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Highlights Refugees faced several challenges due to their condition. With the COVID-19 pandemic, Refugees encounter several difficulties: adapting to the language while trying to obtain reliable information; the unhealthy spaces in which they live, overcrowded, without access to water, basic sanitation, food are also factors that aggravate their condition. Lack of human resources due to quarantine and the lack of infrastructure of support agencies in countries that have received refugees also mitigates assistance.  All of these factors associated with fear and uncertainties about the future are consistent risk factors for an increase in cases of COVID-19 infection as well as psychiatric illnesses such as depression, anxiety, and post-traumatic stress disorder.Abstract Background: 68.5 million people around the world have been forced to leave their houses. Refugees have mainly to face their adaption in a host country, which involves bureaucracy, different culture, poverty, and racism. The already fragile situation of refugees becomes worrying and challenged in the face of the new coronavirus (COVID-19) epidemic. Therefore, we aimed to describe the factors that can worsen the mental health of refugees. Method:The studies were identified in well-known international journals found in three electronic databases: PubMed, Scopus, and Embase. The data were cross-checked with information from the main international newspapers.Results: According to the literature, the difficulties faced by refugees with the COVID-19 pandemic are potentiated by the pandemic state. There are several risk factors common to coronavirus and psychiatric illnesses as overcrowding, disruption of sewage disposal, poor standards of hygiene, poor nutrition, negligible sanitation, lack of access to shelter, health care, public services, and safety. These associated with fear and uncertainty create a closed ground for psychological sickness and COVID-19 infection.Conclusions: There should be not only a social mobilization to contain the virus, but also a collective effort on behalf of the most vulnerable populations.

http: //dx.doi.org/10.17058/reci.v6i2.6427 Justificativa e Objetivos: A depressão é um problema de saúde pública que atinge cerca de 154 milhões de pessoas mundialmente, tendo sua incidência crescente nos últimos anos. Frente a esta problemática destaca-se o idoso neste contexto com um percentual de 15% de prevalência para algum sintoma depressivo, o que requer uma atenção especial e ações de prevenção e cuidado para tal população. Sendo assim, objetivou-se compreender acerca de depressão na terceira idade, o perfil e o processo de prevenção e tratamento dos sinais e sintomas, na literatura nacional e internacional. Método: Trata-se de uma revisão sistemática da literatura realizada nas bases de dados: Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS); Medical Literature Analysis and Retrievial System Online (MEDLINE) e Scientific Electronic Library Online (SCIELO). Foram considerados os estudos do tipo artigos, dissertações e teses em português, inglês ou espanhol, entre os anos de 2010 a 2015, utilizando os descritores: depressão, idoso e geriatria. Para a coleta de dados utilizou-se o instrumento de Ursi, que inclui a avaliação do título do estudo, principais resultados e conclusões. Resultados:Após busca nas bases de dados, encontraram-se 261 estudos, sendo que após aplicação dos critérios de inclusão, selecionou-se 44, ao implementar o instrumento supracitado, finalizou-se com 17. Os resultados evidenciaram o perfil dos idosos acometidos pela depressão, formas de tratamentos, chegada ao serviço de saúde e comorbidades associadas. A pesquisa também mostrou a importância do estímulo ao autocuidado, ativação e engajamento deste público e familiares em atividades educativas, treinamento profissional de saú-de e ampliação do sistema como fatores importantes ao cuidado destes usuários. Conclusão: Os profissionais de saúde que lidam com o público idoso devem estar atentos aos sinais e sintomas da depressão, além de estarem constantemente capacitando-se para atender as demandas por meio de uma assistência eficaz e de qualidade, estimulando também métodos não farmacológicos de alívio dos sintomas, além de identificar o perfil destes idosos os quais as comorbidades associadas a depressão são mais comuns. Background and Objectives:Depression is a public health problem that affects approximately 154 million people worldwide and its incidence has increased in recent years. Regarding this problem, elderly individuals show a percentage of 15% prevalence for some depressive symptoms, which requires special attention and prevention and care actions for this population. Thus, this study aimed to understand about depression in the elderly, the profile and the process of prevention and treatment of signs and symptoms in national and international literature. Method: This is a systematic review of the literature carried out in the following databases:Latin American and Caribbean Health Sciences (LILACS); Medical Literature Analysis and Retrieval System Onli- RESUMO ABSTRACTRecebido em:

