Avanços em Medicina最新文献

{"title":"Health professionals directly involved in the diagnosis, treatment, and care of patients with Covid-19","authors":"M. L. Rolim Neto","doi":"10.52329/avanmed.40","DOIUrl":"https://doi.org/10.52329/avanmed.40","url":null,"abstract":"Introduction: Health professionals directly involved in the diagnosis, treatment, and care ofpatients with COVID-19 develop the insertion of psychic spaces for the installation of painand psychological suffering and other mental health symptoms.Objective: Carry out a analysis of the psychiatric repercussions based people on the frontlines: Nurses, doctors, healthcare workers, and other medical professionals who are testingfor and treating patients with COVID-19Method: This current literature review has utilized literature reserves and scientific searchengines MEDLINE, EMBASE and Web of Science. The search terms included, “SARS-CoV-2”,“Mental Health,” “psychiatric repercussions”, \"People on the front lines \" “COVID-19”. Specificchoices of unique papers from each of the searches were identified. The inclusion criteriawere relevance and availability of full-text. Papers were excluded on the basis of relevanceand non-availability of full-text. Papers were identified in the general literature reserve aspertinent to the search terms.Results: Work-related stress is a potential cause of concern for health professionals.Conclusion: Evidence highlights some timely mental health care that needs to be developedurgently, such as: use of psychotropic drugs; specialized psychiatric treatments andappropriate mental; and health status updates for professionals in the Intensive Care Unit;psychological counseling; and psychotherapy techniques such as those based on the stressadaptation model.","PeriodicalId":447651,"journal":{"name":"Avanços em Medicina","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116977447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy in the treatment of depressive disorders","authors":"Taysa Leite de Aquino, Jaiany Rodrigues Libório, Ana Luiza Menezes Santana Bezerra, Giovana Macêdo Egídio Cavalcante, Dara Fernanda Brito Duarte, A. Martin, J. D. A. D. Paula, M. L. Rolim Neto","doi":"10.52329/avanmed.38","DOIUrl":"https://doi.org/10.52329/avanmed.38","url":null,"abstract":"Introduction\u0000Depression, being the most disabling disease in the world and presenting high morbidity and mortality, requires an effective treatment to ensure the maintenance of the patients' quality of life. About a third of patients do not respond adequately to antidepressant treatment. New pharmacological therapies are being approached in order to reduce the unfavorable outcomes resulting from this pathology.\u0000Objective\u0000To develop a systematic review of the literature on the new possibilities of pharmacological treatments for depression in the last four years.\u0000Method\u0000A systematic review was carried out following the PRISMA protocol (Preferred Reporting Items for Systematic Reviews and Meta-Analysis). We have included studies on the effectiveness of new pharmacological therapies in patients with major depressive disorder and treatment-resistant depression.\u0000Results\u0000In the treatment of the major depressive disorder (MDD), the use of brexpiprazole 1 mg/day in addition to the usual antidepressant treatment (ADT) resulted in significant improvement in the main symptoms. Already referring to treatments for treatment-resistant depression (TRD): nasal esketamine proved beneficial in the short term, intravenous (IV) ketamine also appears as an effective therapy.\u0000Conclusion\u0000The use of brexpiprazole 1 mg/day associated with an antidepressant, and the use of lactobacilli represent a new option for those with MDD. In addition, both ketamine, riluzole, and cariprazine appear as new hopes for those who have not yet achieved remission of the depressive disorder with the use of more than two antidepressants","PeriodicalId":447651,"journal":{"name":"Avanços em Medicina","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133953913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Why do doctors kill themselves? A brief communication","authors":"M. L. Rolim Neto, Nádia Nara Rolim Lima","doi":"10.52329/avanmed.41","DOIUrl":"https://doi.org/10.52329/avanmed.41","url":null,"abstract":"Background: Current evidence highlights that although it is a universal disease, depressionand mental and behavioral disorders affect different careers differently. In this clinical context,studies consider that it is vitally important that we take action now to fully understand theactual impact of suicide on physician workforce.Objective: Here we show that the suicide rate among physicians has exploded in recentdecades. The suicide rate among male and female physicians is 1.41 and 2.27 times higherthan that of the general male and female population, respectively.Results: Suicide in doctors can be affected by intense competition. Other contributors includefinancial pressures, as well as the need to adjust to being “average” among their high achievingcohorts. Moving frequently between hospitals and wards on placement can generateanxiety too. There can be additional pressure to author publications and other CV-buildingachievements from early on in medical school.Conclusion: Despite the fact that 10-20% of them have suffered from depression, and suiciderates are reported to be much higher than among other professional groups or the generalpopulation, doctors have poor access to mental health care. The idea of giving up lifecomes when worries, fatigue, and emotional pain pile up on a level that makes doctors feelincapable of bearing that suffering.","PeriodicalId":447651,"journal":{"name":"Avanços em Medicina","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121329141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The importance of psychological messages and the “questionbehavior effect” about remdesivir","authors":"A. Matos, Séphora Natércia Albuquerque Oliveira, M. L. Rolim Neto","doi":"10.52329/avanmed.34","DOIUrl":"https://doi.org/10.52329/avanmed.34","url":null,"abstract":"Background: The FDA has been requiring that information about using remdesivir to treat COVID-19 be made available to healthcare providers and patients, including dosing instructions, potential side effects, and drug interactions. It is important to observe the initial indicators of anxiety, fear, and euphoria for families during emergencies, including information on the possible side effects. This situational context is very important in all the world, because it opens doors for providing the use of updated information about treatment follow-up and for offering improved mental health services.