Pós-Graduação

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A cultura da medicalização e os impactos no sistema público de saúde brasileiro
(Centro Universitário do Estado do Pará, 2023-10-30) Sá, Victória Vasconcelos; Simões, Sandro Alex de Souza; http://lattes.cnpq.br/2124140489726435; Pessoa, Robertonio Santos; http://lattes.cnpq.br/9426835691271531; Brito Filho, José Cláudio Monteiro de; http://lattes.cnpq.br/7823839335142794
This dissertation aims to analyze the increasing and irrational use of medications, often fueled by the Pharmaceutical Industry and aggressive marketing that promotes drugs as "magic pills capable of curing everything." This poses serious risks to the population's health due to the inappropriate choice of medications, improper exposure to drug adverse reactions, increased bacterial resistance, and self-medication. This excessive use of drugs corresponds, in large part, to the phenomenon known as medicalization, conceptualized by Conrad (2007, p. 19) as a process in which non-medical problems are defined and treated as medical, imposing the risk of overloading the Brazilian healthcare system and diverting focus and funds from genuine pathologies. This raises the question of whether certain situations should be treated as social issues rather than medical problems. To this end, this study gathers information to address the following research problem: Is Brazil influenced by this culture of medicalization? If so, what impacts can medicalization have on the Brazilian Unified Health System? To achieve the desired goals, the research is structured into five sections, with the first being the introduction; the second is dedicated to the analysis of health and disease from a historical perspective; the third focuses on the concept and contours of medicalization; the fourth addresses health as a consumer product, and the fifth and final section concerns the budgetary allocation of medications. The research therefore used bibliographic research as a procedure. Finally, the research concluded that Brazil is influenced by the medicalization of health, as both this phenomenon and the need to rationalize the use of medications are recognized by the responsible bodies for SUS management. Subsequently, it was deduced that medicalization results in a considerable budgetary impact on the Brazilian Unified Health System, since the increase in the quantity of medications, technologies, and procedures to be funded by the public administration in the face of medicalization strains the system and causes disorganization.
A espiritualidade na formação médica: elaboração de um guia didático a partir da autopercepção de alunos da graduação
(Centro Universitário do Estado do Pará, 2019) Pereira, Ângela Regina Rosa Corrêa; Barreto, Bruno Acatauassú Paes; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678; http://lattes.cnpq.br/4741205865293040
Introduction: Spirituality is an intangible way of seeking meaning in life. However, religiosity runs through a concrete system based on doctrines or cults that aims to attain the Sacred from behavioral, social and moral values. In this context, there is currently an important involvement between health and spirituality. Since 1988, the World Health Organization involves the spiritual dimension in the concept of health. Scientific research on the subject is still incipient, but with relevant results. Medical education in the field of humanistic skills is instigated to promote training for teachers and students on the subject. Objective: To develop a pedagogical guide on Spirituality and clinical practice based on the perception of the subject in undergraduate medical students. Methods: This is a descriptive, observational, cross-sectional study with a qualitative and quantitative approach. Self-assessment of medical students was carried out (n = 233). A selfapplied questionnaire, of the Brief Multidimensional Measure of Religiousness and Spirituality (BMMRS protocol) validated for the Portuguese language - Brazil. Results: The profile of the population ranged from 18 to 49 years (median: 21), most of whom were single (n = 222), of the female gender, and when they were grouped by semesters, the female gender was also predominant. The religious distribution shows a majority of Catholics (65%), followed by evangelicals (9.8%), which predominates over spiritist (5.1%). In relation to the spiritual dimensions analyzed: spiritual experiences, beliefs and values, religious overcoming and organizational religiosity, were more valued (greater percentage) by the group of students of the first semester compared to the twelfth semester in all variables. However, when the global selfassessment dimension was analyzed, students in the last semester of the course feel more religious and more spiritual. As for the qualitative analysis of the responses related to spirituality and the medical course, using the criterion of Bardin 2011. The comparison of the responses of the groups particularly values this research because it reflects in the first group a probable expectation of the subject to be approached and for the complete a record of the subject in medical training. Conclusion: The students' perception about spirituality and graduation, brings us to propose a didactic guide on spirituality and clinical practice. A large part of the studied population favored the subject in the medical course. It is necessary, however, more research proposing ways to address this dimension of health in medical education.
