RESUMEN
The context of the Coronavirus pandemic has fundamentally changed the way we approach medical services. Beyond setting up new technological possibilities, it has propelled telemedicine to become a reality, bringing undeniable practical benefits. The questions that arise are both justified and worrying: can digitalization replace a direct interpersonal relationship that involves a physical examination, while preserving the quality of the medical act and the degree of patient satisfaction? Isn't there a risk that the digitization of the medical record will cancel out the deep human character of classical medicine that has evolved since the time of Hippocrates? Should the implementation of telemedicine be "the state-of-art" of modern medicine, in accordance with the co-evolution of digital technology? It is hard to believe that once used in this period, telemedicine will be abandoned. However, telemedicine must be analyzed not only in the short term but also in the long term, in order to be able to evaluate both its usefulness and possible deficiencies.
RESUMEN
The outbreak of SARS-CoV-2 pandemic has resulted in increased rates of anxiety and depression worldwide. Objective. To comparatively evaluate factors associated with the psychological impact of Coronavirus disease between 2019 and the pandemic year 2020. Materials and Methods. The study was performed on a group of 3224 patients, of which 197 were hospitalized, selected from Jan 1st 2019 until 30th Dec 2020 in a tertiary care center for psychiatric disorders. Data were collected from the observation charts. Results. The incidence of anxiety disorders is higher in the age range 40-70 years with an average value of 53 years old. In 2019, a third of patients (29,45%) had alcohol-related conditions and developed anxiety-depressive disorder. In 2020, the percentage was lower (9.38%), but also the number of admitted patients significantly decreased (p<0.0001). There were not found significant differences in age, gender or environment. Hypnotic disorders were more predominant in 2019 (54.6% vs 37.5%, p=0.01), whereas in 2020 anxiety and agitation increased significantly (34.4% vs 84.38%, p=0.0001). Relapses were similarly frequent in both years, in half of the cases. Conclusions. Coronavirus pandemic lead to a decrease in both presentations and admission to hospital. Although there were not found significant differences in age or gender, more patients from urban environment were admitted, which can have several explanations. Anxiety and agitation became the main reason for hospitalization in 2020.
RESUMEN
Introdução: Estima-se que a população surda no Brasil seja de 344.2 mil pessoas. Apesar da Língua Brasileira de Sinais (Libras) ser legalmente reconhecida no país, existem barreiras de comunicação em saúde, o que amplia as lacunas de acesso, destacando-se a infecção pelo Vírus da Imunodeficiência Humana/Síndrome da Imunodeficiência Adquirida (HIV/Aids), decorrente da falta de acesso à prevenção, ao tratamento e à educação sexual. Objetiva-se neste estudo conceber uma ferramenta educacional em Libras sobre HIV/Aids, a fim de criar uma estratégia de comunicação educacional entre jovens surdos e profissionais da saúde. Métodos: Trata-se de um estudo descritivo qualitativo a partir de uma situação problema de uma jovem surda que desconhece as Infecções Sexualmente Transmissíveis (ISTs) e procura informações a respeito. Resultados: A vídeo aula, disponibilizada no hiperlink: https://youtu.be/xL9X4qB6l7Y, permite despertar o interesse no assunto, além de ensinar os principais sinais em Libras relacionadas à temática, o que é informativo para os usuários e os profissionais da saúde. O vídeo possui 17,42 minutos, de modo bilíngue Libras/Português, contemplando os conteúdos ISTs, HIV/Aids e métodos de prevenção. Considerando-se o atual uso de máscaras pela medida de enfrentamento ao SARS-Cov2, sem a adaptação da transparência, não permitindo a leitura labial;e o diálogo pela escrita, apesar de ser uma opção, requerer o esforço prioritário do usuário surdo, em ter que expressar dúvidas sobre temas que dificilmente foram abordados previamente em Libras, a ferramenta pode se tornar grande facilitador durante a pandemia, sendo empregada como material de apoio no Programa Saúde na Escola, em salas de espera, em eventos públicos, em consultórios e para educação continuada em serviços de saúde. A simultaneidade das duas línguas permite que, mesmo que o profissional não seja fluente em Libras, possa iniciar um diálogo empático com o paciente surdo ou deficiente auditivo. Conclusão: A vídeo aula dissipa o padrão da comunicação sobre HIV e foca na inclusão de outra parcela da sociedade, a população surda. Espera-se que esta ferramenta contribua para a sociedade, promovendo conhecimento, seja um facilitador para profissionais da saúde e professores e instigue diálogos na saúde sobre educação sexual, focando na diversidade.
RESUMEN
In March 2020, the Coronavirus Disease (COVID-19), unknown and without specific treatment worried the world, mainly because of transmissibility. The population, mostly lay people, witnessed all this with no clear idea of what to do or how to react. Guidelines emerged at all times and helps us to live as a society in the face of many questions. We understood that it was necessary to build a dialogue with the people in general, aiming an effective communication about the pandemic scenario. We realized that the lack of qualified information, the doubts and the fake news would be an obstacle for people to understand the gravity of the situation triggered by the coronavirus. Thus, as volunteers, we joined in an Extension Action called MINUTO CORONA, which has as foundations the construction of knowledge beyond the university walls with a focus on fast and effective communication. Our goal is to answer questions and publish science-based content. Our materials are divided into categories, such as: masks, diagnostic tests, signs and symptoms, contagion, disinfection and cleaning, medications, vaccines, fake news, guidelines and reports. Our differential: responding and interacting with people. The scientific evidence was the team' s driving force, and we translated the scientific content into accessible language, and made it available on social networks. Our reach exceeded expectations and counted more than 123,482 interactions with the public. The initiative brought realities together and promoted health by connecting the university and the community through technology. © Praksis 2021.