Pós-Graduação

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A importância de uma sessão clínico-radiológica no curso de graduação médica
(Centro Universitário do Estado do Pará, 2017) Silva, Alex Cezar Massoud Salame da; Gomes, Patrick Abdala Fonseca; Castro, Sinaida Maria Vasconcelos de; http://lattes.cnpq.br/4767038085471534; http://lattes.cnpq.br/6060836341247026; Tuji, Fabrício Mesquita; http://lattes.cnpq.br/8122254353290848; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678; Reis Junior, Leandro Passarinho; http://lattes.cnpq.br/8106073837131437
Introduction and objectives: Medical training has been the topic of intense debates and reveals itself as a subject of extreme importance nowadays. It is imperative to qualify professionals from all health categories to provide comprehensive care, humanized and with responsibility for the continuity of the provided care. New learning scenarios currently recommended by the National curricular guidelines for medical courses propose, among some issues, the formation of a professional with critical and reflexive attitude facing their practice. On this new panorama of Brazilian medical education, there is a need to insert appropriate educational tools that can contribute to the development of a new medical practice. The teaching technique task-based simulation in Radiology and Diagnostic Imaging is more widespread and used in postgraduate teaching, particularly in medical residency. The objective of the study was to implement a methodological proposal for the teaching of Radiology in medical graduation, based on radiological interpretation, from clinical cases in a clinical-radiological session, using the most common imaging exams these days. Methods: 72 students distributed between the eighth and ninth semester of CESUPA (Centro Universitário do Estado do Pará) medical course were submitted to some questions (appendix I) after answering the Informed Consent Form (ICF). The eighth semester students were asked questions prior to any formal Radiology class. Those ones in the ninth semester replied after formal Radiology classes in the eighth semester and after two consecutive clinical sessions where some real cases with several associated imaging exams were discussed. Results: most of the students did not mention mammography or densitometry as a radiological imaging method. Several and complex clinical indications were cited, but some simpler and more common ones, such as, headache, sinusitis and cholelithiasis received almost no citations. 40% of the students did not know to conceptualize appropriately a radiological signal and 54% of them requested an examination without placing any patient’s clinical information. Regarding the risks and benefits of the imaging tests, the answers were divided between confirmation of clinical diagnosis, anaphylactic shock/ contrast, and ionizing radiation. Conclusion: The study showed that the current teaching method of Radiology and Imaging Diagnosis does not fully satisfy the need of scholars about the knowledge of imaging methods, its indications and limitations, its risks and the most alarming is about the request for examinations: they have not done correctly. The proposed clinical-radiological session aimed to fill part of this gap obtaining relative success in improving the interpretation of the imaging tests and contributing to radiological exams request in a clearer and concise way.
A influência do acesso minimamente invasivo na instrumentação de canais ovais: análise em microtomografia computadorizada e teste de resistência à fadiga flexural
(Centro Universitário do Estado do Pará, 2019) Miranda, Ana Raquel Lopes dos Santos; Rodrigues, Patrícia de Almeida; http://lattes.cnpq.br/7995657020175355; Porpino, Mariana Teixeira Maneschy; http://lattes.cnpq.br/5993772430326444; Pessoa, Oscar Faciola; http://lattes.cnpq.br/9576667373951387
Purpose: The present study evaluated the type of endodontic access cavity would result in greater or lesser touch on the canal walls during instrumentation, and the influence on the instrument's resistance to cyclic flexural fatigue. Methods: Extracted human mandibular incisors with oval-shaped canals were scanned by Micro-computed tomography for sample selection and distribution in two experimental groups (n = 19), according to the test cavity: Group I, minimally invasive endodontic access (MIA) and Group II, conventional endodontic access (CEA). The canals were instrumented with WaveOne Gold Medium system and irrigated with 2.5% NaOCl and 17% EDTA. After rescanning, the untouched areas were measured and analyzed by reconstructing and overlapping the images. Endodontic instruments were subjected to static flexural cyclic fatigue testing using a stainless-steel artificial canal (60° angle and 5mm radius) located 5 mm from the tip. The instruments (n= 7) were rotated to fracture, and the time in seconds to fracture was recorded using a digital timer. The number of cycles to fracture (NCF) was calculated and statistically analyzed. The data obtained in Micro–computed tomography was analyzed by the T test, Mann-Whitney and Wilcoxon tests. For cyclic fatigue data, Tukey's post-test ANOVA was used. A significance level of 5% was adopted for all analyzes. Results: There was no statistical difference between the groups regarding the walls touched and walls untouched by the endodontic instrument in relation to the variation of the access cavities (p> 0.05). The cyclic fatigue resistance test showed no statistical differences between the groups. Conclusion: Within the limitations of the research, the use of minimally invasive cavities did not interfere in the instrumentation of lower incisors with straight and oval canals, and there was no difference in the resistance to flexural fatigue of the instruments against different accesses.