A importância da tributação sobre a mineração para o desenvolvimento sustentável: uma discussão da tributação mineral de competência do estado do Pará
(Centro Universitário do Estado do Pará, 2023) Zocatelli, Vitória Mota; Tupiassú, Lise Vieira da Costa; Reymão, Ana Elizabeth Neirão; http://lattes.cnpq.br/7523845838580356; http://lattes.cnpq.br/5599627735526045; Koury, Suzy Elizabeth Cavalcante; http://lattes.cnpq.br/5382551862867769; Silveira, Alexandre Coutinho da; http://lattes.cnpq.br/7902423151331560
The state of Pará has great relevance in the global supply of ores, such as iron, gold, bauxite, copper, nickel and kaolin, among many others produced there. The expressive reserves of mineral goods contribute to the country appearing as an important player in the international mineral market. However, the benefits for society do not occur in the same magnitude, taking in consideration the development indices of the state. One of the ways to reflect on the subject is to discuss taxation, since a fair tax collection can be understood as a consideration by individuals for the exploitation of this wealth, which is public. Thus, the objective of this dissertation is to elaborate a descriptive study on aspects of mineral taxation in the context of the State of Pará. The research uses the deductive method and the bibliographic procedure, as well as the analysis of documents from sources such as the National Mining Agency, the Brazilian Mining Institute and the Fiscal Justice Institute. It was concluded that the main characteristics of mineral taxation in the State of Pará are related to the exemption brought by the Kandir Law and the discussion around the TFRM, resulting in a low participation in the income from this wealth, when compared to the prominence that the sector has in the state, to the private profits of the mining companies, and with the return that could be generated for the federative entity, such as the development of the region, through the generation of jobs and creation of industries, for example. Thus, the study suggests that the state can expand its collection base, with smaller subsidies, mainly for companies with high profitability, since the tax regime must be able to support private sector investment, ensuring, at the same time, the maximization of economic, environmental and social benefits for its population, advancing in the guarantee of basic fundamental rights.
A importância de uma sessão clínico-radiológica no curso de graduação médica
(Centro Universitário do Estado do Pará, 2017) Silva, Alex Cezar Massoud Salame da; Gomes, Patrick Abdala Fonseca; Castro, Sinaida Maria Vasconcelos de; http://lattes.cnpq.br/4767038085471534; http://lattes.cnpq.br/6060836341247026; Tuji, Fabrício Mesquita; http://lattes.cnpq.br/8122254353290848; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678; Reis Junior, Leandro Passarinho; http://lattes.cnpq.br/8106073837131437
Introduction and objectives: Medical training has been the topic of intense debates and reveals itself as a subject of extreme importance nowadays. It is imperative to qualify professionals from all health categories to provide comprehensive care, humanized and with responsibility for the continuity of the provided care. New learning scenarios currently recommended by the National curricular guidelines for medical courses propose, among some issues, the formation of a professional with critical and reflexive attitude facing their practice. On this new panorama of Brazilian medical education, there is a need to insert appropriate educational tools that can contribute to the development of a new medical practice. The teaching technique task-based simulation in Radiology and Diagnostic Imaging is more widespread and used in postgraduate teaching, particularly in medical residency. The objective of the study was to implement a methodological proposal for the teaching of Radiology in medical graduation, based on radiological interpretation, from clinical cases in a clinical-radiological session, using the most common imaging exams these days. Methods: 72 students distributed between the eighth and ninth semester of CESUPA (Centro Universitário do Estado do Pará) medical course were submitted to some questions (appendix I) after answering the Informed Consent Form (ICF). The eighth semester students were asked questions prior to any formal Radiology class. Those ones in the ninth semester replied after formal Radiology classes in the eighth semester and after two consecutive clinical sessions where some real cases with several associated imaging exams were discussed. Results: most of the students did not mention mammography or densitometry as a radiological imaging method. Several and complex clinical indications were cited, but some simpler and more common ones, such as, headache, sinusitis and cholelithiasis received almost no citations. 40% of the students did not know to conceptualize appropriately a radiological signal and 54% of them requested an examination without placing any patient’s clinical information. Regarding the risks and benefits of the imaging tests, the answers were divided between confirmation of clinical diagnosis, anaphylactic shock/ contrast, and ionizing radiation. Conclusion: The study showed that the current teaching method of Radiology and Imaging Diagnosis does not fully satisfy the need of scholars about the knowledge of imaging methods, its indications and limitations, its risks and the most alarming is about the request for examinations: they have not done correctly. The proposed clinical-radiological session aimed to fill part of this gap obtaining relative success in improving the interpretation of the imaging tests and contributing to radiological exams request in a clearer and concise way.
