Dissertações em Saúde, Sociedade e Endemias na Amazônia (Mestrado) - PPGSSEA/ICB
URI Permanente para esta coleçãohttp://10.7.2.76:4000/handle/2011/10078
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Item Acesso aberto (Open Access) Associação do índice de massa corporal com a glicemia de jejum e pressão arterial em indígenas(Universidade Federal do Pará, 2008-02-13) REIS, Rosilene Costa; GUERREIRO, João Farias; http://lattes.cnpq.br/1000688763895346This study aims to measure and describe the shape of the relationship between BMI, fasting plasma glucose and blood pressure on indigenous groups of Amazonia Para. We studied 297 adults across the ethnic Kaip (Xikrin and Kararaô), Araweté, Parakanã, and Arara Asurini located in the State of Pará, northern Brazil. The variables BMI, blood glucose and blood pressure were measured and categorized as still in overweight, obesity, diabetes, the glucose intolerance and hypertension. The relationship of BMI with the other variables was tested by linear regression method by adopting a significance level of 5% (p ≤ 0.05). Mean BMI (23.7 kg/m2), fasting plasma glucose (83.4 mg / dL), diastolic blood pressure (60.0 mmHg) and age (49 years) showed no significant difference between genders and for men only systolic blood pressure (98.0 mmHg) was higher. The prevalence of overweight was 23.6% and obesity from 5.7%. Were not identified new cases of diabetes mellitus type 2, but four cases (1.3%) of the disease were reported. The impaired glucose tolerance was present in 2.4% of the population and hypertension in 1.3%. The BMI associated with the glucose, systolic blood pressure and diastolic blood pressure (DBP), is better explained from diastolic blood pressure (BMI = 20590 +0.52 DBP). The relationship of BMI with blood glucose levels and blood pressure was positive, but further studies are needed to have more clarity between cause and effect.Item Acesso aberto (Open Access) Fatores de risco cardiovasculares em comunidades de remanescentes quilombolas de Inhangapi-Pa(Universidade Federal do Pará, 2011-11) SANTOS, Joice Costa; GUERREIRO, João Farias; http://lattes.cnpq.br/1000688763895346Cardiovasculares disease (CVD) currently represent a serious public health problem, with high mortality and disability. In Brazil is the leading cause of death in both gender, as well as higher prevalence among blacks. Risk factores for cardiovascular diseases, however, when addedat risk much higher. Within this contest, this study aimed to analyze the set of cardiovascular risk factors involved in maroon communities reminiscent of the city of Inhangapi-Para. This study of cross-sectional design was conducted in 2009 in the communities of afro-descendents of Pitimandeua, Itaboca and Paraíse, located in the municipality of Inhangapi-Pa, northern Brazil. The sample consisted of 218 adults over 20 years of which were measured through of central and dispersion measures for the general population and by gender, using the Student t test; were categorized to estimate the prevalence and used the chi-square to determine the probability and the odds ratio were employed to characterize the risk factors most relevant to CVD using a range of 95%; we used the linear correlation coefficient of Pearson to identify the level of association between variables; logistic regression was applied using the Stepwise method and used the odds ratio to assess the chance of individuals exposed to risk facotrs present a set of three or more chronic diseases compared to non-exposed. Analyses were processed in the Statistical Package for Social Science (SPSS) version 18.0. The presence of three or more carviovascular risk factors was present in 33% of general population was statistically higher among women (40%). The risk factors were more prevalente excess body fat (42.5%), overweight (40.6%) and hypertension (35.4%) for the general population. In the final model, the set of risk factors for the occurrence of cardiovascular disease for women were body fat (OR: 1.5), abdmonial circumference (OR: 1.3) and systolic blood pressure (OR: 4,5), explaining an accuracy of 88.2% for this model. And for men total cholesterol (OR: 1.1), body fat (OR: 1.3) and systolic blood pressure (OR: 3.1), explaining a hit 83.7%. Excess body fat and systolic hypertension were common among men and women, with systolic hypertension constituted a greater risk to the population of remnants of Quilombo Inhangapi. Standing out among men hypercholesterolemia among women abdominal obesity.Item Acesso aberto (Open Access) Aspectos hematológicos e clínicos de crianças leucêmicas no período de indução da quimioterapia(Universidade Federal do Pará, 2012-09-22) MÉLO, Flávia Maria Lessa; QUARESMA, Juarez Antônio Simões; http://lattes.cnpq.br/3350166863853054The leukemia happens in approximately 30% of cases of pediatric malignant diseases involving the hematopoietic system, affects preferentially the white blood cells, characterized by replacement of normal blood cells to young abnormal cells in the bone marrow. Te leukemia