\u0000Method: The studies were identified in well-known international journals found in two electronic databases: Scopus and Embase. The data were cross-checked with information from the main international newspapers.\u0000Results: The high expectations supported by an immediate discourse culminate in frustration and displeasure, while more consistent empirical results are not generated. These two are predictors of psychic suffering, especially due to the scarcity of information and uncertainties. In parallel, recent studies indicate that spreading information without scientific basis intensifies damage to the routine and health of people, which are already impacted by the pandemic situation. This misrepresented spread may be a factor for unleashing fear and, as a consequence, social despair.\u0000Conclusions: Based on the impulsive scenarios stimulated in the context of hydroxychloroquine and on the high spread of fake or distorted news, the psychiatric impacts of COVID-19 pandemic associated with the use of remdesivir may be worsened and reflected directly on the population’s self-esteem.","PeriodicalId":447651,"journal":{"name":"Avanços em Medicina","volume":"91 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127465696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The spread of covid-19 and psychiatric impact on indigenous peoples","authors":"Tainã Brito Siebra de Oliveira, Jorge Lucas de Sousa Moreira, Pedro Walisson Gomes Feitosa, Danielly Gonçalves Sombra Lima, Bárbara Silveira Dionízio, M. L. Rolim Neto","doi":"10.52329/avanmed.37","DOIUrl":"https://doi.org/10.52329/avanmed.37","url":null,"abstract":"Background: Information on strategies adopted by Indigenous peoples against COVID-19 is scarce, and history shows that Indigenous peoples in the Amazon region may be particularly affected by the  pandemic. \u0000Method: The studies were identified in well-known international journals found in two electronic databases: Scopus and Embase. The data were cross-checked with information from the main international newspapers. \u0000Results: Mental disorders in the affective spectrum (unipolar major depression, dysthymia, bipolarity) and anxiety disorders (generalized anxiety disorder, panic attacks, social phobia) also mark the reality of Indigenous psychiatric vulnerability. \u0000Conclusions: To mitigate the impact of COVID-19 on Indigenous communities in Brazil, a health service for Indigenous groups, a crisis office, and a monitoring panel were created. In the state of Amazonas, home to more Indigenous people than any other Brazilian state, 95% of the intensive care beds are occupied.  Thus, mental health disparities between Indigenous and non-Indigenous peoples may be related to the underlying economic, social, and political inequities that are legacies of colonization and oppression of Indigenous cultures; the disproportionate rates of mental disorders must be understood in context, not as intrinsic predisposition of Indigenous peoples, but as reflecting persistent inequalities.","PeriodicalId":447651,"journal":{"name":"Avanços em Medicina","volume":"395 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134126620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pênfigo vulgar: uma manifestação cutânea autoimune na síndrome pós-Covid-19","authors":"Rebecca Castelo Branco, Antônio Urbano Monteiro-Neto, Vanessa Lucília Silveira de Medeiros","doi":"10.52329/avanmed.31","DOIUrl":"https://doi.org/10.52329/avanmed.31","url":null,"abstract":"Comentário\u0000 ","PeriodicalId":447651,"journal":{"name":"Avanços em Medicina","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122452112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vitamin D and mental health during the Covid-19 outbreak","authors":"Séphora Natércia Albuquerque Oliveira, M. L. Rolim Neto","doi":"10.52329/avanmed.32","DOIUrl":"https://doi.org/10.52329/avanmed.32","url":null,"abstract":"The relationship between hypovitaminosis D and depressive disorder is well documented in the medical literature. However, the biological mechanisms by which vitamin D can modulate psychological distress are still unclear. Containment measures can decrease individual’s exposure to the sun, significantly increasing their needs for vitamin D, a nutrient already deficient in patients with depression. Therefore, it can be inferred that by ingesting the same amount of vitamin D, depressive individuals seem to obtain a lesser amount of this nutrient from the sun's rays when compared to healthy people.  We found the relationship between vitamin D and COVID-19 has been increasingly studied, mainly due to the changes that this substance can cause in the inflammatory process - especially in the release of cytokines, in SARS and in lung injuries. Despite the benefits, the existing observational studies on this exchange are not enough to definitively associate vitamin D as a protective factor for COVID-19.","PeriodicalId":447651,"journal":{"name":"Avanços em Medicina","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132872748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Child sexual abuse: increasing pandemic incidence","authors":"Fabian Danilo Unigarro Ramirez, M. L. Rolim Neto","doi":"10.52329/avanmed.35","DOIUrl":"https://doi.org/10.52329/avanmed.35","url":null,"abstract":"Introduction: The increase of violence against children is characterized as a serious public health problem.  