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Item Mensuração da escoliose idioática do adolescente: desenvolvimento de um aplicativo voltado para o ensino em saúde(Centro Universitário do Estado do Pará, 2023) Giubilei, Dante Bernardes; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Teixeira, Claúdio Eduardo Corrêa; http://lattes.cnpq.br/7448998858430931; Brito, João Amaury Francês; http://lattes.cnpq.br/2082803988929398; Oliveira, Marcus Augusto de; http://lattes.cnpq.br/6036530007649294Objective: Adolescent Idiopathic Scoliosis is the most common spine deformity and has its own classification, although didactically complex. Thus, developing an application for mobile devices to teach the measurement, classification and gradation of the deviation of Adolescent Idiopathic Scoliosis as a teaching tool. Method: This is a cross-sectional, descriptive, analytical study with a quantitative and qualitative approach, with an emphasis on health teaching. The study was submitted for evaluation to the Research Ethics Committee of the University Center of Pará (CESUPA) for assessment and evaluation of handling and validated using a Likert scale based on the Statistical Package for the Social Sciences (SPSS), accepting a Content Validity Index (CVI) greater than 0.70 to be approved. 15 specialists associated with the Brazilian Society of Orthopaedics and Traumatology took part in the study. Results: The total CVI of the app obtained was 0.803, higher than that needed to validate the product. When it came to evaluating content and appearance, the items with the highest scores were "the app is suitable for its intended purpose" and "the app is intuitive" with a value of 0.87. The item with the lowest score was the product's interface, with a value of 0.73. Conclusion: The main objective of the study, to develop a portable application for teaching the measurement and grading adolescent idiopathic scoliosis, was achieved. It was possible to validate the app's usability by specialists in orthopedics and traumatology, achieving an adequate CVI.Item Tecnologia educacional sobre medicina do estilo de vida para profissionais de atenção primária à saúde de comunidades ribeirinhas(Centro Universitário do Estado do Pará, 2023-12-11) Lucena, Lílian Grace Moura de; Matos, Haroldo José de; Lobato, Edienny Augusta Viana Santos; http://lattes.cnpq.br/8177968072238226; http://lattes.cnpq.br/9830983900880582; Domingues, Robson José Souza; http://lattes.cnpq.br/9892890507517226; Taquette, Stella Regina; http://lattes.cnpq.br/0311106771021992; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309This study focused on the development of an educational technology aimed at promoting the principles of Lifestyle Medicine (LM) in Primary Health Care of a Basic Health Unit (BHU) in the region of Ilha das Onças, Barcarena, Pará. The study highlighted the importance of LM as an evidence-based clinical discipline that promotes a healthy lifestyle. Considering the efficiency in providing public services, especially in the health area, as a constitutional principle, the proximity of the BHU services is highlighted as the only access of the riverside population to public health services. The research focused on the Ribeirinha Vital Costa Gouvêa BHU, located in an Amazonian area classified as high social vulnerability. The objectives included the development of an educational technology, analysis of the integration of LM principles in professional practice, identification of challenges and opportunities, and creation of instructional material to empower health professionals. The study was exploratory cross-sectional, using Focus Group sessions with four groups of BHU professionals and Content Analysis was applied through the IRaMuTeQ software, following the Reinert Method in the analysis of collected data. As a result, instructional materials and a teaching plan were developed for a workshop, addressing essential topics such as food pattern, physical activity, sleep, stress control, use of toxic substances, social connection, and motivational interview. These were developed based on the observations and theoretical-conceptual gaps identified by professionals during interactions with patients and discussions of focus groups, aiming to fill these gaps through permanent health education. The conclusion highlighted the need for educational strategies that incorporated both the technical approach and the emphasis on human interaction, promoting a holistic view in fostering healthy habits. The importance of effective communication, supported by Continuing Education and educational technology, was emphasized to optimize patient follow-up at the BHU.Item Construção e validação de um instrumento para orientação pós alta hospitalar para pacientes que sofreram traumatismo crânioencefálico(Centro Universitário do Estado do Pará, 2023-03-23) Lopes, Nayan Leonardo Sousa; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Teixeira, Claúdio Eduardo Corrêa; http://lattes.cnpq.br/7448998858430931; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678; Silva, Dayse Danielle de Oliveira; http://lattes.cnpq.br/1634835938202657; Moraes, Lienne Silveira de; http://lattes.cnpq.br/6168418820721633; Nunes, Leonardo Mendes Acatauassú; http://lattes.cnpq.br/3512764081076675Traumatic brain injury (TBI) is physical injury to brain tissue, with disruption of normal brain function that can be caused by blunt trauma to the head or penetrating injury to brain tissue. TBI has a great impact on the health of the general population, having a clear influence on both morbidity and mortality worldwide, representing 10% of all victims aged between 5 and 44 years in the world, being more prevalent in young people males, causing enormous socioeconomic damage to society. The objective of this work was the elaboration of an informative material (booklet) to help patients who suffered TBI in the post discharge care of Hospital Metropolitano de Urgência e Emergência (HMUE). A methodological study was carried out in 4 stages: bibliographic survey; elaboration of the