Navegando por Assunto "Epidemiologia"

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Análise da prevalência da tríade atópica nos pacientes atendidos no ambulatório de pediatria no Centro de Especialidades Médicas do CESUPA
(Centro Universitário do Estado do Pará, 2021) Mafra, Bárbara Gabriel; Costa, Victória Oliveira da; Neves, Eliza Lemos Barbosa; Neves, Dilma Costa de Oliveira; http://lattes.cnpq.br/7230812534416350
Introduction: The Atopic Triad is formed by three very relevant and currently evidenced diseases: Atopic Dermatitis, Allergic Rhinitis and Allergic Asthma. Later, the concept of the “atopic march” emerged, which refers to a sequence of progression of atopic diseases. This concept is an attempt to highlight the relationship between them. In recent decades, there has been a substantial increase in the prevalence of atopic diseases, especially in children, which makes the subject currently relevant for discussion. Objective: To analyze the prevalence of the atopic triad in children aged 0-5 years seen at the Pediatrics clinic of CEMEC. Methods: observational, cross-sectional descriptive study, with data collection from the medical records of patients treated from March to August 2021, using a form. Results: the total sample consisted of 122 patients, with a prevalence of 19.7% (24) records in medical records of patients with any of the three atopic diseases. Among the 24 patients, the highest prevalence was of atopic dermatitis (62.5%), followed by allergic rhinitis (58.3%) and finally asthma (41.6%). Among those who have one of the atopic diseases, 11 (45.8%) have two or three associated diseases. Conclusion: Based on the analysis of the prevalence of atopic diseases in pediatric patients, it is extremely important to diagnose these diseases early and treat them early, avoiding the development of severe forms and the development of other atopies that may be associated; in addition to reducing health care costs that could be a consequence of the development of severe forms and the progression of atopic gait.
Análise de alguns indicadores de avaliação do programa de controle da hanseníase no contexto da estratégia saúde da família no estado do Pará de 2000 a 2019
(Centro Universitário do Estado do Pará, 2021) Rocha, Melyna Ingryd de Souza; Neves, Dilma Costa de Oliveira; http://lattes.cnpq.br/7230812534416350
Introduction: the Family Health Strategy (ESF) as the main gateway to the public health system has the challenge of welcoming, listening and offering resolute answers to the demands of a given population, in addition to what is possible through it access to health services in the most distant territories. In this context, the ESF plays an important role in the Leprosy Control Program (PCH), which requires the use of monitoring indicators that allow evaluating the effectiveness of the SHP in the ESF. Objective: to relate the trend of operational indicators of the leprosy control program in the state of Pará with the coverage of the Family Health strategy from January 2000 to December 2019. Methodology: type of descriptive study based on exploratory document analysis of new cases of leprosy from January 2000 to December 2019 existing in the Notifiable Diseases Information System. Results: from 82,523 records of new cases of leprosy in the state of Pará, from 2000 to 2019, 98.67% met the inclusion criteria (81,427). The analysis of the operational indicators of the SHP showed that there is a tendency for the indicator to increase the proportion of assessment of the degree of physical disability at diagnosis, as well as the proportion of contacts examined; stability in the indicators of assessment of the degree of disability at discharge due to cure and in the proportion of dropouts, with a reduction in the indicator proportion of discharge due to cure. There was a predominance of males and the age group greater than or equal to 15 years of age in all Regional Health Centers. The brown race/color predominated in the state in more than 50% of the cases, with the exception of the 12th Regional (46.4%). It can be observed that low education was predominant, with approximately 71.8%, consisting of illiterate people (11.6%) and people with elementary education (60.2%). There was a decline in the rate of detection of leprosy in the population under 15 years of age (60.9%). It was also observed that the 11th Regional Health Center has the record with the highest average annual detection rate (125.98/100 thousand inhab.) in the period studied. The most prevalent mode of detection in the state was spontaneous demand in 58.2% of new cases registered. The same occurred in all regions, with the exception of the first, where there was a predominance of referral with 62.2%. Conclusion: we emphasize the importance of the results obtained in view of the need, not only for the expansion of the Family Health Strategy, but also the implementation of the operationalization of more structured actions in the epidemiological surveillance of leprosy that are better suited to the realities of the municipalities and, in consequently, to the Regional Health Centers.
