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Item Estudo clínico e epidemiológico das apresentações iniciais de pacientes com transtorno afetivo bipolar–tipo I e II(Universidade Federal de Goiás, 2013-09-30) Chaves, Moysés de Paula Rodrigues; Caixeta, Leonardo Ferreira; http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4735432Y9There are several studies on the differential diagnosis of Bipolar Disorder (BD), however, further investigation with an emphasis on clinical phenotypes that inaugurate the disease is needed. The aims of this study are to identify the psychiatric disorders most frequently diagnosed before the definitive diagnosis of BD, the time until the correct diagnosis and compare BD I and II for the variables studied. We studied 259 patients with current diagnosis of BD according to the DSM- IV-TR, evaluated by the same psychiatrist. Early psychiatric signs and symptoms were identified through an interview with the patient and family members and were considered suggestive of an initial diagnosis that was coded according to the same diagnostic criteria. The authors analyzed data on patients' age at prodromes suggestive of initial psychiatric diagnosis and time delay to the actual diagnosis of BD. Comparisons were made between sex, schooling and type of BD. The mean age of patients was 41.6 years, with a predominance of adults (19-60 years), women (67.6%), as well as type II BD (68.3%). Patients were on average 24.6 years of age at initial diagnosis, 41.6 years in the diagnosis of BD and the mean time delay between these was 16.9 years. The most common initial diagnoses were depressive disorders (41.3%), anxiety (12.7%), ADHD (8.1%), disorders related to substance abuse (7.7%), somatoform disorders (6 9%), and psychosis (5.4%). BD can be considered a “great imitator” in modern psychiatry, since initial phenotypes can mimic other disorders. BD diagnosis is very delayed in Brazil.Item Análise fotoelástica da distribuição de tensões peri-implantares em overdenture mandibular retida por implante unitário com diferentes tipos de conexão(Universidade Federal de Goiás, 2013-08-14) Nascimento, João Francisco Machado do; Leles, Cláudio Rodrigues; http://lattes.cnpq.br/6740286066154410For patients poorly adapted to conventional dentures, the single-implant mandibular overdenture has been proposed as a simplified alternative for the two-implant treatment, together with the use of immediate loading of the implant. The aim of this in vitro study was to compare the photoelastic characteristics of stress transfer to the implant in a single-implant mandibular overdenture using different types of attachments. A photoelastic model of an edentulous mandible with a resilient edentulous ridge and a unique implant located at the symphyseal region was obtained to reproduce a single implant-retained mandibular overdenture. Six 2.0 mm height attachments were selected and inserted in the same photoelastic model in a random order. A universal material testing machine was used to induce axial vertical loads of 70 N applied in the central incisor and in the central region of the first right molar without contact on the contralateral side. The photoelastic analysis was performed using a polariscope integrated into the testing machine. Standard separate views were photographed and evaluated visually for stress-induced fringes, to comparatively rank the different attachment systems. All attachments showed a similar tension distribution concentrated in the apical third, and the highest stress concentration at the apical level. There was a low stress concentration at the coronal third of the implant, with no discernible stress in the first threads of the implants, except for Dalla Bona which showed low stress at the coronal part of the implant (one fringe). No identifiable fringes were observed when the load was applied in the molar region, which resulted from the low amount of stress transmitted by the implant for all attachments. It was concluded that the load transferred to a single mandibular implant is low and within the limits of functional loading, irrespective of the type of retention system.Item Prevalência da Doença Pulmonar Obstrutiva Crônica e de seu subdiagnóstico em pacientes hipertensos do Programa HIPERDIA de uma unidade de atenção primária à saúde na cidade de Goiânia(Universidade Federal de Goiás, 2013-05-06) Pereira, Sheila Alves; Rabahi, Marcelo Fouad; http://lattes.cnpq.br/1489771770609266Introduction: The