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A importância da ultrassonografia no diagnóstico da doença hepática gordurosa não alcóolica
(Centro Universitário do Estado do Pará, 2020) Mendes Netto, Ataíde José; Rocha, Everton Roberto de Castro; Silva, Flavio Tavares Freire da; http://lattes.cnpq.br/1386374444157946; Rodrigues, Ana Paula Guimaraes; http://lattes.cnpq.br/8714469084529838; Caldato, Cassio; http://lattes.cnpq.br/7526204330567369
Introduction: Non-alcoholic fatty liver disease is considered the most common cause of liver disease in the world, being also a hepatic manifestation of the metabolic syndrome. In this context, the objective of this study was to determine the prevalence of non-alcoholic hepatic steatosis diagnosed by ultrasound in patients seen at an outpatient clinic of a Higher Education Institution in the city of Belém - PA. Methodology: Descriptive, documentary and cross-sectional study with a quantitative approach carried out with 115 patients who underwent abdominal ultrasound at the Centro de Especialidades Médicas of Centro Universitário do Pará in 2019. The association between metabolic syndrome and non-alcoholic liver steatosis was assessed by the test Fisher's exact, considering p≤0.05 statistically significant. Results: Most patients were female (71.3%), aged between 50 and 69 years old (53%), brown (90.4%) and married or in a stable relationship (41.7%). There was a high prevalence of obese patients (43.5%) with arterial hypertension (69.6%) and diabetics (32.2%). The prevalence of non-alcoholic hepatic steatosis was 72.2%, statistically associated with the presence of metabolic syndrome (p = 0.0001), where 89.1% of patients who had this syndrome had non-alcoholic hepatic steatosis. Conclusion: There was a high prevalence of non-alcoholic hepatic steatosis among patients, associated with metabolic syndrome. Therefore, it is emphasized that the early diagnosis of hepatic steatosis helps to monitor individuals with a chance of developing metabolic syndrome. In addition, ultrasonography proved to be a sensitive and effective test for the detection of hepatic steatosis, given the high prevalence of this disorder in the population studied.
A influência da metformina no declínio neurocognitivo: uma revisão sistemática com metanálise
(Centro Universitário do Estado do Pará, 2021) Nakanishi, Deborah Ayumi Alves; Aragão, Diego Armando Barbosa; Teixeira, Cláudio Eduardo Corrêa; http://lattes.cnpq.br/7448998858430931
Background: Blood glucose variations are generally associated with predisposition to the development of dementia in diabetes patients. And there is a controversy in the literature about whether the use of antihyperglycemic agents can(not) promote protective effects on cognition. Design and setting: we used a systematic review with meta-analysis to evaluate whether the evidence in the literature points to a protective or harmful effect of antihyperglycemic agents on cognition. Methods: PubMed, Science Direct and Scielo databases were used to collect articles in English, published between 2005 and 2020. Articles of reflection/opinion, monographs/theses/dissertations, and animal research were excluded. The blinding of authors during the searches contributed to search independence. Of 1,329 articles selected, 30 were adequate, but only 3 of these provided quantitative data from 53 cognitive tests, which were used for meta-analysis (random effect model), performed using R. Results: Funnel plot shows no publication bias. Forest plot, on the other hand, shows that literature points to the use of antihyperglycemic agents by patients as preventive of cognitive losses (standard mean difference equal to -0.18 [95% confidence interval between -0.29 and -0.06]). Conclusion: Evidence of the preventive effect of cognitive losses through the use of antihyperglycemic agents such as metformin should be further investigated, in order to better clarify this therapeutic potential.
