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Navegando por Assunto "Qualidade de vida"

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    Abordagem da fisioterapia aquática na dor, flexibilidade, capacidade funcional e qualidade de vida de pacientes com espondilite anquilosante
    (Centro Universitário do Estado do Pará, 2021) Matos, Jennifer da Silva; Barbosa, Anne Karolyne Loureiro; Freitas, Wiviane Maria Torres de Matos; Braga, Sidney de Assis da Serra; http://lattes.cnpq.br/6312957492001425; http://lattes.cnpq.br/8170754805493164
    Ankylosing Spondylitis (AE) is a chronic rheumatic disease capable of generating severe physical and functional impairments. Therefore, the article aimed to analyze the performance of Aquatic Physical Therapy in patients with AS in the face of pain, functionality, physical capacity, thoracic expandability and morning stiffness. This is an original article of quantitative character and clinical intervention, with a sample of three participants. An evaluation and reassessment was performed using its own form, containing sociodemographic and clinical variables, as well as the Visual Analog Scale (VAS), Spondylitis Functionality Index (BASFI - adapted), Quality of Life Questionnaire (SF36), mobility tests and flexibility testing. Theresearch was divided into stages, the first with the objective of reducing pain and stiffness; the second benefited the decrease in fatigue and mobility gain; the 3rd contributed to the increase in muscle strength. The results found after the intervention were significant, there was a reduction in pain in all patients, improvement in physical and functional capacity, significant increase in flexibility (average: >5), mobility (average: >4), and quality of life of the participants. Finally, we highlight the importance of the comprehensive look on the part of professionals and the need for centralized care in these patients, due to the lack of guidance for individuals with Ankylosing Spondylitis, as well as the scarcity of scientific evidence that addresses the physiotherapeutic treatments aimed at these patients.
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    Análise da técnica e da compreensão do uso de dispositivos inalatórios em pacientes com doenças respiratórias em uma clínica de especialidades médicas em Belém do Pará
    (Centro Universitário do Estado do Pará, 2021) Pereira, Juliana de Ponte Souza; Silva, Renato Batista da; Monteiro, José Tadeu Colares; http://lattes.cnpq.br/7627103187307808
    Introduction: The inhalation route is currently the preferred method for administering drugs in the treatment of chronic respiratory diseases, contributing to improving the quality of life of patients. There are several inhalation systems available: dry powder inhalers, pressurized inhalers and nebulizers. The amount of drug deposited at the level of the airways depends, among other factors, on the device used and on the way the inhalation technique is performed. Objectives: This study aimed to analyze the technique and understanding of the use of inhalation devices in patients with chronic respiratory diseases, identifying the main errors and the different clinical profiles of patients. Methodology: This is a cross-sectional observational study, using a standardized questionnaire and checklist as a data collection instrument submitted to patients undergoing chronic lung diseases, seen at the pulmonology outpatient clinic of the CESUPA Medical Specialties Center (CEMEC). Data collection started with socioeconomic variables. Then, the clinical conditions of each patient were questioned and, finally, patients were asked to demonstrate objectively the way in which they used their respective devices. Results: Among the 50 participants, 98% performed the inhalation technique incorrectly and 28% stated that they had never received any guidance regarding the use of the devices. Among the 29 users of pressurized devices, a total of 85 errors were verified in the inhalation technique, while among the 26 who used powdered devices, a total of 55 errors were verified. Among patients who used dry powder devices, expiration and removal of the used capsule were the steps with the most errors, and among users of pressurized devices, the device's agitation and tilting the head back were the most compromised phases. Conclusion: Factors such as age, education and socioeconomic conditions can influence the patient's learning and, therefore, practical measures must be taken in order to reduce the amount of errors in the use of the devices, observing the learning capacity and the main difficulties of learning. each group of patients. Errors were more frequent among those who used pressurized devices compared to those who used dry powder devices.
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    Atenção à saúde mental em estudantes de uma universidade rural
    (Centro Universitário do Estado do Pará, 2019) Filgueiras, Sandra Maria Macedo Gonçalves; Carvalho, Ana Emília Vita; Furlaneto, Ismarini Perini; http://lattes.cnpq.br/9542085122721945; http://lattes.cnpq.br/1981562999898097; Bittencourt, Ruth Helena Falesi Palha de Moraes; http://lattes.cnpq.br/7928651517044344; Dantas, Elza Ezilda Valente; http://lattes.cnpq.br/3951303999926297; Gomes, Patrick Abdala Fonseca; http://lattes.cnpq.br/6060836341247026
    Research points to university life as a phase of great changes in the development of subjects, requiring adaptations to the new reality, which often favors illness. The objective of this research is to describe the perception of the students regarding the quality of life and emotional indicators in students of a rural university in the city of Belém. Method: the study took place at the Federal Rural University of Amazonia (UFRA) and had a descriptive and analytical design. . Eighty-one students participated in the research, distributed in the courses: Agronomy, Forest Engineering, Fishery Engineering, Veterinary Medicine; Data were collected through WHOQOL-Bref, EADS and a sociodemographic questionnaire. The study was approved by CESUPA's Research Ethics Committee. The results found in this research show concerns about the quality of life of university students, there was greater participation of students of the veterinary medicine course, the emotional indicators and the variables of the courses indicate levels of anxiety and depression among the students who reported not feeling supported by As well as the family income indicators found from one to two minimum wages, which makes it difficult to access health goods and services, we highlight the importance of developing prevention and mental health promotion actions for university students. Conclusion: When mental health is impaired it naturally makes it difficult for students to perform their teaching and learning activities as well as their social relationships. It is important for universities to promote health education and student well-being, basic conditions for efficient learning and success in academic life. The product of this research was the elaboration of a Sponsorship Program that consists of the reception, accompaniment and support during the stay in the university, focusing the quality of life in the physical and mental scope of the academic, promoting preventive actions and aiming at well-being and care. permanent with health.
