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Item Efeito da orientação para perda de peso em pacientes inférteis com sobrepeso e obesidade(Universidade Federal de Goiás, 2022-01-27) Benetti, Beatriz Bacheschi do Carmo; Approbato, Mário Silva; http://lattes.cnpq.br/3408700658976397; Approbato, Mário Silva; Moraes, Alexandre Vieira Santos; Barbosa, Maria AlvesIntroduction: Obesity is considered a worldwide epidemic, being a serious public health problem. Overweight and obesity are characterized by the accumulation of body fat that poses a health risk. Several pathophysiological disorders are caused by obesity, especially in people with Body Mass Index (BMI) above 30 kg/m². It is increasingly common among women of childbearing age. Obese women are three times more likely to suffer from infertility than women with a normal body mass index. Objective: Evaluate the response to weight loss guidance in anthropometric parameters of obese and overweight infertile patients undergoing assisted fertilization treatment (high and low complexity). Methods: Retrospective cohort. A survey was carried out of a population of overweight and obese infertile patients one to two years after the first visit. In the first consultation at the assisted reproduction clinic (Human Reproduction Laboratory HC / UFG) as obese and overweight patients were instructed to lose weight and information that excess weight could decrease as chances of being successful in the treatment. As endocrine variables, estradiol, FSH, and LH were evaluated between obese and overweight patients in relation to normal weight patients. Proportions were compared using the chi-square test. Medians with the Mann-Whitney test. The H0 Rejection Level was 5%. Results: The age of the patients and the values of FSH, LH and estradiol were evaluated and paired, it was then verified that all presented p>0.05 after the adjustments. The age range of patients ranged from 21 to 40 years, with a mean of 35.59 ± 3.23 for the group with normal BMI and 35.78 ± 3.70dp for the group classified as overweight and obese. The mean weight in kg before and after orientation was 77.11±11.77 and 78.98±12.86 (p<0.0046). The mean BMI (kg/m²) before guidance was 29.69 ± 3.75dp and after guidance was 30.42 ± 4.32 (p<0.0038). Regarding ovulation, 31.6% of patients who lost weight did not ovulate compared to 20.0% of patients who gained weight. Patients who maintained their weight (16.7%) did not ovulate compared to 20.0% of patients who gained weight. Statistically non-significant difference. As for the endocrine variables, FSH, LH and estradiol, when comparing the population with normal weight with the population with overweight and obesity, no significant differences were found. Conclusions: There was a low percentage of weight loss in the patients, as only 37.5% achieved this goal. A greater number of patients gained or maintained their initial weight. Regarding ovulation, no significant associations were found when comparing patients who lost weight and those who gained weight, and also patients who maintained their weight compared to those who gained weight. As for the endocrine variables, in this study, the influence of obesity or overweight on these variables was not detected. The main diagnosis of infertility was bilateral tubal obstruction due to tubal ligation and other causes. Regarding the type of infertility, it was observed that cases of the primary type were the most frequent.Item Qualidade de vida relacionada à saúde em pacientes com glomerulopatias primárias(Universidade Federal de Goiás, 2023-08-31) Borges, Marcela Oliveira Faria Braga; Barbosa, Maria Alves; http://lattes.cnpq.br/5025797873585225; Fernandes, Marcos Rassi; http://lattes.cnpq.br/3918453247388300; Fernandes, Marcos Rassi; Naghettini, Alessandra Vitorino; Veloso, Valéria Soares PigozziIntroduction Primary Glomerulopathies (PG) represent around 20% of prevalent cases of Chronic Kidney Disease (CKD) in the world and can be a cause of irreversible kidney damage, a source of personal suffering, and also a socioeconomic problem. This study aims to evaluate Health-Related Quality of Life (HRQoL) using Patient Reported Outcome Measures (PROM), and identify predictive factors associated with worse HRQoL in patients with GP. Methods A PROMIS (Patient-Reported Outcome Measurement Information System) instrument was completed by 46 patients with GP to assess HRQoL. Five domains were assessed: global health, fatigue, anxiety, depression and sleep impairment. Exploratory univariate statistical analyzes were performed followed by multiple linear regression analysis. Results Forty-six patients participated in the study. The mean age was 38.5 ± 16.4 years (ranging from 18 to 76 years). Female patients had worse scores for anxiety (p=0.044), depression (p=0.040) and sleep disorders (p=0.007). Patients younger than 60 years had worse anxiety scores (p=0.041). Better educational level was related to lower depression score (p=0.010). Obesity determined a worse physical health score (43.95 versus 40.14, p=0.022). The presence of pain, swelling, diagnosis time ≥9 months and Diabetes Mellitus (DM) were predictors of worse HRQoL in more than one evaluated domain. Conclusion The predictive variables of worse HRQoL in patients with PG were female gender, age younger than 60 years, lower educational level, overweight and obesity, need for emergency care, DM, diagnosis time ≥9 months and the presence of pain and edema at the time of the study. The study concludes that the assessment of HRQoL domains using MRRP makes it possible to identify factors that worsen HRQoL, allowing early intervention and improving patient care.Item Prevalência de antigenemia criptocócica em pessoas com Aids em um hospital de referência em Goiânia, Goiás(Universidade Federal de Goiás, 2019-03-08) Borges, Moara Alves Santa Bárbara; Araújo Filho, João Alves de; http://lattes.cnpq.br/3769452101687074; Turchi, Marília Dalva; http://lattes.cnpq.br/3769826743537934; Turchi, Marília Dalva; Pereira, Ledice Inácia de Araújo; Bermudez, José Ernesto VidalIntroduction: Cryptococcosis is caused by Cryptococcus species complex (Cryptococcus neoformans and Cryptococcus gattii) and targets immunocompromised individuals, including those with AIDS. Cryptococcal antigen (CrAg) detection in the HIV population with CD4 counts <100-200 cells/μL