A morte na formação médica: oficina de leitura literária como estratégia humanística no ensino em saúde
(Centro Universitário do Estado do Pará, 2020) Sakai, Ana Paula Ferreira Silva; Del Nero, Luciana Brandão Carreira; http://lattes.cnpq.br/5056614008350803; Moraes, Niele Silva de; http://lattes.cnpq.br/1140706468939596; Dantas, Elza Ezilda Valente; http://lattes.cnpq.br/3951303999926297; Carvalho, Ana Emília Vita; http://lattes.cnpq.br/1981562999898097; Conde, Simone Regina Souza da Silva; http://lattes.cnpq.br/3375802140515152; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678
Introduction: Death and the process of dying permeate the daily lives of many health professionals, who are usually in contact with patients at the end of their lives and who die under their care, constituting one of the most challenging clinical experiences. Thus, the reflexive exercise should be stimulated from graduation, so that academics become doctors capable of recognizing their attitudes and building integrated technical knowledge, through activities that stimulate the cognitive, affective and psychic domains, leading to humanization practices. Objectives: To carry out the workshop of literary reading with academics of Medicine, as a strategy to humanize and promote changes in the conception about Death and the process of dying of patients. Method: A transversal, observational, descriptive study, with a qualitative approach, with the realization of the workshop of literary reading of the book "Death is a day worth living", by Ana Claudia Quintana Arantes. For data collection, semi-structured interviews were used, individually, before and after the workshop, recorded and transcribed for analysis purposes. The workshop and the interviews took place at the Medical Course of CESUPA, from June to September of 2019, after the approval of the project by the Research Ethics Committee of CESUPA. Medical scholars attending the seventh, ninth and eleventh periods were included, after signing the Free and Informed Consent Term and their names were preserved by codenames. Results: The interview before the workshop defined six thematic categories (definition of death, dignified death, preparation during graduation to deal with death, art in medical training, reading habit and acceptance); the post-workshop interview defined five thematic categories (definition of death, dignified death, literary workshop in academic training, the workshop experience, suggestions for the workshop). Correlated to these two moments, the most significant results were: difficulty in defining death, which occurred more safely after the workshop, with changes in conceptions on the subject; about dignity when dying (without feeling pain, without suffering from obstinacy in prolonging life at all costs, with technical and humanized assistance, good doctor-patient relationship, having self-knowledge and self-control to take care of the other, exercising the patient's right to information); about the preparation during graduation to deal with death (the subject of death is little addressed); about the contribution of the workshop to the academic formation (perceived as important, especially by the way the book was read: shared reading); about the contribution of art to medical formation (art is positive and collaborative); about the habit of reading (the medical course takes up a lot of life time and most of the reading is technical); everyone expressed their desire for its curricular implementation of the workshop, with extension of the time for discussions and conversation wheel. Conclusion: the workshop on literary reading proved to be a methodological strategy potentially promoting the sensitization of academics to the humanization in health, in the context of Death and end of life care.
A percepção do docente do curso de bacharelado em educação física sobre as metodologias ativas como estratégias no processo de ensino
(Centro Universitário do Estado do Pará, 2020) Silva, Moisés Costa da; Gomes, Patrick Abdala Fonseca; http://lattes.cnpq.br/6060836341247026; Furlaneto, Ismari Perini; http://lattes.cnpq.br/9542085122721945; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678; Dias, Biatriz Araújo Cardoso; http://lattes.cnpq.br/6691738832729865
Active methodologies come to present an innovative way of learning, in order to change the perspective within the classroom, the goal is that the teacher leaves the center of knowledge, and the student becomes active in the teaching-learning process. Therefore, the objective of the present study was to evaluate the perception of the teacher of the bachelor's degree in physical education about active methodologies as strategies in the teaching process. This is a descriptive cross-sectional and analytical study, with a quantitative approach carried out through the application of a structured questionnaire with closed questions to the professors of a private college in Belém-PA. Excel® 2010 software was adopted for data entry and table preparation, as well as BioEstat 5.0 for statistical analysis. Categorical variables were presented as frequencies and numerical variables using measures of central tendency and dispersion. The Chi-square test and the G test (Adherence) were used to verify the significance of the data, adopting an alpha level of 5% (p≤0.05). Participated in the research 14 teachers, of both sexes, where the predominance of the feminine sex was observed (57.1%), being the majority of the professors with master's degree (64.3%), 50% of the professors affirm to have received some type of training or qualification of the Higher Education Institution (HEI), only 28.6% of the teachers have a good concept in relation to the students' perception when using some active methodology strategy, 64.3% of the teachers feel partially prepared for the exercise of a new pedagogical project that establishes the use of active methodologies in the training of physical education professionals, most teachers like and use active strategies with the traditional as a teaching method in the classroom. It is concluded that although teachers use active methodology, a greater mastery of the tools is necessary, through the search for the professional himself, but also in the contribution of the HEI regarding the promotion of training and continued qualification.
