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Item Marcadores clínicos e laboratoriais no diagnóstico e gravidade da infecção pelo vírus da dengue em menores de 15 anos no município de Goiânia(Universidade Federal de Goiás, 2011-04-29) Abe, Adriana Helena de Matos; Costa, Paulo Sérgio Sucasas da; http://lattes.cnpq.br/9224543529268366; Costa, Paulo Sérgio Sucasas da; Franco, Cárita Marquez; Naghettini, Alessandra VitorinoIntroduction: Dengue is the most important emerging and reemerging disease in morbidity and mortality today. Among those affected. 2.5% die, and is increasing the number of deaths in children annually. In this group, in particular, early diagnosis is more difficult. Objectives: To identify clinical and laboratory markers for diagnosis and severity of dengue infection cases reported in the period 2001 to 2009 in children under 15 years old living in the city of Goiania, laboratory confirmed, describe sociodemographic data, tourniquet test and admissions performed. Methodology: Database Information System for disease surveillance of the City Health Department to Goiania was used to do a retrospective, descriptive, exploratory quantitative analysis, using the test of statistical significance t-student test, with significance level 5% and the final statistical analysis in SPSS 17.0. Results: In the period 2001 to 2009 were reported in the city of Goiania, 124,794 cases of dengue, of these 113,744 (91%), referring to residents of the capital. Among those under 15 years reported in this period, 22,278 were residents of Goiania. The tourniquet test was performed in 7428 (33.34%) of these children, 1,415 (6.36%) reported not having performed this test. 13,435 (60.30%), had this spot in blank and 1,222 (16.45%) were described as positive. Were documented 1043 hospitalizations of children in this period. Laboratory confirmation occurred in 10,756 cases. As a final classification was found 77% of Classic Dengue, Dengue with 7.4% of complications, 0.4% of Dengue Hemorrhagic Fever and 0.14% deaths, 15% were not classified. Among the laboratory markers found were registered 1,209 cases with IgM positive cases em108 DEN 1, DEN 2 in 14 cases and DEN 3 in 67 cases, Histopathology was cited positive in 4 cases, the hematocrit ranged from 21% to 81%, among the sociodemographic markers the race / ethnicity most marked in this population was white, children over 11 years were most affected, students complete basic education. The more clinical markers reported were fever, headache. myalgia, prostration; among hemorrhagic manifestations: petechiae and epistaxis; as signs of vascular leakage, ascites, pleural and pericardial effusion; warning sign most frequently reported were abdominal pain; the complications of gravity as myocarditis, shock and neurological manifestations have been reported among others. DEN 2 was the responsible for the highest number of severe symptoms. Conclusions: Were identified clinical markers for diagnosis and severity for Dengue in the period studied. The population of children showed severe signs of vascular leakage and neurological impairment. Despite the incompleteness of some data, it did not limit the study, which serves as the basis for a greater knowledge about dengue in children in this region.Item Adaptação e validação da versão brasileira da Escala Jefferson de Atitudes Relacionadas à Colaboração Interprofissional: um estudo em profissionais da atenção básica(Universidade Federal de Goiás, 2015-10-23) Abed, Marcelo Musa; Grosseman, Suely; http://lattes.cnpq.br/0370187050750881; Pereira, Edna Regina Silva; http://lattes.cnpq.br/4503589425013098; Pereira, Edna Regina Silva; Menezes, Ida Helena Carvalho F.; Rocha, Bárbara SouzaInterprofessional collaboration is in the focal point of the transformation of the working process between professionals from various categories, in the quest to provide complete care to patients. Interprofessional education can ensure the cooperative practice in health services. That`s why tools are necessary to assess how this collaboration occurs. Hojat et al. drew up a scale for evaluating interprofessional collaboration. The aim of this study is the crosscultural adaptation and validation of the Jefferson Scale Of Attitudes Toward Trade Collaboration (JeffSATIC) on primary health care in Brazil. The final version, in Portuguese, of the Escala Jefferson de Atitudes Relacionadas à Colaboração Interprofissional (EJARCI), followed all the steps for its adaptation, ending with the evaluation by four experts of the translated content: cultural and conceptual equivalence in relation to its purpose and use in a sample of 30 primary health care professionals. One hundred and twenty-eight professionals of the health family team members participated in the validation process responding the translated scale. In the content validation the content validation index (CVI) was 0.99, which demonstrates that the scale is able to measure what it intend to. To appraise the internal consistency was used the Cronbach's alpha Coefficient, α value of 0.71, being acceptable to set their reliability. It is concluded that the cross-cultural adaptation has been properly performed and their application is valid in primary care.Item A medida da Fração Exalada do Óxido Nítrico (FeNO) como marcador do nível de controle da asma(Universidade Federal de Goiás, 2016-11-16) Abreu, Fernanda Cruvinel de; Rabahi, Marcelo Fouad; http://lattes.cnpq.br/1489771770609266; Rabahi, Marcelo Fouad; Costa, Lusmaia Damaceno Camargo; Moreira, Maria Auxiliadora CarmoThe main goal of asthma treatment is to achieve and maintain clinical control of the disease. The exhaled fraction nitric oxide (FeNO) level is considered a biomarker of airways inflammation and its important to conduct researches involving this measured and its relationship in evaluation of asthma control.Objective: To determine whether the FeNO level can be used to discriminate between patients with controlled, partially controlled and uncontrolled asthma. Materials and methods: The FeNO level and asthma control were evaluated in a retrospective and analytic cross– sectional study through data collected from asthmatic patients who were assessed by clinical history, asthma control, physical examination, spirometry, and FeNO level. Asthma control was determined by the criteria of the Global Initiative for Asthma, and classified as controlled asthma, partially controlled asthma, and uncontrolled asthma. The FeNO values were classified as low (<25 ppb) or intermediate/high (≥25 ppb), based on the American Thoracic Society recommendations. Results: The symptoms of 81 asthmatic patients were classified as controlled (34 [42%] patients), partially controlled (27 [33,3%] patients), and uncontrolled (20 [24.7%] patients). The FeNO level discriminated between the uncontrolled and controlled groups (p = 0,01) and between the uncontrolled and partially controlled groups (p = 0,01), but not between the controlled and partially controlled groups (p = 0,98). An FeNO level >30 ppb was associated with uncontrolled asthma (p < 0,01) with an area under the receiver operating characteristic curve of 0,78 (95% confidence interval, 0,65-0,89). Conclusions: The FeNO level aided the identification of uncontrolled asthma. This measurement may can be helpful in determining asthma control.Item Humanização em gestão - percepção da equipe de enfermagem em uma maternidade escola(Universidade Federal de Goiás, 2014-02-28) Adorno, Alexandrina Maria Nogueira Guerra; Martins, Cleusa Alves; http://lattes.cnpq.br/3673049551991956; Martins, Cleusa Alves; Lima, Jacqueline Rodrigues de; Costa Neto, Sebastião Benício; Costa, Nilce Maria da Silva Campos; Queiroz, Ana Lucia BezerraThe humanization policy in the context of health constitutes a relevant actions sedimentary health care of the population direction and determines the reflection on the formative processes in human resources for health. Qualitative study, aimed at analyzing the humanization management of human resources, the perception of nursing staff in a public maternity hospital. Collecting data through semi-structured interviews with 29 respondents recorded, with 06 nurses and 23 nursing technique, the period February to May 2013 collection The material was literally transcribed and subjected to content analysis technique developed by five thematic categories: Humanization Policy of the SUS; Assistance and Processes promoters humanization of nursing services; Skills and managerial skills of the nurse; Quality of nursing care. It is understood that, in the view of the interviewed nurses to fit the humanization of nursing services, the development of managerial skills of staff. Humanizing nursing service in maternity is a complex process that requires professional expertise in health management, the institution must carry continuing education discussing actions based practices and clinical evidence hinged to technological advances, promote host environments for nursing staff, enable workers to suitable conditions for quality care to women during pregnancy and puerperal period.Item Alterações cognitivas em pacientes idosos com insuficiência cardíaca(Universidade Federal de Goiás, 2017-04-24) Afiune, Fernanda Guedes; Rassi, Salvador; http://lattes.cnpq.br/7236834842677715; Rassi, Salvador; Jardim, Paulo César Brandão Veiga; Barboza, Sandra de Fátima; Sá, Luis Antônio Batista deAmong the various diseases that affect the elderly stand out from them cardiovascular disease among them heart failure (HF). Recently seeks to check for cognitive impairment associated with physical and psychological damage commonly known in the IC. We analyzed a population of patients with heart failure in order to compare their cognitive performance with that of individuals with normal aging in paired age. It was also verified whether there was any more specific impairment of some cognitive function in these HF patients. Through neuropsychological tests it was compared to 78 elderly and 37 in the control group (mean age 68.3 ± 6.3), 41 clinical group with mean age of 68.6 ± 6.9). The subjects were matched to the level of education with a predominance of elderly people with 0-4 years of education (65.9% in the Clinical Group and 59.5% in the control group). We used 11 neuropsychological tests covering the cognitive functions: attention, language, memory, mood and executive function. The results showed significant differences mainly in executive functions which include planning capacity, organization, alternation and evocation of Previously stored information. Cognitive performance in other functions was similar between the groups. The data collected when indicating cognitive impairment in individuals with HF, suggest that new studies be performed with this population since the impairments in cognitive abilities have implications in the daily life of the individual, in their independence and quality of life, as well as in adherence to treatment.Item Parâmetros hematológicos e concentração de óxido nítrico salivar em atletas de Jiu Jitsu: um estudo observacional(Universidade Federal de Goiás, 2016-05-09) Agricola, Nestor Persio Alvim; Guillo., Lidia Andreu; http://lattes.cnpq.br/3401436781775091; Guillo, Lidia Andreu; Silva, Maria Sebastiana; Barbosa, Maria Alves; Soares, Viviane; Rita, Ricardo de Mattos SantaPhysical exercise is considered an important variable in the study of human health, especially due the changes induced in several biomarkers. In physical training, body adaptations are quite specific for each type of sport and effort. The quantification of biochemical parameters related to human health, mediated by physical activity in its many variations, provides new scientific eyes, not only for what relates to the interaction between the various systems, but also in relation to physiological and adaptive effects generated by them. This research consists of the systematic monitoring of Jiu Jitsu athletes, quantifying the variations of some biochemical parameters linked to health, in an attempt to assess the modality of sport in its potential for health and verify the variations in these parameters depending on the type and intensity of the effort and the special characteristics of the sport. Jiu Jitsu is a kind of sport that has gained prominence and become popular. Throughout the year of training, athletes alternate periods of high intensity training with low intensity periods. The energy expenditure is high and the maximum or submaximal effort often leads to muscle, joint and bone injuries. This is a longitudinal descriptive observational study of measurement that had the participation of 14 volunteers who were monitored for 9 months in their training routine. Blood and saliva samples were collected and the heart rate was monitored throughout this period. Saliva was used to quantify nitric oxide and blood for hematological parameters. The results of the experiments were submitted to statistical tests. Hematological parameters of the red series are influenced by the physical effort when performed in a