A influência dos níveis séricos de IGF-1 no perfil lipídico e glicêmico de acromegálicos em um Centro de Especialidades Médicas no Pará
(Centro Universitário do Estado do Pará, 2021) Pereira, Caroline de Oliveira; Ferraz, Louise Paiva; Bastos, Fabíola de Arruda; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309; http://lattes.cnpq.br/9386935778704228
Introduction: Acromegaly is an insidious and rare disease, associated with a high mortality rate, which results from the pathological autonomous overproduction of growth hormone (GH) and the subsequent increase in insulin-like growth factor-1 (IGF-1) levels. Chronic hypersecretion of these hormones causes several metabolic changes, among which we can highlight lipolysis, atherosclerotic processes, hyperinsulinemia, gluconeogenesis and peripheral insulin resistance. These changes in lipid and glycemic metabolism are related to an increased risk of cardiovascular events in acromegalic patients, being today the second most common cause of mortality in these patients. As a result, it is necessary to assess whether the control of the disease also corresponds to a better metabolic control of these patients, resulting in a lower cardiovascular risk and a lower mortality rate. Objectives: To evaluate the influence of IGF-1 levels on the lipid and glycemic profile of acromegalic patients treated at the Cesupa Medical Specialties Center. Methodology: This is an epidemiological, cross-sectional and descriptive study, based on an exploratory analysis of the medical records of the Endocrinology Service of the Cesupa Medical Specialties Center (CEMEC) from August 2019 to June 2020. Results: When comparing acromegaly activity in the first and last consultation, it was found that there was an increase in disease control, from 22.2% to 71.1%. As for the glycemic profile, the glycemia of diabetic acromegalic patients was statistically higher than that of non-diabetics, both in the first assessment (Mean ± SD: 135.8 ± 59.4 vs 95.1 ± 15.2; P <0.001), and in the latter (Mean ± SD: 98.6 ± 13.2 vs 84.0 ± 11.1; P <0.001). When observing diabetic acromegalic patients, there was a significant decrease in the levels of IGF-1 (mean ± SD: 480.9 ± 250.5 vs 189.5 ± 91.5, P <0.001) and IGF-1 by LSN ( mean ± SD: 1.8 ± 1.0 vs 1.0 ± 0.6, P <0.001), when comparing the two assessments. It was possible to observe, comparing the laboratory parameters between the first and last evaluation, that in the uncontrolled acromegaly at the end (n = 13), there was a decrease in the total cholesterol levels (Mean ± SD: 179.3 ± 30.0 vs 155, 9 ± 28.8; P = 0.018) and, significant increase in HDL (Mean ± SD: 46.8 ± 14.3 vs 53.3 ± 7.9; P = 0.048). For patients with controlled acromegaly at the end (n = 32), there was a significant increase in the HDL level (Mean ± SD: 46.3 ± 26.0 vs 58.0 ± 24.2; P = 0.003) and a decrease in levels of IGF-1, GH, total cholesterol, LDL and TG. Conclusion: These results suggest that most of the acromegalics under study had control of the disease by reducing the levels of IGF-1, evidencing success in their therapeutic conduct. Concomitantly, the majority also obtained improvement in the levels of glucose, glycated hemoglobin, total cholesterol and HDL. This suggests that controlling disease activity is one of the most important interventions for reducing cardiovascular risk in these patients.
A percepção de graduandos de medicina na utilização de imagens como recurso metodológico no processo de ensino-aprendizagem
(Centro Universitário do Estado do Pará, 2022) Albuquerque, Lucas Eduardo Carneiro; Kawachi, Yuji Reis; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678
Introduction: The teaching and learning process can happen in different ways, with education having a very important role in transforming society in a positive way. In addition, the objective of teaching is to achieve a good formation and qualification of the student, with the school being an aid in this development. The constant production of knowledge and the increasingly application of technology, makes there is an inherent need to search for methods and models that aim to ensure practical application, instigating the search for solutions. The use of material such as manuals, formulated in an objective, utilitarian way, with images and easy to understand, plays an important role in health education. In addition, the participatory approach used in the construction of the educational material allows identifying the needs of the target audience, as well as indicating the content of the materials corresponding to their own demands. Objectives: to evaluate the consolidation of knowledge built in different learning scenarios (tutoring, clinical and morphofunctional skills), using a picture book as a methodological resource. Methodology: the study carried out was of the descriptive type, in order to analyze the consolidation of knowledge through notebooks containing figures related to the contents worked in the tutorial sessions, in the Morphofunctional Laboratory and in Clinical Skills. Participating in the research were undergraduates of the Medicine course of the 8th semester of the University Center of the State of Pará (CESUPA). Results: the present study analyzed the consolidation of the knowledge built in the thematic modules (Tutoring, Morphofunctional Laboratory and Clinical Skills) from the answers given by 22 students. 21 questions were elaborated. In these questions the score varied between 47.2% (the lowest) and 95.2% (the highest), the academics had a mean of 80.5% and a standard deviation of 12.5%. The percentages of correct answers did not present a normal distribution, and the median is representative of the class = 85.7%. Conclusion: It was found that the use of images in the teaching-learning process can be an instrument for acquiring and fixing content. Its purpose is to strengthen, in an illustrative way and based on the current literature, the recommendations and possible innovations that will enable the ability to transform acquired knowledge into constructed knowledge.