Análise da atividade microbiana do extrato de Lippia thymoide, frente a cepa de p. intermediária
(Centro Universitário do Estado do Pará, 2018) Carvalho, Tábata Resque Beckmann; Menezes, Silvio Augusto Fernandes de; http://lattes.cnpq.br/5394614146901551; Brito, Mileide da Paz; http://lattes.cnpq.br/3493897351649944; Carvalho Junior, Raul Nunes de; http://lattes.cnpq.br/5544305606838748
Lippia Thymoide (LT) is used in Western medicine to treat respiratory infections, periodontal diseases and periodontal diseases, anti-inflammatory, antibiotic, among others that are related in the literature, the objective of this study is to evaluate the chemical composition of essential oil of Lippia Thymoide and its antimicrobial activity against Prevotella Intermediate (PI) strains and the prevalence of the diagnosis of periodontal diseases. Methodology: the hydrodistilation process was identified and tested through a Minimum Inhibitory Concentration (MIC) test and resistance test against a bacterium. Results: The essential oil of an anti-inflammatory diet relative to pre-medial periodontopathogenic interactions is 6.5 μg / ml and a positive capacity test. Conclusion: the results found in our research demonstrated that the oil of LT, dependent on seasonality, are promising, are a great bacterial potential and becomes a great ally for the manufacture of products that complement the treatment of periodontal diseases
Análise da IL-10 em pacientes portadores do HIV-1 com periodontite crônica no norte do Brasil
(Centro Universitário do Estado do Pará, 2018-03-09) Fonseca, Ricardo Roberto Souza; Menezes, Silvio Augusto Fernandes de; http://lattes.cnpq.br/5394614146901551; Celestino Júnior, Aluísio Ferreira; http://lattes.cnpq.br/6186863425175415; Rodrigues, Tânia Maria de Souza; http://lattes.cnpq.br/4924941383324071
Aim: The objective of this study was to investigate the levels of IL-10 in the gingival crevicular fluid in HIV-1 positive patients with chronic periodontitis and to compare with HIV-1 negative patients with chronic periodontitis, also to correlate clinical periodontal parameters, viral load and count of CD4+ and CD8+ lymphocytes (LTCD4+ and LTCD8+). Methods: 33 patients were selected and splitted into two groups: 16 HIV-1 positive patients and 17 HIV-1 negative patients and all with chronic periodontitis. The clinical periodontal parameters recorded were: Probing Depth (PD) and Clinical Attachment Level (CAL); the sistemical parameters LTCD4+, LTCD8+ and viral load were analized by the gingival crevicular fluid collected from all patients. Enzymelinked immunosorbent assay (ELISA) was used to determine the concentrations of Interleukin (IL)-10. For the statistical analysis the Student t, Mann-Whitney and Spearman tests were performed. IL-10 levels were significantly lower in both patients groups. Results: There was statistical difference betwen groups for probing depth (p=0.015) and clinical attachment level (p=0.011), no significant correlation was found among the analyzed variables. Conclusion: The IL-10 levels in HIV-1 positive patients had no influence in periodontal and immonological parameters.
Análise dos padrões faciais em imagem 2D e 3D para fins de diagnóstico e tratamento ortodôntico
(Centro Universitário do Estado do Pará, 2021-09-29) Aragão, Carmen Dulce Guedes de; Pinheiro Júnior, Jesus Maués; http://lattes.cnpq.br/0590122765693339; Tuji, Fabrício Mesquita; http://lattes.cnpq.br/8122254353290848; Carneiro, Marcelo Newton; http://lattes.cnpq.br/7057645859780221
Knowing the importance of the face in orthodontic treatment, this study proposed to 2 dentists with more than 5 years of specialization, in two different periods, to perform 2D and 3D photographic facial analysis in 50 patients, to determine and classify them according to their facial pattern. Compare 2D and 3D facial analysis in determining the facial pattern. With 50 adult individuals, minimum age of 18 years, female and male, presence of the 5 Facial Patterns. Patients periodontal disease, individuals treate dorthontically and surgically and the presence of were excluded. Kappa coefficient was used for intra-examiner and inter-examiner agreement. For the analysis of the error, the Kappa coefficient was used. The result of intra-examiner agreement between the first and second 2D assessments was 82% Kappa 0,69. For 3D it was 90% with a Kappa 0,89. The agreement between the evaluators with the gold standard for the total sample was 63,8% and Kappa 0,46 for 2D. For 3D, the total value was 67,9% and Kappa 0,61. For inter-examiner agreement in 2D in total it was 67,53% and Kappa 0,59. For 3D, the total agreement was 69,46% and Kappa 0,65. We concluded that the intra-examiner agreement between the first and second assessment was substantial in 2D and almost perfect in 3D. In the intra-examiner assessment, the agreement was moderate in total in 2D and substantial in 3D. Inter-examiner agreement was moderate in relation to 2D and substantial in 3D images. In other words, the 3D images provided greater accuracy when it comes to the analysis of the Facial Pattern.
