scholarly journals Clinical and demographic profile of users of a mental health system for medical residents and other health professionals undergoing training at the Universidade Federal de São Paulo

2004 ◽  
Vol 122 (4) ◽  
pp. 152-157 ◽  
Author(s):  
Rafael Fagnani Neto ◽  
Cristina Sueko Obara ◽  
Paula Costa Mosca Macedo ◽  
Vanessa Albuquerque Cítero ◽  
Luiz Antonio Nogueira-Martins
Keyword(s):  
Mental Health ◽  
Sao Paulo ◽  
Medical Residents ◽  
First Year ◽  
São Paulo ◽  
Depression And Anxiety ◽  
Postgraduate Students ◽  
Demographic Profile ◽  
Leave Of Absence ◽  
Seeking Help

CONTEXT: A postgraduate and resident trainee mental health assistance center was created in September 1996 within our university. OBJECTIVE: To describe the clinical and demographic profile of its users. TYPE OF STUDY: Retrospective. SETTING: Universidade Federal de São Paulo - Escola Paulista de Medicina (Unifesp-EPM). METHODS: The study was carried between September 1996 and November 2002, when 233 semi-structured registration forms were filled out either by the psychologist or the psychiatrist during their first contact with the trainees, who were medical and nursing residents, and postgraduate students at specialization, master or doctoral levels. The registration forms included demographic, occupational and clinical data. RESULTS: The trainees were predominantly young (mean of 27 years old), single (82.0% of cases), women (79.4%), seeking help especially during the first year of training (63.1%). In 70.8% of the cases, they came to the service spontaneously. Such individuals showed greater adherence to the treatment than those who were referred by supervisors (p < 0.05). In 30% of the cases, the trainee sought psychological guidance or support at the service due to specific situational conflicts. Depression and anxiety disorders were the most frequent diagnoses; 22.3% of the trainees followed up mentioned a tendency towards suicidal thoughts. In comparison with other trainees, there was a higher prevalence of males among the medical residents (p < 0.01), with more cases of sleep disorders (p < 0.05), a smaller number of individuals refraining from the use of alcohol (p < 0.05) and a higher number of trainees requiring leave of absence (p < 0.001). DISCUSSION: The first year of training in health sciences is the most stressful, especially for women. Depression and anxiety symptoms are common, reflecting transitory self-limited deadaptation. However, the severity of the cases can also be evaluated in view of the large number of trainees who mentioned suicidal tendencies. CONCLUSIONS: This study emphasizes the need and importance of providing formal, structured and confidential mental health services for medical residents and postgraduate students from other health professions, in the training programs of academic institutions.

scholarly journals Perspectives on a psychiatric outpatient service for immigrants and refugees in São Paulo, Brazil over a 15-year period

2021 ◽  
pp. 002076402110272
Author(s):  
Luciana de Andrade Carvalho ◽  
Laura Helena Andrade ◽  
Patrícia Lin Ang ◽  
Carmen Lucia Albuquerque de Santana ◽  
Francisco Lotufo Neto ◽  
...  
Keyword(s):  
Mental Health ◽  
Cluster Analysis ◽  
Psychiatric Service ◽  
Sao Paulo ◽  
Service Planning ◽  
São Paulo ◽  
Immigrants And Refugees ◽  
Common Diagnosis ◽  
Logistic Regressions ◽  
Refugee Men

Background: Immigrants and refugees have specific mental health needs. Studies of immigrant/refugee psychiatric patients in Latin America are scarce. Aims: Present the profile of patients from an outpatient psychiatric service in Sao Paulo (Brazil) to better inform mental health service planning for immigrants and refugees in the Global South. Methods: Exploratory study to characterize the sociodemographic and mental health profile of refugees and immigrants attending outpatient psychiatric service from 2003 to 2018. Chi-square tests and logistic regressions were used to examine the association of demographic variables, exposure to violence, and immigrant status with psychiatric diagnosis. Cluster analysis was used to identify subgroups within the sample. Results: A total of 162 immigrants and refugees referred to the service obtained treatment. Of these patients, 57.4% were men, 59.8% were refugees/asylum seekers, 51.9% were Black, 48.8% were single, 64.2% had 10 years of education, and 57.4% were unemployed; the mean age of the sample was 35.9. Half of the sample (52.5%) was exposed to violence. The most common diagnosis was depression (54.2%), followed by PTSD (16.6%). Approximately 34% of the participants sought psychiatric care within 6 months of arrival. Logistic regressions showed that men had lower odds of presenting with depression (OR = 0.34). Patients with PTSD were more likely to be refugees (OR = 3.9) and not have a university degree (OR = 3.1). In the cluster analysis, a cluster of patients with PTSD included almost all Black refugee men exposed to violence. Most patients diagnosed with psychotic disorders were also Black refugee men. Conclusion: Immigrants and refugees represent a vulnerable group. The majority of the sample was Black, refugee men, who were also more likely to present with PTSD. Future studies are needed to better understand issues in treatment adherence in relation to socioeconomic characteristics.