A relação entre síndrome de burnout e lembranças de práticas parentais em estudantes de medicina
(Centro Universitário do Estado do Pará, 2020) Diniz, Ana Beatriz de Sousa; Jamielniaski, Rafael Almeida Kapassi; Carvalho, Ana Emília Vita; Furlaneto, Ismari Perini; http://lattes.cnpq.br/9542085122721945; http://lattes.cnpq.br/1981562999898097
Introduction: Medical students are continuously subjected to stressful factors, predisposing to psychological problems such as Burnout Syndrome. Socioeconomic factors influence the syndrome, but parental practice has not been taken into account in other studies with this population. Objectives: Describe the prevalence of Burnout Syndrome and the model of parenting practices in medical students. Methods: Cross-sectional, analytical and descriptive study with a quantitative approach to the data, in which 189 students from the 1st, 4th and 6th year of a medical course participated, with an average age of 22.9 years, with 60% of the sample being female, 40% male. The data were collected through socio-demographic and economic questionnaire, Maslach Burnout Inventory, and Scale on Memories of Parenting Practices. Results: The studied sample showed that in MBI the highest averages were in the domain 'personal achievement' (40.9). Comparing the MBI scores by academic year, it was found that the 6th grade students had lower 'emotional exhaustion' scores lower than those observed in 1st and 4th year students (p = 0.0117). As for the results in EMBU, the dimension 'emotional warmth' presented higher averages compared to the domain 'rejection' and that the 'overprotection' (p <0.0001).Conclusion: It is considered the importance of stimulating and promoting actions that encourage the performance of extra academic activities for students, as well as involving the family in the experiences of the medical course.
A utilização de etnofármacos pela comunidade ribeirinha de Belém-PA: uma avaliação sobre o conhecimento médico à medicina alternativa no início do século XXI
(Centro Universitário do Estado do Pará, 2021) Silva, Marcely Nascimento da; Albuquerque, Mário Roberto Tavares Cardoso de; http://lattes.cnpq.br/3233617656287982
This research aims to define the degree of knowledge and use of ethnopharmaceuticals by physicians at Basic Health Units in the Islands Region in Belém-Pa in 2021. This was a cross-sectional, observational and quantitative study for definition the clinical-epidemiological profile and knowledge about ethnopharmaceuticals of the participants. The collection of the research was carried out through interviews, with a multicentric, regional character. The questionnaire used was subdivided into part 1 (identification), part 2 (Who should know and use herbal medicines?), part 3 (professionals' knowledge of herbal products), part 4 (prescription and indications), part 5 (effectiveness) and part 6 (use and safety of herbal medicines and medicinal plants). The average age of the participants was 35.9 years, being equally distributed among 5 female professionals and 5 male professionals, totaling 10 physicians. 10% had graduated from college for 29 years, 60% graduated between 6-2 years and 30% graduated 6 months ago. 80% of physicians interviewed were graduates of public education and only 20% belonged to private education, the highest medical degree found among the participants was the title of specialist, represented by 60% of physicians. It was noted that 60% of physicians prescribed herbal medicines, however, only 30% received information about the subject during graduation, and no participant performed training on phytopharmaceuticals after starting their professional career. The most difficult factor for the prescription of herbal medicines was the lack of knowledge about the subject. 70% of respondents believed in the efficacy of the therapy, and among the most used biopharmaceuticals were Valeriana (Valeriana officinalis) and Espinheira santa (Maytenus ilicifolia). There was a lack of knowledge about contraindications for the use of herbal medicines and medicinal plants by 80% of respondents and 70% were unable to report risks generated by the use of herbal medicines. It was concluded that physicians in the riverside region of the islands of Belém/Pará believe in the efficacy of therapeutics with herbal medicines and medicinal plants, they usually prescribe for their primary health care users, but they have little knowledge about the resources and application of the therapy.
Abordagem da fisioterapia aquática na dor, flexibilidade, capacidade funcional e qualidade de vida de pacientes com espondilite anquilosante
(Centro Universitário do Estado do Pará, 2021) Matos, Jennifer da Silva; Barbosa, Anne Karolyne Loureiro; Freitas, Wiviane Maria Torres de Matos; Braga, Sidney de Assis da Serra; http://lattes.cnpq.br/6312957492001425; http://lattes.cnpq.br/8170754805493164
Ankylosing Spondylitis (AE) is a chronic rheumatic disease capable of generating severe physical and functional impairments. Therefore, the article aimed to analyze the performance of Aquatic Physical Therapy in patients with AS in the face of pain, functionality, physical capacity, thoracic expandability and morning stiffness. This is an original article of quantitative character and clinical intervention, with a sample of three participants. An evaluation and reassessment was performed using its own form, containing sociodemographic and clinical variables, as well as the Visual Analog Scale (VAS), Spondylitis Functionality Index (BASFI - adapted), Quality of Life Questionnaire (SF36), mobility tests and flexibility testing. Theresearch was divided into stages, the first with the objective of reducing pain and stiffness; the second benefited the decrease in fatigue and mobility gain; the 3rd contributed to the increase in muscle strength. The results found after the intervention were significant, there was a reduction in pain in all patients, improvement in physical and functional capacity, significant increase in flexibility (average: >5), mobility (average: >4), and quality of life of the participants. Finally, we highlight the importance of the comprehensive look on the part of professionals and the need for centralized care in these patients, due to the lack of guidance for individuals with Ankylosing Spondylitis, as well as the scarcity of scientific evidence that addresses the physiotherapeutic treatments aimed at these patients.