Atenção primária em saúde: guia para o uso do IRAMUTEQ em pesquisa qualitativa
(Centro Universitário do Estado do Pará, 2020-10-29) Moura, Glaucia Margarete Nascimento Pereira da; Matos, Haroldo José de; http://lattes.cnpq.br/9830983900880582; Ferreira, Ilma Pastana; http://lattes.cnpq.br/1650337093024641; Carvalho, Ana Emília Vita; http://lattes.cnpq.br/1981562999898097; Del Nero, Luciana Brandão Carreira; http://lattes.cnpq.br/5056614008350803; Nunes, Leonardo Mendes Acatauassú; http://lattes.cnpq.br/3512764081076675; Vaz, Andréa Luzia Paes; http://lattes.cnpq.br/4364540186589331
IRAMUTEQ is a software for analyzing qualitative content of texts and data tables, inscribed under the python language. This operating system proposes a set of statistics and utilities to assist in the description and analysis of texts and data matrices of the individual/character type, that is, with data record type of contingency tables. The principle of functionality of IRAMUTEQ, is based on establishing an interface with the R software and prepares a multidimensional analysis of the texts and questionnaires, its operability being based on preparing data and writing the scripts that are read and analyzed by the R software. Qualitative research in the health area has been strengthening and seeks consolidation in recent years, in which professionals and researchers who make this approach option seek to understand the perspective of the research participants. Therefore, this study demonstrated, through an integrative review, the use of the IRAMUTEQ program in qualitative analysis works in primary health care, in addition a guide to the use of IRAMUTEQ for qualitative research in primary care was developed. The integrative review brought together 10 (ten) Brazilian studies, selected based on the criterion of using lexical content analysis and the IRAMUTEQ software, with the exception of 1 article that used the ALCESTE software. It was observed that in the last years the use of software, especially of IRAMUTEQ, is growing and it is important to obey criteria for preparing the content for analysis, and to be aware of the methods that IRAMUTEQ used for analysis, so that the results are true. The IRAMUTEQ Usage Guide explains in detail how to do content analysis using Reinert's method. The use of IRAMUTEQ in research in primary health care, can promote the objective and faster analysis of texts, in addition to analyzing research with patients and improving the daily lives of both health professionals and their patients.
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.
Avaliação da alteração de cor e rugosidade superficial de resinas bulk fill após escovação mecânica e envelhecimento
(Centro Universitário do Estado do Pará, 2018) Balla, Mariana Vieira; Esteves, Renata Antunes; http://lattes.cnpq.br/0001642348652061
The objective of this study was to evaluate, in vitro, the color stability (ΔE) and the surface roughness (Ra) of bulk fill (Filtek Bulk Fill e Tetric N-Ceram Bulk fill) and conventional (Filtek Z350XT e Filtek Bulk fill) composites, after mechanical brushing and aging. Specimens were made (n=5), with rounded bipartite matrix (8mm diameter x 4mm thickness). They were evaluated for color change (Spectrophotometer, Color Guide, BYK Gardner) and surface roughness (PROSCAN 2100 3D optical profilometer; Scantron), initially and after the tests. They were divided into 3 groups according to the tests: A-brushing (14,600 cycles, mechanical brushing machine, Elquip); B-thermocycling (5,000 cycles, 5-55°C, 30 seconds, Thermocycler, New Ethics-Scientific Equipment S.A.); C- thermocycling followed by brushing (same protocol). After all evaluations, the means were calculated and compared by means of analysis of variance (ANOVA) and Tukey's test. The level of significance was 5%. It was concluded that all resins were influenced by brushing and thermocycling. But the resin that suffered the most changes in color and roughness after mechanical brushing and thermocycling was Tetric N-Ceram Bulk fill resin.