Análise do perfil clínico em pacientes com insuficiência cardíaca atendidos no Centro de Especialidades Médicas do CESUPA no município de Belém-Pará
(Centro Universitário do Estado do Pará, 2020) Dourado, Breno Gurgel; Ferreira, Lucas Afonso Maia; Costa, Alberto Freire Sampaio; Lima, Jackson Cordeiro; http://lattes.cnpq.br/5898669844844564; http://lattes.cnpq.br/8830564785408868
INTRODUCTION: Heart failure is a disease of high prevalence in Brazil and a great burden for health systems. The Disease has a wide and disabling clinic and an obscure prognosis if not treated correctly. Local knowledge of the variables of patients with the disease is essential for improving the quality of care and improving the life expectancy of patients. OBJECTIVE: Analyze and document the clinical-epidemiological profile of patients with Heart Failure (CH) treated at the Centro de Especialidades Médicas do Centro Universitário do Estado do Pará (CEMEC). METHODS: The information was collected from 62 medical records of patients diagnosed with Chronic Heart Failure enrolled at CEMEC based at CESUPA Campus in Belém-PA, using a protocol made by the researchers for the collection of epidemiological data of these patients. Medical records of all patients registered at CEMEC with a diagnosis of HF who had described the results of at least one echocardiographic examination were included, excluding those with loss of follow-up greater than 3 years in the ambulatory and those ones with severe comorbidities that would hinder the objective analysis of the results. For quantitative statistical analysis, the Biostat 5.3 program was used. RESULTS: 54% of the patients are male (n = 34/62), with an average age of 68 years. Systemic arterial hypertension (SAH) was found in 93.5% (n = 58/62) of these patients, being the main comorbidity, followed by dyslipidemia (43.5%; n = 27/62). 58.1% had heart failure with preserved ejection fraction – HFPEF (n = 36/62), and 37.1% (n = 23/62) being in NYHA I functional class and 22.6% (n = 14 / 62) in NYHA III. It was found that 48.3% of these patients have a very high cardiovascular risk. Regarding therapy, 90.3% use ACE inhibitors or ARBs, with Losartan being the main representative (79%; n = 49/62). 85.5% use beta blockers, with carvedilol being the most used (69.4%; n = 43/62). Spironolactone is used by 43.5% of patients (n = 27/62). Statins are used by 72.6% of patients. CONCLUSION: The study confirmed that the clinical-epidemiological profile of patients seen at the cardiology ambulatory of CEMEC is compatible with the epidemiology described in other studies, being mostly composed of elderly men, with multiple comorbidities, with SAH being the main one. It was also found that the treatment proposed by the outpatient professionals is in accordance with that recommended by the Brazilian guideline for heart failure, as well as being supported by systematic reviews with meta-analyzes. The absence of documentation of echocardiographic examinations in some medical records was noted, as well as a lack of data such as the functional classification of the patient and the HF phenotype.
Análise do perfil epidemiológico auto-referido em amostra de brasileiras grávidas durante a pandemia de COVID-19: um estudo transversal (2020-2021)
(Centro Universitário do Estado do Pará, 2021) Pinto, Hana Paula Campos; Pereira, Isabela Rosita da Silva; Teixeira, Cláudio Eduardo Corrêa; http://lattes.cnpq.br/7448998858430931
Introduction: In early 2020, the world began to experience impacts of different magnitudes at different levels and activities of human society, due to the occurrence of the pandemic of a new coronavirus (SARS-CoV-2), which causes a systemic disease, now recognized as COVID-19. In this context, the acquisition and interpretation of epidemiological data, many of a nature never worked on before, became essential for making preventive decisions and for containing the spread of the disease, as well as for clarifying the real impacts of the pandemic. Objective: To carry out an exploratory survey of the impact suffered by Brazilian pregnant women during the COVID-19 pandemic. Methodology: This study is characterized as observational, cross- sectional, exploratory. Data were obtained from a questionnaire distributed by social networks to all Brazilian states from April 2020 to July 2021. Among more than 60,000 respondents, 500 pregnant women reported on the main aspects of impact on their lives during the pandemic: with how many co-inhabitants share their homes, if they already have children, if they managed to isolate and distance themselves adequately, if they had to work to support themselves, if they were tested and/or vaccinated, among several other aspects. All data were organized, cleaned and worked using the statistical computer program R. Results: The results show that most pregnant respondents are between 30-39 years old, live in the southeast (SP), in a home with a single family (3 people), formed by only young people and adults (or with few elderly and more children), they think they do not need to be tested, they did not have any symptoms, they suffered from anxiety, they work in places where prevention measures are implemented, they avoid crowding, they think the governmental measures taken are insufficient, they are in favor of lockdown, but in favor of the opening of sporting events, they did not have a significant economic impact, they think that having to take care of children makes isolation difficult, and they do not have other risk factors for COVID-19 serious. Conclusion: We conclude that, in general, Brazilian pregnant women in our sample were impacted differently by the pandemic, showing a very evident preventive behavior. This raises the question of whether such behavior does not explain the low number of pregnant women among the cases and deaths recorded during the pandemic.
Análise epidemiológica do impacto da pandemia da COVID-19 nas notificações da hanseniase na região norte
(Centro Universitário do Estado do Pará, 2023-05-30) Falqueto, Alessandra Andrade; Neves, Dilma Costa de Oliveira; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678; http://lattes.cnpq.br/7230812534416350; Santos, Eliane Regine Fonseca; http://lattes.cnpq.br/3837797857505891; Matos, Haroldo José de; http://lattes.cnpq.br/9830983900880582
Leprosy is an infectious disease caused by Mycobacterium leprae, affecting mainly the skin and peripheral nerves, with a chronic course. Although the leprosy detection rate showed a downward trend between 2015 and 2021, this finding may be related to the effects of the lower number of diagnoses caused by the overload of health services and restrictions during the covid pandemic -19. To analyze the impact of the covid-19 pandemic on leprosy notification in the North of the country, between the period 2015 to 2021. Descriptive study of leprosy cases, occurring in the North Region, using existing records in the Information System of Notifiable Diseases made available to the public by the Department of Informatics of the SUS, notified in the period from 2015 to 2021. The TABNET tool was used for extraction of the data and a simple descriptive statistical analysis was performed, with the aid of the BioEstat 5.3 program. The number of cases notified in Brazil and in the North Region of the country had an important reduction in the Covid-19 pandemic, in the years 2020 and 2021. Even with the lowest number of notifications during this period, the North Region is still considered with a high rate endemicity of leprosy. It is believed that the Covid-19 pandemic had a negative impact on notifications of new cases of leprosy and that over the next few years there may be a significant increase in cases due to underreporting during the period of the Covid-19 pandemic.
