Resumo Antecedentes A condição pós-COVID-19 é um grande desafio moderno na medicina e tem alto impacto global na saúde da população. Objetivo Determinar as principais manifestações neurológicas e neuropsiquiátricas após a infecção aguda da COVID-19 nos países da América do Sul. Métodos Trata-se de um estudo de revisão sistemática, registrado na plataforma PROSPERO seguindo o modelo PRISMA. Foram encontrados 4131 artigos com as estratégias de buscas empregadas. Investigaram-se manifestações neurológicas e neuropsiquiátricas em indivíduos com três meses ou mais desde a infecção aguda por COVID-19, maiores de 18 anos, incluindo estudos realizados em países da América do Sul publicados entre 2020 e 2022. Resultados Foram analisados seis estudos (quatro do Brasil e dois do Equador). Em relação ao tipo de estudo: três eram coortes, dois relatos de casos e um transversal. Os principais desfechos encontrados foram em relação à dor nova (65,5%) e dor crônica nova (19,6%), cefaleia nova (39,1%), cefaleia crônica diária (13%), parestesia (62%), além de doenças neuropsiquiátricas como transtorno de ansiedade generalizada (15,1%), síndrome do estresse pós-traumático (13,4%), depressão e ansiedade (13,5%), ideação suicida (10,1%) e diversos distúrbios cognitivos. Conclusão Manifestações neurológicas e neuropsiquiátricas relacionadas à depressão e ansiedade e distúrbios de cognição são relatados durante a condição pós-COVID-19 na América do Sul. Os sintomas associados a quadros de dor crônica parecem estar associados à condição. Mais estudos sobre condições pós COVID-19 são necessários na região da América do Sul. pósCOVID19 pósCOVID COVID 19 pós-COVID-1 população COVID19 COVID-1 Tratase Trata se sistemática PRISMA 413 empregadas Investigaramse Investigaram COVID19, 19, 1 anos 202 2022 quatro Equador. Equador . Equador) coortes transversal 65,5% 655 65 5 (65,5% 19,6%, 196 19,6% , 6 (19,6%) 39,1%, 391 39,1% 39 (39,1%) 13%, 13 13% (13%) 62%, 62 62% (62%) 15,1%, 151 15,1% 15 (15,1%) póstraumático traumático 13,4%, 134 13,4% 4 (13,4%) 13,5%, 135 13,5% (13,5%) 10,1% 101 10 (10,1% cognitivos pósCOVID1 pós-COVID- COVID1 COVID- 41 20 65,5 (65,5 19,6 (19,6% 39,1 3 (39,1% (13% (62% 15,1 (15,1% 13,4 (13,4% 13,5 (13,5% 10,1 (10,1 pós-COVID 2 65, (65, (19,6 39, (39,1 (13 (62 15, (15,1 13, (13,4 (13,5 10, (10, (65 (19, (39, (1 (6 (15, (13, (10 (19 (39 ( (15 (3

Abstract Background The post-COVID-19 condition is a major modern challenge in medicine and has a high global impact on the health of the population. Objective To determine the main neurological and neuropsychiatric manifestations after acute COVID-19 infection in South American countries. Methods This is a systematic review study, registered on the PROSPERO platform following the PRISMA model. 4131 articles were found with the search strategies used. Neurological and neuropsychiatric manifestations were investigated in individuals three months or more after acute COVID-19 infection, and older than 18 years, including studies conducted in South American countries published between 2020 and 2022. Results Six studies (four from Brazil and two from Ecuador) were analyzed. Regarding the type of study: three were cohorts, two were case reports, and one was cross-sectional. The main outcomes found were new pain (65.5%) and new chronic pain (19.6%), new headache (39.1%), daily chronic headache (13%), paresthesia (62%), in addition to neuropsychiatric diseases, such as generalized anxiety disorder (15.1%), post-traumatic stress syndrome (13.4%), depression and anxiety (13.5%), suicidal ideation (10.1%), and several cognitive disorders. Conclusion Neurological and neuropsychiatric manifestations related to depression and anxiety, and cognition disorders are reported during the post-COVID-19 condition in South America. Symptoms associated with chronic pain appear to be associated with the condition. More studies on post-COVID-19 conditions are needed in the South America region. postCOVID19 postCOVID post COVID 19 post-COVID-1 population COVID19 COVID-1 study model 413 used 1 years 202 2022 four Ecuador analyzed cohorts reports crosssectional. crosssectional cross sectional. sectional cross-sectional 65.5% 655 65 5 (65.5% 19.6%, 196 19.6% , 6 (19.6%) 39.1%, 391 39.1% 39 (39.1%) 13%, 13 13% (13%) 62%, 62 62% (62%) diseases 15.1%, 151 15.1% 15 (15.1%) posttraumatic traumatic 13.4%, 134 13.4% 4 (13.4%) 13.5%, 135 13.5% (13.5%) 10.1%, 101 10.1% 10 (10.1%) region postCOVID1 post-COVID- COVID1 COVID- 41 20 65.5 (65.5 19.6 (19.6% 39.1 3 (39.1% (13% (62% 15.1 (15.1% 13.4 (13.4% 13.5 (13.5% 10.1 (10.1% post-COVID 2 65. (65. 19. (19.6 39. (39.1 (13 (62 15. (15.1 13. (13.4 (13.5 10. (10.1 (65 (19. (39. (1 (6 (15. (13. (10. (19 (39 ( (15 (10 (3