material (booklet); evaluation of the provisional material by the residency program preceptors and validation of the information booklet by specialists in the subject (judges). The booklet was evaluated by judges, being approved and validated, with the final title: “Post discharge guidance booklet for patients who suffered Traumatic Brain Injury”.Item Elaboração e implementação de um guia didático para construção compartilhada de projeto terapêutico singular (PTS) no ensino médico(Centro Universitário do Estado do Pará, 2024) Gaia, Gabriel Nogueira; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309; Carvalho, Ana Emília Vita; http://lattes.cnpq.br/1981562999898097; Brito, Caio Vinicius Botelho; http://lattes.cnpq.br/9231585273571040; Del Nero, Luciana Brandão Carreira; http://lattes.cnpq.br/5056614008350803The Singular Therapeutic Project is an instrument used in the Family Health Strategy in Primary Health Care in Brazil, as well as in other countries, in order to understand the family composition, its interactions between family members and with members that make up its social nucleus and expectations regarding the illness process. The objectiveof this study was to propose and apply a matrix tool to ensure dialogue between the different levels of the health care network, the interdisciplinary team and, above all, guarantee the user's autonomy and protagonism in their health-disease process. A descriptive study was carried out, with a qualitative approach, based on the elaboration of a systematized instrument, a guide for the construction of a Unique Therapeutic Project with undergraduate medical students, directed towards the Community Health Care Interaction Module and Integrative and Complementary Health Practices workshop in the State of Pará, Brazil, in addition to students from the medical residency program in family and community medicine, highlighting the protagonism of the user so that it can be possible to coordinate and matrix care. The study resulted in the development of a guide titled “EDUCATIONAL GUIDE FOR SHARED CONSTRUCTION IN NETWORK CARE MANAGEMENT”, focusing on the role of the user and the attributions of each actor. In conclusion, the primary use of the Singular Therapeutic Project served to achieve the proposed objectives - to coordinate and matrix care and ensure the user's role in their health-disease process, noting that the use of this method is positive for clinical practice through the Person-centered clinical approach.Item Medicina do adolescente - matriz de competências para a graduação médica(Centro Universitário do Estado do Pará, 2024) Pinho, José Francisco Carvalho de; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Chermont, Aurymery Gomes; http://lattes.cnpq.br/4212769913736000; Franco, Mariane Cordeiro Alves; http://lattes.cnpq.br/6022804097411305; Carvalho, Ana Emília Vita; http://lattes.cnpq.br/1981562999898097; Palacios, Vera Regina da Cunha MenezesThe competency-based education aims at the formation of a professional that, beyond dominating knowledge, possesses the necessary abilities and skills to face complex challenges that will appear in professional life. The present work has as an objective to contribute for the creation of a competency matrix ordered to the Adolescent Medicine during medical graduation with the scope that the egressed may, at the end of the course, carry it out with autonomy and safety. The work in sight consists of a quantitative exploratory study, which utilized the Delphi Methodology, and was realized in four phases: first a bibliografic survey and the creation of a pilot matrix were made; in sequence a research was performed with specialists (pediatricians and adolescent medics) – first evaluation cycle of pilot matrix; in the third phase, research was done alongside a panel of local judges – second evaluation cycle of pilot matrix; and at last, the results were analysed and the definitive matrix was elaborated. At the end of the two evaluation cycles a matrix proposal composed of 24 essential competencies in Adolescent Medicine was structured upon 3 thematic axies: the first axis, containing competencies linked to adolescent care; the second, containing competencies over the main themes in Adolescent Medicine; and the third axis, with the general competencies concentrated in the acknowledgement of the main pathologies that affect adolescents. The results allowed to trace a profile of competencies in accordance with the proposed objective and will permit the fullfilment of an existent gap in professional formation, guaranting a training in Adolescent Medicine, suplying the necessity of dealing with questions more directed to psicossocial and sexual problems, and the physical and emotional developement of that part of the population which necessitates higher atention.Item Curso de capacitação em ultrassonografia básica à beira leito no módulo de urgência e emergência do internato médico(Centro Universitário do Estado do Pará, 2024) Serruya, Luiza Fleury de Figueiredo; Miranda, Ariney Costa de; Teixeira, Claudio Eduardo Corrêa; http://lattes.cnpq.br/7448998858430931; http://lattes.cnpq.br/0967752058385887Objective: Train undergraduate medical students to practice point-of-care ultrasound (POCUS) in the Urgency and Emergency module of the medical internship. Methods: The study was carried out through the E-FAST Theoretical-Practical Ultrasonography Course applied to students in the eleventh semester of the CESUPA medical course. Results: It was found that most university students demonstrated an improvement in their ability to carry out and grasp knowledge about the subject after applying theoretical and practical classes on an ultrasound device and ultrasound training simulator. Conclusion: The improvement in student performance after the practical activity encourages discussion about the importance of curricular adjustment to adapt to technological advances in the medical field.Item 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/4741205865293040Cervical 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.Item