Background The impact of the COVID pandemic on liver transplant (LT) programs varied among countries. Few data are available about that impact in pediatric liver transplant (PLT) programs. This study aimed at comparing the data of our program in Brazil (2019 vs. 2020). Methods Retrospective cohort study. Results One hundred and seventy‐four PLT were performed in the period (93% living donors). Patients were divided into two groups according to the LT date: pre‐COVID‐19 period (march/2019–February/2020) and COVID‐19 period (March/2020–February 2021). In the pre‐COVID‐19 period, 97 LTs were performed, and 77 LTs were performed in the COVID‐19 period. Patients in the COVID‐19 period were younger (10.9 months vs. 16 months, p 0.009), had higher PELD scores (15 vs. 14, p 0.04), more ascites (66.2 vs. 51.5%, p 0.03), and more frequently hospitalized before LT (27.3 vs. 17.5%). However, there was no difference in post‐LT complications, retransplantation nor survival rates. Six (6.2%) patients from pre‐COVID‐19 period were COVID positive at a median of 15.5 months (14–17.5), and 6 (7.8%) patients from COVID‐19 period were COVID positive at a median of 3 months (20 days–6 months) from LT. There was neither mortality nor complications in those patients. Four (33%) were hospitalized, and one had prolonged intubation. Four (33%) were asymptomatic, 4 (33%) had upper airways symptoms, and the remaining had gastrointestinal symptoms. Conclusion Overall, PLT was not affected during COVID‐19 period. Even though patients from COVID‐19 period were sicker, there was no significant impact in LT outcomes. All the recipients who tested positive for COVID had a favorable outcome.
Background: The COVID-19 infection has received the attention of the scientific community due to its respiratory manifestations and association with evolution to severe acute respiratory syndrome (SARS-CoV-2). There are few studies characterizing SARS-CoV-2 in pediatric immunocompromised patients, such as liver transplanted patients. The aim of this study was to analyze the outcomes of the largest cohort of pediatric liver transplant recipients (PLTR) from a single center in Brazil who were infected with COVID-19 during the pandemic. Methods: Cross-sectional study. Primary outcomes: COVID-19 severity. The Cox regression method was used to determine independent predictors associated with the outcomes. Patients were divided into two groups according to the severity of COVID-19 disease: moderate–severe COVID and asymptomatic–mild COVID. Results: Patients categorized as having moderate–severe COVID-19 were younger (12.6 months vs. 82.1 months, p = 0.03), had a higher prevalence of transplantation from a deceased donor (50% vs. 4.3%, p = 0.02), and had a higher prevalence of COVID infection within 6 months after liver transplantation (LT) (75% vs. 5.7%, p = 0.002). The independent predictor of COVID-19 severity identified in the multivariate analysis was COVID-19 infection <6 months after LT (HR = 0.001, 95% CI = 0.001–0.67, p = 0.03). Conclusion: The time interval of less than 6 months between COVID-19 infection and LT was the only predictor of disease severity in pediatric patients who underwent liver transplantation.
In 2020, the educational systems of several countries have been affected by the Covid-19 pandemic. In Brazil, the Education Ministry allowed the substitution of in person classes for classes in digital environments. We report our experience in an academic internship project in educational psychology based on the sociodramatic methodology and a focus on permanence and academic success as symbolic conditions linked to the development of the role of university student in times of Emergency Remote Teaching.
Objetivo: Examinar a relação da satisfação global no trabalho, assim como das dimensões da satisfação (satisfação com a natureza do trabalho, satisfação com os colegas, satisfação com a chefia, satisfação com o salário, satisfação com as promoções), com a retenção de profissionais de TI em organizações de TI públicas e privadas. Design/metodologia/abordagem: Participaram da pesquisa 252 profissionais (139 de organizações públicas e 113 de organizações privadas) de organizações localizadas no estado de Santa Catarina, Brasil. Os dados foram coletados por meio de survey e analisados por meio do teste estatístico de Spearman. Resultados: Não houve relação positiva entre a medida global de satisfação dos profissionais de TI e das dimensões satisfação com colegas, satisfação com a chefia, satisfação com a natureza do trabalho e satisfação com as promoções e a sua retenção. Apenas a satisfação com o salário apresentou relação positiva com a retenção dos profissionais nas organizações de TI públicas e privadas. Implicações práticas: Os resultados encontrados geram insumos para o estabelecimento de políticas de retenção dos profissionais de TI, especialmente relacionadas ao salário. Originalidade/valor: Este estudo investigou não apenas a medida global de satisfação com o trabalho, mas também as suas dimensões. O estudo demonstra, de forma inédita, que a medida global de satisfação com o trabalho não retém profissionais de TI em organizações de TI públicas e privadas e que estratégias de retenção precisam focar especialmente na satisfação desses profissionais com o seu salário.
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