Impactos da má qualidade do sono em profissionais da saúde em ambiente emergencial

This study aims to evaluate the impacts of poor sleep quality among healthcare professionals in emergency environments. Health services aimed at managing critical situations are often characterized by high pressure and stressful work environments. This is due to the severity of the conditions faced by patients, which may present an imminent risk of death or severe suffering. Professionals who work in these areas are particularly susceptible to occupational stress and health problems, due to the intrinsic demands of the role and adverse conditions, such as lack of human and material resources, work overload, inadequate environments, overcrowding and lack of recognition. by the administration. This is a narrative review of a critical and analytical nature, in research on the main concepts regarding CABG complications, in addition to the essential aspects of diagnosis and treatment. A review of articles was carried out in the Scientific Electronic Library Online (SciELO) and PubMed databases, with the following Health Sciences Descriptors (DeCS): Rest; Quality of life; Health. Work environments in emergency services are often associated with high levels of stress, resulting in a significant impact on the physical, mental and emotional well-being of professionals.Este estudio tiene como objetivo evaluar los impactos de la mala calidad del sueño entre los profesionales sanitarios en entornos de emergencia. Los servicios de salud destinados a gestionar situaciones críticas suelen caracterizarse por entornos laborales estresantes y de alta presión. Esto se debe a la gravedad de las condiciones que enfrentan los pacientes, que pueden presentar un riesgo inminente de muerte o sufrimiento severo. Los profesionales que actúan en estas áreas son particularmente susceptibles al estrés ocupacional y a problemas de salud, debido a las exigencias intrínsecas del rol y a condiciones adversas, como falta de recursos humanos y materiales, sobrecarga de trabajo, ambientes inadecuados, hacinamiento y falta de reconocimiento. por la administración. Se trata de una revisión narrativa, de carácter crítico y analítico, en la investigación sobre los principales conceptos sobre las complicaciones de la CABG, además de los aspectos esenciales del diagnóstico y tratamiento. Se realizó una revisión de artículos en las bases de datos Scientific Electronic Library Online (SciELO) y PubMed, con los siguientes Descriptores en Ciencias de la Salud (DeCS): Descanso; Calidad de vida; Salud. Los entornos laborales en los servicios de emergencia suelen estar asociados a altos niveles de estrés, lo que tiene como resultado un impacto significativo en el bienestar físico, mental y emocional de los profesionales.Este estudo tem como objetivo avaliar os impactos da má qualidade do sono entre os profissionais de saúde em ambientes emergenciais. Os serviços de saúde voltados para o manejo de situações críticas frequentemente são caracterizados por ambientes de trabalho de alta pressão e estresse. Isso ocorre devido à gravidade das condições enfrentadas pelos pacientes, que podem apresentar risco iminente de morte ou sofrimento severo. Os profissionais que atuam nessas áreas estão particularmente suscetíveis ao estresse ocupacional e a problemas de saúde, devido às demandas intrínsecas da função e às condições adversas, como a escassez de recursos humanos e materiais, sobrecarga de trabalho, ambientes inadequados, superlotação e falta de reconhecimento por parte da administração. trata-se de uma revisão narrativa de caráter crítico e analítico, na  pesquisa  sobre  os principais  conceitos  no  que tange às complicações da CRM, além dos aspectos essenciais de diagnóstico e tratamento. Foi  realizada  uma  revisão  de  artigos  nas  bases  de  dados   Scientific  Electronic  Library  Online (SciELO) e PubMed, com os seguintes Descritores em Ciências  da  Saúde  (DeCS): Descanso; Qualidade de vida; Saúde. Ambientes de trabalho em serviços de emergência estão frequentemente associados a elevados níveis de estresse, resultando em um impacto significativo no bem-estar físico, mental e emocional dos profissionais