Prevalência de sobrepeso e obesidade e sua correlação com nível de atividade física e perfil nutricional em escolares de uma instituição de ensino público municipal no estado do Pará(Centro Universitário do Estado do Pará, 2022-10-19) Batista, Elysson Raul Ferreira; Miranda, Ariney Costa de; Paes, Bruno Acatauassú; Corrêa, Cláudio Eduardo; http://lattes.cnpq.br/7448998858430931; http://lattes.cnpq.br/0967752058385887; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Teixeira, Cláudio Eduardo Corrêa; http://lattes.cnpq.br/7448998858430931; Cardoso, Thais Cristina Franco; http://lattes.cnpq.br/3752413982659840; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309; Oliveira, Edilea Monteiro de; http://lattes.cnpq.br/2758712667035434INTRODUCTION: Several factors are involved in the etiology of overweight and obesity, among which we can mention as primary the energy imbalance between calories ingested and spent, obtained mainly from the change in eating habits in which there was a higher consumption of industrialized foods, rich in fats, sugars and salt; and consequent reduction in physical activities, bringing us more and more to sedentary lifestyle (WHO, 2014). OBJECTIVE: To verify the prevalence of overweight and obesity in elementary school students, final years (6th to 9th grade), aged between 10 and 15 years of the educational institution Laércio Wilson Barbalho Municipal School in Ananindeua - PA and its correlation with habitual physical activity and nutritional profile. METHODOLOGY: This is a descriptive cross-sectional study, conducted through an interview using a structured questionnaire for the evaluation of the following variables: schooling, gender, age, eating and leisure habits, collected through a 24-hour recall and physical activity questionnaires in the Physical Activity Questionnaire for Older Children (PAQ-C) and Physical Activity Questionnaire for Adolescents (PAQ-A). Weight and height were collected to calculate the body mass index (BMI) using a scale and a statometer. RESULTS: The study participants 266 students, with a mean age of 13.61 (±1.32), most females (51.9%), attended the ninth year (32.7%), had the ideal weight (46.2%) and was sufficiently active (52.3%), 45.2% of schoolchildren were overweight, 48.12% were insufficiently active, no relationship was observed between the above-normal body mass index (overweight and obesity) and the dietary profile in the population, no relationship was observed between the above-normal body mass index (overweight and obesity) and the level of physical activity in the population studied (Contingency coefficient=0.086, p=0.34), but a weak relationship was observed between the body mass index within normality (ideal weight) and the level of physical activity (Contingency coefficient=0.277, p<0.01). CONCLUSION: Approximately half of the participants were above the ideal weight. No relationship was found between overweight and food intake of students, but a relationship was evidenced between those with the ideal weight and the level of physical activity. A technical report was prepared with suggestions for changes in the physical education curriculum component, aiming to monitor and intervene in the level of physical activity and weight of students and proposing changes in life habits in order to minimize the possible future damage caused by overweight and inactivity.Item Conhecimento de profissionais de saúde na mobilização de paciente politraumatizado no âmbito hospitalar(Centro Universitário do Estado do Pará, 2022) Maciel, Flávia Lobato; Caldato, Milena Coelho Fernandes; Costa, Leonardo Ramos Nicolau da; http://lattes.cnpq.br/0412027987799407; http://lattes.cnpq.br/9477878606835309; Miranda, Ariney Costa de; http://lattes.cnpq.br/0967752058385887; Silva, Dayse Danielle de Oliveira; http://lattes.cnpq.br/1634835938202657; Ferreira, Ilma Pastana; http://lattes.cnpq.br/1650337093024641; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Souza, Givago da Silva; http://lattes.cnpq.br/5705421011644718This is a cross-sectional study of a quantitative nature. Physiotherapists, Nurses and nursing technicians who work in the adult Intensive Care Unit (ICU) of the trauma urgency and emergency referral hospital. The professionals participating in the research answered a questionnaire on a virtual platform about the mobilization of polytrauma patients. 31 professionals participated, among them, 6 physiotherapists (19.4%), 6 nurses (19.4%) and 19 nursing technicians (61, 3%). It is evident that 77.4% of the professionals participating in the research did not obtain training or qualification courses to mobilize polytraumatized patients. 64.5% of the participants claim that there are no mobilization protocols in their service and also 96.8% of the professionals assign importance to training and participation in the elaboration of mobilization protocols and 100% accept to participate in an improvement. Finally, the final product was the construction of a didactic material for virtual support, video-class, for the management and mobility in bed of patients with polytrauma sequelae, aiming to contribute to the scientific technical improvement and to provide security in the mobilization of these patients.Item Elaboração e validação de um produto técnico-tecnológico para auxiliar na aprendizagem de competências mínimas para o estágio em ambiente hospitalar na graduação de fisioterapia(Centro Universitário do Estado do Pará, 2022) Bastos, Jakeline de Oliveira; Carvalho, Ana Emília Vita; http://lattes.cnpq.br/1981562999898097Introduction: To begin the hospital internship, inside the Intensive Care Units (ICU), Physiotherapy students need to be aware and how to conduct themselves, which are the basis for their introduction into this new learning environment, based on the National Curriculum Directive of the Physiotherapy course and on the Federal Council of Physiotherapy and Occupational Therapy. Objective: This study aimed to elaborate a didactic-pedagogical product about the minimum competencies for the internship in ICU in undergraduate