is the most common cause of cancer deaths in childhood, and the main types are: acute lymphoblastic leukemia (ALL) and acute myeloid leukemia (AML) or chronic (CML). Chemotherapy is a specific treatment and the most used for healing or prolong life of these patients, often requiring hospitalization, since these patients show significant changes in blood counts, making them immunocompromised. This increases the risk of potentially serious infections and other complications that often prolong hospital stay and increase the rates of morbidity and mortality. In order to broaden the knowledge about the hematology and clinical characteristics of pediatric leukemia patients during chemotherapy induction in an oncology hospital reference in the northern region of Brazil from 2005 to 2010 aged 0-12 years. Therefore was made a retrospective study with secondary data collection from records filed on the division of medical records and statistics of the hospital involved in the study. In the statistical analysis of the results we obtained mean, standard deviation and median of continuous variables and frequency of categorical variables, and statistical significance assessed by means of obtaining confidence intervals at 95% and by an ANOVA test and Wilcoxon considered α = 5%. These analyzes were performed in Epi-Info software 3.5.1. Of the 556 medical records, 141 were complete, and observed higher prevalence in masculine gender, age group between 1-4 years, coming from the state of Pará, with clinical classification for ALL, with Brazilian protocol GBTLI selected in most cases, making use of empirical antibiotic therapy, especially ceftazidime, amikacin and ceftriaxone, and records of use of blood bag during hospitalization, and the outcome of the type of hospital discharge. The study also revealed alteration of the data found in all variables in the blood count to the white and red, both the first and the fifteenth day of hospitalization these periods chosen for data collection hematological, and found use in blood bags virtually all hospitalized patients (92.20%) with predominance of platelet concentrate (CP5), leukocyte-poor red blood cells (CHPL) and red blood cells. Given the above, it is recommended the development of strategic actions and local policies that address not only the tertiary specialist in pediatric oncology, but all levels of health care for the child, to reduce the impact of this disease in the pediatric population the northern region.Item Acesso aberto (Open Access) A coinfecção do trato vaginal nas neoplasias intraepiteliais cervicais: contribuições para a enfermagem(Universidade Federal do Pará, 2013-09-04) VIEGAS, Maria do Socorro Pascoa; SANTANA, Mary Elizabeth de; http://lattes.cnpq.br/6616236152960399The cervical intraepithelial neoplasias are cervical cancer pre-clinical manifestations. This cancer has a high Association with the vaginal infection; specially the infection by the Human Papilloma virus, a condition which is necessary but not sufficient to the cervical lesion progress. On north the cervical cancer presents a high morbidity and mortality among women, when compared to the others country regions. The study intended to analyses the vaginal infection frequency among women with cervical intraepithelial lesion. It is a descriptive and retrospective study, with a quantitative approach. Performed at the Women’s health reference center in Belém do Pará city, with 1848 users submitted to the Pap test and who presented cytological alteration in their results in the period between December, 2005 and December, 2010. To statistical analysis an Excel version 2007 data bank was organized; and descriptive application methods with the data support BioEstat 5 software Epi info 3.3.2. It was evident that the tests analyzed women were aged 31-50 years. The previous cytological test was 80,3%. The diagnoses of cytological change the type of lowgrade squamous intraepithelial lesion and atypical squamous cells of undetermined significance, possibly non-neoplastic lesions were more present. Co-infection was present in 42.3% of the results with abnormal cytology and cervical lesions more common in low-risk for cervical cancer. Microorganisms HPV virus Cocos Gram positive, Gram negative, Trichomonas vaginalis, Gardenerella vaginalis, Candida sp, herpes viruses, spores and Lactobacillus represented a pathological vaginal microbiota in 68% of the cytological alterations. Prevention is a fundamental implement in the cervical cancer tracking, in order to the Nurse establish a care plan which enhance their complaints and the microbiological results of the users submitted to the cytopathological Pap annually. Even as invest in studies which do a better evaluation in the microbiological combination with the pre-clinical cervical cancer lesions.Item Acesso aberto (Open Access) Caracterização epidemiológica dos portadores de câncer de pulmão atendidos no hospital universitário(Universidade Federal do Pará, 2015-01-15) SOARES, Helena Cecília Branches; SANTANA, Mary Elizabeth