ABSTRACT Objective: To analyze the supply of input and procedures, non-invasive and micro-invasive, for dental caries lesions in Primary Care in Brazil, comparing the Brazilian geographic regions in three different periods. Material and Methods: Historical series study based on secondary data extracted from the 1st Cycle (2012), 2nd (2014), and 3rd cycle (2018) of the External Evaluation of the National Program for Access and Quality of Primary Care. The proportions of Oral Health Teams offering non-invasive (fluor) and micro-invasive (sealants) supplies and procedures between Brazilian geographic regions were compared using the Chi-square test, using the Z Test adjusted by the Bonferroni method, and between the years (2012, 2014, and 2018) using the Cochran Q test (p<0.05). The percentage variation between the proportions per cycle was calculated. Results: The availability of inputs of fluor gel in Brazil increased between 2014 (91.6%) and 2018 (94.1%) (p<0.001), but statistically only in the Northeast and North (p<0.001). The offer of the topical fluorine procedure increased between 2012 (78.8%) and 2018 (87.4%) (p<0.001) in Brazil, with the most significant increase in the North (+7.5%) and Northeast (+22.0%). There was greater availability of inputs of sealants in Brazil between 2012 (56.8%) and 2018 (69.5%) (p<0.001) in Brazil, and more significant expansion in the Northeast (+43.4%). There was a greater offer of the sealing procedure in Brazil between 2014 (98.6%) and 2018 (98.5%), compared to 2012 (94.7%) (p<0.001), with more significant expansion in the North (+5.8%). Conclusion: There was an increase in the supply of input and procedures, non-invasive and micro-invasive, in Primary Care in Brazil. Despite maintaining regional inequalities, they were reduced, with greater expansion in the North and Northeast regions between the years evaluated. Objective noninvasive non invasive microinvasive, microinvasive micro invasive, periods Methods st 2012, , (2012) nd (2014) rd (2018 (fluor (sealants Chisquare Chi square method (2012 p<0.05. p005 p p<0.05 . 0 05 (p<0.05) calculated Results 201 91.6% 916 91 6 (91.6% 94.1% 941 94 1 (94.1% p<0.001, p0001 p<0.001 001 p<0.001. 78.8% 788 78 8 (78.8% 87.4% 874 87 4 (87.4% (p<0.001 +7.5% 75 7 5 (+7.5% +22.0%. 220 +22.0% 22 (+22.0%) 56.8% 568 56 (56.8% 69.5% 695 69 (69.5% +43.4%. 434 +43.4% 43 (+43.4%) 98.6% 986 98 (98.6% 98.5%, 985 98.5% (98.5%) 94.7% 947 (94.7% +5.8%. 58 +5.8% (+5.8%) Conclusion inequalities reduced evaluated (2014 (201 p00 p<0.0 (p<0.05 20 91.6 9 (91.6 94.1 (94.1 p000 p<0.00 00 78.8 (78.8 87.4 (87.4 (p<0.00 +7.5 (+7.5 +22.0 2 (+22.0% 56.8 (56.8 69.5 (69.5 +43.4 (+43.4% 98.6 (98.6 98.5 (98.5% 94.7 (94.7 +5.8 (+5.8% (20 p0 p<0. (p<0.0 91. (91. 94. (94. 78. (78. 87. (87. +7. (+7. +22. (+22.0 56. (56. 69. (69. +43. (+43.4 98. (98. (98.5 +5. (+5.8 (2 p<0 (p<0. (91 (94 (78 (87 +7 (+7 +22 (+22. (56 (69 +43 (+43. (98 +5 (+5. ( p< (p<0 (9 (7 (8 + (+ +2 (+22 (5 (6 +4 (+43 (+5 (p< (+2 (+4 (p