Physiotherapy. Method: The 1st stage of the study consisted of a cross-sectional exploratory and descriptive research, in which 21 physical therapists who work in the supervised hospital internship area participated. Data collection was by means of the 'Snowball' sampling technique. Data were analyzed using descriptive statistics (frequency, percentage, mean, median, standard deviation). The 2nd stage consisted in the elaboration of the educational TTP, based on the literature survey and the cross-sectional survey. The 3rd stage was composed of the validation of the video script by expert judges and evaluation by the target audience. The proposed product was the production of an animated educational video as a teaching-learning tool in the ICU environment for physiotherapy students. The objective was to prepare the students for their introduction to this environment. Results: The results showed a tendency towards agreement between the expert judges and the target audience to the validation instruments, with a positive evaluation. The TTP (educational video) was organized from the following themes: Modes and ventilatory parameters: orotracheal tube, tracheostomy, NIV; Drugs: vasoactive, sedatives; Exams: imaging, laboratory; Hemodynamic parameters: heart rate, respiratory rate, O2 saturation, blood pressure, temperature; Water balance: negative and positive; Hospital transport: physiotherapeutic assessment during intra and inter hospital transport; Humanistic training. Each theme has a brief thematic outline and the possibility of deepening the theory can be through the bibliography available at the end of the video. Conclusion: Considering that the internship in ICU requires technical and humanistic skills relevant to patient care, it is expected that the PTT (educational video) can contribute to behavioral changes in physiotherapy students, enhancing the assistance provided and giving value to the effective work and care processes.Item O uso da metodologia da problematização na percepção do aluno de medicina: uma revisão integrativa(Centro Universitário do Estado do Pará, 2022) Romeiro, Janaína Cunha; Matos, Haroldo José de; http://lattes.cnpq.br/9830983900880582; Malcher, Claudia Marques Santa Rosa; http://lattes.cnpq.br/0612844018713526; Paes, Andréa Luzia Vaz; http://lattes.cnpq.br/4364540186589331; Vasconcelos, Sinaida Maria; http://lattes.cnpq.br/4767038085471534Since new National Curriculum Guidelines have been introduced in the Medical Course in 2014, the Pedagogical Project has inserted medical students in the core of the teachinglearning process and the professor as a mediator in this process. The Medical under graduation Course then has the population health needs as curricular center axis, and in this sense, methods promoting effective participation of medical students to achieve knowledge and meet social demands are used. Furthermore, forming professionals under innovative approach, comprising theory and practice and enabling significant change in reality has been such a challenge for education in post-modern societies. For this purpose, new problematizers for education in Health are used as reference, such as the Maguerez Arch problematizing method, promoting students’ social, ethical and political potential. These students are taken to deeply observe reality and identify concerning issues in a creative reflexive-active process, altering this reality. The aim of this study is to carry out a narrative review upon the students’ perception facing problematizing methods, by making up the following issue: How is the students’ perception concerning problematizing methods in the Medical course formed? What are the potential and weaknesses identified by them using this method? A search for published papers was carried out at Academic Google Search and Scielo, using the labels “problematizing in medical teaching”, “medicine students’ perception towards problematizing use”. The research was carried out from 1999 to 2021. Papers in Portuguese language have been selected – Studies under qualitative, quantitative or hybrid methods. It was observed that the majority of students valued the use of the problematizing method and noticed the observation of reality and other stages of the Maquerez Arch enabled meaningful learning, as might as well a change for better performance scenarios. Some aspects have been pointed out as weaknesses in the method application: lack of preparation by the teaching staff in mediating the teaching-learning process, lack of professional valorization, structural differences and epidemiologic conditions differing from one community to another where the groups of students were acting in diverse scenarios.Item Elaboração e validação de protocolo de avaliação de competências clínicas para residentes do Programa Multiprofissional de Urgência e Emergência(Centro Universitário do Estado do Pará, 2022) Lameira, Vanessa Cristiny Coelho; Furlaneto, Ismari Perini; http://lattes.cnpq.br/9542085122721945The Multiprofessional Residency in Health (RMS) is a lato sensu postgraduate course and aims to train professionals to work in the SUS in a different way, as it develops interdisciplinary construction, teamwork and the reorientation of logics in these individuals. techno-assistance. Each course has its peculiarity, but assessment is an integral part of the teaching process. The evaluation of the residents must take place through the interaction between educators and the student, in a procedural way, seeking to identify problems that arise during the teaching-learning process and to solve them. The present study aimed to develop and validate a protocol to assess the clinical competences of residents of the Multiprofessional Urgency and Emergency Residency Program. This is a methodological study, of an applied nature, which included bibliographic research and a quantitative approach. The project was considered by the Research Ethics Committee of the University Center of the State of Pará (CESUPA) and approved under Nº 4,815,821, CAAE: 47940821.0.0000.5169. Data collection started only