de; http://lattes.cnpq.br/6616236152960399Lung cancer remains the leading cause of mortality in Brazil and in the world, must to the fact of the cases are diagnosed in advanced stages, often resulting in palliative treatment. The research analyzed the clinical and epidemiological profile of patients with lung cancer patients treated at the University Hospital João de Barros Barreto, describing their risk factors. This is a descriptive, retrospective exploratory study with a quantitative approach carried out from 2010 to 2013. It was carried out a descriptive statistical analysis with frequency distribution, tables and non-parametric statistical tests. The variables analyzed included the demographic and clinical data of patients. Data collection was performed at the Department of Statistics and Medical File hospital records of 160 patients older than 18 years, of both sexes, people with lung cancer. The results showed a predominance of males with 97 (60.6%) aged 61-70 years (73.7%); 63 (39.4%) were females aged 51-60 years (37.5%), with respect to education 95 (59.4%) possessed incomplete primary education for both sexes. Were smokers 84.4%. Highlights the need for investments and strategies for early detection of lung cancer as well as the adoption of educational sensitizing the population in encouraging smoking cessation, thus demonstrating the importance of nursing on these actions in order to contribute to the reduction in mortality rates from lung cancer.Item Acesso aberto (Open Access) Perfil sócio comportamental e clínico de crianças e adolescentes com diabetes mellitus tipo 1 atendidas na Unidade de Referência em Diabetes e Endocrinologia do Estado do Pará(Universidade Federal do Pará, 2015-10-13) FONSECA, Kátia Regina Silva da; FELÍCIO, João Soares; http://lattes.cnpq.br/8482132737976863; ARAÚJO, Marília de Souza; http://lattes.cnpq.br/9371703949781020Introduction: Diabetes mellitus type 1 at children and adolescents is awakening attention to the increasing number of cases, is the most common endocrine disease at this age group. Objective: To describe the profile of type 1 diabetic patients under 15 who do monitoring at Reference Center of Endocrinology and Treatment Methods for Diabetes in State of Pará: This was a descriptive analytical, prospective study with a quantitative approach. The variables analyzed were sociodemographic, behavioral, anthropometric data, diabetes knowledge and difficulties encountered in the treatment of patients. All data required for the analysis was obtained by questionnaire filling, answered by the parents or people in charge of the child or adolescent aged up to 15 years of age diagnosed with type 1 diabetes mellitus at the clinic of the University Hospital João de Barros Barreto, reference in Pará for diabetes Treatment. Results: We observed 30 patients; children had blood glucose level within the normal range (71.43%), while the teenager with altered glycemia (75%). No relation was found between glucose indices and sex, education or family income. The behavioral analysis regarding frequency and physical activity in this study did not prove a factor that interfered with controlled blood glucose or not. About the diet therapy, a major part of interviewed recognizes that nutritionist is the professional is responsible for prescribing (70%), financial issue is appointed as the most difficult factor to follow such a diet (26.67%), the main criteria for this diet is not eating sugar and sweets (63.33%). School snacks are made and brought from home (53.33%). Insulin therapy more frequently is the analogue insulin short and long term (46.67%). Regarding the cause of diabetes, insulin deficit is the principal (45.24%). Nephropathy had been report in only one patient (3.33%). Many of them have already checked ophthalmologist (60%) as a preventive measure. The average blood glucose level among children was 167.43, 177.50 and adolescents. Conclusion: The increase of cases of DM1 is a global concern for public health. The difficulties come since the knowledge of the pathophysiology until lifestyle changes needing, which starts at process of education during the routine clinical practice and reaches the working group, aiming to better glycemic control and better quality life to this clientele.Item Acesso aberto (Open Access) Perfil nutricional (antropométrico e bioquímico) de crianças atendidas no programa de fibrose cística a nível ambulatorial em um hospital universitário de Belém do Pará(Universidade Federal do Pará, 2015-09-01) LOPES, Maura Fabíola de Lima; MOTA, Elenise da Silva; http://lattes.cnpq.br/4382324582378715; MIRANDA, Rozinéia de Nazaré Alberto; http://lattes.cnpq.br/2659930831433743Maintaining adequate nutritional status is essential for a good prognosis in cystic fibrosis (CF). Chronic malnutrition with delayed weight gain and growth is a known problem in patients with cystic fibrosis. Inadequate weight gain is caused by a negative energy balance resulting from chronic respiratory disease, malabsorption of nutrients and metabolic