has been recommended by the World Health Organization since 2011 in areas with CrAg prevalence >3%. Objectives: To estimate the prevalence and to evaluate associated factors to CrAg positivity in AIDS population in Goiás, Midwest of Brazil. Methodology: A cross-sectional study, which evaluated HIV-infected adults, with a CD4 T-cell count <200 cells / μL, without previous history of cryptococcosis, regardless of the use of antiretroviral therapy (ART), time of diagnosis or symptoms, attended at a infectious diseases reference hospital in Goiânia, Goiás, from June 2015 to July 2018. Demographic, clinical and laboratory characteristics were investigated through interviews with the participants and review of medical records. The serum CrAg test was performed by the Lateral Flow Assay technique (Immuno-Mycologics Inc®, Norman, Oklahoma). The prevalence of cryptococcal antigenemia with Confidence Interval of 95% (95% CI) was estimated. Chi-square test or Fisher's exact test was used to compare categorical variables and T-test for continuous variables. The level of significance was set at p <0.05. Results: Of the 214 individuals recruited, 72% were men ranging in age from 18 to 78 years (median, 40 years). HIV diagnosis was recent in 47% (≤12 months) and 88.8% (n=190) were antiretroviral experienced, of which 51.4% (n=110) were taking this regularly in the previous 3 months. Viral load was undetectable in 25/214. CD4 values ranged from 1 to 199 cells/μL (median, 47 cells/μL). The overall prevalence of CrAg was 7.9% (95% CI, 4.7-12.4); 7.5% (12/159) in those with CD4 ≤100 cells/μL and 9.1% (5/55) in those with CD4 101 to 199 cells/μL. There were no statistically significant differences between sociodemographic, clinical or laboratory characteristics to predict CrAg positivity (p> 0.05). Conclusion: The prevalence of cryptococcal antigenemia in an HIV population with CD4 <200 cells/μL from midwest Brazil is high, above the cut-off point for the cost-effectiveness of CrAg screening. No clinical or laboratory factors could predict positivity, corroborating the need for universal screening for CrAg in severely immunosuppressed individuals infected with HIV in similar regions.Item Ansiedade e depressão em mulheres com e sem dor pélvica crônica(Universidade Federal de Goiás, 2018-12-19) Campos, Vânia Meira e Siqueira; Deus, José Miguel de; http://lattes.cnpq.br/8644071247922633; Conde, Délio Marques; http://lattes.cnpq.br/8628571386803692; Conde, Délio Marques; Ribeiro, Marília Oliveira; Finotti, Marta Curado Carvalho Franco; Moraes, Alexandre Vieira Santos; Jales, Rodrigo MenezesObjectives: To investigate the prevalence of anxiety, depression and mixed anxiety and depressive disorder (MADD) and factors associated with these conditions in women with chronic pelvic pain (CPP) compared to a pain-free control group. Methods: A cross-sectional study was conducted with 100 women with CPP and 100 without CPP in the Teaching Hospital Gynecologic Ambulatory of Federal University of Goiás from October 2014 to February 2016. Sociodemographic, behavioral and clinical characteristics were investigated. The Hospital Anxiety and Depression Scale was used to evaluate the presence of anxiety and depression. Fisher’s exact test was used to compare characteristics between groups. A log-binomial regression model was used to investigate the factors associated with anxiety, depression, and MADD. This model allows the calculation of the unadjusted prevalence ratio (PR) and adjusted for potential confounding variables (age, skin color, schooling, body mass index and CPP) with a respective 95% confidence interval (CI). Results: The prevalence of anxiety was 66% in the CPP group and 49% in the controls (p=0.02). Depression was identified in 63% of the women with CPP and in 38% of the controls (p<0.01). MADD was present in 54% of the CPP group and in 28% of the controls (p<0.01). In the adjusted analysis, CPP (PR=1.3; 95%CI: 1.1-1.6), physical abuse (PR=1.5; 95%CI: 1.2-1.8) and sexual abuse (PR=1.5; 95%CI: 1.1-1.8) were independently associated with anxiety. Women of 25 to 34 years of age were less likely to have anxiety (PR=0.6; 95%CI: 0.4-0.8). CPP (PR=1.6; 95%CI: 1.2-2.2), physical abuse (PR=1.3; 95%CI: 1.1-1.7) and sexual abuse (PR=1.7; 95%CI: 1.3-2.2) were independently associated with depression. CPP (PR=1.9; 95%CI: 1.3-2.7), smoking (PR=1.5; 95%CI: 1.1-2.1), physical abuse (PR=1.4; 95%CI: 1.1-1.9) and sexual abuse (PR=1.4; 95%CI: 1.1-1.8) were independently associated with MADD. The mean duration of pain was 7.0±6.0 years and the mean pain intensity was 7.8±2.1. No statistically significant association was found between either the intensity or the duration of the pain and anxiety, depression or MADD. Conclusions: The prevalence of anxiety, depression and MADD was higher in women with CPP compared to the pain-free controls. CPP, physical abuse, sexual abuse and smoking were associated with mental disorders. The association between CPP and anxiety, depression and MADD was noteworthy. These findings suggest that systematic management of psychiatric factors could contribute towards improving the mental health of these women.Item Diagnóstico precoce do pé diabético em pacientes atendidos em um serviço do sistema único de saúde(Universidade Federal de Goiás, 2019-02-21) Cardoso, Hígor Chagas; Mrué, Fátima; http://lattes.cnpq.br/2424858504979076; Mrué, Fátima; Rosa, Suélia de Siqueira Rodrigues Fleury; Parisi, Maria Cândida RibeiroIntroduction: Ulceration and (or) destruction of soft tissues that occur in the feet of the diabetic patient associated with neurological changes and peripheral arterial disease characterize the clinical condition known as diabetic foot. The person with diabetes mellitus has a lifetime risk of developing this complication estimated at 25%, diabetic foot injuries accounting for 20% of all hospitalizations of diabetic patients. Objective: To evaluate the factors related to the development of diabetic foot in individuals attended in a public health service. Method: An observational, descriptive, quantitative study of diabetic patients older than 18 years of age, of both gender, who were attended by endocrinologists, between July 2018 and July October 2018 at the Dr. Ilion Fleury Jr. public Health Unit municipality of Anápolis, Goiás, Brazil. Participants were evaluated for their