Trabalho de Conclusão de Curso - TCC

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Navegando Trabalho de Conclusão de Curso - TCC por Autor "Caldas, Emylly Barrozo"

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    Perfil epidemiológico da mortalidade infantil por sepse no estado do Pará
    (Centro Universitário do Estado do Pará, 2024-06-14) Vanderley, Eduarda Lisboa; Rossy, Julia Borges; Costa, Laiza Souza; Caldas, Emylly Barrozo; http://lattes.cnpq.br/5177663145138920; Rosa, João Victor Moura; http://lattes.cnpq.br/4313376872732929; Freitas, Luana da Silva
    Sepsis is the leading cause of death in Intensive Care Units (ICU) worldwide, with an estimated number of more than 48 million cases and 11 million deaths annually. Sepsis can be considered one of the main adverse events that impact life, as it is life-threatening and can be defined as the systemic response to an infectious disease, whether caused by pathogens. To carry out an epidemiological study that identifies the epidemiological profile of mortality due to sepsis in children in the state of Pará. This was a cross-sectional, quantitative epidemiological study that consulted the public database (TABNET) from 2021 to 2023. The sample The research was obtained through screening of data obtained from the mortality database for children in age group 1. From the consultation, the data obtained was organized and tabulated. From this, we proceeded with statistical analysis using the GraphPad software, performing parametric and non-parametric tests, to define incidence, prevalence and epidemiological profile. It is observed in the results of this research that the incidence of mortality due to sepsis affects boys and girls in the same proportion, being preponderant in the metropolitan region of the state and of mixed race ethnicity, as well as being predominant in public hospitals, however treatment in the state of Pará is being effective because the number of hospitalizations is greater than the number of deaths recorded, and the year with the highest number was 2021. It is worth highlighting that several factors influence this index, such as family income, which tends to be aggravating in families of low, the absence of basic public health, such as water and electricity, and access to the private health system, which increases hospitalizations in public systems. Therefore, it is a plausible discussion and a challenge to be met to improve the supply and public health assistance for the population, intensifying prevention and health promotion. Thus, this research makes it possible to reflect on the importance of the theme of epidemiological studies on sepsis, reinforcing both that there is no difference in mortality between patient sexes, the occurrence in greater proportions in the public service, as well as the importance of evaluating whether the reduction of mortality in hospitalized patients is due to improvements in team training, or underreporting of mortality in the systems. Therefore, it is extremely important to collect epidemiological data in the region, as this generates data and statistical analyzes that can be compared, generating impacts on community health prevention.
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    Perfil epidemiológico da mortalidade materna durante a pandemia de COVID-19 entre os anos de 2020 e 2021 no estado do Pará
    (Centro Universitário do Estado do Pará, 2025-06-17) Barros, Isabella Damasceno; Bezerra, Lais Vianna; Amorim, Claudiane Santana Silveira; http://lattes.cnpq.br/1796401874440638; Caldas, Emylly Barrozo; http://lattes.cnpq.br/5177663145138920; Souza, Lauro Nascimento de; https://lattes.cnpq.br/1622643691192352
    Introduction: Maternal mortality is an important indicator of the population's quality of life, as it is directly linked to living and working conditions, the valorization of women in society, and social inequalities, discrimination, and injustices. Most deaths are preventable, affecting mostly the population with low economic power, low education, adolescents, and women living in rural areas and/or with difficult access to health services. Due to the high risk of morbidity and mortality, the WHO classified pregnant women as a risk group for COVID-19. Objective: To assess the causes and describe the epidemiological profile of maternal mortality during the COVID-19 pandemic in 2020 and 2021 in the State of Pará. Methodology: Cross-sectional, retrospective, descriptive study with a quantitative approach. The research was carried out on the Ministry of Health's Integrated Health Surveillance Platform (IVIS), which allows analyses of the indicators monitored by the survey through disaggregation by year, capital, region, sex, age group and education level. Data extracted from IVIS, accessed through the MM monitoring panel, were included, considering the period from January 2020 to December 2021 with data from all registered pregnant women in the State of Pará. No pregnant women were excluded. The data were collected with the help of a form prepared by the researchers. The data obtained were organized and tabulated in an electronic spreadsheet in Microsoft Office Excel® 2021 software, where they were processed and presented in descriptive tables and graphs. Results: The analysis of maternal deaths that occurred in the State of Pará in 2020 and 2021 revealed a worrying scenario, marked by significant regional inequalities, structural weaknesses in health services, and barriers to access to qualified obstetric care. The highest concentration of deaths in macro-regions I and III, especially in cities such as Belém, Santarém, and Redenção, highlights the overload of urban reference centers in terms of records. Conclusion: The study reinforces the need for public policies aimed at improving the maternal care network, with an emphasis on decentralizing services, expanding access to quality prenatal care, training health teams, and implementing effective strategies for monitoring and preventing pregnancy risks.