Dissertação
URI Permanente para esta coleçãohttps://repositorio.cesupa.br/handle/prefix/13
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Navegando Dissertação por Autor "Celestino Júnior, Aluísio Ferreira"
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Item Análise da IL-10 em pacientes portadores do HIV-1 com periodontite crônica no norte do Brasil(Centro Universitário do Estado do Pará, 2018-03-09) Fonseca, Ricardo Roberto Souza; Menezes, Silvio Augusto Fernandes de; http://lattes.cnpq.br/5394614146901551; Celestino Júnior, Aluísio Ferreira; http://lattes.cnpq.br/6186863425175415; Rodrigues, Tânia Maria de Souza; http://lattes.cnpq.br/4924941383324071Aim: The objective of this study was to investigate the levels of IL-10 in the gingival crevicular fluid in HIV-1 positive patients with chronic periodontitis and to compare with HIV-1 negative patients with chronic periodontitis, also to correlate clinical periodontal parameters, viral load and count of CD4+ and CD8+ lymphocytes (LTCD4+ and LTCD8+). Methods: 33 patients were selected and splitted into two groups: 16 HIV-1 positive patients and 17 HIV-1 negative patients and all with chronic periodontitis. The clinical periodontal parameters recorded were: Probing Depth (PD) and Clinical Attachment Level (CAL); the sistemical parameters LTCD4+, LTCD8+ and viral load were analized by the gingival crevicular fluid collected from all patients. Enzymelinked immunosorbent assay (ELISA) was used to determine the concentrations of Interleukin (IL)-10. For the statistical analysis the Student t, Mann-Whitney and Spearman tests were performed. IL-10 levels were significantly lower in both patients groups. Results: There was statistical difference betwen groups for probing depth (p=0.015) and clinical attachment level (p=0.011), no significant correlation was found among the analyzed variables. Conclusion: The IL-10 levels in HIV-1 positive patients had no influence in periodontal and immonological parameters.Item Avaliação do padrão de crescimento facial e da má oclusão em uma população de indivíduos em dentadura mista e uma proposta de gestão para saúde pública(Centro Universitário do Estado do Pará, 2022-01-31) Silva, Adriana Viana Martins da; Pinheiro Júnior, Jesus Maués; http://lattes.cnpq.br/0590122765693339; Celestino Júnior, Aluísio Ferreira; http://lattes.cnpq.br/6186863425175415; Corrêa, Adriano Maia; http://lattes.cnpq.br/6062379402457289Malocclusion is the set of changes in bite relationships, which can have consequences on adjacent structures of the masticatory system and orthodontic problems, which can be dental or skeletal. Malocclusion is considered a public health problem and ranks third among oral pathologies. It can cause several changes in an individual’s life, such as imparing the quality of life, social interaction, psychological well-beign and even resulting in functional limitations in more severe casas. During mixed dentition, arch changes occur and normal changes may also occur. In this context, the current study aimed, through the analysis of the medical records of the Clinic of the Specialization Course in Orthodontics, CESUPA-Center for Higher Studies of the State of Pará, of 655 children, aged between 9 and 11 years, develop the epidemiological assessment of patients to later describe the facial growth pattern, determine the need for orthodontic treatment plan for each patient and, mainly, prepare a spreadsheet with the costs for each treatment. The results showed: growth pattern, facial pleasantness index, facial typology, molar relationship, deep bite, open bite, anterior and posterior crossbite, diastema, crowding and early tooth loss. With these results, together with the spreadseet with the costs of each case, it is expected that they will be used fir the implementation of orthodontics in municipal ans state dental speciality centers, so that more people have acess to this type of treatment.Item Elaboração e validação de tecnologia educativa a partir da percepção de saúde bucal dos indígenas Parakanã(Centro Universitário do Estado do Pará, 2022-06-30) Silveira, Caroline Oliveira; Celestino Júnior, Aluísio Ferreira; Oliveira, Marlene Ribeiro de; http://lattes.cnpq.br/2345038474886978; http://lattes.cnpq.br/6186863425175415; Corrêa, Adriano Maia; http://lattes.cnpq.br/6062379402457289; Matos, Eliseth Costa Oliveira de; http://lattes.cnpq.br/8009813497675654In the context of indigenous heath, precarious conditions of their oral heath are still perceived. This study for the understanding of their ethnicity from a deeper way of understanding the indigenous people was elaborated an oral education from this ethnic group. The use of the booklet within the Parakanã indigenous community aims to contribute to a better understanding of their oral health condition. The study had the participation of 61 Parakanã indigenous people age over 10 years and was carried out in two stages, where an initial exploratory (l) was developed, which investigated the perception of first oral health though a study in a semi-structured research. (ll) methodological development, technology construction research. The main results obtained in the exploratory research were: 39% answered that they do know how to read awaete xe’enga and another 23% know to read very little; More than 90% of everyone knows that they need to brush