Medicina
URI Permanente desta comunidadehttps://repositorio.cesupa.br/handle/prefix/40
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Navegando Medicina por Assunto "Acesso aos serviços de saúde"
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Item Autoaceitação e qualidade de vida pós mastectomia de transexualização(Centro Universitário do Estado do Pará, 2023-05-30) Soares, Fernanda Piqueira de Andrade Lobo; Miranda, Letícia Colares; Rodrigues, Brenda Diniz; Loureiro, Camila Fernanda Antunes Castanho Cavaleiro de Macedo; http://lattes.cnpq.br/6746290429073526; Albuquerque, Mário Roberto Tavares Cardoso de; http://lattes.cnpq.br/3233617656287982; Amaral, Gabriela Borborema do; http://lattes.cnpq.br/9582500401192127Introduction: The term “transgender person” refers to any person who does not identify with their birth gender. Allied to that, in the medical field many studies approach the concept of gender dysphoria, whih means a significant clinical discomfort associated with gender and biological characteristics, associated with impaired self-perception and impaired quality of life. Within this context, medical interventions and other areas of the health field come to help in the gender transition process, which includes the performance of mastectomy. In summary, the present study seeks to estimate the procedures impact on the sexual resignation process of transgender men. Objective: To measure the impact of mastectomy on transsexual men, and how this surgery influences aspects related to the quality of life of this population. Materials and methods: This is a cross- sectional, observational and descriptive study, based on data collected through the application of a virtual questionnaire for patients undergoing masculininzing mastectomy for in Brazil, between december 2022 and march 2023. Results: 50 individuals participated in the research. Among these, most of them were between 20 and 39 years old, identified themselves as trans men for more than 2 years and had health insurance. In the pre-operative period, the highest proportion of minimum grades was related to the level of satisfaction with physical appearance. In post-operative period, most evaluated their quality of life as very good. Comparatively, between the two periods, the highest difference between the averages found was related to the acceptance of physical appearance, the smallest difference occurred in terms of satisfaction with health services. Regarding gender violence, 66% reported having suffered violence when seeking health care, and most related what happened to embarrassment due to pronoun error. Conclusion: Thus, it is evident that the masculininzing mastectomy had a positive impact on the variables studied related to quality of life. In addition, it clarifies the need to develop new tools to measure the quality of life of the studied population.Item Fatores dificultadores para o acesso e educação em saúde de pessoas surdas em Belém-Pará(Centro Universitário do Estado do Pará, 2023-05-29) Barbosa, Luiza da Costa; Peres, Maria Clara Melo; Albuquerque, Mário Roberto Tavares Cardoso de; http://lattes.cnpq.br/3233617656287982; Macedo, Érika Maria Carmona Keuffer Cavalleiro de; http://lattes.cnpq.br/8498243104217470; Rodrigues, Cybelle Cristina Pereira; http://lattes.cnpq.br/9540610661271303The reduction of the listening capacity promotes social, cultural, and linguistic barriers, mainly on the access of the deaf community to health, compromising humanized care and welfare. Research on that type of need can resolve those problems. The present study aims to identify the main challenges of deaf people on the access to health in Belém/Pará and the consequences on health education. The methodology of the study was descriptive observational and transversal study, with quantitative approach, using a questionary made by the authors, based on the Likert school, with questions about the accessibility rate, understanding, and independence of those disabled people in health services and the epidemic profile, applying the questionary online, in portuguese and translated in LIBRAS to the deaf community of Belém, over 18 years old, regardless of gender, that uses the health services in Belém, mapped with the help of the “Coordenadoria de Acessibilidade da Universidade Federal do Pará” and the “Captação e Profissionais da Educação e Atendimento à Pessoa Surda Center”, with 27 participants. The demographic results revealed that most participants were women, 20 to 39 years old, from Pará’s capital, with incomplete University education, with advanced or intermediary Portuguese knowledge, using mostly public service, and having for main communication oral speak, labial lectures,s, and LIBRAS. The results about the main difficulty factors on access to health services show the unprepared professionals and the lack of structural services, like translators and assistencial technologies. Regarding the medical appointments, the results show that all services are given none satisfy experiences. Therefore, mostly the participants consider mandatory LIBRAS knowledge. It was concluded that the difficult access of the deaf community to the health service is pertinent and it becomes the development of more studies aimed at this population to support the search for greater professionalization of health workers treated to the accessibility and integration of minorities, as well as technical assistance measures.Item Incidência de absenteísmo em ambulatório de especialidades médicas em Belém, Pará(Centro Universitário do Estado do Pará, 2023-05-30) Tholius, Beatriz Siems; Pinheiro, Fábio de Castro Rodrigues; Maia, Matheus Rocha; http://lattes.cnpq.br/6118052846256806; Cavalcante, Erica Gomes do Nascimento; http://lattes.cnpq.br/6296398919595807; Campos, Marília do Socorro dos Santos; http://lattes.cnpq.br/1589784931947823promotes the wastage of financial and time resources of health specialized services of the Unified Health System (SUS) consenquently an important problem of the system. Analyse the incidence of absenteeism in a medical specialized clinic. A cross-sectional, analytical, descriptive and retrospective study from existing data of Minha Agenda® and Prontmed Agenda® the systems of scheduling services of specialized healthcare of CEMEC during 2021 and 2022. There was a total of 3122 absences during 2021 and 2022 being the majority in march (20,7%) and Mondays being more incident between the days of the week (28,6%). It was verified that the majority of the non attendences were represented by woman (61,4%) between 40-59 years old (35,8%) and from Belém (55,6%). Clinical Medicine service had the major non-attendence in the research (44,2%). Factors such as population aging, increase in chronic diseases, epidemiology of certain diseases and social and demographic issues may be related to the research results. The evaluation of the epidemiological profile is important for the implementation of effective measures to reduce absenteeism rates. It is suggested to implement variables related to absenteeism in the medical record to better understand the reasons and develop more effective strategies.