Trabalho de Conclusão de Curso - TCC

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Navegando Trabalho de Conclusão de Curso - TCC por Orientador "Rocha, Larissa Salgado de Oliveira"

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    Coronavírus interfere na qualidade de vida e ansiedade na Esclerose Lateral Amiotrófica
    (Centro Universitário do Estado do Pará, 2021) Torres, Eduarda Vieira; Oliveira, Silvia Maria Sobral; Pereira, Carolina Veiga; Rocha, Larissa Salgado de Oliveira; Sobral, Luciane Lobato; http://lattes.cnpq.br/4916750587369204; Rocha, Rodrigo Santiago Barbosa; http://lattes.cnpq.br/4119162366965074
    On Amyotrophic Lateral Sclerosis (ALS) the degeneration of motor neurons causes, due to the interference of nerve impulses transmission, the functionality commitment and consequently the individuals’ quality of life (QF). Although, on the COVID-19 pandemic context cause by social isolation, there was the reinforcement of these functional disorders raising to detrimental psychological conditions like anxiety associated with QF. To assess if the social isolation due to COVID-19, affected the axiety and QF levels on patients with ALS. Eighteen individuals with average age of 46,72 ± 14,09 years old, and average diagnosis time of ALS of 2,8 ±1,75 years, were assessed using the Mini Mental State Exam (MMSE), the Amyotrophic Lateral Sclerosis Assessment Questionnaire (ALSAQ-40/BR), Hamilton Anxiety Rating Scale (HAM-A) and clinic-epidemiological questionnaires. Descriptive analysis, Shapiro Wilk test and Pearson’s correlation were used. On MMSE the individuals got average score of 27,33±1,90. It was observed in ALSAQ-40/BR decreased QF (70,03 ± 23,17) and on HAM-A scale 50% of the individuals showed anxiety. However, there was no significant correlation between HAM-A and ALSAQ40/BR (p=0,07). On this study, both questionnaires indicated a decreasing in QF and anxiety presence on the individual with ALS during the COVID-19 pandemic period, even though no correlation among the analyzed objects was found. It is indicated the monitoring during interval periods to define the damages from social isolation and by attendance therapy restriction as physical therapy to preserve the QF.
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    Efeito de um protocolo de fisioterapia sobre a funcionalidade em crianças com pneumonia associada à ventilação mecânica invasiva
    (Centro Universitário do Estado do Pará, 2021) Silva, Joellem Costa da; Matos, Victória Gabriela de Carvalho; Rocha, Larissa Salgado de Oliveira; Rocha, Rodrigo Santiago Barbosa; http://lattes.cnpq.br/4119162366965074
    Immobility is a constant problem in patients undergoing treatment with Invasive Mechanical Ventilation (IMV), contributing to a longer hospital stay, causing muscle weakness, physical deconditioning, loss of muscle mass and delayed functional recovery. Early mobilization is seen as a source of prevention complications of immobilization and assisting in sensorimotor stimulation. To investigate the effects of a physical therapy rehabilitation protocol based on an early mobilization protocol and length of hospital stay in children with ventilator-associated pneumonia. The research was carried out in the Intensive Care Unit (ICU) of the Santa Casa de Misericórdia Foundation of Pará (FSCMP) in 40 children of both genders from 4 to 9 years of age with Pneumonia associated with IMV, submitted to a protocol of early mobilization and evaluated in the pre, second, fifth day and post-treatment using the Functional Status scale and PRISM III. The Shapiro Wilk test was used, followed by the binomial test, Manova test and the post hocde Tukey test (p ≤ 0.05). There was an improvement in the mean value in the final PRISM III when compared to pre-treatment (p=0.000). For the FSS scale, the general score and most of its variables showed significant mean values between all periods of analysis (p=0.00), that showed no statistical difference (p>0.05). The early mobilization protocol proposed in the study in pediatric patients admitted to the ICU under IMV showed an improvement in functionality and in the mortality rate.
