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A importância da ultrassonografia no diagnóstico da doença hepática gordurosa não alcóolica
(Centro Universitário do Estado do Pará, 2020) Mendes Netto, Ataíde José; Rocha, Everton Roberto de Castro; Silva, Flavio Tavares Freire da; http://lattes.cnpq.br/1386374444157946; Rodrigues, Ana Paula Guimaraes; http://lattes.cnpq.br/8714469084529838; Caldato, Cassio; http://lattes.cnpq.br/7526204330567369
Introduction: Non-alcoholic fatty liver disease is considered the most common cause of liver disease in the world, being also a hepatic manifestation of the metabolic syndrome. In this context, the objective of this study was to determine the prevalence of non-alcoholic hepatic steatosis diagnosed by ultrasound in patients seen at an outpatient clinic of a Higher Education Institution in the city of Belém - PA. Methodology: Descriptive, documentary and cross-sectional study with a quantitative approach carried out with 115 patients who underwent abdominal ultrasound at the Centro de Especialidades Médicas of Centro Universitário do Pará in 2019. The association between metabolic syndrome and non-alcoholic liver steatosis was assessed by the test Fisher's exact, considering p≤0.05 statistically significant. Results: Most patients were female (71.3%), aged between 50 and 69 years old (53%), brown (90.4%) and married or in a stable relationship (41.7%). There was a high prevalence of obese patients (43.5%) with arterial hypertension (69.6%) and diabetics (32.2%). The prevalence of non-alcoholic hepatic steatosis was 72.2%, statistically associated with the presence of metabolic syndrome (p = 0.0001), where 89.1% of patients who had this syndrome had non-alcoholic hepatic steatosis. Conclusion: There was a high prevalence of non-alcoholic hepatic steatosis among patients, associated with metabolic syndrome. Therefore, it is emphasized that the early diagnosis of hepatic steatosis helps to monitor individuals with a chance of developing metabolic syndrome. In addition, ultrasonography proved to be a sensitive and effective test for the detection of hepatic steatosis, given the high prevalence of this disorder in the population studied.
A influência da metformina no declínio neurocognitivo: uma revisão sistemática com metanálise
(Centro Universitário do Estado do Pará, 2021) Nakanishi, Deborah Ayumi Alves; Aragão, Diego Armando Barbosa; Teixeira, Cláudio Eduardo Corrêa; http://lattes.cnpq.br/7448998858430931
Background: Blood glucose variations are generally associated with predisposition to the development of dementia in diabetes patients. And there is a controversy in the literature about whether the use of antihyperglycemic agents can(not) promote protective effects on cognition. Design and setting: we used a systematic review with meta-analysis to evaluate whether the evidence in the literature points to a protective or harmful effect of antihyperglycemic agents on cognition. Methods: PubMed, Science Direct and Scielo databases were used to collect articles in English, published between 2005 and 2020. Articles of reflection/opinion, monographs/theses/dissertations, and animal research were excluded. The blinding of authors during the searches contributed to search independence. Of 1,329 articles selected, 30 were adequate, but only 3 of these provided quantitative data from 53 cognitive tests, which were used for meta-analysis (random effect model), performed using R. Results: Funnel plot shows no publication bias. Forest plot, on the other hand, shows that literature points to the use of antihyperglycemic agents by patients as preventive of cognitive losses (standard mean difference equal to -0.18 [95% confidence interval between -0.29 and -0.06]). Conclusion: Evidence of the preventive effect of cognitive losses through the use of antihyperglycemic agents such as metformin should be further investigated, in order to better clarify this therapeutic potential.