Abordagem estética integrada das más oclusões a partir da ortodontia digital: relato de caso
(Centro Universitário do Estado do Pará, 2019) Campos, Luís Paulo Almeida; Santos, Nayara Cardoso; Pinheiro Júnior, Jesus Maués; http://lattes.cnpq.br/0590122765693339
Dental anomalies are a frequent condition in dentistry. When these malformations are associated with altered dental positioning, they affect aesthetics and function, necessitating an integrated approach between orthodontics and restorative dentistry. In this sense, the present study seeks to report the clinical case of an adolescent patient with malformation in the crown of the upper lateral incisors, diastema in the upper arch and facial growth pattern II, with Class II malocclusion. After evaluation of the clinical condition of the patient, it was verified that a satisfactory outcome of the clinical case would not be obtained if the restorative dentistry procedures were performed alone, as well as those of orthodontics alone. The leveling and alignment of the upper and lower arches was initially planned, using fixed apparatus in the straight arch technique; after the redistribution of spaces, the orthodontic appliance was removed and the patient was referred to perform the restorative procedures. After the clinical intervention, a satisfactory result was obtained for patients and professionals, being made possible by the integration between orthodontics and dentistry. The orthodontics associated to a digital tool can aid in the aesthetic rehabilitation of a patient with dental anomaly in a fast, precise and practical way.
Abordagem odontológica em mulheres vítimas de violência doméstica: uma revisão de literatura
(Centro Universitário do Estado do Pará, 2019-06-03) Martins, Carolina Vitória de Souza; Moreira Júnior, Mário Tavares; http://lattes.cnpq.br/7567611710717172; Miranda, Dóris Kós Burlamaqui de; http://lattes.cnpq.br/1848188497171812; Silva, Clélia Alice Tourinho de Melo e; http://lattes.cnpq.br/2300027513439562
Violence against women has serious impacts on the quality of life of these patients, due to physical injuries, besides the psychic and social repercussions. With the purpose of repressing these cases and acting on the violence practiced against the woman that arises the Maria da Penha Law (Law 11.340 / 06). A literature review was conducted to evaluate the knowledge and positioning of dental surgeons in these cases and to analyze how the dental class has behaved in the face of domestic violence in women. It was observed that the CD does indeed act in front of these events, needing to seek more knowledge about the legal issues of the exercise of its profession going beyond the code of odontological ethics, since there are deeper spheres in the Brazilian justice that regulate the actions of the dental surgeons in these cases. The subject covered in this study still presents a lack of data, further research on the subject is required. However, despite the lack of some information and observed that the available literature promotes a good initial foundation on which professional needs to know, although there is disinterest on the part of the category.
Achados campimetricos em pacientes com adenoma hipofisário atendidos no CEMEC no período de março de 2018 a dezembro de 2019
(Centro Universitário do Estado do Pará, 2021) Silva, Aluyzio Miguel Ferreira Nunes e; Guerra, Jade Pinto de Queiroz; Silva, Carolina Trindade Pinto da; http://lattes.cnpq.br/1462166625345308
Introduction: Adenomas are benign tumors that have their origin in glandular tissue, and are able to develop in breast tissue, in the glands of the colon, and in pituitary tissue. The presence of adenomas implies hyper or hyposecretion of hormones related to the affected tissue. The research focuses on the visual changes that pituitary adenomas cause in patients. Objective: To analyze the campimetric findings by Humphrey and Pclab methods in patients with pituitary adenoma who had visual impairment due to pituitary mass effect on the optic chiasm. Methods: The medical records of 14 patients were analyzed, counting nineteen eyes, to characterize and quantify the patient´s campimetry according to the methods used. Total deviation (MD) and Pattern Standard Deviation (PSD) results were compared in the nasal and temporal hemifields. The results found in each hemifield were compared by Bioestat version 5.3 application. Results: The epidemiological profile of the analyzed patients demonstrated no prevalence of gender, and a mean age of approximately 38 years. In the Humphrey group 10 eyes were evaluated, with mean MD and PSD values of -13.388±7.9294 and 10.637±6.0229, of which only the PSD values revealed a statistically significant value. Regarding the 9 eyes analyzed by the Pclab method, we obtained a MD and PSD value of -2.5422±1.1554 and 3.8555±1.4918, of which only the PSD showed statistically significant results. Conclusion: Finally, when the Humphrey campimeter was used, a prevalence of temporal hemianopsia by the gray scale graph was shown, which was not evidenced in the patients who underwent the exam by the Pclab methodology, showing a predominance of temporal field loss. The PSD was more useful in clearly showing the loss of temporal visual field fibers. Thus, the current study has shown that the simple analysis of the grayscale graph fails to identify discrete chiasmatic defects in a considerable number of patients. In view of this, comparison of the mean deviations calculated for the hemicamples appear to be useful criteria for identifying such defects.
