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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Influência da gameterapia na intensidade da dor e seus impactos na qualidade de vida e equilíbrio em pacientes com neuropatia diabética
(Centro Universitário do Estado do Pará, 2021) Lima, Allan Mateus da Silva; Alfaia, Diego Mansur; Serra, Ana Clara Lima; Oliveira, Emanuelle Mayane do Nascimento; Paes, Lívia Moreira; Rocha, Larissa Salgado de Oliveira; Araújo, Matheus Sodré de
To evaluate the influence of gametherapy on pain intensity, balance and quality of life in patients with diabetic neuropathy. Methods: 4 volunteers, with a diagnosis of diabetic neuropathy aged 60.5 ± 7.50 years, underwent treatment with gametherapy for 24 sessions, 3x/week for 50 minutes and evaluated pre and post intervention by the questionnaire for pain screening. neuropathic pain (DN4) and numerical pain scale, Tinetti scale, Romberg test, Timed Up and Go (TUG), and quality of life by Neuropathy-Specific Quality of Life (NeuroQol). Higher mean values were observed after treatment for the Romberg OA and OF test (p<0.001 and p=0.016), respectively, Tinetti balance scale (p=0.003) and quality of life (p<0.001) when compared pre-treatment, as well as lower values for pain by NDT (p=0.007) and for TUG (p=0.007). In the present study, gametherapy proved to be effective in improving the symptoms of diabetic neuropathy, regarding pain and balance, thus contributing to improve the quality of life of these patients, since it acts directly on functional, physical and psychological issues.
Percepção do estudante de medicina acerca do apoio familiar durante a graduação
(Centro Universitário do Estado do Pará, 2021) Santiago, Gabriel Rodrigues; Coelho, Isabela Freitas; Del Nero, Luciana Brandão Carreira; http://lattes.cnpq.br/5056614008350803
Introduction: Learning is the result of various stimuli and intrinsic and extrinsic variables, leading to development in both interpersonal and academic environments. In the academic one, family support on choices and paths to be taken by students is a major determinant for their mental health, especially during the current global trend of increased information flows and unachievable charges. Therefore, it is expected that satisfactory parental bonds will positively influence the academic population, their selfesteem, and their biopsychosocial well-being. Objectives: To describe the perception of medical students about their family support during graduation. Methods: Crosssectional, observational, descriptive study using quantitative data. Results: The majority of sample were female students (61.6%), with age raging between 18-20 years (70%), mostly attending the first year of the course. Data suggest present and active family nuclei in the students' daily life, corresponding to low levels of parental rejection in students with low self-esteem (63.3% scored low self-esteem and low paternal rejection while 61.7% scored low self-esteem and low maternal rejection). Most of the students rated their self-esteem as low (61.6%). Conclusions: Although data showed most of families as present and active during graduation, low levels of self-esteem suggest that other variants may compromise the mental health of the researched students, who mostly scored the perception of family support during graduation as satisfactory.
Perfil clínico-epidemiológico dos pacientes diagnosticados com cefaleias primárias atendidos no ambulatório de neurologia do Centro de Especialidades Médicas do CESUPA (CEMEC)
(Centro Universitário do Estado do Pará, 2020) Cardoso, Antônio Augusto Moreira; Silva, Marcos Vinicius Amorim; Penha, Nelson Elias Abrahão da; Souza, Aline Cristine Passos de; http://lattes.cnpq.br/5404002728453981; http://lattes.cnpq.br/5207645183090927
Headache, as a disease, often generates uncertainties in the professionals involved in the consultations, due to the numerous forms of presentation regarding the clinical condition of patients. In this context, the importance of knowing homogeneous characteristics of the local population served, can provide the most agile and effective therapeutic conduct, contributing to the well-being of patients. The aim of this study was to present a clinical-epidemiological profile of patients seen at the Neurology outpatient clinic of the CESUPA Medical Specialties Center (CEMEC), in the period from the first semester of 2017 to the first semester of 2019, diagnosed with different types of primary headaches, through the analysis of medical records. The study design prioritized the collection and analysis of data, established in the research protocol, in the referred location, referring to patients diagnosed with primary headaches: Migraine, Tensional and Trigeminal Autonomic. These results were tabulated and graphs were generated for a better perception of the general picture, the relative risk (odds ratio) was calculated to establish the chances of the sample population to develop the pathology associated with the most prevalent comorbidities. The results were based on 81 medical records of patients with diagnoses among primary headaches, which demonstrated that the majority presented tension headache, followed by migraine, in a larger population of women, between 19 and 60 years old, the main associated comorbidity was hypertension. systemic arterial (0.4: 1) followed by dyslipidemia / Diabetes Mellitus (0.25: 1), the most widely used prophylaxis was ibuprofen, however, most of the sample is untreated. The results of this work were presented in accordance with others already published, with regard to the epidemiological profile of the sample population, the understanding of the association between the types of primary headache and the associated comorbidities proved to be important for the understanding of the causal nexus of the most common etiologies associated with headache. Further research associating the correct diagnosis of headache with the treatment employed and associated diseases may provide better patient management and management.