Aspectos epidemiológicos dos óbitos de crianças por afogamento nas regiões brasileiras
(Centro Universitário do Estado do Pará, 2019) Rezende, Maíra dos Santos da Mata; Gonçalves, Vívian Danielle Bastos da Silva; Neves, Dilma Costa de Oliveira; http://lattes.cnpq.br/7230812534416350
Introduction: Drowning is the leading cause of unintentional death in children, among external causes, and the one that has the greatest family, social and economic impact. It is a public health problem, in which prevention is the main tool. Objectives: Describing the epidemiological profile of children from 0 to 11 years old who were victims of drowning and accidental submersion that evolved to death in the Brazilian regions and capitals from 2010 to 2017. Methodology: Ecological study whose data were collected from the Mortality Information System (SIM) provided by the IT Department of the Unified Health System (Datasus). The study variables were: age, sex, race/color, year of death (2010 to 2017), place of death, region of occurrence and the primary cause of death classified in ICD-10, with alpha numeric code W65 to W74. The variables were grouped by Brazilian Regions. Results: Drowning as the primary cause of death in children in Brazil represented 19.3% (6,296) of all deaths from external causes, with the highest proportion (32.8%) observed in the Northern Region. The highest proportion of drowning deaths occurred in the state capitals was observed in the Midwest Region (25.1%), followed by the North Region (19.3%). It was observed that deaths from drowning children tend to increase in the Midwest and South regions and to decrease in the North, Northeast and Southeast regions. The predominant age group of deaths was between 0 and 2 years of age (2,405), mainly in the North, Midwest, South and Southeast. In the Northeast, there was superiority in the age group from 6 to 11 years (919), with the highest absolute number of drowning deaths in children. There was a predominance in males (4,337) in all Brazilian regions, with higher occurrence in the Northeast. Brown race/color was predominant in all regions except the Southern region. The mortality rate was higher in children aged from 0 to 2 years (163) in all regions. The main day of the week for all regions was Sunday, with a predominance of afternoon time. As for the place of occurrence, excluding the unspecified place of occurrence (615), the drowning of children in natural waters (422) stood out in all regions, followed by residence, for the North and Northeast regions and pool in the Center regions. West, South and Southeast. In the North and Northeast regions, the most frequent age range in natural waters is from 6 to 11 years and in residence from 0 to 2 years. While in the South, Southeast and Midwest, the occurrence of drowning in natural waters predominated, with the most frequent age range between 6 and 11 years, followed by swimming pool, aged between 0 and 2 years. Conclusion: We emphasize the importance of the results obtained for the creation of drowning prevention strategies in children, contributing to the improvement of the quality of life of families and society as a whole.
Associação entre o pertencimento a grupos de risco para COVID-19 e o estado emocional autorreferido de cidadãos brasileiros durante a pandemia de 2020-2021: um estudo transversal
(Centro Universitário do Estado do Pará, 2021) Sizo, Marcele de Pinna; Fukushima, Vanessa Iukari; Teixeira, Cláudio Eduardo Corrêa; http://lattes.cnpq.br/7448998858430931
Introduction: In early 2020, the world began to experience impacts of different magnitudes at different levels and activities of human society, due to the occurrence of the pandemic of a new coronavirus (SARS-CoV-2), which causes a systemic disease, now recognized as COVID-19. In this context, the acquisition and interpretation of epidemiological data, many of a nature never worked on before, became essential for preventive decision-making and for containing the spread of the disease, as well as for clarifying the real impacts of the pandemic. Objective: To investigate whether there is a correlation between being in a risk group for severe COVID-19 and having some impairment in emotional status related to pandemics. Methodology: This study is characterized as observational, cross-sectional, exploratory. Data were obtained from a questionnaire distributed by social networks to all Brazilian states from April 2020. Among more than 60,000 respondents, 45,025 informed if they are part of any risk group for serious disease and if they present any it harms your emotional state. Correlation between these datasets were carried out using linear autocorrelograms. All data were organized, cleaned and worked using the statistical computer program R. Results: The results show that, in general, there is no significant correlation between being from a risk group and having an impaired emotional state, regardless of whether the citizen is an adult or elderly, female, male or other. Conclusion: We conclude that the impact on mental health generally related to the pandemic must be associated with factors other than the presence of risk factors for serious illness.
