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RESUMO: Objetivo: refletir acerca das evidências sobre as alterações clínicas cardiorrespiratórias relacionadas à sepse, bem como as principais intervenções de enfermagem na prática clínica. Método: estudo teórico-reflexivo, construído com base no levantamento bibliográfico nas bases de dados LILACS e BDENF, com auxílio da Biblioteca Virtual em Saúde, utilizando as palavras-chave "sepse", "cuidados de enfermagem" e "manifestações clínicas" com inter-relação do operador booleano and. Resultados: os estudos trazem descrições da sepse, sinais clínicos, alterações diversas e as principais intervenções de enfermagem. Foram abordadas em especial, as alterações cardiovasculares e respiratórias, pois são fatores determinantes para evolução do quadro séptico. Conclusões: as intervenções multidisciplinares da equipe de saúde têm como objetivo triar os diversos fatores que predispõe o paciente a um quadro séptico. Neste contexto, as intervenções de enfermagem são indispensáveis e deverão atingir resolutividade para a prevenção e correção das alterações clínicas trazidas pela sepse. ABSTRACT: Aim: to reflect on evidences about clinical and cardiorespiratory changes related to sepsis, as well as the main nursing interventions in clinical practice.Method: a theoretical-reflexive study, based on the bibliographic survey in the databases LILACS and BDENF, with the help of the Virtual Health Library, using the keywords "sepsis", "nursing

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INTRODUCTIONDiabetes mellitus (DM) is a chronic disease that primarily affects older adults. Owing to longterm consequences, such as complications of the kidneys, eyes, nerves, heart, and blood vessels, DM constitutes a major public health problem. 1,2 The prevalence of diabetes is increasing worldwide. According to the International Diabetes Federation's 2021 Diabetes Atlas, 537 million adults aged between 20 and 79 years are living with diabetes. In Brazil, estimates show that up to 16.8 million people have DM, which is approximately 7% of the population. 1 Moreover, the presence of depressive symptoms deserves equal attention because of its increasing prevalence among community-dwelling older adults, ranging from 13% to 39%. 3 The prevalence of depressive symptoms in Jequié, Bahia, Brazil, exceeded 88% of older adults, and was mostly correlated with chronic diseases. 4 Conversely, there are high rates of depression underdiagnosis in older adults, which can increase the development of other risk factors in this population. [5][6][7] Several studies have suggested an association between diabetes and depression. There are various predictors of depression among older adults with DM, such as socioeconomic, individual, behavioral, and clinical factors. 8 Depression has been reported as a risk factor for type 2 diabetes. 9,10 Meanwhile, depression is reportedly two times more prevalent in people with DM than in people who do not have diabetes. [11][12][13] Depression has also been linked to family dysfunction and poor health outcomes in patients with type 2 diabetes. 12,[14][15][16] Nonetheless, depression and diabetes represent the fourth and eighth most important causes of disability-adjusted life years, respectively. 17 Moreover, this relationship predicts increased morbidity and mortality rates, non-adherence to treatment, low quality of life, and an immense public health impact. 11,12,[18][19][20]

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As profissões que prestam serviços e estão envolvidas no desenvolvimento de outras pessoas podem ser submetidas com frequência a situações de sobrecarga, estresse, fadiga e irritabilidade, que ao se tornarem uma constante dentro do processo laboral contribuem para o desenvolvimento da Síndrome de Burnout. Objetivou-se relatar experiência em oficina temática sobre a Síndrome de Burnout com estudantes e profissionais de saúde. Foram aplicadas estratégias de trabalho como tempestade cerebral, aula expositiva dialogada, discussões sobre a identificação preliminar da Burnout, orientações de técnicas de prevenção e tratamento. Dentro dos grupos mais vulneráveis a desenvolver a síndrome, enquadram-se os trabalhadores da saúde, porém, esta ainda é desconhecida por grande parte destes profissionais e futuros profissionais. A oficina demonstrou-se uma estratégia eficiente para a construção coletiva de conhecimento, estimulando o pensar, interação e o debate em grupo.

The COVID-19 outbreak has had an immense impact on academic life and public health. Graduate students had experienced obligatory curfews and quarantines due to the COVID-19 outbreak directly impacting their mental health and triggering academic burnout. In this cross-sectional study, we address the issue of mental health in graduate students by relating it to the factors associated with burnout syndrome during the COVID-19 pandemic. A total of 519 graduate students from master's and Ph.D./DLA degrees across universities in Hungary and other European countries participated in this study. The Copenhagen burnout inventory student version was used to evaluate burnout syndrome as an outcome. Our findings displayed burnout significantly lower among graduate students who had good sleep quality, receive high levels of support from their university, and were satisfied with how their university dealt with the pandemic. The excessive consumption of alcohol, the use of antidepressants, being single, and thinking about dropping out showed as predictive factors of burnout. The results add to emergent evidence on the impact of the COVID-19 pandemic on mental health and the predicted factors of academic burnout among master and doctoral students.

Academic burnout and the COVID-19 pandemic have greatly impacted the academic life and mental health of graduate students. This study aims to address the mental health issue in graduate students by relating it to family functionality, perceived social support, and coping with academic burnout during the COVID-19 pandemic. Data were gathered from a cross-sectional study with 519 graduate students across universities in Hungary and other European countries. The Copenhagen Burnout Inventory Student, Family APGAR Index, the brief form of the Perceived Social Support Questionnaire, and the Brief Resilient Coping Scale were used to measure academic burnout, family functionality, perceived social support, and coping, respectively. Structural equations modeling was used for statistical analysis. The results revealed a negative effect of family functionality, perceived social support, and coping on academic burnout. The inverse relationship between perceived social support and the Copenhagen Burnout Inventory was identified, and mediated by coping and family functionality. These findings may offer patterns and predictors for future graduate students and higher-education institutions to identify outside factors that are implicated in academic burnout, especially in outbreaks such as the COVID-19 pandemic.