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Objetivo: Avaliar o conhecimento de estudantes de Medicina sobre doação e transplantes de órgãos e o conceito de morte encefálica, além de identificar os possíveis fatores contrários à doação de órgãos e tecidos. Métodos: Trata-se de um estudo de corte transversal realizado com 266 estudantes de Medicina do primeiro ao quarto ano de graduação. A coleta de dados foi realizada entre agosto e outubro de 2010 através da aplicação de um questionário contendo dados demográficos e 13 perguntas de múltipla escolha sobre o tema. Resultados: Dentre os entrevistados, 61,3% tiveram atividades didáticas sobre transplantes de órgãos durante o curso. Sessenta por cento dos estudantes avaliaram o seu conhecimento, sobre o tema como regular. Oitenta e oito por cento dos estudantes acertaram o conceito de morte encefálica e 72% tinham noções de como realizar o diagnóstico. Em relação à quais transplantes poderiam ser realizados intervivos, 78,9% responderam corretamente. Já com relação aos transplantes realizados sem batimentos cardíacos, 45,4% acertaram a questão e 53,4% não souberam responder. Quando perguntados sobre a intenção de doar órgãos e tecidos, 78,6% eram doadores, sendo que a análise por semestre mostrou aumento progressivo na intenção de doar. Com relação aos cuidados que devem ser tomados para a manutenção do potencial doador de órgãos, 75,5% dos estudantes desconheciam as medidas de suporte necessárias. No que se refere à comunicação familiar da morte de um parente, 50,4% sabiam como era feita essa abordagem. Conclusão: Foi possível concluir que a maioria dos estudantes de Medicina da amostra estudada apresentou conhecimento sobre morte encefálica, e que durante o curso médico os estudantes adquirem maior conhecimento sobre transplante e doação de órgãos e tecidos. Esse conhecimento adquirido aumenta a intenção de doar, sugerindo que a educação seja imprescindível para melhorar as taxas de doação de órgãos. Dessa forma, é necessária inserção de matérias ou cursos específicos de doação de órgãos e tecidos para transplantes no currículo das faculdades de Medicina.

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Background . The Choosing Wisely (CW) campaign informs physicians and the public about safety and quality in medical practice. Objective . To evaluate a CW campaign in a medical internship in pediatrics. Methods . An interventionist study with teachers of medicine and pediatric internship students in which the Delphi technique was applied using online questionnaires. Specialists identified 3 unnecessary situations that commonly occur in clinical practice. Following the Objective Structured Clinical Examination (OSCE) model evaluation, a group of students who participated in the educational interventions was compared with another group that was not exposed to the campaign. Results . Most students evaluated the CW campaign content as excellent (64%) or very good (31.6%). The level of successes in the OSCE evaluation was higher in the exposed group when compared with the nonexposed group ( P = .001). Conclusions . The CW campaign improved the clinical skills of pediatric internship students.

Background : COVID-19 pandemic caused increased workload and stress for health professionals involved in the care of such patients. We aimed to describe the health-related quality of life, and burnout in frontline physicians diagnosed with anxiety during the COVID-19 pandemic. Methods : This was a cross-sectional study conducted during the first-wave phase of COVID-19, from September to October 2020. Questionnaires were sent electronically to 450 physicians from State of Bahia, assessing symptoms of anxiety, health-related quality of life (HRQOL) and burnout syndrome. For the categorical variables, the Pearson's chi-square test was used and difference between means was compare using the Mann-Whitney test. was Groups with and without anxiety symptoms were compared using prevalence ratios (PR). Pearson's correlation measured the correlation between WHOQOL-BREF and MBI (Maslach Burnout Inventory) domains. The Fisher r-to-z transformation was used to assess the significance of the difference between two correlation coefficients. The significance level was <0.05. Results : Out of the 450 physicians, 223 (49,6%) completely answered the questionnaire and 38 (17%) showed symptoms of anxiety. Physicians with anxiety had higher scores in emotional exhaustion (EE) (38.31 ± 8.59 vs 25.31±0.87; p=0.0001) and depersonalization (DP) (9.0 ± 5.6 vs 5.9 ± 5.3; p=0.001) domains, and lower scores in personal accomplishment (PA) (32.1 ± 8.2 vs 36.3 ± 7.6; p=0.004), than those without anxiety. All correlations between WHOQOL-BREF domains and MBI in physicians without anxiety were significant (p = 0.01). Conclusion : Physicians with anxiety showed more emotional exhaustion, less personal accomplishment, and lower quality of life. All domains of WHOQOL BREF were correlated with all MBI domains among physicians without anxiety. Differences in correlation according to anxiety were remarkable in psychological HOQOL BREF domain and emotional exhaustion and depersonalization MBI domains. The effect of anxiety leading to poorer levels of perceived health needs to be further investigated.

AbstractPeriodontitis affects the teeth supporting structures, such as periodontal tissues. We aimed to evaluate the association between periodontal disease and corticosteroid use. We searched in MEDLINE, Web of Sciences, SCOPUS, LILACS, and Cochrane databases, using the descriptors “Periodontal diseases” AND (“adrenal cortex hormones” OR “adrenal cortex hormones” OR (“adrenal” AND “cortex” AND “hormones”) OR “adrenal cortex hormones” OR “corticosteroid”). We selected the summaries of observational studies, addressing periodontal disease in patients using corticosteroids. The search resulted in 403 articles. After applying the selection criteria, eight studies remained; being two retrospective cohorts and six cross-sectional studies. There are few studies with appropriate methodology to produce sound evidence about the causal relationship between the use of corticosteroids and periodontitis. However, two retrospective cohorts confirmed that chronic corticosteroid use is associated with the incidence of periodontal disease. Dental staff must be aware of this association for better management of periodontal disease therapy in patients using corticosteroids.