socioeconomic and clinical characteristics, with vascular and neurological evaluations, as well as the classification of the risk of developing diabetic foot, according to the International Working Group on the Diabetic Foot (IWGDF). For statistical analysis, the IBM SPSS Statistics® program was used, with the Chi-Square Test, Chi-Square Test for Trend and Fisher's Exact Test. Significance was defined as a p value <0.05. Results: A total of 85 patients were evaluated. The prevalence of diabetic foot in the sample was 10.6%. The parameters evaluated diagnosis time of diabetes, nail appearance, humidity and foot deformities presented a statistically significant association with the development of diabetic foot (p <0.05). Considering the IWGDF classification, grade 0, 1, 2 and 3 risks, respectively, were observed in 28.2%, 29.4%, 23.5% and 8.2% of the patients. Conclusion: This study demonstrated the importance of the identification of symptoms and signs of loss of protective sensitivity and peripheral occlusive arterial disease, which are the most important triggering factors for diabetic foot development. The results obtained in this study is hoped to contribute to the development of a more attractive protocol for the basic health units system with greater effectiveness and success.Item Intoxicações exógenas por medicamentos em crianças: perfil clínico-epidemiológico e qualidade dos dados do Sistema de Informação de Agravos de Notificação (Sinan) e do Sistema Nacional de Vigilância Sanitária (Sinavisa), em Goiânia, Goiás, 2012-2016(Universidade Federal de Goiás, 2018-11-24) Cardoso, Huilma Alves; Avelino, Mariza Martins; http://lattes.cnpq.br/7890944202988947; Avelino, Mariza Martins; Siriano, Liliane da Rocha; Nakano, Simone Moraes StefaniIntroduction: Exogenous drug intoxications are considered a serious public health problem in Brazil and in the world, especially in children. Objective: To describe the clinical and epidemiological profile of the reported cases of exogenous poisoning by drugs in children and the quality of the information systems in Goiânia, Goiás. Methods: This is a descriptive study, using secondary data from children from zero to 12 years of age, obtained from the Notification of Injury Information System (Sinan) and National Sanitary Surveillance Information System (Sinavisa) between 2012 and 2016. We analyzed general, individual data, epidemiological history, exposure, care, conclusion of the case and risk factors for hospitalization. Regarding data quality, the incompleteness and inconsistencies of the variables were evaluated. The agreement between the data was made by calculating the Kappa index and the Intraclass Correlation Coefficient (p <0.05). After extracting the data using Tabwin®, the analysis was performed in the IBM® SPSS Statistics®, version 22 program. Results: A total of 389 cases of drug intoxication were reported in children in Sinan and 680 cases in Sinavisa, with 243 cases common to both systems. The prevalence of cases in the two systems was divergent between 2012 and 2013, and from 2014, there was a progressive increase in the number of cases after convergence. The drug poisoning at Sinan and Sinavisa was predominant, consecutively, in the age range of one to four years (53.1%; 72.0%), at home (88.4%, 95.4%), through the digestive route (88.3%, 96.1%), due to accidental causes (60.7%, 77.2%) and the single acute type (92.0%, 99.6%). In both systems, the highest frequency was hospital (82.0%, 53.8%), in the public sector (96.9%, 80.4%) and without hospitalization (55.0%, 71% 9%). A wide variety of medications led to intoxications, most frequently central nervous system depressants in both systems (25.7%, 22.9%). In Sinan, hospitalizations were more likely to occur in children aged one to eight years. In Sinavisa, hospitalizations were more likely to occur in cases treated in the public sector and involving drugs controlled by Portaria n. 344/98. There were inconsistencies in both systems. In both systems, the completeness of the variables was greater than 91.0%, but four variables were not fulfilled. Between the two systems, only the variables gender, date of birth and age had excellent agreement. Conclusions: Medication poisonings occur more frequently in infancy, by accidental circumstance, orally, in the residences, in a unique acute form and present cure without sequelae. The drugs most involved are the central nervous system depressants. The greatest chance of hospitalization occurs among children aged one to eight years, in public units and involving controlled medications. The quality of the data and the agreement between the Sinan and Sinavisa systems are unsatisfactory.Item Impacto da implementação da resolução 2173 / 2017 do CFM no processo diagnóstico de morte encefálica doação de órgãos em um hospital público de Goiás em 2017 e 2018(Universidade Federal de Goiás, 2022-12-16) Carneiro, Lórimer Sandoval; Diniz, Denise Sisterolli; http://lattes.cnpq.br/5139602841690387; Diniz, Denise Sisterolli; Guimarães, Valeriana de Castro; Mendonça, Helena Rezende SilvaBrain death (BD) diagnosis is essential to establish potential donor status for organ transplantation. In Brazil, the Federal Council of Medicine (CFM) establishes the diagnostic parameters for BD. CFM Resolution 1480 / 1997 showed the need to perform two clinical examinations (including two apnea tests) with a minimum interval of six hours for patients aged two years or more. In 2017, Resolution 2173 / 2017 revoked the previous one and reduced the minimum interval to one hour between the two examinations (requiring only one apnea test). In Brazil, organ donation after the diagnosis of BD only occurs after an interview with family members of the potential donor. This research aimed to evaluate the change resolution impact in the process of diagnosis of BD-organ donation in the years 2017 and 2018 in a public hospital in Goiás. Methodology: A descriptive-comparative study was conducted by collecting data (retrospective) from the State Transplant Center of Goiás. The sample consisted of patients diagnosed with brain death at HUGOL from 2017 to 2018 (n=230), 93 patients in 2017 and 137 in 2018. The following were evaluated: age, sex, cause of coma, date and time of the first clinical examination, date and time of the second clinical examination, the time between