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    Atuação da equipe multiprofissional em cuidados paliativos oncológicos/assistência domiciliar
    (Centro Universitário do Estado do Pará, 2019) Couto, Anna Carolina Amoras; Monteiro, Fernanda Lúcia Rocha; Queiroz, Joyce da Cruz; Souza, Regina Coeli Nascimento de; http://lattes.cnpq.br/3304357160489041; Gomes, Marlyene dos Santos; http://lattes.cnpq.br/4533792589931288; Carvalho, Maria Margarida Costa de; http://lattes.cnpq.br/0099807168553607
    Cancer in palliative home care has approach to promote quality of life and relief of suffering for patients and their families facing prognosis without a cure. This home care environment contributed to the reduction of the anxiety of the patient and family. The interest in knowing about the program of cancer palliative care/home care arose out of practical lessons in Hospital Ophir Loyola, When we have taken note of this program as important and necessary for the cancer patients residing in Belém. To know the performance of the multidisciplinary team in oncology/palliative home care. Report form the multidisciplinary team performs its actions with patients and their families. Identify how the multidisciplinary team prepares the caregiver to deal with cancer patients in home care. Identify the difficulties and benefits found by the multidisciplinary team of home care service in working with cancer patients in palliative care. This is a qualitative approach of exploratory character, where the data were collected through semi-structured interview script. Research participants were professionals working in the field team (nurse, doctor, psychologist, occupational therapist, physiotherapist, dentist, social worker and speech therapist). The professionals who took part in the research were represented by their acronyms in General and individual universal acronym EMAD (multidisciplinary team of home care). The participants were the sector of CCPO1, CCPO2 and SAD totaling 8 professionals who responded to interview script with previously established questions, related to your expertise in Oncology/palliative care home care. Watching in full the report of each professional regarding performance within the multidisciplinary team. With the common practice among professionals like: search team within their specific characteristics to achieve the principles of palliative care ensuring dignity and comfort to the patient and your family. In the process of the construction of the work it was found that most of these palliative care in terminal patients seeking to provide an environment of comfort and symptom control in physical, emotional, social, spiritual the patient and their families. Because the communication and interventions between multiprofessional teams are a fundamental piece to keep the patient comfortable by ensuring the best quality of life possible.
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    Atuação da fisioterapia em pacientes queimados na Unidade de Terapia Intensiva em um hospital de referência na região amazônica
    (Centro Universitário do Estado do Pará, 2021) Holanda, Beatriz Leão de; Lima, Cleiciany Pedreira; Freitas, Izabella Mafra; Costa, Leonardo Ramos Nicolau da; Lima, Gabriela Martins de; http://lattes.cnpq.br/9186298523685237; Maria, Ellen do Socorro Cruz de; http://lattes.cnpq.br/7374026472492199; http://lattes.cnpq.br/0412027987799407
    Describe the profile and the outcome of burn patients, as well as the role of physiotherapy in the Intensive Care Unit of a Burn Treatment Centre. A descriptive, retrospective and quantitative study developed at the SAME of the HMUE. Medical records of patients admitted to the CTQ's ICU from 2019 to 2020 were analyzed. Individuals over 18 years of age with progression or not to death were included, from the city of Belém, metropolitan region and interior of the state of Pará. We analyzed 58 medical records of patients, mostly male (81%), aged between 18 and 28 (27.59%), from the interior of the State of Pará (75.86%). The thermal agent was the main cause (52%) and the occupational environment was the location of the occurrences (64%). There was a prevalence of second-degree burns (43%), major burns (60%) and no inhalation injury (91.40%). All underwent motor and respiratory physiotherapy, 84.48% required ventilatory support and among them, 75.51% required IMV. Most patients remained from 1 to 10 days (75.86%) in the ICU and most were discharged from the sector. From knowledge inherent to the profile of critically ill patients and the pathophysiology of burns, the physiotherapist in an Intensive Care Unit for burn patients seeks to act according to the clinical and hemodynamic presentation of the patient, being able to reduce the length of stay in the sector.
