Quando o "fique em casa" não era uma opção: os bastidores e os relatos das experiências dos profissionais de saúde no front de combate à pandemia da COVID-19 / Quand "rester à la maison" n'est pas une option: les expériences des professionnels de la santé sur le front du combat contre la pandémie COVID-19 / When "stay at home" was not an option: behind the scenes and the reports of the experiences of health professionals on the front of the Covid-19 pandemic

Este artigo trata-se do estudo de um procedimento de extrema eficiência no combate à pandemia da COVID-19, a partir de uma análise das entrevistas realizadas com os profissionais de saúde que comandaram a linha de frente de um hospital particular da zonaoeste do Rio de Janeiro. Realizamos essas entrevistas com o objetivo de compreender a forma como esses profissionais enfrentaram a ameaça e responderam às demandas inauguradas durante a pandemia. Pertencemos à equipe de psicologia do hospital e pudemos testemunhar a transformação da instituição desde a sua estrutura até a definição de protocolos de tratamento para uma doença naquele momento ainda desconhecida. Fomos obrigadas a repensar o nosso dispositivo clínico baseado na psicanálise aplicada e implementar novas intervenções como resposta à crise

Cet article est l'étude d'une procédure extrêmement efficace mise en place pour faire face à la pandémie de COVID-19, basée sur l'analyse d'entretiens menés avec des professionnels de la santé qui commandaient les travaux d'un hôpital privé dans la zone ouest de Rio de Janeiro. Nous avons mené ces entretiens afin de comprendre comment ces professionnels ont fait face à la menace et répondu aux demandes instaurées lors de la pandémie. Nous avons fait partie de l'équipe de psychologie de l'hôpital et avons assisté à la transformation de l'institution, de sa structure à la définition de protocoles de traitement pour une maladie encore inconnue à l'époque. Nous avons été obligés de repenser notre dispositif clinique basés sur la psychanalyse appliquée et de mettre en place de nouvelles interventions en réponse à la crise

This article reports the case study of the extreme efficiency in the procedures enforced to avert the Covid-19 pandemic, from an analysis of the interviews carried out with the health professionals who commanded the front line of a private hospital in Rio de Janeiro since the beginning of the COVID-19 pandemic. We conducted these interviews with the purpose of understanding how these professionals faced the threat and responded to the demands that emerged during the pandemic. The hospital's psychology team was able to witness the transformations from the hospital's structure to the definition of treatment protocols for a disease unknown at the time. We were forced to rethink our clinical procedure based on applied psychoanalysis and to implement new interventions in response to the crisis

Epidemiologia de traumatismo craniencefálico em um hospital / Epidemiology of cranioencephalic trauma in a hospital

OBJETIVO: Analisar o perfil epidemiológico de vítimas de traumatismo craniencefálico. MÉTODOS: Estratificação de uma amostra de 4.466 pacientes com traumatismo craniencefálico de um hospital de Uberlândia (MG), entre 2010 e 2015, acordo com a ocorrência anual. Os pacientes foram divididos em grupos de idade e sexo, utilizando o Excel. RESULTADOS: Os homens foram as principais vítimas dos traumatismos craniencefálicos em todas as faixas etárias e em todos os anos analisados neste estudo, principalmente em idades inferiores a 40 anos. CONCLUSÃO: O sexo masculino e a idade até 40 anos tendem a ser fatores risco para o traumatismo craniencefálico. Os resultados desta análise podem justificar medidas de prevenção direcionadas para este grupo de risco, no sentido de reduzir a morbimortalidade.(AU)

OBJECTIVE: To analyze the epidemiological profile of cranioencephalic trauma (CET) patients. METHODS: Stratification of a sample of 4,466 patients with cranioencephalic trauma of a hospital in the city of Uberlândia, state of Minas Gerais, between 2010 and 2015, according to an yearly occurrence. The patients were divided in in age and gender groups, with the use of Excel. RESULTS: Men were the main victims of cranioencephalic trauma in all age groups and in all the years analyzed in this study, especially in the ages below 40 years. CONCLUSION: Males and ages up to 40 years tend to be at risk for cranioencephalic trauma. The results of this analysis may warrant prevention measures directed to this risk group to reduce morbidity and mortality.(AU)

Is treatment under general anaesthesia associated with dental neglect and dental disability among caries active preschool children?

AIM: To study if treatment under general anaesthesia (GA) is associated with dental neglect or dental disability. STUDY DESIGN: This was a retrospective study. METHODS: Dental records of all children in the age 0-6 years who underwent GA at a specialist paediatric dentistry clinic during 2006-2011 were studied with regard to decayed-missed-filled teeth, traumatic injuries, emergency visits, behaviour management problems and the history of attendance. The final sample consisted of 134 children. Matched controls were selected among recall patients who had not received treatment under GA. STATISTICS: Fishers exact test or Pearson Chi-square test analysed response distribution and comparisons between groups, and for multivariate analyses, logistic regression was used. RESULTS: The results show that children treated under GA had significantly higher caries prevalence, apical periodontitis and infections due to pulpal necrosis. Dental neglect as well as dental disability was significantly more prevalent in the GA group compared to the control group. In a multivariate analysis with dental neglect as independent factor, dental disability was the only significant factor (p = 0.006). CONCLUSIONS: Children treated under general anaesthesia were significantly more often diagnosed with both dental neglect and dental disability. Dental disability was the only factor significantly related to dental neglect. There is a need for improved documentation in the dental records to better identify dental neglect and dental disability, and also a continued training of dentists regarding child protection.