Navegando por Autor "Rocha, Vanessa Campos Couto da"

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Alterações auditivas no Diabetes Mellitus
(Centro Universitário do Estado do Pará, 2019) Lima, Arthur Felipe Maciel de; Hamamura, Rubens Yuji; Rocha, Vanessa Campos Couto da; Nunes, Leonardo Mendes Acatauassú; http://lattes.cnpq.br/3512764081076675; http://lattes.cnpq.br/1897095774561517
Diabetes Mellitus is a chronic condition with a potential to injure several organs, such as the eyes, kidneys, heart, blood vessels, nerves, and brain. Therefore, it is possible that these anatomopathological changes due to hyperglycemia may also alter the organs responsible for hearing. This work was carried out to investigate and establish a correlation between Diabetes Mellitus and reduction of auditory acuity, based on the investigation of the hearing threshold and cochlear function of the patients included in the study. This is an observational, analytical, case-control study in which the patients were selected through a chart analysis of the Endocrinology service of the CESUPA Medical Specialties Center. The sample consisted of (10) patients with diabetes mellitus and (10) patients in the control group, regardless of sex, between 18 and 70 years of age, and the study was performed from October 2018 to January 2019. In the present study it was verified that 100% of the hearing losses were of bilateral sensorineural character, with predominance in females aged between 60-70 years, in the case group. Diabetes mellitus type 2 was predominant, corresponding to 90% of the sample in the case group. 60% of the patients observed had DM for more than 10 years; The most prevalent hearing loss was observed in the frequencies of 6 and 8 kHz (70% in both frequencies). The results of the Distortion-Product Otoacoustic Emissions (DPOAEs) exam showed that 10% of the patients in the case group had absent emissions in the left ear and 20% had the same result in the right ear. Among the members of the control group, the percentage of patients with absence of emissions for both the left and right ears is 20%. These results suggest that hearing loss may be related to the metabolic, neurological and circulatory repercussions of Diabetes Mellitus. This fact underscores the importance of the development of researches both for the early diagnosis of Diabetes and for a more solid investigation of the impact on the hearing of patients with the disease.
Análise descritiva das internações e óbitos por diabetes mellitus nas macrorregiões brasileiras
(Centro Universitário do Estado do Pará, 2025-05-27) Rabelo Junior, José Dorcele Paiva; Crisóstomo, Maria Laura Pereira; Cavalcante, Vitor Guilherme Araujo; Braga, Fábio Brito; Santos, Flávia Marques; http://lattes.cnpq.br/8601394323526613; http://lattes.cnpq.br/6301506178635436; Bastos, Fabíola de Arruda; http://lattes.cnpq.br/9386935778704228; Rocha, Vanessa Campos Couto da; http://lattes.cnpq.br/1897095774561517
Introduction: Diabetes Mellitus (DM) is a chronic metabolic disorder characterized by an increase in glucose concentration in the bloodstream due to a deficiency in insulin secretion, action, or both. It is a disease associated with high rates of prevalence, morbidity, and mortality, especially in developing countries. In Brazil, more than 15.7 million adults live with the disease, which stands out due to the severity of its complications, and is therefore the sixth leading cause of death in the country. Objectives: to analyze the number of hospitalizations and deaths related to Diabetes Mellitus in Brazil over the last ten years, as well as their rates in each Brazilian region, aiming to understand the behavior of the disease during this period and identify possible associated determinants. Methodology: consists of an ecological study, of a retrospective and descriptive nature, with a quantitative approach. Secondary data on hospitalizations and deaths, obtained from the Hospital Information System - SIH (SIH/SUS) and related to DM (main diagnosis ICD-10 E10-E14), available at the SUS Information Technology Department (DATASUS), were analyzed. Results: A total of 1,477,043 hospitalizations for Diabetes Mellitus were recorded in the period, of which 65,353 resulted in death. Hospitalizations and deaths predominated in women aged 60 to 69 years treated in the southeast region. The average length of stay was 6.4 days and the total cost started at R$88,640,421.35 in 2013 and reached R$131,288,988.40 in 2023, with a total accumulated cost in the period of R$1,164,042,663.00. Conclusion: gender differences indicate a slight prevalence of hospitalizations and deaths due to diabetes in females. The following factors were found to be associated with a higher likelihood of hospitalization and death due to diabetes: advanced age, female gender, and living in the north, northeast, or southeast regions. Patients who fall into the extremes of age have longer hospital stays and higher mortality, indicating the need for specific approaches for these vulnerable populations and reinforcing the importance of targeted health policies, investments in diabetes prevention and management.
