ABSTRACT BACKGROUND: Multiple opinion-based communications have highlighted the actions of the Brazilian government during the pandemic. Nevertheless, none have appraised public data to identify factors associated with worsening of the healthcare system. OBJECTIVE: To analyze and collate data from public health and treasury information systems in order to understand the escalating process of weakening of Brazilian healthcare and welfare since the beginning of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. DESIGN AND SETTING: Secondary data study conducted using multiple public databases administered by the Brazilian federal government. METHODS: We processed information from multiple national databases and appraised health and economic-related data. RESULTS: Based on our analyses, there were substantial reductions in inpatient hospital admissions and in the numbers of patients seeking primary care services, along with a decrease in immunization coverage. Moreover, we observed a considerable decline in government transfers to hospital services (reduction of 82.0%) and a diminution of public outlays in several healthcare-related subfunctions (“hospital and outpatient care”, “primary care”, “prophylactic and therapeutic support” and “epidemiological surveillance”). We observed an increase in the overall mortality rate over the period analyzed, especially regarding all group-based diseases. Notably, there were remarkable differences among geographic, racial, gender and other parameters, thus revealing the impact of vulnerabilities on COVID-19 outcomes. CONCLUSION: This assessment of documentation of public expenditure and the shrinkage of investment in sensitive areas of the healthcare system in Brazil emphasized areas that still require collective attention in order to guarantee national welfare.

Abstract Background Juvenile systemic lupus erythematosus (JSLE) is a chronic inflammatory disease that affects the heart in 50% of cases. The behavior of diastolic function in adolescents and the predictors of its occurrence by conventional echocardiography are poorly established. Objectives This study aimed to evaluate diastolic function in adolescents with JSLE and to identify possible predictors of its occurrence by conventional echocardiography. Methods Cross-sectional, observational, control group study in a tertiary hospital of 49 adolescents with JSLE and 49 controls, using the EACVI 2016 guideline classification. Statistical methods used were Fisher and Mann-Whitney tests. Multivariate logistic regression models were constructed. A significance level of 5% was adopted. Results Among 98 patients, the JSLE group had higher indexed left atrial volume (p <0.001), lower lateral E' value (p<0.001) and lower E/A ratio value (p<0.001). The diagnosis of JSLE was associated with a higher chance of increased left atrial index volume (OR 3.3; p value 0.03). Conclusions Based on the 2016 guideline, no diastolic dysfunction was found in JSLE. However, differences in the analyzed echocardiographic parameters were found in these adolescents.

Resumo Este trabalho apresenta um estudo comparativo entre diferentes coeficientes de difusão verticais aplicados em um modelo de dispersão para determinação da concentração de poluentes atmosféricos em uma camada limite convectiva. O modelo de dispersão é uma solução semi-analítica da equação de difusão-advecção tridimensional e estacionária, sendo que os resultados das simulações foram confrontados com dados experimentais da literatura. As melhores performances foram obtidas com o coeficiente de difusão proveniente da teoria estatística de Taylor e propriedades espectrais. Entretanto, resultados menos satisfatórios foram obtidos com a parametrização Asymmetric Convective Model version 2 (ACM2), muito usada como uma das opções para camada limite atmosférica no modelo de mesoescala Weather Research and Forecasting (WRF).

Abstract This work presents a comparative study between different vertical eddy diffusivities applied in a dispersion model to determine the concentration of air pollutants in a convective boundary layer. The dispersion model is a semi- analytical solution of stationary three-dimensional advection-diffusion equation and the simulation results were compared with experimental data from literature. The best performances were obtained with the eddy diffusivity from Taylor's statistical theory and spectral properties. However, less satisfactory results were obtained with the parameterization Asymmetric Convective Model version 2 (ACM2), often used as one of the options for the atmospheric boundary layer in the mesoscale model Weather Research and Forecasting (WRF).