Acionamento do serviço de atendimento móvel de urgência em Belém do Pará por motivos traumáticos nos meses de fevereiro e março de 2016
(Centro Universitário do Estado do Pará, 2020) Siqueira, Ana Karolina Kalif; Pontes, Felipe Lobato; Neves, Dilma Costa de Oliveira; Siqueira, Claudia Regina Dias; http://lattes.cnpq.br/6013946222269824; http://lattes.cnpq.br/7230812534416350
The trauma is caused by a physical agent of varied etiology, nature and extent, with the etiology of the traumatic event being the factor that guides patients or viewers to request specialized help, constituting the traumatic reasons for triggering an urgent and emergency service in a medical practice. Objective: To identify the main traumatic reasons for triggering the SAMU (acronym in portuguese for emergency mobile care service) in Belém-PA in the months of February and March 2016. Methodology: Quantitative, descriptive and exploratory document analysis, based on the records of care at SAMU in Belém do Pará. We included those with identification of the reasons for the trauma of patients treated by SAMU in the municipality of Belém, in the study period. For the present study, it was registered on the medical service's record and considered as traumatic reasons the following: collision between vehicles; fall; being run over; violence (physical, stab or firearm), burns and other accidents. The age and sex variables were used to describe the victim's profile. Because they have a small amount of records, data on occupation and education were removed from the data analysis. For the analysis of temporality, the information of the day of the week and time of the occurrence was used. The patient's evolution was limited to what was found in the victim's record at the time of care, such as death, transfer or hazing. Results: 1037 SAMU activation records were analyzed in the study period in the city of Belém-PA. 114 (11.0%) records were excluded because they did not contain the reasons for requesting the service. The age group and the gender most affected were, respectively, 20 to 59 years of age (70.6%) and males (67%). The main reasons identified were traffic accidents (52.8%), followed by falls (26.4%) and assaults (18.1%). Among traffic accidents, collisions between car and motorcycle stand out (29.2%), people falling of vehicles in motion (20.9%) and pedestrian accidents (14.8%). Regarding falls, the most common were motorcycle falls (74.5%), followed by bicycle falls (15%) and when getting on and off vehicles (11%). As for the assaults, the record with the highest occurrence was physical aggression (36.5%), followed by cold weapons (34.1%) and firearms (29.3%). The highest attendance frequency occurred in the maximum time of 10 minutes (48.1%) between the activation and the arrival of SAMU. The most frequent day of the week was on Saturday (16.3%) mainly during the night shift (29.5%). Conclusion: Proper completion of SAMU's service records is of the utmost importance, highlighting the reason for triggering the service, the profile of the victims affected and the trauma mechanism. This way more consistent financial assistance can be provided for the best initial care and arrangements for preventive measures and organization of SAMU's services.
Alimentação para prevenção do câncer de mama: produção de uma tecnologia educacional
(Centro Universitário do Estado do Pará, 2022) Gonçalves, Maria Helena Monteiro; Moraes, Yasmin de Fatima Brito de Oliveira; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070; Mori, Rejane Maria Sales Cavalcante; http://lattes.cnpq.br/0068497734511867; Almeida, Viviane dos Santos Viana de; http://lattes.cnpq.br/2965839727561530
According to the Ministry of Health, cancer (CA) derives from multiple cumulative effects, due to disordered cell growth in the presence of neoplastic agents, as normal cells multiply naturally, responding to the body's needs, cancerous grow uncontrollably, forming abnormal cells, invading and compromising organs and tissues. Nutrition can be a great ally in preventing the development of the disease, since the consumption of foods rich in fiber, vegetables, fruits and “good” fats is a preventive factor, but it can be considered a risk factor, if the consumption of processed foods, deli meats, red meat, among others, is excessive. To develop an educational technology (ET) for users of primary health care on food for the prevention of breast cancer. Review study with a qualitative approach, carried out through methodological development, divided into two stages: integrative literature review (ILR) and production of ET, which is a digital booklet. The protective factors identified were the consumption of natural or minimally processed foods, such as vegetables, fruits, grains, seasonings and spices. While the excessive consumption of red meat, whole milk and derivatives rich in fat, deli meats, soft drinks, industrialized foods are considered risk factors. After the survey and organization of significant topics, the development of the booklet was started, with easy understanding content, containing in its extension the use of images and adequate textual content. In view of what has been explained, it is essential to produce educational technologies that allow subsidizing health actions to prevent breast CA.