A influência do acesso minimamente invasivo na instrumentação de canais ovais: análise em microtomografia computadorizada e teste de resistência à fadiga flexural
(Centro Universitário do Estado do Pará, 2019) Miranda, Ana Raquel Lopes dos Santos; Rodrigues, Patrícia de Almeida; http://lattes.cnpq.br/7995657020175355; Porpino, Mariana Teixeira Maneschy; http://lattes.cnpq.br/5993772430326444; Pessoa, Oscar Faciola; http://lattes.cnpq.br/9576667373951387
Purpose: The present study evaluated the type of endodontic access cavity would result in greater or lesser touch on the canal walls during instrumentation, and the influence on the instrument's resistance to cyclic flexural fatigue. Methods: Extracted human mandibular incisors with oval-shaped canals were scanned by Micro-computed tomography for sample selection and distribution in two experimental groups (n = 19), according to the test cavity: Group I, minimally invasive endodontic access (MIA) and Group II, conventional endodontic access (CEA). The canals were instrumented with WaveOne Gold Medium system and irrigated with 2.5% NaOCl and 17% EDTA. After rescanning, the untouched areas were measured and analyzed by reconstructing and overlapping the images. Endodontic instruments were subjected to static flexural cyclic fatigue testing using a stainless-steel artificial canal (60° angle and 5mm radius) located 5 mm from the tip. The instruments (n= 7) were rotated to fracture, and the time in seconds to fracture was recorded using a digital timer. The number of cycles to fracture (NCF) was calculated and statistically analyzed. The data obtained in Micro–computed tomography was analyzed by the T test, Mann-Whitney and Wilcoxon tests. For cyclic fatigue data, Tukey's post-test ANOVA was used. A significance level of 5% was adopted for all analyzes. Results: There was no statistical difference between the groups regarding the walls touched and walls untouched by the endodontic instrument in relation to the variation of the access cavities (p> 0.05). The cyclic fatigue resistance test showed no statistical differences between the groups. Conclusion: Within the limitations of the research, the use of minimally invasive cavities did not interfere in the instrumentation of lower incisors with straight and oval canals, and there was no difference in the resistance to flexural fatigue of the instruments against different accesses.
A morte na formação médica: oficina de leitura literária como estratégia humanística no ensino em saúde
(Centro Universitário do Estado do Pará, 2020) Sakai, Ana Paula Ferreira Silva; Del Nero, Luciana Brandão Carreira; http://lattes.cnpq.br/5056614008350803; Moraes, Niele Silva de; http://lattes.cnpq.br/1140706468939596; Dantas, Elza Ezilda Valente; http://lattes.cnpq.br/3951303999926297; Carvalho, Ana Emília Vita; http://lattes.cnpq.br/1981562999898097; Conde, Simone Regina Souza da Silva; http://lattes.cnpq.br/3375802140515152; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678
Introduction: Death and the process of dying permeate the daily lives of many health professionals, who are usually in contact with patients at the end of their lives and who die under their care, constituting one of the most challenging clinical experiences. Thus, the reflexive exercise should be stimulated from graduation, so that academics become doctors capable of recognizing their attitudes and building integrated technical knowledge, through activities that stimulate the cognitive, affective and psychic domains, leading to humanization practices. Objectives: To carry out the workshop of literary reading with academics of Medicine, as a strategy to humanize and promote changes in the conception about Death and the process of dying of patients. Method: A transversal, observational, descriptive study, with a qualitative approach, with the realization of the workshop of literary reading of the book "Death is a day worth living", by Ana Claudia Quintana Arantes. For data collection, semi-structured interviews were used, individually, before and after the workshop, recorded and transcribed for analysis purposes. The workshop and the interviews took place at the Medical Course of CESUPA, from June to September of 2019, after the approval of the project by the Research Ethics Committee of CESUPA. Medical scholars attending the seventh, ninth and eleventh periods were included, after signing the Free and Informed Consent Term and their names were preserved by codenames. Results: The interview before the workshop defined six thematic categories (definition of death, dignified death, preparation during graduation to deal with death, art in medical training, reading habit and acceptance); the post-workshop interview defined five thematic categories (definition of death, dignified death, literary workshop in academic training, the workshop experience, suggestions for the workshop). Correlated to these two moments, the most significant results were: difficulty in defining death, which occurred more safely after the workshop, with changes in conceptions on the subject; about dignity when dying (without feeling pain, without suffering from obstinacy in prolonging life at all costs, with technical and humanized assistance, good doctor-patient relationship, having self-knowledge and self-control to take care of the other, exercising the patient's right to information); about the preparation during graduation to deal with death (the subject of death is little addressed); about the contribution of the workshop to the academic formation (perceived as important, especially by the way the book was read: shared reading); about the contribution of art to medical formation (art is positive and collaborative); about the habit of reading (the medical course takes up a lot of life time and most of the reading is technical); everyone expressed their desire for its curricular implementation of the workshop, with extension of the time for discussions and conversation wheel. Conclusion: the workshop on literary reading proved to be a methodological strategy potentially promoting the sensitization of academics to the humanization in health, in the context of Death and end of life care.