A influência dos níveis séricos de IGF-1 no perfil lipídico e glicêmico de acromegálicos em um Centro de Especialidades Médicas no Pará
(Centro Universitário do Estado do Pará, 2021) Pereira, Caroline de Oliveira; Ferraz, Louise Paiva; Bastos, Fabíola de Arruda; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309; http://lattes.cnpq.br/9386935778704228
Introduction: Acromegaly is an insidious and rare disease, associated with a high mortality rate, which results from the pathological autonomous overproduction of growth hormone (GH) and the subsequent increase in insulin-like growth factor-1 (IGF-1) levels. Chronic hypersecretion of these hormones causes several metabolic changes, among which we can highlight lipolysis, atherosclerotic processes, hyperinsulinemia, gluconeogenesis and peripheral insulin resistance. These changes in lipid and glycemic metabolism are related to an increased risk of cardiovascular events in acromegalic patients, being today the second most common cause of mortality in these patients. As a result, it is necessary to assess whether the control of the disease also corresponds to a better metabolic control of these patients, resulting in a lower cardiovascular risk and a lower mortality rate. Objectives: To evaluate the influence of IGF-1 levels on the lipid and glycemic profile of acromegalic patients treated at the Cesupa Medical Specialties Center. Methodology: This is an epidemiological, cross-sectional and descriptive study, based on an exploratory analysis of the medical records of the Endocrinology Service of the Cesupa Medical Specialties Center (CEMEC) from August 2019 to June 2020. Results: When comparing acromegaly activity in the first and last consultation, it was found that there was an increase in disease control, from 22.2% to 71.1%. As for the glycemic profile, the glycemia of diabetic acromegalic patients was statistically higher than that of non-diabetics, both in the first assessment (Mean ± SD: 135.8 ± 59.4 vs 95.1 ± 15.2; P <0.001), and in the latter (Mean ± SD: 98.6 ± 13.2 vs 84.0 ± 11.1; P <0.001). When observing diabetic acromegalic patients, there was a significant decrease in the levels of IGF-1 (mean ± SD: 480.9 ± 250.5 vs 189.5 ± 91.5, P <0.001) and IGF-1 by LSN ( mean ± SD: 1.8 ± 1.0 vs 1.0 ± 0.6, P <0.001), when comparing the two assessments. It was possible to observe, comparing the laboratory parameters between the first and last evaluation, that in the uncontrolled acromegaly at the end (n = 13), there was a decrease in the total cholesterol levels (Mean ± SD: 179.3 ± 30.0 vs 155, 9 ± 28.8; P = 0.018) and, significant increase in HDL (Mean ± SD: 46.8 ± 14.3 vs 53.3 ± 7.9; P = 0.048). For patients with controlled acromegaly at the end (n = 32), there was a significant increase in the HDL level (Mean ± SD: 46.3 ± 26.0 vs 58.0 ± 24.2; P = 0.003) and a decrease in levels of IGF-1, GH, total cholesterol, LDL and TG. Conclusion: These results suggest that most of the acromegalics under study had control of the disease by reducing the levels of IGF-1, evidencing success in their therapeutic conduct. Concomitantly, the majority also obtained improvement in the levels of glucose, glycated hemoglobin, total cholesterol and HDL. This suggests that controlling disease activity is one of the most important interventions for reducing cardiovascular risk in these patients.
A percepção de graduandos de medicina na utilização de imagens como recurso metodológico no processo de ensino-aprendizagem
(Centro Universitário do Estado do Pará, 2022) Albuquerque, Lucas Eduardo Carneiro; Kawachi, Yuji Reis; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678
Introduction: The teaching and learning process can happen in different ways, with education having a very important role in transforming society in a positive way. In addition, the objective of teaching is to achieve a good formation and qualification of the student, with the school being an aid in this development. The constant production of knowledge and the increasingly application of technology, makes there is an inherent need to search for methods and models that aim to ensure practical application, instigating the search for solutions. The use of material such as manuals, formulated in an objective, utilitarian way, with images and easy to understand, plays an important role in health education. In addition, the participatory approach used in the construction of the educational material allows identifying the needs of the target audience, as well as indicating the content of the materials corresponding to their own demands. Objectives: to evaluate the consolidation of knowledge built in different learning scenarios (tutoring, clinical and morphofunctional skills), using a picture book as a methodological resource. Methodology: the study carried out was of the descriptive type, in order to analyze the consolidation of knowledge through notebooks containing figures related to the contents worked in the tutorial sessions, in the Morphofunctional Laboratory and in Clinical Skills. Participating in the research were undergraduates of the Medicine course of the 8th semester of the University Center of the State of Pará (CESUPA). Results: the present study analyzed the consolidation of the knowledge built in the thematic modules (Tutoring, Morphofunctional Laboratory and Clinical Skills) from the answers given by 22 students. 21 questions were elaborated. In these questions the score varied between 47.2% (the lowest) and 95.2% (the highest), the academics had a mean of 80.5% and a standard deviation of 12.5%. The percentages of correct answers did not present a normal distribution, and the median is representative of the class = 85.7%. Conclusion: It was found that the use of images in the teaching-learning process can be an instrument for acquiring and fixing content. Its purpose is to strengthen, in an illustrative way and based on the current literature, the recommendations and possible innovations that will enable the ability to transform acquired knowledge into constructed knowledge.
