Navegando por Assunto "Estilo de vida"

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A relação entre síndrome de burnout e lembranças de práticas parentais em estudantes de medicina
(Centro Universitário do Estado do Pará, 2020) Diniz, Ana Beatriz de Sousa; Jamielniaski, Rafael Almeida Kapassi; Carvalho, Ana Emília Vita; Furlaneto, Ismari Perini; http://lattes.cnpq.br/9542085122721945; http://lattes.cnpq.br/1981562999898097
Introduction: Medical students are continuously subjected to stressful factors, predisposing to psychological problems such as Burnout Syndrome. Socioeconomic factors influence the syndrome, but parental practice has not been taken into account in other studies with this population. Objectives: Describe the prevalence of Burnout Syndrome and the model of parenting practices in medical students. Methods: Cross-sectional, analytical and descriptive study with a quantitative approach to the data, in which 189 students from the 1st, 4th and 6th year of a medical course participated, with an average age of 22.9 years, with 60% of the sample being female, 40% male. The data were collected through socio-demographic and economic questionnaire, Maslach Burnout Inventory, and Scale on Memories of Parenting Practices. Results: The studied sample showed that in MBI the highest averages were in the domain 'personal achievement' (40.9). Comparing the MBI scores by academic year, it was found that the 6th grade students had lower 'emotional exhaustion' scores lower than those observed in 1st and 4th year students (p = 0.0117). As for the results in EMBU, the dimension 'emotional warmth' presented higher averages compared to the domain 'rejection' and that the 'overprotection' (p <0.0001).Conclusion: It is considered the importance of stimulating and promoting actions that encourage the performance of extra academic activities for students, as well as involving the family in the experiences of the medical course.
Avaliação da resposta ao tratamento de obesidade em pacientes atendidos no Centro de Especialidades Médicas do CESUPA
(Centro Universitário do Estado do Pará, 2020) Alves, Beatriz Ribeiro; Cavalli, Lorena Silva; Cavallero, Mônica Ribeiro Maués
Introduction: Obesity is one of the major public health problems in the world, associated with reduced quality of life and life expectancy, as well as outcomes of other diseases. Pharmacological treatment of obesity is indicated when the patient has a BMI greater than or equal to 30 kg/m2 or when the individual has diseases associated with overweight with BMI equal to or greater than 25 kg/m2 in situations that behavioral changes were unsuccessful. Thus, conduction after identification of risk or confirmed diagnosis is prevention/intervention, including a quali-quantitatively adequate diet, as well as the practice of physical activity, multiprofessional care and adequate introduction of medication. Objective: To evaluate the response of weight loss in patients seen at the Obesity Outpatient Clinic of the Center for Medical Specialties of the University Center of the State of Pará. Methodology: A cross-sectional, quantitative and descriptive study of exploratory documental analysis was carried out at the University Center of the State of Pará (CESUPA) from August 2016 to August 2020. Results: Seventyseven patients were evaluated, of which 94.8% (n=73) were female soldering with a mean age of 43 years. The mean abdominal circumference (WC) at the beginning of treatment was 108.9cm and 103.7cm at the end of 1 year. Of the 77 patients evaluated, 81% used sibutramine, 44% used Orlistate, 32% from Topiramate, 13% used Sertraline and 22% fluoxetine. Among the 62 patients who used sibutramine, 29% had weight loss in 1 year greater than 10%, mainly associated with side effects such as dry mouth (74.2%) followed by constipation (35.5%). The use of orlistat was performed by 34 patients, and of these, 50% lost less than 5% in 1 year, and 50%, between 5 and 10% in weight. Of these, 46.2% presented stathertomy, being the main adverse effect. Conclusion: Sibutramine and orlistat stand out among the drugs approved for the global treatment of obesity due to the large number of investigations performed and the results obtained that demonstrate safety and efficacy. Sibutramine is the most commonly used drug in the treatment of obesity, due to its important efficacy and also due to financial issues, being its cost more affordable when compared to orlistat. Despite the satisfactory results with these drugs, so far demonstrated, the use of pharmacotherapy alone will not be enough to stop the advances of the obesity epidemic, and one should take into account the lifestyle with behavioral changes that include a healthy diet allied to the practice of physical activity.
Perfil clínico e epidemiológico na primeira consulta de pacientes matriculados em ambulatório de obesidade infantil
(Centro Universitário do Estado do Pará, 2019) Meira, Breno Figueiredo; Mergulhao, Thalita Martins; Silva, Silvana Cristina Rodrigues da; Rocha, Mônica Souza Filho Moura; http://lattes.cnpq.br/1302412321438738; http://lattes.cnpq.br/6484463061528812
INTRODUCTION: Obesity among children and adolescents is increasing, becoming a worldwide epidemic. Several factors are related in its genesis, including genetic, sedentary lifestyle, screen-based lifestyle, tablets and video games lifestyles, and unhealthy diet. In this context, the study that reveals the clinical and epidemiological profile of patients in the first consultation evaluation of the Childhood Obesity Outpatient Clinic of a Medical School of the city of Belém is enriching. OBJECTIVE: To evaluate the clinical and epidemiology of patients enrolled in the childhood obesity outpatient clinic. METHODOLOGY: A descriptive, transversal study with information extraction through an elaborated questionnaire applied in the first consultation file of the medical records. RESULTS: Sixty-one medical records registered at CEMEC's Childhood Obesity Outpatient Clinic were evaluated. It was identified 62.3% male and 37.7% female. The age groups found were schoolchildren and adolescents, with 47.5% and 52.5% respectively. Physical activity was not reported by 68.9% of patients. Most patients reported screen time greater than 2 hours daily. There is no significant difference in patients who underwent exclusive breastfeeding up to 6 months, and those who did not. A large proportion of patients had severe obesity (52.5%), especially boys, while 39.3% had obesity and 8.2% were overweight. The most declared monthly household income was 1 to 2 minimum wages. Among the parent's education there was a significant proportion for the complete high school of mothers (39.3%) and fathers (19.7). The presence of a family history of obesity was more frequently reported (72.1%). There was a significant proportion of patients with blood pressure below the 90th percentile (70.5%). CONCLUSION: it is necessary to know the epidemiological profile of childhood obesity, so that health professionals can update themselves with the current scenario, and take knowledge of childhood obesity, to better prevent, diagnosticate and treat, above all, doctors who work in childcare.