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    Atuação da fisioterapia nas disfunções sexuais no climatério
    (Centro Universitário do Estado do Pará, 2022) Malcher, Evelly Lays Santos; Pimentel, Jessyca de Cássia Gomes; Macêdo, Rafaela Cordeiro de; http://lattes.cnpq.br/4573914382190459
    Climacteric is one of the cicles of women’s life, bringing a lot of physiological alterations on women’s body, being very often confused with menopause. The symptoms are very similar, such as heat waves and the weakening of the muscles of pelvic floor which, on other hand, could take to a sexual dysfunction, causing big troubles on women’s life. Literary search on website, using webpages Scielo, Lylacs, BVMS, PsycINFO and Medline and counted with inclusion and exclusion criteria, showing nine articles. Results showed upgrades on quality of life and sexual function question on women with physioterapetical exercises, with emphasis on kinesiotherapy, pilates and electrostimulation. Physiotherapy’s intervention is extremely necessary on climacteric, to prevent or treat the weakening of muscles of pelvic floor, which can bring sexual dysfunctions.
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    Autoaceitação e qualidade de vida pós mastectomia de transexualização
    (Centro Universitário do Estado do Pará, 2023-05-30) Soares, Fernanda Piqueira de Andrade Lobo; Miranda, Letícia Colares; Rodrigues, Brenda Diniz; Loureiro, Camila Fernanda Antunes Castanho Cavaleiro de Macedo; http://lattes.cnpq.br/6746290429073526; Albuquerque, Mário Roberto Tavares Cardoso de; http://lattes.cnpq.br/3233617656287982; Amaral, Gabriela Borborema do; http://lattes.cnpq.br/9582500401192127
    Introduction: The term “transgender person” refers to any person who does not identify with their birth gender. Allied to that, in the medical field many studies approach the concept of gender dysphoria, whih means a significant clinical discomfort associated with gender and biological characteristics, associated with impaired self-perception and impaired quality of life. Within this context, medical interventions and other areas of the health field come to help in the gender transition process, which includes the performance of mastectomy. In summary, the present study seeks to estimate the procedures impact on the sexual resignation process of transgender men. Objective: To measure the impact of mastectomy on transsexual men, and how this surgery influences aspects related to the quality of life of this population. Materials and methods: This is a cross- sectional, observational and descriptive study, based on data collected through the application of a virtual questionnaire for patients undergoing masculininzing mastectomy for in Brazil, between december 2022 and march 2023. Results: 50 individuals participated in the research. Among these, most of them were between 20 and 39 years old, identified themselves as trans men for more than 2 years and had health insurance. In the pre-operative period, the highest proportion of minimum grades was related to the level of satisfaction with physical appearance. In post-operative period, most evaluated their quality of life as very good. Comparatively, between the two periods, the highest difference between the averages found was related to the acceptance of physical appearance, the smallest difference occurred in terms of satisfaction with health services. Regarding gender violence, 66% reported having suffered violence when seeking health care, and most related what happened to embarrassment due to pronoun error. Conclusion: Thus, it is evident that the masculininzing mastectomy had a positive impact on the variables studied related to quality of life. In addition, it clarifies the need to develop new tools to measure the quality of life of the studied population.
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    Avaliação da adesão ao tratamento ambulatorial de doenças respiratórias crônicas no ambulatório de pneumologia no Centro de Especialidades Clinicas Médicas do CESUPA
    (Centro Universitário do Estado do Pará, 2021) Santos Junior, Geilson Rodrigues dos; Franco, Pedro Paulo Souza; Monteiro, José Tadeu Colares; Rodrigues, Cybelle Cristina Pereira; http://lattes.cnpq.br/9540610661271303; http://lattes.cnpq.br/7627103187307808
    Objective: To evaluate the impacts of non-adherence in relation to treatment measures for the control of chronic pulmonary diseases in patients under clinical-ambulatory follow-up at the Medical Specialties Center of Cesupa with follow-up time greater than 1 year. Methodology: This is a cross-sectional descriptive observational study, with a qualitative approach and based on the submission of a form in patients with chronic pneumopathology follow-up, seen at the pulmonology outpatient clinic of the Medical Specialties Center of Cesupa, conducted from August 2020 to March 2021. Results: Sixty-nine patients were included in the study. Approximately 70% were female, 60% were 51 to 70 years old. Age ranged from 22 to 89 years, with a mean age of 58 years ± 15 years. The form covers information such as age, gender, education, underlying disease, type of medication, impairment of daily activities, and objective questions about predictors of adherence. Asthma was the most prevalent disorder, followed by COPD and idiopathic pulmonary fibrosis, in equal distribution. 61% of the patients used oral medications, against 58% who used inhaled medications. The forms bring information about the degree of impairment of activities of daily living, in which 55 of the 69 participants reported moderate or high level of impairment, as well as, the level of instruction received by the attending physician, in which most patients claim to have received the necessary guidance for clinical follow-up. About the characteristics of adherence to treatment, 87% of patients said they depend on the treatment to maintain their health, 52% reported that they have already had losses with the treatment due to the costs. The adaptation to the routine of life, the fear of dependence and side effects, and forgetting to take medications were also reported, although with less expressive numbers. Few patients, proportionally, reported having abandoned the treatment for dismissing its necessity or that there is no improvement in their clinical picture. Conclusion: There are several factors that influence drug adherence to chronic lung disease treatment, ranging from financial difficulties, which is a problem in our country, to low levels of education, which directly influences the understanding of the underlying disease and the proposed therapy, and even clarification on how to use the medication, since there may be a need for inhalation devices that have particularities in their use. All these factors can be addressed through appropriate public policies.