A percepção do docente do curso de bacharelado em educação física sobre as metodologias ativas como estratégias no processo de ensino
(Centro Universitário do Estado do Pará, 2020) Silva, Moisés Costa da; Gomes, Patrick Abdala Fonseca; http://lattes.cnpq.br/6060836341247026; Furlaneto, Ismari Perini; http://lattes.cnpq.br/9542085122721945; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678; Dias, Biatriz Araújo Cardoso; http://lattes.cnpq.br/6691738832729865
Active methodologies come to present an innovative way of learning, in order to change the perspective within the classroom, the goal is that the teacher leaves the center of knowledge, and the student becomes active in the teaching-learning process. Therefore, the objective of the present study was to evaluate the perception of the teacher of the bachelor's degree in physical education about active methodologies as strategies in the teaching process. This is a descriptive cross-sectional and analytical study, with a quantitative approach carried out through the application of a structured questionnaire with closed questions to the professors of a private college in Belém-PA. Excel® 2010 software was adopted for data entry and table preparation, as well as BioEstat 5.0 for statistical analysis. Categorical variables were presented as frequencies and numerical variables using measures of central tendency and dispersion. The Chi-square test and the G test (Adherence) were used to verify the significance of the data, adopting an alpha level of 5% (p≤0.05). Participated in the research 14 teachers, of both sexes, where the predominance of the feminine sex was observed (57.1%), being the majority of the professors with master's degree (64.3%), 50% of the professors affirm to have received some type of training or qualification of the Higher Education Institution (HEI), only 28.6% of the teachers have a good concept in relation to the students' perception when using some active methodology strategy, 64.3% of the teachers feel partially prepared for the exercise of a new pedagogical project that establishes the use of active methodologies in the training of physical education professionals, most teachers like and use active strategies with the traditional as a teaching method in the classroom. It is concluded that although teachers use active methodology, a greater mastery of the tools is necessary, through the search for the professional himself, but also in the contribution of the HEI regarding the promotion of training and continued qualification.
A renda básica como política social universal e incondicional: um caminho para a erradicação básica da pobreza no Brasil em um cenário marcado pela racionalidade neoliberal
(Centro Universitário do Estado do Pará, 2023) Aguilera, Raissa Maria Fernandez Nascimento; Koury, Suzy Elizabeth Cavalcante; http://lattes.cnpq.br/5382551862867769; Reymão, Ana Elizabeth Neirão; http://lattes.cnpq.br/7523845838580356; Verbicaro, Loiane da Ponte Souza Prado; http://lattes.cnpq.br/4100200759767576
This dissertation aims to contribute to the improvement of dialogue on basic income, notably regarding its role in the eradication of poverty. Its objective is to analyze how the implementation of universal and unconditional basic income can contribute to the eradication of poverty in Brazil, in a scenario marked by neoliberal rationality. To do so, it seeks to answer the following question: how can the implementation of basic income contribute to the eradication of poverty in Brazil, in a scenario marked by neoliberal rationality? The study starts from the hypothesis that, despite existing criticisms, the basic income policy is capable of contributing to the fight against poverty in Brazil, provided that it is applied in conjunction with other existing social policies. For this purpose, it resorted to the hypothetical-deductive method, which seeks the answer to the research problem from this hypothesis, adopting a qualitative approach, based on a bibliographical and documentary research, and having as main theoretical references Amartya Sen (2010) and Laval (2018) and Parijs and Vanderborght (2018). This research is divided into an introduction, four development sections and, finally, the final considerations. In the first section, it is demonstrated, from a historical and legal perspective, that Brazil is dominated by neoliberal rationality, which controls and dictates the economic, social, political and legal rules of the country. This research adopts Foucault's view of neoliberal rationality, understanding it as a governmental rationality that influences the decision-making of those who govern and those who are governed. In addition, a methodological analysis of the concept of poverty used is carried out, based on the concept of economist Amartya Sen (2010), according to which it is not only the income that determines who is poor, but also the inability of people to accomplish things they value due to social, political and economic restrictions. The second section presents a history of social policies within a capitalist economic context, especially income transfer already adopted in Brazil, in order to demonstrate that these policies are, as a rule, focused and precarious and use monetary criteria to define their target audience, causing the unfair exclusion of several citizens. The third section, in turn, presents the concept of basic income and the state of the art of matter. The concept used, predominantly, is the development by Parijs and Vanderborght (2018), in which the basic income is characterized by the absence of obligations, regardless of the domestic and professional situation of those assisted, and is, therefore, an individual right, without obligation and universal; in this context, payment must be made, preferably, in kind to the beneficiaries. Finally, the fourth section of development analyzes whether universal and unconditional basic income is a viable instrument, together with other social policies, to combat poverty. It is concluded that, within a scenario marked by neoliberal rationality, basic income is an escape route from poverty, capable of guaranteeing protection for the subjectivity of its beneficiaries and ensuring a way out of food insecurity and pauperization without stigma, if applied in conjunction with other existing social policies.