the two clinical examinations, date and time of the complementary examination, time of diagnostic conclusion, date and time of death, eligibility (submission to family interview), acceptance or refusal of organ donation, and reason for family refusal. Results: Data distribution was not normal (application of Kolmogorov- Smirnov test), and Mann-Whitney and Chi-square tests were applied (95% CI and p≤0.05). The total time spent for the diagnosis of brain death was reduced (p=0.014); when the complementary exam was performed between the two clinical exams, the total time spent was reduced (p<0.001). The causes of coma were: TBI, TBI/polytrauma, CVA, HCVA, arterial malformation, hydrocephalus, CNS infection, sepsis, and tumor. Family from 108 patients refused organ donation for the following reasons: unawareness of the DP's wish, no living donor, family members wishing the body intact, undecided family members, family members against the donation, fear of the delay in releasing the body, religious convictions, and others. Conclusion: CFM Resolution 2173 / 2017 promoted a reduction in the time to diagnosis of brain death without impacting the decision of acceptance/refusal of organ donation. The time to diagnosis was not a reported cause for donation refusal. Organ donation depends on the community's knowledge about the transplant program, the DP's living wishes, and conditions related to their own beliefs. For this, we suggest public policies to encourage family dialogue on the subject - of organ donation and transplants.Item Qualidade de vida de mulheres com e sem risco cardiovascular atendidas em uma Unidade Básica de Saúde(Universidade Federal de Goiás, 2021-05-07) Carvalho, Sebastião Paulo dos Santos; Silva, Maria Sebastiana; http://lattes.cnpq.br/1329422634395496; Silva, Maria Sebastiana; Soares, Viviane; Guimarães, Valeriana de CastroPopulation's quality of life has been an area of study from health academics and professionals because of increased longevity and disorder as hypertension, diabetes and dyslipidemia that induce cardiovascular diseases and add to physic and mental debilities going to death. Hence the aim of the study was measure life of quality of women with cardiovascular risk (WCVR) and without cardiovascular risk (WHCVR). A transversal observation study was made with 116 women attended on Health Basic Unit in the city of Santo Antonio de Goiás – GO in 2019. The cardiovascular risk (CVR) was measure by score of Framingham that used age, presence of dyslipidemia, diabetes, systolic blood pressure (SBP), tabagism, high density lipoprotein cholesterol (HDL-c), low density lipoprotein cholesterol (LDL-c) and cholesterol total (TC). Two groups were established by CVR: without risk (50 women) and with risk (66 women). To measure life of quality was used the Outcomes Short-Form 36-item Health Survey (SF-36) that have questions to assess physics and mental aspects. The statistical analysis was made in software package SPSS v.20. The average of age, height, BMI, TG, TC, LDL, HDL, SBP and glycemic leve were different between groups. In WCVR 90.9% had climacteric period, 59.09% had dyslipidemia, 63.63% had hypertension, 46.96% had diabetic and 7.57% are smokers. The groups were differents in two domains of quality of life (DQoL) body pain (BP) p<0.02 and role-physical (RP) p<0.01. The factors of cardiovascular risk (FCVR) age and BMI impacted in DQoL social functioning (SF), TG in physical functioning (PF), BMI in general health (GH) from women WCVR. LDL-c and CT impacted in role emotional (RE) from women WHCVR. All scores of DQoL from women WCVR is lower than women WHCVR (excepted SF). all analyzed factors negatively impacted the domains of quality of life, indicating impairment of cardiovascular risk on the quality of life of these women.Item Posição do forame apical em imagens de tomografia computadorizada de feixe cônico na dentição permanente humana(Universidade Federal de Goiás, 2017-12-05) Couto, Gabriela Soares; Estrela, Carlos; http://lattes.cnpq.br/3611967334176683; Estrela, Carlos; Pécora, Jesus Djalma; Decúrcio, Daniel AlmeidaAim: This study determined the apical foramen position in relation of root surfaces in human permanent teeth using cone beam computed tomography (CBCT) images. Methods: It was selected a sample of 1,400 teeth from CBCT scans of 422 patients (394 women; 44.46 mean age-years). AF position in relation of root surfaces was determined longitudinally on 0.1-mm/0.1-mm axial slices of CBCT images, from the pulp orifice to the root apex. The findings were recorded into categories: 1. buccal; 2. mesiobuccal; 3. mesial; 4. mesiolingual/palatal; 5. lingual/palatal; 6. distolingual/palatal; 7. distobuccal; 8.central. Analysis of the data used in the statistical classification. Categorical variables were described by frequency and percentage. A statistical analysis of the data was performed without the Microsoft Excel program for Windows 2013 (Redmond, Washington, USA).Results: The position of the apical foramen most frequently found in the lower central incisors was vestibular (35.48%), followed by the central position (30.64%). The distal position (31%) of the apical foramen was the second highest frequency seen in the maxillary lateral incisors. In the upper second premolars, the buccal and mesiobuccal root canal presented a higher frequency (27.51%) of the apical foramen in the central position, followed by the mesial position. In the second maxillary molar the greater foramen frequency in the central position was found in the mesiobuccal root (20.25%), and in the lower first molar, the mesiobuccal root was the one with the highest frequency (18.80%).Conclusions: AF position in human permanent teeth was central in 51.15% and 48.85% in maxillary and mandibular teeth, respectively. The CBCT and the strategies of longitudinal map-reading represent a dynamic and nondestructive method and improve to identify the AF position.Item Avaliação do genótipo de pacientes com síndrome de Usher do Centro de Referência em Oftalmologia da Universidade Federal de Goiás(Universidade Federal de Goiás, 2014-12-16) Cruvinel Filho, Ricardo Campos; Ávila, Marcos Pereira de; http://lattes.cnpq.br/3335187297522447; Ávila, Marcos Pereira de; Rassi, Alan Ricardo; Lima, Francisco Eduardo Lopes de; Silva, Leopoldo Magacho dos SantosCross-sectional study conducted at the