Perfil do uso de substâncias psicoativas por estudantes de medicina de uma instituição da região norte do Brasil
(Centro Universitário do Estado do Pará, 2023-05-31) Lobato, Jéssica Cordovil Portugal; Lobato, Raíssa Maria Chaves; Furlaneto, Ismari Perini; http://lattes.cnpq.br/9542085122721945; Almeida, Cristiane Martinez de; Rodrigues, André Luiz de Souza; http://lattes.cnpq.br/9433646288769382
Psychoactive substances are drugs that increase alertness, cognition and concentration. It is known that the consumption of these substances in order to enhance academic performance is already a reality among medical students. The general objective of the present study was to describe the profile of the use of psychoactive substances by medical students at a higher education institution in the North Region. Cross-sectional, observational, descriptive and analytical study that included students regularly enrolled between the 1st and 12th period of the medical course at a higher education institution in the North Region in the year 2022, aged 18 years or over, regardless of gender, selected through convenience sampling. Data were collected through an electronic form, using the ASSIST 3.1 instrument and a questionnaire to collect data on the academic and epidemiological profile of the participants. 215 students participated in the research, with a mean age of 22.7 years ± 4.0 years, 65.4% female (p<0.0001). The participants were homogeneously distributed between the initial years (1st and 2nd years: 31.3%), intermediate (3rd and 4th years: 28.4%) and final years of the course (5th and 6th years: 40.3%) (p =0.0929). Among the substances most consumed by students, alcoholic beverages (77.7%) stood out, respectively, followed by hypnotics/sedatives (32.2%), tobacco and derivatives (22.4%) and marijuana (21.8%). Students have, to a greater or lesser extent, moderate risk (suggestive of abuse) – ranging from 0.4% (cocaine/crack) to 21.0% (hypnotics/sedatives) – or high risk (suggestive of dependence), which ranged from 0.4% (opioids; tobacco and derivatives; amphetamines/ecstasy) to 1.9% (alcoholic beverages). The main motivational factors alleged for consumption were the need to reduce anxiety (36.6%) and stress (22.7%), in addition to improved well-being (18%) and increased concentration (14. 5%), among others. As for the benefits perceived with the use of stimulants, 30.8% perceived na improvement in general well-being after consumption, however, 31.4% did not identify benefits. As for adverse effects, 43.6% of participants reported not having manifested physical/psychological changes. The results obtained reflect the problem of excessive consumption of psychoactive substances, licit or not, by medical students. It is true that the need to manage the routine stimulates the search for alternatives that can alleviate this scenario. Such search finds in stimulants an alternative of momentary resolution, however dangerous, capable of generating reflexes in the formation of these future professionals.
Perfil epidemiológico dos pacientes com síndrome vertiginosa atendidos no ambulatório de otorrinolaringologia do Centro de Especialidades Médicas do Cesupa (CEMEC) de 2015 a 2017
(Centro Universitário do Estado do Pará, 2019) Santos, Erik Matheus de Oliveira; Rocha, Iago Henriques Leite; Nunes, Leonardo Mendes Acatauassú; Penha, Nelson Elias Abrahão da; http://lattes.cnpq.br/5207645183090927; http://lattes.cnpq.br/3512764081076675
Introduction: Vertigo is a disabling symptom, with direct repercussions on the patient´s life, and has a significant prevalence. especially with the advancing age. Objective: To determine the epidemiological profile of patients with vertigo attended at the Otorhinolaryngology outpatient clinic of the CESUPA Medical Specialties Center (CEMEC). Method: This is a cross-sectional and descriptive study, based on the review of medical records of patients with vertigo attended at the Otorhinolaryngology outpatient clinic of the Center of Medical Specialties of CESUPA (CEMEC), between 2015 and 2017. The data analyzed included: age, gender, race, marital status, type of vertigo, previous treatment, presence of other clinical manifestations and etiological diagnosis of vertigo syndrome. Results: Females were the most prevalent with 91.4% of the individuals, and the age range between 61 and 70 years represented the highest prevalence with 41.4% of the total. As for comorbidities, 52.9% of the individuals did not present comorbidities and 47.1% had comorbidities, 46.1% had systemic arterial hypertension and 40.4% had dyslipidemia. When assessing the clinical manifestations, the most prevalent were imbalance, tinnitus and headache. No cases of paresis, diplopia and dysarthria were observed. Regarding the type of vertigo, 94% presented vertigo of peripheral origin and 6% of central origin. Of the individuals with central vertigo, 50% had vestibular migraine, 25% cerebrovascular accident or brainstem and 25% undetermined. In relation to the diagnosis of peripheral vertigo, 45.4% of the individuals presented benign paroxysmal positional vertigo (BPPV), 6.1% of the individuals presented Ménière's disease, 6.1% bacterial labyrinthitis and 42.4% undetermined. Regarding drug treatment for vertigo, 51.4% of patients used drugs as therapy once at time, 7% used dimenhydrate, 4.2% of the subjects used betahistine, 41.8% flunarizine and 7% other treatments. There was no significant difference between the factors evaluated about the treatment (p value> 0.05). Conclusion: Vertigo is a more common pathology in females and associated with advancing age, which requires careful clinical investigation. It may have an important impact on the quality of life and need pharmacological therapy. The most prevalent causes are those with peripheral etiology and benign paroxysmal positional vertigo (BPPV), which is the most common.