long-lasting mode, during the training period, responding to the intensity of the effort made. The white series, related to the immune system, is influenced acutely, responding to the exercise stimulus with significant changes as the effort is more or less intense. The production of NO in the organism tends to follow the level of effort made; however, the modality studied has the characteristic of promoting the stimulation of the sympathetic nervous system, what reduced the activity of salivary gland and nitrite concentrations after training is performed. Musculoskeletal injuries are typical of this kind of sport and very typical, which ends up modulating partly the organic response to training. This stimulation, however, must be seen as positive for activating the adaptive response and the interaction of several systems.Item Formação acadêmica e atuação profissional de nutricionistas de núcleos de apoio à saúde da família de Goiás(Universidade Federal de Goiás, 2013-11-22) Aguiar, Camilla Botêga; Costa, Nilce Maria da Silva Campos; http://lattes.cnpq.br/6977373149115047; Costa, Nilce Maria da Silva Campos; Menezes, Ida Helena Carvalho; Mortoza, Andrea SugaiThe current model of Health Care in Brazil prioritizes health promotion, prevention, control and treatment of health problems of individuals and families with integrity and continues. These actions are directly or indirectly related to food , requiring the insertion of a nutritionist in Primary Health The aim of this study was to analyze the academic performance and nutritionists professionals of the Centers of Support for Family Health of the State of Goiás, from the perspective of the researched, with a descriptive, exploratory, cross-sectional. For data collection we used a self-administered questionnaire with open and closed questions to characterize and study the academic and professional performance of the nutritionists. The data was tabulated in Excel and made a descriptive analysis of variables. The participants were 22 nutritionists , female , representing 88 % of the nutritionists from Centers of Support for Family Health of the State of Goiás. From these , 59.1 % had less than three years of graduation; 13.6 % had made a specialization in Health Family , 27.3 % felt qualified to work professionally with reflection on the socioeconomic , political and cultural territory. Regarding performance, 80 % are hired temporarily, 36.4 % worked for less than a year, 18.2 % were trained before the start of activities and 59.1 % felt somewhat qualified for working on the Centers of Support for Family Health. On the professional practice, (9.1%) nutritionists argued over a matrix model meetings and references used on the tool. Teamwork was appointed as facilitator of actions performed (40.9 %), and no knowledge of the role of Centers of Support for Family Health as a factor that hinders (31.8 %). The nutritionists from Centers of Support for Family Health of the State of Goiás have little professional experience and qualifications to work in family health. Have difficulties to understand the local reality. The form of entrance affects the bond between the professionals and the public. The matrix model was just highlighted in meetings and theoretical support. There is need for more studies on the Centers of Support for Family Health.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 Overdenture retida por implante curto unitário em mandíbulas atróficas: estudo clínico prospectivo(Universidade Federal de Goiás, 2019-09-20) Ala, Lucas Alvarenga Balduino; Nogueira, Túlio Eduardo; http://lattes.cnpq.br/5622401475518280; Leles, Cláudio Rodrigues; http://lattes.cnpq.br/6740286066154410; Leles, Cláudio Rodrigues; Gonçalves, Thais Marques Simek Veja; Roriz, Virgílio Moreira; Santana, Adérico GuilhermeObjective: This prospective study aimed to evaluate the effectiveness of the use of a single short implant to retain single implant mandibular overdentures in atrophic mandibles. Material and Methods: Total edentulous individuals who had need to replace or put new complete dentures and who had reduced bone volume in mandibular symphysis region with a maximum height of 15mm for the installation of a short implant without need for bone augmentation procedures were selected. The clinical treatment was divided into three stages: I) protheses preparation; II) implant installation; III) installation of the overdenture system and of overdenture capture. Neodent Titamax Cone Morse implants (Curitiba – Paraná, Brazil) 3.75mm x 7.0mm was used, conventional loading protocol and Equartor CM retention system (Neodent, Curitiba, Paraná, Brazil). At the moment of implant placing, following clinical parameters were collected: implant stability quotient (ISQ), installation torque, bone type and ridge bone type Two outcomes reported by the patient were evaluated before to implant placement and 3 months after overdenture capture: prosthesis satisfaction and oral health impact on quality of life (OHIP-Edent). In addition, maintenance events related to the prosthesis were recorded during the follow-up period. Results: A total of 18 edentulous individuals with a mean age of 65.0 years (±12.1), 14 women (77.8%) were selected. The implant survival rate was 100%. The implant stability quotient (ISQ) increased significantly (p <0.05) after 3 months, from 72.7 (SD = 6.6) to 83.1. The overall OHIP-Edent score reduced in 82.3% and the mean score of patient satisfaction with the mandibular denture increased in 58.5% after 6 months. Conclusion: The use of a single short implant to retain a mandibular overdenture was effective after 6 months of follow up.Item Avaliação do perfil de resistência genotípica do HIV-1 aos antirretrovirais em crianças e adolescentes em falha terapêutica em goiás, no período de 2003 a 2015(Universidade Federal de Goiás, 2016-12-20) Albuquerque, Maly de; Araújo Filho, João Alves de; http://lattes.cnpq.br/3769452101687074; Costa, Paulo Sergio Sucasas; http://lattes.cnpq.br/9224543529268366; Costa, Paulo Sergio Sucasas; Marques, Solomar Martins; Turchi, Marilia Dalva; Vilela, Maria Ivone Oliveira PintoObjective: The aims of this study were to detect and identify drug resistance mutations through genotyping related to antiretroviral (ARV) resistance in children and adolescents infected with HIV-1 and with therapeutic failure. Methods: This was a descriptive study based on a retrospective cohort of HIV-infected children and adolescents diagnosed between 1992 and 2013. The pattern of ARV resistance mutations was