Center of Reference in Ophthalmology UFG in conjunction with Oregon Health and Science University and the Brazilian Center for Eye Surgery (CBCO). To evaluate the genotype of patients with Usher syndrome of Reference Center for Ophthalmology, Federal University of Goias (UFG-CEROF). Patients clinically diagnosed with SU underwent complete ophthalmic examination, Goldmann manual kinetic perimetry, audiometry and subsequent collection of peripheral blood chromosomal microarray for sequencing. We examined 19 patients with clinical suspicion of SU with a mean age at first visit was 42.5 years (± 12.2) and a slight predominance of males (52.63%). The most prevalent subtype in clinical diagnosis of type I disease (68.4%). The visual acuity measured on the day of the exam for eye examination was 20/92 on the Snellen chart. Examinations audiometry showed hearing loss in all patients ranging from moderate in 12.5% of patients, deep (56.25%) and severe (31.25%). In 36.8% of patients analyzed, we found at least two mutations in the same gene, and of these, 21% were heterozygous mutations, and 15.8% homozygous. The homozygous mutations, which were of the type no sense, occurred in the gene CLRN1 whose patients had a previous diagnosis of USH 2. Met 26.31% of the sample analyzed in heterozygous. Of these, two patients showed mutations in the MYO7A gene (40%), both with clinical suspicion of USH 1. For the proposed methodology, we found no disease-causing mutations in 79% of the sample analyzed. Following the proposed methodology, the authors were able to determine the mutation in seven patients of nineteen patients inclued in this study. Of these, three patients were diagnosed with homozygous mutations in gene CLRN1, and had previous clinical diagnosis of type 2. Two patients had heterozygous mutations in gene MYO7A, both with previous clinical diagnosis of type 1.Item Avaliação dos achados incidentais pela ressonância magnética da coluna vertebral na população pediátrica e hebiátrica(Universidade Federal de Goiás, 2020-10-16) Daher, Renato Tavares; Fernandes, Marcos Rassi; http://lattes.cnpq.br/3918453247388300; Gama, Hugo Pereira Pinto; http://lattes.cnpq.br/4690193949535230; Gama, Hugo Pereira Pinto; Fernandes, Marcos Rassi; Teixeira, Kim Ir Sen Santos; Quireze Júnior, Claudemiro; Rabahi, Marcelo FouadIntroduction: Incidental findings are common in magnetic resonance imaging (MRI) of the spine because of the high sensitivity of this technique in detecting abnormalities. Few studies to date have evaluated the rate of incidental findings during MRI of the spine in paediatric populations, and none of these studies investigated this topic in the Brazilian population. Objectives: To determine the prevalence of incidental findings in MRI of the cervical, thoracic, and lumbar spine in a paediatric population. Methods: A total of 190 MRI examinations of the spine of patients aged ≤18 years of both sexes were examined. The study included patients with complete medical records who underwent MRI examination of the cervical, thoracic, or lumbar spine, including whole spine sagittal T2. All imaging changes not related to the symptom or indication for MRI were considered incidental findings. Data were analysed using the software STATA/SE version 12.0. Results: Of the 190 MRI examinations, 110 were performed in female patients and 80 in male patients. The mean age of the study population was 12.46 ± 3.68 years. The main clinical indications for MRI in the sample were low back pain, scoliosis, dorsalgia, and cervicalgia. The most common incidental findings were reversal/correction of the normal curvature in the cervical spine; intravertebral disc herniation (Schmorl’s node) and disc dehydration in the thoracic spine; and disc protrusion (twelve cases), intravertebral disc herniation (Schmorl’s node) (five cases), and spondylolysis (four cases) in the lumbar spine. Conclusions: The rate of incidental findings in MRI of the spine in the paediatric population is lower than that in the adult population. Notwithstanding, careful clinical evaluation of pediatric patients with complaints of axial and radiating pain is necessary to determine the correlation between symptoms and imaging findings.Item Indicadores de alterações auditivas em crianças com síndrome congênita do Zika vírus(Universidade Federal de Goiás, 2020-08-28) Daher, Valéria Barcelos; Guimarães, Valeriana de Castro; http://lattes.cnpq.br/6222102545181441; Guimarães, Valeriana de Castro; Torres, Lisa Valéria Vieira; Silva, Maria SebastianaCongenital Zika Syndrome is the result of congenital anomalies caused by Zika virus infection by vertical transmission. It is a clinical spectrum ranging from asymptomatic patients to syndromic manifestations. The aim of the study was to evaluate the risk indicators for hearing impairment in children with Congenital Zika Virus Syndrome treated at the Rehabilitation and Rehabilitation Center Dr. Henrique Santillo, from January 2015 to October 2019. The data of the clinical examination and the results of the audiological examinations were obtained by assisting patients referred to the multidisciplinary rehabilitation service by an otorhinolaryngologist. These data were presented in simple frequency. Fisher's Exact test was used at statistical analysis to assess whether the presence of another risk indicator for hearing loss was determinant in the occurrence of the hearing impairment found. For the conclusion regarding the test, the 95% confidence level was set. The most prevalent risk indicator for hearing loss in this population was neonatal jaundice. The prevalence of hearing disorders in children with ZIKV infection was 17.91% with an estimated 17.9:1000 children. These changes were not better justified by the presence of another risk indicator for hearing loss in addition to Zika virus infection. Longitudinal follow-up studies are suggested to assess the potential effects of the interaction between the virus and the host as a progressive worsening of hearing loss or the appearance of late hearing loss.Item Tradução, adaptação transcultural e validação do questionário STOP- Bang para a língua portuguesa falada no Brasil para triagem de apneia obstrutiva do sono(Universidade Federal de Goiás, 2016-03-23) Fonseca, Lorena Barbosa de Moraes; Silveira, Erika Aparecida; http://lattes.cnpq.br/1489771770609266; Rabahi, Marcelo