Avaliação da presença de frenestrações e deiscências em pacientes classe I e III por meio de tomografia computadorizada de feixe crônico: estudo transversal
(Centro Universitário do Estado do Pará, 2018) Oliveira, Juliana de Souza; Pinheiro, Lucas Rodrigues; http://lattes.cnpq.br/9533599258533263
Fenestrations and dehiscences are bone resorptions that require great care by the orthodontist at the time of orthodontic movement. Cone – beam computed tomography scans are the best option for the correct diagnosis of such defects. The aim of this research was to verify the presence of fenestrations and dehiscences in patients with Class I and III from the second molar to the second molar on the opposite side, upper and lower, by cone – beam computed tomography of the particular collection of a radiological clinic. The samples were divided into 25 class I and 25 class III patients, than an orthodontist and a radiologist, in agreement, performed the scans to determine the presence or absence of bone defects, 15 days later 30 % of the sample was reevaluated. The reproducibility of the analysis was tested using the Kappa test and the null hypothesis with test χ2 resulting in a statistically significant difference between the class I and III groups, a higher prevalence of dehiscences in the maxilla of class I patients and a greater presence of fenestrations in the maxilla of patients class III.
Avaliação do padrão de crescimento facial e da má oclusão em uma população de indivíduos em dentadura mista e uma proposta de gestão para saúde pública
(Centro Universitário do Estado do Pará, 2022-01-31) Silva, Adriana Viana Martins da; Pinheiro Júnior, Jesus Maués; http://lattes.cnpq.br/0590122765693339; Celestino Júnior, Aluísio Ferreira; http://lattes.cnpq.br/6186863425175415; Corrêa, Adriano Maia; http://lattes.cnpq.br/6062379402457289
Malocclusion is the set of changes in bite relationships, which can have consequences on adjacent structures of the masticatory system and orthodontic problems, which can be dental or skeletal. Malocclusion is considered a public health problem and ranks third among oral pathologies. It can cause several changes in an individual’s life, such as imparing the quality of life, social interaction, psychological well-beign and even resulting in functional limitations in more severe casas. During mixed dentition, arch changes occur and normal changes may also occur. In this context, the current study aimed, through the analysis of the medical records of the Clinic of the Specialization Course in Orthodontics, CESUPA-Center for Higher Studies of the State of Pará, of 655 children, aged between 9 and 11 years, develop the epidemiological assessment of patients to later describe the facial growth pattern, determine the need for orthodontic treatment plan for each patient and, mainly, prepare a spreadsheet with the costs for each treatment. The results showed: growth pattern, facial pleasantness index, facial typology, molar relationship, deep bite, open bite, anterior and posterior crossbite, diastema, crowding and early tooth loss. With these results, together with the spreadseet with the costs of each case, it is expected that they will be used fir the implementation of orthodontics in municipal ans state dental speciality centers, so that more people have acess to this type of treatment.
Avaliação do uso da metodologia de problematização pelos docentes do módulo de interação em saúde na comunidade
(Centro Universitário do Estado do Pará, 2017) Pereira, Cybelle Cristina; Matos, Haroldo José de; http://lattes.cnpq.br/9830983900880582; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Ikuta, Yuji Magalhães; http://lattes.cnpq.br/8464078836149569; Dantas, Elza Ezilda Valente; http://lattes.cnpq.br/3951303999926297
Introduction: Historically, the teaching of the medical profession was based on the eminently practical nature of the doctor-patient relationship, in which health problems are sought to be solved; this reality led to the teaching of problematizing methodologies. In the perspective of the socio-educational context within the health area, it is perceived that the Problem-solving Methodology emerges as a pedagogical strategy of possible efficacy by providing a connection and approximation of teaching with the reality lived in the health services. The Methodology of Problematization, based on the Arch of Maguerez, according to Bordenave and Pereira, presupposes a sequence of five stages which are interconnected: Observation of Reality, Key Points, Theorization, Solution Hypotheses and Application to Reality. Objective: To analyze the use of the methodology of problematization in the practice of the professors of the Module of Interaction in Health in the Community. Methodology: Consisted on a transversal study, with a qualitative approach through content analysis, with the help of Iramuteq software. Twenty professors from the Community Health Interaction Module of CESUPA participated in the study. Results and Discussion: After analyzing the four categories presented by the content analysis, it was possible to verify that the teachers understand in general the stages of the Arch of Maguerez and the necessity of the intervention of the students in the reality to be transformed. In addition, they perceive limitations and advantages in the use of the Problem-solving Methodology, but also present some hazy concepts regarding the use of the methodology. Conclusion: It is concluded that the MISC professors have knowledge and professional experience in relation to the application of the Problem Methodology, but it is necessary to have a higher qualification in relation to the subject, besides new studies that can deepen the teaching of Problematization in medical education.