Resumo O objetivo deste estudo transversal foi analisar os fatores associados ao estresse ocupacional entre cirurgiões-dentistas atuantes no setor privado no primeiro ano da pandemia de COVID-19 no Brasil. Incluiu 384 profissionais do estado do Paraná, cujos dados foram obtidos entre agosto e outubro de 2020 por meio de formulário online. Dois desfechos compuseram proxy de estresse ocupacional: (1) ansiedade e preocupação e (2) preparo e segurança para o trabalho durante a pandemia. As variáveis independentes foram agrupadas segundo modelo teórico explicativo em fatores individuais, organizacionais e extraorganizacionais. As associações foram testadas por regressão logística bi e multivariada. Apesar de preparados e seguros, os profissionais se sentiam ansiosos e preocupados para o atendimento clínico. Mulheres, mais jovens e que não receberam orientações sobre as medidas de segurança apresentaram maiores chances de relatar insegurança e despreparo. Profissionais mais jovens, que não participavam da tomada de decisões e que às vezes dispunham de auxiliar para o trabalho a quatro mãos, tiveram maiores chances de se sentirem ansiosos e preocupados. Além dos fatores individuais, fatores organizacionais do trabalho estão associados ao estresse ocupacional entre cirurgiões-dentistas no primeiro ano da pandemia. cirurgiõesdentistas cirurgiões dentistas COVID19 COVID 19 COVID-1 Brasil 38 Paraná 202 online 1 (1 2 (2 individuais extraorganizacionais multivariada seguros clínico Mulheres despreparo mãos COVID1 COVID- 3 20 (

Abstract This cross-sectional study examined factors associated with occupational stress among 384 dentists working in the private sector in the first year of the COVID-19 pandemic in Brazil. Data were collected from August to October 2020 through an online form. Two outcomes - (1) anxiety and worry and (2) preparation and safety for work during the pandemic - constituted a proxy for occupational stress. The independent variables were grouped according to the explanatory theoretical model into individual, organisational and extra-organisational factors. Associations were tested by bivariate and multivariate logistic regression. Although prepared and confident, dentists felt anxious and worried about providing clinical care. Women, younger respondents and those who received no guidance on safety measures were more likely to report insecurity and unpreparedness. Younger professionals, those who did not participate in decision-making and who only sometimes had an assistant for four-hand work, were more likely to feel anxious and worried. In addition to individual factors, work organisation factors were associated with occupational stress among dentists in the first year of the pandemic. crosssectional cross sectional 38 COVID19 COVID 19 COVID-1 Brazil 202 form 1 (1 2 (2 extraorganisational extra regression confident care Women unpreparedness professionals decisionmaking decision making fourhand four hand 3 COVID1 COVID- 20 (

Resumo O objetivo deste estudo transversal foi analisar os fatores associados ao estresse ocupacional entre cirurgiões-dentistas atuantes no setor privado no primeiro ano da pandemia de COVID-19 no Brasil. Incluiu 384 profissionais do estado do Paraná, cujos dados foram obtidos entre agosto e outubro de 2020 por meio de formulário online. Dois desfechos compuseram proxy de estresse ocupacional: (1) ansiedade e preocupação e (2) preparo e segurança para o trabalho durante a pandemia. As variáveis independentes foram agrupadas segundo modelo teórico explicativo em fatores individuais, organizacionais e extraorganizacionais. As associações foram testadas por regressão logística bi e multivariada. Apesar de preparados e seguros, os profissionais se sentiam ansiosos e preocupados para o atendimento clínico. Mulheres, mais jovens e que não receberam orientações sobre as medidas de segurança apresentaram maiores chances de relatar insegurança e despreparo. Profissionais mais jovens, que não participavam da tomada de decisões e que às vezes dispunham de auxiliar para o trabalho a quatro mãos, tiveram maiores chances de se sentirem ansiosos e preocupados. Além dos fatores individuais, fatores organizacionais do trabalho estão associados ao estresse ocupacional entre cirurgiões-dentistas no primeiro ano da pandemia.

Abstract This cross-sectional study examined factors associated with occupational stress among 384 dentists working in the private sector in the first year of the COVID-19 pandemic in Brazil. Data were collected from August to October 2020 through an online form. Two outcomes - (1) anxiety and worry and (2) preparation and safety for work during the pandemic - constituted a proxy for occupational stress. The independent variables were grouped according to the explanatory theoretical model into individual, organisational and extra-organisational factors. Associations were tested by bivariate and multivariate logistic regression. Although prepared and confident, dentists felt anxious and worried about providing clinical care. Women, younger respondents and those who received no guidance on safety measures were more likely to report insecurity and unpreparedness. Younger professionals, those who did not participate in decision-making and who only sometimes had an assistant for four-hand work, were more likely to feel anxious and worried. In addition to individual factors, work organisation factors were associated with occupational stress among dentists in the first year of the pandemic.