Fouad; http://lattes.cnpq.br/1489771770609266; Rabahi, Marcelo Fouad; Jardim, Thiago de Souza Veiga; Corrêa, Krislainy de SousaIntroduction: Obstructive sleep apnea (OSA) is a disorder characterized by repeated interruption of ventilation during sleep due to the closure of the upper airway. The polysomnography in laboratory is the "gold standard" for diagnosis of OSA. It is a procedure that takes a lot of time in achieving and it is expensive, so a number of screening questionnaires have been developed to help identify patients with OSA. One of these tools is the STOP-Bang questionnaire. Objective: The objective of this study was to translate, make cross-cultural adaptation and validate the STOP-Bang questionnaire for Portuguese language spoken in Brazil to screen for obstructive sleep apnea. Methods: This study was approved by the ethics committee and all patients signed an informed consent. In the first stage of the work was carried out the translation and crosscultural adaptation of the STOP-Bang questionnaire for the Portuguese language spoken in Brazil.There were followed all the necessary steps, always based on the principles of good practice to carry out this process. The second stage was carried out to validate the Portuguese version spoken in Brazil, the STOP-Bang questionnaire to screen for obstructive sleep apnea. Participated in this stage 228 patients older than 18 years. Initially completed version of the STOP-Bang questionnaire translated and adapted culturally for Portuguese language spoken in Brazil and later underwent overnight polysomnography. Results: The final version of the STOP-Bang questionnaire translated and adapted culturally for Portuguese language spoken in Brazil showed good internal consistency, and the clarity averages were between 9.1 and 9.8. The age of patients ranged 30-71 years. The averaged of body mass index was 43.7 ± 8.5 kg / m² and of the neck circumference 41.3 ± 3.6 cm. In the validation phase, the 228 patients, 157 were male, accounting for 68.9%, and were most people in the group with apnea. In this study noted that by increasing the cut-off point of the STOP-Bang questionnaire, had corresponding increase in specificity in the group with moderate / severe and severe, accompanied by gradual reduction of sensitivity. In the ROC curve analysis, the cut-off point found the STOP-Bang questionnaire translated and culturally adapted for Brazil was greater than 3, and was found the predictive value of the questionnaire Abstract 73% for apnea-hypopnea index (AHI) > 5, 72% for AHI> 15 and 78% for AHI> 30. Conclusion: The STOP-Bang questionnaire translated and culturally adapted to Brazil proved to be understandable, clear and enforceable. It shows good consistency in the equivalence of translation and cultural adaptation to Portuguese language spoken in Brazil. It was shown that has a good performance for predicting OSA, being an important screening tool for the diagnosis of this disease.Item Efeitos de lesões de membros inferiores e tempo de prática na execução de saltos de bailarinos(Universidade Federal de Goiás, 2019-11-07) Galvão, Johelma Moutinho Assis; Vieira, Marcus Fraga; http://lattes.cnpq.br/4153462617460766; Vieira, Marcus Fraga; Costa, Paula Hentschel Lobo da; Nora, Fernanda Grazielle da Silva AzevedoIntroduction: Dancers classes and rehearsals are daily and can be quite rigorous. As a result of this intense practice there is a training overload that often causes injuries predominantly associated with lower limbs. The evaluation of the ground reaction force during dancers jumps is important to clarify what training practices or excessive use in certain movements can bring to their musculoskeletal system. Objective: Evaluate the effect of injuries of lower members and time of practive during the execution of sauté and changement, from classical ballet, from amateur and professional dancers, using force platforms. Methods: Sixteen professional dancers and eleven amateur dancers, from both sex, were evaluated using a force platform (AMTI, model OR6-7), used to capture the ground reaction forces of three classical ballet jumps (sauté and right and left changement). The Shapiro Wilk test was used to check data normality (p> 0.05). To analyze if there were differences between the groups, the Man-Whitney test was used. Results: No significant differences were found between the groups in the execution of the performed jumps. Conclusion: Professional practice time is likely to benefit dancers in some ways that can help them improve their skills. It can be deduced that separating professional and amateur classical dancers was not sensitive enough to classify any difference by performing daily jumps.Item Avaliação radiográfica da condição bucal de policiais militares do estado de Goiás(Universidade Federal de Goiás, 2020-09-26) Gervásio, Helen de Melo; Amaral, Waldemar Naves do; http://lattes.cnpq.br/4092560599116579; Amaral, Waldemar Naves do; Saidah, Tarik Kassem; Sousa, Hidecazio de OliveiraMaintaining a good oral health status is important for the worker to carry out his work and social activities in a safe and productive way. The work routine of a military police officer can be strenuous, with great exposure to physical and emotional stress. Thus, it can be difficult to maintain the standard of diet and often oral health care can be neglected or ignored. Objective: To evaluate the oral health condition of the Military Policeman from the perspective of the radiographic examination. Method: This is a retrospective, descriptive, observational cross-sectional study carried out at the Military Police Hospital (HPM) in the State of Goiás, next to the Dental Service (SOPMGO), the study sample being represented by Military Police in the State of Goiás, over 18, and of both genders. The data collected through the online assessment of panoramic oral radiographs in digital format. Gender, age group, dental condition, and specific changes in non-healthy teeth were evaluated. Result: A total of 397 panoramic radiographs were evaluated, with a higher prevalence for males (n = 336) being 84.6%. Regarding dental condition, the sample consisted of 1,394 (10.9%) cases of missing teeth, 7,919 (62.4%) cases of healthy teeth and 3,388 (26.7%) cases of non-healthy teeth. Regarding the specific changes observed in non-healthy