Avaliação interpares: experiência de avaliação formativa no curso de enfermagem em uma instituição de ensino superior de Belém
(Centro Universitário do Estado do Pará, 2020) Santos, Isabela Bonfim; Dantas, Elza Ezilda Valente; http://lattes.cnpq.br/3951303999926297; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Nunes, Leonardo Mendes Acatauassú; http://lattes.cnpq.br/3512764081076675; Peixoto, Ivonete Vieira Pereira; http://lattes.cnpq.br/0072766773987067; Carvalho, Ana Emília Vita; http://lattes.cnpq.br/1981562999898097; Reis Junior, Leandro Passarinho; http://lattes.cnpq.br/8106073837131437
This research questioned the theme Educational Evaluation, specially evaluation in superior degree learning. In academic scenery highlighted three functions from de evaluation to the learning: the diagnostic, the total amount and the formation. The formative evaluation aims to develop the constructive action and compromised to the learning, content in the evaluation inter-pairs the possibility to share responsibilities and work on the mobilization of the knowledge handling it to the abilities and attitudes. Objectives: valid a form of inter-pair evaluation aim to contribute to the practice of formative evaluation in the nursery course. Apply the instrument of inter-pair evaluation in hospital nursery module in the range; to know the students` perceptions about the tools of inter-pair evaluations. Problems searched: How do inter-pair evaluation might help in the development of effective and collaborative learning from the perception of the students? How does it characterize the perception of the students about inter-pair evaluation as part of the evaluation? Methodology: descriptive qualitative research in which the participants were students of 4th period of the course. Presenting the following methodological stages: presentation of the project to the group, conversation exposing what is formative evaluation, with the focus on the inter-pairs evaluation: accompanying classes with active methodologies and application of questionnaire to students, in which data will be submitted to analyses of the content. Results: most of the students (55,6%) believe in the potential of formative evaluation, but there are still many challenges to overcome, what leads to not always to feel safe to give feedback to the colleagues. 38,9% totally agree that feelings, such as feel safe, motivation, trust are demonstrated in contacts with colleagues, sharing knowledge and experience in a collaborative activity. although after passing through the process of inter-pairs evaluation after the use of active methodologies 38,9 experienced aversive feelings when faced the responsibilities about the learning of the other participants of the group. 50% agreed to have facilities to identify the deficiencies and potencies of their colleagues because the use of active methodologies help to individualize the needs of the students when working in groups, become easier the interaction student - teacher. Conclusion: we concluded that the way the students evaluate themselves, noticed that their learning, refer to the progresses, related to the objectives of learning, and drew new steps to learning constituted, the first references about the applications of tools of inter-pairs evaluation in the course and what it is capable to mobilize when we want a shared responsible learning. The scientific experience of the present study, the references in which we observed the effects of formative evaluation and the validation of the inter-pairs evaluation forms aim to contribute to the nursery course aiming the logic dialogical capable to recognize the potentialities, the fragilities and the possibilities of changing in the learning process.
Biometria dentária em pacientes padrão I braquifaciais e padrão face curta
(Centro Universitário do Estado do Pará, 2019-04-25) Gonçalves Júnior, Carlos Alberto; Pinheiro Júnior, Jesus Maués; http://lattes.cnpq.br/0590122765693339; Pinheiro, Lucas Rodrigues; http://lattes.cnpq.br/9533599258533263; Corrêa, Adriano Maia; http://lattes.cnpq.br/6062379402457289
Introduction: Based on studies of the facial morphology of short face (PFC) patients, there is little evidence in the literature to characterize the static and functional occlusion as well as the dimensions of the arches in this pattern of facial growth (PFC). In this perspective, the study aims to compare the results obtained through the measurements in digitized models in brachyfacial I standard individuals and standard short face individuals; to evaluate the transverse and sagittal dimensions of the lower arches in both groups delineated through a trained and calibrated examiner; Observe and discuss whether the results obtained between the two groups outlined and the literature are statistically different or similar. Development: A cross-sectional study was carried out on pre-existing orthodontic documentation selected in the collection of the Specialization Course in Orthodontics of the University Center of the State of Pará (CESUPA). With 40 models of the volunteers of the sample being 20 standard brachyfacial I and 20 standard short face, were scanned optical 3D scanner and the scanned measurements performed through the nemocast® program, randomly and identified by groups and numbered, the measurements were fed into the excel program in The results were submitted to tables with mean, minimum, median and maximum values, standard deviations, the Kolmogorov-Smirnov test evaluated the normal distribution of all variables presented, the t test was performed 'Student and Person's correlation analysis. Conclusion: Based on the measurements performed on the transverse and sagittal dimensions of the lower arch of the two groups Standard I and the Short Face Pattern, the inter-canine, premolar and molar distances of standard Brachifacial I individuals were statistically significant between them , greater than the measurements of individuals Short Face Pattern. The arch length also showed differences in the clinically observed PI> PFC measurements in both groups of the samples. Thus, it was observed that the study showed statistically significant differences between the analyzed groups, corroborating the study of the facial pattern morphology between the patterns analyzed favoring the data specialist of extreme relevance for orthodontic treatment.