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    Avaliação da conduta terapêutica para pacientes com insuficiência cardíaca com fração de ejeção reduzida do Centro de Especialidades Médicas do CESUPA
    (Centro Universitário do Estado do Pará, 2022-11-10) Barros, Juliano Sousa; Lopes, Vitor Maués; Pereira, Paulo Henrique Nunes; http://lattes.cnpq.br/5351191172079560; Machado, Louise Pinheiro Moutinho; http://lattes.cnpq.br/9482657241416195; Couto, Tauin Raoni de; http://lattes.cnpq.br/2151046047496564
    Heart failure (HF) is a worldwide problem associated with high mortality and low quality of life. It is not a single pathological diagnosis, but a clinical syndrome characterized by clinical signs that are a result of impaired ventricular filling, the ability of the ventricles to eject blood, or both. HF can be classified into 3 distinct phenotypes, according to left ventricular ejection fraction (LVEF), into HF with preserved ejection fraction (HFpEF), mildly reduced ejection fraction (HFmrEF) and reduced ejection fraction (HFrEF). With regard to HFpEF, drugs that can modify the natural history of the disease in patients with this phenotype have not yet been identified, in contrast to the treatment of HFrEF, which has a wide range of drug therapies capable of reducing morbidity and mortality when using targeted optimized doses by guidelines. To analyze whether the therapeutic approach for patients with HF with reduced ejection fraction (HFrEF) at CEMEC (Cesupa Medical Specialty Center) is in accordance with the guidelines recommended by the main Brazilian and global guidelines on HF. This is an observational, retrospective and quantitative study, through the analysis of medical records of patients with HFrEF between the years 2018 and 2021, registered at CEMEC, identifying whether the therapeutic approach is in accordance with the guidelines brazilian and worldwide on HF. 54 patients were included in the study, attended by the Center for Medical Specialties of CESUPA between 2018 and 2021. Among the patients analyzed, more than half (53.7%) were male and most (74, 1%) was elderly, aged between 60 and 98 years. During the study, it was decided to analyze medical records of patients with HFmrEF for a complementary analysis. In this study, most patients (61.1%) had a reduced ejection fraction and 38.9% had a slightly reduced ejection fraction. In the individual analysis of drug classes, 21 individuals were using ACE inhibitors, most of them were using Enalapril, and 12 (57%) were on optimized doses. With regard to ARBs, 26 patients were using, mostly Losartan, and 15 (59%) had optimized doses. The BB class, whose most used representative is Carvedilol, had a total of only 1 patient out of 52 (1.9%) at full dose. As for the MRA class, represented in Brazil by Spironolactone, it was found that 38 patients used it and 35 (92%) were at the minimum recommended dose. Furthermore, only 1 patient was using Sacubitril-Valsartan (ARNI) and 6 were using SGLT2 Inhibitors, and all were on full dose. Therefore, all CEMEC patients with HFrEF and HFmrEF use at least one of the drugs that modify the prognosis of the disease, in addition to the majority being within the recommended target dose. Drugs that interfere with the renin-angiotensin-aldosterone system showed a high prevalence of patients on full-dose medication. Regarding MRA, almost all patients already use the target dose of the drug. Regarding BB, it is observed that, in general, patients need to be better informed about the need to use these medications, in order to reach the target dose.
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    Avaliação da qualidade de vida dos pacientes com lúpus eritematoso sistêmico juvenil atendidos no ambulatório de reumatologia pediátrica do Centro Universitário do Estado do Pará
    (Centro Universitário do Estado do Pará, 2020) Nascimento, Igor Tadeu de Castro; Nascimento, Jéssyca Cristina Ramos do; Cavalcante, Erica Gomes do Nascimento
    Introduction. Juvenile Systemic Lupus Erythematosus (JSLE) is a chronic condition characterized by loss of immunoregulatory control during the disease activity. The most prevalent JSLE clinical manifestations are on females, in the pediatric age. The high incidence of disease damage are related to lower quality of life, besides to the physical, psychosocial and school negative repercussions secondary to the health situation. Objectives. To evaluate the impact of JSLE on the quality of life in patients under follow-up at the pediatric rheumatology outpatient clinic of CESUPA. Methods. The survey was in three phases. The first phase had an exploratory documentary analysis, to identify patients diagnosed with JSLE according to the SLICC criteria. In the second phase, a cross-seccional study was conducted, using PedsQLTM 4 questionnaire for patients and parents and guardians, to evaluate the health-related quality of life. The last phase, the SLEDAI-2K and SLICC/ACR-DI indices were used to score disease activity and cumulative damages. Results. A good quality of life, according to PedsQLTM 4, are present in most patients of this study. The was no direct relationship between the SLICC/ACR-DI score evaluate in the last outpatient clinic follow-up and the improvement of the quality of life. The same thing happened when comparing with the SLEDAI-2K score; in the latter, among the patients with low disease activity, there were 1/3 with low HRQoL, while 2/3 presented high HRQoL. In relating HRQoL to time diagnosis, was observed a better quality of life in patients who had a shorter time since diagnosis. In isolated evaluation of quality of life, the social and physical domains had higher score than emotional domain. For parents and guardians, among children, the social and school aspects had the higher averages and the emotional aspect lower avarages. On the other hand, among adolescents, the social e physical domains had higher avarages. Both children and adolescents had higher SLEDAI-2K on the first appointment. The children compared to adolescents, had higher SLEDAI-2K on the first appointment and lower on the last appointment. The most frequent clinical manifestations on the first appointment were arthritis, alopecia and seizure, in SLEDAI-2K; and the laboratory manifestations was a decrease in the complement system and anti-dna, besides proteinuria. The majority of patients had no score on cumulatives damages - there were only 38,8%. Clinical and laboratory manifestations were varied on SLICC criteria for diagnosis on the first appointment. Demographically, there was female prevalence and brown skin color among patients; the majority diagnosis was in childhood. Conclusion. For patients, JSLE has a greater emotional impact. For parents and guardians, on the other hand, the emotional impact is greater only on children; and school impact is greater on adolescents. The damages had no impact on HRQoL and the disease activity decreased during course of the illness.