O ensino de endocrinologia e metabologia pela aprendizagem baseada em problemas: a experiência de 20 turmas de medicina
(Centro Universitário do Estado do Pará, 2021-04-14) Rocha, Vanessa Campos Couto da; Nunes, Leonardo Mendes Acatauassú; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309; http://lattes.cnpq.br/3512764081076675; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678; Liberati, Rosana Maria Feio; http://lattes.cnpq.br/3818175484709618
Introduction: Problem-Based Learning (PBL) has been the preferred teachinglearning methodology among medical schools in Brazil in recent years. Thereby, there is an increasing number of Medicine courses getting experience in this method, such as the Centro Universitário do Estado do Pará (CESUPA), which the twentieth class of Medicine concluded teaching by PBL in 2020. In this context, it is relevant the analysis of how this teaching has been carried out and how it has evolved over the years, especially in areas that are interrelated with various organic systems and that involve very prevalent pathologies and that will be conducted by Primary Care Physicians, as the case of Endocrinology and Metabolism (E/M). Objectives: To describe how cognitive aspects related to E/M teaching were worked by the PBL methodology from the first to the twentieth class of CESUPA Medicine course, identifying the moments of the course in which they were studied, pointing out the changes that occurred over time and analyzing if there was a distribution of the contents so that the themes were reviewed with increasing levels of complexity. In addition, it aimed to develop, at the end, a teaching guide proposal of E/M related themes for medical courses that will use active methodologies. Methodology: A review of 360 manuals used by tutors from the first to the eighth semester of the course, in its first 20 classes, was carried out. In these manuals, there were problems to be developed, with their respective learning objectives, in addition to the objectives of the morphofunctional laboratory. Then, a critical and descriptive analysis of the E/M content present in these manuals was carried out, evaluating how the evolution of this teaching occurred over the years. Finally, the proposal for the aforementioned guide was constructed. Results: It was observed that the themes related to the Endocrinological System are distributed throughout each of the first eight semesters of the course. The initial focus is on anatomy, histology and physiology, however, from the very beginning there are citations of the pathologies that affect this system, which allows contextualization and meaningful learning. Subsequently, the subjects are revisited with progressive deepening in relation to the management of patients. Over the years, there have been significant changes, especially in the detailing and standardization of the manuals, beyond description of well-defined objectives to be achieved in the morphofunctional laboratory. Discussion: The most cited endocrine theme among the manuals is Diabetes Mellitus, which is explained for being a very prevalent pathology with high morbidity. On the other hand, obesity, which has been steadily increasing in prevalence, has also shown a progressive increase in citations in the manuals over the years. Rare pathologies were in fact not prioritized as topics for discussion, however it is suggested to expand the presence among the problems of some frequent pathologies such as thyroid nodules. Conclusion: The teaching of E/M was carried out in a well distributed way over the first four years of the CESUPA Medicine course and the way of doing it evolved significantly during its first 20 classes.