analyzed in 65 children and adolescents, in therapeutic failure and followed up in a reference pediatric infectious disease clinic since diagnosis. A total of 92 genotypic resistance tests were carried out from 2003 to 2015. Genotypic tests were collected at the Central Laboratory (LACEN) and performed by the RENAGENO laboratory. For the interpretation of resistance the ARV algorithm was used (RENAGENO’s algorithm version 13th, 2015) and the Stanford’s algorithm (Stanford HIV drug resistance database, 2015). The study protocol’s was approved by the ethics committee of the HC / UFG and HDT / SES. Statistical analysis was performed with the software Microsoft Excel version 2010 and Statistical Package for the Social Sciences (SPSS®) 20.0 for Windows. Descriptive and inferential analyzes (t-Student and U-Mann-Whitney tests) were performed, considering the level of significance at 5%. Results: The sample consisted of 65 children and adolescents, with median age at diagnosis of 29.2 months (range from 2 months to 120 months); the majority was female (36/65). A total of 64 (98.5%) patients acquired HIV vertical transmission. Approximately 55% of the patients presented with severe immunosuppression at diagnosis of HIV, and 33% belonged to class B or C, according to the CDC-1994 clinical and immunological classification. The median baseline CD4 lymphocyte count was 921 cells/mm3. HIV viral load, before starting HAART, showed a median of 678,998 copies (log 5.83). At the time of first genotyping, CD4 ranged from 1 to 2940 cells/mm3, with a median of 608 cells/mm3, with a median of 40,548 copies/mL (log 4,60). Most mutations were found in the NRTI class (98.5%), followed by NNRTI (75.4%) and PI (44.6%). The most frequent mutations in the NRTI class were T215 codons (83.1%), with prevalence of T215YF (69.2%), M184V (69.3%), and M41L (52.3%). The most observed mutations in the NNRTI class were K103N / S (40.0%), 190A / S (30.8%), 101E / P / Q (23.1%). Mutations associated with resistance in protease occurred mainly in codons 54, 82 and 46, with rates of 35.4%; 32.3%; 27.7%; respectively. Resistance to more than one class occurred in 41.5%, 12.3% and 35.4% with the combination of NRTIs and NRTIs, ITRN + IP / r, and with the three NRTI + NRTI + IP classes respectively. After rescue therapy, approximately 90% of the patients analyzed had viral suppression, with HIV viral RNA levels below the detection limits (<50 or 40 copies) after 24 weeks of change in the combined antiretroviral regimen (P <0.001). Immunological response resulted in benefit, with significant elevation in CD4 + T cell count (P <0.001). Conclusions: Our study provided relevant information on the results of the genotypic resistance test after failure of long-term ARV therapy in children and adolescents infected with HIV. There were high mutation rates in all antiretroviral classes tested. Rescue therapy guided by the genotypic test provided high rates of viral suppression. Thus, the genotype test emphasizes the possibility of adequately composing an ARV regimen, with a high genetic barrier, using the new drugs and new classes of ARV drugs, with the objective of avoiding the therapeutic failure after rescue and preventing the accumulation of other mutations related to drug resistance.Item Mulheres com lesões precursoras ou invasivas do colo de útero: a realidade do atendimento no Sistema Único de Saúde(Universidade Federal de Goiás, 2011-08-17) ALBUQUERQUE, Zair Benedita Pinheiro de; SOUZA, Adenicia Custodia Silva e; http://lattes.cnpq.br/5966034868102264; AMARAL, Rita Goreti; http://lattes.cnpq.br/3665611660713029OBJECTIVE: To investigate whether women with altered cervical cytopathological outcomes have been referred to Medium Complexity Units (MCU) as in accordance with the Brazilian Ministry of Health guidelines, as well analyze the perception of these womens about the attention received and the psychologic aspects that involved the diagnosis and treatment. METHODS: Descriptive, exploratory, quantitative and qualitative study based on the cytopathological outcomes of the BHS users carried out in Basic Health Assistance Units (BHAU) referred to Medium Complex Units (MCU) in the municipality of Goiânia, State of Goiás, 2005/2006. We assessed 1.109 records regarding the Brazilian Ministry of Health/the National Institute of Cancer guidelines as established by the Brazilian Nomenclature for Cervical Outcomes and Preconized Clinical Practice. Data was analyzed and processed by using Epi-info 3.3.2, 2006 and Microsoft Excel 2007. Variables were assessed descriptively, through calculus of relative and absolute frequency. For qualitative analysis, the interview method were used containing the subject caracterization and two guiding questions: one with negative polarity and other with positive polarity. RESULTS: From the total number of referrals, 79% were not in accordance with the Brazilian Ministry of Health guidelines which originated a great number of unnecessary procedures. The qualitive analysis explicitated fails on the professional attendance and in this attendance flow regarding to comunication about the actions relatives to treatment, services humanization and no observations of the established flow. The psycosocial aspects demonstrated that women didn t receive the necessary psicological attention to minorate the feelings of pain, despair, shame and, most of all, fear of death and mutilations. CONCLUSIONS: We observed inadequate referrals to the MCUs, which demanded a big number of unnecessary procedures. In women s perception, the attendence was permeated by fails in the reception, in communication, professional assistence, lack of knowledge about the attendence flow. The psycosocial aspects demand treatment integrality with multiprofessional teams working according to a biopsycosocial model.Item Perfil dos idosos do município de Goiânia-GO e associação a hiperglicemia, dislipidemias e qualidade de vida(Universidade Federal de Goiás, 2014-03-31) Alcanfôr, Joana D´Arc Ximenes; Costa, Sérgio Henrique Nascente; http://lattes.cnpq.br/1104711925118993; Cunha, Luiz Carlos da; http://lattes.cnpq.br/6349547031976679; Cunha, Luiz Carlos da; Monteiro, Valdirene Neves; Lopes, Flávio Marques; Féres, Valéria Christina de Rezende; Mendonça, Reginaldo TeixeiraIntroduction: The prevention of chronic diseases of the elderly population characteristics involves the control of modifiable risk factors through changes in lifestyle inadequate.Objective: Analyze the Elderly Population Profile of the municipality