PERFIL EPIDEMIOLÓGICO DOS TRANSTORNOS MENTAIS RELACIONADOS AO TRABALHO NO ESTADO DE GOIÁS ENTRE 2018 E 2023

The literature defines work-related psychological disorders as those resulting from diverse professional situations and with multifactorial causes, with historical records dating back to 1840, and although attention focused on this issue has increased after the SaRS-CoV-2 pandemic, exploration of this topic by science is still scarce. The present study aims to analyze work-related mental disorders, outlining the epidemiological profile of these conditions. This is an epidemiological, descriptive and cross-sectional study on the mental disorders of the working class in the state of Goiás in a period between 2018 and 2023. The data were collected from the SUS Information Technology Department (DATASUS) and analyzed using the R software version 4.2 .3. There was a prevalence of 115 reported female cases, 39 in white individuals and the most prevalent age group being between 35 and 49 years old, being more common in individuals studying higher education. A predominance of stress-related disorders was also observed, with 58 cases, followed by those linked to affective mood disorder, with 28 cases. Therefore, it is understood that work-related mental disorders are mainly related to stress, but also to long working hours, causing cases of psychosis and reducing the quality of life of individuals; which demonstrates the importance of mental health awareness initiatives.La literatura define los trastornos psicológicos relacionados con el trabajo como aquellos resultantes de situaciones profesionales diversas y con causas multifactoriales, con registros históricos que se remontan a 1840, y aunque la atención centrada en este tema ha aumentado después de la pandemia de SaRS-CoV-2, la exploración de este tema por la ciencia todavía es escasa. El presente estudio tiene como objetivo analizar los trastornos mentales relacionados con el trabajo, delineando el perfil epidemiológico de estas condiciones. Se trata de un estudio epidemiológico, descriptivo y transversal sobre los trastornos mentales de la clase trabajadora en el estado de Goiás en el período de 2018 a 2023. Los datos fueron recolectados del Departamento de Tecnología de la Información del SUS (DATASUS) y analizados mediante el método R versión de software 4.2 .3. Hubo una prevalencia de 115 casos reportados en el sexo femenino, 39 en personas de raza blanca y el grupo etario de mayor prevalencia fue el de 35 a 49 años, siendo más común en personas que cursan estudios de educación superior. También se observó predominio de los trastornos relacionados con el estrés, con 58 casos, seguidos de los vinculados al trastorno afectivo del estado de ánimo, con 28 casos. Por lo tanto, se entiende que los trastornos mentales relacionados con el trabajo están relacionados principalmente con el estrés, pero también con las largas jornadas laborales, provocando casos de psicosis y reduciendo la calidad de vida de las personas; lo que demuestra la importancia de las iniciativas de concientización sobre la salud mental.A literatura define transtornos psicológicos relacionados ao trabalho como aqueles resultantes de situações profissionais diversas e com causas multifatoriais, com registros históricos que datam desde 1840, e embora a atenção voltada para essa questão tenha aumentado após a pandemia pelo SaRS-CoV-2, a exploração dessa temática pela ciência ainda é escassa. O presente estudo tem como objetivo analisar os transtornos mentais relacionados ao trabalho, traçando o perfil epidemiológico dessas condições. Trata-se de um estudo epidemiológico, descritivo e transversal sobre os transtornos mentais da classe trabalhadora do estado de Goiás em um período entre 2018 e 2023. Os dados foram coletados do Departamento de Informática do SUS (DATASUS) e analisados no software R versão 4.2.3. Constatou-se uma prevalência de 115 casos notificados do sexo feminino, 39 em indivíduos da raça branca e a faixa etária mais  prevalente sendo entre 35 e 49 anos, sendo mais comum em indivíduos cursando o Ensino superior. Foi observado também um predomínio de transtornos relacionados ao estresse, com 58 casos, seguidos daqueles  ligados ao transtorno de humor afetivo, com 28 casos. Dessa forma, entende-se que os transtornos mentais ligados ao trabalho estão relacionados principalmente ao estresse, mas também, a jornadas de trabalhos prolongadas, acarretando casos de psicoses e reduzindo a qualidade de vida dos indivíduos; o que demonstra a importância de iniciativas de conscientização sobre saúde mental

Diagnóstico e tratamento da depressão: uma revisão de literatura

This article aims to evaluate the clinical aspects of depression experienced in the last five years, taking into account the prevalence, classification, diagnosis and treatment used. Integrative review in the VHL, LILACS, SciELO, PubMed database of works published between 2019 and 2023, combining the descriptors "depression", "diagnosis" and "treatment" with the Boolean descriptor "AND". The inclusion criteria were articles published in English or Portuguese, patients with rhinosinusitis. Of 41 articles, 5 were included. Depression is a mental disorder with a chronic and recurrent course, which generally occurs in association with other mental, neurological and substance use conditions, as well as physical conditions. It is concluded that symptoms can resolve spontaneously, especially when they are mild or short-lived. Mild depression can be treated with general support and psychotherapy.Este artigo tem por objetivo avaliar os aspectos clínicos da depressão realizada nos últimos cinco anos, levando em consideração a prevalência, classificação, diagnóstico e o tratamento utilizado. Revisão integrativa no banco de dados da BVS, LILACS, SciELO, PubMed de trabalhos publicados entre 2019 e 2023, combinando os descritores "depressão", "diagnóstico" e "tratamento" ao descritor booleano "AND". Os critérios de inclusão foram os artigos publicados em inglês ou português, pacientes portadores de rinossinusite. De 41 artigos, foram incluídos 5.  A depressão é um transtorno mental de curso crônico e recorrente, que geralmente ocorre associada a outras condições mentais, neurológicas e por uso de substâncias, assim como condições físicas. Conclui-se que os sintomas podem remitir espontaneamente, sobretudo, quando são leves ou de curta duração. A depressão leve pode ser tratada com suporte geral e psicoterapia

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Reduction of cardiac imaging tests during the COVID-19 pandemic: The case of Italy. Findings from the IAEA Non-invasive Cardiology Protocol Survey on COVID-19 (INCAPS COVID)

