Pós-Graduação

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Navegando Pós-Graduação por Autor "Caldato, Milena Coelho Fernandes"

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    Competências na coleta do exame preventivo do câncer do colo uterino de graduandos do curso de enfermagem
    (Centro Universitário do Estado do Pará, 2020) Olivi, Clara Ozeny Lima; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309; Pereira, Cynthia Mara Brito Lins; http://lattes.cnpq.br/3186657130674078; Dantas, Elza Ezilda Valente; http://lattes.cnpq.br/3951303999926297; Santana, Mary Elizabeth de; http://lattes.cnpq.br/6616236152960399
    As a result of the screening of the precursor lesions of uterine cancer being the responsibility of the nurse in Primary Care, it is essential to deepen and appropriate the correct examination technique that detects the injury early. Therefore, when nursing students graduate, they should be able to perform the oncotic colpocytology exam. The oncotic colpocytology exam is useful in screening for cervical cancer lesions. Exam collection requires manual skill through practice and mastery of the correct technique. Therefore, the importance of the nursing student having a supervised internship in Primary Health Care to have the opportunity to acquire learning and minimal skills to perform the exam. The general objective of the present study was to identify the level of competence in the collection of the preventive exam of cervical cancer among Nursing students taking the supervised internship. Method: The study presented a quantitative approach and performed in the year 2019. 80 (eighty) students from the 9th semester of the Nursing Course at the University of the Amazon participated during three months of supervised internship in Primary Health Care. Twenty-one competencies in the collection of oncotic colpocytology exam. From the application of a checklist during the supervised internship, each student was evaluated five times. Results: The evolution of the minimum competencies of the nursing student during the five collections of the oncotic cytology exam was notorious. From the third collection, it was observed that 41.3% of students with unsatisfactory performance, there was a reduction to 5% in the fourth collection. In the fifth collection of the exam, 92.5% of students reach a satisfactory exam technique. Therefore, it suggested implementing the checklist during the collection of the oncotic cytology exam in the supervised internship, so that each student has the opportunity to make at least five collections.
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    Determinação da idade óssea através do método de avaliação vertebral cervical versus mão-punho: uma revisão sistemática
    (Centro Universitário do Estado do Pará, 2021-09-24) Teruel, Daniele Piovezan Mendonça; Tuji, Fabrício Mesquita; http://lattes.cnpq.br/8122254353290848; Pinheiro Júnior, Jesus Maués; http://lattes.cnpq.br/0590122765693339; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309
    The patient bone age determination is a preponderant factor in obtaining a favorable prognosis for the planned mechanotherapy in orthodontic treatment, so the hand-wrist radiographic evaluation is one of the most reliable and currently used methods. Although the assessment of changes in the radiographic appearance of the long bones epiphyses in this region, allows a strong correlation with general bone growth, a relevant factor for its contraindication is the guidelines published by the British Orthodontic Society, in addition to the concern regarding increased exposure to radiation. Therefore, the analysis of the cervical vertebrae, contained in the lateral cephalograms, has been getting more significance in the determination of bone age. The evaluation of these structures has been described by several authors, justifying the importance to elucidate this issue regarding the appropriate technique and clinical protocol. In this sense, the objective of this systematic review was to evaluate the use of the method that analyzes the morphological changes of the cervical vertebrae, using the lateral cephalometric radiographs, in comparison with the method of hand-wrist radiographs analysis, for determining bone age. A systematic search was performed in four electronic databases, including PubMed, Cochrane Library, Web of Science, Lilacs/BBO, also covering gray literature (OpenGrey). The articles were analyzed by two independent reviewers and the selected studies were evaluated following the guidelines of the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2). The Grading of Recommendations Assessment, Development and Evaluation (GRADE) system was used to assess the quality of evidence. In this selection process, eighteen studies were included in this systematic review, which were ethodologically heterogeneous and with risk of bias classified as uncertain or high. The certainty of the evidence was considered very low, it can be concluded that, despite the different methodologies adopted, the method of analysis of cervical vertebrae is characterized by a high level of reliability, efficacy and correlation with the hand-wrist maturation method, when be used to determine the bone age of the individual. However, more studies are needed to increase the certainty of this evidence.