteers. The personal exposure thus quantified is higher in fall than in spring and varies substantially according to the different environments frequented. Proximity to road traffic (for BC and NO2) as well as cooking activities and tobacco smoke (for PM) make significant contributions to total exposure (up to 34 %, 26 % and 44 % respectively), even though the time spent in these environments is short.In addition to road traffic, BC is traditionally attributed to wood burning. A winter measurement campaign (3.5 months) attributed respectively 22 % and 47 % of the measured VOCs to these two sources. Compounds including benzenediol and methylbuteone were measured and associated with wood burning for the first time in ambient air. A comparison with the regional emissions inventory identified similarities as well as differences and suggested improvements.

Introducción. La pandemia por coronavirus 2019 (COVID-19) se ha extendido en más de 100 países. La información específica sobre su comportamiento en el embarazo y parto sigue siendo limitada. Objetivo. Describir las características materno perinatales de pacientes gestantes con COVID-19 en un hospital terciario. Métodos. Estudio descriptivo. Se seleccionó todas las gestantes hospitalizadas por el servicio de emergencia de gineco-obstetricia entre el 24 de marzo y el 07 de mayo del 2020 y que tuvieron diagnóstico de infección por SARS-CoV-2, mediante la prueba rápida o la prueba RT-PCR. Se revisó la historia clínica y registros hospitalarios buscando variables sociodemográficas, antecedentes, manifestaciones clínicas, serología materna, complicaciones obstétricas, vía de parto y aspectos perinatales. Resultados. Se encontró 41 casos de pacientes con diagnóstico de SARS-CoV-2. Un 9,2% tuvo resultado de prueba rápida positiva, Los síntomas más comunes fueron tos en 84,6%, fiebre en 76,9% y dolor de garganta en 61,5%. Un 68.2% estuvo asintomática, 19,5% tuvo enfermedad leve y 7,3% moderada. Dos casos de neumonía severa requirieron ventilación no invasiva. No se registró muerte materna. 21,7% de los partos fue vía vaginal y 78,3% por cesárea. Hubo un caso de neonato por parto vaginal con PCR positivo al octavo día de vida. Conclusiones. Hubo un alto porcentaje de pacientes gestantes PCR positivas asintomáticas. Es necesario implementar el tamizaje universal en parturientas en el protocolo de flujo de gestantes en cada institución. / Introduction: The pandemic of coronavirus disease 2019 (COVID-19) has spread to more than 100 countries. Specific information about its behavior in pregnancy is still limited. Objective: To describe the maternal and perinatal characteristics of pregnant patients infected with COVID-19 and their newborns in a tertiary referral hospital. Methods: Descriptive study. Subjects were all pregnant patients admitted to the OB/ GYN Emergency Department of the Edgardo Rebagliati Martins National Hospital from March 24 to May 7, 2020, who were diagnosed with SARS-CoV-2 infection by rapid test or by RT-PCR test. Medical and hospital records were reviewed to retrieve sociodemographic data, patient’s history, clinical manifestations, maternal serology, obstetric complications, delivery mode and perinatal aspects. Results: 41 patients diagnosed with SARS-CoV-2 were identified. 9.2% of all admissions had a positive rapid test. The most common symptoms were cough in 84.6%, fever in 76.9% and sore throat in 61.5%. 68.2% of the patients were asymptomatic, 19.5% had mild illness and 7.3 %, moderate. 2 cases progressed to severe pneumonia requiring non-invasive ventilation. No maternal deaths were recorded. 21.7% were vaginal deliveries, while 78.3% were C-sections. One baby born in a vaginal delivery had a positive PCR result on day 8. Conclusions: A large percentage of asymptomatic pregnant patients had a positive PCR test. Implementing universal screening among patients in l flow protocol is necessary for all institutions.

Se reporta el caso de un varón de 62 años quien presentó tos y dolor abdominal por dos semanas, con hallazgos tomográficos pulmonares compatibles con probable infección por SARS-CoV-2, que recibió tempranamente corticoterapia a dosis altas y de manera ambulatoria. El paciente presentó evolución tórpida, fue hospitalizado y falleció en el posoperatorio inmediato por un cuadro de abdomen agudo quirúrgico. El estudio anatomopatológico mostró estructuras parasitarias con características compatibles con amebas, como causa de una colitis aguda fulminante complicada, con perforación múltiple y peritonitis aguda. La colitis aguda fulminante por amebiasis intestinal en el contexto de un paciente con probable COVID-19 no había sido reportada en el Perú. Resulta importante resaltar la presentación fulminante con desenlace fatal de esta infección parasitaria prevalente en nuestro medio, en el contexto del uso de corticoides ante una probable infección pulmonar por COVID-19. / We report the case of a 62-year-old male with cough and abdominal pain for two weeks, associated with pulmonary tomographic findings compatible with probable infection by SARS-CoV-2, and who received high doses of early corticotherapy as an outpatient. The patient showed clinical deterioration, was hospitalized and died in the immediate postoperative period due to acute surgical abdomen. The anatomopathological study showed parasitic structures with characteristics compatible with amebae, which was pointed to as the cause of a complicated acute fulminant colitis, with multiple perforations and acute peritonitis. Acute fulminant colitis due to intestinal amebiasis in the context of a patient with probable COVID-19 had not been previously reported in Peru. It is important to highlight the fulminant presentation with fatal outcome of this prevalent parasitic infection, in the context of corticosteroids use in a probable SARS-CoV-2 pulmonary infection.