teeth, the presence of restored teeth (80.8%), endodontically treated teeth (7.8%), and endodontically treated teeth with retainer (4.9%) were the most frequent. Conclusions: There was no difference regarding gender in relation to the different dental conditions evaluated. The presence of healthy teeth and non-healthy teeth were the most frequent conditions. In addition, clinical interventions of restored teeth, endodontically treated teeth and endodontically treated teeth with retainer were more prevalent in non-healthy teeth.Item Efeito da ingestão de bicarbonato de sódio na capacidade de sprints repetidos em jovens jogadores de futebol(Universidade Federal de Goiás, 2019-10-31) Guimarães, Rodrigo dos Santos; Mota, João Felipe; http://lattes.cnpq.br/7179509845172692; Mota, João Felipe; Campos, Mário Hebling; Saunders, BryanIntroduction: Ergogenic strategies have been studied to alleviate muscle fatigue and improve sports performance. Sodium bicarbonate (NaHCO3ˉ) has been shown to be effective for repeated sprint performance in adult team sports players, but the effect for adolescents is unknown. The aim of the present study was to evaluate the effect of NaHCO3ˉ supplementation on repeated sprint performance of young soccer players. Methods: Fifteen soccer players (15 ± 1 years; body fat 10.7 ± 1.3%) were recruited for this double-blind, placebo-controlled, crossover clinical study. The athletes ingested NaHCO3ˉ (0.3 g / kg) or placebo (0.2 g of sodium chloride / kg) 90 min before the repeated sprint protocol and repeated the same procedures after seven days of washout. Time to complete the sprint protocol and the vertical jump performance (CMJ), lactate, and the subjective perception of effort were evaluated. Results: NaHCO3ˉ supplementation promoted alkalosis (pH: 7.30 ± 0.01 vs 7.37 ± 0.01 and HCO3ˉ: 26.57 ± 0.31 vs 30.01 ± 0.35 mmol/L, p <0.001), but did not improve performance, power, CMJ, perception of fatigue or loss of muscle strength. Conclusion: Acute NaHCO3ˉ supplementation did not improve the performance of young soccer players undergoing a high intensity intermittent exercise protocol.Item Prevalência das alterações radiológicas osteoarticulares e suas associações com controle hormonal a funcionalidade e a qualidade de vida em pacientes com acromegalia(Universidade Federal de Goiás, 2021-03-19) Jatene, Natalia; Rodrigues, Monike Lourenço Dias; http://lattes.cnpq.br/5200484417990513; Silva, Nilzio Antonio da; http://lattes.cnpq.br/1780564621664455; Silva, Nilzio Antonio da; Rassi, Nelson; Diniz, Denise SisteroliArthropathy is the most prevalent comorbidity of acromegaly, and studies are inconclusive about its associations with GH/IGF-1 control and/or other clinical features, so we elected to evaluate the prevalence of radiological arthropathy of lumbar vertebral column and lower limbs and its associations with quality of life, functionality, joint pain scores, clinical and psychiatric variables in acromegalic patients Methods: Cross-sectional study with 40 acromegalic patients of a tertiary Hospital. Clinical data was retrieved from medical records. WOMAC questionnaire was obtained to assess pain, stiffness and functionality in lower limbs, AcroQoL for quality-of -life and BDI-II for depressive symptoms assessment. X-rays of the hands, hips, knees, and lumbar spine were analyzed by a single radiologist. Osteoarthritis (OA) was graded according to Kellgren and Lawrence classification. Results: OA prevalence was 87% in lumbar spine, 77.4% in hips, 68.7% in knees. OA severity was associated with diabetes mellitus in lumbar spine (p <0.01) and higher IGF-1 levels at diagnosis in knees (p <0.05). No association was found among OA severity and questionnaires scores, but hypogonadism was significantly associated with worse WOMAC scores (p <0.05). Female gender was associated with higher BDI-II score (p <0.05), but not AcroQol or WOMAC. Conclusion: OA prevalence was high; however, its severity was not associated with acromegaly hormonal control, WOMAC, AcroQol or BDI-II scores. Modifiable factors as hypogonadism can be as important as hormonal control in acromegaly for chronic pain management.Item Prevenção e manejo de lesão por pressão: desenvolvimento de um programa de ensino e validação de material educativo para pacientes com mobilidade física prejudicada e cuidadores familiares(Universidade Federal de Goiás, 2020-08-28) Limeira, Fabricia Nayara Oliveira; Vila, Vanessa da Silva Carvalho; http://lattes.cnpq.br/5146388704821838; Bachion, Maria Márcia; http://lattes.cnpq.br/8503907944360635; Bachion, Maria Márcia; Freitas, Raquel Aparecida Marra da Madeira; Menezes, Ruth Losada de; Pereira, Angela Lima; Malaquias, Suelen GomesIntroduction: Pressure injury management requires both preventive and therapeutic approaches, which include active participation of the patient and the caregiver. It is not well established yet how to prepare these people for self-care. Objectives: 1- Assess the applicability of a teaching program for patients and caregivers, to promote the improvement on the adherence to prevention measures and the management of pressure injuries. 2- To validate teaching technology, in the form of a printed and digital booklet for patients and family caregivers, aimed at measures to prevent pressure injuries. Method: a methodological study carried out in three stages, from May 2017 to March 2020. The first consisted of revising guidelines and consensus on the topic, published in seven internationally recognized organizations, for the construction of an educational technology and the teaching program. The second consisted on the preparation of the initial version of a teaching technology, in the format of a booklet and the validation of this educational material. The third consisted of analyzing the applicability of a teaching program. Expert nurses, patients and caregivers participated in the second stage. The second and third stages were carried out in the CRER hospitalization sector. Results: The teaching technology produced consisted on a 24-page, colored booklet with illustrations on the prevention of pressure injuries. In apparent and content validation, the final average score obtained among health professionals was 4.6, among patients it was 4.8, and among caregivers it was 4.9. In assessing the applicability of the teaching program, positive results