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.
Alterações nutricionais em indivíduos com SIDA em utilização de terapia antirretroviral
(Centro Universitário do Estado do Pará, 2021) Paixão, Wellington Felipe Coelho; Marques, Simone do Socorro Fernandes; http://lattes.cnpq.br/0651248478895645; Campos, Jamilie Suelen dos Prazeres; http://lattes.cnpq.br/4508719756740232; Moura, Carla Acatauassú Ferreira de; http://lattes.cnpq.br/4504006993667915
Acquired Immunodeficiency Syndrome (AIDS) is characterized as a chronic clinical manifestation caused by the human immunodeficiency virus. The use of antiretroviral therapy has drastically decreased mortality and opportunistic infections, on the other hand, is strongly associated with metabolic and functional changes in the body, including HIV lipodystrophic syndrome, which causes dyslipidemias, glycemic and morphological changes, with changes in body fat distribution, as well as altered hormone levels and higher risks of developing chronic non-communicable diseases. To identify anatomical, metabolic and nutritional changes in individuals with AIDS in antiretroviral therapy. Systematic searches of Original Scientific Articles, Dissertations and Theses on Nutritional Status and biochemical alterations of AIDS carriers using antiretroviral therapy were carried out to perform the study, Lipodystrophic Syndrome and HIV published between 2010 and 2021, in the Portuguese, English and Spanish descriptors. When carrying out the research with the descriptors detailed in the methodology and in the described languages, 86 articles were found from which, after the inclusion and exclusion criteria, 8 articles were selected, in which it was possible to observe that most of the men evaluated were eutrophic and women were overweight, in addition to the high risk for metabolic complications due to the high cholesterol and triglyceride levels caused by the advance of infection and HAART in 50% of the evaluated patients. It was also observed that individuals with HIV are more susceptible to glycemic alterations and lipodystrophic syndrome, especially in females. Nutritional changes resulting from the use of ART are common and should be detected early through nutritional evaluation for treatment.
Alterações nutricionais em pacientes oncológicos hospitalizados: um estudo de revisão
(Centro Universitário do Estado do Pará, 2021) Mendonça, Luana Reis; Vasconcellos, Vitória Cristina de Matos; Campos, Jamilie Suelen dos Prazeres; http://lattes.cnpq.br/4508719756740232; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070; Marques, Simone do Socorro Fernandes; http://lattes.cnpq.br/0651248478895645
This study consists of a review of nutritional risk indicators in hospitalized cancer patients. It aims to analyze the indicators of nutritional risk in hospitalized cancer patients as well as to identify the prevalence of nutritional risk among cancer patients and investigate the factors that may be related to the nutritional risk of these patients. The methodology was carried out through a descriptive study, literature review in Portuguese and English. The search was carried out from March to May 2021, for articles published from 2011 to 2021. As a result, it was found that most studies indicated more than 40% of nutritional risk, this is because patients do notfeed enough to meet their energy needs, which can be due to a series of factors, such as the underlying disease, pain, nausea, vomiting, anxiety, inappetence, dysphagia, depression, functional incapacity, aggressive treatments and even the hospital environment. Furthermore, when they affect the digestive tract, they increase the risk of malnutrition, mainly due to the low food intake resulting from symptoms and the presence of cancer, often of an obstructive nature. Therefore, through the results of several studies analyzed, it was concluded that nutritional risk and malnutrition are prevalent conditions in hospitalized cancer patients, thus observing a high percentage, due to several factors found.