A relação entre síndrome de burnout e lembranças de práticas parentais em estudantes de medicina
(Centro Universitário do Estado do Pará, 2020) Diniz, Ana Beatriz de Sousa; Jamielniaski, Rafael Almeida Kapassi; Carvalho, Ana Emília Vita; Furlaneto, Ismari Perini; http://lattes.cnpq.br/9542085122721945; http://lattes.cnpq.br/1981562999898097
Introduction: Medical students are continuously subjected to stressful factors, predisposing to psychological problems such as Burnout Syndrome. Socioeconomic factors influence the syndrome, but parental practice has not been taken into account in other studies with this population. Objectives: Describe the prevalence of Burnout Syndrome and the model of parenting practices in medical students. Methods: Cross-sectional, analytical and descriptive study with a quantitative approach to the data, in which 189 students from the 1st, 4th and 6th year of a medical course participated, with an average age of 22.9 years, with 60% of the sample being female, 40% male. The data were collected through socio-demographic and economic questionnaire, Maslach Burnout Inventory, and Scale on Memories of Parenting Practices. Results: The studied sample showed that in MBI the highest averages were in the domain 'personal achievement' (40.9). Comparing the MBI scores by academic year, it was found that the 6th grade students had lower 'emotional exhaustion' scores lower than those observed in 1st and 4th year students (p = 0.0117). As for the results in EMBU, the dimension 'emotional warmth' presented higher averages compared to the domain 'rejection' and that the 'overprotection' (p <0.0001).Conclusion: It is considered the importance of stimulating and promoting actions that encourage the performance of extra academic activities for students, as well as involving the family in the experiences of the medical course.
A utilização de etnofármacos pela comunidade ribeirinha de Belém-PA: uma avaliação sobre o conhecimento médico à medicina alternativa no início do século XXI
(Centro Universitário do Estado do Pará, 2021) Silva, Marcely Nascimento da; Albuquerque, Mário Roberto Tavares Cardoso de; http://lattes.cnpq.br/3233617656287982
This research aims to define the degree of knowledge and use of ethnopharmaceuticals by physicians at Basic Health Units in the Islands Region in Belém-Pa in 2021. This was a cross-sectional, observational and quantitative study for definition the clinical-epidemiological profile and knowledge about ethnopharmaceuticals of the participants. The collection of the research was carried out through interviews, with a multicentric, regional character. The questionnaire used was subdivided into part 1 (identification), part 2 (Who should know and use herbal medicines?), part 3 (professionals' knowledge of herbal products), part 4 (prescription and indications), part 5 (effectiveness) and part 6 (use and safety of herbal medicines and medicinal plants). The average age of the participants was 35.9 years, being equally distributed among 5 female professionals and 5 male professionals, totaling 10 physicians. 10% had graduated from college for 29 years, 60% graduated between 6-2 years and 30% graduated 6 months ago. 80% of physicians interviewed were graduates of public education and only 20% belonged to private education, the highest medical degree found among the participants was the title of specialist, represented by 60% of physicians. It was noted that 60% of physicians prescribed herbal medicines, however, only 30% received information about the subject during graduation, and no participant performed training on phytopharmaceuticals after starting their professional career. The most difficult factor for the prescription of herbal medicines was the lack of knowledge about the subject. 70% of respondents believed in the efficacy of the therapy, and among the most used biopharmaceuticals were Valeriana (Valeriana officinalis) and Espinheira santa (Maytenus ilicifolia). There was a lack of knowledge about contraindications for the use of herbal medicines and medicinal plants by 80% of respondents and 70% were unable to report risks generated by the use of herbal medicines. It was concluded that physicians in the riverside region of the islands of Belém/Pará believe in the efficacy of therapeutics with herbal medicines and medicinal plants, they usually prescribe for their primary health care users, but they have little knowledge about the resources and application of the therapy.
