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1.
Arq. ciências saúde UNIPAR ; 26(3)set-dez. 2022.
Article Dans Portugais | WHO COVID, LILAS (Amériques) | ID: covidwho-2205389

Résumé

Introdução: A violência contra à mulher é caracterizada especialmente pela desigualdade de gênero, diferença hierárquica, subordinação e pela agressividade do parceiro ou ex-parceiro. Entre os principais subtipos, cita-se; a violência física, psicológica, sexual, patrimonial e moral. Com o surgimento da pandemia de coronavírus em 2020 na tentativa de contenção da doença, medidas protetivas como o isolamento social aumentaram o convívio familiar. Dessa forma, as vítimas de violência passaram a ficar ainda mais tempo expostas aos seus agressores e consequentemente com maiores dificuldades para denunciar os abusos sofridos, pois a prestação dos serviços públicos, instituições de segurança e judiciais também foram restringidas. Objetivo: Caracterizar os casos de violência contra a mulher em tempos de pandemia de coronavírus em um município do Sudoeste do Paraná. Materiais e métodos: Trata-se de um estudo descritivo, documental e transversal com abordagem quantitativa realizada em um município do Sudoeste do Paraná a partir da coleta de dados, por meio das fichas de notificação de violência contra a mulher entre 2019 e 2021. Resultados e discussão: O estudo demonstrou prevalência de notificações no ano de 2019 em mulheres com idade de 12 a 18 anos (27,2%), brancas (71,3%), com ensino médio (21,9%), sendo ainda estudantes (23,1%) ou desempregadas (17,2%), sem companheiro (52,4%), residentes da área urbana (74%), heterossexuais (50,6%), sem possuir algum tipo de deficiência (51,8%). Ao verificar a tipologia da agressão com maior incidência, observou-se a lesão autoprovocada (53,6%) por meio da intoxicação /envenenamento (41,4%). Quanto a violência interpessoal, notou-se que a maioria das agressões foram ocasionadas pelo próprio cônjuge da vítima (12,4%), utilizando da força física (29,3%), salienta-se que o álcool não estava presente na maior parte das agressões. Conclusão: Evidencia-se a prevalência de violência autoprovocada (53,6%), em adolescentes com ensino médio, brancas, sem companheiro, residentes da área urbana, agredidas em ambiente domiciliar, motivadas por conflitos geracionais, sendo as violências mais incidentes a física por meio de envenenamento/intoxicação. Diante do exposto é importante abordar o fato de que é necessário realizar capacitações com os profissionais de saúde referente a ficha de notificação e orientá-los da importância de preenchê-la de forma correta, para haja a tomada de providências de acordo com cada necessidade.


Introduction: Introduction: Violence against women is characterized especially by gender inequality, hierarchical difference, subordination and aggressiveness of the partner or ex partner. Among the main subtypes are physical, psychological, sexual, patrimonial and moral violence. With the emergence of the COVID-19 pandemic in 2020 in an attempt to contain the disease, protective measures such as social isolation increased family coexistence. As a result, the victims of violence have been exposed to their aggressors for even longer and consequently find it more difficult to report the abuse they have suffered, since the provision of public services, security and judicial institutions have also been restricted. Objective: To characterize the cases of violence against women during the COVID-19 pandemic in a municipality in the southwest of Paraná. Materals and methods: This is a descriptive, documentary, and cross-sectional study with a quantitative approach carried out in a municipality in the Southwest of Paraná from data collection performed through the notification forms of violence against women notified between 2019 and 2021. Results and discussion: The study showed a prevalence of notifications in the year 2019 in women aged 12 to 18 years (27.2%), white (71.3%), with high school education (21.9%), being still students (23.1%) or unemployed (17.2%), without a partner (52.4%), residents of the urban area (74%), more specifically the Padre Ulrico neighborhood (12.4%), heterosexual (50.6%), without having any type of disability (51.8%). When checking the type of aggression with the highest incidence, we observed self-harm (53.6%) through intoxication/ poisoning (41.4%). As for interpersonal violence, it was noted that most aggressions were caused by the victim's own spouse (12.4%), using physical force (29.3%), and alcohol was not present in most aggressions. Conclusion: The prevalence of self- inflicted violence (53.6%) is evident in adolescents with high school education, white, without a partner, urban residents, assaulted in the home environment, motivated by generational conflicts, with the most incident violence being physical violence through poisoning/intoxication. Given the above, it is important to address the fact that it is necessary to conduct training with health professionals regarding the notification form and guide them on the importance of filling it out correctly, so that there is taking action according to each need.


Introducción: La violencia contra las mujeres se caracteriza especialmente por la desigualdad de género, la diferencia jerárquica, la subordinación y la agresividad de la pareja o ex pareja. Entre los principales subtipos, se menciona; la violencia física, psicológica, sexual, patrimonial y moral. Con la aparición de la pandemia de coronavirus en 2020 en un intento de contener la enfermedad, las medidas de protección como el aislamiento social han aumentado la convivencia familiar. Así, las víctimas de la violencia han quedado aún más expuestas a sus agresores y, en consecuencia, tienen mayores dificultades para denunciar los abusos sufridos, ya que también se ha restringido la prestación de servicios públicos, de seguridad y de instituciones judiciales. Objetivo: Caracterizar los casos de violencia contra la mujer en tiempos de pandemia de coronavirus en un municipio del sudoeste de Paraná. Materiales y métodos: Se trata de un estudio descriptivo, documental y transversal con enfoque cuantitativo realizado en un municipio del suroeste de Paraná a partir de la recolección de datos a través de las formas de notificación de la violencia contra las mujeres entre 2019 y 2021. Resultados y discusión: El estudio mostró una prevalencia de notificaciones en 2019 en mujeres de 12 a 18 años (27,2%), de raza blanca (71,3%), con estudios secundarios (21,9%), siendo aún estudiantes (23,1%) o desempleadas (17,2%), sin pareja (52,4%), residentes en el área urbana (74%), heterosexuales (50,6%), sin tener algún tipo de discapacidad (51,8%). Al verificar el tipo de agresión con mayor incidencia, se observó la lesión autoinfligida (53,6%) a través de la intoxicación / envenenamiento (41,4%). En cuanto a la violencia interpersonal, se observó que la mayoría de las agresiones fueron causadas por el propio cónyuge de la víctima (12,4%), utilizando la fuerza física (29,3%), se destaca que el alcohol no estuvo presente en la mayoría de las agresiones. Conclusión: Se evidencia la prevalencia de la violencia autoprovocada (53,6%), en adolescentes con educación médica, brancas, sin compañía, residentes del área urbana, agredidos en ambiente domiciliario, motivados por conflictos geracionales, siendo las violencias más incidentes a la física por medio de envenenamiento/intoxicación. Dado lo anterior es importante abordar el hecho de que es necesario realizar una capacitación con los profesionales de la salud respecto a la ficha de notificación y orientarlos sobre la importancia de llenarla correctamente, para que exista la toma de acciones de acuerdo a cada necesidad.


