RESUMO
BACKGROUND: The COVID-19 pandemic has led to high levels of physical, psychological, and social stress among health care professionals, including postgraduate students in medical and multidisciplinary residencies. This stress is associated with the intense fear of occupational exposure to SARS-CoV-2, the virus known to cause COVID-19. These professionals are at risk of developing physical and mental illnesses not only due to the infection but also due to prolonged exposure to multidimensional stress and continued work overload. OBJECTIVE: This study aims to evaluate the prevalence of symptoms suggestive of mental disorders and burnout syndrome and determine the risk factors for burnout among postgraduate students in medical and multidisciplinary residencies in Brazil during the COVID-19 pandemic. METHODS: For this prospective cohort study with parallel groups, participants were recruited between July and September 2020 to achieve a sample size of at least 1144 participants. Research instruments such as Depression, Anxiety, and Stress Scale; Patient Health Questionnaire; Brief Resilient Coping Scale; and Oldenburg Burnout Inventory will be used to collect data. Data will be collected in 2 waves: the first wave will include data related to sample characterization and psychosocial evaluation, and the second wave will be launched 12 weeks later and will include an evaluation of the incidence of burnout as well as correlations with the potential predictive factors collected in the first wave. Additionally, we will collect data regarding participants' withdrawal from work. RESULTS: The recruitment took place from July 29 to September 5, 2020. Data analyses for this phase is already in progress. The second phase of the study is also in progress. The final data collection began on December 1, 2020, and it will be completed by December 31, 2020. CONCLUSIONS: We believe the findings of this study will help evaluate the impact of the COVID-19 pandemic on the mental health conditions of health professionals in Brazil as well as contribute to the planning and implementation of appropriate measures that can alleviate these mental health challenges. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/24298.
RESUMO
Objetivo: Visando estudar a qualidade do atestado médico da causa de morte, foi proposto o Sistema de 3 Grupos. Métodos: no período de janeiro a julho de 2001, num total de 737 Declarações de Óbito (DO), foi avaliado o grau de dificuldade para estabelecer, de forma correta, a causa básica do óbito, pela divisão nos seguintes grupos: grupo I - DOs preenchidas corretamente e com causa básica apontada corretamente; grupo II - DOs preenchidas de forma inadequada, com causa básica apontada corretamente; grupo III - DOs preenchidas de forma incorreta, sem causa básica aparente ou mal definida, elegível para investigação. Após esta divisão, realizou-se a intervenção do Departamento de Epidemiologia - reorganização do preenchimento das DOs classificadas no grupo II e investigação, no prontuário médico, da causa básica do óbito das classificadas no grupo III - e as DOs foram novamente distribuídas nos grupos propostos. Resultado: Antes da intervenção, os percentuais atingidos foram 79,27% para o grupo I, 16,23% para o grupo II, e 4,50% para o grupo lI. Após a intervenção, foram obtidos 96,18% para o grupo 1 e 3,83% para o grupo III. Conclusão: O Sistema de 3 Grupos apontou problemas referentes ao preenchimento da causa de morte, podendo vir a ser um mecanismo para melhoria dos dados fornecidos pela Declaração de Óbito.
Objective: To study the quality of the mortality information, based onthe Three Group System. Methods: From January to July, 2001, 737 death certificates (DC) were evaluated in terms of observing the difficulty to fill the correct underlying cause of death. After that, the DCs was divided into three groups: I: DCs totally correct; II: DCs with wrong writing, but with an underlying cause of death; III DCs with wrong writing and without the underlying cause of death. The Epidemiology Department reorganized the DCs in order to correct the problems that were identified. The DCs classified in group II were corrected and transferred to group I. The DCs of group III, whose underlying causes of death were identified were transferred to group I. Results: Before the investigation, groups I, II, and III had 79.27, 16.23, 4.50% of the total sample, respectively. After the corrections, the figures were: 96.18 and 3.83% for groups I and III, respectively. Conclusion: The Three Group System can contribute to improve the quality of mortality statistics.