O objetivo desse estudo foi identificar os fatores que influenciam na saúde mental dos profissionais de saúde, no enfrentamento da COVID-19. Trata-se de uma revisão integrativa da literatura, realizado nas bases de dados LILACS e MEDLINE via PUBMED, sem recorte de tempo. Os descritores utilizados foram: Health Person; Mental health e Coronavírus. Com o operador booleano AND. A amostra foi composta por 05 artigos. Observou-se que, os estudos considerados para esta pesquisa refletem diretamente na saúde física das pessoas e no combate ao agente patogênico que são os focos primários de atenção de gestores e profissionais da saúde. Os estudos trazem como foco principal o estresse e a ansiedade que interferem na saúde desses trabalhadores. Portanto, é preciso lembrar que, assim como os pacientes, esses profissionais também possuem pessoas que os amam, para as quais precisam voltar com saúde física e mental. Os profissionais da saúde necessitam de um olhar mais sensível voltado às suas necessidades físicas, mentais e espirituais. Medidas para mantê-los saudáveis devem ser realizadas, desde a melhoria das condições de trabalho até a disponibilidade de recursos para prestação da assistência, treinamentos adequados, otimização das exaustivas jornadas de trabalho e meio propício ao descanso dos profissionais.

The physiological basis of neurofunctional reorganization in stimulating the nervous system is justified and ratified by the concepts of neuroplasticity and therefore, its use in neonatology is well indicated. Objective: Describe how Neurofunctional reorganization throughPadovan method can contribute to restore neurologic function of newborns and can avoid the need for gastrostomy and shortening hospital stay.Method: Descriptive and retrospective study performed in a hospital at Ceará´s inland, Brazil, through analysis of medical records. 92 patients from the neonatal ICU who suffered perinatal asphyxia and evolved with neurological disorders were evaluated. Patients received Neurofunctional Reorganization therapy, which is the performance of physical and oral exercises that complement each other in order to recover lost functions and also prepare the body to acquire functions and capabilities which it has potential for.Results: Eighty-two patients completed the therapy and showed positive results (89.1%). The main expected outcome was the recovery of suction and this was achieved in between 8 and 150 days. 48 cases showed an improvement between 8 and 30 days of treatment (56%). Conclusions:The Neurofunctional reorganization proposed by Padovan is effective in the recovery of neurological function of newborns, especially the suction, shortening the hospital stay and avoiding gastrostomy.

The mental health of those whose rights have been taken away: An essay on the mental health of indigenous peoples in the face of the 2019 Coronavirus (2019-nCoV) outbreak

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Introduction. Inguinal hernia is a common disorder with an estimated prevalence of 1.2% of the entire population and it is 12 times more common in males. Objective. To describe a case of appendix with signs of inflammation in the hernia sac, condition that is rare and difficult to diagnose, and to perform literature review, describing the most relevant aspects and the main controversies. Method. Report of a case and search in PubMed on June 1, 2015, using the terms “Appendix” [MeSH term] AND “hernia, inguinal” [MeSH term]. Results. The search resulted in 38 articles in total, and after deleting the articles that were not part of the inclusion criteria, there were 26 case reports remaining. Discussion. The search resulted in a total of 38 articles and after deleting the articles that were not part of the inclusion criteria, there were 26 case reports remaining. Conclusion. Amyand's hernia is a rare and difficult to diagnose condition, being commonly found occasionally in surgical procedures. It should be remembered in the presence of cases of incarcerated hernia, due to its possible complications if not diagnosed.