A tecnologia da informação e comunicação na estratégia de prevenção do câncer de colo uterino em Unidade Básica de Saúde no estado do Pará
(Centro Universitário do Estado do Pará, 2022) Silva, Elyene Elene Meireles da Rocha; Matos, Haroldo José de; Rocha, Marco José de Sousa; http://lattes.cnpq.br/9830983900880582; Ferreira, Ilma Pastana; http://lattes.cnpq.br/1650337093024641; Sousa, Maisa; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040
Cervical cancer is a public health problem that affects each region of Brazil differently, with the north and northeast regions being the most affected when comparing the number of deaths from this pathology compared to other regions. The objective of this research was to investigate statistical data to determine the possible causes, and deficiencies in the prevention of this disease in the state of Pará, and with that to specify an application that favors the qualification of the attendance of the preventive service of the uterine cervix. The methodology consisted of an ecological, descriptive study with a quantitative approach. The acquisition of statistical data took place between the year 2010 and 2022. Data analysis and product creation was carried out with the support of the Excel 2016 program, libreOffice 7.2 libreOffice Draw, the Rational Unified Process method, and with articles related to with the theme. The analyzed indicators point to a deficit in the target to be reached of coverage of the programs to combat this pathology in the northern region, State of Pará and Municipality of Belém. There is a need to strengthen the local management of cervical cancer control programs, as well as to invest in the quality of services, as the current situation provides an ideal scenario for this technological advance. This work also points out the importance of using the application that allows the user to obtain all the necessary information, to plan the days in which she will go to the basic health unit in her coverage area with effective communication, to contribute to the tracking, giving the same convenience, ease and practicality. In addition to the proposed functionality, it allows contacting health professionals registered in the application to obtain clarification and also establish a link of trust in relation to the service. For the health team involved in the process, there will be availability to record the entire process, that is, attendance of its users with dates for the Pap smear and updated agenda, for example. In addition to the application specifications, this work also presents user interface sketches of the technical feasibility study.
A utilização de um dispositivo para a localização e padronização de imagens ultrassonográficas do coxim adiposo bucal no planejamento cirúrgico de bichectomia
(Centro Universitário do Estado do Pará, 2024) Santos, Ana Carolina Bentes dos; Tuji, Fabrício Mesquita; http://lattes.cnpq.br/8122254353290848; Couto, Ana Paula Guerreiro Rodrigues; http://lattes.cnpq.br/2692351198150978; Frazão, Marco Antônio Gomes; http://lattes.cnpq.br/2644040557079748
Objective: To locate the Buccal Fat Pad using the UStransfer device for anatomical study and the development of an ultrasonic mapping protocol to assist in the surgical planning of Bichectomy. Methodology: Sixteen patients of both genders, with no prior aesthetic procedures and with the presence of the Buccal Fat Pad, were evaluated. The UStransfer device was used to locate and demarcate the study area, which was subsequently analyzed by ultrasonography (Siemens ACUSON S3000™, HELX™ ultrasound model) on both the right and left sides, using a linear dermatological transducer (Siemens 18L6 HD with a frequency of 6.0 MHz - 18.0 MHz) positioned transversely and longitudinally. Volume measurements were taken at two different times, with a 15-day interval, by the same operator. Additionally, the accuracy rate in identifying the anatomical structure, a descriptive analysis of the volume measurements, and the intraclass correlation (evaluator) were assessed. The BioEstat 5.2 software was used for data analysis, followed by a literature review to deepen the study on the topic. Results: The Buccal Fat Pad was identified in 100% of patients, on both sides and at both time points. The intraclass correlation demonstrated excellent replicability (p<0.0001). There was no significant variation in the volume measurements between the two moments, both on the right side (standard deviation time 1: 0.39; time 2: 0.39) and on the left side (standard deviation time 1: 0.32; time 2: 0.29). An ultrasonic protocol for the Buccal Fat Pad was established to aid in the surgical planning of Bichectomy, using the UStransfer device as a localization method. Conclusion: The mapping using the UStransfer device facilitated the identification of Buccal Fat Pad in ultrasonography, providing an alternative that offers greater safety for the professional performing the surgical intervention and more efficiency for the radiologist in conducting the ultrasound examination.
A valorização do trabalho reprodutivo como desafio à igualdade de gênero: o Brasil e o cumprimento da ODS 5 e da meta 5.4 da Agenda 2030 da ONU
(Centro Universitário do Estado do Pará, 2023-08-31) Maia, Lia Vidigal; Koury, Suzy Elizabeth Cavalcante; http://lattes.cnpq.br/5382551862867769; Reymão, Ana Elizabeth Neirão; http://lattes.cnpq.br/7523845838580356; Guimarães, Sandra Suely Moreira Lurine; http://lattes.cnpq.br/5446022928713407
The present work intends to analyze mechanisms for valuing and recognizing reproductive work, considering the social inequalities that exist in Brazil, in order to find mechanisms for the country to come closer to fulfilling the objective of guaranteeing gender equality, considering target 5.4 of SDG 5 of the UN 2030 Schedule. Considering that the method used will be the hypothetical deductive one, the research starts from the hypothesis that reproductive work, considered over the centuries as invisible, lesser relevance, unworthy of remuneration and recognition, actually plays a fundamental role in society, actively contributing to the country's economy, therefore your appreciation is fundamental to achieving gender equality and development. To do so, the reproductive work of women over the centuries will be analyzed, their relationship with capitalism and female oppression in order to assess the quantification and economic valuation of this work as a form of appreciation; after verifying that economic valuation will not be enough to achieve gender equality, the peculiarities of domestic and care work in Brazil will be presented to demonstrate its relationship with race and class issues and with other forms of social inequalities. It was concluded that the recognition of reproductive work involves analyzing which women carry out this activity and under what conditions, while valuing this work requires a multidimensional approach, with public and private investments in improving urban infrastructure, reducing time shortage of women by expanding freedoms and confronting other forms of inequalities.
