CP with and without neuropathic characteristics is a public health problem in Brazil, with high prevalence and great influence on people's daily lives.

reflexiva, a partir de um estudo de abordagem qualitativa, exploratório e descritivo, acerca das mudanças requeridas frente ao contexto de pandemia da COVID-19, que se alastrou pelo mundo, exigindo um movimento de formação permanente na prática docente como desafio no que tange ao uso das tecnológicas de informação e comunicação, para se efetivar o ensino remoto emergencial. Resultado: Na experiência em construção para a realização do ensino remoto na universidade, inúmeros são os desafios no que diz respeito à prática docente, visto que as aulas serão ministradas mediante a utilização de Ambientes Virtuais de Aprendizagem. Nesse sentido, a instituição tem desenvolvido ações tais como: levantar condições de equipamentos e acesso à internet de todos servidores e alunos; oferecer suporte tecnológico aos discentes, docentes e técnico-administrativos; normatizações gerais e específicas para embasar as decisões e ações gerenciais das direções, coordenações, chefias dos departamentos e docentes; oferecido subsídios voltados à capacitação pedagógica para a efetivação da prática de ensino remota. Conclusões: O Ensino Remoto Emergencial ganhou protagonismo nesse momento de crise, colocando todo corpo social da universidade frente aos desafios de construção de novas formas de ensino-aprendizagem, ressignificando as práticas pedagógicas. Portanto, toda a comunidade acadêmica está sendo severamente impactada e, continuamente, busca-se formas de lidar com a realidade, que afeta as pessoas não só no seu processo de aprender a aprender, mas nos aspectos físicos, emocionais e sociais, diante da crise mundial instalada.

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Dietary supplements or diet patterns are seldom used to treat fatigue in patients with breast cancer. The results of this review showed that guarana extract and a diet rich in whole foods, omega-3 fatty acids, fruits, and vegetables could be used to treat CRF in patients with breast cancer. The studies had a low risk of bias with high-quality evidence on the efficacy of the interventions in treating fatigue in the study population.

Background and objective The COVID-19 pandemic led to modify patient healthcare, with a high impact on patients with chronic pain. This comprehensive scoping review aims to map recommendations on the management of chronic pain patients during the COVID-19 pandemic and propose a workflow in the management of these patients. Methods The databases searched were PubMed, Embase, CINAHL, Scopus, Cochrane Library e LILACS. The studies were examined by two independent reviewers. The disagreements between reviewers were resolved through discussion or with a third reviewer. Results We presented the results in the form of a table, a workflow, and a narrative summary. The search resulted in 13 studies selected for full reading, including 1 consensus, 5 guidances, 2 expert panels, 1 joint statement, 2 educational flyers, and 2 free comments. We considered for these studies new technologies, including telemedicine. Each pain service needs to establish a screening model, classifying patients according to corresponding severity. Particular attention should be given to patients who use opioids and are at risk for their misuse. Non-pharmacological approaches and pain education should be maintained, considering the use of telehealth. Conclusions Recommendations for the management of chronic pain during COVID-19 include adjustments to the patient care model. The workflow proposes the use of telemedicine, screening for painful intensity, and the use of color-signaled intervention packages according to severity (green, yellow, and red).

The risk of health professionals exposed to different incidents associated with care, can cause damage to their health and that of their families, depending on the culture and institutional actions. The present study aims to: Propose a reflection on safety in professional practice, facing Covid-19, in the context of hospital care, considering Brazilian standards. It is a reflection article on health and safety measures for workers working in institutions for assistance, regulated by the Regulatory Norms of the Ministry of Labor and Employment of Brazil. The results are presented in two categories: 1. Exposure by health professionals and preventive measures to Covid-19; recommendations for the use of Personal Protective Equipment (PPE), as well as policies that mitigate exposure to these professionals to infection, must be prepared. 2. Identification and management of the worker's exposure risk; categorize the risk of each health professional after exposure to a patient with Covid 19 and proceed with the management of the professionals. 3. Worker safety and working conditions in Brazil; the pandemic exacerbated the condition of unhealthy work that health professionals experience on a daily basis and, as a consequence, aggravates exposure to other occupational risks, due to the precariousness of material necessary for the attention of users, and the work overload. Given the current scenario, it is necessary to carry out actions based on protocols and standards, aiming at the health of the population and professionals.

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