AmazOmnia - o impacto da transformação digital na Amazônia Legal
(Centro Universitário do Estado do Pará, 2023) Nara, Cauã Maia de Souza; Oliveira, Daniel Pinheiro Marcelino de; Nascimento, Elissandra Bernadett Abdon; Panzera, Fernanda Cordeiro; Oliveira, Gabriel Pinheiro Marcelino de; Amorim, Lucas Gabriel Carvalho; Pierozan, Marco Antonio Gomes; Dourado, Matheus Tsuchiya; Canuto, Renan Andrew Oliveira; Silva, Rian Ernesto Leão da; Araújo, Fábio Rocha de; http://lattes.cnpq.br/2407240421934932; Baganha, Alessandra Natasha Alcântara Barreiros; http://lattes.cnpq.br/0672275617505946; Vieira, Luciana de Azevedo; http://lattes.cnpq.br/4180335450338216
The Final Project "AmazOmnia - The Impact of Digital Transformation in the Legal Amazon" addresses technological innovation to improve connectivity in the Legal Amazon. The project uses drones with the Falken system to map ideal spots for the installation of radio base stations (ERBs), overcoming the dense vegetation of the region. AmazOmnia's focus is to offer a customized connectivity solution, adopting a B2B business model, serving companies and governments, promoting inclusive and sustainable access to the internet, and benefiting local communities. The work highlights the minimization of environmental impact and the promotion of socioeconomic development in the region. The work includes detailed technical studies, prototype tests, and discussions on commercialization and related products, highlighting the importance and potential of AmazOmnia as an impactful solution to connectivity challenges in the Amazon.
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 comparativa da termografia com a escala PSE/BORG aguda em um clube de futebol
(Centro Universitário do Estado do Pará, 2022-11-16) Capeloni, Bruno Lisboa; Mouta, Caio Eduardo Puget; Silva, Flavio Tavares Freire da; Esteves, Tiago Costa; http://lattes.cnpq.br/1129943526806064; http://lattes.cnpq.br/1386374444157946; Fonseca, José Silvério Nunes da; http://lattes.cnpq.br/5799490272499275; Cecim, Paulo Eugênio Santos; http://lattes.cnpq.br/0424267310983270
The use of the Borg CR10 scale adapted in sports is an important tool in the evaluation of effort intensity and optimization of training, preventing sports injuries. Thermography is a non-invasive and low-cost imaging test that requires little time for its use, being an adjuvant method in the evaluation of acute metabolic responses through heat variation. To evaluate the thermography and its alterations comparing with the subjective effort scale PSE/BORG in athletes of the basic categories of soccer in a club in the city of Belém - PA. 70 thermographic images and 73 modified PSE/BORG scores were captured, between 8 games of the Paraense Under-20 Championship and the Brazilian Under-23 Aspirants Championship, including 22 athletes registered in the BID (CBF Newsletter). For analysis of thermographic images, the present work used the FLIR TOOOLS software. Athletes were submitted to thermography capture and PSE/BORG scale after the end of the matches. Data organization was performed using Microsoft Word, Excel, Bioestat 5.5 and GraphPad Prism 8.4..2. For analysis of the data obtained, the Kruskal-Wallis tests were performed, adopting a (p < 0.05) being statistically significant. All practitioners signed the Free and Informed Consent Term. The number of thermographic images captured varied between 6-12 between collection days. The highest median of variation occurred on the eighth day (0.4C°) with a p=0.265 in the anterior thigh muscles. The highest median thermal variation of the anterior leg muscles occurred on the fifth and seventh days, respectively (0.4C°) with p=0.848. During the analysis, 73 PSE/BORG scores were performed, the seventh and eighth days with values greater than or equal to 7. The comparative analysis found a negative correlation between the temperature of the anterior thigh muscles and the PSE/BORG scale (p=0.206) without differ significantly from a value of zero. The correlation between anterior leg muscles temperature and PSE/BORG scores was positive (p=0.412) without significantly differing from a zero correlation. The use of thermography and the PSE/BORG scale are relevant in clinical practice for better health and better use of athletes. The present study demonstrated that there was no correlation between thermography and its numerical variations with the anterior thigh muscle segments using the PSE/BORG scale. However, there was a positive correlation between the anterior leg muscles and the scores. Therefore, it is important to emphasize the need for an analysis for a longer period in relation to this work. proved to be effective in preventing injuries in the evaluated athletes.