Sujets)
Humains , Femelle , Grossesse , Adolescent , Adulte , Profil de Santé , Violence Contre les Femmes , Pandémies , , Intoxication , Isolement social , Femmes , Plaies et blessures , Études transversales/méthodes , Personnel de santé , Personnel de santé/enseignement et éducation , Victimes de crimes/statistiques et données numériques , Notification/statistiques et données numériques , Agressivité/psychologie , Formation Professionnelle , Sévices/statistiques et données numériques
2.
Arq. ciências saúde UNIPAR ; 26(3): 794-808, set-dez. 2022.
Article Dans Portugais | WHO COVID, LILAS (Amériques) | ID: covidwho-2205383

Résumé

O câncer do colo do útero é considerado um dos cânceres mais comuns entre mulheres, representando um grande problema de saúde global, sendo a quarta causa mais frequente de morte por câncer na população feminina. Mediante a um estudo quantitativo e retrospectivo de dados pré- analíticos e analíticos das requisições do exame citopatológico do colo do útero, objetivou-se avaliar os resultados de exames citopatológicos de mulheres usuárias do SUS de um município do oeste do Paraná, realizados no período antes da pandemia COVID-19, de março de 2019 a fevereiro de 2020 e durante a pandemia COVID-19, de março de 2020 a fevereiro de 2021, dos exames citopatológicos alterados. Foram utilizadas as requisições de exames citopatológicos do Programa Nacional de Controle do CCU e o sistema eletrônico SISCAN como ferramentas de busca. Dentre os resultados, totalizaram-se 20.425 amostras processadas no período antes da pandemia, sendo 19.908 consideradas satisfatórias para análise oncótica, onde 1.148 (5,76%) amostras apresentaram alteração citológica. No período da pandemia, totalizaram-se 11.315 amostras processadas, sendo 11.149 amostras satisfatórias para análise oncótica, das quais 721 (6,47%) apresentaram alteração citológica. No período da pandemia, o estudo demostra que metade da população de mulheres usuárias do SUS em um município do oeste do Paraná encontra-se na faixa etária da população-alvo preconizada pelo MS, sendo que a maioria delas realizou seu exame citopatológico por motivo de rastreamento. Contudo, mesmo com a interrupção dos atendimentos eletivos, as mulheres continuaram realizando seus exames citopatológicos, sendo elucidado um discreto aumento de 0,71% das alterações citológicas no período da pandemia, quando comparado ao período anterior, demonstrando o cenário deste programa na pandemia COVID-19.


Cervical cancer is considered one of the most common cancers among women, representing a major global health problem, being the fourth most frequent cause of cancer death in the female population. Through a quantitative and retrospective study of pre-analytical and analytical data of requests for cervical cytopathological examination, the objective was to evaluate the results of cytopathological examinations of women using the SUS in a city in western Paraná, carried out in the period before during the COVID-19 pandemic, from March 2019 to February 2020, and during the COVID-19 pandemic, from March 2020 to February 2021, from the altered cytopathological exams. Requests for cytopathological exams from the National Control Program of the CCU and the SISCAN electronic system were used as search tools. Among the results, a total of 20.425 samples were processed in the period before the pandemic, 19.908 of which were considered satisfactory for oncotic analysis, where 1.148 (5,76%) samples showed cytological alterations. During the pandemic period, a total of 11.315 samples were processed, of which 11.149 were satisfactory for oncotic analysis, of which 721 (6,47%) showed cytological alterations. During the pandemic period, the study shows that half of the population of women using the SUS in a municipality in western Paraná is in the target population age group recommended by the MS, and most of them underwent their cytopathological examination due to tracking. However, even with the interruption of elective care, women continued to perform their cytopathological exams, with a slight increase of 0,71% in cytological changes during the pandemic period, when compared to the previous period, demonstrating the scenario of this program in the COVID-19 pandemic.


El cáncer de cuello uterino se considera uno de los cánceres más comunes entre las mujeres, representando un importante problema de salud mundial, siendo la cuarta causa más frecuente de muerte por cáncer en la población femenina. Mediante el estudio cuantitativo y retrospectivo de los datos preanalíticos y analíticos de los requisitos del examen citopatológico del útero, se evaluaron los resultados de los exámenes citopatológicos de las usuarias del SUS de un municipio del oeste de Paraná, realizados en el período anterior a la pandemia COVID-19, de marzo de 2019 a febrero de 2020, y durante la pandemia COVID-19, de marzo de 2020 a febrero de 2021, de los exámenes citopatológicos alterados. Se utilizaron como herramientas de búsqueda las requisiciones de exámenes citopatológicos del Programa Nacional de Control de UCC y el sistema electrónico SISCAN. Entre los resultados, un total de 20.425 muestras fueron procesadas en el período anterior a la pandemia, de las cuales 19.908 fueron consideradas satisfactorias para el análisis oncológico, donde 1.148 (5,76%) muestras presentaron alteración citológica. En el periodo de la pandemia, se procesaron un total de 11.315 muestras, de las cuales 11.149 fueron satisfactorias para el análisis oncológico, y 721 (6,47%) presentaron alteraciones citológicas. En el período de la pandemia, el estudio demuestra que la mitad de la población de mujeres usuarias del SUS en una ciudad del oeste de Paraná está en la franja de edad de la población objetivo recomendada por el MS, y la mayoría de ellas se sometió a un examen citopatológico con fines de cribado. Sin embargo, aún con la interrupción de la atención electiva, las mujeres continuaron realizando sus exámenes citopatológicos, siendo dilucidado un leve aumento de 0,71% de alteraciones citológicas en el período pandémico, cuando comparado con el período anterior, demostrando el escenario de este programa en la pandemia COVID-19.