Caracterização e análise do potencial antimicrobiano do óleo essencial da Lippia thymoide frente a Fusobactérium nucleatum
(Centro Universitário do Estado do Pará, 2018-12-06) Tanaka, Erich Brito; Rodrigues, Tânia Maria de Souza; http://lattes.cnpq.br/4924941383324071; Tuji, Fabrício Mesquita; http://lattes.cnpq.br/8122254353290848; Melo, Mauro André Damasceno de; http://lattes.cnpq.br/9472853779075122
This study aimed to discover the chemical components and to analyze the antimicrobial activity of Lippia Thymoide essential oil on the Fusobacterium Nucleatum (FN) strain. Based on the information that this anaerobic bacterium is highly pathogenic to the oral cavity, the essential oil was obtained by the hydrodistillation method and its chemical composition was discovered using gas-liquid chromatography coupled to mass spectrometry (GC- MS). Responses to the sensitivity test (15 mm) and the minimum inhibitory concentration (1.6 μg / ml), compared to the control test using the antibiotic Vancomycin sensitivity (34 mm) and MIC (0.16 μg / ml) its high antimicrobial potential against FN and a possible weapon to combat serious periodontal diseases.
Cartilha sem letras para idosos com hipertensão arterial sistêmica: uma estratégia de ensino para adesão ao tratamento
(Centro Universitário do Estado do Pará, 2018) Ribeiro, Márcia Regina Mota; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678; Nunes, Leonardo Mendes Acatauassú; http://lattes.cnpq.br/3512764081076675; Rojas, Márcia de Fátima Maciel de; http://lattes.cnpq.br/1926263861110172; Ikuta, Yuji Magalhães; http://lattes.cnpq.br/8464078836149569
This is a cross-sectional and descriptive study aimed at validating a letter-free booklet for elderly patients with systemic arterial hypertension (SAH) as a teaching strategy to enable adherence to treatment. The research protocol was approved, in its ethical aspects, by the Committee of Ethics in Research (CEP) of CESUPA, under the number 2,910,589, CAEE 96407118.5.0000.5169. The Validation of the Research Protocol was done by experienced professionals who work in basic attention in teaching and research. The evaluation topics considered by the judges were elaborated in a modified Likert scale questionnaire format. Elderly people with SAH, lucid and able to respond consistently to the data collection instruments, were residents of the institution Abrigo João de Deus. The study has been developed consisted of five phases: 1) Elaboration of the Primer; 2) Validation by the judges; 3) Lecture for the institutionalized elderly; 4) Application of the booklet to the elderly; 5) satisfaction index of the blooket. In the public selected to act as judges, 12 (70.6%) responded in a timely manner to the scale elaborated for evaluation. The general evaluation carried out by the judges reached a score of 85.0% with a very good concept. While population`s target reached 15 (71.4%) elderly people with SAH participated in the phases were the use of the booklet was involved. The creation of the booklet has been occurring to facilitate health care actions that recognize the true needs of the elderly and caregivers, promoting changes in behavior and the care offered, facilitating the work of the multidisciplinary team, with the recommendations suggested by the judges, a attractive booklet, objective and non-extensive shown itself a usefull toll, so that the elderly know the importance of non-pharmacological treatment of hypertension.
Competências na coleta do exame preventivo do câncer do colo uterino de graduandos do curso de enfermagem
(Centro Universitário do Estado do Pará, 2020) Olivi, Clara Ozeny Lima; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309; Pereira, Cynthia Mara Brito Lins; http://lattes.cnpq.br/3186657130674078; Dantas, Elza Ezilda Valente; http://lattes.cnpq.br/3951303999926297; Santana, Mary Elizabeth de; http://lattes.cnpq.br/6616236152960399
As a result of the screening of the precursor lesions of uterine cancer being the responsibility of the nurse in Primary Care, it is essential to deepen and appropriate the correct examination technique that detects the injury early. Therefore, when nursing students graduate, they should be able to perform the oncotic colpocytology exam. The oncotic colpocytology exam is useful in screening for cervical cancer lesions. Exam collection requires manual skill through practice and mastery of the correct technique. Therefore, the importance of the nursing student having a supervised internship in Primary Health Care to have the opportunity to acquire learning and minimal skills to perform the exam. The general objective of the present study was to identify the level of competence in the collection of the preventive exam of cervical cancer among Nursing students taking the supervised internship. Method: The study presented a quantitative approach and performed in the year 2019. 80 (eighty) students from the 9th semester of the Nursing Course at the University of the Amazon participated during three months of supervised internship in Primary Health Care. Twenty-one competencies in the collection of oncotic colpocytology exam. From the application of a checklist during the supervised internship, each student was evaluated five times. Results: The evolution of the minimum competencies of the nursing student during the five collections of the oncotic cytology exam was notorious. From the third collection, it was observed that 41.3% of students with unsatisfactory performance, there was a reduction to 5% in the fourth collection. In the fifth collection of the exam, 92.5% of students reach a satisfactory exam technique. Therefore, it suggested implementing the checklist during the collection of the oncotic cytology exam in the supervised internship, so that each student has the opportunity to make at least five collections.
