Mestrado Profissional em Ensino em Saúde - Educação Médica

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Navegando Mestrado Profissional em Ensino em Saúde - Educação Médica por Orientador "Barreto, Bruno Acatauassú Paes"

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    A espiritualidade na formação médica: elaboração de um guia didático a partir da autopercepção de alunos da graduação
    (Centro Universitário do Estado do Pará, 2019) Pereira, Ângela Regina Rosa Corrêa; Barreto, Bruno Acatauassú Paes; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678; http://lattes.cnpq.br/4741205865293040
    Introduction: Spirituality is an intangible way of seeking meaning in life. However, religiosity runs through a concrete system based on doctrines or cults that aims to attain the Sacred from behavioral, social and moral values. In this context, there is currently an important involvement between health and spirituality. Since 1988, the World Health Organization involves the spiritual dimension in the concept of health. Scientific research on the subject is still incipient, but with relevant results. Medical education in the field of humanistic skills is instigated to promote training for teachers and students on the subject. Objective: To develop a pedagogical guide on Spirituality and clinical practice based on the perception of the subject in undergraduate medical students. Methods: This is a descriptive, observational, cross-sectional study with a qualitative and quantitative approach. Self-assessment of medical students was carried out (n = 233). A selfapplied questionnaire, of the Brief Multidimensional Measure of Religiousness and Spirituality (BMMRS protocol) validated for the Portuguese language - Brazil. Results: The profile of the population ranged from 18 to 49 years (median: 21), most of whom were single (n = 222), of the female gender, and when they were grouped by semesters, the female gender was also predominant. The religious distribution shows a majority of Catholics (65%), followed by evangelicals (9.8%), which predominates over spiritist (5.1%). In relation to the spiritual dimensions analyzed: spiritual experiences, beliefs and values, religious overcoming and organizational religiosity, were more valued (greater percentage) by the group of students of the first semester compared to the twelfth semester in all variables. However, when the global selfassessment dimension was analyzed, students in the last semester of the course feel more religious and more spiritual. As for the qualitative analysis of the responses related to spirituality and the medical course, using the criterion of Bardin 2011. The comparison of the responses of the groups particularly values this research because it reflects in the first group a probable expectation of the subject to be approached and for the complete a record of the subject in medical training. Conclusion: The students' perception about spirituality and graduation, brings us to propose a didactic guide on spirituality and clinical practice. A large part of the studied population favored the subject in the medical course. It is necessary, however, more research proposing ways to address this dimension of health in medical education.
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    Avaliação da aceitação de instrumento técnico auxiliar no manejo da sífilis em gestantes
    (Centro Universitário do Estado do Pará, 2018) Silva, Silvana Cristina Rodrigues da; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Araújo, Eliete da Cunha; http://lattes.cnpq.br/5906453187927460; Rojas, Márcia de Fátima Maciel de; http://lattes.cnpq.br/1926263861110172; Matos, Haroldo José de; http://lattes.cnpq.br/9830983900880582
    INTRODUCTION. Every year, all around the world, the number of Congenital Syphilis (CS) is increasing. Last 2018 Epidemiological Bulletin of Brazil presented the national incidence rate of CS in 8,6 cases for every thousand born alive, very far from the target set by the American Health Organization (PAHO) that is 0,5 cases of CS for every thousand born alive up to 2015. Adequate and early treatment in pregnants is the most efficient manner to prevent CS. With the implementation of rapid test for syphilis in Basic Health Units (UBS), Ministry of Health (MH) aims to avoid diagnostic opportunities loss and adequate the treatment. Searching for improving health professional atuation who accomplish prenatal and favor doctor and nurse from Family Health Strategies (FHS) to answer doubts related to the management of syphilis in pregnant women, a technical instrument in disk form was developed, denominated “Disc for Diagnosis and Treatment of Syphilis in Pregnant Women”, based on MH flowcharts Protocols. Objective. Evaluate the technical instrument acceptance from medical professionals and nurses who perform prenatal care at the FHS in Belém city. Methodology. Research of descriptive character, qualitativequantitative in the management of syphilis specifically in pregnant women. Two different questionnaires were used for data collection, the first one was answered before the disk delivery in period of February and March 2018 with questions containing variables as professional position, sex, graduated time, level of study, and others related to the MH Protocol and syphilis in pregnant women. 156 questionnaires were answered followed by the delivery of 156 Discs. Second questionnaire was answered 4 months after Disc delivery, containing questions about the opportunity of using the instrument and as variables about its acceptance. Statistical Package for Social Sciences (SPSS) software was used, associations were calculated using the Chi-square test of adhesion and independence, interest variables, with significance level of 5%, to predict the result of Disc usage by professionals with the variables that proved to be significant in the tests. Results. In relation to questionnaire I from a total universe of 224 professionals, 156 questionnaires were filled out, majority of participants are nurses 24.4% and doctors 14.7%, female gender predominates 68.6% among both doctors and nurses with a general average of 7.5 years of graduated in both categories but with a slightly lower prenatal accomplishment experience, an average of 6.2 years. 115 (75%) reported have ever had doubts about a syphilis suggestive result in pregnant women and most said they do not know how to proceed with altered results for Sifilis. In questionnaire II, 50 questions were answered, being a sample with predominance of the feminine gender 30 (60%) and nurses 37 (74%), similar to the first phase, 70% of respondents said they had no difficult to handle the disc, 90% considered the disc useful or very useful, 95% affirmed that the disk contains all informations for proper diagnosis and treatment of syphilis in pregnant women, 94% would recommend its use to other professionals. Conclusion. Results demonstrate that the instrument created was well accepted by the surveyed professionals, and seems to fulfill the larger goal by which it was created, to be a tool for decision-making, improving the diagnosis of a pregnant woman with syphilis.