Coinfecção HIV/Sífilis em homens vivendo com HIV em centro de referência de assistência em AIDS em Belém
(Centro Universitário do Estado do Pará, 2020) Gaia, Gabriel Nogueira; Santos, Jéssica Almeida; Brígido, Helena Andrade Zeferino; http://lattes.cnpq.br/6780493949155060
Introduction: Coinfection between HIV and Treponema pallidum has a synergistic action, characterized by both the increased transmission of HIV and the atypical evolution of treponemal infection. Therefore it is necessary to demonstrate the rates and relationship of syphilis coinfection and HIV / Aids. Objectives: To analyze the prevalence and factors related to syphilis coinfection and HIV / aids in the city of Belém-PA, as well as to describe sociodemographic and behavioral characteristics and to identify the factors associated with human immunodeficiency virus (HIV) co-infection and acquired syphilis cases. Methods: Cross-sectional, prospective and descriptive qualitative study that consisted of the application of a questionnaire prepared by the researchers. We interviewed and followed 127 patients followed in a reference institution in Infectious Diseases and Sexually Transmitted Infections (STI) in 2018-2019 in the State of Pará. Results: The total number of patients interviewed (127) was properly distributed after analyzing the data and their variables. There was a predominance of patients between 30-34 years (24.4%) and 25-29 years (18.1%). When asked which race / color, 81 (63.8%) identified as brown. Approximately half of the patients, 63 (49.6%), when analyzed for exposure category, identified themselves as homosexuals, while the other half was divided between heterosexuals 41 (32.03%) and bisexuals. 23 (18.1%). Regarding the diagnosis and development of aids, 64 (50.4%) had developed Aids, which represents more than half of the number of patients analyzed. When asked about the highest level of education obtained so far 51 (40.2%) have completed high school. When analyzing the data on the distribution of the diagnosis and treatment of syphilis already performed, it was observed that 44 (34.6%) patients at some point in their life had already been treated for syphilis, the main scheme used was benzathine penicillin G, corresponding to 40 (90.9%) of the total. In addition, 18 (14.2%) patients reported having a current or past sexual partner with syphilis. Of the 127 patients who participated in the interview, when evaluated in the laboratory for the results of FTA-ABs, 23 (76.7%) patients were reactive. Finally, when evaluated for the immunological and virological state of the disease, in laboratory terms, considering CD4 + values and Viral Load, there was a significant proportion of CD4 +> 350 cells / mL and Undetectable viral load. Of the total, 94 (80.3%) had such lymphocyte count> 350 cells / mL. Regarding the Viral Load result, 97 (82.9%) presented undetectable viral load, ie, less than 50 copies / ml. Conclusion: The study demonstrates the high prevalence of syphilis and HIV / Aids coinfection among patients treated in the city of Belém, as well as identifies the unequal distribution of the disease, taking into account socio-demographic aspects such as age, race, exposure category and schooling. The results may support a possible reorganization of care and medical service regarding the development and progression of such diseases.
Conhecimento acerca dos cuidados paliativos em internos do curso de medicina de uma instituição privada de ensino em Belém/PA
(Centro Universitário do Estado do Pará, 2023-05-29) Anijar, Victória Haya; Azevedo, Yuri de Sousa; Albuquerque, Mário Roberto Tavares Cardoso de; http://lattes.cnpq.br/3233617656287982; Souza, Ivete Moura Seabra de; http://lattes.cnpq.br/5318491010793081; Vinagre, Nádia Carolina de Lima; http://lattes.cnpq.br/9449802655052094
Brazil is experiencing a demographic transition, with changes in dietary and behavioral patterns, increasing the incidence of non-communicable chronic diseases. In view of this, there is a breakdown of the family group as the disease progresses and even the patient's death. In this context, curative medicine emerges, with Palliative Care, which aims to alleviate the suffering of the patient and the family, through physical, psychological, social and spiritual health care, easing the death process. To analyze knowledge about palliative care in students of the 11th and 12th semester of the Medicine course at the Centro Universitário do Estado do Pará (CESUPA) in the year 2022. A cross-sectional, observational and descriptive study was carried out based on the application of a virtual evaluated to the academics in question. 89 students were analyzed, 70.78% female and 29.21% male, with most students being 20-25 years old (70.78%) and only 4.49% taking a course extracurricular on the subject. A large part of the students had knowledge about the subject, either in relation to the concepts that support palliative care (77.3%), or about the therapy used (85.69%), as well as who this care is intended for (79, 02%). Although most students have knowledge about the subject, it is noted that it is necessary to implement the subject in the course curriculum, as well as to offer extracurricular courses on the subject, due to the local and global importance in which it is inserted.
Epidemiologia das internações por transtornos mentais e comportamentais no Brasil
(Centro Universitário do Estado do Pará, 2019) Melo, Maria Fernanda Marques; Camacho, Thais Feitosa; Del Nero, Luciana Brandão Carreira; http://lattes.cnpq.br/5056614008350803
Introduction: Mental disorders have high prevalence rates in the population and represent a significant demand for health services. Because chronic diseases are highly prevalent in the world, mental disorders contribute to early morbidity, disability, and mortality. It is estimated that 25% of the general population has one or more mental disorders throughout their lives. In Brazil, the National Mental Health Policy has been carried out through a model of mental health care advocated in the principles of Brazilian psychiatric reform. Objective: To analyze the epidemiological profile of hospitalizations due to mental and behavioral disorders in Brazil from 2008 to 2017. Method: The study is epidemiologic, ecological, quantitative and descriptive, based on secondary data related to hospital admissions due to Mental and Behavioral Disorders available at SIH / DATASUS. Results: In the analyzed period there were 2.583.073 million for mental and behavioral disorders, corresponding to 2.30% of total hospitalizations, there was a gradual decrease in the percentage of hospitalizations over the 10 years. Schizophrenia, schizotypal and delusional disorders presented the highest percentage (38.99%) among morbidities, there was a decrease in hospitalizations due to alcohol use (18.98% to 16.79%) and an increase in hospitalizations due to mood disorders (16.24% to 22.25%) and disorders due to the use of other psychoactive substances (14.53% to 18.54%). The largest number of hospitalizations is concentrated in the Southeast region (1,069,849) and the highest percentage in the South region (3.8%). The age group of 30 to 39 years (25.75%), male (64.03%), and white / race (41.4%) were the most prevalent. We observed a progressive increase in the mortality rate (0.55%) and a reduction in the average length of stay (45.4 days to 31.8 days). Conclusion: The present study demonstrated the gradual decrease in the percentage of hospitalizations due to mental and behavioral disorders in Brazil during the analyzed period and was an auxiliary tool in the formulation of strategies and public policies in the area of mental health.
