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Severe mental illness could be defined through its diagnosis, disability, and duration, and one of their main characteristics is the high prevalence of some clinical conditions such as obesity and metabolic syndrome. Although the promotion of a healthier lifestyle has been demonstrated as an effective strategy to reduce both body mass index and abdominal circumference in this population, there is a lack of studies focusing on digital intervention in this population. The aim of this systematic review was to evaluate the efficacy of studies that used digital technologies to reduce weight, body mass index (BMI) and abdominal circumference in individuals with severe mental illness. This current review also compared remote and hybrid interventions, the effects of those interventions in metabolic biomarkers as well as in the development of a healthier lifestyle. The main findings included the following: (a) the use of digital devices or strategies might be feasible and useful to reduce sedentary behavior among individuals with severe mental illnesses, 2) most interventions used digital pedometers and mobile phone communication (either text messages or phone calls) as main strategies, 3) all remote interventions and six of nine hybrid interventions found significant outcomes in favor of their interventions. In conclusion, even with a limited number of studies promoting healthier lifestyle through digital interventions among individuals with severe mental illnesses, evidence from studies included in this review showed that they might be useful to improve a healthier lifestyle and increase the frequency of physical activity behavior.

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OBJECTIVE: Identify and review articles that evaluated mental health of HCW of Latin American countries (except Brazil), published during the first year of COVID-19 pandemic. METHOD: We systematically searched EMBASE, PsycINFO, Scopus, PUBMED/ Medline, Web of Science, PePSIC, and Scielo for articles published during the first year of the COVID-19 pandemic. Two independent researchers reviewed titles and abstracts and then, for eligible studies, extracted data from full texts. Outcomes included mental health variables, country where the study was conducted, period of data collection, healthcare professional categories, study design, mental health measurements and main outcomes. The quality and risk assessment was also performed. RESULTS: Out of 248 records identified, 24 initially were assessed for eligibility. From those, 17 studies matched eligibility criteria and were included in the review. Higher scores of anxiety were reported in different studies, as well as an increased level of depression among HCW. Being a female, younger age, and closer distance of the epicenter of the outbreak increased the likelihood to develop mental health disorder. Concerns and fear related to COVID-19 have a greater impact on stress, anxiety, and depression symptoms. CONCLUSION: Our findings highlight that COVID-19 pandemic had been worse for HCW from Latin America, showing the harmful effects of burnout on their health. Greater psychological distress, as well as anxiety and depression had been experienced by HCW from Latin America in their fight against COVID-19, demonstrating the importance of psychological well-being policies for them during and post- the pandemic.

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Introdução: O curso de Medicina da Universidade Estadual de Londrina no ano de 2013 completou 15 anos da implantaçao do ensino por problemática, uma metodologia de ensino ativa. A cada ano, 80 estudantes ingressam no curso, por meio do vestibular, sistema de seleçao que tem sofrido alteraçoes em seu formato como a implementaçao e ampliaçao da política de cotas raciais e sociais. Objetivo: analisar o perfil socioeconômico e educacional dos estudantes ingressantes no curso de Medicina da UEL entre os anos de 2004 e 2013. Metodologia: Pesquisa descritiva do tipo documental, com abordagem quantitativa, pela análise das informaçoes do questionário respondido pelos estudantes ingressantes no curso de medicina. Resultados e discussoes: Verificou-se taxas crescentes do ingresso de estudantes do sexo feminino, em especial no ano de 2006 com predomínio de 59,3% de mulheres, confirmando o fenômeno da "feminilizaçao da profissao médica". A renda familiar até 2012, na média, girava em torno de 7 a 10 salários mínimos, situaçao que se modificou em 2013, ano do acréscimo na porcentagem das cotas para estudantes de escola pública e racial, apresentando a renda de 1 a 3 salários mínimos. O acesso à internet pelos ingressantes é um instrumento de comunicaçao corriqueiro, o que vem potencializar o método de ensino preconizado. Conclusao: Reconhecer o perfil do estudante ingressante pode contribuir na formaçao qualificada, por meio de estratégias, que visem ao melhor aproveitamento e adaptaçao do discente durante o curso de graduaçao e consequentemente no alcance do profissional delineado e necessário ao mundo da saúde da atualidade. (AU)

Introduction: The medical school at the State University of Londrina in 2013 completed 15 years of the implementation of education for problem (PBL), an active teaching methodology. Every year 80 students enter the course through the college entrance examination, selection system that has undergone changes in its format as the implementation and expansion of the policy of racial and social quotas. Objective: To analyze the socio-economic and educational profile of freshmen in medical school UEL between the years 2004 and 2013. Methodology: The data collected from information derived from the questionnaire responses answered by the students in income in the course of medicine. Results and discussion: There was increasing rates of admission of female students, especially in 2006 with a prevalence of 59.3% of women confirms the phenomenon of "feminization of the medical profession" Family income by 2012 on. average was around 7 to 10 minimum wages, a situation that changed in 2013, the increase in the percentage of shares to public and racial school students, with income from 1 to 3 minimum wages. internet access is a everyday communication tool, which comes enhance the recommended teaching method. Conclusion: Recognizing the newcomer student profile can contribute to skills training, through strategies that aim to better use and adaptation of the student during the undergraduate course and consequently the scope of the outlined professional and necessary in the world of today's health. (AU)

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