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Perfil epidemiológico dos nascimentos no Brasil a partir das declarações de nascidos-vivos entre 2006 e 2015
(Centro Universitário do Estado do Pará, 2019) Paula, Fillipe Augusto Moura de; Damasceno, Ana Cláudia Alves; http://lattes.cnpq.br/6202464010989232
Introduction: Birth and birth are transformative events in the lives of women and babies, and most often, they are not at risk. Brazil went from a high-fertility regime to a low-fertility and long-term internal and external regime to improve the quality of care for the newborn and to reduce maternal and infant mortality. Objective: To analyze the socio-epidemiological profile of births in Brazil from the birth-to-child report by Sinasc in DATASUS, corresponding to the period from January 2006 to December 2015. Results: About 29.2 million live births were born between 2006 and 2015. The year of 2015 registered the highest rate and year of 2010 the lowest. As for seasonality, the March-April-May quarter had the highest rates, with 26.8% of total births and the lowest October-November-December quarter (23.6%). There was an increase in the proportion of births of mothers aged 30 years or older, from 24.53% to 32.79%, and a reduction in the proportion of those aged less than 20 years, from 24.48% to 18.14%. There was an increase in the birth rate where mothers performed prenatal care with 7 or more consultations, from 54.54% to 66.49%. About 2% of the births were of multiple gestation, with maintenance of this percentage in the period. The incidence of low birth weight in the period was 2.45 million births. Cesarean section was the type of delivery in 52.07% of births, with an increase of 10.46 percentage points of this way of delivery in the period. 2.6 million premature infants (8.95% of the total live births) were born, with a rate increase from 6.61% to 10.83% in the period evaluated. Apgar score higher than 7 (good vitality) occurred in 82.27% of the total live births, and 93.39% presented the same score in the 5th minute of life. The incidence of births with an Apgar score lower than 8 in the first minute was higher in preterm (32.82%) compared to the term and post term (15.8% and 19.9%, respectively). Conclusion: The Live Birth Information System (Sinasc) is a good and timely source of information about births in Brazil. It is possible to trace the profile of births, having as a basic document the Declaration of Live Birth (DNV). The results obtained are very important for the knowledge of many variables that may help in the future the construction of strategies aimed at improving the Brazilian Health system.
Perfil epidemiológico das pacientes com lesões precursoras e câncer do colo de útero atendidas em um Centro de Especialidades Médicas
(Centro Universitário do Estado do Pará, 2019) Silva, Giovanna Gomes e; Furtado, Lidia Lacerda; Campos, Ana Carla Araujo; http://lattes.cnpq.br/4066530269438763
Introduction: Carcinoma of the uterine cervix is the fourth most incident cancer in women in Brazil, in 2018, was expected 16.340 new cases of carcinoma of the uterine cervix in Brazil. At the region North, including Pará State, this cancer is the most incident at the female population, just behind non-melanoma skin cancer, where were diagnosed 820 new cases in 2016. The profile of women that develop this kind of cancer, stand out early age at first sexual intercourse, multiplicity of partners, history of sexually transmitted infections, use of the oral contraceptives, multiparity, early pregnancy and tabagism. Objectives: To describe epidemiological profile of patients with uterine cervix cancer treated at a specialized medical center. Methods: A descriptive and retrospective study was performed. Data were collected from medical records of patients diagnosed with uterine cervix cancer or precursor lesions from 2015 to 2018, sociodemographic information and main characteristics that are considered as risk factors for the development of the disease were collected. Results: The average age of the patients was 41,5 years, most were divorced, illiterate, multiparous, the first sexual intercourse occurred between 8 and 24 years and had altered cytopathological exams and colposcopy. Conclusion: The data analyzed allowed to characterize the epidemiological profile of patients with carcinoma of the uterine cervix and its precursor lesions in the population studied. These data have relevance in the implementation of public actions for patients with similar profiles, so that screening and early diagnosis can be performed.
Análise do aprendizado de anatomia humana em um curso de medicina com Aprendizagem Baseada em Problemas (ABP)
(Centro Universitário do Estado do Pará, 2019) Marques, Igor Gabriel; Cunha, Victor Menezes da; Penha, Nelson Elias Abrahão da; Oliveira, Wellington Pinheiro de; http://lattes.cnpq.br/4902455106917702; http://lattes.cnpq.br/5207645183090927
Objective: This paper aims to analyze the perception of learnig in human anatomy of the medical student along the PBL method in differents cycles of the course (basics and clinics). Method: This is an analytical and descriptive cross-sectional study wich have analyzed data obtained through a questionnaire, with directs responses using the Likert scale, applied to CESUPA’s students of the fifth and eighth semesters of the medical course, between november 2018 and march 2019. Results: When the answers was decomposed individually for questions per class, it was verified independence through the G-test. There were statistical significance for the questions 7 “Are you sure that the anatomical study developed through the active methodology, up to this moment of the course, was enough to complete the thematic modules?” (p = 0,0007), being the alternative B the most checked by the two classes and 8 ”Do you believe that the knowledge learned unitl here will be usefull for the practice at your profession as a general physician?” (p = 0.036), being the alternative A, the most checked by the two classes, then, the alternative B. The remaining questions were not statistically significant (p<0.05). Conclusion: The medical studens who learn anatomy through the PBL at CESUPA feel safe about the support of this subject in their way as a general practitioner and has a good degree of agreement that the learning developed in anatomy, was sufficient for the conclusion of each thematic module.
