Navegando por Autor "Silva, Silvana Cristina Rodrigues da"

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Avaliação da aceitação de instrumento técnico auxiliar no manejo da sífilis em gestantes
(Centro Universitário do Estado do Pará, 2018) Silva, Silvana Cristina Rodrigues da; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Araújo, Eliete da Cunha; http://lattes.cnpq.br/5906453187927460; Rojas, Márcia de Fátima Maciel de; http://lattes.cnpq.br/1926263861110172; Matos, Haroldo José de; http://lattes.cnpq.br/9830983900880582
INTRODUCTION. Every year, all around the world, the number of Congenital Syphilis (CS) is increasing. Last 2018 Epidemiological Bulletin of Brazil presented the national incidence rate of CS in 8,6 cases for every thousand born alive, very far from the target set by the American Health Organization (PAHO) that is 0,5 cases of CS for every thousand born alive up to 2015. Adequate and early treatment in pregnants is the most efficient manner to prevent CS. With the implementation of rapid test for syphilis in Basic Health Units (UBS), Ministry of Health (MH) aims to avoid diagnostic opportunities loss and adequate the treatment. Searching for improving health professional atuation who accomplish prenatal and favor doctor and nurse from Family Health Strategies (FHS) to answer doubts related to the management of syphilis in pregnant women, a technical instrument in disk form was developed, denominated “Disc for Diagnosis and Treatment of Syphilis in Pregnant Women”, based on MH flowcharts Protocols. Objective. Evaluate the technical instrument acceptance from medical professionals and nurses who perform prenatal care at the FHS in Belém city. Methodology. Research of descriptive character, qualitativequantitative in the management of syphilis specifically in pregnant women. Two different questionnaires were used for data collection, the first one was answered before the disk delivery in period of February and March 2018 with questions containing variables as professional position, sex, graduated time, level of study, and others related to the MH Protocol and syphilis in pregnant women. 156 questionnaires were answered followed by the delivery of 156 Discs. Second questionnaire was answered 4 months after Disc delivery, containing questions about the opportunity of using the instrument and as variables about its acceptance. Statistical Package for Social Sciences (SPSS) software was used, associations were calculated using the Chi-square test of adhesion and independence, interest variables, with significance level of 5%, to predict the result of Disc usage by professionals with the variables that proved to be significant in the tests. Results. In relation to questionnaire I from a total universe of 224 professionals, 156 questionnaires were filled out, majority of participants are nurses 24.4% and doctors 14.7%, female gender predominates 68.6% among both doctors and nurses with a general average of 7.5 years of graduated in both categories but with a slightly lower prenatal accomplishment experience, an average of 6.2 years. 115 (75%) reported have ever had doubts about a syphilis suggestive result in pregnant women and most said they do not know how to proceed with altered results for Sifilis. In questionnaire II, 50 questions were answered, being a sample with predominance of the feminine gender 30 (60%) and nurses 37 (74%), similar to the first phase, 70% of respondents said they had no difficult to handle the disc, 90% considered the disc useful or very useful, 95% affirmed that the disk contains all informations for proper diagnosis and treatment of syphilis in pregnant women, 94% would recommend its use to other professionals. Conclusion. Results demonstrate that the instrument created was well accepted by the surveyed professionals, and seems to fulfill the larger goal by which it was created, to be a tool for decision-making, improving the diagnosis of a pregnant woman with syphilis.
Perfil clínico e epidemiológico na primeira consulta de pacientes matriculados em ambulatório de obesidade infantil
(Centro Universitário do Estado do Pará, 2019) Meira, Breno Figueiredo; Mergulhao, Thalita Martins; Silva, Silvana Cristina Rodrigues da; Rocha, Mônica Souza Filho Moura; http://lattes.cnpq.br/1302412321438738; http://lattes.cnpq.br/6484463061528812
INTRODUCTION: Obesity among children and adolescents is increasing, becoming a worldwide epidemic. Several factors are related in its genesis, including genetic, sedentary lifestyle, screen-based lifestyle, tablets and video games lifestyles, and unhealthy diet. In this context, the study that reveals the clinical and epidemiological profile of patients in the first consultation evaluation of the Childhood Obesity Outpatient Clinic of a Medical School of the city of Belém is enriching. OBJECTIVE: To evaluate the clinical and epidemiology of patients enrolled in the childhood obesity outpatient clinic. METHODOLOGY: A descriptive, transversal study with information extraction through an elaborated questionnaire applied in the first consultation file of the medical records. RESULTS: Sixty-one medical records registered at CEMEC's Childhood Obesity Outpatient Clinic were evaluated. It was identified 62.3% male and 37.7% female. The age groups found were schoolchildren and adolescents, with 47.5% and 52.5% respectively. Physical activity was not reported by 68.9% of patients. Most patients reported screen time greater than 2 hours daily. There is no significant difference in patients who underwent exclusive breastfeeding up to 6 months, and those who did not. A large proportion of patients had severe obesity (52.5%), especially boys, while 39.3% had obesity and 8.2% were overweight. The most declared monthly household income was 1 to 2 minimum wages. Among the parent's education there was a significant proportion for the complete high school of mothers (39.3%) and fathers (19.7). The presence of a family history of obesity was more frequently reported (72.1%). There was a significant proportion of patients with blood pressure below the 90th percentile (70.5%). CONCLUSION: it is necessary to know the epidemiological profile of childhood obesity, so that health professionals can update themselves with the current scenario, and take knowledge of childhood obesity, to better prevent, diagnosticate and treat, above all, doctors who work in childcare.
Principais complicações de sífilis congênita em serviço de referência do Estado do Pará
(Centro Universitário do Estado do Pará, 2023-05-31) Rosário, Hilanna Samara Santos do; Aguiar, Zydan Gregório; Silva, Silvana Cristina Rodrigues da; Damasceno, Renata Trindade; http://lattes.cnpq.br/5784376787158358; http://lattes.cnpq.br/6484463061528812; Pereira, Ângela Regina Rosa Corrêa; http://lattes.cnpq.br/1342885069761211; Santos, Eliane Regine Fonseca; http://lattes.cnpq.br/3837797857505891
Congenital Syphilis (CS) is one of the main pathologies of vertical transmission observed in clinical practice. Although it has well-established management with specific clinical protocols, significant indicators of maternal-fetal involvement by this pathology are still observed, with the possibility of developing complications for the child from the gestational period until years after birth. To evaluate the prevalence of the main complications of Congenital Syphilis in children attended at a reference service in the state of Pará from January 2019 to December 2020. Study carried out through the analysis of medical records of newborns attended at the Units Intensive Care Unit (ICU) and Neonatal Intermediate Care Unit (ICU) of the Santa Casa de Misericórdia do Pará Foundation. 117 medical records were evaluated, of which 41% of newborns were asymptomatic. Of the neonates who presented clinical manifestations, the most prevalent were jaundice (39.3%) and respiratory distress (23.1%). Conclusion: Due to the considerable number of asymptomatic NBs or those with nonspecific symptoms, the importance of of maternal testing throughout the prenatal period, with correct registration in the pregnant woman's booklet of the instituted management, in addition to the screening of the child in the peripartum so that it is treated early. It is indispensable that in the care services for pregnant women, existing flaws in the registration process regarding the treatment of the mother and her partners are reassessed, essential information in the flow of approaching these individuals at the time of delivery and that can prevent the maintenance of CS indicators.