ABSTRACT
Objective: To know the perceptions of mothers of premature newborns hospitalized in the Neonatal Unit in the face of the COVID-19 pandemic. Method: Qualitative research carried out in June and July 2020, involving 12 mothers of premature newborns hospitalized in the neonatal units of a maternity hospital in the state of Ceará during the Coronavirus pandemic. Mothers were contacted via WhatsApp application. For the textual analysis, the descending hierarchical classification performed by the IRAMUTEQ software was used. Results: The mothers’ perception was centered on the difficulties faced in this pandemic period. The word “no” was strongly presented in the corpus of the text, evidencing the impact of the impediment of the visit, of the mothers’ permanence in the units and the fact of not being able to breastfeed. Conclusion: The provision of humanized care in neonatal units should not be limited to the newborn, and emotional support for mothers by the health team is essential © 2022. Online Brazilian Journal of Nursing. All Rights Reserved.
ABSTRACT
The SARS-CoV-2 pandemic has demonstrated the need for genomic epidemiology surveillance. To date, various methodologies have been applied, including metagenomic approaches and amplicon-based sequencing associated with high-throughput sequencing platforms. We adapted some details in amplicon-based sequencing using a SARS-CoV-2 community panel (Illumina AmpliSeq), with additional modifications for balanced and high-quality sequencing using the MiSeq platform. The modified protocol was used to detect circulating SARS-CoV-2 variants in Goiás state, Brazil. Initially, RNA samples were obtained from swab samples from 15 patients from the state of Goiás, Brazil, in November/2020 and February/2021 to validate protocol steps. The libraries were prepared following AmpliSeq for Illumina workflow with modifications;subsequently, we analyzed 305 positive samples collected from the state of Goiás from December 2020 to July 2021. For protocol improvement, we removed the need to treat samples with DNAse and demonstrated the importance of quantification by qPCR before and after library dilution. No fragmentation pattern was observed in the samples analyzed with Bioanalyzer. The libraries returned sequencing results that were used for genome assembly and variant detection. We were able to assemble SARS-CoV-2 genomes from 318 samples, which were used to identify 13 variants of coronavirus circulating in Goiás throughout those months. Variants of concern, such as Alpha (B.1.1.7), Gamma (P.1) and Delta (B.1.617.2) were detected;the latter was detected at first in Goiás in April 2021. The modifications in the workflow we developed were successfully applied to detect SARS-CoV-2 variants, resulting in high coverage genome assembly, and they can be used to increase the number of genome sequences and aid in epidemiological surveillance in Brazil.
ABSTRACT
The work overload that teachers present in the current context is a risky situation, since it can generate prolonged states of stress causing a burnout syndrome and affecting theirj ob satisfaction. The objective was to determine the significant relationship between job satisfaction and the components of burnout syndrome during confinement due to the COVID -19 pandemic. The study had a cross-sectional correlational design. 205 teachers participated, who answered the Job Satisfaction Scale for Teachers (ESLA-Education) and the Maslach Burnout Inventory (MBI). The results indicate a statistically significant inverse correlation between job satisfaction and the components of burnout syndrome: emotional exhaustion (rho =-. 315 ;p = .000), depersonalization (rho =-.252;p = .000) and achievement personal (rho =-.254;p = .000). It is concluded that teachers who present high emotional fatigue, loss of sensitivity and empathy, deterioration of their abilities and a feeling of failure show job dissatisfaction. Therefore, it is necessary to have protective factors to prevent emotional distress for teachers.
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Objective: to report the experience of a health team in restructuring service at a mastology outpatient clinic. Methods: an experience report in a public university service mastology outpatient in Ceara between March and April 2020. Service in this outpatient clinic is exclusively for women and who have breast changes for surgical treatments ranging from nodulectomies to mastectomies with oncoplastic. Results: increased COVID-19 cases brought the need to restructure healthcare services. The following steps were followed: identification of scheduled patients, reading of clinical developments in electronic medical records, individual assessment to define whether or not appointment would remain, telephone contact to inform about unscheduling. Among the 555 consultations scheduled for March and April 2020, 316 (56.9%) were maintained. Final considerations: restructuring consultations at a mastology outpatient clinic optimized the waiting time for consultations and avoided crowds at service, providing patient safety.
ABSTRACT
The Covid-19 pandemic surprised the world, caused changes in lifestyles, work practices and exposed the inequalities of the current technical-scientific-informational period. Education, at all stages, was also impacted. Teachers needed to reinvent themselves so that closing schools would be less harmful to the teaching-learning process and to the development of students' geographic reasoning, the main objective of School Geography. In this context, the article analyzes the performance of Geography teachers during the Covid-19 pandemic from the differentiation between Distance Education and Emergency Remote Teaching in dialogue with authors who deal with teacher training and teaching knowledge, in order to know the working conditions of these professionals during social isolation. From the perspective of qualitative research, a questionnaire was applied to Geography teachers working in basic education. The answers were collated with each other so that the categories could be extracted and the analysis carried out. The results showed difficulties, on the part of the research subjects, with the remote modality, they denounced the negligence of the authorities responsible for Education and revealed the teachers' concern in guaranteeing learning conditions for the students, while their homes became places of work.