Análise do impacto de vacinação contra a meningite meningocócica “C” no munícipio de Belém-PA no período de 2014 a 2018
(Centro Universitário do Estado do Pará, 2019) Sousa, Israel Laune; Farah, Rached Rached; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678
Introduction: Meningitis is an infectious disease characterized by inflammation of the meninges. It has several causal factors, whether infectious or not. Among the infectious causes, the main ones are of viral and bacterial etiology. Intracerebral cysts or tumors, medications, and inflammatory diseases may also trigger the inflammatory process. Objective: To evaluate the impact of the Meningococcal C Conjugated Vaccine (MenC) and the incidence of meningococcal disease in the city of Belém-PA and the number of hospitalizations for meningitis in children from 0 to 1 year old from 2014 to 2018. Methodology. This is a time series ecological study, which used records of hospitalizations for any cause and for a disease that is suspected of meningitis through data provided by the SUS Hospital Information System from 2014 to 2018. Result: In the study period (2014 to 2018), a total of 621,110 hospitalizations were registered in the municipality of Belém-PA, for general causes. Already due to infection meningococcal infections and viral meningitis were registered 242 hospitalizations from January 2014 to December 2018. In the age group from 0 to 1 year old, in the same period, were recorded 2323 hospitalizations. Regarding meningitis vaccination coverage, it was observed that the percentage of Conjugated Meningococcal - C vaccination coverage in the municipality of Belém remained with a slight variation in 2015, whereas in 2015 there were 216 new cases and a drop in 2017 and 2018. Discussion: Comparing the hospitalization rate in the post-vaccination periods, there was an increase of 13 more hospitalizations in 2018 for the 0 to 1 year age group. The results show an increase in the hospitalization rate due to meningococcal disease, even after the introduction of the meningococcal vaccine. Conclusion: the study identified a drop in vaccination coverage in the city of Belém do Pará, which is below the established target of 95.00% in the period studied meningococcal disease.
Avaliação clínica da gravidade em pacientes portadores de Doença Pulmonar Obstrutiva Crônica (DPOC) atendidos no CEMEC – CESUPA
(Centro Universitário do Estado do Pará, 2019-11-20) Ayres, Layse Melo Menici; Navarro, Stéphanie de Windson Cruz; Pinheiro, Marilia de Fátima Silva; http://lattes.cnpq.br/2037104893893669; Monteiro, José Tadeu Colares; http://lattes.cnpq.br/7627103187307808; Santos, Roberta Kahwage; http://lattes.cnpq.br/2527080199033009
Introduction: Chronic Obstructive Pulmonary Disease - COPD is a common, preventable and irreversible condition, defined as a syndrome characterized by chronic airflow limitation, evolving with destruction of the pulmonary parenchyma. Smoking is the main cause and respiratory signs and symptoms characterize it. The FEV1 / FVC ratio < 0.7 after bronchodilator administration is used for diagnosis and is classified by the Global Initiative for Chronic Obstructive Lung Disease (GOLD) in ABCD for clinical severity and 1234 for degree of obstruction. Objectives: General: To evaluate the severity of COPD in patients followed at CEMEC. Specifics: 1) Classify patients according to severity in groups A, B, C and D. 2) Characterize the relationship of severity with the variables gender, age, BMI, smoking load, oximetry and medications in use of the patients studied. 3) Characterize the relationship of variables with the mMRC scales and exacerbating profile. 4) Compare FEV1 among patients classified by symptomatology. 5) Compare the spirometric profile of exacerbating and non-exacerbating patients. Methodology: The medical records were searched through ICD J44 in CEMEC where 25 of them fit the delimited profile and their variables were collected and analyzed. Results: A higher prevalence was found in groups C and D (66.66%), aged 55 to 78 years, with the highest mean BMI in group B (30.9 kg / m2) and most females (12). / 21). Post-bronchodilator FEV1 was found to be higher in less symptomatic patients (59.4 ± 24.1). 61.11% of the patients had a smoking load > 20 packs / year, most of them also exacerbating (13/21). Regarding the therapy applied to the GOLD ABCD groups (n = 17), it was found that 12 were on monotherapy, five in combination and only one had no scheme. Conclusion: A significant number of patients who did not really fit the ICD J44 were observed; Of the 25 patients, only 21 had sufficient data for ABCD classification, among them, most were in groups C and D. The female gender was more prevalent, as well as the patients with the highest smoking load; Among the most symptomatic, there was a higher obstructive degree, and it was possible to trace the severity profile of these patients treated at the service.