Sujets)
Humains , Femelle , Tumeurs du col de l'utérus/diagnostic , Tumeurs du col de l'utérus/prévention et contrôle , Dépistage de masse/statistiques et données numériques , Pandémies , /diagnostic , Femmes , Organisation mondiale de la santé/organisation et administration , Système de Santé Unifié , Tumeurs du col de l'utérus/complications , Causalité , Études rétrospectives
3.
Online braz. j. nurs. (Online) ; 19(4): [1-4], dez. 2020.
Article Dans Anglais, Espagnol , Portugais | WHO COVID, LILAS (Amériques) | ID: covidwho-2204417

Résumé

OBJETIVO: Refletir sobre o ensino remoto como possibilidade de novas experiências e desafios em tempos de pandemia da Covid-19. MÉTODO: Análise reflexiva sobre as novas experiências e desafios no ensino remoto durante a pandemia da covid-19. RESULTADO: O ensino remoto traz a oportunidade de integrar aulas de maneira síncrona (em tempo real) através webconferência e atividades assíncronas (não se efetivam em tempo real) que possibilitam o uso de ferramentas interativas de aprendizagem estimuladas pelo professor, mediador do conhecimento, em especial da Enfermagem. CONCLUSÃO: Recomenda-se que o professor promova a interatividade permitindo que o aluno, usufruindo dos recursos disponíveis no ambiente virtual de aprendizagem, possa compor elementos dos conteúdos discutidos com experiências positivas de aprendizagem.


OBJETIVO: Reflexionar sobre la enseñanza remota como una posibilidad para nuevas experiencias y desafíos en tiempos de la pandemia del Covid-19. MÉTODO: Análisis reflexivo de nuevas experiencias y desafíos en educación remota durante la pandemia del covid-19. RESULTADO: La enseñanza remota brinda la oportunidad de integrar clases de forma sincrónica (en tiempo real) a través de conferencias web y actividades asincrónicas (no realizadas en tiempo real) que permiten el uso de herramientas de aprendizaje interactivas estimuladas por el docente, mediador del conocimiento, en especial de la Enfermería. CONCLUSIÓN: Se recomienda que el docente promueva la interactividad permitiendo al alumno, mediante el aprovechamiento de los recursos disponibles en el entorno virtual de aprendizaje, componer elementos del contenido discutido con experiencias positivas de aprendizaje.


OBJECTIVE: To reflect on remote teaching as a possibility for new experiences and challenges in times of the COVID-19 pandemic. METHOD: A reflective analysis on the new experiences and challenges in remote teaching during the COVID-19 pandemic. RESULTS: Remote teaching brings the opportunity of integrating classes in a synchronous manner (in real-time) through web conferences and asynchronous activities (not in real-time) which allows for the use of interactive learning tools stimulated by the professor, knowledge mediator, especially in Nursing. CONCLUSION: It is recommended that the professor promotes interactivity allowing the student, while enjoying the available resource in the virtual learning environment, to compose elements of the contents that are discussed with positive learning experiences.


Sujets)
Humains , Universités , Infections à coronavirus , Technologie de l'éducation/enseignement et éducation , Enseignement à distance , Enseignement infirmier , Pandémies , Corps enseignant/enseignement et éducation , Apprentissage
4.
Rev. colomb. anestesiol ; 49(1): e100, Jan.-Mar. 2021. graf
Article Dans Anglais | WHO COVID, LILAS (Amériques) | ID: covidwho-2202778

Résumé

Every year, around 300 million surgical procedures are performed worldwide 1,2, with an estimated 4% early postoperative mortality rate. 3,4 However, little is known about global quality of surgery, specifically in middle-income countries. Colombia, similar to other Latin American countries, has an interesting diversity of healthcare needs. In urban settings, the healthcare offered is among the best in Latin America, with top-quality hospitals and educational programs comparable to those in the USA or Europe. In contrast, in most rural areas of Latin America, including some of the most remote locations in the world (like the Pacific Coast or the Amazon forest), a frail and fragmented healthcare system prevails, similar to the conditions in very low-income countries. At least 7.1 million people (15.1% of the population) lack hospital access within a 2-hour drive, and despite these characteristics, the early reported postoperative mortality is low - 0.74%.


Cada año se realizan alrededor de 300 millones de intervenciones quirúrgicas en todo el mundo 1,2, con una tasa estimada de mortalidad postoperatoria temprana del 4%. 3,4 Sin embargo, poco se sabe sobre la calidad global de la cirugía, específicamente en los países de ingresos medios. Colombia, al igual que otros países latinoamericanos, presenta una interesante diversidad de necesidades de atención médica. En los entornos urbanos, la oferta sanitaria se encuentra entre las mejores de América Latina, con hospitales de primera calidad y programas educativos comparables a los de Estados Unidos o Europa. En cambio, en la mayoría de las zonas rurales de América Latina, incluidas algunas de las localidades más remotas del mundo (como la costa del Pacífico o la selva amazónica), prevalece un sistema sanitario frágil y fragmentado, similar a las condiciones de los países de muy bajos ingresos. Al menos 7,1 millones de personas (el 15,1% de la población) carecen de acceso a un hospital a menos de 2 horas de viaje, y a pesar de estas características, la mortalidad postoperatoria temprana reportada es baja: 0,74%.