after approval, and the signing of the Free and Informed Consent Term (ICF) by the research participants. The individuals were studied respecting the norms of research involving human beings, according to Resolution 466/12 of the National Health Council, the Nuremberg Code and the Declaration of Helsinki. The target population of this study consisted of current preceptors and residents of the Trauma Urgency and Emergency Multiprofessional Residency Program, in addition to other professionals identified with expertise in the area (judges), as they constitute the public that uses the instrument to evaluate (preceptors) or to monitor their performance during the course (residents). The collected data were entered into an electronic spreadsheet using the Microsoft Office Excel 2019 and BioEstat 5.5 programs, and results with p≤0.05 were considered statistically significant. As the instrument was validated in relation to the proposed item (content) in the first evaluation round, obtaining an overall S-CVI of 0.99, a new evaluation was not required from the judges. The overall objective was successfully achieved. It is concluded, therefore, that this study contributed significantly to the evaluative practice of residents, carried out by preceptors, clarifying for residents and preceptors the items evaluated, in an objective and transparent way.Item O desenvolvimento da empatia em estudantes de medicina: uma oficina como proposta de ensino(Centro Universitário do Estado do Pará, 2021) Mendonça, Bianca Paracampos Barros; Nunes, Ismaelino Mauro Magno; Carvalho, Ana Emília Vita; http://lattes.cnpq.br/1981562999898097; http://lattes.cnpq.br/3841081216551678; Furlaneto, Ismari Perini; http://lattes.cnpq.br/9542085122721945; Soeiro, Ana Cristina Vidigal; http://lattes.cnpq.br/6698869828155009; Del Nero, Luciana Brandão Carreira; http://lattes.cnpq.br/5056614008350803; Martins Filho, Arnaldo Jorge; http://lattes.cnpq.br/4561018485947813; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040The doctor-patient relationship is a fundamental element in medicine and provides better adherence to treatment, better clinical outcomes and greater patient satisfaction. The ability to communicate and understand the other in different ways, perceive their needs and predict people's reactions, contributes to the success of this relationship. Empathy emerges as an important instrument for the construction of this bond, having been listed as a primordial element, impacting the health of the patient and the professional. This study aimed to know the level of empathy in medical students, from the assessment of patients and the self-assessment of students, through the application of the Jefferson Scale in two versions, for students and patients, and develop a workshop for teaching the empathy. The results obtained that in the students' self-assessment the general average of the total score reached a good score. Even so, the overall score attributed by the patients was higher than the result of the self-assessment carried out by the students, that is, correct empathy for the students reached a lower mean and a lower proportion when compared to the results of the patients. There was no statistically significant relationship between the dimensions of empathy and the sociodemographic variables, although the findings raised interesting questions. As an example, a perspective taking showing an increase in the more advanced semesters, while a dimension capable of putting itself in the patient's shoes, was more evident in the initial semesters. This indicates the need for new and ongoing research on empathy, especially on empathic dimensions and their possible correlations with variables that influence empathic behavior. The workshop proposed in this study, as a product, is intended to serve as an instrument for teaching empathy, using active methodologies, to be routinely performed during the student's course at the academy. An exercise, practical experience lived realistically.Item Reações de hipersensibilidade aos meios de contraste: avaliação do conhecimento de médicos do estado do Pará(Centro Universitário do Estado do Pará, 2021-02-19) Alcântara, Carolina Tavares de; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Tuji, Fabrício Mesquita; http://lattes.cnpq.br/8122254353290848; Nunes, Leonardo Mendes de Acatauassú; http://lattes.cnpq.br/3512764081076675; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309Contrast media have been widely used since the 1950s to facilitate diagnostic imaging. Doctors in almost all specialties prescribe, administer or care for patients who have received some contrast medium. These differ in their chemical structure, applicability and adverse effects. Therefore, physicians should be minimally familiar with the pharmacology, administration, risks and adverse reactions associated with these agents. However, despite the emergence of evidence-based medicine, gaps in knowledge are still filled by tradition, experiences and “common sense”, giving rise to misunderstandings with the spread of myths. In this sense, this dissertation intends to evaluate the knowledge of physicians working in the state of Pará regarding adverse reactions to contrast media. Thus, an observational, analytical and cross-sectional study involving 48 physicians from different specialties, using a virtual questionnaire addressing prophylaxis, risk factors and conduct related to the development of adverse reactions to contrast media. The data were organized using Microsoft Excel® and afterwards, Cronbach's alpha and descriptive statistical analysis were performed, with a consistent answer of 0.700. The graphic analysis was performed in R and RStudio. The results indicated that all physicians agree that it is essential to question the patient's allergic history prior to the use of contrast, and 90% of them agree to question about iodine allergy. Before releasing any contrasted test, 75% request an allergist assessment when there is a history of allergy to seafood / iodine, and 86% agree that patients allergic to iodine