ABSTRACT
INTRODUCTION: Due to the absence of precise data regarding the occupational and mental health of Anesthesiologists (MA), in this study. OBJECTIVES: We sought to identify the frequency of suicidal ideation in Anesthesiologists of a Brazilian state. The goals was to verify the frequency of suicidal ideation and common variables in the Anesthesiologists of the selected population, in order to make a literary contribution and generate knowledge that may be useful, through mental and occupational health strategies. METHOD: An individual, observational, cross-sectional study was conducted, characterized as a research, with a quantitative approach, among anesthesiologists, by means of an electronic questionnaire. RESULTS: 266 questionnaires were applied between September 2018 and November 2018, of which all those who did not answer the questionnaire or did so partially were excluded, as well as those who did not perform the profession in the state of Paraná, resulting in n = 233. DISCUSSION: It was verified that 14.59% (34) of the anesthesiologists in the sample have experienced suicidal thoughts. Suicidal ideation conceptually addresses thoughts, ideas, planning or desire to end life
INTRODUCCIÓN: Debido a la ausencia de datos precisos respecto de la salud laboral y mental de los Médicos Anestesiólogos (MA), en este estudio, se buscó identificar la frecuencia de ideación suicida en anestesiólogos de un Estado brasileño. OBJETIVOS: Verificar la frecuencia de ideación suicida y variables comunes en los anestesiólogos de la población seleccionada, con el fin de realizar una contribución literaria y generar conocimiento que pueda ser útil, por medio de estrategias de salud mental y laboral. MÉTODO: Se realizó un estudio individual, observacional, transversal, caracterizado como investigación, de enfoque cuantitativo, entre médicos anestesiólogos, por medio de un cuestionario electrónico. RESULTADOS: Se aplicaron 266 cuestionarios entre septiembre de 2018 y noviembre de 2018, de los cuales se excluyeron a todos aquellos que no respondieron el cuestionario o lo hicieron de forma parcial, así como aquellos que no desempeñaban la profesión en el Estado de Paraná, dando como resultado n = 233. DISCUSIÓN: Se verificó que el 14,59% (34) de los médicos anestesiólogos de la muestra han experimentado pensamientos suicidas. La ideación suicida conceptualmente aborda pensamientos, ideas, planeación o deseo de terminar con la vida.
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Suicidal Ideation , Anesthesiologists/psychology , Brazil/epidemiology , Cross-Sectional Studies , Surveys and QuestionnairesABSTRACT
Post-dural puncture headache is a complication of neuroaxial anesthesia. The initial approach consists of supportive treatment. In case of therapeutic failure, the epidural blood patch (PSE) is the treatment of choice. The case of a sphenopalatine ganglion block is presented for its management with good results.
La cefalea postpunción dural es una complicación de la anestesia neuroaxial. El abordaje inicial consiste en tratamiento de soporte. En caso de falla terapéutica, el parche sanguíneo epidural (PSE) es el tratamiento de elección. Se presenta el caso de un bloqueo de ganglio esfenopalatino para su manejo con buenos resultados.
Subject(s)
Humans , Female , Adult , Post-Dural Puncture Headache/therapy , Sphenopalatine Ganglion Block/methodsABSTRACT
Introdução: Úlceras pépticas ainda são um problema de saúde pública, portanto há interesse em obter dados atuais com a finalidade de melhorias nas estratégias de saúde. Objetivos: Conhecer o perfil epidemiológico dos pacientes diagnosticados com úlcera gástrica e/ou duodenal. Metodologia: Foi realizado um estudo observacional, transversal, prospectivo, de abordagem quantitativa, com uma população composta por crianças, adultos e idosos, submetidos ao exame de endoscopia digestiva alta em um serviço de referência público e outro privado do extremo sul catarinense entre agosto de 2012 e agosto de 2013. Resultados: A idade média foi 56,3 (±16,9) anos naqueles diagnosticados com úlceras pépticas, 60,2 (±15,3) anos naqueles com úlcera gástrica e entre os casos de úlcera duodenal, a média foi de 49,4 (±17,9) anos. A presença de H. Pylori, foi confirmada em 57,6% do total de pacientes com úlcera péptica, todavia a presença de H. Pylori variou conforme o tipo de úlcera presente. Entre aqueles com úlcera gástrica, a maioria, 66,7% (IC95% 44,7;88,7), teve resultado negativo para a bactéria, enquanto 33,3% (IC95% 11,3;55,3) apresentaram H. Pylori. Em contrapartida, nos pacientes com úlceras duodenais, a bactéria estava presente em 100% (IC95% 100,0;100,0) dos casos (p=0,001). Conclusão: Foi observada maior frequência de úlceras gástricas em homens, brancos, não tabagistas e não usuários de AINEs. Constatou-se maior presença de H. Pylori naqueles com úlceras duodenais e, dentre as úlceras gástricas, a maioria dos pacientes não apresentou neoplastias ao exame anatomopatológico.
Background: Peptic ulcers currently remain a public health care issue, hence there is interest in obtain current data for improve the health care strategies. Objectives: To acknowledge the epidemiological profile of patients diagnosed with gastric and/or duodenal ulcer via upper endoscopy. Method: An observational, cross-sectional, prospective and quantitative approach was conducted. The population was composed by children, adults and seniors, examined by upper endoscopy in a renown public and a renown private institutions in the far-south of Santa Catarina between August 1st of 2012 and August 1st of 2013. Results: The mean age was 56,3 (±16,9) years old in those diagnosed with peptic ulcers, 60,2 (±15,3) in those diagnosed with gastric ulcer and 49,4 (±17,9) in those diagnosed with duodenal ulcer. The presence of H. Pylori was confirmed in 57,6% of the patients with peptic ulcers, however, the percentage varied according to the type of the ulcer: among those with gastric ulcer, the majority - 66,7% (IC95% 44,7;88,7) shown negative results for H. Pylori while 33,3% (IC95% 11,3;55,3) shown positive test results, indicating the presence of the bacteria. In the other hand, patients with duodenal ulcer had the bacteria in 100% of the cases (p=0,001). Conclusion: It was observed higher frequency of gastric ulcers among men, whites, non-AINEs-users, and non-smokers. Higher prevalence of the H. Pylori was observed in patients with duodenal ulcers. The majority of the patients with gastric ulcers did not show gastric neoplasia in the anatomopathological exam.