their teeth; 72% are not respondents what is dental caries; 35% respond that they feel pain when chew a food; 61% think it is good to have material on oral care. For the preparation of the booklet, it was used direct, objective, easy to understand by the indigenous people so that they can identify with the relevant content. This was validated by expert judges such as: indigenous educators, anthropologist dentists, pedagogue, social communicator among others. Parakanã education insertion in the context of health education must be conceived as an important tool for promoting health and technologies, which in pratice must take care with the improvement of living conditions and technologies.Item Manual de orientações gerais para atendimento de traumas dentais(Centro Universitário do Estado do Pará, 2021-03-24) Rosales, Pedro Philippe da Silva; Rodrigues, Patrícia de Almeida; http://lattes.cnpq.br/7995657020175355; Celestino Júnior, Aluísio Ferreira; http://lattes.cnpq.br/6186863425175415; Silva, Luciana Jorge Moraes; http://lattes.cnpq.br/2796172853961907Dental trauma is defined as the result of thermal, chemical, or mechanical aggressions caused to teeth and their adjacent structures. These injuries can occur at any age, being common between 8 and 12 years old, affecting permanent dentition, with a higher incidence in boys. This work had as objective the construction of a material of institutional character, directed to dentists and undergraduates of Dentistry, containing the main conducts for the care of dental traumas. For the elaboration of this product, a literature review was carried out in the virtual health library (MEDLINE, LILACS, SCIELO, BBO) using the DECS: Dental Avulsion, Trauma-Dislocation, Dental Trauma, Application of Epidemiology and Brazil. In PubMed the MESH terms: Avulsion, Luxation, Tooth fracture, Epidemiology was used. As inclusion criteria, articles in English and Portuguese, published in the period from 2011 to 2021, of the literature review, case report, epidemiological survey and systematic review type were selected. Papers in other languages and prior to 2010 were discarded. The proposed technical manual disc aims to streamline and optimize the diagnosis and treatment of patients with dental trauma, and is aimed at any dental surgeon, regardless of their specialty and sphere of activity, or undergraduate in dentistry. After the construction of this material, a survey was carried out with 112 participants, for the validation, adjustments, and evaluation of the acceptance of the product in question. Regarding the results obtained, the predominant presence of females and the position of dental surgeons in the private sector was noted, most of the interviewed participants reported having treated more than one patient with dental trauma (61.3%) and that they would use the proposed disc (92.9%), 92% of the participants in this research said they had never seen any material similar to the disc, 86.6% found the disc very useful, 93.8% reported not having difficulty handling it, 92% stated that the disk has all the necessary information and 85.7% would recommend this product to other professionals. The results demonstrate that the instrument created was well accepted by the researched target audience, fulfilling its purpose of optimizing the diagnosis and treatment procedures for patients with dental trauma.Item Prevalência e perfil de resistência dos principais agentes microbianos bucais associados à pneumonia nosocomial de um hospital púbico do estado do Pará entre 2014 e 2017(Centro Universitário do Estado do Pará, 2018) Araújo, Andreia de Fátima de Souza; Celestino Júnior, Aluísio Ferreira; http://lattes.cnpq.br/6186863425175415; Menezes, Silvio Augusto Fernandes de; http://lattes.cnpq.br/5394614146901551; Tuji, Fabrício Mesquita; http://lattes.cnpq.br/8122254353290848The multiresistance of antimicrobial drugs is an increasingly worrying phenomenon in anti-infective therapy, especially in critical patients such as those receiving health care in Intensive Care Units (ICUs). This becomes even more problematic when it comes to patients admitted to these units as they are more vulnerable to opportunistic infections. The absence of oral care in these patients can lead to the spread of infections to the rest of the body, among them Nosocomial Pneumonia, of recognized high prevalence and lethality. This study aims to identify the prevalence of oral infectious agents in patients treated at ICUs on a public hospital, in the state of Pará, between 2014 – 2017, and to assess the sensitivity and resistance profile of the main microorganisms associated with these infections in 489 patients of this hospital. Pseudomonas aeruginosa and Acinetobacter baumannii were the most prevalent agents (p<0.05) among patients with VAP, and Carbapenens (47.62%) and Cephalosporins of the 3rd and 4th generation (14.29%) the antibiotics that showed more resistance for Pseudomonas. Carbapenens were also more resistant to Acinetobacter (55.5%), followed by 3rd and 4th generation Cephalosporins, Imipenem, Meropenem, Quinolones and Ampicillin + Sulbactam (6%). PAV was the most frequently found infection site in the studied sample, with Pseudomonas aeruginosa and Acinetobacter baumannii being the most prevalent bacteria, and the antibiotic Carbapenens presented the highest resistance to both.