Sujets)
Humains , , Procédures de chirurgie opératoire , Colombie , Pandémies , Amérique latine
5.
Paidéia (Ribeirão Preto, Online) ; 32: e3237, 2022. tab
Article Dans Anglais | WHO COVID, LILAS (Amériques) | ID: covidwho-2197537

Résumé

Abstract Education is an area directly affected by the COVID-19 pandemic. Many teachers started to have new work demands, which can be perceived as stressful variables. This study aimed at analyzing the relationship between cognitive planning and occupational stress among teachers from Distrito Federal, in the COVID-19 pandemic context. This is a correlational and quantitative study, whose variables are cognitive planning, occupational stress and cognitive failures. Data collection was performed electronically with 29 adults aged between 30 and 49 years old, by applying the Cognitive Planning Scale, the Work-related Stress Scale and the Cognitive Failures Questionnaire. The analysis was conducted using descriptive statistics, parametric and non-parametric tests and correlations. The results indicated that there was no significant relationship between cognitive planning and occupational stress. In addition, the study contributed to the discussion of the effects of the pandemic on basic education professionals.


Resumo A educação é uma área diretamente afetada pela pandemia da COVID-19. Muitos professores passaram a ter novas exigências de trabalho, que podem ser percebidas como variáveis estressoras. Este estudo teve por objetivo analisar a relação entre planejamento cognitivo e estresse ocupacional de professores do Distrito Federal no contexto da pandemia da COVID-19. Trata-se de um estudo correlacional, quantitativo, tendo como variáveis planejamento cognitivo, estresse ocupacional e falhas cognitivas. A coleta de dados foi realizada eletronicamente, com 29 adultos entre 30 e 49 anos, por meio da aplicação da Escala de Planejamento Cognitivo, da Escala de Estresse no Trabalho e do Questionário de Falhas Cognitivas. A análise foi conduzida por meio de estatísticas descritivas, testes paramétricos e não paramétricos e correlações. Os resultados indicaram que não houve relação significativa entre planejamento cognitivo e estresse ocupacional. Ademais, o estudo contribui para a discussão dos efeitos da pandemia nos profissionais de Educação Básica.


Resumen La educación es un área directamente afectada por la pandemia COVID-19. Los profesores empezaron a tener nuevas demandas laborales que pueden percibirse como variables estresantes. Este estudio tuvo como objetivo analizar la relación entre planificación cognitiva y estrés ocupacional entre profesores del Distrito Federal, en el contexto de la pandemia COVID-19. Se trata de un estudio cuantitativo y correlacional, cuyas variables son la planificación cognitiva, el estrés laboral y las fallas cognitivas. La recolección de datos se realizó en forma electrónica con 29 adultos de 30 a 49 años de edad, mediante la Escala de Planificación Cognitiva, la Escala de Estrés Laboral y el Cuestionario de Fallas Cognitivas. El análisis se realizó mediante estadística descriptiva, pruebas paramétricas y no paramétricas y correlaciones. Los resultados indican que no hubo relación significativa entre planificación cognitiva y estrés ocupacional. Además, el estudio contribuye a la discusión de los efectos de la pandemia en profesores.


Sujets)
Humains , Mâle , Femelle , Adulte , Adulte d'âge moyen , Enseignement Primaire et Secondaire , Corps enseignant , Pandémies , Stress professionnel/psychologie , /psychologie
6.
Paidéia (Ribeirão Preto, Online) ; 32: e3236, 2022. graf
Article Dans Anglais | WHO COVID, LILAS (Amériques) | ID: covidwho-2197536

Résumé

Abstract Personal resources influence professionals' relationships with their work and impact their engagement. Thus, we investigated whether the relationships between personality traits and meaningful work with engagement showed differences before and during the pandemic. The sample comprised 963 professionals with 828 participants, with a mean age of 35.5 years (SD = 10.7 years) before the COVID-19 pandemic, and 135 professionals with a mean age of 42.1 years (SD = 8.1 years) during the pandemic. The participants' personality traits, meaningful work, and work engagement were assessed. Differences in the relationships between personal resources and engagement were investigated through network analysis. No significant differences were observed in the relationships investigated before and during the pandemic. Significant work was related to personality traits and played a central role in the network, evidencing its importance in promoting engagement at work.


Resumo Os recursos pessoais influenciam nas relações dos profissionais com seu trabalho e impactam no seu engajamento. Desta forma, este estudo teve como objetivo investigar se as relações entre os traços de personalidade e o trabalho significativo com o engajamento apresentavam diferenças antes e durante a pandemia. A amostra compreendeu 963 profissionais, sendo 828 participantes, com idade média 35,5 anos (DP = 10,7 anos) antes da pandemia da COVID-19 e 135 profissionais, com idade média 42,1 anos (DP = 8,1 anos) durante a pandemia. Foram avaliados os traços de personalidade, trabalho significativo e engajamento no trabalho dos participantes. As diferenças nas relações entre os recursos pessoais com o engajamento foram investigadas por meio da análise de redes. Não foram observadas diferenças significativas nas relações investigadas antes e durante a pandemia. O trabalho significativo esteve relacionado aos traços de personalidade e desempenhou papel central na rede, evidenciando sua importância na promoção do engajamento no trabalho.


Resumen Los recursos personales influyen en las relaciones de los profesionales con su trabajo e impactan en su compromiso. De esta forma, investigamos si las relaciones entre rasgos de personalidad y trabajo significativo con engagement presentaban diferencias antes y durante la pandemia. La muestra estuvo compuesta por 963 profesionales, con 828 participantes, con una edad media de 35,5 años (DE = 10,7 años) antes de la pandemia de COVID-19 y 135 profesionales, con una edad media de 42,1 años (DE = 8,1 años) durante la pandemia. Se evaluaron los rasgos de personalidad de los participantes, el trabajo significativo y el compromiso laboral. Se investigaron las diferencias en las relaciones entre los recursos personales y el compromiso mediante el análisis de redes. No se observaron diferencias significativas en las relaciones investigadas antes y durante la pandemia. El trabajo significativo se relacionó con los rasgos de personalidad y jugó un papel central en la red, evidenciando su importancia en la promoción del compromiso en el trabajo.