of Goiânia, including the relationship between glucose, lipid profile components and style of life. Methods: The target population consisted of 220 elderly, noninstitutionalized who provided data on weight, height, lifestyle, and self-reported diseases, which responded to the SF-36 questionnaire and whose blood was collected to perform fasting and lipid profile. Results: From the data analysis it was found that 61.36 % of the elderly (135/220) were female. Only 25.9 % (57 /220) reported the practice of at least one physical activity; 7.72 % (17 /220) were taking lipid-lowering. The median total cholesterol was 195.5 mg/ dL; HDL-cholesterol was 40 mg/dL and triglycerides of 145 mg/dL. The mean total cholesterol of 17 seniors who were taking lipid-lowering was 161.1 mg/dL, HDL-cholesterol of 42.4 mg/dL and triglycerides, 161.3 mg/dL. BMI was ≥ 30 to 12.2 % (27 /220) of the elderly, with a median concentration of triglycerides was 181 mg/dL, while for those with BMI<30 (n=184) the median was 144mg/dL (48.0 to 491.0 SD=79.8) (p > 0.05). The frequency of hyperglycemia was 13.60% (30/220) and 16.5% (36/220) had intermediate hyperglycemia. The ingestion of alcohol interfered with blood sugar of the elderly (p < 0.05). Obese and elderly had low physical activity self-reported diabetes more often than elderly males (p < 0.05). Regarding quality of life according to the SF-36 questionnaire self-reported diabetes influenced the social aspects of the elderly. Obese elderly had harmed the emotional aspects and older who smoked improperly presented complications for mental health (p < 0.05). Conclusions: The results indicate that both hyperglycemia and dyslipidemia in elderly reach levels that demonstrate the need for immediate intervention by means of promoting public health policies, the city studied, both in health care and in taking preventive measures aimed at comprehensive approach to risk factors for these diseases and thereby improving the quality of life.Item Avaliação do conhecimento e capacitação de profissionais da Atenção Primária sobre doença pulmonar obstrutiva crônica(Universidade Federal de Goiás, 2017-02-01) Alcântara, Erikson Custódio; Corrêa, Krislainy de Sousa; http://lattes.cnpq.br/9231180941258607; Rabahi, Marcelo Fouad; ttp://lattes.cnpq.br/1489771770609266; Rabahi, Marcelo Fouad; Jardim, José Roberto de Brito; Taleb, Alexandre Chater; Queiroz, Maria Conceição Castro Antonelli Monteiro de; Barbosa, Maria AlvesBackground: Video Lesson is a multimedia system, with text narration and illustration, capable of promoting the training of Primary Care professionals. To evaluate the effect of training, an assessment tool is needed, however, there are no validated instruments that measure knowledge about Chronic Obstructive Pulmonary Disease (COPD) among these professionals. Objective: Validate a knowledge questionnaire about COPD for Primary Care professionals and train them on chronic obstructive pulmonary disease. Methods: Initially, a methodological study was carried out with 88 Primary Care professionals to elaborate and validate a questionnaire. Then, quasiexperimental study with 36 primary care professionals in order to enable them, through videotapes. The knowledge of the professionals was measured before, shortly after and three months after being trained by the "Primary Care - COPD Knowledge Questionnaire (QAP-COPD)". To analyze the reproducibility and reliability of the questionnaire, the Kappa and α Cronbach tests were applied respectively. In the evaluation of the knowledge, the tests of Friedman and Tukey a posteriori, Bonferroni correction and the χ2 test were used. A significance level of 5% was adopted. Results: The questionnaire presented reproducibility in most items (87.5%) from good to excellent (Kappa: 0.61 - 0.88) and reliability with α Cronbach = 0.763. Of the 16 items in the questionnaire, the professionals who indicated the "agree" option, before the training, soon after opting for the "totally agree" option, in 11 items (68.8%). Fourteen items had a significant difference before and after training, but in the moments just after and three months after the training, 14 items did not present significant differences. The median score of the participants' questionnaire increased from 60 points before training to 77 shortly after and three months after training (p <0.001). In the three months after there was no significant statistical difference, in relation to the soon after (p = 0.38). Conclusions: The questionnaire met the psychometric properties and proved to be reproducible and reliable in the evaluation of knowledge about COPD among primary care professionals. The videotaped training presented satisfactory results observed by the good performance of the knowledge of Primary Care professionals, before and shortly after the training and the maintenance of this knowledge after three months of the training program.Item Estudo randomizado testando musicoterapia na redução da fadiga relacionada ao câncer em mulheres com neoplasia maligna de mama ou ginecológica em curso de radioterapia(Universidade Federal de Goiás, 2012-04-05) Alcântara-Silva, Tereza Raquel de Melo; Freitas, Nilceana Maya Aires; http://lattes.cnpq.br/3872749814487965; Freitas Júnior, Ruffo; http://lattes.cnpq.br/7343840830786566; Freitas Junior, Ruffo; Filassi, José Roberto; Silva, Laura Franch Schimidt da; Mota, Dálete Delalibera Corrêa de Faria; Conde, Délio MarquesTo study the influence of music therapy in reduction of Fatigue related to cancer in patients with breast’s or gynecology’s cancer, during the radiotherapy treatment. METHODS: This is a randomized controled study (Control Group - CG e Musictherapy Group - MTG) wich values fatigue, life’s quality, anxienty, depression by using evaluative instruments Functional Assessment of Cancer Therapy: Fatigue (FACT-F), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI) in three differents moments (during first week of radiotherapy, in the intermediate phase’s week and during the last week of radiotherapy) for patients of bouth groups. Women allocated in MTG, in addition to the scales described above, answered the Music therapy Questionary (MQ), and the Subjective Impression of the Subject’s Questionary in last meeting. Music Therapy sessions were individual and lasted an average of 40 minutes. Music therapeutic techniques used were Musical Audition (MA) and Therapeutic Musical Audition (TMA). RESULTS: 164 women were randomized and 116 women with middle age of 52,9 (CG) and 51,85 years (MTG) were