Navegando por Autor "Andrade, Selma Parente Sousa"

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Análise clínica-epidemiológica dos pacientes com acidente vascular encefálico isquêmico sob as diretrizes de atendimento no Hospital e Pronto Socorro Municipal Mário Pinotti
(Centro Universitário do Estado do Pará, 2022-11-10) Soares, Gabriel dos Santos; Góes, Nicole Garcia dos Santos; Andrade, Selma Parente Sousa; Siqueira, Cláudia Regina Dias; http://lattes.cnpq.br/6013946222269824; http://lattes.cnpq.br/4429392453942556; Sefer, Celina Cláudia Israel; http://lattes.cnpq.br/0218316102057635; Souza, Aline Cristine Passos; http://lattes.cnpq.br/5404002728453981
Cerebrovascular Accident (CVA), also popularly known as "stroke", can be classified as ischemic CVA (iCVA) or hemorrhagic CVA (hCVA). An ischemic stroke is the rapidly evolving neurological deficit caused by a focal brain injury resulting from reduced arterial blood flow (ischemia), followed by infarction, impairing the adequate supply of oxygen and nutrients to the brain tissue. On a global scale, stroke is the second leading cause of death, and, in Brazil, the fourth, with ischemic stroke being the most frequent subtype. Thus, the rapid recognition of symptoms and factors that influence prognosis are extremely important in preventing irreversible brain damage. This study aims to carry out a clinical-epidemiological analysis of patients with suspected or confirmed diagnosis of stroke at the Hospital Pronto Socorro Municipal Mário Pinotti, a reference in urgencies and emergencies in Belém-PA and compare with the goals established by the Brazilian Society of Cerebrovascular Diseases on Treatment of Ischemic Stroke. Data from medical records from the Rede Bem Estar program from July 2018 to December 2021 were used. The data were represented in Microsoft Excel tables and analyzed by the Biostat 5.5 program. Results: Men were more affected by stroke (54.3%), the age group with the highest prevalence was 61 to 80 years (52.7%). Most patients came from Belém and the metropolitan area (74.9%), followed by the interior of the state (24.6%) and from outside the state (0.5%). The time of medical care after admission was up to 2 hours in 77% of the cases and 15.9% were seen within 2 to 5 hours of time after arriving at the hospital. As for the imaging exam, about 16.2% of the sample took more than 30 minutes and 5.4% did not. The main risk factors seen were SAH (84.3%), DM (43.2%) and history of previous stroke (22.4%). Most patients had hemiparesis or hemiplegia (77.8%), language alterations (66.2%), alterations in the level of consciousness (52.4%) and labial rhyme deviation (27.3%). The therapeutic mainstay of stroke in HPSM was based on symptomatic, antiplatelet agents and statin. It was concluded that a series of factors are interconnected to achieve the best times of care, diagnosis and therapy, resulting in benefits for neurofunctionality in patients with ischemic stroke. Thus, meeting the goals recommended by national and international guidelines is essential to increasingly seek excellence in care.
Análise da utilização do simulador Body Interact™ no processo de aprendizagem no curso de medicina do CESUPA
(Centro Universitário do Estado do Pará, 2025-05-26) Avertano-Rocha, Manoella Octavia Leopoldina Maria; Ferrari, Marina Figueiredo; Rodrigues, Natália Francisca Damasceno; Siqueira, Claudia Regina Dias; Carvalho, Ana Emília Vita; http://lattes.cnpq.br/1981562999898097; http://lattes.cnpq.br/6013946222269824; Guerreiro, Gustavo Pampolha; http://lattes.cnpq.br/7553169616952489; Andrade, Selma Parente Sousa; http://lattes.cnpq.br/4429392453942556
Introduction: Realistic simulation is an innovative tool in medical education, allowing students to practice technical and behavioral skills in safe environments that replicate real scenarios. This methodology combines theory and practice, facilitating deep learning and the development of essential competencies to face complex situations. Simulation originated in fields such as the military and aviation, and in healthcare, it has evolved from the use of anatomical models to advanced simulators, such as Body Interact™, which offers virtual scenarios for clinical decision-making. This approach improves students’ preparation by offering controlled experiences that ensure safety for both future doctors and patients. Objective: To analyze the learning process of medical students before and after using the Body Interact™ simulator. Method: This is an observational, longitudinal study with pre- and post-intervention, using a quantitative data analysis approach. The study included 30 students regularly enrolled in the eighth semester, in the module “Professional Skills VIII (HP8)” of the medical course. In the demographic profile of the sample, females predominated (56.7%) and ages ranged from 18 to 25 years (66.7%). Only 13.3% of participants had prior contact with the virtual simulator. Data collection, after signing the informed consent form, occurred through questionnaires completed by undergraduates exposed to the Body Interact™ virtual simulator. Results: Based on the total frequency of responses, students showed improvement in knowledge and management of acute respiratory failure, with an increase in the percentage of correct answers ranging from 63.6% in the pre-test to 80% in the post-test, and from 61.2% to 65.2% in the debriefing stage. According to the Satisfaction and Self-confidence Scale, there was high agreement with the statements (above 50%). Conclusion: The use of the simulator significantly increased knowledge, even among those with no previous familiarity with the tool. The improvement in correct responses was significant in two items, with tendencies toward improvement in others. The simulation favored the organization and sequencing of actions, improved clinical reasoning, and enhanced the learning curve. Additionally, students showed greater self-confidence after the experience, confirming, therefore, the need to further study the topic.