RESUMO O objetivo do trabalho foi descrever a adesão às normas de biossegurança para o enfrentamento da Covid-19 entre profissionais de saúde bucal no município de Ponta Grossa-PR. Estudo transversal e descritivo, realizado com amostra de conveniência de Cirurgiões-Dentistas (CD), Técnicos em Saúde Bucal (TSB) e Auxiliares em Saúde Bucal (ASB) dos serviços odontológicos públicos e privados em nível ambulatorial. A coleta ocorreu entre agosto e outubro de 2020, com questionário on-line enviado por e-mail via Conselho Regional de Odontologia e mídias sociais. Dos 106 profissionais de saúde bucal incluídos, 79,2% eram CD; 16%, ASB; e 4,8%, TSB. A maioria não tinha condição de risco para Covid-19 (90,6%), trabalhava em clínicas da atenção básica (54%) e não interrompeu ou se afastou do serviço (44,3%). Em relação aos atendimentos, 49,1% restringiram os atendimentos somente em casos de urgência e emergência, 33% evitaram procedimentos que geravam aerossóis. A maioria adotou uso do face shield (75,5%), máscara N95/PPF2S/ou equivalente (62,3%) e avental impermeável (53,8%). Os profissionais de saúde bucal de Ponta Grossa-PR aderiram à maioria das normas de biossegurança no enfrentamento da Covid-19, principalmente no acesso e uso de equipamentos de proteção individual, e menos na realização de procedimentos clínicos com geração de aerossóis.

ABSTRACT The aim of this research was to describe the adherence to biosafety standards to face Covid-19 among oral health professionals in the city of Ponta Grossa-PR. The cross-sectional and descriptive study was carried out with convenience sample of Dental Surgeons (DS), Technicians (OHT), and Oral Health Assistants (OHA) from public and private dental services on an outpatient basis. Data collection took place between August and October 2020, through an on-line questionnaire sent by email by the Dental Regional Council and social media. Of the 106 oral health professionals included, 79.2% were DS, 16% OHA, and 4.8% OHT. Most of them were not at risk for Covid-19 (90.6%), worked in primary care dental clinics (54%), and did not interrupt or leave the service (44.3%). In relation to care, 49.1% restricted care only in cases of urgency and emergency and 33% avoided procedures that generate aerosols. The majority adopted the use of face shield (75.5%), face mask N95 / PPF2S / or similar (62.3%), and waterproof apron (53.8%). Oral health professionals in Ponta Grossa-PR adhered to most biosafety standards for facing Covid-19, especially in terms of access to and use of personal protective equipment, and less in performing clinical procedures with the generation of aerosols.

RESUMO O objetivo do trabalho foi descrever a adesão às normas de biossegurança para o enfrentamento da Covid-19 entre profissionais de saúde bucal no município de Ponta Grossa-PR. Estudo transversal e descritivo, realizado com amostra de conveniência de Cirurgiões-Dentistas (CD), Técnicos em Saúde Bucal (TSB) e Auxiliares em Saúde Bucal (ASB) dos serviços odontológicos públicos e privados em nível ambulatorial. A coleta ocorreu entre agosto e outubro de 2020, com questionário on-line enviado por e-mail via Conselho Regional de Odontologia e mídias sociais. Dos 106 profissionais de saúde bucal incluídos, 79,2% eram CD; 16%, ASB; e 4,8%, TSB. A maioria não tinha condição de risco para Covid-19 (90,6%), trabalhava em clínicas da atenção básica (54%) e não interrompeu ou se afastou do serviço (44,3%). Em relação aos atendimentos, 49,1% restringiram os atendimentos somente em casos de urgência e emergência, 33% evitaram procedimentos que geravam aerossóis. A maioria adotou uso do face shield (75,5%), máscara N95/PPF2S/ou equivalente (62,3%) e avental impermeável (53,8%). Os profissionais de saúde bucal de Ponta Grossa-PR aderiram à maioria das normas de biossegurança no enfrentamento da Covid-19, principalmente no acesso e uso de equipamentos de proteção individual, e menos na realização de procedimentos clínicos com geração de aerossóis.

ABSTRACT The aim of this research was to describe the adherence to biosafety standards to face Covid-19 among oral health professionals in the city of Ponta Grossa-PR. The cross-sectional and descriptive study was carried out with convenience sample of Dental Surgeons (DS), Technicians (OHT), and Oral Health Assistants (OHA) from public and private dental services on an outpatient basis. Data collection took place between August and October 2020, through an on-line questionnaire sent by email by the Dental Regional Council and social media. Of the 106 oral health professionals included, 79.2% were DS, 16% OHA, and 4.8% OHT. Most of them were not at risk for Covid-19 (90.6%), worked in primary care dental clinics (54%), and did not interrupt or leave the service (44.3%). In relation to care, 49.1% restricted care only in cases of urgency and emergency and 33% avoided procedures that generate aerosols. The majority adopted the use of face shield (75.5%), face mask N95 / PPF2S / or similar (62.3%), and waterproof apron (53.8%). Oral health professionals in Ponta Grossa-PR adhered to most biosafety standards for facing Covid-19, especially in terms of access to and use of personal protective equipment, and less in performing clinical procedures with the generation of aerosols.