included in the analysis. MTG’s patients had on average 10 music therapy sessions, totalizing 509 assistences during the search. In the analysis between groups, Functional Assesment of Cancer Therapy: Fatigue (FACIT-F) demonstrated significance related to Trial Outcome Index (TOI) (p=0,011), Functional Assesment of Cancer Therapy – Geral (FACT-G) FACT-G (p=0,001) FACIT-F FACT-F(p=0,005) areas to the MGT compared to CG. In comparisson made inside the same group results pointed a significant worsening for women. The GMT showed a significant in TOI, FACT-G and FACIT – F (p<0,001) areas in fatigue scale. Music Therapy Questionary showed that 59,3% of the pacients didn’t know what music therapy was, and 53,7% thought that Music Therapy was a relaxing activity. In the end of the process, based on ISS, 98,1% of the women afirmated that Music Therapy made difference in their lives, 96,2% reported a positive perception of music therapy, 75,5% noticed less fatigue and 84,9% reported less stress. CONCLUSION: Individual Music therapy is effective in treatment of Fatigue Related to Cancer during the radiotherapy, to depression and to improve quality of life.Item Investigação da acalásia do esfíncter anal interno por meio da eletromanometria de pacientes chagásicos obstipados com e sem megacolo (Goiânia-Goiás-Brasil)(Universidade Federal de Goiás, 2012-02-02) ALMEIDA, Arminda Caetano de; MOREIRA, Marise Amaral Rebouças; http://lattes.cnpq.br/6390358577348486Chagas disease remains as an important public health challenge in South America. The Chagas colopathy is considered the second clinical digestive manifestation most common of the disease and constipation chronic, its main symptom. The general objective was to investigate the presence of achalasia, through electromanometry of the internal anal sphincter, in constipated chagasic patients with and without megacolon. This study evaluated clinical and electromanometry parameters of 64 patients with symptoms of constipation, attended on the service of coloproctologya on a university hospital in Brazil, central region. The achalasia was present in 91.3% (IC95% 74.13 to 98.52) of patients with megacolon and/or megarecto (Group 1), in 47.29% (IC95% 27.29 to 68.57) without megacolon and/or megarecto (Group2), and was not present in patients of the control group (Group 3). The rectal capacity was 309.1, 159.2 and 150.1 ml in the groups 1, 2 and 3 respectively. In conclusion the electromanometry detects achalasia of the internal anal sphincter in almost totality of patients with megacolon and/or megarecto. The megacolon presence in constipated patients with Chagas Disease alert to the possibility of occurrence of achalasia on the internal anal sphincter. In chronically constipated patients with positive serology for Chagas Disease, without megacolon the a finding of absence of the recto anal inhibitory reflex, by electromanometry, can definitively prove the Chagas colopathy, while the presence of reflection departs, at the time, this diagnosis, should these patients be followed and treated like other patients with constipation due to other causes The comparison of clinical manifestations in the three groups not evidenced differences that could distinguish patients with Chagas colopathy those with functional constipation, reaffirming the importance of holding the electromanometry in Chagasic and constipated patients.Item Associação entre hematúria no EAS e a RNI em pacientes anticoagulados com varfarina(Universidade Federal de Goiás, 2013-10-15) Almeida, Ely Rodrigues de; Cunha, Luiz Carlos da; Cunha, Luiz Carlos da; Salazar, Vânia Cristina Rodrigues; Alcântara, Keila Correia de; Costa, Paulo Sérgio Sucasas da; Costa, Sérgio Henrique NascenteINTRODUCTION: Anticoagulation with warfarin is used in the presence of hypercoagulability and as prophylaxis for thromboembolism. Prothrombin time and activity and the international normalized ratio (PTA/INR) are the standard tests for laboratory follow up of the anticoagulation rate. Hemorrhage is one complication of this therapy. Therefore, one speculates on the possibility of diagnosing cases in which there is excess anticoagulation, by means of the analysis of hematuria in urinalysis and the association with PTA/INR. OBJECTIVE: Analyze the existence of a correlation between hematuria in urinalysis and high PTA/INR, among users of warfarin. METHODOLOGY: This is a descriptive, analytical, primary, quantitative and cross-sectional investigation. The study included 128 patients, 63 of whom were being treated with warfarin, and formed the group of anticoagulated patients (ACG). The remaining 65 patients who were not using anticoagulants formed the non anticoagulated group (NACG). For this study, 152 blood and urine samples were collected; 24 patients of the ACG contributed twice for the PTA/INR and urinalysis, at two different times. All the participants of the NACG also had the PTA/INR and urinalysis tests done. Patients with a clinical suspicion of conditions that might cause hematuria were excluded. The social and demographic data of these individuals were analyzed and the numerical variables of hematuria and of other urinalysis and INR parameters were measured and analyzed. The prevalence and the correlation between hematuria and PTA/INR levels were calculated. Data from the tests, medical appointments and the records of patients recruited in the collection room of the Clinical Laboratory of the HC-UFG were evaluated statistically, and emphasis was placed on the Spearman's correlation for hematuria and PTA/INR (IC 95%; p< 0.05). The study was approved by the Committee on Ethics and Human Research of the HC-UFG, protocol No. 016/2012. RESULTS: The amount of warfarin given on a weekly basis ranged from 10 to 65 mg. If one considers the INR between 2 and 3.9 acceptable for adequate anticoagulation, 59.77% of the individuals were adequately anticoagulated, 35% were insufficiently anticoagulated and 5.75% were excessively anticoagulated. The prevalence of hematuria among the ACG members was 26.44 % (CI 95% 17.98 – 36.43) and among NACG members, 29.23 % (CI 95% 19.16 – 41.11). The correlation coefficient between hematuria and INR was 0.012 (p=0.887). CONCLUSIONS: The most of the patients (59.7%) were within the recommended therapeutic range for controlling patients. There was no correlation between hematuria as measured by urinalysis and anticoagulation levels measured by the INR.Item Perfil epidemiologico das neoplasias do colo uterino (in situ e invasoras) diagnosticadas na