were obtained for the increase in knowledge and skills, with emphasis on the ability to perform the bandage. Conclusions: The teaching program proved to be applicable for patients and caregivers. For its implementation in the services, it will be necessary to organize the nursing work process with a view to the nurse's availability for educational action and the qualification for the execution of the program.Item Percepção de distúrbios musculoesqueléticos e a sua repercussão nas atividades de vida diária em profissionais intérpretes de língua brasileira de sinais(Universidade Federal de Goiás, 2021-09-01) Lisboa, Leandro Vieira; Rodríguez Martín, Dolores; http://lattes.cnpq.br/6242953215193998; Chaveiro, Neuma; http://lattes.cnpq.br/1345257253831999; Chaveiro, Neuma; Barbosa, Maria Alves; Duarte, Soraya Bianca Reis; Barbosa, Diego MaurícioOBJECTIVE: to investigate the perception of musculoskeletal disorders and their impact on activities of daily living in professional sign language interpreters. METHODOLOGY: this is a qualitative research of analytical descriptive nature, consisting of a sample of 12 sign language interpreters working in the city of Goiânia, Goiás. For data collection, the following instruments were used: a sociodemographic questionnaire and a semi-structured interview. The collected data were treated according to Laurence Bardin's content analysis technique, identifying “sense cores” and their frequency to find meanings for the analytical object of this study. RESULTS: the dissertation was structured in the form of articles, featuring five scientific productions. The first and third articles are systematic review protocols according to the guidelines of the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols, the second and fourth are the referred systematic reviews according to the guidelines of the Preferred Reporting Items for Systematic Review and Meta-Analysis and the fifth article it is about the qualitative research of analytical descriptive nature. These productions presented content about the health of the sign language interpreter professional. The first scientific production was submitted to the journal Systematic Reviews and has the title: Quality of life of sign language interpreters: a systematic review protocol in which it addresses criteria and the step-by-step for conducting a systematic review on quality of life in language interpreters of signs, with the objectives: analyzing the perception of quality of life of sign language interpreters; to correlate the functionality of sign language interpreters and the perception of quality of life. The second was submitted to the Scientific Interfaces - Human and Social journal entitled “Quality of life of sign language interpreters: a systematic review” whose objective was to analyze the quality of life of sign language interpreters based on a systematic review. The third, submitted to the journal Systematic Reviews, has the title: Musculoskeletal disorders in sign language interpreters: a systematic review protocol and addresses criteria and step-by-step for conducting a systematic review of musculoskeletal disorders in professional sign language interpreters, with objectives: to analyze the prevalence of musculoskeletal disorders in professional sign language interpreters; identify the most affected body region with musculoskeletal disorders. The fourth production, “Musculoskeletal disorders in sign language interpreters: a systematic review” aims to identify the musculoskeletal disorders that most affect sign language interpreters. The fifth article addresses the "Perception of musculoskeletal symptoms and their impact on activities of daily living in sign language interpreters" and this study is presented in the methodology of this summary, resulting in an unsatisfactory perception of pain, fatigue, and difficulties in the activities of daily life. CONCLUSION: professional sign language interpreters had an unsatisfactory perception of quality of life and a high prevalence of musculoskeletal disorders, as evidenced by systematic review articles, and these data were also confirmed by qualitative research in which professional sign language interpreters showed the perception of several musculoskeletal symptoms, in addition to physical and mental fatigue resulting from their role as sign language interpreters.Item Perfil de diagnósticos de enfermagem para população adulta de duas comunidades quilombolas em Goiás(Universidade Federal de Goiás, 2019-10-29) Marinho, Núbia Aguiar; Santos, Mônica de Oliveira; http://lattes.cnpq.br/2413034112726774; Moraes Filho, Aroldo Vieira de; http://lattes.cnpq.br/0642159645249357; Carneiro, Lilian Carla; http://lattes.cnpq.br/6506744224041777; Carneiro, Lilian Carla; Brasileiro, Marislei de Sousa Espíndula; Oliveira, Michele Dias da SilvaThe nurse needs to have a cephalocaudal and psychosocial view of all his clients and for this, the Data Collection and Physical Examination of this individual should be performed as soon as the first contact. After the registration and interpretation of all the collected data, the nurse will be able to raise the possible Nursing Diagnoses. The objective of this study was to apply the data collection and physical examination in the quilombola communities of Jardim Cascata/ Vila Del Fiore in Aparecida de Goiânia-GO (urban area) and in the community of Almeidas in Silvânia-GO (rural area), establishing the the most prevalent nursing diagnoses in this population. Data collection and physical examination of 26 adults in the rural community and 21 adults in the urban community were carried out by the adult members who accepted to participate in the survey. Developing data collection and physical examination, establishing the most prevalent nursing diagnoses in this population was extremely important and relevant because this conduct will allow the development of future nursing interventions that will contribute to the development and implementation of adequate public policies to these realities. In general, the diagnoses raised for the quilombolas of the urban zone presented higher values in comparison to the values of the diagnoses of quilombolas of the rural zone. We observed that the health care offered by the Unified Health System (SUS) does not address all the health needs of these two quilombola populations studied.