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/1589784931947823
promotes 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.
Internação de pacientes por doença hepática no Brasil de 2009 a 2018
(Centro Universitário do Estado do Pará, 2020) Neves, Anie Rebecca Oliveira; Santana, Carolina Iris Pereira de; Lins, Nara Alves de Almeida; http://lattes.cnpq.br/7967734262982303
Liver diseases are a major cause of hospitalization worldwide, and has been on the rise over the last few decades, mainly due to chronic liver diseases such as alcohol, non-alcoholic fat, cirrhosis and chronic hepatitis by the C virus, which, without the appropriate assistance, increase the hospital costs of assistance for these patients, creating the possibility of an unfavorable evolution of these, who may need a liver transplant. Objective: to define the average hospitalization time for liver disease patients by region of Brazil, from 2009 to 2018, correlating with the expenses related to this permanence and their respective mortality rate. Method: ecological, quantitative and descriptive methodology, based on data, publicly available through SIH/ DATASUS. Results: there was a downward trend in the number of hospitalizations for liver diseases in 2018. Even though it is not statistically significant, the reduction is mainly due to alcoholic liver diseases. It was also noted that other liver diseases lead the number of hospitalizations in Brazil, mainly affecting males in the 40-59 age group, with a downward trend of 20-39 years. Regarding the average stay, in Brazil, the average is 8.5 days for alcoholic diseases and 8.8 days for non-alcoholic ones, with less stay in the South region (7.4 days) and more days in the North and Northeast (9.3 days). With regard to the amount paid for the treatment of liver diseases, there was a 58,4% increase in the 10 years studied. The highest hospital mortality rate is mainly due to alcoholic disease, with the southeast region having the highest mortality rate; and to the north, the smallest. In addition, mortality from general liver disease in Brazil, by region, was caused mainly by alcoholic disease, in the 40-59 age group, and liver fibrosis and cirrhosis for those over 60, predominantly in men. Regarding liver transplants, the number of cases has been growing slowly over the period studied, with the largest increase in expenses observed in the period from 2011 to 2014 due to the implementation of new transplant centers, in which the southeast region was the one that had the largest number of these procedures. Conclusion: It was noted that the amount paid for hospital services for the treatment of liver disease patients increased by 58,4% in the decade studied, but the average hospital stay remained practically constant, as well as the hospital mortality rate by region, per year, did not have a significant change, showing that even when spending more, the service is unable to maintain its efficiency and effectiveness.
O impacto da cobertura vacinal na incidência de sarampo no estado do Pará no período de 2003 a 2019
(Centro Universitário do Estado do Pará, 2021) Rodrigues, Fernanda do Socorro Rocha; Albuquerque, Maria Eduarda Guerra; Santos, Eliane Regine Fonseca; Matos, Haroldo José de; http://lattes.cnpq.br/9830983900880582; http://lattes.cnpq.br/3837797857505891
Measles is an acute infectious and contagious disease of viral etiology that can be prevented by vaccination. Despite the Pan American Health Organization (PAHO WHO) having granted the measles free country certificate to Brazil in 2016, this achievement was short lived, with new outbreaks occurring in 2018. Among the states that reported the most cases, there is Pará. Simultaneously, the territory of Pará has also registered low rate of vaccination, making it possible to correlate these data. Objective: R ecognize the socio demographic profile of reported and or confirmed measles cases and their possible relationship with the vaccination coverage rate (triple and tetra viral) in Pará. Method: The research is characterized as a descriptive, retrospective s tudy, with quantitative analysis secondary data, from January 2003 to December 2019, from the Epidemiological Surveillance of the State of Pará and TABNET DATASUS, referring to the totality of notified and confirmed cases, in addition to the registered vac cination rate. Results: The sample consisted of a 13 year time series, comprising the years 2007 to 2019 for suspected cases, 2018 and 2019 for confirmed cases, vaccine coverage of the Triple viral from 2003 to 2019 and Tetra Viral vaccination coverage of 2013 to 2019. In the sample period, there was a higher rate of confirmed cases in male individuals, aged 15 to 19 years old, mixed race, with incomplete elementary school and the laboratory criterion as the majority for confirming the disease. The reported cases follow a similar pattern, except for the age group criterion, where the largest portion was represented by children under 1 year. Regarding the vaccination coverage rate, the Triple Viral vaccine obtained good adherence on the part of the population with the state average exceeding 95% of the target population by the year 2014, presenting an agreement below the expected from 2015. The Tetra Viral vaccine, inserted in the vaccination calendar of the Ministry of Health in 2013, did not demonstrate sat isfactory adherence in any of the years studied. Conclusion: It was possible to conclude that the epidemiological pattern of measles cases in Pará is similar to that presented in the national territory. In addition, it was inferred that adherence to the va ccination schedule, especially dose 1 against Measles (represented by the triple viral), may be related to the increase in the number of cases of the disease in the state, since the number of cases of the disease it grew again after the decrease in the vac cination rate.
