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How Did Patients Living With Immune-Mediated Rheumatic Diseases Face the Beginning of the COVID-19 Pandemic in Brazil? Results of the COnVIDa Study. 巴西免疫相关风湿病患者如何面对 COVID-19 大流行的开始?COnVIDa 研究结果。
IF 3.4 3区 哲学 Q1 HISTORY Pub Date : 2024-01-01 Epub Date: 2022-06-14 DOI: 10.1097/RHU.0000000000001882
Alisson Pugliesi, Zoraida Sachetto, Marcelo de Medeiros Pinheiro, Gecilmara Salviato Pileggi, Gustavo Sarot Pereira da Cunha, Faissal Nemer Hajar, Maria Luiza Marques Negrisolli Cunha, Licia Maria Henrique da Mota, Claudia Diniz Lopes Marques, Adriana Maria Kakehasi, Wanda Heloísa Rodrigues Ferreira, Nafice Costa Araújo, Ana Paula Monteiro Gomides Reis, Rejane Maria Rodrigues de Abreu Vieira, Gilda Aparecida Ferreira, Adriana Danowski, Viviane Angelina de Souza, Danielle Christinne Soares Egypto de Brito, Eduardo Dos Santos Paiva, José Roberto Provenza, Valderílio Feijó Azevedo

Background: The coronavirus disease 2019 (COVID-19) pandemic has brought additional burden to patients living with immune-mediated rheumatic diseases (IMRDs), especially at the beginning of 2020, for which information for this population is lacking.

Methods: COnVIDa is a cross-sectional study on patients with IMRD from all regions of Brazil who were invited to answer a specific and customized Web questionnaire about how they were facing the COVID-19 pandemic, especially focusing on health care access, use of medications, and patient-reported outcomes related to IMRD activity. The questionnaire was applied from June 1 to 30, 2020.

Results: In total, 1722 of 2576 patients who answered the Web questionnaire were included in the final analysis. Participants were most frequently women, 56% were between 31 and 50 years old, and most (55%) has private health insurance. The most commonly reported IMRD was rheumatoid arthritis (39%), followed by systemic lupus erythematosus (28%). During the study period, 30.7% did not have access to rheumatology consultations, and 17.6% stopped chronic medications. Telemedicine was reported in 44.8% of patients.

Conclusion: COnVIDa demonstrated a negative impact on health care access and treatment maintenance of patients living with IMRD during the COVID-19 pandemic. However, it also presented an uptake of telemedicine strategies. Data presented in this study may assist future coping policies.

背景:2019年冠状病毒病(COVID-19)大流行给免疫介导风湿病(IMRDs)患者带来了额外负担,尤其是在2020年初,而这一人群尚缺乏相关信息:COnVIDa 是一项横断面研究,研究对象是巴西各地区的免疫介导风湿病患者,他们应邀回答了一份专门定制的网络问卷,了解他们是如何面对 COVID-19 大流行的,尤其关注医疗服务的获取、药物的使用以及患者报告的与免疫介导风湿病活动相关的结果。问卷调查时间为 2020 年 6 月 1 日至 30 日:在回答网络问卷的 2576 名患者中,共有 1722 人被纳入最终分析。参与者多为女性,56%的人年龄在 31 至 50 岁之间,大多数人(55%)拥有私人医疗保险。最常报告的 IMRD 是类风湿性关节炎(39%),其次是系统性红斑狼疮(28%)。在研究期间,30.7%的人无法获得风湿病咨询,17.6%的人停用了慢性药物。44.8%的患者接受了远程医疗:在 COVID-19 大流行期间,COnVIDa 对 IMRD 患者获得医疗服务和维持治疗产生了负面影响。然而,它也显示了对远程医疗策略的接受程度。本研究提供的数据可能有助于未来的应对政策。
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引用次数: 0
From Thrift to Improvement 从节俭到改善
IF 0.6 3区 哲学 Q1 HISTORY Pub Date : 2023-11-01 DOI: 10.1215/00021482-10779371
E. Sørensen
This article studies how agrarian management was reimagined in the context of emerging agrarian capitalism between the sixteenth and mid-seventeenth centuries in England by examining the development of discourses of thrift, industriousness, and improvement among agricultural writers. It demonstrates that agricultural writers' approach to farm, land, and labor management moved from a localized context of thrifty householding in the sixteenth century to a national context of industriousness and improvement by the mid-seventeenth century. This change in discourse, as this article will show, was an attempt to provide management advice and establish managerial power over the agricultural labor process within an increasingly connected, competitive, and impersonal agrarian economy.
本文通过考察农业作家关于节俭、勤劳和改良的论述的发展,研究了 16 世纪至 17 世纪中期英国新兴农业资本主义背景下如何重新规划农业管理。文章表明,农业作家对农场、土地和劳动力管理的态度从 16 世纪的地方性节俭持家转变为 17 世纪中叶的全国性勤劳和改良。本文将说明,这种论述方式的变化是为了在一个联系日益紧密、竞争日益激烈、日益缺乏人情味的农业经济中提供管理建议,并确立对农业劳动过程的管理权力。
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引用次数: 0
Desert Edens: Colonial Climate Engineering in the Age of Anxiety 沙漠伊甸园焦虑时代的殖民地气候工程
IF 0.6 3区 哲学 Q1 HISTORY Pub Date : 2023-11-01 DOI: 10.1215/00021482-10796146
Adam Guerin
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引用次数: 0
Endangered Maize: Industrial Agriculture and the Crisis of Extinction 濒临灭绝的玉米工业化农业与灭绝危机
IF 0.6 3区 哲学 Q1 HISTORY Pub Date : 2023-11-01 DOI: 10.1215/00021482-10796036
Abeer Saha
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引用次数: 0
Teaching US History through Land-Grant Universities and Agriculture Education 通过州立大学和农业教育教授美国历史
IF 0.6 3区 哲学 Q1 HISTORY Pub Date : 2023-11-01 DOI: 10.1215/00021482-10795895
Rebecca Kaplan
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引用次数: 0
What a Mushroom Lives For: Matsutake and the Worlds They Make 蘑菇的生命松茸和它们创造的世界
IF 0.6 3区 哲学 Q1 HISTORY Pub Date : 2023-11-01 DOI: 10.1215/00021482-10796046
Rui Sun
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引用次数: 0
The Nature of Illinois 伊利诺伊州的性质
IF 0.6 3区 哲学 Q1 HISTORY Pub Date : 2023-11-01 DOI: 10.1215/00021482-10795975
Camden Burd
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引用次数: 0
Black Earth, White Bread: A Technopolitical History of Russian Agriculture and Food 黑土地,白面包:俄罗斯农业和食品技术政治史
IF 0.6 3区 哲学 Q1 HISTORY Pub Date : 2023-11-01 DOI: 10.1215/00021482-10796126
Sarah Cameron
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引用次数: 0
Don't Just Learn the Lesson, Live the Lesson 不仅要学习课程,还要活用课程
IF 0.6 3区 哲学 Q1 HISTORY Pub Date : 2023-11-01 DOI: 10.1215/00021482-10795935
Ashley Colby
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引用次数: 0
Grasslands Grown: Creating Place on the U.S. Northern Plains and Canadian Prairies 生长的草原:在美国北部平原和加拿大草原上创造场所
IF 0.6 3区 哲学 Q1 HISTORY Pub Date : 2023-11-01 DOI: 10.1215/00021482-10796076
Rebecca S. Wingo
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引用次数: 0
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Agricultural History
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