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    Avaliação do conhecimento dos acadêmicos de um curso de medicina em Belém do Pará sobre cuidados paliativos
    (Centro Universitário do Estado do Pará, 2021) Melo, Eliza Matos de; Oliveira, Luiza Helena Leão; Fernandes, Sweny de Sousa Marinho
    Introduction: The definition of palliative care refers to the care practice performed by a multidisciplinary team for patients with life-threatening diseases. These cares should be started as soon as possible, right after the diagnosis, in order to prevent the suffering of the patient and their families. Therefore, knowledge of palliative care by medical students is essential so that, once they graduate, they can provide it, providing comprehensive and adequate care to the patient. Objective: To assess the knowledge of medical students about palliative care in the first, fifth, ninth and twelfth semesters of graduation. Method: This is a research with a quantitative approach, carried out at the Centro Universitário do Pará (CESUPA), on the João Paulo do Valle Mendes campus, headquarters of the Medicine course, Belém, Pará, Brazil. For data collection, a questionnaire containing open and closed questions about the knowledge of students about palliative care was used. Data Analysis: The database was built from Microsoft Excel 2016 and Word programs. All tests were performed using the BioEstat 5.5 program. Qualitative variables were described by frequency and percentage. The independence or association between two independent categorical variables was tested by the chi-square test and the significant associations were detailed by standardized residual analysis. Results with p ≤ 0.05 (bilateral) were considered statistically significant. Results: There was an evolution in the theoretical knowledge of students about palliative care during the semesters of the course, 77.5% of students do not feel able to work with palliative care based on the knowledge acquired in graduation, 73.3% of students know that this care does not apply only to situations of terminality in life, 70.8% of students are not able to recognize the appropriate time to start palliative care. Conclusion: It is necessary to boost the knowledge of palliative care of students in medical graduation, in order to train doctors to work in this care modality, which is still little known by health professionals.
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    Avaliação do impacto da utilização do sistema de infusão contínua de insulina na qualidade de vida de pacientes portadores de Diabetes Mellitus do tipo 1
    (Centro Universitário do Estado do Pará, 2023-05-30) Monteiro, Demmy Chaves Amaral; Chaves, Michelle Luiza da Silva; Santos, Flávia Marques; http://lattes.cnpq.br/8601394323526613; Rocha, Mônica Souza Filho Moura; http://lattes.cnpq.br/1302412321438738; Miranda, Nádia Costa de; http://lattes.cnpq.br/6968956833621813
    Type 1 Diabetes Mellitus (DM1) is a chronic autoimmune disease with a genetic determinant in which there is an absence or deficiency in the production of insulin, which regulates blood glucose and provides energy for the body. People with this disease are permanently dependent on exogenous insulin for homeostasis of glucose metabolism. The treatment to replenish insulin stocks is usually uncomfortable, presenting certain limitations to daily life. One way to minimize the negative impact of therapy and improve quality of life (QoL) is through the continuous insulin infusion system. To evaluate the quality of life with the use of the Continuous Insulin Infusion System in patients with Type 1 Diabetes Mellitus in the DM1 outpatient clinic of the Medical Specialties Center of CESUPA. Cross-sectional study that evaluates, through a modified questionnaire, the quality of life of 8 patients of both sexes, with DM1, in use of SICI for at least 6 months, accompanied at the Medical Specialties Center of CESUPA (CEMEC). Satisfaction with treatment assessed by part I of the questionnaire is high, with a value of 75% very satisfied and 25% satisfied. Of the analyzed subscales, “Impact on Social Life" is the one that presents the least satisfaction (62.5%) and “Well-being” is the one that presents the greatest satisfaction (100%). “decrease in the number of punctures” (37.5%) and “better glycemic control” (25%). In points of displeasure, “nothing” is reported in 37.5% of patients. 62.5% of patients had a total of 0 episodes of severe hypoglycemia in the last year, and 50% had an average decrease of 0.6-1 in HbA1c from the first year of pump placement compared to the year of the survey. Regarding quality of life, 75% of the patients obtained “Excellent” and 25% “Good” QoL, with a result of 120.6 ‡14.4. This study reveals a high QoL index for this sample of patients, ranging from “good” to “excellent”. The joint analysis of satisfaction with treatment and clinical data revealed that not only do patients have a positive perception of treatment in different areas of life, but also the positivity is proven by clinical data.