Sujets)
Humains , Mâle , Femelle , Adulte , Adulte d'âge moyen , Sujet âgé , Inventaire de personnalité , Engagement dans le travail , ,
7.
Paidéia (Ribeirão Preto, Online) ; 32: e3234, 2022. tab
Article Dans Anglais | WHO COVID, LILAS (Amériques) | ID: covidwho-2197535

Résumé

Abstract The COVID-19 pandemic evidenced a scenario of increased demands on health professionals that can lead to professional burnout. This study aimed to investigate Burnout Syndrome (BS) and associated factors in nursing professionals working in intensive care units (ICU) of the public service during the COVID-19 pandemic. 157 professionals were evaluated regarding sociodemographic, occupational and working conditions variables, and the Maslach Burnout Inventory (MBI) was used. The prevalence of BS was 45.2%, with some professionals suffering from more than one factor of the syndrome: emotional exhaustion (28.7%), depersonalization (3.8%) and low professional fulfillment (24.8%). Logistic regression analysis in the final model showed that female gender, not having children, statutory bond, professionals who had COVID-19 and declared wanting to leave the ICU environment had a higher risk of BS. The results showed BS in nursing professionals and that new risk factors were added with the advent of the pandemic.


Resumo A pandemia de COVID-19 evidenciou um cenário de acréscimo de demandas aos profissionais de saúde que pode levar ao esgotamento profissional. Este estudo teve como objetivo investigar a Síndrome de Burnout (SB) e fatores associados em profissionais de enfermagem nas unidades de terapia intensiva (UTI) durante a pandemia de COVID-19. Foram avaliados 157 profissionais em relação às variáveis sociodemográficas, ocupacionais e condições de trabalho, e o Maslach Burnout Inventory (MBI) foi utilizado. A prevalência da SB foi de 45,2%, com alguns profissionais em mais de um fator da síndrome: exaustão emocional (28,7%), despersonalização (3,8%) e baixa realização profissional (24,8%). Análise de regressão logística no modelo final mostrou que o gênero feminino, não ter filhos, vínculo estatutário, profissionais que tiveram COVID-19 e que declararam querer sair do ambiente de UTI tiveram maior risco de presença da SB. Os resultados evidenciaram SB nos profissionais de enfermagem e que novos fatores de risco foram acrescidos com o advento da pandemia.


Resumen La pandemia de la COVID-19 evidenció un escenario de mayores exigencias a los profesionales de la salud que puede derivar en desgaste profesional. Este estudio tuvo como objetivo investigar el Síndrome de Burnout (BS) y factores asociados en los profesionales de enfermería en las unidades de cuidados intensivos (UCI) durante la pandemia. Los 157 profesionales fueron evaluados con relación a las variables sociodemográficas, ocupacionales y condiciones de trabajo, y se utilizó el Maslach Burnout Inventory (MBI). La prevalencia de SB fue del 45,2%, con algunos profesionales que sufren de más de un factor del síndrome: agotamiento emocional (28,7%), despersonalización (3,8%) y baja realización profesional (24,8%). El análisis de regresión logística mostró que el sexo femenino, no tener hijos, la relación laboral reglamentaria, los profesionales que contrajeron COVID-19 y que declararon querer salir del entorno de la UCI tuvieron un mayor riesgo de presencia de SB. Los resultados mostraron SB en profesionales de enfermería y que se agregaron nuevos factores de riesgo con el advenimiento de la pandemia.


Sujets)
Humains , Mâle , Femelle , Épuisement professionnel , Stress professionnel/épidémiologie , /épidémiologie , Unités de soins intensifs , Infirmières praticiennes , Infirmières et infirmiers , Facteurs de risque , Pandémies
8.
Psico USF ; 26(spe): 33-44, 2021. tab
Article Dans Anglais | WHO COVID, LILAS (Amériques) | ID: covidwho-2197459

Résumé

This study aimed to estimate validity evidence based on the internal structure and accuracy of the adapted version of the Learning Strategies Assessment Scale for High School (EAVAP-EM), using Confirmatory Factor Analysis (CFA). Participants were 701 first- to third-year high school students (M = 16.1; SD = 1.0), from public and private institutions in the states of Paraná and São Paulo. The CFA indicated the presence of the three factors of the EAVAP-EM, with adequate internal consistency. The instrument also showed good fit indices. There were positive and significant correlations between the factors, with magnitude ranging from medium to large. Moreover, students reported making more use of metacognitive strategies. The results evinced significant advances regarding measures with good psychometric parameters to assess learning strategies, considering their relevance to the psychoeducational context (AU).


Objetivou-se no presente estudo estimar indicadores de validade com base na estrutura interna e precisão da versão adaptada da Escala de Avaliação das Estratégias de Aprendizagem para o Ensino Médio (EAVAP-EM), por meio de uma análise fatorial confirmatória (AFC). Participaram 701 alunos do primeiro ao terceiro ano do Ensino Médio (M = 16,1; DP = 1,0), provenientes de instituições públicas e particulares dos estados do Paraná e de São Paulo. A AFC indicou a presença dos três fatores da EAVAP-EM, com consistência interna considerada adequada, sendo que o instrumento apresentou bons índices de ajuste. Houve correlações positivas e significativas entre os fatores, com magnitude variando de média a grande. Ainda, os estudantes reportaram fazer mais uso de estratégias metacognitivas. Os resultados evidenciam importantes avanços no que concerne a medidas com bons indicadores psicométricos para avaliação das estratégias de aprendizagem, considerando sua relevância ao contexto psicoeducacional (AU).