are at increased risk for reactions to contrasts. And most doctors (86%) indicate pre-medication in those with a history of previous reaction to contrasts. It was concluded that the notion of allergies to seafood and, especially to iodine as significant risk factors for adverse reactions to contrast media, remains widespread. The act of inquiring about these allergic conditions before requesting imaging tests, as well as recurring indication of premedication may induce the idea that these situations are a potential risk to allergic reactions to contrast media, thus propagating the myth. Medical education is vital to stop the persistence of these mistakes.Item Percepção das dificuldades de preceptor da atenção primária diante da avaliação formativa(Centro Universitário do Estado do Pará, 2021) Almeida, Cibele Maria de; Matos, Haroldo José de; http://lattes.cnpq.br/9830983900880582Introduction: medical schools have developed over time in an empirical way, based on beliefs and clinical observations without a scientific nature, which determined a need to standardize medical education. However, with modernity, medicine has been fragmenting, becoming reductionist. In this sense, the preceptor must be concerned mainly with clinical competence or with the teaching-learning aspects of professional development, favoring the acquisition of skills and competences by recent graduates, in real clinical situations, in the work environment itself, and create the necessary conditions. The aim of the present study is to assess the primary care preceptor's difficulties in performing formative assessment. The methodology used, such research is characterized as an observational, cross-sectional, prospective and analytical study, based on the collection of information through a questionnaire, with a quali-quantitative approach. The research was carried out with the preceptors and tutors of PET-Saúde Interdisciplinarities remotely due to the coronavirus pandemic that has devastated the world in this biennium (2020/2021) and that keeps us in social distance. The research period was from May 2020 to August 2020.Results: 2 categories were found that were subdivided into 3 classes each. The two categories, subdivided into 6 classes, were chosen based on the content analyzed and structured by the questions asked, seeking to answer each objective proposed by the research: class 1 related to teaching with 18.88%, class 2 Related to the PET preceptor with 14 .80%; class 3 Related to health education with 14.1%; class 4 Service-related with 18.8%; class 5 Related to the user with 14.8%; class 6 Related to the assessment with 19.5%. There is a gap between teaching and service and one of the factors that can be called an obstacle to continuing education is the organizational system of the health service, which is based on the productivity of procedures operational technicians, thus continuously absorbing professionals who end up neglecting updates relevant to their training. Thus, it is necessary that preceptors always seek permanent education through updates and guide tools that can permeate and guide them within this professional and pedagogical practice, for which we propose a booklet with quick access methodological tools, simple language and with step-by-step use, so that the preceptor/teacher can use it whenever it is convenient.Item Competências clínicas essenciais em endocrinologia e metabologia para o médico generalista(Centro Universitário do Estado do Pará, 2021) Bastos, Fabíola de Arruda; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Libonati, Rosana Maria Feio; http://lattes.cnpq.br/3818175484709618; Conde, Simone Regina Souza da Silva; http://lattes.cnpq.br/3375802140515152; Del Nero, Luciana Brandão Carreira; http://lattes.cnpq.br/5056614008350803Introduction: Teaching by Competencies mobilizes Knowledge, Skills and Attitudes. In the medical field, it is important to define the competences necessary for a general practitioner, contributing to the training of professionals more prepared for the job. A competence matrix expresses the collective consensus about the essential content for the student, being an instrument able to guide the teaching-learning processes. Objective: To develop a proposal for a Matrix of Essential Clinical Competencies in the Area of Endocrinology and Metabolism for the General Practitioner, to be achieved at the end of the undergraduate course in Medicine. Methodology: For the accomplishment of this work, the Delphi methodology was applied, in order to obtain consensus about the Essential Clinical Competencies. The study was divided into four phases: bibliographic survey and construction of the Pilot Matrix; opinion consultation with 07 local judges; analysis of the results obtained after the 1st evaluation cycle and elaboration of a questionnaire for a 2nd evaluation cycle; application of the questionnaire, analysis of responses and preparation of the Final Competency Matrix. Results: The Pilot Matrix was composed of 23 competencies, defined based on the main sub-areas of Endocrinology and Metabology, covering Knowledge, Skills and Attitudes. After the 1st evaluation cycle, alterations were suggested in 14 competences, totaling 22 alteration proposals. After the 2nd evaluation cycle, there was consensus on 16 of the 22 suggested changes, 05 for Increasing the Complexity of Competence, 07 for Reducing the Complexity of Competence and 04 for Changing the Competence. There was no situation of Exclusion from Competence. Conclusion: The elaboration of a proposal for a Matrix of Essential Clinical Competencies in the Area of Endocrinology and Metabology for the General Practitioner, to be achieved at the end of the graduation in Medicine, is fundamental, due to the increasing frequency of endocrine and metabolic diseases in the world population, the shortage of specialists and the reduced amount of adequate material on the subject. In this way, the Matrix proposal contributes to contemporary medical education based on Competencies, as well as to the qualified teaching of Endocrinology