Conhecimento dos ortodontistas de Belém-PA sobre a síndrome da apneia obstrutiva do sono
(Centro Universitário do Estado do Pará, 2018) Cristino, Márcio Ruffeil; Pinheiro Júnior, Jesus Maués; http://lattes.cnpq.br/0590122765693339; Ribeiro, André Luis Ribeiro; http://lattes.cnpq.br/9899528924354409; Guimarães, Douglas Magno; http://lattes.cnpq.br/6439076195866691
Introduction: Obstructive Sleep Apnea Syndrome (OSAS) is a sleep disorder characterized by repetitive episodes of upper airway obstruction that occur during sleep. The treatment of OSAS is multidisciplinary, being the dentist, especially the orthodontist, one of the members of this team that plays a very important role in the treatment of OSAS. Objective: To evaluate the level of knowledge of orthodontists regarding different aspects of the OSAS, its diagnosis and treatment. Material and Methods: Fifty-two professionals specialized in orthodontics and a questionnaire was applied containing 11 questions related to the knowledge about OSAS, each question with 7 possible alternatives. After getting the data, the answers were analyzed and grouped into three groups that classified the level of knowledge about SAOS: low (0, 1 and 2), medium (3 and 4) and high (5 and 6). Results: 82.69% of the participants had previous knowledge of OSAS; 75% had no information during the undergrad course and 34.62% did not get any information during the orthodontics training; 42.31% have a high level of knowledge for the signs of OSAS, 40.38% reported to know the symptoms and how to make the diagnosis of OSAS; only 34.62% of participants reported knowing how to treat the OSAS. Conclusion: It was concluded that most of the specialists did not have undergraduate and postgraduate information about the OSAS, suggesting a deficient curriculum. However, the level of knowledge of signs, symptoms and the diagnosis of OSAS grows after undergraduation/orthodontics training, suggesting that these professionals acquired complementary knowledge by other means (e.g. readings, courses, and so on). Most orthodontists reported low knowledge about how to treat OSAS.
Construção e validação de manual educativo para o uso no processo de aprendizado acadêmico em fisioterapia após artroplastia total do joelho
(Centro Universitário do Estado do Pará, 2017-12-18) Esteves, Tiago Costa; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678; Cavalcante, Érica Gomes do Nascimento; http://lattes.cnpq.br/6296398919595807; Nunes, Leonardo Mendes Acatauassú; http://lattes.cnpq.br/3512764081076675; Rocha, Rodrigo Santiago Barbosa; http://lattes.cnpq.br/4119162366965074; Domingues, Robson José de Souza; http://lattes.cnpq.br/9892890507517226
Introduction: The growth of the elderly population in Brazil has increased the cases of degenerative diseases such as osteoarthrosis, and in more severe cases the treatment is performed through knee total arthroplasty surgery. Physical therapy is extremely important for the return of functional activities of these patients. Objective: this research is the construction and validation of an orientation manual applied to total knee arthroplasty for the students of the Physiotherapy course. Materials and Methods: This is a cross-sectional, descriptive study whose sample consisted of 139 students from the Physiotherapy course of the University of Amazônia (UNAMA) and 11 judges. In the first moment studies were carried out that subsidized the construction of the manual; in the second, for validation of the content of the manual, the judges received a questionnaire with 7 closed questions referring to the primordial items of the manual with scores according to the modified Likert scale, which proposes five levels of answers and in the third one, the manual to students through an expository class for analysis performed through a questionnaire with closed questions containing 07 objective questions of multiple choice based on a modified Likert scale with five levels of answers. Results: For the descriptive representation of the data, tables were elaborated, using the Microsoft Word® Software, representing the absolute and relative frequencies of the categorical variables. The preparation of the manual was based on the illustrative and textual description of the protocol of physiotherapeutic intervention in patients submitted to total knee arthroplasty including in the hospital and outpatient phases. Discussion: The opinions of the judges regarding the items contained in the manual on physiotherapeutic interventions and the student satisfaction index were compatible with data from other studies that used the same methodological tool. Conclusion: in light of the results and the discussion, it is concluded that the manual developed as didactic resource can be considered valid by the specialists, as well as by the students, making possible the contribution in the teaching-learning process during the academic training of these future health professionals.

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