Perfil clínico dos casos de readmissão hospitalar em um hospital particular de Belém – PA, no ano 2019
(Centro Universitário do Estado do Pará, 2021) Feijó, Fábio Soares Fontenelle; Ribeiro, Tsutomu Kamada Chaves; Lins, Nara Alves de Almeida; Royer, Steffany Carmo; http://lattes.cnpq.br/7967734262982303
Introduction: Hospital readmission is an important indicator of the quality of care of health services and through its analysis it is possible to detect failures in patient care, which can generate an economic and social burden for hospitals and for the health system and its users. Objective: To relate hospital readmission, within 30 days, to the most prevalent factors identified in hospitalized patients in the internal medicine sector in a private hospital in the city of Belém in 2019 ,. Methodology: This is an observational, descriptive and cross-sectional study, based on information collected and analyzed from 139 electronic medical records of clinical patients readmitted within 30 days at the Belém Adventist Hospital from January to December 2019. The collected data were collected. through a program of the institution and stored in a database using spreadsheets from the Microsoft Excel 2016 program. Data analysis was performed with the aid of the Bioestat 4.0 program. Results: In the study, 47% of patients were female and 53% male. Of the 139 readmitted patients, 80% were discharged and 20% died. It is not possible to observe the influence of the ECOG on the time interval between hospitalizations or on the length of stay of hospitalizations. The most common diagnoses found were urinary tract infections (UTI) and respiratory infections. Conclusion: Despite the characterization of the readmitted patients' profile, it was not possible to develop a readmission predictor tool, as none of the variables studied was created to predict a probability of early readmission, but recognizing the profile of readmitted patients allows for a better understanding of the disease cure process. This study can serve as a basis for future research with the aim of promoting improvements in patient care.
Perfil clínico e epidemiológico de pacientes pediátricos portadores de febre reumática atendidos em um Centro de Especialidades Médicas do Pará
(Centro Universitário do Estado do Pará, 2021) Azevedo, Camila Pantoja; Lima, Gabriela Elenor dos Santos; Cavalcante, Erica Gomes do Nascimento; http://lattes.cnpq.br/6296398919595807
Introduction: Rheumatic fever consists of a non-suppurative inflammatory process resulting from an immune response to pharyngotonsillitis caused by beta-hemolytic A streptococcus and affects mainly developing countries. Arthritis is the most common clinical manifestation, followed by carditis, which is the manifestation of the worst prognosis, fever is a common symptom at the beginning of the acute condition. The diagnosis is based on the Jones criteria, requiring the presence of two major criteria or one major and two minor criteria. The main way to avoid its complications is through prophylaxis with benzathine penicillin G lasting for years, varying according to the degree of involvement. Objective: To analyze the clinical and epidemiological profile of pediatric patients with rheumatic fever in a Center of Medical Specialties in Pará. Method: An observational, cross-sectional, descriptive study was carried out, with a quantitative assessment of 17 medical records of patients with rheumatic fever at the Pediatric Rheumatology outpatient clinic from January 2017 to October 2020. Results: Patients with rheumatic fever correspond to 5.10% of the total number of patients attended at the Pediatric Rheumatology outpatient clinic. Of the total, 10 patients were male and 7 female. In addition, 10 were 10 years old or older. As for socioeconomic conditions, 70.6% lived in a brick house, and this same percentage lived in an urban area and 47.1% had a family income equal to or less than 1 minimum wage. No patient reported similar cases in the family. As for clinical manifestations, fever was found in 88.2% of cases, arthritis in 58.8%, mild carditis in 47.1%, Syndeham's chorea in 35.3%, erythema marginatum in 35.3%, migratory arthralgia in 29.4% and subcutaneous nodules in 29.4%. Also, 58.8% arrived at the clinic with the diagnosis. The most frequent reasons for referral were rheumatic fever (7), carditis (5) and Syndeham's chorea (5). The most requested initial exams were blood count (13), ESR (13), PCR (13) and ASLO (12). After starting follow-up at the outpatient clinic, 100% of the patients received treatment with benzathine penicillin G. Conclusion: In this research, mainly male, brown patients, from the countryside and with an average age of 10 years, were affected. The most common clinical manifestations were fever, carditis and arthritis. The most requested initial tests were blood count, ESR, CRP and ASLO and the median time between the first manifestation and the diagnosis was 2 months. Five patients interrupted prophylaxis with benzathine penicillin G and two patients presented recurrence.
Perfil clínico e epidemiológico dos pacientes portadores de doenças intersticiais pulmonares em um Centro De Especialidades Médicas em Belém-PA
(Centro Universitário do Estado do Pará, 2022) Sarmento, Matheus Alonso de Souza; Silva, Paulo André Dias da; Monteiro, José Tadeu Colares; http://lattes.cnpq.br/7627103187307808
Objective: To characterize the epidemiological profile associated with the clinical repercussions of patients diagnosed with interstitial pulmonary disease who are being accompanied by the Center of Medical Specialties of the Centro Universitário do Estado do Pará (CEMEC-CESUPA) in Belém do Pará, to thru it contribute as a source for other papers. Methodology: The study developed is cross-sectional, descriptive and observational with quantitative and qualitative, descriptive and analytical approach, with data collection in the medical records of patients older than 18 years treated at the Center of Medical Specialties of the Centro Universitário do Estado do Pará (CEMEC-CESUPA) conducted from January 2018 to June 2022. Results: 74 patients were included. The majority (51 or 68.9%) were female and 23 (31.1%) were male. More than half (42 or 56.8%) were aged 60 years or older. 36.5% of the individuals had final diagnosis of idiopathic pulmonary fibrosis, 22 (29.7%) had hypersensitivity pneumopathy, 10 (13.5%) had pneumopathy secondary to rheumatoid arthritis. Regarding the exposure of patients with IPD, it was identified that 15 individuals (20.3%) had exposure to birds and 11 (14.9%) had exposure to mold. As for the symptoms presented, most (68 or 91.9%) had dyspnea, (57 or 77%) had a cough, and 45 or 60.8% had Velcro crackles. Among the tomographic alterations, most (58 or 78.4%) had ground glass, (57 or 77.0%) had septal thickening, (45 or 60.8%) bronchiectasis and (43 or 58.1%) had fibrosis. Regarding the main drugs used in the treatment of patients diagnosed with IPD, it was found that prednisone corresponds to 55.4%, nintedanib 21.6%, acetylcysteine 14.9% and azathioprine 13.5%. Conclusion: This study contributed with important clinical and epidemiological information for the creation of a clinical profile of patients, in addition to expanding the knowledge about their tomographic changes and the main therapies used in the treatment of interstitial lung diseases.