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    Cobertura vacinal: série histórica da imunização de crianças de 0 a 4 anos no período de 2010 a 2020 na região norte
    (Centro Universitário do Estado do Pará, 2021) Barros, Danilo Augusto Junior; Nunes, José Marcus Farias Guimarães; Rodrigues, Cybelle Cristina Pereira; Souza, Ivete Moura Seabra de; http://lattes.cnpq.br/5318491010793081; http://lattes.cnpq.br/9540610661271303
    Introduction: the creation of the National Immunization Plan (PNI) is a major milestone in Brazilian public health, achieving success in the control and eradication of diseases through vaccination at various stages of life. Childhood is the stage in which most of vaccines are administered, being a key aspect for the achievement of better quality of life and longer life expectancy. Objective: This study seeks to present data on the vaccination coverage of children aged 0-4 years at national and regional level in Brazil in the period between 2010 and 2020. Methodology: vaccination coverage data were obtained from the DATASUS health information platform, corresponding to the years 2010 to 2020 and were displayed at national and regional levels. Then, they were exposed in 3 age groups that correlate with specific immunobiologicals for each age and their respective vaccine coverage. Results: the collected information demonstrated little variation in performance across the broad vaccination landscape compared to age groups. The Midwest region had the best vaccine performance in the period, however, the vulnerability of the North region in supplying of immunizing agents to its population draws attention, having the worst performance amongst the 5 brazilian regions in all comparisons. Also noteworthy is the large number of immunizing agents that were below the goal of vaccination coverage recommended by the PNI. Conclusion: Brazil is facing an important decrease in vaccine coverage, reflected in the failure of achieving the minimum vaccination coverage goal for several diseases, creating vulnerability and the possibility of recurrence of previously controlled or eradicated infirmities at both regional and national levels.
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    Composição corporal de atletas de kendo: uma revisão integrativa da literatura
    (Centro Universitário do Estado do Pará, 2024-06-12) Lima Filho, Cláudio Márcio Ramos; Santos, Leonardo Damasceno dos; Ribeiro, Joseana Moreira Assis; http://lattes.cnpq.br/5745114474901440; Ozela, Cilea Maria dos Santos; http://lattes.cnpq.br/3869556585803094; Gaspar, Daniela Pinheiro; http://lattes.cnpq.br/9245835771527449
    Kendo, a martial art that incorporates ethical and philosophical values, extends beyond combat technique to promote self-discipline and personal excellence. Achieving superior performance requires practitioner to develop specific motor skills, where nutrition and hydration play crucial roles. Understanding appropriate hydration strategies and a suitable nutritional regimen, aligned with body composition, is fundamental for the performance and health of practitioners. Objective: Tuo understand, through an integrative literature review, the relationship between body composition, hydration and athletic performance in the specific context of Kendo, aiming to provide insights that can optimize both training and the health of practitioners, Materials and Methods: An interactive literature review was condueted, with article searches in PubMed, Virtual Health Library (BVS), and Scielo, covering the period from 2010 to 2024, in Portuguese, English, and Spanish. Results: Data analysis allowed the selection of five articles that fell into two categories: those that examined the body composition of Kendo athletes and those that evaluated the hydration of these athletes. Final Considerations: This study highlights the importance and complexity of factors such as hydration, nutrition, and body composition, which are essential for athletic performance, physical development, muscle strength, as well as the health and quality of life of Kendo practitioners. It underscores the need for an integrated approach that considers body composition, aligned with nutrition and hydration practices, to maximize the performance and health of Kendo practitioners.
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    Construção de um produto educacional voltado para nutricionistas sobre alimentação para crianças com transtorno do espectro autista
    (Centro Universitário do Estado do Pará, 2024-06-10) Silva, Isabelle Ponciano Vasconcelos da; Savalaio, Kassia Thais do Amaral; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070; Campos, Jamilie Suelen dos Prazeres; http://lattes.cnpq.br/4508719756740232; Gaspar, Daniela Pinheiro; http://lattes.cnpq.br/9245835771527449
    Introduction: Autism Spectrum Disorder (ASD) is a complex neurodevelopmental disorder characterized by difficulties in social interaction, communication, and repetitive patterns of behavior. Due to the growing interest in reports of food selectivity, sensory sensitivities and atypical eating behaviors in individuals with ASD, this study aimed to create an educational booklet on feeding for children with ASD. Methodology: This is an integrative literature review, with articles published in Portuguese and English in the last six years for the elaboration of an educational product, carried out in the VHL, LILACS and SCIELO databases. The descriptors and combinations used were "autism spectrum disorder and nutrition", "autism spectrum disorders and child nutrition" in Portuguese and English, respectively. Results: With the selection of 07 articles, based on their data, an educational product, of the booklet type, entitled "Nutritional care for professional nutritionists" was structured, containing 24 pages, divided into 6 parts. Discussion: The nutritional aspects involved include habits and difficulties in relation to the feeding of children with ASD, the presence of dysfunctional eating habits being observed, and strategies are established for the management of the difficulties present and the symptomatology of the disorder. Final considerations: The characteristics present in ASD have pertinent impacts on the diet and nutrition of autistic children, making it necessary to manage the evident difficulties and adopt strategies aimed at improving the symptoms and quality of life of these individuals.