Perfil clínico e laboratorial dos pacientes com Diabetes Mellitus tipo 2 em uso dos Inibidores do Cotransportador Sódio- Glicose 2 (ISGLT2) no Centro de Especialidades Médicas do CESUPA (CEMEC)
(Centro Universitário do Estado do Pará, 2025-05-27) Baidek, Vanessa Ferreira; Lobato, Vinícius Angelino Trindade; Bastos, Fabíola de Arruda; Lobato, Edienny Augusta Viana Santos; http://lattes.cnpq.br/8177968072238226; http://lattes.cnpq.br/9386935778704228; Santos, Flávia Marques; http://lattes.cnpq.br/8601394323526613; Rocha, Vanessa Campos Couto da; http://lattes.cnpq.br/1897095774561517
Diabetes is a chronic systemic disease of great prevalence in Brazil that directly interferes with the quality of life of the population. Type 2 diabetes mellitus (DM2) is the most common type. The main complications in patients with DM2 are renal, cardiac and metabolic alterations. Aiming at the prevention of these complications, there are new therapeutic approaches that are safe and effective, such as sodium-glucose cotransporter 2 inhibitors (ISGLT2). Therefore, the study aimed to evaluate the clinical and laboratory profile of patients with DM2 using ISGLT2. For this purpose, a study was carried out, in which the methodology is based on a retrospective cross- sectional study, with the collection of data from the medical records of patients in the HIPERDIA, metabolism and nephrology outpatient clinics of the CESUPA Medical Specialties Center (CEMEC), from January to December 2023. The results evaluated demonstrate that of the 251 patients with DM2 evaluated at CEMEC, only 15% use the SGLT2 inhibitor. Furthermore, it was possible to evaluate the clinical profile related to the patients' existing comorbidities, presenting on average 78% of patients with hypertension and almost 99% with dyslipidemia. In addition, it was observed that there was no worsening of the parameters evaluated in laboratory tests such as glomerular filtration rate, blood glucose and glycated hemoglobin. Thus, this work demonstrates the impact of ISGLT2 on patients with DM2, through the analysis of the clinical and laboratory profile of these patients, contributing to better research development and prevention of systemic complications with the use of the SGLT2 Inhibitor.
Perfil clínico-epidemiológico de pacientes pós-tireoidectomia no ambulatório de ultrassonografia do Centro de Especialidades Médicas do Cesupa: março de 2021 a março de 2022
(Centro Universitário do Estado do Pará, 2023-05-29) Cardoso, Matheus dos Santos; Silva, Flavio Tavares Freire da; http://lattes.cnpq.br/1386374444157946; Rocha, Vanessa Campos Couto da; http://lattes.cnpq.br/1897095774561517; Silva, Alex Cezar Massoud Salame da; http://lattes.cnpq.br/4162576396515406
The thyroid is a gland responsible to produce triiodothyronine (T3) and thyroxine (T4) hormones, being responsible for controlling the metabolism of the human body. It can be affected by several diseases, often requiring surgical intervention. Thus, the objective of this study was to describe the clinical and epidemiological profile of patients admitted for thyroidectomy at the outpatient clinic of the Medical Specialties Center of CESUPA. The work was based on a survey of the medical records of patients treated within a year to collect profile data. A total of 75 medical records were surveyed and the research showed an average predominance of female profiles, with an average age of 52 years, self-declared brown, with grade I obesity, non-consumer of alcohol or tobacco, most with hair at least one comorbidity, without cervical metastasis, with total removal of the organ and the cause of surgery was papillary carcinoma. This result is important so that care policies for this disease are designed more assertively for the most affected public.