Perfil clínico e epidemiológico dos pacientes submetidos ao ecocardiograma diagnosticados com insuficiência cardíaca com fração de ejeção reduzida no Hospital da Aeronáutica de Belém no período de janeiro de 2021 a agosto de 2022
(Centro Universitário do Estado do Pará, 2023-08-08) Melo Junior, Afonso Moraes; Machado, Louise Pinheiro Moutinho; Pereira, Paulo Henrique Nunes; http://lattes.cnpq.br/5351191172079560; http://lattes.cnpq.br/9482657241416195; Aline Ferreira, Travessa; http://lattes.cnpq.br/0235935466163218; Monteiro, Antonio Maria Zacarias Araújo; http://lattes.cnpq.br/1139273782721618
Heart failure (HF) is a complex clinical syndrome that renders the heart incapable of pumping blood to meet the metabolic demands of the body, either by insufficient output or through high filling pressures. Therefore, understanding the clinical and epidemiological profile of HF patients is essential for implementing algorithms recommended by various guidelines in the treatment of patients at the Hospital da Aeronáutica de Belém (HABE). To analyze and document the clinical-epidemiological profile of patients with reduced and mildly reduced ejection fraction heart failure (HF) treated at the Hospital da Aeronaútica de Belém (HABE). This is a cross-sectional observational study, with a descriptive and analytical approach, using documentary analysis of 47 medical records of patients diagnosed with HF and reduced or mildly reduced ejection fraction. A specific protocol was used for data collection. The Biostat 5.3 program was used for quantitative statistical analysis. 59.6% of the patients were male, and 80.9% were between 60 and 95 years old. Systemic arterial hypertension was found in 59.6% of the patients, followed by diabetes mellitus in 36.2% and coronary artery disease in 29.8%. Ischemic etiology was the most frequent, accounting for 46.8% of the cases. The most common New York Heart Association functional classes were NYHA II, with 23.4% of the patients being asymptomatic from a cardiovascular perspective. Echocardiograms revealed that 59.6% had reduced ejection fraction HF, while 40.4% had mildly reduced ejection fraction HF. In terms of therapy, the standard triple therapy was utilized. The majority of the study's patients with reduced and mildly reduced ejection fraction heart failure were male (59.6%), aged between 60 and 95 years (80.9%), and married (42.6%). Regarding comorbidities, a high presence of diseases strongly associated with HF was found, such as systemic arterial hypertension (59.6%), diabetes mellitus (36.2%), and coronary artery disease (29.8%). Therefore, given the high prevalence of manageable and preventable chronic diseases, it is advisable to provide a multidisciplinary approach involving geriatrics, endocrinology, and nutrition. However, it is important to note that there was a lack of anthropometric records during data collection, which could contribute to better clinical monitoring. Regarding the functional class, a predominance of NYHA II was observed, although this data also suffered from inadequate record-keeping in the medical records. In terms of medication use, there was a high utilization of medications recommended in the triple therapy of the 3rd Brazilian Guideline for Heart Failure. However, there was still a low usage of medications recommended in the most recent guidelines from the American Heart Association/American College of Cardiology (AHA/ACC) and the European Society of Cardiology (ESC). Furthermore, the analysis comparing the most frequently used medications between the two phenotypes, as well as their doses and dosages, was hindered due to the lack of adequate recording.
Perfil de mulheres vítimas de agressão que foram a óbito no período pré e pandemia no estado do Pará no ano de 2018 a 2020
(Centro Universitário do Estado do Pará, 2023-11-07) Rodrigues, Ana Luísa Damasceno; Reis, Lilian Rose Martins; Luz, Patrícia Bárbara Pinho da; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678; http://lattes.cnpq.br/2182892468197821; Rodrigues, Brenda Diniz; http://lattes.cnpq.br/6746290429073526; Miranda, Rayssa Pinheiro; http://lattes.cnpq.br/1849222504854523
Aggression followed by female death is a problem that affects social, cultural and public health spheres, with male chauvinism, patriarchy and misogyny being one of the triggering factors for the deaths of women due to aggression in the world. Currently, Brazil is classified as the fifth country with the highest number of these deaths, affecting victims of different age groups, ethnicities, marital status and education. To analyze the profile of deaths of women due to aggression in the pre and pandemic period in the state of Pará. This study used a combined methodological approach, involving bibliographical research, quantitative analysis and descriptive analysis. The data source used was the Mortality Information System (SIM) of the Datasus Program, covering the period from 2018 to 2020. A total of 3.971 cases of death due to aggression against women that occurred in the state of Pará were registered, and in 2018 there were specifically 1.736 cases, in 2019 there were 1.217 and in 2020 there were 1.018. It was noted that, in the 3 years analyzed, Belém was the municipality with the highest number of death notifications, with 82 in 2018, 55 in 2019 and 34 in 2020. Most victims were of brown ethnicity, single, aged between 20 and 29 years old and with 4 to 7 years of age. schooling. Cases were more prevalent in their own household. As for the cause of death, the most frequent was due to aggression by a sharp or penetrating object. There was an increase in the number of cases of death by aggression in the state of Pará during the Pandemic period due to the greater coexistence of the aggressors with the victims at home. Due to this, there was also a greater difficulty for women to report such events, favoring the occurrence of underreporting. It is noteworthy that many victims, for not having knowledge about the legal means of defense, become more susceptible to such unfortunate events. Thus, the study addressed in this work demonstrates the importance of recognizing such a problem in society and the need for multidisciplinary actions to combat such an occurrence in the state of Pará.