Análise comparativa de controles positivos no processo de cicatrização de feridas cutâneas em ratos
(Centro Universitário do Estado do Pará, 2021) Medeiros, Isabela Parente e Silva de; Carmo, Tomaz José Aquino Vasconcelos do; Chaves, Rosa Helena de Figueiredo; http://lattes.cnpq.br/8319947015729094
Introduction: Healing is a physiological process that involves several complex mechanisms, such as the interaction between cells and inflammatory factors that aim to restore the morphological and physiological characteristics of this injured tissue. Many factors interfere in this process, such as wound hydration and use of substances with healing potential. Furthermore, both in practice and in a situation in the experimental field, it is not yet well established which is the ideal substance to assist in the healing process. Therefore, the objective of this work will be to analyze the effect on the healing of skin wounds in rats with the following positive controls: PVPI, Chlorhexidine, Saline, Hydrogel and Sunflower Oil. Objectives: To compare the effect observed in the treatment with 0.9% saline solution, Sunflower Oil, Hydrogel, Chlorhexidine and aqueous PVPI on the healing of induced skin wounds in rats. Methodology: Experimental, prospective, longitudinal, statistical-comparative study. Thirty-five rats, 5 animals destined for the pilot group and the others were randomly distributed in 5 study groups, with 5 animals each. For this, a surgical wound in the dorsal region of the animals was performed and the substances mentioned were applied daily in each experimental group, every 12 hours. On the 3rd, 7th, 14th and 21st day, macroscopic analysis of the wound was performed and after the last analysis the animals were euthanized and histological tissue processing was performed for microscopic analysis. Negative Control Group (GCN): animals that receive an application of saline solution. Sunflower Oil Group (SOG): animals that receive treatment with Sunflower Oil. Hydrogel Group (HG): animals receiving wound treatment with hydrogel. Chlorhexidine Groupp (CG): animals that were treated with chlorhexidine. Aqueous PVPI group (APG): animals that were treated with aqueous PVPI. Results: In the macroscopic evaluation, there was a decrease in the areas of mean injury over the course of days, in all groups, more pronounced from the 7th to the 14th day. On the 7th day, the OG group presented significantly larger area (mean of 560.6 mm2) when compared alone to the SF group (mean of 302.8 mm2), but the other groups did not differ significantly from each other on this day. On the 14th day, significant variation was also found (p = 0.0093, Kruskal-Wallis test), so that the LC group was statistically superior to the SF group (area means 148.4 mm2 and 66.4 mm2, respectively). There was no significant difference between other groups. In histological analysis, it was observed that the proportions of vascular proliferation did not differ significantly between the groups, with p-value not significant (p = 0.07755). There was a significant association only between the groups and the intensity of mononuclear cells (p = 0.0169) and between the groups and the intensity of collagen fibers (p = 0.0486). As for mononuclear cells, more cases were observed with marked manifestation of mononuclear cells in the HG group and discrete in the SF. There was a significant association only between the groups and the intensity of mononuclear cells (p = 0.0169) and between the groups and the intensity of collagen fibers (p = 0.0486). As for mononuclear cells, more cases were observed with marked manifestation of mononuclear cells in the HG group and discrete in the SF. Conclusion: It was concluded that there was a significant reduction within each group, in relation to the wound diameter, macroscopically more accentuated in the SF group. However, it cannot be concluded that this would be the best group for control due to more discrete collagen proliferation.
Análise comparativa do padrão tomográfico pulmonar na infecção pelas variantes B.1.1.7 e P.1 do vírus SARS-COV-2
(Centro Universitário do Estado do Pará, 2022) Savino, Beatriz Amaral Costa; Mafra, Eduarda Gabriel; Paes, Andréa Luzia Vaz; Bichara, Cléa Nazaré Carneiro; http://lattes.cnpq.br/2161704040280760; http://lattes.cnpq.br/4364540186589331
Introduction: The SARS-CoV-2 virus quickly spread globally and acquired pandemic status in March 2020, posing a major threat to public health. Since then, it has suffered several genetic mutations, which culminated in multiple waves of disease transmission. Computed tomography (CT) of the chest may be a diagnostic alternative complementary to RT-PCR, to assess pulmonary involvement and assist in the therapeutic approach. Objective: To analyze lung tomographic patterns in the COVID-19 epidemic curves in 2020 and 2021 caused by the B.1.1.7 and P.1 variants of the SARS-CoV-2 virus. Methodology: A cross-sectional, descriptive, analytical and retrospective study was carried out through the evaluation of 360 CT scans of the chest, in a Reference Radiology Service, including patients with COVID-19 in two epidemic periods in an area of the Brazilian Amazon, characterized by lineages B.1.1.7 (Alpha) from April – September 2020 and P.1 (Gamma) from October 2020 – March 2021. Expert Consensus criteria of the Radiological Society of North America (RSNA) were used. In patients older than 18 years of age, of both sexes, the pattern and degree of pulmonary involvement, distribution of lesions, affected segments and other findings on tomography were evaluated. Results: The proportions of patients of different genders (p=0.289) or different age groups (p=0.314) did not vary significantly between periods. In the first period, 70.6% had pulmonary involvement between 10-25% and in the second period only 43.3%. All individuals had ground-glass lesions and the presence of thickening of the interlobular septa was significantly observed in the first epidemic curve (81.9%) (p=0.002). Conclusion: There was a prevalence of women and individuals aged between 45-60 years. 100% of the individuals presented ground-glass lesions and the typical pattern of involvement prevailed in both analyses. The Alpha variant, predominant in the first epidemic curve, presented a higher degree of pulmonary involvement in relation to the Gamma variant, predominant in the second epidemic curve.

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