A violência psicológica contra a mulher: percepções da proteção a partir do advento da Lei nº 14.188/2021 no ordenamento jurídico brasileiro
(Centro Universitário do Estado do Pará, 2023) Bahia, Patrícia Lima; Lamarão Neto, Homero; http://lattes.cnpq.br/3535753064014781; Ferreira, Vanessa Rocha; http://lattes.cnpq.br/8565252837284537; Teixeira, Eliana Maria de Souza Franco; http://lattes.cnpq.br/5865287894194983
Violence against women is a global public health concern. In view of this, the objective of the present work is to analyze especially psychological violence against women, to control improvements with the introduction of Law n° 14.188/2021. It is considered, from the consequences that the violence suffered by women left the sphere incorporated exclusively in the family (private field), to be addressed as a public policy (public field) from 1990, hosted by the State, it is achieved nowadays, as a structural violence. A deeper view then began, that there are a violence against women often does not leave visible traces, the marks are, in these cases, engraved in the soul, affecting the psycho-emotional field of the female gender. The aim is to analyze, therefore, the importance of protecting the psyche of women, when faced with a society commanded by men, permeated by patriarchal relations. The theoretical contributions of Heleieth Saffioti, Gerda Carol, Pateman, Maria Berenice Dias, Silvia Pimentel, Elder Lisboa Ferreira de Costa, among others, are used. Here, there is a search to answer equally, to what extent the framework of the new law can be considered effective from the perspective of protecting women. The dissertation is divided into three parts: structural violence and society; normative protection for the protection of women; and the protection of women's mental and emotional health. The methodology used for the procedure is qualitative bibliographical and documentary research, using books, articles, legislation, international documents and official information on domestic violence, the dimension and influence of patriarchy that mortally affects the female psyche. The conclusion reached was that aiming to preserve the woman's psyche is a challenge for the law community, because we can observe it go into the functioning of domestic relations, which is built under the aegis of a male chauvinist maternity. Overcoming this bias is not easy, it will require the adoption of public policies against sexist culture to preserve women's mental health and psychological integrity.
A violência sexual intrafamiliar contra crianças e adolescentes e as políticas públicas no município de Belém/PA
(Centro Universitário do Estado do Pará, 2023-06) Maia, Millena Maysa dos Santos; Lamarão Neto, Homero; http://lattes.cnpq.br/3535753064014781
This dissertation aims to analyze the State Plan for addressing sexual violence against children and adolescents in the state of Pará from 2021 to 2031, with a focus on the municipality of Belém. To achieve this, it gathers information to address the following research problem: How have the public policies established by the State Plan for addressing sexual violence against children and adolescents from 2021 to 2031 impacted the response to intrafamilial sexual violence in the municipality of Belém? In order to achieve the intended goals, the research is structured into five sections, with the introduction being the first. The second section reflects on intrafamilial sexual violence against children and adolescents, based on an analysis of children's and adolescents' rights in Brazil, as well as the modalities, data, circumstances, and consequences of sexual violence. The third section presents the concept of public policies, addresses the response to sexual violence against children and adolescents in Pará, with a focus on the guidelines of the State Plan for addressing such violence, and finally, elaborates on the integrated information network. The fourth section examines the public policies for assisting children and adolescents who are victims of intrafamilial sexual violence in Belém. Additionally, it analyzes the socioeconomic factors and the issue of sexual violence. The eighth and final section presents the final considerations of this study. The research employed a deductive method, with documentary and bibliographic analysis, as well as a qualitative approach. Lastly, the research concludes that the positive impacts of the State Plan in the city of Belém are undeniable. However, there is still a long way to go to fully protect the rights of children and adolescents. The study confirms the need for strong interaction between the family, the State, and society to ensure the total elimination of any form of violence, especially intrafamilial sexual violence against children and adolescents.