Prevalência de hipertensão arterial sistêmica entre os docentes do curso de medicina do Centro Universitário do Estado do Pará
(Centro Universitário do Estado do Pará, 2019) Reis, Ana Catarina de Souza Carvalho; Azevedo, Silvia Karinny Brito Calandrini de; Rocha, Vanessa Campos Couto da; Mota, Diandro Marinho; http://lattes.cnpq.br/7979118007430529; http://lattes.cnpq.br/1897095774561517
Systemic arterial hypertension (SAH) is a multifactorial disease, in which the individual presents progressive and continuously elevated blood pressure values in relation to the criteria established by VII Diretriz Brasileira de Hipertensão Arterial from Brazilian Society of Cardiology (PA  140/90). Such syndrome is associated to innumerable modifiable and non-modifiable risk factors. This clinical condition, in turn, is an important risk factor for cardiac and cerebral complications. Objective: to identify the prevalence of arterial hypertension among professors of the school of medicine at Centro Universitário do Estado do Pará; during the year of 2018. Method: Cross-sectional descriptive epidemiological study based on data collected obtained by questionnaires, pressure and anthropometric values measurements taken from School Medical professors from June to September (third term of 2018). The populational sample encompasses 77 professors. A percentage of (45; 54.45%) out of a total of 77 was found to be women. Results: Data analysis revealed a hypertension prevalence of 29.9% over populational sample. The same prevalence hits 37.5 % among men and 24, 44% among women. As for hypertensive individuals, the average age of arterial hypertension is a range from 39 to 48. A percentage of 52.18 out of a total of 23 hypertensive individuals was found to be unaware of hypertension condition. Among the individuals who already knew to be hypertensive, 45.45% had controlled blood pressure values. Conclusion: The prevalence of SAH was 29.9%. From hypertensive patients, 52.2% were male. Among the hypertensive professors, 52. 18% of the condition had no previous knowledge of the disease. Regarding those who knew to be hypertensive, only 45.45% used antihypertensive medication regularly and 54. 55% did not present controlled blood pressure values. As for the analyzed risk factors among those 77 professors, the highest prevalence group associated to overweight hits (46.7%). Central obesity hits (50.6%). Alcoholic drink intake reached (61%).Stressed group hits (54.5%). Low physical activity levels or sedentary lifestyle hits (49.3%). And those with SAH (77.9%) and AIM (46.7%) familiar history.
Utilização da ferramenta AcroQoL na avaliação da qualidade de vida de pacientes acromegálicos acompanhados no Centro de Especialidades Médicas do Cesupa – CEMEC
(Centro Universitário do Estado do Pará, 2022-11-07) Santos, Felipe Augusto Casseb dos; Bernardo, Paulo André Vieira de Carvalho; Caldato, Milena Coelho Fernandes; Bastos, Fabíola de Arruda; http://lattes.cnpq.br/9386935778704228; http://lattes.cnpq.br/9477878606835309; Rocha, Vanessa Campos Couto da; http://lattes.cnpq.br/1897095774561517; Carvalho, Ana Emília Vita; http://lattes.cnpq.br/1981562999898097
Acromegaly is a rare chronic disease often caused by a GH-secreting pituitary tumor, and is associated with enlarged extremities, multiple organ dysfunction, physical limitations, decreased daily productivity, social isolation, and worsening quality of life. To evaluate the health-related quality of life in patients with acromegaly in a specialized outpatient clinic in the Amazon from January 2021 to August 2022. This is an observational and cross-sectional study with quantitative analysis, carried out at the Hypophysis and Adrenal Outpatient Clinic of the Centro de Especialidades Médicas do Centro Universitário do Estado do Pará (CEMEC - CESUPA), using the AcroQoL health-related quality of life questionnaire. Sociodemographic, clinical, and therapeutic data were correlated with the scores obtained, using specific statistical tests executed in Bioestat 5.5 software. Data were organized in Microsoft Excel 2010 software. Graphs and tables were constructed with the tools available in the Microsoft Word, Excel and GraphPad Prism 8.4.2 programs. Results with p ≤ 0.05 (two-sided) were considered statistically significant. Most of the patients in the sample were female with age ranging from 24 to 74 years. Most patients had pituitary macroadenomas and metabolic complications. Higher AcroQoL scores were observed in patients who were regular practitioners of physical activities; furthermore, there was no relationship between biochemical control of the disease and AcroQoL scores. Conclusion: In the present study, it was possible to realize the importance of using tools such as the AcroQoL to analyze health-related factors and their impacts on the quality of life of acromegalic patients. The findings of the study show the importance of stimulating the practice of physical activities and the adoption of healthy life habits. Evidencing the need for a multidisciplinary approach to achieve not only biochemical control but also an improvement in health-related quality of life.