El objetivo del presente estudio fue estimar evidencias de validez a partir de la estructura interna y la precisión de la versión adaptada de la Escala de Evaluación de Estrategias de Aprendizaje para la Escuela Preparatoria (EAVAP-EM), mediante un Análisis Factorial Confirmatorio (AFC). Participaron 701 estudiantes de primero a tercer año de secundaria (M = 16.1; DS = 1.0), de instituciones públicas y privadas de las provincias de Paraná y São Paulo. El AFC indicó la presencia de los tres factores del EAVAP-EM, con consistencia interna considerada adecuada. El instrumento mostró índices de ajuste adecuados. Hubo correlaciones positivas y significativas entre los factores, cuya magnitud varió de moderada a alta. Además, los estudiantes informaron que hacen un mayor uso de las estrategias metacognitivas. Los resultados evidencian avances importantes en cuanto a medidas con buenos indicadores psicométricos para evaluar estrategias de aprendizaje, considerando su relevancia para el contexto psicoeducativo (AU).


Sujets)
Humains , Mâle , Femelle , Adolescent , Adulte , Psychométrie , Métacognition , Apprentissage , Étudiants/psychologie , Reproductibilité des résultats , Enseignement Primaire et Secondaire
9.
urol. colomb. (Bogotá. En línea) ; 31(4): 170-176, 2022. ilus
Article Dans Espagnol | WHO COVID, LILAS (Amériques) | ID: covidwho-2186455

Résumé

Objetivo Describir la tasa de mortalidad de infección por coronavirus de tipo 2 causante del síndrome respiratorio agudo severo (severe acute respiratory syndrome coronavirus 2, SARS-CoV-2, en inglés) y los factores de riesgo asociados a la severidad de la enfermedad en pacientes con trasplante renal de un centro del nordeste colombiano. Materiales y Métodos Estudio descriptivo de una cohorte de pacientes en seguimiento postrasplante renal, en el que se hizo una búsqueda retrospectiva de los que presentaron infección por SARS-CoV-2 entre marzo del 2020 y mayo del 2021. Para el análisis, se incluyeron los pacientes con infección confirmada mediante pruebas de reacción en cadena de la polimerasa (polymerase chain reaction, PCR, en inglés), de antígenos, o de anticuerpos. Se realizó un análisis descriptivo de las variables sociodemográficas y clínicas, y un análisis bivariado de los posibles factores asociados con el riesgo de mortalidad. Resultados Con un total de 307 individuos en seguimiento, se encontró una prevalencia del 14,3% (n = 44) de infección por enfermedad por coronavirus 2019 (coronavirus disease 2019, COVID-19, en inglés). La media de edad fue de 56 años, con predominio del género masculino. El esquema de inmunosupresión más frecuente fue micofenolato­tacrolimus­prednisona. Entre los pacientes infectados, la mortalidad fue del 34,1% (15/44), lo que representa el 4,8% de toda la población a estudio. Maás de la mitad de los pacientes requirieron hemodiálisis, y en el 86,7% fue necesario hacer ajustes en el esquema de inmunosupresión. Conclusión La prevalencia de infección por SARS-CoV-2 en nuestro grupo de trasplantes fue similar a la reportada por otros grupos de trasplante del país, y mayor a la de la población no trasplantada. El valor de creatinina previo a la infección, la edad y las comorbilidades se asociaron con un mayor riesgo de mortalidad.


Objective To describe the mortality related to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and the risk factors associated with disease severity in patients submitted to a kidney transplant from a center in northeastern Colombia. Materials and Methods The present is a descriptive study of a cohort of patients in follow-up care after kidney transplant, with a retrospective search for those who presented SARS-CoV-2 infection between March 2020 and May 2021. Patients with confirmed infection by polymerase chain reaction (PCR), antigens or antibodies tests were included for analysis. We performed a descriptive analysis of the sociodemographic and clinical variables as well as a bivariate analysis to evaluate the possible factors associated with the risk of mortality. Results With a total of 307 individuals in follow-up care, a prevalence of 14.3% (n = 44) of coronavirus disease 2019 (COVID-19) infection was found. The mean age of the sample was of 56 years, with a male predominance. The most frequent immunosuppression regimen was mycophenolate-tacrolimus-prednisone. Among the infected patients, the mortality rate was of 34.1% (15/44), representing 4.8% of the entire study population. More than half of the patients required hemodialysis, and 86.7% required adjustments to the immunosuppression regimen. Conclusion The prevalence of SARS-CoV-2 infection in our transplant group was similar to that reported by other transplant groups in the country and higher than among the non-transplanted population. The preinfection creatinine value, age, and comorbidities were associated with a higher risk of mortality.


Sujets)
Humains , Mâle , Femelle , Adulte d'âge moyen , Dialyse rénale , Transplantation rénale , Coronavirus , Syndrome respiratoire aigu sévère , SARS-CoV-2 , , Indice de gravité de la maladie , Adaptation psychologique , Réaction de polymérisation en chaîne , Facteurs de risque , Immunosuppression thérapeutique , Antigènes
10.
urol. colomb. (Bogotá. En línea) ; 31(4): 186-189, 2022. ilus
Article Dans Espagnol | WHO COVID, LILAS (Amériques) | ID: covidwho-2186410