cidade de goiânia: análise de 17 anos (1988-2004)(Universidade Federal de Goiás, 2010-10-28) ALMEIDA, Fábio Marques de; MOREIRA, Marise Amaral Rebouças; http://lattes.cnpq.br/6390358577348486Determine the epidemiological profile of in situ and invasive neoplasias of the uterus cervix in Goiânia during the period from 1988 to 2004. Methodology: The cases were identified in the Population Base Register of Cancer database of Goiânia. The studied variables were: age, histological type, extension of the disease and mortality. Analysis was done by central tendency in which the incidence rates were calculated by age, extension of the disease using Census population data and the standard population of Segi; for the mortality analysis the data were extracted from Mortality Information System. Results: We identified 4446 cases of in situ and invasive neoplasias of the uterus from the period of 1988 to 2004. Histopathology was used in 91,9% of the cases; average age was 40 years old for the in situ neoplasias and 52 years for the invasive ones (DP ± 13 and 14 years old, respectively). There were 2213 (58,28%) in situ cases, 1603 invasives (41,8%) and, in 633 cases (14,2%), it was not possible to verify their extension. The annual rate of percentage change (AAPC) for the in situ incidence was 13.08% (IC 95% 9.75 16.50; p<0.0000) per year and1.27% (IC95% -1.74 4.37; p<0.3862) for the invasive cases. The standard mortality rate was 12.2 and 8.2 per 100,000 in 1988 and 2004 respectively, with an AAPC of -3.02 (IC95% -5,36 -0,62; p<0,0172). Squamous cell carcinoma was found to be the predominant histologic type. A reduction of the Adenocarcinoma incidence in situ was not found nor was found a significant change of the Adenocarcinoma invasive; the squamous invasive cancer did present a considerable reduction of 2,85 per year. Conclusion: It was observed that the most frequent invasive tumors were the squamous cell carcinomas and Adenocarcinomas. Data did not demonstrate a rise in the diagnosis of invasive neoplasia, although there occurred an increase of diagnoses of in situ neoplasias. Mortality has demonstrated a tendency of reduction, suggesting that improvements of the tracking programs have changed the incidence or uterine cancer, though it has not yet accomplished all its objectives. Keywords: cervical cancer, uterus, epidemiology, frequency, extension, incidence, Goiânia, Brazil.Item Síndrome metabólica no policial militar do estado de Goiás(Universidade Federal de Goiás, 2017-01-28) Almeida, Suzy Darlen Soares de; Amaral, Waldemar Naves do; http://lattes.cnpq.br/4092560599116579; Amaral, Waldemar Naves do; Fernandes, Marcos Rassi; Franco, Glaucimeire Marques; Ferreira, Rui Gilberto; Castro, Eduardo Camelo deOBJECTIVES: (i) to establish the prevalence of Metabolic Syndrome (MS) in Military Police Officers (PMs) in Goiás; (Ii) to characterize the epidemiological profile of Goiás MPs with MS; (Iii) establish its risk factors; (Iv) to establish a correlation between the prevalence of MS occurrences and police occurrences (v) to describe their spatial distribution according to the Safe Citizen Program of the State of Goiás. METHODOLOGY: A descriptive, retrospective and transversal study developed with Military Police officers of Military Police of Goiás using the study of a database for the periodic evaluations of the health status of the MPs carried out between 2009 and 2013. The sample was selected according to the selection criteria, which included those with cadastral information and multidisciplinary evaluations Complete and unpaid; And excluded those with cadastral data and incomplete, multi-disciplinary evaluations of the pregnant police officers; With duplicate and triplicate data; With misleading and incomplete typing. Total 6303 police officers, 52.5% of the total population of the study (94.5% in men and 5.5% in women), being distributed according to the regions of the Safe Citizen Program of the State of Goias. The research was divided into: 1st phase - Organization and data collection, 2nd Phase - Application of the diagnostic criteria for the National Cholesterol Education Program Revised, and 3rd Phase - Data analysis - descriptive statistics with spatial distribution using scanning scan of Kulldorff. RESULTS: Of the 6303 PM evaluated, 23.7% (n = 1495) had MS, divided into 22.6% of males and 1.1% of females. The majority were between 40 and 45 years of age (32.4%), with rates increasing above 20% from 35 years, decreasing at 55 years; Married (70.4%); With incomplete secondary education (45.1%); With physical activity below three times per week (55.2%); With Sergeant's patent (45.0%); Nonsmokers (89.8%); With normal sleep (92.1%); And Goiânia (30.3%). Of the components, 58.9% of blood pressure, 42.8% of triglycerides, 30.3% of High Density Lipoprotein, 20.9% of waist circumference and 17.4% of fasting glucose were found in the PMs. SM was not correlated with police occurrences. Body mass index and age were the risk factors associated with higher odds for MS, especially, aged between 40 and 45 years and overweight. The groups with the highest relative risk (1.22) were found in the regions of: Itumbiara, Cidade de Goiás, Iporá, Jataí and Rio Verde, and with the lowest relative risk (0.82) in Goiânia. CONCLUSION: The prevalence of MS among Goiás MPs was 23.7%, being more frequent in subjects aged 40-45 years, married, with incomplete secondary education, with physical activity below three times a week, Sergeants, nonsmokers, with normal sleep and crowded in Goiânia. The risk factors identified were BMI and age, respectively, the most potentiating classes, age between 40 and 45 years and overweight increase the association with MS. No correlation was found between this Syndrome and police occurrences.Concerning its spatial distribution, the biggest frequency were in the regions of: Águas Lindas de Goiás - 31.5%; Porangatu - 29.7%; Rio Verde - 28.9%; Itumbiara - 28.8%; And Iporá - 28.4%.Item Capacidade funcional de idosos com vertigem posicional parxística benigna(Universidade Federal de Goiás, 2010-10-18) ALVARENGA, Gabriella Assumpção; BARBOSA, Maria Alves; http://lattes.cnpq.br/5025797873585225; PORTO, Celmo Celeno; http://lattes.cnpq.br/9673684282497548Dissertation built modality scientific article. In the first article submitted to "Journal of Otolaryngology" with the title benign paroxysmal positional vertigo without nystagmus: diagnosis and treatment, there was a literature review, using the following keywords: "dizziness / vertigo, diagnosis / diagnosis, therapeutic / therapeutical approaches. " Scientific publications are included in the period 2001-2009 in Portuguese, English and German. We found nine papers dealt with BPPV without nystagmus, whose diagnosis was based exclusively on clinical history and physical examination. The treatment of BPPV without nystagmus was made by Epley maneuvers, Semont, discharge modified for posterior semicircular canal and Brandt-Daroff exercises. All show that 50% to 97.1% of patients with BPPV without nystagmus, had remission of symptoms, while patients with BPPV nystagmus with remission of symptoms ranged from 76% to 100%. Hence one can conclude that the differences may not be significant, which demonstrates the need for further studies on BPPV without nystagmus. In the second paper, Functional Capacity of Elderly with benign paroxysmal positional vertigo, compared the functional capacity among elderly patients with BPPV and elderly without clinical diagnosis of BPPV and that / or dizziness or vertigo, identifying the physical activities of daily living and instrumental activities of daily living in elderly people in both the Group of Elderly with BPPV (EBPPVG) and Control Group (CG). This is a cross-sectional study, case-control study in Hospital Geral de Goiânia (HGG), with the participation of 14 elderly patients with a diagnosis of BPPV and the Programa de Gerontologia Social / Universidade Aberta à Terceira Idade (UNATI) from the Pontificia Universidade Católica de Goiás (PUC-GO), with the participation of 13 subjects without dizziness or vertigo and / or clinical diagnosis was of BPPV. Functional capacity was assessed by the subscale of the Functional Assessment Questionnaire Brazilian Multidimensional Functional Capacity / Operating Older American Resources and Services Multidimensional Functional Assessment Questionnaire (BOMFAQ/OARS), verifying that the difficulty in performing 15 activities of daily living (ADL), eight physical activities of daily living (AFVD): throw / out of bed, eating, combing hair, walk on the plane, bathing, dressing, going to the bathroom in time and trimming toenails, and seven instrumental activities of living daily living (IADL): climbing stairs (one flight), doctor-on time, walk close to home, shopping, preparing meals, driving out and do house cleaning. Arrived at the following conclusions: a) elderly people with BPPV showed a statistically significant lower functional capacity than subjects without this diagnosis, b) in EBPPVG, the average number of daily activities (physical and instrumental), those with difficulty was 6.53 with a maximum of 11 activities committed while in the CG, the average impairment was 0.86 with a maximum of 4 activities referred with difficulty in performing c) EBPPVG affected performance in 13 activities of daily living, including physical seventh floor in the plan, bathing, dressing, combing hair, going to the bathroom in time, bedtime and getting up from bed or chair and cut nails feet, and 6 which are instrumental, climbing stairs, walking around the house, shopping, preparing meals, driving out and do house cleaning in the comparison between groups, d) Activities that were cited as the most difficult among the elderly were similar in both groups. However, the degree of impairment, characterized in: without commitment (when the elderly did not report any difficulty in any of the 15 evaluated ADL), mild (1 to 3 activities impaired), moderate (4-6 impaired activities) and severe (for seven or more impaired activities) was significantly higher in EBPPVG, where 7 (50%) showed severe impairment in ADL performance.Item Prevalência de fatores de risco para doenças cardiovasculares e consumo de energia e nutrientes de adultos e idosos ativos e inativos(Universidade Federal de Goiás, 2015-11-30) Alves, Ana Gabriella Pereira; Silva, Maria Sebastiana; http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4791881D6; Silva, Maria Sebastiana; Hadler, Maria Claret Costa Monteiro; SIlva, Maria ReisIntroduction: Cardiovascular diseases (CVDs) are one of the most important cause of death in Brazil and the world, and it is known that poor diet and physical inactivity are strongly associated with its prevalence. However, the relationship between the risk factors for CVDs with the food intake and physical activity is not fully clarified. Objective: Identify the prevalence of risk factors for CVDs in active and inactive adults and elderly people from a Brazilian city and associate them with food intake. Methods: A cross-sectional study was conducted with the people attended by the Family Health Strategy of Santo Antônio de Goiás (GO), Brazil. Socioedemographic (gender, age, marital status, education and individual income), lifestyle (smoking and drinking), blood pressure, physical activity, anthropometric [body mass index (BMI), waist circumference (WC) and body fat percentage (BF%)] and dietary intake data were collected and evaluated. Categorical variables were expressed as relative frequency. Pearson’s qui-square test was used to compare both the prevalence of risk factors for CVDs as the adequacy of food consumption between active and inactive people. Independent-samples t test and Mann-Whitney test were used to compare de anthropometric variables, blood pressure and dietary intake between active and inactive individuals. Binary logistic regression was used to determine the association of BMI, WC, BF% and hypertension with dietary intake, adjusted and not adjusted for age group and sex. P < 0.05 was considered significant. Results: Of the 83 participants, 61.4% were active and there was no difference in the prevalence of risk factors for CVDs, anthropometric data, blood pressure, estimated energy requirements and energy and nutrients intake between active and inactive (p ≥ 0,05). Besides, there was no difference in the prevalence of energy and nutrients intake adequacy between groups (p ≥ 0.05). It was observed in the inactive people that the total (OR: 1.021, p = 0.035) and saturated (OR: 1.060, p = 0.033) fat consumption increased the odds of being overweight, with no relationship between dietary intake and risk factors for CVDs when considering all participants or active subjects (p ≥ 0,05). The adjustment for age group and sex did not influence the test results. Conclusions: There was no difference in the prevalence of risk factors for CVDs between active and inactive people, but the consumption of total and saturated fat increased the chance of overweight among inactive subjects.