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Introdução e objetivo: Uma Liga Acadêmica é uma associação civil científica livre, de duração indeterminada, sem fins lucrativos que visa complementar a formação acadêmica em uma área específica por meio de atividades que atendam aos princípios do tripé universitário de ensino, pesquisa e extensão. O ingresso em uma liga permite ao acadêmico o desenvolvimento de habilidades como o trabalho em equipe, podendo construir consensos quanto aos objetivos e resultados a serem alcançados pelo conjunto, bem como quanto à maneira mais adequada de atingi-los. Normalmente, as Ligas Acadêmicas têm o intuito de integralizar alunos do mesmo curso, especificando uma determinada área. No entanto, diante da grande área que é a hematologia, pensando na necessidade de integralizar diferentes formações e visando a diversidade das vivências e percepções, a Liga Acadêmica de Hematologia Clínica e Laboratorial da UFPE (LHCL) surge com a proposta de inteirar conhecimentos de diversas áreas da saúde. O presente trabalho tem como objetivo relatar experiências obtidas na primeira gestão da LHCL, com enfoque no atendimento à população e na abordagem multiprofissional da hematolgia pelos seus integrantes. Relato de experiência: O conteúdo programático, desenvolvido pela gestão composta por um grupo de seis alunos do curso de biomedicina e um professor coordenador responsável, foram dividido em módulos para melhor entendimento e participação dos ligantes, e aconteceram quinzenalmente com participação de profissionais da área que conferiram palestras e aulas. O conhecimento foi aplicado por meio de discussão de casos clínicos reais, escrita de artigos de revisão e participação em eventos, priorizando atividades em grupo e debates entre diferentes cursos. Resultados: A LHCL representa, atualmente, a única Liga Acadêmica em hematologia de Pernambuco que propõe um enfoque multiprofissional. A inserção dos acadêmicos (que compõe a gestão) dos cursos de biomedicina, farmácia, ciências biológicas e enfermagem nas discussões sobre o manejo do pacientes tem sido de notável relevância no entendimento da hematologia em suas especificidades, já que os distúrbios abordados são de caráter multifatorial. Cada aluno participante age como replicador de conhecimentos e atitudes, respeitando as especificidades e limites de cada formação. Apesar das limitações encontradas por ser a primeira gestão e pelo contexto de COVID19 que estamos inseridos, ativididades foram desenvolvidas. Atualmente a LHCL promove uma semana de curso em hematologia clínicia e laboratorial que conta com mais de seis mil inscritos das mais diversas áreas, estados e até paises. Conclusões: A cada dia que passa, a contemporaneidade exige um novo perfil de profissional, que seja capaz de atender as novas perspectivas de trabalho. Desta forma, promover o espaço para que a conversa entre alunos de cursos diferentes ocorra é de extrema importância na formação de equipes multiprofissionais. Tornar a visão e o estudo da hematologia cada vez menos engessados e cada vez mais multidisciplinar é de extrema importância tanto em níveis acadêmicos como em abordagens hospitalares. Palavras-chave: Hematologia;Liga Acadêmica;Multiprofissionalidade;Relato.
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This article explores the use of spatial artificial intelligence to estimate the resources needed to implement Brazil's COVID-19 immu nization campaign. Using secondary data, we conducted a cross-sectional ecological study adop ting a time-series design. The unit of analysis was Brazil's primary care centers (PCCs). A four-step analysis was performed to estimate the popula tion in PCC catchment areas using artificial in telligence algorithms and satellite imagery. We also assessed internet access in each PCC and con ducted a space-time cluster analysis of trends in cases of SARS linked to COVID-19 at municipal level. Around 18% of Brazil's elderly population live more than 4 kilometer from a vaccination point. A total of 4,790 municipalities showed an upward trend in SARS cases. The number of PCCs located more than 5 kilometer from cell towers was largest in the North and Northeast regions. Innovative stra tegies are needed to address the challenges posed by the implementation of the country's National COVID-19 Vaccination Plan. The use of spatial artificial intelligence-based methodologies can help improve the country's COVID-19 response.
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OBJECTIVE: To explore the reorganization of the health system in response to the COVID-19 pandemic. METHODS: We conducted an ecological, descriptive-exploratory study with analysis of spatio-temporal clusters by epidemiological week in Brazilian municipalities. Secondary data sources were used, from the National Health Establishment Registry (April 2020) and on COVID-19 cases, February to August 2020. Intensive Care Units (ICU) availability was overlaid on incidence and mortality hot spots in order to assess expanded access in critical regions. RESULTS: Of the 5,570 municipalities analyzed, 54% were identified as incidence hot spots and 31% as mortality hot spots. Of the municipalities in incidence hot spots and with scarce access, 28% were covered by ICU expansion, while with regard to mortality 14% were covered. CONCLUSION: The opening of new beds was not able to provide broad coverage for critical regions and could be optimized with the use of spatial analysis techniques.
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Objective: to identify measures to prevent transmission of COVID-19 for prehospital care health care workers. Methods: integrative review using LILACS and BDENF databases via the Virtual Health Library, CINAHL, MEDLINE/PubMed, Web of Science, EMBASE, Cochrane Library, and SCOPUS. Results: eight publications were included that presented recommendations regarding the use of safety equipment by healthcare professionals and ambulance drivers and measures to prevent the risk of infection during invasive airborne procedures in suspected or contaminated COVID-19 patients. Conclusion: the preventive measures directed to prehospital care professionals were proper use of personal protective equipment and changes in the management of suspected/contaminated patients by COVID-19 and in invasive procedures or transportation of these patients. In addition, it is essential the cleaning and disinfection of the ambulances and their equipment.