ABSTRACT
Introduction: The COVID-19 pandemic appears to affect the sleep quality of healthcare workers, according to recent studies. Objective: To evaluate health personnel sleep quality, at a tertiary hospital reference in COVID-19 patient's care in southern Brazil, when its resources were under clear overload, and 25% of these workers had already contracted the virus. Methods: This cross-sectional study took place between November 2020 and January 2021. All 7500 healthcare workers received an online questionnaire with sociodemographic, and occupational information, as well as questions on the subjective perception of sleep quality according to the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using SPSS version 18.0. Descriptive data are presented as absolute and relative frequencies (n, n%) and mean and standard deviation. For factors associated with sleep quality, we used the chi-square test and multivariate robust Poisson regression. Study was approved by Research Ethics Committee by the number 200502. Results: Of the 1441 participants answering the questionnaire, 995 were included in the sample. The mean age was 44.1±10.6 years, 764 (76.8%) were women, and 739 (74.3%) were married/ in a stable relationship. Personnel distribution according to occupation area: 483 (48.5%) administrative, 230 (23.1%) surgical unit/obstetrics, 176 (17.7%) emergency/intensive care unit, and 106 (10.7%) outpatient clinics. Most reported working 20 to 40 hours a week (53.6%), and 486 (48.8%) reported having contact with COVID-19 patients. According to PSQI individual components, healthcare workers in contact with COVID-19 patients showed higher sleep latency (p=0.038), less habitual sleep efficiency (p=0.024), more sleep medication use (p=0.011), and more daytime dysfunction (p=0.036). According to overall PSQI score, those in contact with COVID-19 had worse sleep quality (p=0.013), as well as from the total sample, 689 (70.7%) had poor sleep quality. In the multivariate analysis, younger age and female gender were aggravating factors for poor sleep quality (p=0.039;p<0.001). Conclusion: Most participants reported poor sleep quality, including those who had direct contact with COVID-19 patients during the work. Age was an important factor, in other words, the younger the healthcare worker, worse is the sleep quality, as well as be female sex.
ABSTRACT
Currently, many short texts are published online, especially on social media platforms. High impact events, for example, are highly commented on by users. Understanding the subjects and patterns hidden in online discussions is a very important task for contexts such as elections, natural disasters or major sporting events. However, many works of this nature use techniques that, despite showing satisfactory results, are not the most suitable when it comes to the short texts on social media and may suffer a loss in their results. Therefore, this paper presents a text mining method for messages published on social media, with a data pre-processing step and topic modeling for short texts. For this paper, we created a data set from real world tweets related to COVID-19 that is openly available1 for research purposes. © 2022, EasyChair. All rights reserved.
ABSTRACT
Taking Covid-19 Pandemic as a context and analyzer, this article discusses the historical links between racism and the medicalized management of the right to life and death in Brazil. It is based on the understanding that listening and clinical management of situations of psychological distress in the context of the medicalization of life (in Pandemic, and even outside it) necessarily imply making social criticism as well. To this end, we propose a debate that encapsulates clinical theory, the histories of social medicine and psychoanalysis in Brazil, and the concepts of bio and necropoli-tics. Our hypothesis is that if, on the one hand, on its arrival in Brazil, psychoanalysis was “co-opted” by a hygienist medical tradition (which for years polarized the way it was seen in our country), on the other, by its conceptual structure, by the initial counterpoint with Brazilian modernism, and by its current debate on segregation, this praxis can make explicit its anti-racist power and vocation. © 2020. All Rights Reserved.
ABSTRACT
The COVID-19 pandemic exposes both conflict and cooperation in artisanal and small-scale gold mining in the Brazilian Amazon. Reporting on the experiences of artisanal and small-scale gold miners (garimpeiros, in Brazilian Portuguese), we show how, on the one hand, the pandemic challenges an already precarious working system that could lead garimpeiros, often invisible to public policies, to positions of further vulnerability; and, on the other hand, highlights the capacity of garimpeiros to self-organize and navigate the difficulties by finding alternative solutions to cope with the crisis. This leads us to argue that emerging strategies of cooperation, related to self-organization and communication channels have the potential to provide experiences useful for processes of conflict transformation in the post-crisis. We acknowledge that much depends on the severity of the crisis and its manifestations in the region; nevertheless, the potential for constructive outcomes from the crisis should not be disregarded.