Abandono afetivo em razão da orientação sexual e da identidade de gênero: uma análise sob a perspectiva da responsabilidade civil
(Centro Universitário do Estado do Pará, 2019-06-03) Silva, Naira Almeida da; Azevedo, Thiago Augusto Galeão de; http://lattes.cnpq.br/5496674400879290; Carvalho, Bruno Brasil de; http://lattes.cnpq.br/8378493373753040
This work had as objective to deal with aspects related to affectionate abandonment of parentes in relation to their children due to their gender identity and sexual orientation, desviantes do padrão heteronormativo, given that it is an object of little social research, especially with regard to the legal scope. It is a monograph, derived from a theoretical method that consists of the research of works and articles of specialized periodicals that approach the subject, as well as the empirical theoretical method, through statistical data that corroborate the theory of affective abandonment by reason of sexual orientation. It occupies, in a first moment, in addition to clarifying briefly some basic concepts for a better understandingof the reader regarding sex, gender and sexuality, we present the Foucauldian perspective regarding this, as well as a theoretical essay of normative heterosexuality imposed socially based on some premises of Butlerian thought. In addition, attending on the object itself, one starts for a brief exposition about the historical context of the family, analyzing the reflexes cisheteropatriarcal system in the contemporary family, as well as makes an investigation of the discrimination radiated by this one to its descendants that deviate from the archeotypes heteronormative. Finally, it is devoted to the discussion of affective abandonment due to gender identity and sexual orientation, with the purpose of demonstrating the damages that the noncompliance with the legal duties deriving from the family power to provide material and/or moral assistance, conducting an examination about civil liability of those who abandon them and the consequent duty to indemnify, reflecting on the issue of the extent this accountability a legal instrument with potential for raising awareness in the family and minimizing cases of affective abandonment as a result of prejudice institutionalized by heteronormative society.
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.
Abordagem estética integrada das más oclusões a partir da ortodontia digital: relato de caso
(Centro Universitário do Estado do Pará, 2019) Campos, Luís Paulo Almeida; Santos, Nayara Cardoso; Pinheiro Júnior, Jesus Maués; http://lattes.cnpq.br/0590122765693339
Dental anomalies are a frequent condition in dentistry. When these malformations are associated with altered dental positioning, they affect aesthetics and function, necessitating an integrated approach between orthodontics and restorative dentistry. In this sense, the present study seeks to report the clinical case of an adolescent patient with malformation in the crown of the upper lateral incisors, diastema in the upper arch and facial growth pattern II, with Class II malocclusion. After evaluation of the clinical condition of the patient, it was verified that a satisfactory outcome of the clinical case would not be obtained if the restorative dentistry procedures were performed alone, as well as those of orthodontics alone. The leveling and alignment of the upper and lower arches was initially planned, using fixed apparatus in the straight arch technique; after the redistribution of spaces, the orthodontic appliance was removed and the patient was referred to perform the restorative procedures. After the clinical intervention, a satisfactory result was obtained for patients and professionals, being made possible by the integration between orthodontics and dentistry. The orthodontics associated to a digital tool can aid in the aesthetic rehabilitation of a patient with dental anomaly in a fast, precise and practical way.
Abordagem odontológica em mulheres vítimas de violência doméstica: uma revisão de literatura
(Centro Universitário do Estado do Pará, 2019-06-03) Martins, Carolina Vitória de Souza; Moreira Júnior, Mário Tavares; http://lattes.cnpq.br/7567611710717172; Miranda, Dóris Kós Burlamaqui de; http://lattes.cnpq.br/1848188497171812; Silva, Clélia Alice Tourinho de Melo e; http://lattes.cnpq.br/2300027513439562
Violence against women has serious impacts on the quality of life of these patients, due to physical injuries, besides the psychic and social repercussions. With the purpose of repressing these cases and acting on the violence practiced against the woman that arises the Maria da Penha Law (Law 11.340 / 06). A literature review was conducted to evaluate the knowledge and positioning of dental surgeons in these cases and to analyze how the dental class has behaved in the face of domestic violence in women. It was observed that the CD does indeed act in front of these events, needing to seek more knowledge about the legal issues of the exercise of its profession going beyond the code of odontological ethics, since there are deeper spheres in the Brazilian justice that regulate the actions of the dental surgeons in these cases. The subject covered in this study still presents a lack of data, further research on the subject is required. However, despite the lack of some information and observed that the available literature promotes a good initial foundation on which professional needs to know, although there is disinterest on the part of the category.