Résumé

Objetivo Los problemas éticos tienen una gran importancia en discusiones teóricas en la medicina, y este estudio tiene como objetivo caracterizar a los pacientes urológicos cuyos casos fueron motivos de consulta al Servicio de Ética Clínica (SEC) institucional de un hospital de IV nivel para comprender los dilemas éticos prevalentes en la práctica diaria de la urología y su abordaje. Materiales y Métodos Estudio descriptivo en el que se realizó una revisión retrospectiva de las historias clínicas de 20 pacientes urológicos interconsultados al SEC de un hospital de IV nivel. Se evaluó la frecuencia de las siguientes variables: diagnóstico, estadio funcional y clínico en el momento del diagnóstico, tiempo de evolución, tratamientos, y tipo de dilema ético motivo de la interconsulta. Resultados Desde enero de 2018, el SEC del Hospital Universitario San Ignacio ha respondido 1.123 interconsultas, y se vio un aumento significativo de las mismas en 2020 por razón de la pandemia de enfermedad por coronavirus 2019 (coronavirus disease 2019, COVID-19, en inglés). De estas interconsultas, solamente trece corresponden a pacientes con patología urológica de base, y siete, a compromiso urológico secundario. El diagnóstico más frecuente fue carcinoma de próstata en estadio IV, seguido de carcinoma urotelial avanzado. Predominó el tratamiento adecuado; solamente tres se diagnosticaron en ese momento, y no alcanzaron a recibir tratamiento. El principal dilema ético encontrado tuvo que ver con proporcionalidad al final de la vida, en dos casos, con respeto de la autonomía del paciente, incluida una solicitud de eutanasia. Conclusión El tamizaje establecido y los tratamientos efectivos tempranos se podrían reflejar en la baja frecuencia de situaciones clínicas extremas conducentes a la toma de decisiones al final de la vida, que serían dirigidas, entonces, ya sea a la reorientación del esfuerzo terapéutico, al plan de fin de vida, o a eutanasia.


Objective Ethical issues are extremely relevant in theoretical discussions in medicine, through the present article we intend to characterize patients with urologic conditions whose cases prompted consultations with the Clinical Ethics Service (CES) at a level-IV hospital in order to understand the prevalent ethical dilemmas encountered in the urological practice and their approach. Materials and Methods A descriptive study in which we performed a retrospective review of the clinical history of 20 urologic patients who were the subject of interconsultations with the CES of a level-IV hospital. We evaluated the frequency of the following variables: diagnosis, functional and clinical status at the time of the diagnosis, duration of disease evolution, and the type of ethical dilemma that prompted an interconsultation. Results Since January 2018, the CES at Hospital Universitario San Ignacio has received 1,123 interconsultation requests, and a significant increase in them has been observed due to the coronavirus disease 2019 (COVID-19) pandemic. Out of these interconsultations, only thirteen corresponded to patients with a urological diagnosis, and seven involved secondary urological compromise. The most frequent diagnosis was stage-IV prostate cancer, followed by advanced urothelial carcinoma. Proper treatment prevailed; only three cases were diagnosed at this stage, and they could not receive treatment. The main ethical dilemma involved treatment proportionality, in two cases, regarding patient autonomy, including one euthanasia request. Conclusion The established screening methods and effective early treatments are could lead to a low frequency of extreme clinical situations in which decision have to be made at the en


Sujets)
Humains , Mâle , Femelle , Tumeurs de la prostate , Orientation vers un spécialiste , Éthique clinique , Thérapeutique , Euthanasie , Autonomie personnelle , Prise de décision , , Hôpitaux
11.
Motriz (Online) ; 28(spe1): e10210012421, 2022. tab, graf
Article Dans Anglais | WHO COVID, LILAS (Amériques) | ID: covidwho-2171424

Résumé

Abstract Aim: To verify the effects of a 2-week of high-intensity interval training (HIIT) on physical performance in young female athletes. Methods: female rugby players (n = 13; 15.92 ± 0.76 years old) participated in an 8-session of HIIT supervised through online video calls for two weeks. They were evaluated pre- and post-HIIT for 3-min of burpees, 1-min of sit-ups, maximum push-ups, and 1-min of squats. Perceptions related to training protocols were collected through the Physical Activity Enjoyment Scale (PACES) post-intervention. Results: Significant improvements in burpees (pre:54.15 ± 18.03 and after: 63.15 ± 15.18), sit-ups (pre:24.38 ± 13.38 and after: 31.15 ± 13.15), push-ups (pre: 9.46 ± 6.59 and after: 13.85 ± 7.33) and squats (pre: 48.00 ± 8.37 and after: 54.85 ± 8.79) were observed. PACES revealed positive perceptions related to the enjoyment of participating in this HIIT. Conclusion: Virtually supervised HIIT improved physical performance in young female athletes during the COVID-19 pandemic, and maybe an efficient strategy for the quarantine period.


Sujets)
Humains , Femelle , Adolescent , Quarantaine , Mentorat , Performance fonctionnelle physique , , Rugby
12.
Clin Exp Rheumatol ; 39(6): 1410-1412, 2021.
Article | MEDLINE | ID: covidwho-2207210

Résumé

A 33-year-old woman developed palindromic rheumatism (PLR) several weeks following an infection with severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2). Three months later, she developed full blown seropositive rheumatoid arthritis (RA) following COVID-19 reinfection. Although the occurrence of the joint diseases and the COVID-19 infections maybe fortuitous, knowing the enormous effects of COVID-19 infection on the human immune system, it is difficult to ignore the temporal relationship between the appearance of PLR after the first COVID-19 infection and the transition to full blown RA following her COVID-19 re-infection.


Sujets)
Polyarthrite rhumatoïde , , Adulte , Polyarthrite rhumatoïde/diagnostic , Femelle , Humains , , SARS-CoV-2
13.
Clin Exp Rheumatol ; 39(5): 1119-1125, 2021.
Article Dans Anglais | MEDLINE | ID: covidwho-2207207