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    Coronavírus interfere na qualidade de vida e ansiedade na Esclerose Lateral Amiotrófica
    (Centro Universitário do Estado do Pará, 2021) Torres, Eduarda Vieira; Oliveira, Silvia Maria Sobral; Pereira, Carolina Veiga; Rocha, Larissa Salgado de Oliveira; Sobral, Luciane Lobato; http://lattes.cnpq.br/4916750587369204; Rocha, Rodrigo Santiago Barbosa; http://lattes.cnpq.br/4119162366965074
    On Amyotrophic Lateral Sclerosis (ALS) the degeneration of motor neurons causes, due to the interference of nerve impulses transmission, the functionality commitment and consequently the individuals’ quality of life (QF). Although, on the COVID-19 pandemic context cause by social isolation, there was the reinforcement of these functional disorders raising to detrimental psychological conditions like anxiety associated with QF. To assess if the social isolation due to COVID-19, affected the axiety and QF levels on patients with ALS. Eighteen individuals with average age of 46,72 ± 14,09 years old, and average diagnosis time of ALS of 2,8 ±1,75 years, were assessed using the Mini Mental State Exam (MMSE), the Amyotrophic Lateral Sclerosis Assessment Questionnaire (ALSAQ-40/BR), Hamilton Anxiety Rating Scale (HAM-A) and clinic-epidemiological questionnaires. Descriptive analysis, Shapiro Wilk test and Pearson’s correlation were used. On MMSE the individuals got average score of 27,33±1,90. It was observed in ALSAQ-40/BR decreased QF (70,03 ± 23,17) and on HAM-A scale 50% of the individuals showed anxiety. However, there was no significant correlation between HAM-A and ALSAQ40/BR (p=0,07). On this study, both questionnaires indicated a decreasing in QF and anxiety presence on the individual with ALS during the COVID-19 pandemic period, even though no correlation among the analyzed objects was found. It is indicated the monitoring during interval periods to define the damages from social isolation and by attendance therapy restriction as physical therapy to preserve the QF.
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    Criando hábitos saudáveis com aplicativos e gamificação: uma abordagem inovadora para melhorar a qualidade de vida
    (Centro Universitário do Estado do Pará, 2023-12-06) Santos, Ocivaldo Bruno Nascimento dos; Gomes, Vitor Hugo Freitas; http://lattes.cnpq.br/5218954387107307; Nascimento, Polyana Santos Fonseca; http://lattes.cnpq.br/6889523334917369; Sousa, Marcos Paulo Alves de; http://lattes.cnpq.br/6713232502495902
    With the rapid development of technology, society's daily life has undergone significant changes. The continuous presence of digital devices has not only redefined how we interact and perform tasks but also has a direct impact on our health. This close interconnection reveals a scenario with significant benefits but also potential challenges to well-being. The main objective of this study is to examine how technology, through apps and gamification techniques, can be used as a useful and effective tool to promote and encourage healthy habits in society. To achieve this goal, we conducted an updated and comprehensive literature review, discussing topics such as the pros and cons of technology in the healthcare field, gamification as an innovative and effective strategy to engage and motivate users of health applications, and its positive impact. We also explored the positive impact and negative consequences of using technology to shape healthy habits. The conclusion is that technology can play a collaborative role in health promotion, although it also poses risks and challenges that need to be considered and mitigated. Furthermore, it is clear that gamification is a way to increase user interest and adherence to health apps, but its application must be done responsibly and ethically. Finally, it is important to emphasize that using technology for promoting healthy habits can bring significant benefits to quality of life but also requires continuous monitoring and evaluation of potential adverse effects. In conclusion, the contributions of this work aim to demonstrate how technology can be a great ally in changing habits in society.