Abordagem teórica e prática da aplicação de Linux em sistemas embarcados: um tutorial para a configuração da BeagleBone Black
(Centro Universitário do Estado do Pará, 2021-06-23) Santos, Felipe Garcia dos; Dias, Suzane Alfaia; Sena, José Adolfo da Silva; http://lattes.cnpq.br/1637465609474105; http://lattes.cnpq.br/9675395702501834; Ribeiro, Moshe Dayan Sousa; http://lattes.cnpq.br/5200296393526606
With the advent of technology, visible and ubiquitous, there was also the need to produce more IoT devices, which are nothing but embedded systems, many of them, microprocessed. Along with this, the opportunity arises for more vacancies for computer engineering professionals. However, it is notable that many academics in the field are unaware of the step-by-step construction of a microprocessed embedded system, as well as the concept of embedded Linux. This work aims to develop a documentation that contains the development of an embedded microprocessed system in Linux, using as basis the BeagleBone Black development board. The process will be described in the form of a report, using bibliographic and practical research with the Texas Instruments development environment.
O aborto como uma imposição socioeconômica contra os direitos de escolha da mulher
(Centro Universitário do Estado do Pará, 2019-06-03) Prestes, Yasmim Coelho; Koury, Adilon Passinho; http://lattes.cnpq.br/1378173214805527; Santos, Andreza Casanova Von Grapp; http://lattes.cnpq.br/9121358785114807
This study intends to establish a discussion about abortion under the prism of women’s right to choose and how their social and economic condition impact on their power of choice, presenting concepts, typology of abortion, discussions on the subject, highlighting the assumptions abortion, and discussing feminism, with abortion as a socioeconomic imposition against women’s rights of choice. Thus, the objective of this study is to analyze the aspects that involve the impossibility of choosing women in situations of extreme socio-economic fragility in continuing with a pregnancy; analyze the aspects of the current context in the delimitation of the will and exercise of motherhood, reproduction and abortion in women; evaluate the difficulties in securing social equality for women in the contemporary world; and understand and dispose of abortion as a lack of choice in the face of women’s socio-economic conditions. This study proposes to answer the following question: can abortion be considered as an imposition and restriction of the right to choose women in conditions of extreme poverty? For that, the deductive method, the indirect documentary technique, was used through bibliographic research.
Açaide: feira virtual de açaí
(Centro Universitário do Estado do Pará, 2022) Gomes, Marcos Vinícius Vasconcelos; Hermes, Mário Cosenza; Carmo, Ricardo Melo Casseb do; http://lattes.cnpq.br/4933624262290855; Sousa, Marcos Paulo Alves de; http://lattes.cnpq.br/6713232502495902; Cereja, Fabiola Alves; http://lattes.cnpq.br/4434149523451690
Açaí is a fruit very present in the lives of the inhabitants of the state of Pará due to its cultural and biological relevance. This importance is explained in indigenous folklore, in which a legend tells the story of its origin, treating it as a food that saved an entire tribe. But not everything is fantasy, açaí is a food that has many nutritional benefits that have been discovered and explored since the 1990s. This interest produced a growth in the demand for the fruit and its derivatives, resulting in the need for technological solutions in several parts of its productive chain. Thereby, the present work aims to create a mobile application that works as an ad marketplace for the açaí market, optimizing its marketing and bringing ease to its members. For this, it was essential to use the IBGE locations API, which provided the manipulation of the counties of Pará as data for various features of the application. Employing technologies such as Flutter and Firebase, it was possible to produce a product that considers the particularities of the açaí market and has the features to assist in its gaps.
O acesso à justiça e as modalidades de resolução de conflitos inseridos pela reforma trabalhista
(Centro Universitário do Estado do Pará, 2019-06-18) Cruciol, Geovana Manoela Braga; Mendes, Felipe Prata; http://lattes.cnpq.br/9587483262174943; Rodrigues, Vanessa Rocha Ferreira
This monograph deals with access to justice through the modalities of conflict resolution introduced by the labor reform. The main objective is to show how the labor reform protects these modalities and to demonstrate the capacity that these alternative means of conflict resolution have to encourage the judiciary to be the precursor of one of a faster and more efficient judicial service. The objective was also to verify the effectiveness of the institutes implemented with the labor reform in order to address the following question: The alternative means of conflict resolution implemented by Law 13467/17 are tools capable of granting access to justice with the objective legislator? In order to remedy this issue, this work was directed to explaining, based on the study of daily life and forensic practice, how these institutes are functioning in the judiciary, analyzing their impacts in relation to the inafasability of the jurisdiction. Finally, it was possible to conclude that, due to the lack of democratic deliberation of the legislative process of law 13467/17, the initial ideas proposed by the labor reform were not articulated in the way that they should be, generating new impasses in the labor justice due to the built barriers access to the judiciary.