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    Construção e validação de um instrumento para orientação pós alta hospitalar para pacientes que sofreram traumatismo crânioencefálico
    (Centro Universitário do Estado do Pará, 2023-03-23) Lopes, Nayan Leonardo Sousa; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Teixeira, Claúdio Eduardo Corrêa; http://lattes.cnpq.br/7448998858430931; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678; Silva, Dayse Danielle de Oliveira; http://lattes.cnpq.br/1634835938202657; Moraes, Lienne Silveira de; http://lattes.cnpq.br/6168418820721633; Nunes, Leonardo Mendes Acatauassú; http://lattes.cnpq.br/3512764081076675
    Traumatic brain injury (TBI) is physical injury to brain tissue, with disruption of normal brain function that can be caused by blunt trauma to the head or penetrating injury to brain tissue. TBI has a great impact on the health of the general population, having a clear influence on both morbidity and mortality worldwide, representing 10% of all victims aged between 5 and 44 years in the world, being more prevalent in young people males, causing enormous socioeconomic damage to society. The objective of this work was the elaboration of an informative material (booklet) to help patients who suffered TBI in the post discharge care of Hospital Metropolitano de Urgência e Emergência (HMUE). A methodological study was carried out in 4 stages: bibliographic survey; elaboration of the material (booklet); evaluation of the provisional material by the residency program preceptors and validation of the information booklet by specialists in the subject (judges). The booklet was evaluated by judges, being approved and validated, with the final title: “Post discharge guidance booklet for patients who suffered Traumatic Brain Injury”.
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    Mensuração da escoliose idioática do adolescente: desenvolvimento de um aplicativo voltado para o ensino em saúde
    (Centro Universitário do Estado do Pará, 2023) Giubilei, Dante Bernardes; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Teixeira, Claúdio Eduardo Corrêa; http://lattes.cnpq.br/7448998858430931; Brito, João Amaury Francês; http://lattes.cnpq.br/2082803988929398; Oliveira, Marcus Augusto de; http://lattes.cnpq.br/6036530007649294
    Objective: Adolescent Idiopathic Scoliosis is the most common spine deformity and has its own classification, although didactically complex. Thus, developing an application for mobile devices to teach the measurement, classification and gradation of the deviation of Adolescent Idiopathic Scoliosis as a teaching tool. Method: This is a cross-sectional, descriptive, analytical study with a quantitative and qualitative approach, with an emphasis on health teaching. The study was submitted for evaluation to the Research Ethics Committee of the University Center of Pará (CESUPA) for assessment and evaluation of handling and validated using a Likert scale based on the Statistical Package for the Social Sciences (SPSS), accepting a Content Validity Index (CVI) greater than 0.70 to be approved. 15 specialists associated with the Brazilian Society of Orthopaedics and Traumatology took part in the study. Results: The total CVI of the app obtained was 0.803, higher than that needed to validate the product. When it came to evaluating content and appearance, the items with the highest scores were "the app is suitable for its intended purpose" and "the app is intuitive" with a value of 0.87. The item with the lowest score was the product's interface, with a value of 0.73. Conclusion: The main objective of the study, to develop a portable application for teaching the measurement and grading adolescent idiopathic scoliosis, was achieved. It was possible to validate the app's usability by specialists in orthopedics and traumatology, achieving an adequate CVI.
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    Reações de hipersensibilidade aos meios de contraste: avaliação do conhecimento de médicos do estado do Pará
    (Centro Universitário do Estado do Pará, 2021-02-19) Alcântara, Carolina Tavares de; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Tuji, Fabrício Mesquita; http://lattes.cnpq.br/8122254353290848; Nunes, Leonardo Mendes de Acatauassú; http://lattes.cnpq.br/3512764081076675; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309
    Contrast media have been widely used since the 1950s to facilitate diagnostic imaging. Doctors in almost all specialties prescribe, administer or care for patients who have received some contrast medium. These differ in their chemical structure, applicability and adverse effects. Therefore, physicians should be minimally familiar with the pharmacology, administration, risks and adverse reactions associated with these agents. However, despite the emergence of evidence-based medicine, gaps in knowledge are still filled by tradition, experiences and “common sense”, giving rise to misunderstandings with the spread of myths. In this sense, this dissertation intends to evaluate the knowledge of physicians working in the state of Pará regarding adverse reactions to contrast media. Thus, an observational, analytical and cross-sectional study involving 48 physicians from different specialties, using a virtual questionnaire addressing prophylaxis, risk factors and conduct related to the development of adverse reactions to contrast media. The data were organized using Microsoft Excel® and afterwards, Cronbach's alpha and descriptive statistical analysis were performed, with a consistent answer of 0.700. The graphic analysis was performed in R and RStudio. The results indicated that all physicians agree that it is essential to question the patient's allergic history prior to the use of contrast, and 90% of them agree to question about iodine allergy. Before releasing any contrasted test, 75% request an allergist assessment when there is a history of allergy to seafood / iodine, and 86% agree that patients allergic to iodine are at increased risk for reactions to contrasts. And most doctors (86%) indicate pre-medication in those with a history of previous reaction to contrasts. It was concluded that the notion of allergies to seafood and, especially to iodine as significant risk factors for adverse reactions to contrast media, remains widespread. The act of inquiring about these allergic conditions before requesting imaging tests, as well as recurring indication of premedication may induce the idea that these situations are a potential risk to allergic reactions to contrast media, thus propagating the myth. Medical education is vital to stop the persistence of these mistakes.