Medicina

URI Permanente desta comunidadehttps://repositorio.cesupa.br/handle/prefix/40

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Navegando Medicina por Autor "Aguiar, Záyron Gregório"

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    Análise epidemiológica dos pacientes vítimas dos acidentes ofídicos ocorridos no estado do Pará no período de 2011-2021
    (Centro Universitário do Estado do Pará, 2022-11-07) Baetas, Ana Leticia Figueira Diniz; Arêde, Mariana da Ponte Souza Prado; Coelho, Érica Furtado Azevedo; Aguiar, Záyron Gregório; http://lattes.cnpq.br/9918365024340116; http://lattes.cnpq.br/5221363260090560; Romeiro, Janaina Cunha; http://lattes.cnpq.br/5894499630718939; Silva, Mariana do Socorro Quaresma
    In South America, Brazil is the country with the highest number of accidents, with about 20,000 cases per year. The North region has the highest proportion of snakebite cases in relation to the population itself (520 snakebites/million inhabitants). Venomous snakes found in the country are grouped into 9 genera: Crotalus; Bothrops, Bothropoides, Bothrocopias, Bothriopsis, Rhinocerophis; Lachesis; Micrurus and Leptomicrurus, which are responsible for the largest number of ophidic accidents and of greatest medical interest in the State of Pará. To analyze the epidemiological aspects of patients who were victims of snakebites that occurred in the state of Pará in the period 2011 - 2021. An ecological, quantitative and descriptive study was carried out, based on exploratory document analysis (secondary data) available to the public in general at the Department of Informatics of the Unified Health System (DATASUS), considering the cases notified via the International Disease Registry (ICD10) referring to ICD X20 and ICD W59 from January 2011 to December 2021. 86,355 cases were analyzed cases of ophidic accidents in the State of Pará, with males being the most prevalent with approximately 75.2% of cases, as well as the highest incidence between 20 and 39 years with 38% of cases and in patients of brown ethnicity with 78 %, with incomplete 1st to 4th grade education with 21% and located outside the metropolitan area with 88.78%. Most of the cases were caused by the Bothrops type, with 92% of the total, most of the patients, 65.7%, had 0 to 1 hour of time until help and regarding the severity of the symptoms, the majority were classified as light, with 59.71%. The present study showed that the epidemiology of patients who were victims of snakebites that occurred in the State of Pará between the years 2011 - 2021 showed a predominance of involvement of male adults, aged between 20 - 39 years, of brown ethnicity and schooling from 1st to 4th series incomplete, most cases occurred outside the metropolitan region of Belém, caused by the genus Bothrops, most victims received medical attention between 1 – 3 hours and progressed with the severity of symptoms classified as mild. A shortage of studies on snakebite accidents was observed, requiring further discussion and updating on this topic.
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    Perfil epidemiológico dos casos de infecção por sífilis gestacional no estado do Pará no período de 2010 a 2020
    (Centro Universitário do Estado do Pará, 2021) Matos, Eduardo Calderaro; Pires, Hudson Taylor de Almeida Pinheiro; Sodré, Évila Fernanda Lameira de Melo; Aguiar, Záyron Gregório; http://lattes.cnpq.br/9918365024340116; http://lattes.cnpq.br/8018466973515241
    Introduction: Syphilis is a sexually transmitted infection whose etiological agent is the bacterium Treponema pallidum, with systemic manifestations, curable, preventable and which can be transmitted sexually or vertically. When not properly treated during pregnancy, it can generate irreversible sequelae for the infected pregnant woman and, consequently, for the fetus. In this context, it is essential to evaluate the evolution of epidemiological monitoring of syphilis cases and pregnant women in the state of Pará from 2010 to 2020. Objective: To describe the incidence of gestational syphilis in the state of Pará from 2010 to 2020. Methodology: This is an ecological, quantitative and descriptive study, based on secondary data related to notifications of gestational syphilis from SINAN publicly available by SIH/DATASUS. Results: It was found that in the period analyzed there were 357,140 cases of syphilis in pregnancy in Brazil and 14,338 cases of syphilis in pregnancy in the state of Pará. The predominant age group in Pará is between 20 and 29 years, with 7639 pregnant women infected from 2010 and 2020. The most common color is brown in all the period, with a peak of 1173 to 1819 cases between the years 2016 and 2019. It is noted that, in relation to education, most are now 8 years old or more than a study with 399 cases in 2020. In percentage data, there was, in the decade, maintenance of most diagnoses made in the third trimester of pregnancy (45%). Of the pregnant women with syphilis from Pará, 6794 pregnant women were diagnosed in the primary syphilis stage and 1517 pregnant women in the tertiary syphilis stage. Conclusion: it is concluded that a thorough future surveillance is needed, at national and state level, to consider improvements in the management of health professionals during the prenatal evaluation, increasing the tools of early diagnosis, adequate treatment and continuous monitoring of the pregnant woman and her partnership, in order to eradicate the disease and provide a better quality of life for the mother-fetus binomial.