scholarly journals Knowledge and attitudes towards dementia in a sample of medical residents from a university-hospital in São Paulo, Brazil

2016 ◽  
Vol 10 (1) ◽  
pp. 37-41 ◽  
Author(s):  
Alessandro Ferrari Jacinto ◽  
Paulo José Fortes Villas Boas ◽  
Vânia Ferreira de Sá Mayoral ◽  
Vanessa de Albuquerque Citero
Keyword(s):  
Descriptive Analysis ◽  
Sao Paulo ◽  
University Hospital ◽  
Medical Residents ◽  
Good Knowledge ◽  
Public Healthcare ◽  
São Paulo ◽  
Medical Specialties ◽  
Dementia Prevalence ◽  
Knowledge And Attitudes

An estimated 61% of the 24.3 million people diagnosed with dementia worldwide live in underdeveloped countries, including Brazil, where a public healthcare system covers the majority of the population. This care is usually provided by General Practitioners (GP) and in Brazil many doctors recently graduated from medical school and residents of different medical specialties practice as GPs. Objective : The aim of this study was to describe the knowledge and attitudes about dementia in a sample of Brazilian medical residents from a university-hospital in São Paulo, Brazil. Methods : A total of 152 Brazilian medical residents participated in the study. Participants answered a "Knowledge Quiz" (KQ) and "Attitude Quiz" (AQ) about dementia issues, transculturally adapted for use in Brazilian physicians. A descriptive analysis of the correct answers on knowledge and of the attitude aspects was performed. Results : The medical residents showed poor knowledge (<50%) about dementia prevalence and incidence and a good knowledge on disease management and diagnosis. Participants tended to be optimistic about caring for demented patients. Conclusion : In this study, it is likely that the physicians' good knowledge about dementia issues is the reason for their optimism dealing with demented patients.

scholarly journals Cytomegalovirus seroepidemiology in an urban community of São Paulo, Brazil

2001 ◽  
Vol 35 (2) ◽  
pp. 124-129 ◽  
Author(s):  
LNB Almeida ◽  
RS Azevedo ◽  
M Amaku ◽  
E Massad
Keyword(s):  
Transmission Rate ◽  
Sao Paulo ◽  
Reproductive Age ◽  
Cluster Sampling ◽  
First Year ◽  
São Paulo ◽  
Cmv Infection ◽  
Force Of Infection ◽  
Age Dependent ◽  
First Year Of Life

INTRODUCTION: After the era of rubella vaccine, cytomegalovirus (CMV) infection is one of the most frequently causes of mental retardation and congenital deafness. Seroepidemiological studies are necessary to understand the transmission dynamics of the disease. The purpose of the study was to quantify the transmission rate of CMV disease in a community in the state of São Paulo, Brazil. METHODS: Using ELISA test (IgG), a retrospective serological survey looking for CMV antibodies was performed in an non-immunized community. Frozen sera from 443 individuals, randomly selected by cluster sampling technique in the town of Caieiras, São Paulo, were collected from November 1990 to January 1991. Seroprevalence was stratified by age (0-40 years). Mathematical techniques were applied to determine the age-dependent decay function of maternal antibodies during the first year of life, the age-dependent seroprevalence function and the force of infection for CMV in this community. RESULTS: It was observed a descending phase of seropositivity in the first 9 months, but changes in antibody titration were observed between 8 months old and one year of age. The average age of the first infection was 5.02 months of age and 19.84 years, when the age-dependent seroprevalence and the force of infection were analyzed between 10 months of age and 10 years of age and from 10 to 40 years old, respectively. CONCLUSION: CMV infection is highly prevalent among the population studied and infection occurs in the first year of life. This study shows that most women at reproductive age are vulnerable to the first infection, increasing the risk for congenital infection.

scholarly journals Individual and contextual effects on mental health status in São Paulo, Brazil

2000 ◽  
Vol 22 (3) ◽  
pp. 116-123 ◽  
Author(s):  
Ilona Blue
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Psychiatric Morbidity ◽  
Sao Paulo ◽  
Mental Health Status ◽  
Independent Effect ◽  
São Paulo ◽  
Cross Sectional Survey ◽  
Multicentric Study ◽  
Socioeconomic Variables