Résumé

OBJECTIVES: The results of the RECOVERY trial identified dexamethasone as the first pharmacological therapy that reduces mortality in patients with COVID-19. The aim of this paper is to conduct a systematic literature review on safety and efficacy of pulse glucocorticoid therapy for Severe Acute Respiratory Syndrome (SARS)-CoronaVirus (CoV), Middle East Respiratory Syndrome (MERS)-CoV or SARS-CoV-2 infections and describe a case-series of COVID-19 patients treated with off-label pulse doses of methylprednisolone. METHODS: We performed a systematic literature review on safety and efficacy of pulse therapy for betacoronaviridae infections as described in the protocol registered on PROSPERO (CRD42020190183). All consecutive patients admitted to Arcispedale Santa Maria Nuova di Reggio Emilia or Guastalla Hospital with COVID-19 between March 1st and April 30th, 2020 and treated with methylprednisolone 1 gram/day for at least three days were included in the case series. A retrospective review of available computed tomography (CT) scan and chest x-ray was performed independently by two radiologists blinded to clinical data, and discordances were resolved by consensus. RESULTS: Twenty papers were included for SARS, but only two were comparative and were included in the primary endpoint analysis. Likewise, eleven papers were included for COVID-19, four of which were comparative and were considered for the primary outcome analysis. Included studies for both SARS and COVID-19 are mostly retrospective and highly heterogeneous, with lethality ranging from 0% to 100% and ICU admission rate ranging from 9% to 100%. Fourteen patients were included in our case series, 7 males and 7 females. CONCLUSIONS: No randomised controlled trial is available yet for corticosteroids pulse-therapy defined as at least ≥500mg/day methylprednisolone in patients with emerging coronavirus pneumonia. Lethality among our cohort is high (4/14), but this finding should be interpreted with caution due to the fact that in our setting pulse-steroids were used in patients not eligible for other treatments because of comorbidities or as rescue therapy. The incidence of steroid-related adverse events seems low in our cohort. The quality of the evidence on glucocorticoid pulse-therapy in SARS, MERS and COVID-19 is poor. Randomised controlled trials are greatly needed.


Sujets)
, Coronaviridae , Femelle , Glucocorticoïdes/effets indésirables , Humains , Mâle , Études rétrospectives , SARS-CoV-2 , Résultat thérapeutique
14.
Probl Endokrinol (Mosk) ; 67(5): 20-28, 2021 10 06.
Article Dans Russe | MEDLINE | ID: covidwho-2203924

Résumé

BACKGROUND: The association between vitamin D deficiency and the severity of COVID-19 is currently being actively discussed around the world. AIM: The aim of this study was to assess the prevalence of vitamin D insufficiency and deficiency and compare it with the incidence rates of SARS-CoV-2 in eight Federal Districts of the Russian Federation. MATERIALS AND METHODS: We included 304,564 patients (234,716 women; 77,1%) with serum 25(OH)D levels results performed September 2019 through October 2020. RESULTS: Only 112,877 people (37.1%) had a normal serum 25(OH)D level, others had a deficiency. Vitamin D insufficiency and deficiency was presented with the same frequency in women and men, and no differences were found depending on the geographical location and age in subjects from 18 to 74 years old. However, subjects over 75 years more often had vitamin D deficiency, while subjects under 18 years had normal levels in over 50% cases. In addition, 21,506 patients were tested for SARS-CoV-2 by PCR with further comparison of results with serum 25(OH)D level. The SARS-CoV-2 positivity rate was detected in 3,193 subjects, negative in 18,313. There were no differences in the morbidity in a vitamin D deficiency and a normal level. Thus, 14.8% subjects had positive PCR rates among vitamin D deficiency patients (4,978 tests), 14.9% when 25(OD)D level was from 20 to 30 ng/ml (7,542 tests), 15.0% among those who had 25(OH)D 30- 50 ng/ml (6,622 tests), and 13.9% when vitamin D was more than 50 ng/ml (4,612 tests). CONCLUSION: There was no association between the COVID-19 incidence and vitamin D status in different regions of Russia. Although the nutrient deficiency persists in all regions and is most often diagnosed in people over 75 years old.


Sujets)
, Carence en vitamine D , Adolescent , Adulte , Sujet âgé , Femelle , Humains , Mâle , Adulte d'âge moyen , Morbidité , SARS-CoV-2 , Vitamine D , Carence en vitamine D/diagnostic , Jeune adulte
15.
Probl Endokrinol (Mosk) ; 67(4): 20-35, 2021 08 02.
Article Dans Russe | MEDLINE | ID: covidwho-2203923

Résumé

Obesity affects over 700 million people worldwide and its prevalence keeps growing steadily. The problem is particularly relevant due to the increased risk of COVID-19 complications and mortality in obese patients. Obesity prevalence increase is often associated with the influence of environmental and behavioural factors, leading to stigmatization of people with obesity due to beliefs that their problems are caused by poor lifestyle choices. However, hereditary predisposition to obesity has been established, likely polygenic in nature. Morbid obesity can result from rare mutations having a significant effect on energy metabolism and fat deposition, but the majority of patients does not present with monogenic forms. Microbiome low diversity significantly correlates with metabolic disorders (inflammation, insulin resistance), and the success of weight loss (bariatric) surgery. However, data on the long-term consequences of bariatric surgery and changes in the microbiome composition and genetic diversity before and after surgery are currently lacking. In this review, we summarize the results of studies of the genetic characteristics of obesity patients, molecular mechanisms of obesity, contributing to the unfavourable course of coronavirus infection, and the evolution of their microbiome during bariatric surgery, elucidating the mechanisms of disease development and creating opportunities to identify potential new treatment targets and design effective personalized approaches for the diagnosis, management, and prevention of obesity.


Sujets)
Chirurgie bariatrique , , Microbiote , Obésité morbide , Humains , SARS-CoV-2
17.
J R Coll Physicians Edinb ; 51(4): 424-427, 2021 12.
Article Dans Anglais | MEDLINE | ID: covidwho-2202479
18.
J R Coll Physicians Edinb ; 51(4): 424-429, 2021 12.
Article Dans Anglais | MEDLINE | ID: covidwho-2202478
19.
J R Coll Physicians Edinb ; 51(2): 199-207, 2021 06.
Article Dans Anglais | MEDLINE | ID: covidwho-2202476
20.
J R Coll Physicians Edinb ; 51(2): 199-207, 2021 06.
Article Dans Anglais | MEDLINE | ID: covidwho-2202475
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