Perfil epidemiológico da mortalidade infantil por sepse no estado do Pará
(Centro Universitário do Estado do Pará, 2024-06-14) Vanderley, Eduarda Lisboa; Rossy, Julia Borges; Costa, Laiza Souza; Caldas, Emylly Barrozo; http://lattes.cnpq.br/5177663145138920; Rosa, João Victor Moura; http://lattes.cnpq.br/4313376872732929; Freitas, Luana da Silva
Sepsis is the leading cause of death in Intensive Care Units (ICU) worldwide, with an estimated number of more than 48 million cases and 11 million deaths annually. Sepsis can be considered one of the main adverse events that impact life, as it is life-threatening and can be defined as the systemic response to an infectious disease, whether caused by pathogens. To carry out an epidemiological study that identifies the epidemiological profile of mortality due to sepsis in children in the state of Pará. This was a cross-sectional, quantitative epidemiological study that consulted the public database (TABNET) from 2021 to 2023. The sample The research was obtained through screening of data obtained from the mortality database for children in age group 1. From the consultation, the data obtained was organized and tabulated. From this, we proceeded with statistical analysis using the GraphPad software, performing parametric and non-parametric tests, to define incidence, prevalence and epidemiological profile. It is observed in the results of this research that the incidence of mortality due to sepsis affects boys and girls in the same proportion, being preponderant in the metropolitan region of the state and of mixed race ethnicity, as well as being predominant in public hospitals, however treatment in the state of Pará is being effective because the number of hospitalizations is greater than the number of deaths recorded, and the year with the highest number was 2021. It is worth highlighting that several factors influence this index, such as family income, which tends to be aggravating in families of low, the absence of basic public health, such as water and electricity, and access to the private health system, which increases hospitalizations in public systems. Therefore, it is a plausible discussion and a challenge to be met to improve the supply and public health assistance for the population, intensifying prevention and health promotion. Thus, this research makes it possible to reflect on the importance of the theme of epidemiological studies on sepsis, reinforcing both that there is no difference in mortality between patient sexes, the occurrence in greater proportions in the public service, as well as the importance of evaluating whether the reduction of mortality in hospitalized patients is due to improvements in team training, or underreporting of mortality in the systems. Therefore, it is extremely important to collect epidemiological data in the region, as this generates data and statistical analyzes that can be compared, generating impacts on community health prevention.
Perfil epidemiológico de internações por Diabetes Mellitus no Brasil de 2015 a 2019
(Centro Universitário do Estado do Pará, 2020) Cruz, Alfredo Henrique de Oliveira; Eguchi, Bruna Sayuri; Rodrigues, Cybelle Cristina Pereira; http://lattes.cnpq.br/9540610661271303
Introduction: Diabetes Mellitus (DM) is a chronic metabolic disorder, which causes a state of persistent hyperglycemia, and can be classified according to the etiology into type 1 (DM1), type 2 (DM2), gestational, among other specificities. Its main symptoms weight loss, polyuria, polyphagia and polydipsia, which can appear silently years before diagnosis. The increase in the prevalence of DM is associated with several factors, mainly the epidemiological transition, with the increase in life expectancy in Brazil and the consequent aging of the population. Objective: Analyze the profile of hospitalizations for Diabetes Mellitus in Brazil, in the period from 2015 to 2019. Methodology: Epidemiological, ecological, quantitative and descriptive study, based on secondary data related to hospital admissions for Diabetes Mellitus available at SIH / DATASUS. All hospitalization records that contained ICD E00 to E90 as the main diagnosis were included. The variables were grouped into the number of hospitalizations for DM in each Brazilian region; socio-demographic profile (age, sex, race / color); character of assistance; number of deaths; mortality rate; average value per hospitalization; hospitalization time. Results: In the period from 2015 to 2019, there were 58,005,782 hospitalizations, of which 1,230,786 were due to endocrine and metabolic diseases, which corresponds to 2.12% of the total hospitalizations. Out of the hospitalizations for endocrine and metabolic diseases, more than 50% are diagnosed with DM. The highest number of hospitalizations is in the Northeast (1.39%). The age group of 60 to 64 and 65 to 69 (both with 12.2% each), female (51.7%), race / brown color (36.7%) and emergency care (94.7% ) were more prevalent. A variation in the hospital mortality rate was analyzed in the different regions, with a greater increase in the North (0.54) and a greater decrease in the Northeast (0.69). There was an increase in the average values per hospitalization throughout Brazil, with a total expenditure of R $ 4,590.80 in 2019. As for the length of stay per hospitalization, there was a higher average in 2018 (8.1 days). Conclusion: The present study showed a decrease in the percentage of hospitalizations for diabetes mellitus in Brazil over the analyzed years, which reflects the effectiveness of public health policies implemented in relation to the prevention and diagnosis of diabetes mellitus.