detection of patients with Chronic Obstructive Pulmonary Disease (COPD) on the primary health care network can be an important tool for an early diagnosis and better conduct management of these patients. Studies realized in Latin America (MENEZES, 2006) show that the COPD underdiagnosis is one of the great limiters for the control of this illness. It was also observed in a study in Canada (Hill et al., 2010) that half of the cases sub-diagnosed were of hypertensive patients. Thus, the analysis of the pulmonary function in hypertensive patients could be a useful strategy for the diagnosis of patients with COPD. Objective: To estimate the prevalence of COPD and its sub-diagnosis on hypertensive patients registered on the HIPERDIA Program of an unit of primary health care in Goiânia. Methodology: The transversal analytical study performed on the Novo Horizonte CIAMS in Goiânia from January/2011 to May/2012, with patients from both sex, aged between 18 and 80 years old and hypertensive registered on the HIPERDIA Program. The patients were evaluated as for the pulmonary function (spirometry) and the respiratory symptoms (questionnaire). The criteria used for the diagnosis f COPD were in fixed relation of the VEF1/CVT<0,70 or by the relation VEF1/CVF below the inferior limit of normality. For the statistical analysis, it was appealed to the SPSS 17.0 program, with the execution of the square Qui test, T test and analysis of the logistical regression. The level of statistic significance assumed was of p < 0,05. The present study was approved by the Ethical Committee of Human Research from the Clinical Hospital of the Federal University of Goiás, register n° 159/2010. Results: 301 patients were evaluated. The prevalence of COPD was of 22,2% and the sub-diagnosis rate was of 82%. The group with normal spirometry (n=165) was compared to the group with COPD (n=67) as for the social demographic variables, pulmonary function, risk factors, the respiratory symptoms and the co morbidity. There were significant differences only in relation to the sex (p<0,001), age (p=0,005), CVF, VEF1/CVF (p<0,001), smoking (p<0,001) and wheezing (p=0,006). The group of patients with sub-diagnosed with COPD (n=55) and with previous diagnosis (n=12) were similar as for all the variables of epidemiological characterization, except for the respiratory symptoms (wheezing and dyspnea) and pulmonary function. Conclusion: The COPD patients’ profile is similar to the literature. The high prevalence of COPD found in the patients on the HIPERDIA Program with the majority of the sub-diagnosed, shows that the implantation of management strategies with patients with COPD in this National Program of Public Health is already existent in the majority of the Brazilian cities.Item Efeitos do treinamento aeróbio e resistido sobre a qualidade de vida e capacidade funcional em mulheres hipertensas(Universidade Federal de Goiás, 2010-05-05) Póvoa, Thaís Inacio Rolim; Sousa, Ana Luiza Lima; http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4728701H7; Jardim, Paulo César Brandão Veiga; http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4781358P2; Salgado, Cláudia Maria; http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4736530A6; Silva, Maria Sebastiana; http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4791881D6; Zanni, Cláudia Regina de Olinveira; http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4706955U7; Barbosa, Maria AlvesINTRODUCTION: Hypertension could impaire the quality of life (QOL) and healthrelated quality of life (HRQOL). Aerobic and resistance training improve cardiovascular performance, but there is little evidence regarding the effects related to QOL, HRQOL and functional capacity in hypertensive women. OBJECTIVES: To assess the effects of aerobic and resistance training on QOL and functional capacity in hypertensive women. METHODS: Randomized clinical trial conducted at Hypertension League Federal University of Goias - Brazil. Sample: hypertensive women, 50 years, non-participants in exercise programs, satisfactory treadmill test (Bruce protocol) and with a minimum 6- month treatment at service. Subdivided: aerobic group (GA) (n=21) and resistance group (GR) (n=20). Interventions: 2 months (2x/week) of aerobic exercise and resistance training. Intensity of aerobic group: light to moderate (4 to 7 of adjusted Borg Scale). Resistance: up to 60% of 1 RM Test. Two series of 12 to 15 repetitions. Before and after the intervention