Background: In early 2020, COVID-19 massively hit Italy, earlier and harder than any other European country. This caused a series of strict containment measures, aimed at blocking the spread of the pandemic. Healthcare delivery was also affected when resources were diverted towards care of COVID-19 patients, including intensive care wards. Aim of the study: The aim is assessing the impact of COVID-19 on cardiac imaging in Italy, compare to the Rest of Europe (RoE) and the World (RoW). Methods: A global survey was conducted in May–June 2020 worldwide, through a questionnaire distributed online. The survey covered three periods: March and April 2020, and March 2019. Data from 52 Italian centres, a subset of the 909 participating centres from 108 countries, were analyzed. Results: In Italy, volumes decreased by 67% in March 2020, compared to March 2019, as opposed to a significantly lower decrease (p &lt; 0.001) in RoE and RoW (41% and 40%, respectively). A further decrease from March 2020 to April 2020 summed up to 76% for the North, 77% for the Centre and 86% for the South. When compared to the RoE and RoW, this further decrease from March 2020 to April 2020 in Italy was significantly less (p = 0.005), most likely reflecting the earlier effects of the containment measures in Italy, taken earlier than anywhere else in the West. Conclusions: The COVID-19 pandemic massively hit Italy and caused a disruption of healthcare services, including cardiac imaging studies. This raises concern about the medium- and long-term consequences for the high number of patients who were denied timely diagnoses and the subsequent lifesaving therapies and procedures

International Impact of COVID-19 on the Diagnosis of Heart Disease

Background: The coronavirus disease 2019 (COVID-19) pandemic has adversely affected diagnosis and treatment of noncommunicable diseases. Its effects on delivery of diagnostic care for cardiovascular disease, which remains the leading cause of death worldwide, have not been quantified. Objectives: The study sought to assess COVID-19's impact on global cardiovascular diagnostic procedural volumes and safety practices. Methods: The International Atomic Energy Agency conducted a worldwide survey assessing alterations in cardiovascular procedure volumes and safety practices resulting from COVID-19. Noninvasive and invasive cardiac testing volumes were obtained from participating sites for March and April 2020 and compared with those from March 2019. Availability of personal protective equipment and pandemic-related testing practice changes were ascertained. Results: Surveys were submitted from 909 inpatient and outpatient centers performing cardiac diagnostic procedures, in 108 countries. Procedure volumes decreased 42% from March 2019 to March 2020, and 64% from March 2019 to April 2020. Transthoracic echocardiography decreased by 59%, transesophageal echocardiography 76%, and stress tests 78%, which varied between stress modalities. Coronary angiography (invasive or computed tomography) decreased 55% (p &lt; 0.001 for each procedure). In multivariable regression, significantly greater reduction in procedures occurred for centers in countries with lower gross domestic product. Location in a low-income and lower–middle-income country was associated with an additional 22% reduction in cardiac procedures and less availability of personal protective equipment and telehealth. Conclusions: COVID-19 was associated with a significant and abrupt reduction in cardiovascular diagnostic testing across the globe, especially affecting the world's economically challenged. Further study of cardiovascular outcomes and COVID-19–related changes in care delivery is warranted

Impact of COVID-19 on Diagnostic Cardiac Procedural Volume in Oceania: The IAEA Non-Invasive Cardiology Protocol Survey on COVID-19 (INCAPS COVID)

Objectives: The INCAPS COVID Oceania study aimed to assess the impact caused by the COVID-19 pandemic on cardiac procedure volume provided in the Oceania region. Methods: A retrospective survey was performed comparing procedure volumes within March 2019 (pre-COVID-19) with April 2020 (during first wave of COVID-19 pandemic). Sixty-three (63) health care facilities within Oceania that perform cardiac diagnostic procedures were surveyed, including a mixture of metropolitan and regional, hospital and outpatient, public and private sites, and 846 facilities outside of Oceania. The percentage change in procedure volume was measured between March 2019 and April 2020, compared by test type and by facility. Results: In Oceania, the total cardiac diagnostic procedure volume was reduced by 52.2% from March 2019 to April 2020, compared to a reduction of 75.9% seen in the rest of the world (p&lt;0.001). Within Oceania sites, this reduction varied significantly between procedure types, but not between types of health care facility. All procedure types (other than stress cardiac magnetic resonance [CMR] and positron emission tomography [PET]) saw significant reductions in volume over this time period (p&lt;0.001). In Oceania, transthoracic echocardiography (TTE) decreased by 51.6%, transoesophageal echocardiography (TOE) by 74.0%, and stress tests by 65% overall, which was more pronounced for stress electrocardiograph (ECG) (81.8%) and stress echocardiography (76.7%) compared to stress single-photon emission computerised tomography (SPECT) (44.3%). Invasive coronary angiography decreased by 36.7% in Oceania. Conclusion: A significant reduction in cardiac diagnostic procedure volume was seen across all facility types in Oceania and was likely a function of recommendations from cardiac societies and directives from government to minimise spread of COVID-19 amongst patients and staff. Longer term evaluation is important to assess for negative patient outcomes which may relate to deferral of usual models of care within cardiology