Medicina
URI Permanente desta comunidadehttps://repositorio.cesupa.br/handle/prefix/40
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Navegando Medicina por Autor "Amaral, Gabriela Borborema do"
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Item Autoaceitação e qualidade de vida pós mastectomia de transexualização(Centro Universitário do Estado do Pará, 2023-05-30) Soares, Fernanda Piqueira de Andrade Lobo; Miranda, Letícia Colares; Rodrigues, Brenda Diniz; Loureiro, Camila Fernanda Antunes Castanho Cavaleiro de Macedo; http://lattes.cnpq.br/6746290429073526; Albuquerque, Mário Roberto Tavares Cardoso de; http://lattes.cnpq.br/3233617656287982; Amaral, Gabriela Borborema do; http://lattes.cnpq.br/9582500401192127Introduction: The term “transgender person” refers to any person who does not identify with their birth gender. Allied to that, in the medical field many studies approach the concept of gender dysphoria, whih means a significant clinical discomfort associated with gender and biological characteristics, associated with impaired self-perception and impaired quality of life. Within this context, medical interventions and other areas of the health field come to help in the gender transition process, which includes the performance of mastectomy. In summary, the present study seeks to estimate the procedures impact on the sexual resignation process of transgender men. Objective: To measure the impact of mastectomy on transsexual men, and how this surgery influences aspects related to the quality of life of this population. Materials and methods: This is a cross- sectional, observational and descriptive study, based on data collected through the application of a virtual questionnaire for patients undergoing masculininzing mastectomy for in Brazil, between december 2022 and march 2023. Results: 50 individuals participated in the research. Among these, most of them were between 20 and 39 years old, identified themselves as trans men for more than 2 years and had health insurance. In the pre-operative period, the highest proportion of minimum grades was related to the level of satisfaction with physical appearance. In post-operative period, most evaluated their quality of life as very good. Comparatively, between the two periods, the highest difference between the averages found was related to the acceptance of physical appearance, the smallest difference occurred in terms of satisfaction with health services. Regarding gender violence, 66% reported having suffered violence when seeking health care, and most related what happened to embarrassment due to pronoun error. Conclusion: Thus, it is evident that the masculininzing mastectomy had a positive impact on the variables studied related to quality of life. In addition, it clarifies the need to develop new tools to measure the quality of life of the studied population.Item Classificação de Robson em uma maternidade de referência para gestação de alto risco(Centro Universitário do Estado do Pará, 2022-11-07) Braga, Ana Paula Cecilia; Fonseca, Giulia Luz da; Luz, Marília Gabriela Queiroz da; http://lattes.cnpq.br/7318301499873546; Amaral, Gabriela Borborema do; http://lattes.cnpq.br/9582500401192127; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678Cesarean delivery, despite being a very valuable procedure for reducing maternal and neonatal morbidity and mortality in several clinical cases, is associated with greater risks for the mother and newborn when cesarean rates are greater than 15%. Brazil has been recognized worldwide for its high rate of cesarean section (CT), which has been considered the main route of birth since 2009, standing out with the second largest CT in the world. The Robson classification was created by Michael Robson in 2001 with the aim of identifying which women underwent cesarean section. For this, women are classified into 10 groups, whose distribution is based on 6 obstetric criteria, thus being a way to monitor cesarean section indications and identify whether there are specific groups of pregnant women contributing to the increase in the overall rate of surgeries. To statistically describe the distribution of deliveries according to the Robson Criteria, based on electronic data from the Obstetrics Service of Fundação Santa Casa de Misericórdia do Pará (FSCMP), in the period between January 2020 and December 2020. A cross-sectional, descriptive, and retrospective study carried out, based on Robson's groups (ANNEX IV), at the FSCMP. In addition, to compare the distribution of types of delivery in relation to the previous month, the Chi-square test of independence was applied. A total of 7492 deliveries were performed at the FSCMP, including 4327 cesarean sections and 3165 vaginal deliveries. In this context, the overall rate of cesarean sections is 57.75%, most of which comes from groups 2, 5 and 10. It is also worth mentioning, a greater increase in the number of primigravidae and a reduction in the number of premature babies in March and November 2020. With this study, it was shown that the overall rate of cesarean sections in the FSCMP (57.75%) was higher compared to that found in the State of Pará (52.01%) and the North region (48.70%) in the same period. In addition, the groups with the greatest contribution to this fact were 2, 5 and 10 of the Robson Classification, in line with several other national studies. Thus, the results indicate the need for specific interventions to reduce the high rates of cesarean sections in groups 2, 5 and 10 of the FSCMPA. Given that groups 2, 5 and 10 were the ones with the greatest contribution to the high global rate of cesarean sections in the FSCMP, future interventions with women who fit this profile are necessary to encourage a preference for the vaginal deliveries.Item Cobertura do teste colpocitológico e fatores associados à não realização: um olhar sobre o programa de prevenção do câncer de colo do útero no estado do Pará(Centro Universitário do Estado do Pará, 2022-11-14) Franco, Carolina Vinagre Pires; Amaral, Gabriela Borborema do; Rodrigues, Brenda Diniz; http://lattes.cnpq.br/6746290429073526; http://lattes.cnpq.br/9582500401192127; Caetano, Djenanne Simonsen Augusto de Carvalho; http://lattes.cnpq.br/0350756059004026; Dutra, Taísa Andrade Pereira; http://lattes.cnpq.br/4788667938871523Cervical cancer represents an important public health problem. It is the fourth most frequent neoplasm among women in Brazil. Its prevention is performed in all women aged 25 to 64 years, through the cytopathological examination of the cervix, with a screening that enables the detection of lesions and thus early diagnosis of the disease. To analyze the data on the coverage of colpocytopathological testing in women in the state of Pará, Brazil, and the factors related to non-performance of the test. Descriptive epidemiological study conducted with data collection from SCAN and SISCOLO, made available by DATASUS. The total sample analyzed was 762,492 patients, among them, the search for screening of the disease was the main reason for performing the test (95.9%); the age range of greater realization was 30 to 34 years (13.33%). Both subtypes of adenocarcinoma were more prevalent between 40 and 44 years, being in situ (18.13%) and invasive (20.37%). The level of education was ignored in 98.38% of cases. The test was considered technically satisfactory in 97.41% and, among them, 39.40% had no endocervical or metaplastic cells. The colpocytological exam is the best method of screening and preventing of malignant neoplasms of the cervix, directly impacting the epidemiological rates of the disease, due to its early recognition and treatment. Measures such as awareness of women on the subject, proper training of health professionals who perform the collection, investment in health actions aimed at women, and proper completion of the notification forms on the platform are very important to improve the rates of cancer incidence and mortality, especially in the North region, which has the highest rates in Brazil.