in undergraduate Medicine.Item Construção de uma tecnologia classificadora para atendimento de urgência geriátrica destinada aos cuidadores de idosos(Centro Universitário do Estado do Pará, 2021) Sousa Júnior, José Ronaldo Teixeira de; Magno, Ismaelino Mauro Nunes; Costa, Tanise Nazaré Maia; http://lattes.cnpq.br/4471975369870057; http://lattes.cnpq.br/3841081216551678; Nunes, Leonardo Mendes Acatauassú; http://lattes.cnpq.br/3512764081076675; Miranda, Ariney Costa de; http://lattes.cnpq.br/0967752058385887; Brilhante, Vânia Cristina Ribeiro; http://lattes.cnpq.br/4814378694550204; Figueiredo, Fernanda Andreza de Pinho Lott; http://lattes.cnpq.br/7138897986179124; Furlaneto, Ismari Perini; http://lattes.cnpq.br/9542085122721945The profession of caregiver for the elderly is an emerging profession, since the demand is due to the growing elderly population in the world. According to projections in 2060, the Brazilian elderly population should triple and represent about 25% of the population. However, the presence of caregivers who do not have qualifications is a problem, as this directly reflects on the ability to assess and diagnose the situation in which the elderly person is. Therefore, this study aimed to develop a printed instrument classifier for geriatric emergency care for caregivers of the elderly. The methodology of this study took place through a literature review of the last 10 years, aiming to elucidate the theme and thus based on the information obtained to build the printed instrument. The results showed that the applicability of educational instruments in health is of paramount importance, even for those who do not have training in the area, as is the reality of many caregivers in the country, so the instrument built was based on colors already used for a better understanding of the tool. We conclude that the applicability of the tool is easy to understand and can assist in the assessment and decision-making of caregivers, thus preventing the elderly from having adequate care and prognosis promptly.Item Produção e validação de e-book para a atuação em pronto atendimento no contexto do Programa de Residência Multiprofissional de Urgência e Emergência no trauma(Centro Universitário do Estado do Pará, 2021) Costa, Lorena de Almeida; Furlaneto, Ismari Perini; http://lattes.cnpq.br/9542085122721945; Teixeira, Renato da Costa; http://lattes.cnpq.br/3506765836592906; Góes Júnior, Adenauer Marinho de Oliveira; http://lattes.cnpq.br/4029653381282393; Carvalho, Ana Emília Vita; http://lattes.cnpq.br/1981562999898097Objective: to produce and validate an e-book for multidisciplinary action to critically ill patients in Emergency Care in the context of the Emergency and Emergency Multidisciplinary Residency Program in Trauma of the Metropolitan Hospital of Urgency and Emergency. Method: two questionnaires were applied to support the development of the e-book, it was a questionnaire with closed questions containing a brief characterization of the participants, professional training, higher degree, in addition to a question about their degree of satisfaction with theoretical knowledge -practical in the area covered, classified on a 4-point Likert scale, namely: 1=dissatisfied or 2=not very satisfied or 3=satisfied or 4=very satisfied or not applicable. The last question indicated the themes that were considered essential for multidisciplinary training, as well as a space for comments. Results: 31 volunteers participated in the study, from the areas of Physiotherapy (58.07%), Nursing (16.13%), Psychology (16.13%), Speech Therapy (6.45%) and Occupational Therapy (3.22%). Most residents graduated from the Program and had the specialization as the highest academic degree. As for the degree of satisfaction in relation to theoretical-practical knowledge in the care of critically ill patients in the Emergency Room (AP), 38.71% were little satisfied, 25.81% very satisfied, 25.81% satisfied and 3.22% revealed themselves dissatisfied; 6.45% answered that the question “was not applicable” to you. Regarding the contents listed by the participants as essential for multidisciplinary work in AP, 'Critical Patient Assessment and Scales' was chosen by 12.90%, those referring to 'Cardiorespiratory Arrest' by 41.93% and those referring to 'Insufficiency Respiratory' listed by 48.39%. Conclusion: theoretical learning cannot be separated from practical field learning. Therefore, we propose the production and validation of an e-book that helps multidisciplinary work to critically ill patients in emergency care in the context of the Multiprofessional Residency Program for Urgency and Emergency in Trauma at the Metropolitan Hospital of Urgency and Emergency. As benefits, we are able to produce material that meets the needs experienced in practice in the context of the Residency Program, in a format that is easy to consult and access, without intending to replace the basic literature in the area.Item O ensino de endocrinologia e metabologia pela aprendizagem baseada em problemas: a experiência de 20 turmas de medicina(Centro Universitário do Estado do Pará, 2021-04-14) Rocha, Vanessa Campos Couto da; Nunes, Leonardo Mendes Acatauassú; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309; http://lattes.cnpq.br/3512764081076675; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678; Liberati, Rosana Maria Feio; http://lattes.cnpq.br/3818175484709618Introduction: Problem-Based Learning (PBL) has been the preferred teachinglearning methodology among medical schools in Brazil in recent years. Thereby, there is an increasing number of Medicine courses getting experience in this method, such as the Centro Universitário do Estado do Pará (CESUPA), which the twentieth class of Medicine concluded teaching by PBL in 2020. In this context, it is relevant the analysis of how this teaching has been carried out and how it has evolved over the years, especially in areas that are interrelated with various organic systems and that involve very prevalent pathologies and that will be conducted by Primary Care Physicians, as the case