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    Desenvolvimento de uma tecnologia educativa sobre contagem de carboidratos para pessoas com Diabetes Mellitus
    (Centro Universitário do Estado do Pará, 2022) Souza, Maysa Carvalho Cavalcante de; Marques, Simone do Socorro Fernandes; http://lattes.cnpq.br/0651248478895645; Campos, Jamilie Suelen dos Prazeres; http://lattes.cnpq.br/4508719756740232; Moura, Carla Acatauassú Ferreira de; http://lattes.cnpq.br/4504006993667915
    This study has the goal to make a bibliographic review about the efficacy of the carbohydrate counting upon the metabolic and glycemic control, elaborate an educational booklet to facilitate and to make flexible the food choices of the diabetic patients, to assist in the disease control and avoid complications. It is an integrated review of the specialized literature with qualitative approach that has been made through indexed articles search at Virtual Health Library with the support of The National Center for Biotechnology Information (Pub Med). The inclusion criteria were the integral gratuitous database since 2017 to 2021. The exclusion criteria were incomplete articles, divergent and ones did not reply the guiding question. In the end, nine scientific articles were taken. The results showed effective metabolic control for who made the carbohydrate counting and improving of the glycemic control with freedom and food choices flexibilization. It is an effective strategy to allow glycemic control, safety and quality of life. The review allowed to accomplish an educative technology by means of a carbohydrate counting booklet to make easy the understanding about the diabetes and simplify food choices day by day. It was concluded that the carbohydrate counting is a proper tool since favors best food choices and a healthy life, for this purpose was made an educational booklet about the understanding of diabetes and healthy eating aiming at learning carbohydrate counting with food group tables.
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    Dexametasona versus laserterapia de baixa intensidade: os efeitos na dor, edema e qualidade de vida após cirurgia de bichectomia: um ensaio clínico
    (Centro Universitário do Estado do Pará, 2019-09-27) Silva, Diego Assunção Calixto da; Guimarães, Douglas Magno; http://lattes.cnpq.br/6439076195866691; Menezes, Silvio Augusto Fernandes de; http://lattes.cnpq.br/5394614146901551; Carneiro Júnior, José Thiers; http://lattes.cnpq.br/4964530958369814
    In current study, we aimed to compare the effects of low-level laser therapy and dexamethasone in the pain, swelling and quality of life in patients submitted to buccal fat pad removal. About the methodology, it was surveyed 20 patients who pseudo-herniation of buccal fat pad or aesthetic complaint. The patients were randomly separated into two groups: low-level laser therapy group (LLLT, 660nm, 100mW, 6s, 2J/cm2) and dexamethasone group (DXM, 4mg each 8 hours for 3 days after the procedure). The pain was evaluated through visual analogic scale (VAS) at day 2 and 4 post surgically, to edema evaluation was measured the distance between six reference points: tragus (Trag), pogonion of soft tissues (Pog), lateral corner of the eye (EC), the angle of the mandible (Gon), wing nose (WN) and mouth commissure (MC) at day 2, 4, 7, 15, 30, 60 and 90. To quality of life was applied the Oral Health Impact Profile (OHIP-14) questionnaire at day 2 and 4 after the surgery. It was observed from the results there were no differences between LLLT and DXM at pain and edema. About the quality of life, the LLLT group were more comfortable to chew than DXM (p< 0,05). It was therefore concluded the utilization of LLLT at the parameters of 100mW of power and 2J/cm2 per point demonstrated similar effects of DXM orally in the control of pain and edema, as well as quality of life, except in masticatory function, which LLLT showed better effects.
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    Guia para oficina de dança marujada: perspectivas da educação física para a melhoria da marcha e do equilíbrio na pessoa idosa
    (Centro Universitário do Estado do Pará, 2019) Alves, Walquiria Cristina Batista; Del Nero, Luciana Brandão Carreira; Nunes, Leonardo Mendes Acatauassú; http://lattes.cnpq.br/3512764081076675; http://lattes.cnpq.br/5056614008350803; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Carvalho, Ana Emília Vita; http://lattes.cnpq.br/1981562999898097; Nassar, Sérgio Eduardo; http://lattes.cnpq.br/3066738195459439
    The correlations between the field of physical education and cultural expressions allow the body to be conceived as an instrument of communication, expression, leisure and culture, capable of supporting innumerable teaching and learning proposals, increasing the possibilities of using physical education. With the aging of the body, skeletal muscle repercussions can impair gait and balance, increasing the risk for falls and impairing the quality of life of the elderly, especially the sedentary. Objective: The objective of this study, in the field of Health Teaching, was to prepare a Guide as a methodological tool to guide Physical Education teachers to practice workshops in Marujada, a dance typical of the state of Pará, together the elderly population, in order to stimulate the practice of dance; decrease the sedentary lifestyle among the elderly; multiply educators trained for such practices; to promote the improvement of balance and gait in the elderly, considering that dance is a preventive factor for falls and improvement in quality of life. Method: the Illustrated Guide relied on the help of a graphic designer; we used the Softwares: Adobe Illustrator CC, Adobe Photoshop CC and Adobe Indesign CC for the illustrations; printed in January 2019 by Twee Publishing Company, with PT Sans body 12 source, kraft paper 150g / m² Offset, Triplex cover 300g / m; obtained ISBN 978-85-68366-45-5, with legal deposit and registration with the National Library Foundation; in its content, Berg 's Functional Balance Scales and Time up and go - TUG are presented, as well as the way in which they should be applied; also presents the way the Marujada Dance workshop is performed, as well as information on the theme of aging, balance and gait in the elderly. Conclusion: It is expected that the product of this professional master's degree will become an instrument capable of multiplying the knowledge for the training of professionals in the area of Physical Education, in the scope of continuing education, and that it meets the assumptions of a preventive and integrative policy.
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