Achados campimetricos em pacientes com adenoma hipofisário atendidos no CEMEC no período de março de 2018 a dezembro de 2019
(Centro Universitário do Estado do Pará, 2021) Silva, Aluyzio Miguel Ferreira Nunes e; Guerra, Jade Pinto de Queiroz; Silva, Carolina Trindade Pinto da; http://lattes.cnpq.br/1462166625345308
Introduction: Adenomas are benign tumors that have their origin in glandular tissue, and are able to develop in breast tissue, in the glands of the colon, and in pituitary tissue. The presence of adenomas implies hyper or hyposecretion of hormones related to the affected tissue. The research focuses on the visual changes that pituitary adenomas cause in patients. Objective: To analyze the campimetric findings by Humphrey and Pclab methods in patients with pituitary adenoma who had visual impairment due to pituitary mass effect on the optic chiasm. Methods: The medical records of 14 patients were analyzed, counting nineteen eyes, to characterize and quantify the patient´s campimetry according to the methods used. Total deviation (MD) and Pattern Standard Deviation (PSD) results were compared in the nasal and temporal hemifields. The results found in each hemifield were compared by Bioestat version 5.3 application. Results: The epidemiological profile of the analyzed patients demonstrated no prevalence of gender, and a mean age of approximately 38 years. In the Humphrey group 10 eyes were evaluated, with mean MD and PSD values of -13.388±7.9294 and 10.637±6.0229, of which only the PSD values revealed a statistically significant value. Regarding the 9 eyes analyzed by the Pclab method, we obtained a MD and PSD value of -2.5422±1.1554 and 3.8555±1.4918, of which only the PSD showed statistically significant results. Conclusion: Finally, when the Humphrey campimeter was used, a prevalence of temporal hemianopsia by the gray scale graph was shown, which was not evidenced in the patients who underwent the exam by the Pclab methodology, showing a predominance of temporal field loss. The PSD was more useful in clearly showing the loss of temporal visual field fibers. Thus, the current study has shown that the simple analysis of the grayscale graph fails to identify discrete chiasmatic defects in a considerable number of patients. In view of this, comparison of the mean deviations calculated for the hemicamples appear to be useful criteria for identifying such defects.
Acionamento do serviço de atendimento móvel de urgência em Belém do Pará por motivos traumáticos nos meses de fevereiro e março de 2016
(Centro Universitário do Estado do Pará, 2020) Siqueira, Ana Karolina Kalif; Pontes, Felipe Lobato; Neves, Dilma Costa de Oliveira; Siqueira, Claudia Regina Dias; http://lattes.cnpq.br/6013946222269824; http://lattes.cnpq.br/7230812534416350
The trauma is caused by a physical agent of varied etiology, nature and extent, with the etiology of the traumatic event being the factor that guides patients or viewers to request specialized help, constituting the traumatic reasons for triggering an urgent and emergency service in a medical practice. Objective: To identify the main traumatic reasons for triggering the SAMU (acronym in portuguese for emergency mobile care service) in Belém-PA in the months of February and March 2016. Methodology: Quantitative, descriptive and exploratory document analysis, based on the records of care at SAMU in Belém do Pará. We included those with identification of the reasons for the trauma of patients treated by SAMU in the municipality of Belém, in the study period. For the present study, it was registered on the medical service's record and considered as traumatic reasons the following: collision between vehicles; fall; being run over; violence (physical, stab or firearm), burns and other accidents. The age and sex variables were used to describe the victim's profile. Because they have a small amount of records, data on occupation and education were removed from the data analysis. For the analysis of temporality, the information of the day of the week and time of the occurrence was used. The patient's evolution was limited to what was found in the victim's record at the time of care, such as death, transfer or hazing. Results: 1037 SAMU activation records were analyzed in the study period in the city of Belém-PA. 114 (11.0%) records were excluded because they did not contain the reasons for requesting the service. The age group and the gender most affected were, respectively, 20 to 59 years of age (70.6%) and males (67%). The main reasons identified were traffic accidents (52.8%), followed by falls (26.4%) and assaults (18.1%). Among traffic accidents, collisions between car and motorcycle stand out (29.2%), people falling of vehicles in motion (20.9%) and pedestrian accidents (14.8%). Regarding falls, the most common were motorcycle falls (74.5%), followed by bicycle falls (15%) and when getting on and off vehicles (11%). As for the assaults, the record with the highest occurrence was physical aggression (36.5%), followed by cold weapons (34.1%) and firearms (29.3%). The highest attendance frequency occurred in the maximum time of 10 minutes (48.1%) between the activation and the arrival of SAMU. The most frequent day of the week was on Saturday (16.3%) mainly during the night shift (29.5%). Conclusion: Proper completion of SAMU's service records is of the utmost importance, highlighting the reason for triggering the service, the profile of the victims affected and the trauma mechanism. This way more consistent financial assistance can be provided for the best initial care and arrangements for preventive measures and organization of SAMU's services.