increase. Depending on the evolution and severity of nutritional status, several intervention proposals are made. Today, the attention to nutrition is considered as a priority in attention to cystic fibrosis patient. Maintaining adequate nutritional status is a key aspect in the treatment of CF patients. One of nutritional assessment objectives is the early detection of those children who are at nutritional risk. The evolution of the diet of a child can prevent change their nutritional status and biochemical long before they find themselves obvious clinical signs of deficiency. Four types of nutritional interventions can be programmed in CF patients: behavioral changes, oral therapy, enteral nutrition and parenteral nutrition. This paper aims to describe the nutritional status of children treated at the Cystic Fibrosis program at a university hospital in Belém-PA. We conducted a retrospective cross-sectional study with children of both genders and aged 1-10 years who have a confirmed diagnosis of cystic fibrosis who were enrolled in the CF Program HUJBB / UFPA. Data collection occurred in the four-month period (September 2014 to December 2014). These data were collected for the period: 2012-2013 all records of children belonging to the FC program. To determine the nutritional status was used anthropometric parameters. Anthropometric measurements were collected from medical records the weight and height, and the combination of these two measures was expressed through the indicators and analyzed according to age and sex. That the nutritional status indicators so were weight / age (W / A), height / age (H / A), which were analyzed based on the tables of the WHO curves (2006), for children under 5 years and curves WHO (2007) for children 5-19 years, and the Z-score for both. THE biochemical indicators were: glucose, total cholesterol, HDL, LDL, triglycerides, serum iron, SGOT, SGPT and fecal fat research. The study sample consisted of 54 individuals with a mean age 76.67 ± 26.44 months. According to the results there was a distribution of 67% of male children and 51.88% of patients had a diagnosis of normal weight and adequate stature, according to weight / age and height / age, respectively. However, was not statistically significant when comparing the two anthropometric indices, according to the chi-square, that is, there is no dependency between them. According naturalness of patients with cystic fibrosis was found that the city of Belém, the capital has the highest number of people with the disease, accounting for 70.37% of the total. The enteral supplementation of patients with cystic fibrosis evaluated in reference hospital it appears that 92.59% of patients make use of supplementation; Statistically significant (p <0.01). The 10 biochemical variables no significant dependencies between them. However, glucose values, SGOT, SGPT, total cholesterol, HDL-C, LDL-C and triglycerides remained within normal standards. It is found that 96.30% of patients had infection framework, and respiratory were more evident. In addition, 77.78% use enzyme replacement. Among the patients evaluated, 72.22% had a history of hospitalization and 11.11% had difficulty feeding. The fecal fat test was positive for 57.40% of cases, but it was not statistically significant to characterize the sample according to serum iron is noted that 75.92% had normal; while 24.08% had results below the reference standard, featuring a ferric depletion; with significant statistical dependence between the analyzed variable (p value <0.01). It was observed that patients are eutrophic and biochemical tests within normality patterns due to adherence to treatment, the use of enzymes, good food with added enteral supplementation when necessary.Item Acesso aberto (Open Access) Ocorrência do câncer do colo do útero em mulheres indígenas da Amazônia Paraense(Universidade Federal do Pará, 2014-12-15) MOTA, Rosemary Pereira da; AMARAL FILHO, Otacílio; http://lattes.cnpq.br/2605877670235703; GUERREIRO, João Farias; http://lattes.cnpq.br/1000688763895346The present study examined the occurrence of cancer of the cervix in Indian women of the Amazon Para, in the period 2005-2012, highlighting the interest in indigenous populations affected by diseases of modernity considering the difficulties and the importance of studying the health problems of these populations influenced by inter-ethnic contacts and processes of socio-cultural and environmental change. A quantitative research based on statistical exploratory model was carried out to give support to qualitative analysis that characterized the research. We used data from the House of Indigenous Health, Bethlehem district Icoaraci ( CASAI ) , records and reference and counter-reference guides . The incidence and changes in cervical cancer, and types of treatment received, referrals were analyzed, in addition to high grounds in fourteen indigenous women, occurring at this period, characterizing their prevalence.Item Acesso aberto (Open Access) Fatores de risco para infecções urinárias em