Objectives: There is evidence that mental health status is partly determined by socioeconomic status. Recent research in the U.K. has highlighted the importance of place or context as a health determinant. This study aimed to analyze both individual socioeconomic variables and area of residence as potential risk factors for mental ill health. The objectives were to determine whether the effects of key explanatory variables on mental health status varies by area of residence and whether area of residence has an independent effect on mental health status once other key variables have been controlled for. Methods: The study used data collected as part of the Brazilian Multicentric Study of Psychiatric Morbidity. Data from a cross-sectional survey carried out in three socioeconomically contrasting sub-districts in São Paulo, Brazil, was used. The main outcome measure was mental health status as measured by the Questionário de Morbidade Psiquiátrica de Adultos (QMPA). Results: The results demonstrate that, even after key individual socioeconomic variables were controlled for, area of residence had a statistically significant effect on mental health status. Discussion: A possible explanation for the effect of area of residence relates to the social and physical features of places and their subsequent impact on health. Conclusions: It is important for mental health research to acknowledge the potential importance of the effect of area of residence on health, particularly in relation to developing new mental health promotion initiatives.

scholarly journals University extension and teacher training in Brazil: the Zoology Summer Course

2020 ◽  
Vol 11 (3) ◽  
pp. 315-330
Author(s):  
Karla D. Araujo Soares ◽  
Adriana Jeckel ◽  
Gabriel Silva ◽  
Victor Giovannetti ◽  
Kleber Mathubara
Keyword(s):  
Teacher Training ◽  
Graduate Students ◽  
Graduate Program ◽  
Sao Paulo ◽  
São Paulo ◽  
Postgraduate Students ◽  
University Teachers ◽  
College Professors ◽  
Academic Activities ◽  
The University

Teacher training in higher education has been relatively neglected in Brazilian universities because postgraduate programs are mainly focused on the research that students produce. However, these postgraduate students are expected to become the next university and college professors. Herein, we present the experience of the Zoology Summer Course, a university extension course organized by graduate students from the Zoology Graduate Program at the University of São Paulo, Brazil. This course was created aimed to provide graduate students with an opportunity to develop and practice their teaching skills. To understand the influences, motives, and legacy of the CVZOO on its organizers, we developed a questionnaire and evaluated the responses by focusing on elements of academic formation and prospects for a teaching career, using systematic content analysis procedures as parameters. Our results demonstrate the importance of CVZOO as a space of dialogue and interaction for professional teacher training, as well as an opportunity to exchange experiences and build professional identity. The course has also influenced other academic activities such as the organization of scientific events, mentoring experience, and publications. Lastly, we discuss the importance of teacher training in Brazilian graduate programs and propose initiatives to improve the training of future university teachers. Keywords: Graduation; Extension Course; Students; Biodiversity   Extensão universitária e formação docente no Brasil: o Curso de Verão em Zoologia   Resumo: A formação docente universitária tem sido bastante negligenciada em universidade brasileiras, uma vez que programas de pós-graduação focam majoritariamente na produção acadêmico-científica de seus alunos. No entanto, espera-se que os pós-graduandos sejam a próxima geração de professores universitários. Neste estudo, nós apresentamos a experiência do Curso de Verão em Zoologia da Universidade de São Paulo, Brasil. Este curso foi criado com o objetivo de proporcionar aos estudantes de pós-graduação a oportunidade de desenvolver e praticar suas habilidades para docência. No intuito de entender as influências, motivações e legado do CVZOO em seus organizadores, nós desenvolvemos um questionário e avaliamos as respostas buscando elementos da formação acadêmica e prospecção para a carreira docente, usando procedimentos de análise de conteúdo como parâmetros Os resultados demonstram a importância do CVZOO como um espaço de diálogo e interação com a prática docente bem como uma oportunidade para trocar experiências e construir uma identidade profissional. O curso tem influenciado em outras atividades acadêmicas, tais como organização de eventos científicos, orientação de alunos e publicações. Por fim, este artigo discute a importância da formação docente em programas de pós-graduação no Brasil e propõe algumas iniciativas para melhorar a formação dos futuros professores universitários. Palavras-chave: Pós-Graduação; Curso de Extensão; Estudantes; Biodiversidade

scholarly journals Theoretical/practical teaching in nursing graduation for mental health / Ensino teórico/prático na graduação em enfermagem para atuação em saúde mental

2021 ◽  
Vol 13 ◽  
pp. 1256-1264
Author(s):  
Maria do Perpétuo S.S. Nóbrega ◽  
Wanderson Carneiro Moreira ◽  
Suellen Cristina da Silva Chaves ◽  
Carolina Marques Freitas
Keyword(s):  
Mental Health ◽  
Sao Paulo ◽  
São Paulo ◽  
Practical Teaching

Objetivo: analisar o ensino teórico/prático em Saúde Mental e Psiquiatria recebido durante a graduação em enfermagem. Método: estudo quantitativo, desenvolvido com 44 enfermeiros de uma Rede de Atenção Psicossocial do Município de São Paulo por meio de questionário validado. Resultados: 72,7% dos enfermeiros se sentem despreparados para lidar com Saúde Mental pela primeira vez, 68,2% consideram que o conteúdo foi pouco explorado e 84,1% tem interesse em fazer cursos na área. Conclusão: há dualidade no ensino teórico/prático ofertado pelas instituições de ensino superior, configurando a necessidade de que a formação seja revista para que enfermeiros generalistas consigam atender as demandas de Saúde Mental nos diversos campos de atuação profissional de acordo com o paradigma da Reforma Psiquiátrica e dos pressupostos da Reabilitação Psicossocial.  