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    Influência da gameterapia na intensidade da dor e seus impactos na qualidade de vida e equilíbrio em pacientes com neuropatia diabética
    (Centro Universitário do Estado do Pará, 2021) Lima, Allan Mateus da Silva; Alfaia, Diego Mansur; Serra, Ana Clara Lima; Oliveira, Emanuelle Mayane do Nascimento; Paes, Lívia Moreira; Rocha, Larissa Salgado de Oliveira; Araújo, Matheus Sodré de
    To evaluate the influence of gametherapy on pain intensity, balance and quality of life in patients with diabetic neuropathy. Methods: 4 volunteers, with a diagnosis of diabetic neuropathy aged 60.5 ± 7.50 years, underwent treatment with gametherapy for 24 sessions, 3x/week for 50 minutes and evaluated pre and post intervention by the questionnaire for pain screening. neuropathic pain (DN4) and numerical pain scale, Tinetti scale, Romberg test, Timed Up and Go (TUG), and quality of life by Neuropathy-Specific Quality of Life (NeuroQol). Higher mean values were observed after treatment for the Romberg OA and OF test (p<0.001 and p=0.016), respectively, Tinetti balance scale (p=0.003) and quality of life (p<0.001) when compared pre-treatment, as well as lower values for pain by NDT (p=0.007) and for TUG (p=0.007). In the present study, gametherapy proved to be effective in improving the symptoms of diabetic neuropathy, regarding pain and balance, thus contributing to improve the quality of life of these patients, since it acts directly on functional, physical and psychological issues.
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    Perfil sociodemográfico e clínico de crianças com duplo diagnóstico de Transtorno de Déficit de Atenção com Hiperatividade (TDAH) e Transtorno do Espectro Autista (TEA)
    (Centro Universitário do Estado do Pará, 2022) Serra, Ana Clara Lima; Oliveira, Emanuelle Mayane do Nascimento; Paes, Lívia Moreira; Lima, Allan Mateus da Silva; Alfaia, Diego Mansur; Rocha, Larissa Salgado de Oliveira; Araújo, Matheus Sodré de
    To trace the sociodemographic and clinical profile of children with dual diagnosis of Attention Deficit Hyperactivity Disorder (ADHD) and Autism Spectrum Disorder (ASD). Observational, cross-sectional and descriptive study with a quantitative approach, based on the information present in the medical records of children between 3 and 14 years old of both genders diagnosed with ADHD and ASD attended at the Service of Attention in Rehabilitation (SABER) located in Belém do Pará. Most of the sample was composed of participants between 7-10 years (63.4%), male (78%), maternal age (43.9%) within the risk margin for diagnosis (> 35 years). Significant results were observed for Paternal age (p=0.035), type of delivery (p=0.034) and follow-up time (p=0.029) when related to patient gender. No relevance was found between clinical characteristics and family income (p>0.05). The study showed the association between the sociodemographic and clinical profile, which was higher in full-term male children who had a late diagnosis for the pathologies and with risk factors related to the age of the parents over 35 years.
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    Relação dos domínios de atividade e participação da classificação internacional de funcionalidade, incapacidade e saúde com o índice de Pfeffer em idosos
    (Centro Universitário do Estado do Pará, 2021) Coutinho, Alessa Moura; Ferreira, Klicia do Nascimento; Ribeiro, Vinicius de França Silva; Rocha, Larissa Salgado de Oliveira
    To connect the domains of Activity and Participation of the ICF with the Pfeffer Index to complement the assessment of the elderly. Study of technological proposal through the adaptation of the Pfeffer Index relating it to the domains of activity and participation of the ICF, developed in three stages: literature search, using the Scielo, Lilacs and Pubmed databases with studies involving the ICF and the Pfeffer Index, followed by the understanding of the instruments and the codification of the ICF Activity and Participation domains with the Pfeffer Index. From the analysis of the ICF and the Pfeffer Index, an instrument was developed covering the relationship between them, described by the domains of Activity and Participation. Each of the 10 Pfeffer Index questions referred to 6 ICF subdomains. The Pfeffer Index alternatives were compared to the ICF qualifiers, bringing a difference of 10 points between them. The research showed that the application of the ICF complemented the Pfeffer Index and this correlation between the assessment instruments expressed the importance of data on the characteristics of the elderly's social life, mobility and functionality.