of Endocrinology and Metabolism (E/M). Objectives: To describe how cognitive aspects related to E/M teaching were worked by the PBL methodology from the first to the twentieth class of CESUPA Medicine course, identifying the moments of the course in which they were studied, pointing out the changes that occurred over time and analyzing if there was a distribution of the contents so that the themes were reviewed with increasing levels of complexity. In addition, it aimed to develop, at the end, a teaching guide proposal of E/M related themes for medical courses that will use active methodologies. Methodology: A review of 360 manuals used by tutors from the first to the eighth semester of the course, in its first 20 classes, was carried out. In these manuals, there were problems to be developed, with their respective learning objectives, in addition to the objectives of the morphofunctional laboratory. Then, a critical and descriptive analysis of the E/M content present in these manuals was carried out, evaluating how the evolution of this teaching occurred over the years. Finally, the proposal for the aforementioned guide was constructed. Results: It was observed that the themes related to the Endocrinological System are distributed throughout each of the first eight semesters of the course. The initial focus is on anatomy, histology and physiology, however, from the very beginning there are citations of the pathologies that affect this system, which allows contextualization and meaningful learning. Subsequently, the subjects are revisited with progressive deepening in relation to the management of patients. Over the years, there have been significant changes, especially in the detailing and standardization of the manuals, beyond description of well-defined objectives to be achieved in the morphofunctional laboratory. Discussion: The most cited endocrine theme among the manuals is Diabetes Mellitus, which is explained for being a very prevalent pathology with high morbidity. On the other hand, obesity, which has been steadily increasing in prevalence, has also shown a progressive increase in citations in the manuals over the years. Rare pathologies were in fact not prioritized as topics for discussion, however it is suggested to expand the presence among the problems of some frequent pathologies such as thyroid nodules. Conclusion: The teaching of E/M was carried out in a well distributed way over the first four years of the CESUPA Medicine course and the way of doing it evolved significantly during its first 20 classes.Item Avaliação do processo ensino-aprendizagem do eletrocardiograma na graduação médica(Centro Universitário do Estado do Pará, 2021) Holanda, Vitor Bruno Teixeira de; Miranda, Ariney Costa de; Nunes, Leonardo Mendes Acatauassú; http://lattes.cnpq.br/3512764081076675; http://lattes.cnpq.br/0967752058385887; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Bacelar, Herick Pampolha Huet de; http://lattes.cnpq.br/3310315262508382; Portella, Marcia Bitar; http://lattes.cnpq.br/9865172579876286Medical teaching of the electrocardiogram is a worldwide challenge, there is still no methodology considered as the “gold standard”. With the advent of the new National Curricular Guidelines, the need to learn basic diagnostic methods is clear. General Objective: Evaluation of the methodology applied for teaching electrocardiogram interpretation, in the undergraduate medical course at Centro Universitário do Pará. Specific Objectives: To identify the teaching-learning process of the electrocardiogram in the 3rd semester of the CESUPA Medicine course. Describe, from observation, the methods used by teachers to teach the electrocardiogram within the Medical Pedagogical Project of CESUPA in the Clinical Skills Module of the 3rd semester. Develop an illustrated script based on the results obtained, which facilitates the understanding and learning of the ECG. Methodology: This is a descriptive, cross-sectional observational study, with a quantitative and qualitative approach. The present study observed a group from the Clinical Skills Discipline of the Medical Course of the University Center of the State of Pará (CESUPA), from the academic period of the 3rd semester, in which the teaching of the electrocardiogram is introduced. Data collection was performed through the application of the semi-structured, quantitative and qualitative questionnaire based on the Likert scale. The applied method was the triangulation of the perception of the observer, teachers and students. Results: In the students' responses, it can be seen that the percentage regarding the statement “if active methodology was applied during the teaching-learning process”, obtained a greater amount of concordant response 5 (63%) and 4 (15.79%). A higher percentage was obtained among the concordant responses, 5 (35.09) and 4 (31.58%), for the statement "there are stimuli for memorizing the measurement values", calling attention to the percentage of responses "I do not know how to give an opinion. as for the answers to affirmative “there is an emphasis on understanding the stimuli that give rise to electrocardiographic waves”, there was 91.22% disagreement. In the teachers' reply “was an active methodology applied during the teaching-learning process?”, There was a 100% response, I totally agree, and we had two justifications. The responses to statement 5 demonstrated the perception of not achieving the ideal result in the teaching-learning objective of the electrocardiogram. As for the observer: there was complete agreement with statements 2 and 3 only, completely disagreeing with the statement “the students demonstrate the ability to assess whether the ECG was well performed”. Conclusions: The search for better efficiency was evident, mixing traditional and active methods and tools, in the quest to achieve the pedagogical objectives. However, in the identification of the teaching-learning process, the ability to stimulate creation and evaluation in Bloom's taxonomy was lacking.
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