Saúde mental de trabalhadores de radioterapia após pandemia por COVID-19: resultados de um estudo multicêntrico / The mental health of radiation therapy workers after pandemic COVID-19: results of a multicenter study / Salud mental de los trabajadores de radioterapia tras la pandemia por COVID-19: resultados de un estudio multicéntrico

Objetivo: Avaliar os níveis de resiliência, qualidade de vida (QV), ansiedade e depressão de trabalhadores de radioterapia após pandemia por COVID-19. Método: Estudo transversal, realizado com 49 trabalhadores de três hospitais oncológicos. Aplicou-se quatro questionários a partir de uma survey enviada por mensagem. Para análise dos resultados, utilizou-se estatística descritiva, testes de comparação, bem como Modelos de Regressão Linear e Logística. Resultados: Os trabalhadores apresentavam níveis moderados a elevados de ansiedade e QV e 28,6% apresentavam depressão. Participantes casados foram relacionados a melhores níveis de ansiedade e QV, sendo que quem tinha filhos apresentavam 3,57 vezes mais chance de ter alta resiliência. Conclusão: Pode-se observar altos níveis de resiliência, QV e menor presença de ansiedade e depressão nos participantes. Ações voltadas para avaliação contínua e melhorias da saúde mental dos trabalhadores em radioterapia são necessárias para evitar novos casos de burnout e aumento do número afastamento entre esses profissionais (AU).

Objective: To assess the levels of resilience, quality of life (QoL), anxiety and depression of radiotherapy workers after the COVID-19 pandemic. Method: Cross-sectional study, carried out with 49 workers from three oncological hospitals. Four questionnaires were applied from a survey sent by message. For the analysis of the results, descriptive statistics, comparison tests, and Linear and Logistic Regression Models were used. Results: Workers had moderate to high levels of anxiety and QoL and 28.6% had depression. Married participants were related to better levels of anxiety and QoL, and those who had children were 3.57 times more likely to have high resilience. Conclusion: High levels of resilience, QoL and lower presence of anxiety and depression can be observed. Actions aimed at continuous assessment and improvements in mental health of radiotherapy workers are necessary to avoid new cases of burnout and an increase in the number of days off work (AU).

Objetivo: Evaluar los niveles de resiliencia, calidad de vida (CV), ansiedad y depresión de trabajadores de radioterapia tras la pandemia de COVID-19. Método: Estudio transversal con 49 trabajadores de tres hospitales oncológicos. Se aplicaron cuatro cuestionarios enviados por mensaje. Para el análisis se utilizó estadística descriptiva, pruebas de comparación, así como Modelos de Regresión Lineal y Logística. Resultados: Los trabajadores tenían niveles moderados/altos de ansiedad y CV y el 28,6% tenía depresión. Los participantes casados se relacionaron con mejores niveles de ansiedad y CV, y los que tenían hijos tenían 3,57 veces más probabilidades de tener resiliencia alta. Conclusión: Se observan altos niveles de resiliencia, CV y menor presencia de ansiedad y depresión. Son necesarias acciones encaminadas a la evaluación continua y la mejora de la salud mental de los trabajadores de radioterapia para evitar nuevos casos de burnout y un aumento del número de días de baja laboral (AU).

Implementation of an Integrated Lung Cancer Prevention and Screening Program Using a Mobile Computed Tomography (CT) Unit in Brazil.

INTRODUCTION: Lung cancer is the deadliest cancer worldwide and in Brazil. Despite strong evidence, lung cancer screening by low-dose computed tomography (LDCT) in high-risk individuals is far from a reality in many countries, particularly in Brazil. Brazil has a universal public health system marked with important inequalities. One affordable strategy to increase the coverage of resources is to use mobile units. OBJECTIVES: To describe the implementation and results of an innovative lung cancer prevention program that integrates tobacco cessation and lung cancer screening using a mobile CT unit. METHODOLOGY: From May 2019 to Dec 2020, health professionals from 18 public primary health care units in Barretos, Brazil, were trained to offer smoking cessation counseling and treatment. Eligible high-risk participants of this program were also invited to perform lung cancer screening in a mobile LDCT unit that was specially conceived to be dispatched to the community. A detailed epidemiological questionnaire was administered to the LDCT participants. RESULTS: Among the 233 screened participants, the majority were women (54.9%), and the average age was 62 years old. A total of 52.8% of participants showed high or very high nicotine dependence. After 1 year, 27.8% of participants who were involved in smoking cessation groups had quit smoking. The first LDCT round revealed that the majority of participants (83.7%) exhibited lung-Rads 1 or 2; 7.3% exhibited lung-Rads 3; 7.7% exhibited lung-Rads 4a; and 3% exhibited lung-Rads 4b or 4x. The three participants with lung-Rads 4b were further confirmed, and their surgery led to the diagnosis of early-stage cancer (1 case of adenocarcinoma and two cases of squamous cell carcinoma), leading to a cancer diagnosis rate of 12.8/1000. CONCLUSION: Our results indicate promising outcomes for an onsite integrative program enrolling high-risk individuals in a middle-income country. Evidence barriers and challenges remain to be overcome.

Prevalence of Dengue, Chikungunya and Zika Viruses in Blood Donors in the State of Pará, Northern Brazil: 2018-2020.

Arboviruses have been reported over the years as constant threats to blood transfusion recipients, given the high occurrence of asymptomatic cases and the fact that the presence of viremia precedes the onset of symptoms, making it possible that infected blood from donors act as a source of dissemination. This work aims to identify the prevalence of dengue virus (DENV), Zika virus (ZIKV) and Chikungunya virus (CHIKV) infection in blood donors during epidemic and non-epidemic periods; classify the donor as symptomatic or asymptomatic; and verify the need to include DENV, CHIKV and ZIKV in the nucleic acid test (NAT) platform in northern Brazil. We investigated 36,133 thousand donations in two years of collection in Northern Brazil. One donor was positive for DENV and one for CHIKV (0.002% prevalence). As the prevalence for arboviruses was low in this study, it would not justify the individual screening of samples from donors in a blood bank. Thus, DENV- and CHIKV-positive samples were simulated in different amounts of sample pools, and both were safely detected by molecular biology even in a pool of 14 samples, which would meet the need to include these three viruses in the routine of blood centers in endemic countries such as Brazil.