was applied WHOQOL-bref to evaluate QOL, the SF-36 for HRQOL and 6-minute walk test (6`WT) to measure the functional capacity. Statistical: student`s-t, Fisher, Mann-Whitney U, Chi-square and Wilcoxon tests. Level of significance: p <0.05. RESULTS: Initially the groups were homogeneous regarding clinical, anthropometric, sociodemographic and WT6’ (p 0.05). The groups were also homogeneous in WHOQOL-bref scores except on the psychological and social relationships domains, and the GR had higher scores on these. On SF-36, the groups were different at the beginning only at physical function domain, and the GA presented higher score in this domain. After intervention, there was a significant improvement in all WHOQOL-bref domains in GA and at GR the improvement ocurred only in physical health domain. Regarding SF-36 there was a significant improvement in 7 of 8 domains at GA (exception for mental health). At GR, were observed similar results. There were no changes in weight, body mass index, waist circunference, blood pressure and heart rate after the intervention. (p 0.05). There was an increase at functional capacity (longer distance on 6`WT - p 0.001) in both groups. CONCLUSION: The two types of physical exercise, promoted beneficial effects in different magnitudes in QOL, similar in HRQOL and functional capacity. These results suggest that, according the focus and objectives established, both exercises can be effective as a treatment strategy in search of better QOL in hypertensive woman.Item Avaliação do programa de rastreamento mamográfico oportunístico realizado pelo Sistema Único de Saúde, no município de Goiânia, em 2010: desempenho dos centros de diagnóstico e indicadores para monitoramento de resultados(Universidade Federal de Goiás, 2012-06-27) Rodrigues, Danielle Cristina Netto; Rahal, Rosemar Macedo Sousa; http://lattes.cnpq.br/1322145394447454; Freitas Júnior, Ruffo de; http://lattes.cnpq.br/7343840830786566Introduction: Among governmental measures in support of strategies to control and prevent breast cancer in Brazil, the implementation of the Breast Cancer Control Information System (SISMAMA) has made it possible for Single Health System (SUS) managers to identify users and diagnostic centers and provide data to the National Mammmogram Quality Program (PNQM) as a way of guaranteeing adequate tracking and establishing indicators for monitoring mammography results in each region of the country. Objective: To evaluate the opportunistic mammographic screening program carried out by the Single Health System in the municipality of Goiânia en 2010 in regard to the performance of diagnostic centers and indicators for monitoring results. Method: This was an ecological study in which the results of mammograms performed by SUS on the female population of Goiânia from January to December, 2010 and reported by diagnostic centers to SISMAMA were analyzed. The data were collected from the “export data” file of the state coordination module and the variables studied were analyzed in the two articles produced on the basis of this study. In Article 1, the variables studied were test production by diagnostic center, monthly test volume, tests by clinical indication, screening tests by age group and screening tests by diagnostic conclusion using BIRADS® categories (0,1,2,3,4 and 5). To evaluate the conformity of the diagnostic centers, an arbitrary variation limit of ± 30% of the relative frequency of all diagnostic centers in each BIRADS® category was established. Those centers found to be within this limit were considered to be in conformity. Centers with the same conformity percentage were considered to have the same performance. For Article 2 the variables were mammography distribution by age group, diagnostic conclusion, earlier mammograms and those indicated for biopsy. The following indicators for monitoring the results for the 50- 69 year age group were calculated: participation (coverage) rate, test rate by BIRADS® category (1,2,3,4 and 5), recall rate (BIRADS® 0), percentage of positive mammograms (BIRADS® 0, 4 and 5) and the biopsy indication rate (BIRADS® 4 and 5). Results: In Artlcle 1, of the 31,454 tests carried out on women residing in Goiânia, 8,268 (26.3%) were reported by the proprietary SUS diagnostic center network and 23,186 by the accredited network. Test distribution by age group and type of network shows that 43.3% of tests were carried out on women in the 40-49 year age bracket and 44.8% on women