RESUMEN
The complete features of the neurological complications of coronavirus disease 2019 (COVID-19) still need to be elucidated, including associated cranial nerve involvement. In the present study we describe cranial nerve lesions seen in magnetic resonance imaging (MRI) of six cases of confirmed COVID-19, involving the olfactory bulb, optic nerve, abducens nerve, and facial nerve. Cranial nerve involvement was associated with COVID-19, but whether by direct viral invasion or autoimmunity needs to be clarified. The development of neurological symptoms after initial respiratory symptoms and the absence of the virus in the cerebrospinal fluid (CSF) suggest the possibility of autoimmunity.
Asunto(s)
Nervio Abducens/diagnóstico por imagen , COVID-19/diagnóstico por imagen , Enfermedades de los Nervios Craneales/diagnóstico por imagen , Nervio Facial/diagnóstico por imagen , Bulbo Olfatorio/diagnóstico por imagen , Nervio Óptico/diagnóstico por imagen , Nervio Abducens/inmunología , Nervio Abducens/patología , Nervio Abducens/virología , Adulto , Anciano , Autoinmunidad , COVID-19/inmunología , COVID-19/patología , COVID-19/virología , Enfermedades de los Nervios Craneales/inmunología , Enfermedades de los Nervios Craneales/patología , Enfermedades de los Nervios Craneales/virología , Nervio Facial/inmunología , Nervio Facial/patología , Nervio Facial/virología , Femenino , Humanos , Imagen por Resonancia Magnética , Masculino , Neuroimagen , Bulbo Olfatorio/inmunología , Bulbo Olfatorio/patología , Bulbo Olfatorio/virología , Nervio Óptico/inmunología , Nervio Óptico/patología , Nervio Óptico/virología , SARS-CoV-2/patogenicidadRESUMEN
Este estudo discute o método funcional na enfermagem, abordado através de uma dinâmica de grupo desenvolvida com mestrandos da EERP-USP, sendo divididos em três grupos. Após a dinâmica, responderam um questionário com 04 perguntas. As respostas do grupo I mostraram desvantagens da modalidade funcional que interferem no trabalho como: relações impessoais, fragmentação de tarefas e centralização das decisões, gerando insatisfação no trabalhador. Os grupos II e III apontaram algumas vantagens quando o trabalho é baseado em equipe, das quais destacamos a troca de experiências, o planejamento participativo e as decisões compartilhadas, sendo estes, fatores que levam à satisfação no trabalho.
This study discusses the functional method applied to Nursing, approached through a group dynamics developed with three groups of Master students from the University of Seto Paulo at Ribeirão Preto College of Nursing. After the dynamics, the subjects answered a questionnaire with four questions. The responses of the first group showed the limitations of the functional model that interfere in the work such as: impersonal relationships, fragmentation of tasks, centralization of decisions causing the workers' dissatisfaction. The groups II and III pointed out some advantages when the work is based on a team, such as the exchange of experiences, participant planning and shared decisions, resulting in satisfaction at work.