SARS-CoV-2 började cirkulera i slutet av 2019 och ungefär tre månader senare klassades utbrottet som en pandemi. Idag, ungefär ett och ett halvt år efter virusutbrottet kämpar människor i hela världen fortfarande för att ta sig ur kriserna som pandemin orsakar. Trots stora forskningsinsatser är det ännu mycket som är ovisst kring virusets uppkomst. Olika teorier försöker bevisas men till dagens datum är det inte bekräftat var SARS-CoV-2 har sitt ursprung. Det verkar troligt att SARS-CoV-2 har en gemensam förfader med β-coronaviruset RaTG13. Det är sannolikt att fladdermus tillsammans med minst en mellanvärd har varit inblandad i uppkomsten av viruset. Viruset har gett upphov till flera varianter som spridit ut sig i världen. Globalt samarbete med övervakning av mutationer och varianter är viktigt för hur utvecklingen av pandemin ska fortgå. Med SARS-CoV-2 och Covid-19-pandemin som utgångspunkt analyseras möjligheter och utmaningar med undervisning i gymnasieskolan om aktuella stora händelser. / The outbreak of SARS-CoV-2 occurred at the end of 2019 and three months later, it was declared as a pandemic. Today, roughly one and a half years later, people across the world are still struggling to get out of the crises caused by the pandemic. Despite the huge efforts within science, much is still uncertain about the virus’ origin. Different theories are trying to be proven by scientists but to date, there is no confirmation from where the virus has its origin, nor whether one or several intermediate hosts have been involved. It seems likely that SARS- CoV-2 has a common ancestor with the bat β-coronavirus RaTG13. Therefore, it is probable that bats with at least one other intermediate host have been involved in the origin of the virus. Several variants have emerged and spread throughout the world. Global cooperation in regards of surveilling mutations and variants is of great importance regarding the development of the pandemic. Using SARS-CoV-2 and the Covid-19 pandemic as a focal point, there is an analysis showing opportunities and challenges when teaching big contemporary events.

Self-medication impacts both negatively and positively the health of people, which has become evident during the COVID-19 pandemic. The study aimed to assess the prevalence of self-medicated drugs used for respiratory symptoms, as COVID-19 preventive, for its symptoms or once tested positive. To determine the perception of symptom relief and demographic variables that promote self-medication in Peru. We performed a cross-sectional, analytical, multicenter study in 3792 study respondents on the use, the reason for use, and perception of relief after the use of six drugs during the quarantine period. An online questionnaire was developed, pretested and submitted to the general public. Multivariable logistic regression was used to ascertain factors that influence an individual's desire to self-medicate, associations were considered significant at p < 0.05 and using region (coast, mountain and jungle) as cluster group. The majority of respondents self-medicated with acetaminophen for respiratory symptoms and mainly because they had a cold or flu. It was observed that all the surveyed drugs (acetaminophen, ibuprofen, azithromycin, penicillin, antiretrovirals and hydroxychloroquine) were consumed for various symptoms including: fever, fatigue, cough, sneezing, muscle pain, nasal congestion, sore throat, headache and breathing difficulty. Over 90% of respondents perceived relief of at least one symptom. Multivariable logistic regression showed that older people have a higher frequency of antiretroviral self-medication, respondents who currently have a job had a higher frequency of penicillin self-medication, and that respondents from the Andes consumed less acetaminophen, while the ones from the rainforest consumed it more. There were significant percentages of self-medication, including drugs without sufficient scientific evidence. Age, region where one lived and job status were variables associated with self-medication frequency. Continuous awareness and sensitization about the risks of self-medication are warranted. / Revisión por pares

Objetivo: Describir las características demográficas, clínicas, laboratoriales y de tratamiento de pacientes hospitalizados por la COVID-19 y determinar los factores de riesgo de mortalidad hospitalaria. Materiales y métodos: Estudio de cohorte retrospectivo de pacientes adultos hospitalizados por la COVID-19. Se extrajeron datos demográficos, clínicos, laboratoriales y de tratamiento de las historias clínicas de pacientes que ingresaron al Hospital III Daniel Alcides Carrión de Tacna. Para el análisis de supervivencia se empleó el modelo de riesgos proporcionales de Cox y se calcularon los cocientes de riesgo instantáneos (HR) crudos y ajustados con sus respectivos intervalos de confianza al 95% (IC 95%). Resultados: Se evaluó a 351 pacientes, el 74,1% eran hombres; las comorbilidades más comunes fueron obesidad (31,6%), hipertensión (27,1%) y diabetes mellitus (24,5%). La mediana de tiempo de hospitalización fue 8 días (RIC: 4-15). El 32,9% falleció durante el seguimiento. El análisis multivariado mostró un aumento del riesgo de morir asociado a la edad ≥65 años, HR = 3,55 (IC 95%: 1,70-7,40); al incremento de lactato deshidrogenasa >720 U/L, HR = 2,08 (IC 95%: 1,34-3,22); y a la saturación de oxígeno por debajo del 90%, principalmente cuando fue menor al 80%, HR = 4,07 (IC 95%: 2,10-7,88). Además, el uso de colchicina en el tratamiento tuvo un efecto protector, HR = 0,46 (IC 95%: 0,23-0,91). Conclusiones: Los factores de riesgo de muerte por la COVID-19 incluyeron ser mayor de 65 años, tener saturación de oxígeno menor de 90% y elevación del lactato deshidrogenasa >720 U/L; el tratamiento con colchicina podría mejorar el pronóstico de los pacientes.