from 50 to 69 years old. Diagnostic conclusion performance was uneven among the diagnostic centers for BIRADS® categories 1,2,3,4 and 5 as well as for BIRADS® category 0 in comparison with the other categories, with p<0.001. In Article 2, for the 50-69 year age bracket, the biennial screening coverage estimate was 25.2% and the mammography ratio for 2010 was 0.14. The indicators for monitoring the results of the SUS opportunistic mammography screening program were the following: the recall rate was 9.6% (BIRADS® 0) and the normal test rate (BIRADS® 1 and 2) was 86.1% while the percentage of positive mammograms (BIRADS® 0, 4 and 5) was 10.9% and the biopsy indication rate was 1.3% (BIRADS® 4 and 5). Conclusion: An analysis of the results makes it possible to construct the first opportunistic mammography screening indicators for Goiânia. These will serve as parameters for monitoring early breast cancer detection measures. MMG services’ unequal diagnostic conclusion performance points to the necessity of implementing result auditing in screening programs to monitor the quality of mammographic test interpretation.Item Biossegurança - conhecimento de graduandos em farmácia(Universidade Federal de Goiás, 2014-02-28) Salha, Leila Abou; Mendonça, Reginaldo Teixeira; http://lattes.cnpq.br/4683119891747033; Mendonça, Reginaldo Teixeira; Martins, Cleusa Alves; Feres, Valéria Christina de Rezende; Costa, Nilce Maria da Silva Campos; Martins, Karine AnuscaProfessional practice is also guided by the teaching- learning and knowledge in biosafety training of pharmacists , is of paramount importance for the safe and conscientious professional practice . The study aims to investigate the knowledge of undergraduate students about concepts of biosafety aspects in the use of personal protective equipment , standard precautions and immunization . A questionnaire was applied to interview students of pharmacy of a public institution to collect data on biosafety , during the period November 2012 to May 2013. Among the 300 participants , 132 ( 64.4 %) use lab coat and glove 240 ( 80 % ) have knowledge of waste disposal , 246 ( 82 % ) know about measures to protect the safety and health of workers in health services , 289 ( 96 % ) know the correct handwashing and 71 ( 26 % ) reported knowledge of occupational immunization. It was observed that approximately 65 % of the students showed biosafety knowledge and this knowledge did not show the expected periods over the course of the addition. There is need for changes in teaching strategies to be effective in practice biosecurity as essential to professional practice safely content, reaffirming content as transversal and interdisciplinary .Item Perfil epidemiológico e associação clínico-radiológica dos pacientes com megaesôfago chagásico acompanhados no Hospital das Clínicas da UFG, no período de 1998 a 2010(Universidade Federal de Goiás, 2013-03-26) SOUZA, Diogo Henrique Saliba de; Rezende Filho, Joffre; http://lattes.cnpq.br/4676204316384198; Oliveira, Ênio Chaves de; http://lattes.cnpq.br/7046861881778720Introduction: Chagasic megaesophagus (CM) is the most common digestive manifestation of Chagas’ Disease (CD) in Brazil and the State of Goiás is one of the most affected regions. The Hospital das Clínicas (HC)/ Universidade Federal de Goiás (UFG) is a reference center for study and treatment of CM in the last decades. The objective of this study was to characterize the current epidemiological profile of patients with CM seen at the HC of the UFG, from 1998 to 2010. Methodology: Nine hundred thirty-nine patients' records were analyzed and age, gender, place of birth, serology, symptoms and radiological classification according to Rezende et al. were analyzed. Results: The median age of patients was 55 years old. Male patients were the most prevalent, 54%. The prevalence of younger patients, less than 31 years old, was 4.2% but 82.1% of them were from Bahia State. Patients with more than 40 years old, were majority (85.5%). The radiological groups were distributed as follows: group I (35.9%), group II (32.9%), group III (17%) and group IV (14.2%). Dysphagia for solid was common in all radiological groups, however dysphagia for liquids, regurgitation and other gastrointestinal symptoms were significant in groups II, III and IV. Conclusion: Compared to previous studies by the same group in 1975, 1994 and 1995, the number of younger patients decreased and the frequency curve is shifting to older ages.