From Medical Student to Medical Resident

2017 ◽  
pp. 145-169 ◽  
Author(s):  
Warren G. McDonald ◽  
Matt Martin ◽  
Lenard D. Salzberg
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Mental Health Problems ◽  
Medical Profession ◽  
Health Problems ◽  
Medical Residents ◽  
First Year ◽  
Practical Training ◽  
Systematic Screening ◽  
Health Distress

The transition from medical school to board-certified medical practice includes a period of intense, practical training known as medical residency. Medical residents are at risk for greater mental health distress than the general population. Interns, which are first year residents, are most at risk for, at worst, depression and suicidal ideation, and, at best, negative outlooks on the medical profession. Risk factors include role transition, decreased sleep, relocation, isolation, stigma toward mental health problems and treatment, and health care industry changes. Untreated mental health problems can lead to burnout later during a physician's career. Residents thrive on social and organisational support which can include systematic screening and treatment of mental health problems. Although research regarding best practices for addressing mental health problems during residency is limited, we offer four core strategies for preventing and addressing mental health problems in medical residents: education, screening, treatment, and support.

scholarly journals The measurement by serological means of the impact of the Hong Kong/68 influenza virus on a population

1972 ◽  
Vol 6 (1) ◽  
pp. 85-88 ◽  
Author(s):  
José Alberto N. Candeias ◽  
Marguerite S. Pereira
Keyword(s):  
Influenza Virus ◽  
Hong Kong ◽  
Adult Population ◽  
Haemagglutination Inhibition ◽  
Sharp Decrease ◽  
Sao Paulo ◽  
First Year ◽  
São Paulo ◽  
Serum Samples ◽  
The Impact

In order to obtain evidence on the size of the impact of the Hong Kong/68 variant of influenza A2 virus on the population of São Paulo, Brazil, serum samples taken in 1967 before this variant appeared and during successive years after it appeared were examined for their antibody content. Haemagglutination-inhibition tests performed on a total of 2726 serum samples from adults showed a sharp decrease in 1969 of the proportion of sera without antibody to the Hong Kong/68 variant and a corresponding mercase in the proportion with high titres. It was concluded that about three-quarters of the adult population became infected at some time after the variant appeared, the majority in the first year of prevalence.

Barriers to care and psychopathology among Bolivian migrants living in São Paulo, Brazil

2019 ◽  
Vol 57 (1) ◽  
pp. 71-80
Author(s):  
Lineth Hiordana Ugarte Bustamante ◽  
Raphael Oliveira Cerqueira ◽  
Fernanda De Marzio ◽  
Keila Pereira Leite ◽  
Thatiane Dal Picolo Cadurin ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Family Income ◽  
Barriers To Care ◽  
Psychiatric Symptoms ◽  
Linear Regression Analysis ◽  
Sao Paulo ◽  
São Paulo ◽  
Self Reporting Questionnaire

The objective of this study was to investigate barriers to appropriate mental health care in a sample of Bolivian migrants living in São Paulo and to examine the association between barriers of care and the presence of symptoms of non-psychotic psychiatric disorders in this population. Considering that treatment usually reduces symptoms, it could be hypothesized that individuals reporting more barriers to care also will report more symptoms. The sample comprised 104 individuals born in Bolivia, with Bolivian nationality and living in São Paulo for at least 30 days prior to enrolling in the study, between 18 and 80 years of age and able to read and write in Spanish or Portuguese. The symptoms of mental disorders were assessed using the Self-Reporting Questionnaire (SRQ-20) and barriers to appropriate mental health care were evaluated using the Barriers to Assessing Care Evaluation (BACE). A multiple linear regression analysis was performed to determine the predictive effect of the BACE total score (independent variable) in the SRQ-20 score (dependent variable), including in the model, and the variables that were significantly correlated with the BACE total score or SRQ-20. Our results indicate that more than a half of the sample of Bolivian migrants living in Sao Paulo, Brazil, especially females, presented significant non-psychotic psychopathology. Individuals reporting more barriers to care, especially instrumental and attitudinal barriers, also have a higher risk of psychiatric symptoms, independently of sex, age and family income. Our results suggest that actions to increase availability of mental health services, especially culturally sensitive services, could reduce barriers to care and improve mental health among migrants.

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