Análise comparativa de perfil epidemiológico e imuno-histoquímico em pacientes jovens com câncer de mama em clínica privada
(Centro Universitário do Estado do Pará, 2019-05-29) Neiva, Christianne Gomes Barros; Miranda, Ariney Costa de; Carvalho, Ana Emília Vita; http://lattes.cnpq.br/1981562999898097; http://lattes.cnpq.br/0967752058385887; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Bacelar, Herick Pampolha Huet de; http://lattes.cnpq.br/3310315262508382
Breast câncer in Young people is considered an uncommon disease accounting for less than 7% for all women diagnosed with câncer in developed countries. In the last decade, there have been fundamental changes in the understanding of the biology of breast cancer, which has come to be understood as a group of diseases with different molecular characteristics identified by gene expression profiles. This was a longitudinal retrospective case-control study in which 60 patients with a diagnosis of breast cancer, 20 young patients (≤ 40 years), Case group (Gca) and 40 patients (contro lgroup - CG) were evaluated, These groups were subdivided into two age groups: Groups 1 (GC1) with patients aged 41-59 years and Control groups 2 (GC2) with patients aged 60 or over. The patients underwent oncologic surgery, in the period between May/2013 and October/2018. The mean age of the participants was 34.2 years; 85% had symptomatic diseases; the mean tumor size was 2.6cm; 20% had a first-degree family history, and 35% had loco regional lymph nodes in the study. Histopathological examination. Regarding Postoperative Staging, 1A was more frequent. The luminal profile A was found in 38.8% of the patients, followed by luminal B in 33.3% and triple in 27.8% in the case group. Differing from the literature, in which predominance of the B-luminal profile occurs. We conclude that the sample studied presented fewer aggressive cases than found in the literature in this age group. The diagnosis of breast câncer is a challenge in this age group because women do not usually do mammographic screening before 40 years. With the purpose of drawing attention and orientation regarding breast cancer in Young women and guiding health professionals, a primer was produced with the purpose of encouraging, whenever possible, the early diagnosis and better therapeutic conduct of the patients.
Análise da atividade microbiana do extrato de Lippia thymoide, frente a cepa de p. intermediária
(Centro Universitário do Estado do Pará, 2018) Carvalho, Tábata Resque Beckmann; Menezes, Silvio Augusto Fernandes de; http://lattes.cnpq.br/5394614146901551; Brito, Mileide da Paz; http://lattes.cnpq.br/3493897351649944; Carvalho Junior, Raul Nunes de; http://lattes.cnpq.br/5544305606838748
Lippia Thymoide (LT) is used in Western medicine to treat respiratory infections, periodontal diseases and periodontal diseases, anti-inflammatory, antibiotic, among others that are related in the literature, the objective of this study is to evaluate the chemical composition of essential oil of Lippia Thymoide and its antimicrobial activity against Prevotella Intermediate (PI) strains and the prevalence of the diagnosis of periodontal diseases. Methodology: the hydrodistilation process was identified and tested through a Minimum Inhibitory Concentration (MIC) test and resistance test against a bacterium. Results: The essential oil of an anti-inflammatory diet relative to pre-medial periodontopathogenic interactions is 6.5 μg / ml and a positive capacity test. Conclusion: the results found in our research demonstrated that the oil of LT, dependent on seasonality, are promising, are a great bacterial potential and becomes a great ally for the manufacture of products that complement the treatment of periodontal diseases
Análise da IL-10 em pacientes portadores do HIV-1 com periodontite crônica no norte do Brasil
(Centro Universitário do Estado do Pará, 2018-03-09) Fonseca, Ricardo Roberto Souza; Menezes, Silvio Augusto Fernandes de; http://lattes.cnpq.br/5394614146901551; Celestino Júnior, Aluísio Ferreira; http://lattes.cnpq.br/6186863425175415; Rodrigues, Tânia Maria de Souza; http://lattes.cnpq.br/4924941383324071
Aim: The objective of this study was to investigate the levels of IL-10 in the gingival crevicular fluid in HIV-1 positive patients with chronic periodontitis and to compare with HIV-1 negative patients with chronic periodontitis, also to correlate clinical periodontal parameters, viral load and count of CD4+ and CD8+ lymphocytes (LTCD4+ and LTCD8+). Methods: 33 patients were selected and splitted into two groups: 16 HIV-1 positive patients and 17 HIV-1 negative patients and all with chronic periodontitis. The clinical periodontal parameters recorded were: Probing Depth (PD) and Clinical Attachment Level (CAL); the sistemical parameters LTCD4+, LTCD8+ and viral load were analized by the gingival crevicular fluid collected from all patients. Enzymelinked immunosorbent assay (ELISA) was used to determine the concentrations of Interleukin (IL)-10. For the statistical analysis the Student t, Mann-Whitney and Spearman tests were performed. IL-10 levels were significantly lower in both patients groups. Results: There was statistical difference betwen groups for probing depth (p=0.015) and clinical attachment level (p=0.011), no significant correlation was found among the analyzed variables. Conclusion: The IL-10 levels in HIV-1 positive patients had no influence in periodontal and immonological parameters.
