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Navegando Programa de Pós-graduação em Ciências da Saúde por Por Área do CNPQ "CNPQ::CIENCIAS DA SAUDE::MEDICINA::CLINICA MEDICA::DOENCAS INFECCIOSAS E PARASITARIAS"
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Item Implantação de uma Unidade Sentinela Centro de Referência em Medicina Internacional e de Viagem no Hospital das Clínicas da Universidade Federal de Goiás (HC / UFG)(Universidade Federal de Goiás, 2010-12-03) AIRES, Leticia Mara Conceição; GARCÍA-ZAPATA, Marco Túlio Antonio; http://lattes.cnpq.br/3672512339058369Introduction: The number of domestic and international travel has increased in past years. This way, Travel Medicine, has become an important subject, with the emergence of services that provide health care to travelers. Objective: To evaluate strategies used in deploying Sentinel Unit Reference Center for International and Travel Medicine at the HC / UFG. Methods: First approach: Systematic Review of Literature using the keywords: "Travel and medicine", "Travel and prevention", "Travel and Disease and Medicine" and "Traveler and medicine . Then were selected articles in English, Spanish and Portuguese, from 2004 to 2008. Second approach: a descriptive, qualitative and quantitative, with evaluation of actions taken during the period preceding the implementation of the Unit. Results: In the literature review were found 1,301 articles, and 72 included for analysis, we observed that malaria is the most studied disease, the main preventive measures discussed are chemoprophylaxis for malaria and vaccination. Health professionals working in Travel Medicine are general practitioners, pharmacists and nurses in various parts of the world, and among the obstacles we stress the lack of information in travelers, the lack of professional preparation and last-minute travelers. In a qualitative and quantitative research was performed a retrospective study in which differences were observed between physicians at the General Hospital and the tropical Diseases Hospital, where 1% of primary and 12.1% of the latter, asked about previous trips during office visits, and future study outlined profiles of health workers and travelers in their Knowledge, Attitudes and Practices in Travel Medicine, and noticed that 38% of professionals and travelers refer or seek treatment, although 91% of respondents consider it important to receive pre-departure orientation. Courses were held, symposium, lectures in education activities proposed. Travel Medicine now has code of regulation for public patients receive, and in 2009 and 2010 the Unit attended eight international travelers. Conclusions: The Travel Medicine faces many obstacles in Goiânia, as elsewhere in the world, being the main one the lack of information. We need a massive USCREMIVI disclosure to reach the objective of service to the traveler, in order of doing a situational diagnosis and to establish an educational facet.Item Características epidemiológics e clínicas dos pacientes com insuficiência cardíaca atendidos no Hospital das Clínicas da Universidade Federal de Goiás(Universidade Federal de Goiás, 2009-10-29) NOGUEIRA, Patrícia Resende; RASSI, Salvador; http://lattes.cnpq.br/7236834842677715Heart failure (HF) is a complex syndrome in which several risk factors are involved in its genesis, making it difficult to its prevention and management. Objectives: To identify the etiology and risk factors associated with HF frequently found in patients treated in a referential clinic in the state of Goiás, to compare the clinical and demographic characteristics of these patients, to analyze the treatment used is in accordance with the established guidelines for the management of HF in Brazil. Methods: A retrospective, descriptive and observational study of medical records of patients with heart failure treated in 2008 at the Hospital das Clínicas da Universidade Federal de Goiás. The analysis through means the Chi-square test (χ2) and Fisher's exact test was used to compare demographic and clinical characteristics of patients and forms of treatment according to the main etiology of HF. The One-way analysis of variance (ANOVA) and the Kruskal-Wallis test were used for quantitative variables. Results: 144 medical records of patients were analyzed, with a mean age 61 ± 15 years, 54.2% were male. Chagas cardiomyopathy was the main cause of HF (41%). Hypertension (48.6%), anemia (22.9%), coronary artery disease (19.4%), dyslipidemia (17.3%) and diabetes mellitus (16.6%) were the most frequent risk factors. There was no significance between patients of different etiologies as the ejection fraction, functional class (NYHA), diastolic blood pressure, 3rd heart sound, edema, jugular venous distension and anemia. Females had higher prevalence of hypertensive cardiomyopathy (p = 0.044). The pulmonary rales were also more frequent in this group (p <0.01). Heart rate was lower in patients with Chagas disease (p <0.001). The prescribed drugs were diuretics (81.2%), angiotensin converting enzyme inhibitors or angiotensin receptor Abstract xii blockers (77.7%), beta-blockers (45.8%), spironolactone (35.4%), digitalis (30.5%) and vasodilators (8.3%). Conclusion: Chagas cardiomyopathy was the main cause of HF. The most frequently risk factors identified were hypertension, anemia, coronary artery disease, dyslipidemia and diabetes mellitus. Patients with different etiologies of HF differed a little in clinical characteristics presented. The treatment used was shown to be consistent with the recommendations in the guidelines for HF.