The media has continuously reported cases of: rape perpetrated against children, increased violence against this age group and alarming epidemiological data resulting from the isolation of the pandemic by SARS-CoV-2.\u0000Methods: Studies were identified using large-circulation international journals found in two electronic databases: Scopus and Embase.\u0000Results: Cases of harassment, rape, manipulation of the child's genitals, oral, anal or genital penetration, pedophilia, exploitation, dissemination of erotic images of children in social networks, exhibitionism, masturbation, Voyeurism and incestuous abuse are classified as child sexual abuse. The numbers of legal abortions in child and adolescent victims of rape tends to increase a 100% taking into account the in the first cases of 2020.\u0000Conclusion: discussions for the implementation of public policies and healthcare for children victims of sexual abuse are important for prevention, treatment, rehabilitation and reintegration into the society, considering all the sequel that this vulnerable group acquires after the crime.","PeriodicalId":447651,"journal":{"name":"Avanços em Medicina","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126349113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resistência aos antibióticos de uso oral a partir de isolados de urina de pacientes não hospitalizados","authors":"Maria Eduarda Campos Bezerra, R. Melo, F. Montenegro","doi":"10.52329/avanmed.27","DOIUrl":"https://doi.org/10.52329/avanmed.27","url":null,"abstract":"O índice da resistência antimicrobiana (RAM) cresce progressivamente no mundo e acaba limitando a eficácia de tratamento de doenças comuns, como a infecção do trato urinário (ITU). Além disso, na atualidade, a RAM é apontada como um dos principais problemas de saúde pública. Diante do exposto, o objetivo do presente estudo foi avaliar a resistência bacteriana frente aos antibióticos orais mais comumente utilizados para o tratamento das ITU em pacientes ambulatoriais, bem como a identificação das bactérias isoladas. Foi realizado um estudo observacional experimental com abordagem quantitativa no período de janeiro a maio de 2019, desenvolvido em um hospital privado de alta complexidade localizado na cidade do Recife, PE. Foram incluídas no estudo todas as uroculturas positivas de pacientes adultos atendidos no ambulatório do referido hospital, onde foi utilizado, para a identificação bacteriana, o equipamento MALDI – TOF (Matrix Associated Laser Desorption-Ionization – Time of Flight). Foram analisadas um total de 379 amostras positivas de uroculturas, das quais 16 (4,2%) representavam espécies sem interesse clínico, pois obtiveram uma porcentagem de frequência muito baixa, bem como 327 (86,3%) pertenciam a três espécies de bactérias Gram-negativas: Escherichia coli (72,8%), Klebsiella pneumoniae (16,2%) e Proteus mirabilis (11%). Enquanto nas 36 (9,5%) amostras foram identificadas duas espécies Gram-positivas: Staphylococcus saprophyticus (66,7%) e Enterococcus faecalis (33,3%).  Foi possível observar que o antibiótico oral com maior percentual de resistência foi o sulfametoxazol + trimetoprima com 24,5% seguido da ciprofloxacina com 22,1%, cefuroxima (16,7%), amoxicilina + clavulanato (13,0%) e nitrofurantoína (8,1%). De acordo com recomendação, é excluído o uso de antibióticos que apresentarem resistência acima de 20%, desta forma os únicos antibióticos por via oral que possui perfil terapêutico adequado para o tratamento empírico dos pacientes adultos com ITU na região do presente estudo são cefuroxima, amoxicilina + clavulanato e nitrofurantoína.\u0000 ","PeriodicalId":447651,"journal":{"name":"Avanços em Medicina","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123508417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The memory of an outrageous public health scandal","authors":"Sally de França Lacerda Rolim, C. G. L. Silva, Fabian Danilo Unigarro Ramirez, Raul Cesar Fortaleza Pinheiro, J. D. A. D. Paula, Nádia Nara Rolim Lima, M. L. Rolim Neto","doi":"10.52329/avanmed.36","DOIUrl":"https://doi.org/10.52329/avanmed.36","url":null,"abstract":"Introduction: Manaus is an isolated city, localized in the hearth of the Amazonas rainforest, with two million inhabitants, a big territorial extension, distant from neighbor cities and next to the shores of Negro and Solimões rivers. The access overland is difficult, which obligates the oxygen tanks be transported by river or air.  This created and enormous logistical problem, added to the neglect of the Federal Government with the northern region of the country. Objective: Analyze what are the psychiatric repercussions on the explosion of in the lack of oxygen in Manaus, capital of the Amazonas, Brazil. Methods: Studies were identified using large-circulation international journals. Results: A scandal is happening. This situation is creating a grief community – particular grief became a common and public one – to the memory of an outrageous public health scandal. Therefore, dramatic stories of families of patients and the overwhelmed healthcare professionals shared on the social media and local press brings glimpses of the angst of this chaos. An entire wing of patients died caused by the oxygen depletion. Conclusion: This situation is causing a collective hysteria, taking healthcare workers and families of patients to desperation. Fear appears to be a consequence of the feeling of powerlessness. Anxiety levels are really elevated causing direct side effects to another mental health measures.","PeriodicalId":447651,"journal":{"name":"Avanços em Medicina","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126931403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}