Análise de vídeos do Youtube relacionados a aparelhos ortodônticos fixos e alinhadores ortodônticos
(Centro Universitário do Estado do Pará, 2024) Silva, Vitor Costa da; Pinheiro Júnior, Jesus Maués; http://lattes.cnpq.br/0590122765693339
In this study, we aimed to assess the accuracy and quality of information presented in YouTube videos related to fixed orthodontic appliances and aligners. YouTube is acknowledged as a powerful source of information on the internet, especially in the realm of health, hosting a variety of orthodontic content. The analysis involved 80 videos reviewed by two orthodontic specialists, focusing on correlating specific data about these orthodontic devices. To evaluate the quality and educational value of the videos, the Video Information Quality Index (VIQI) and the Global Quality Scale (GQS) were employed. Statistical methods such as Kruskal-Wallis and Mann-Whitney U tests were applied for group comparisons, while Spearman's correlation was used, with a significance level of p<0.05. Results revealed that approximately 41.25% of the analyzed videos exhibited moderate usefulness. Interestingly, older videos scored higher in VIQI and usefulness (0,115 and 0,272, respectively), despite having a relatively lower average daily view count (-0.108). The videos available on YouTube regarding this topic are predominantly older and of moderate quality, underscoring the importance of orthodontists updating their content with more recent and engaging material. The lack of popularity might be linked to language usage or lack of appeal, suggesting the need for more captivating approaches to enhance audience engagement.
Análise dos padrões faciais em imagem 2D e 3D para fins de diagnóstico e tratamento ortodôntico
(Centro Universitário do Estado do Pará, 2021-09-29) Aragão, Carmen Dulce Guedes de; Pinheiro Júnior, Jesus Maués; http://lattes.cnpq.br/0590122765693339; Tuji, Fabrício Mesquita; http://lattes.cnpq.br/8122254353290848; Carneiro, Marcelo Newton; http://lattes.cnpq.br/7057645859780221
Knowing the importance of the face in orthodontic treatment, this study proposed to 2 dentists with more than 5 years of specialization, in two different periods, to perform 2D and 3D photographic facial analysis in 50 patients, to determine and classify them according to their facial pattern. Compare 2D and 3D facial analysis in determining the facial pattern. With 50 adult individuals, minimum age of 18 years, female and male, presence of the 5 Facial Patterns. Patients periodontal disease, individuals treate dorthontically and surgically and the presence of were excluded. Kappa coefficient was used for intra-examiner and inter-examiner agreement. For the analysis of the error, the Kappa coefficient was used. The result of intra-examiner agreement between the first and second 2D assessments was 82% Kappa 0,69. For 3D it was 90% with a Kappa 0,89. The agreement between the evaluators with the gold standard for the total sample was 63,8% and Kappa 0,46 for 2D. For 3D, the total value was 67,9% and Kappa 0,61. For inter-examiner agreement in 2D in total it was 67,53% and Kappa 0,59. For 3D, the total agreement was 69,46% and Kappa 0,65. We concluded that the intra-examiner agreement between the first and second assessment was substantial in 2D and almost perfect in 3D. In the intra-examiner assessment, the agreement was moderate in total in 2D and substantial in 3D. Inter-examiner agreement was moderate in relation to 2D and substantial in 3D images. In other words, the 3D images provided greater accuracy when it comes to the analysis of the Facial Pattern.
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.
Atenção primária em saúde: guia para o uso do IRAMUTEQ em pesquisa qualitativa
(Centro Universitário do Estado do Pará, 2020-10-29) Moura, Glaucia Margarete Nascimento Pereira da; Matos, Haroldo José de; http://lattes.cnpq.br/9830983900880582; Ferreira, Ilma Pastana; http://lattes.cnpq.br/1650337093024641; Carvalho, Ana Emília Vita; http://lattes.cnpq.br/1981562999898097; Del Nero, Luciana Brandão Carreira; http://lattes.cnpq.br/5056614008350803; Nunes, Leonardo Mendes Acatauassú; http://lattes.cnpq.br/3512764081076675; Vaz, Andréa Luzia Paes; http://lattes.cnpq.br/4364540186589331
IRAMUTEQ is a software for analyzing qualitative content of texts and data tables, inscribed under the python language. This operating system proposes a set of statistics and utilities to assist in the description and analysis of texts and data matrices of the individual/character type, that is, with data record type of contingency tables. The principle of functionality of IRAMUTEQ, is based on establishing an interface with the R software and prepares a multidimensional analysis of the texts and questionnaires, its operability being based on preparing data and writing the scripts that are read and analyzed by the R software. Qualitative research in the health area has been strengthening and seeks consolidation in recent years, in which professionals and researchers who make this approach option seek to understand the perspective of the research participants. Therefore, this study demonstrated, through an integrative review, the use of the IRAMUTEQ program in qualitative analysis works in primary health care, in addition a guide to the use of IRAMUTEQ for qualitative research in primary care was developed. The integrative review brought together 10 (ten) Brazilian studies, selected based on the criterion of using lexical content analysis and the IRAMUTEQ software, with the exception of 1 article that used the ALCESTE software. It was observed that in the last years the use of software, especially of IRAMUTEQ, is growing and it is important to obey criteria for preparing the content for analysis, and to be aware of the methods that IRAMUTEQ used for analysis, so that the results are true. The IRAMUTEQ Usage Guide explains in detail how to do content analysis using Reinert's method. The use of IRAMUTEQ in research in primary health care, can promote the objective and faster analysis of texts, in addition to analyzing research with patients and improving the daily lives of both health professionals and their patients.

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