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OBJECTIVE: In 2020, the COVID-19 pandemic brought a work and stress overload to healthcare workers, increasing their vulnerability to mental health impairments. In response, the authors created the COMVC-19 program. The program offered preventive actions and mental health treatment for the 22,000 workers of The Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP). This paper aims to describe its implementation and share what we have learned from this experience. METHODS: Workers were able to easily access the program through a 24/7 hotline. Additionally, a mobile phone app that screened for signs and symptoms of emotional distress and offered psychoeducation and/or referral to treatment was made available. Data from both these sources as well as any subsequent psychiatric evaluations were collected. RESULTS: The first 20 weeks of our project revealed that most participants were female, and part of the nursing staff working directly with COVID-19 patients. The most frequently reported symptoms were: anxiety, depression and sleep disturbances. The most common diagnoses were Adjustment, Anxiety, and Mood disorders. CONCLUSIONS: Implementing a mental health program in a multimodal intervention was feasible in a major quaternary public hospital. Our data also suggests that preventive actions should primarily be aimed at anxiety and depression symptoms, with a particular focus on the nursing staff.

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OBJECTIVE: In 2020, the COVID-19 pandemic brought a work and stress overload to healthcare workers, increasing their vulnerability to mental health impairments. In response, the authors created the COMVC-19 program. The program offered preventive actions and mental health treatment for the 22,000 workers of The Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP). This paper aims to describe its implementation and share what we have learned from this experience. METHODS: Workers were able to easily access the program through a 24/7 hotline. Additionally, a mobile phone app that screened for signs and symptoms of emotional distress and offered psychoeducation and/or referral to treatment was made available. Data from both these sources as well as any subsequent psychiatric evaluations were collected. RESULTS: The first 20 weeks of our project revealed that most participants were female, and part of the nursing staff working directly with COVID-19 patients. The most frequently reported symptoms were: anxiety, depression and sleep disturbances. The most common diagnoses were Adjustment, Anxiety, and Mood disorders. CONCLUSIONS: Implementing a mental health program in a multimodal intervention was feasible in a major quaternary public hospital. Our data also suggests that preventive actions should primarily be aimed at anxiety and depression symptoms, with a particular focus on the nursing staff.

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Neste artigo a autora relata suas percepções e experiência participando de rodas de conversa com equipes de saúde responsáveis pelo enfrentamento da covid-19 no Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo.

In this article, the author reports her perceptions and experience with therapeutic groups with health teams responsible for coping with covid-19 at Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP).

En este artículo, la autora informa sus percepciones y experiencia con grupos terapéuticos con equipos de salud responsables de hacer la covid-19, en el Hospital das Clínicas de la Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP).

Dans cet article, l'auteur rapporte ses perceptions et sa expérience avec les groupes thérapeutiques avec des équipes de santé chargées de faire face au covid-19, à le Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP).

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A terapia com laser de baixa potencia se tornou algo de inúmeras pesquisas,devido a melhora do processo cicatricial.Um estudo experimental foi realizado para avaliar se há benefícios dessa terapia na cicatrização de feridas na pele de ratos com análises não pareadas e pareadas. Foram utilizados 20 ratos Wistar dividos em 4 grupos, submetidos a 4 incisões lineares na pele do dorso.No Grupo 1, usamos uma dose de laser no pós-operatório; no Grupo 2, duas doses, uma no pós-operatório e após 24 horas; no Grupo 3, três doses, no pós-operatório , 24 e 48 horas.O grupo controle foi submetido às incisões da pele.Foram testadas a força de ruptura e analisados os achados histopatológicos das incisões.Em análise não pareada, o grupo 1 apresenta o maior valor, tendo diferença (p = 0,040). A força de ruptura dos quatro grupos de ratos para as feridas não tratadas, não ocorreu. Na análise pareada as feridas tratadas com laser nos grupos 1, 2 e 3 e grupo controle, não houve diferença. Em análise não pareada, segundo a epitelização e a granulação, o grupo 3 apresentou maior freqüência para epitelização (p=0,002) e granulação (p=0,012).Nas feridas não tratadas nos quatro grupos não houve diferença entre elas em relação à epitelização e à granulação. Na análise pareada, não ocorreram diferenças dessas para os ferimentos produzidos nos grupos.É improvável existir relação entre a terapia a laser e a cicatrização, sendo a associação na análise não pareada apenas aparente, justificada pelo método de avaliação .(AU)

Low power laser therapy is recently in focus due to its properties in angiogenesis, fibroblast and colagenase activity. Based on these facts, the benefits of low laser power therapy in wound healing have been considered. In order to evaluate the benefits of low power therapy in wound healing, twenty Wistar rats were divided into four groups (n=5) which received four linear incisions in the back and then the following treatments, 1: a post-incision laser dose 2: one post-incision and 24 hours later dose 3: one post-incision, 24 and 48 hours later laser doses. 4: control group, with the four skin incisions and no laser therapy. Rupture force and histopathological analyses were performed. Unpaired analyses showed that epithelialization (p= 0.002) and granulation (p=0.012) were more frequent. But there were no differences between groups, using paired analyses. Thus, it is not likely that there is a correlation between low power laser treatment and wound healing. Our findings using unpaired analyses can be justified by the findings using unpaired analyses can be justified by the method of analyses.(AU)

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