Acordo de leniência na lei anticorrupção: o conflito de atribuição para celebrar acordos
(Centro Universitário do Estado do Pará, 2018-06-19) Macedo, Hanna de Assis; Farias, Klelton Mamed de; Lima Filho, Eduardo Neves
This monograph deals with a problematic of the organizational conflict to celebrate leniency agreements, in the mold of art.16 of Law 12.846 / 2013 (Anti-Corruption Law). The approach starts from a perspective of aspects related to the institute and the context of production of the law. The requirements for concluding an agreement are set out below. Continuing, we deal with the main problem of work and as an instance of emergency. In addition, we will briefly review an application of the institute in practical cases. Finally, it is pointed out the importance of developing a national anti-corruption policy based on the systematic analysis of the provisions in force in the Brazilian legal system and of the International Conventions that Brazil is a signatory.
Afetos, consumo e pandemia na retomada do natal mágico do Parque Shopping Belém
(Centro Universitário do Estado do Pará, 2023) Pereira, Beatriz Farinha; Caetano, Danilo Miranda; http://lattes.cnpq.br/8985271833324122; Leão, Danuta de Cássia Leite; http://lattes.cnpq.br/3967549374195129; Teixeira, Will Montenegro; http://lattes.cnpq.br/6052214377870325
This course completion project examines the market, health, and emotional interaction between the public and Parque Shopping Belém during the Christmas of 2021, amidst the instability caused by the Coronavirus. Its relevance stands out due to the scarcity of relevant studies on the subject in the Northern region of the country, emphasizing the uniqueness of the thesis. The methodological procedures employed combined secondary and primary data using exploratory and descriptive methods, the latter in both qualitative and quantitative versions. To understand consumer behavior and assess their "affectation," a specific questionnaire for the Christmas environment in shopping malls was developed, allowing for a detailed analysis. Data collection revealed the existence of an engaged group that experiences the shopping mall Christmas, predominantly composed of families from various social structures. Thus, despite the "surprise" enchantment provided by the Christmas attractions at Parque Shopping Belém, the engaged participation of this audience contributed to making Christmas 2021 even more significant and emotional.
Algoritmos bioinspirados – uma revisão sistemática da literatura no Brasil
(Centro Universitário do Estado do Pará, 2020) Gomes, Wesley Gabriel Pereira; Tork, Vinicius Martins; Soares, Lucas Leal; Souza, Alan Marcel Fernandes de
We present a systematic literature review on Brazil regarding bio-inspired algorithms. This is a study on the bibliographic review of articles published in federal universities in the last four years (2016-2020). This study searched the indexed literature in the bibliographies by the following Portuguese keywords in computer science: “bioinspiradas”, “metaheurísticas” and “inteligência artificial”. This undergraduate thesis presents a brief introduction in the subject of bio-inspired algorithms, meta-heuristics and artificial intelligence and subsequently the results of the published studies about bio-inspired algorithms were analyzed, evaluating which of them utilized the Ant-Colony Optimization (ACO).
A alienação parental e os desafios judiciais
(Centro Universitário do Estado do Pará, 2019-06-19) Koyama, Ivaneide Costa Conceição; Mendonça, Mariana Barreira; Azevedo, Camyla Galeão de
Parental Alienation (PA) is the interference in the psychological formation of the child or adolescent promoted or induced by one of the parents, by the grandparents or by the child or adolescent under his or her authority, custody or supervision to repudiate the parent or cause the establishment or maintenance of links with it, which is described in Law No. 12,318 / 2010. Controversially there are cases in which they suggest that the application of this law is being done wrongly, when the possible alienator is, in fact, the victim. Therefore, the present study aimed to discuss the definitions about PA and the Parental Alienation Syndrome (SAP), differentiating them; describe the judicial historical evolution that led to the enactment of the specific legislation for the PA, exemplifying its application; as well as discussing challenging and limiting cases of legislation.

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