pacientes submetidos a cateter vesical de demora em unidade de terapia intensiva de um hospital universitário(Universidade Federal do Pará, 2015-04-06) CARVALHO, Aidê Teles de; SOUSA, Rita Catarina Medeiros de; http://lattes.cnpq.br/3560941703812539Health care-related infection is a major public health grievance that in recent years has contributed to the increase in morbidity and mortality rates, hospital stay and costs. The objective of the research was to analyze risk factors for urinary tract infection associated with the use of indwelling catheters in the Intensive Care Unit (ICU) of a federal university hospital in the north of the country, from 2010 to 2013. A study was conducted exploratory, descriptive, retrospective study with a quantitative approach. They used data from the Hospital Infection Control Commission and the Division of Medical Records and Statistics, records and reporting forms and analyzed the incidence, in addition to risk factors, major microorganisms involved in the etiology of this infection and catheter dwell time bladder of delay. When analyzing the data, it became clear that a total of 48 patients, 60% (29/48) were female. The presence of risk factors such as diabetes mellitus, previous treatment with antibiotics and the catheter dwell time were determining factors of ITU-RC. The microorganism most frequently found in positive urine cultures were Candida spp 47% (16/34), Pseudomonas aeruginosa 12% (4/34), Klebsiella spp 9% (3/34), Escherichia coli 9% (3/34) Acinetobacter 9% (3/34), Enterococcus spp 6% (2/34), Serratia marcense 6% (2/34). The results of this study reinforce the importance of an effective hospitalas infection control program and the involvement of all health professionals who work in intensive care units.Item Acesso aberto (Open Access) Capacidade funcional e condições sócio-ecológicas em idosos longevos: uma amostragem dos ex-combatentes da Segunda Guerra Mundial em Belém do Pará(Universidade Federal do Pará, 2013-05-01) SOUSA, Elton Vinícius Oliveira de; SILVA, Hilton Pereira da; http://lattes.cnpq.br/3917171307194821The suddenness that humanity grows old requires adaptations of the societies’ lifestyle and attention to the elderly people needs new paradigms between government and citizen. In Belém of Pará, Brazil, the former combatants of World War II did not participate of the Independence parade in 2010, alleged lack of physical conditions, that arouse the interest in know this parcel of the population of Pará lives, as they have participated of the parade since 1951. With this aim, the aging profile of a sample of former-combatants of World War II, who live in Belém, was described in its bioantropologic aspects, relating to transition of density and epidemiology which Brazil is passing by, especially in the North region, in which we identify few studies about human aging. Thus, this study was based on survey method and descriptive, correlational quantitative. There were two phases in the research one bibliographic and another in the field in which we collected the required sample for the study. This sample is composed of 20 Ex-combatants (Navy n = 9, Army n = 9 and Air Force n = 2), aged 90.15 ± 5.33 years. In data analysis, we used SPSS 20.0 for univariate and multivariate analysis. The dependent variable, functional capacity was assessed by the Activities of Daily Living (ADL), we applied the Katz’s model (1963), The Nutritional status was defined through the diagnoses obtained from the analysis of anthropometric variables: body mass index, triceps skinfold thickness and arm muscle circumference and overall muscle strength, through the evaluation of grip strength. The Social conditions and health were assessed by questionnaires and sociodemographic a physical examination was performed in order to identify health conditions over the life course. Ex-combatants of World War II who live in Belém (PA), men are physically active and independent in ADL (95%). This result was confirmed by the evaluation of grip strength which noted that the sample has the same levels of muscle strength when compared to other populations of elderly Brazilians. In the nutritional assessment, 30% are eutrophic while 70% are not eutrophic. In socioeconomic profile, it was found that 65% are married, 30% widowed and 5% single, averaging 5 ± 3.11 children. The education level is 40% with high school, live in good housing conditions, with a monthly income of more than five minimum wages. They are independent of unified health system. 95% are Catholic and 25% of them still hold community activities. The recreational use of alcohol was reported by 50% of the sample and 100% are non-smokers. For longevity and good functional capacity, they were attributed to favorable socioeconomic status and family support. In the analysis of the course of life, we can hypothesize them high social adaptability due to bad experiences in the war, despite being with great loss of social prestige, which is an important reason for non-participation in military parade in 2010.