Análise das condições clínicas e perfil demográfico dos pacientes politraumatizados atendidos pelo SAMU, na cidade de Belém do Pará, nos meses de fevereiro a março de 2016
(Centro Universitário do Estado do Pará, 2020) Souza, Lais Guimarães; Dias, Lívia Miranda; Siqueira, Claudia Regina Dias; Neves, Dilma Costa de Oliveira; http://lattes.cnpq.br/7230812534416350; http://lattes.cnpq.br/6013946222269824; Cecim, Paulo Eugênio Santos; http://lattes.cnpq.br/0424267310983270; Andrade, Selma Parente Sousa; http://lattes.cnpq.br/4429392453942556
Trauma can be caused by a physical or chemical agent, leading to consequences of varying lengths and severities, these, as well as their etiology and nature, being the factors that guide patients or viewers to seek specialized help by calling a service of urgency and emergency. Objective: This article aims to describe the incidence of clinical conditions and the demographic profile of patients treated by the Urgence Mobile Assistance Service (SAMU), for traumatic reasons, in Belém, Pará, during the months of February and March 2016. Methodology: a cross-sectional, quantitative and descriptive study, having as source the care records of SAMU of Belém. It includes only those with identification of the trauma reasons of patients treated by SAMU in Belém, during the months of February and March, and that had more than 50% of the variables of interest filled. For the present study, clinical conditions were those recorded in the SAMU services' attendance forms, such as: blood pressure, respiratory rate, level of consciousness, oxygen saturation, heart rate and body followup with injury. The age and sex variables were used to describe the victims' profile. Because they have a small amount of records, data on occupation and education were removed from the data analysis. Results: For the analysis of traumatic reasons, traffic accidents, falls, aggression and other reasons were considered. 944 records of the occurrence of accidents due to external causes were analyzed during the study period in the city of Belém, PA. As for clinical conditions, most patients had pressure values above normal (49.9%), were awake (62.4%), with oxygen saturation between 95 and 99% (52.3%), heart and respiratory rates were normal (75.6% and 47.9%, respectively) and with multiple body segments injuries (26.9%). The age group and sex most affected were, respectively, 20 to 59 years of age (71%) and males (66.9%). As for the level of consciousness, a good number of men (12.8%), aged 20 to 59 years (10%), were found to be drunk. In both sexes and in all age groups, with the exception of victims aged above 60, there was a predominance of injuries in multiple parts of the body. The most prevalent reason for activation was due to traffic accidents, which predominated in both sexes (50.8%) and in the age group of 20 to 59 years (74%). Conclusion: based on the data found, it is possible to recognize the need for actions that have an impact on the identified current reality. This reality also reinforces the need for the disclosure of preventive measures capable of reducing the number of occurrences by government authorities on education, for example, for traffic, in schools, churches, in the family. In addition to bringing information on how to improve the environmental of the bringing information on how to improve the environmental conditions of the elderly to prevent falls.
Construção de instrumento de avaliação das habilidades comportamentais em simulação realística na graduação em medicina
(Centro Universitário do Estado do Pará, 2019) Andrade, Selma Parente Sousa; Miranda, Ariney Costa de; Pinto, Ana Rachel; http://lattes.cnpq.br/2268370803567328; http://lattes.cnpq.br/0967752058385887; Carvalho, Ana Emília Vita; http://lattes.cnpq.br/1981562999898097; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309; Corrêa, Cláudio Eduardo Teixeira; http://lattes.cnpq.br/7448998858430931; Nunes, Leonardo Mendes Acatauassú; http://lattes.cnpq.br/3512764081076675; Furlaneto, Ismari Perini; http://lattes.cnpq.br/9542085122721945
Introduction: Adequate training of the technical, and non-technical medical students skills is required, especially in a medical emergency situation, since training suitable professionals how to conduct serious cases significantly reduces the occurrence of mistakes and damages to the patient. Real-simulation-based learning allows the trainee to be prepared on how to deal with critical situations before contacting actual patients, particularly during the emergency context. Some non-technical or behavioral skills can be especially hard to be taught and trained. For this reason, the use of specific tools like behavioral checklists or scripts, become relevant to favor this task. It is crucial to mention that such tools should also be linked to the student's reality. However, as such tools are currently unavailable in our teaching institution, we have chosen to build one, based on existing scales in the literature. Objective: The aim of this study was to create a behavioral checklist applied to the realistic simulation environment of the urgency and emergency module from CESUPA medical course. Methods: For this reason, a literature review was carried out on the undergraduate competences and currently validated scales in the health area that addressed the main behavioral skills of the medical professional. From then on, the checklist developed was evaluated by four judges and applied to the students of the boarding school in Emergency and Emergence of CESUPA. The analyzed data was treated using descriptive statistics, expressed as median, interquartile range, percentiles and 95% Confidence Interval. Results: The generated checklists have been filled by a total of 30 students, from which 28 have been selected. Attitudes related to 'communication' skills have been significantly more frequent than those related to 'teamwork'; when students' performance involved 'airways' (p = 0.0195),' polytrauma '(p = 0.0011) and 'acute coronary syndrome' (p = 0.0490). In simulated cases of 'thoracic drainage' the frequency of ‘leadership’ behavior have shown to be significantly higher than those of ‘teamwork’ (p = 0.0022). Conclusion: 1. Communication, leadership and teamwork were considered three essential behavioral skills to be applied in our tool (checklist), in order to aid realistic high fidelity simulation activities at the urgent and emergency internship of CESUPA’s medical school. 2. The checklist built as a product of this work will be used as an auxiliary tool in our scenarios for analysis and behavioral discussion during debriefing and it may also be modified, adapted and improved for posterior use in different activities in our institution. 3. We believe those studied behavioral skills might have their anticipated training in related activities through in diverse contexts in order to provide greater mastery from our students.