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Item Níveis séricos e efeito da suplementação de vitamina D sobre a composição corporal e perfil metabólico de crianças(Universidade Federal de Goiás, 2020-12-21) Alves, Ana Gabriella Pereira; Silva, Maria Sebastiana; http://lattes.cnpq.br/1329422634395496; Silva, Maria Sebastiana; Hadler, Maria Claret Costa Monteiro; Guillo, Lídia Andreu; Santos, Renata Carvalho dos; Martins, Karine AnuscaIntroduction: Vitamin D plays a role in several metabolic pathways, including cell diferentiation and proliferation, hormonal control, modulation of inflammation and immune system regulation. Since vitamin D receptors are presented in different tissues and organs, it is related to many diseases, such as obesity, hipertension and dyslipidemia. Objective: To evaluate the serum levels and the effect of cholecalciferol supplementation on body composition and metabolic profile in of children. Methods: A randomized, placebo-controlled, triple-blind, crossover study was conducted with 62 children, 4 to 11 years old, from a public educational institution, that met the selection criteria. Sociodemographic, economic and sunscreen use data were collected from a specific questionnaire; the body area daily exposed to the sun was evaluated by a questionnaire with a representative figure of the body percentage; a specific questionnaire was used to evaluate physical activity and sedentary behavior; anthropometry (body mass and height) and body composition (waist circumference, body fat percentage, fat-free mass, triceps and subscapular skinfolds) were obtained using a stadiometer, electronic scale, anthropometric tape, tetrapolar bioimpedance and adipometer; blood pressure was measured using an automatic digital monitor; 25-hydroxyvitamin D [25(OH)D], fasting glucose and lipid profile were analysed from blood collection; and food intake data was evaluated through the 24-hour recall. In the intervention study, the two groups, supplemented and placebo, received 5 drops of cholecalciferol (1000 IU/day) and 5 drops of sunflower oil (placebo), respectively, for 12 weeks, separated by 10-week washout period. Results: Among children with sufficient serum vitamin D (≥ 75 nmol/L), who participated in the baseline study, no difference was found in sex, self-reported race, physical activity, age, anthropometry, body composition, biochemical parameters and blood pressure between children with 25(OH)D 75-99 and ≥ 100 nmol/L, in addition to the non-association of 25(OH)D with body composition and metabolic profile. In the crossover study, conducted with hypertriglyceridemic children, cholecalciferol supplementation reduced serum total cholesterol (TC) (p < 0.001), LDL-c (p < 0.001), non HDL-c (p < 0.001), TC/HDL-c (p = 0.001) and LDL-c/HDL-c (p < 0.001) ratio, when compared to placebo group. Conclusions: Serum vitamin D was not associated with body composition and metabolic profile among children with 25(OH) ≥ 75 nmol/L, and 1000 IU/day of cholecalciferol supplementation, for 90 days, in hypertriglyceridemic children without 25(OH)D serum deficiency, was able to improve lipid profile.Item Ensino à distância de cirurgia segura na graduação em Medicina(Universidade Federal de Goiás, 2017-03-28) Amaral, Adriana Gondim do; Pereira, Edna Regina Silva; http://lattes.cnpq.br/4503589425013098; Pereira, Edna Regina Silva; Moraes Neto, Daniel Messias; Moraes, Vardeli Alves deIntroduction: Any health-related procedure involves risks; however, they can be reduced with preventive attitudes, avoiding adverse events. The learning of the World Health Organization (WHO) safe surgery checklist is a means of generating preventive measures in the operating room and training leaders for safe practices. Objective: To analyze the results of a Distance Education (EAD) in a safe surgery for undergraduates of medicine. Methodology: A quasi-experimental study, with an approach of before-and-after educational intervention, carried out in a Teaching Hospital of the Center-West Region from November 10, 2015 to January 24. The intervention was an educational action complementary to the traditional teaching module and offered through a course of 20 hours in EaD, using The Moodle Platform, about safe surgery for 45 days. The students were divided into two non-randomized groups: intervention group (n = 48) and comparison group (n = 47). Descriptive statistics, Wilcoxon test, Mann-Whitney, Chi-Square and item discrimination analysis were performed. Pre-and post-test were carried out with ten closed questions with four alternatives to verify knowledge before and after the course in EaD. After the intervention, students in the intervention and comparison group were evaluated for performance on the Objective Structured Clinical Examination (OSCE). Results: Of the 95 participants, the majority were female (67.2%), with a predominance of students under the age of 25 (53.7%). In the intervention group, 28 students (58.3%) did not know the safe surgery checklist instrument. When asked about the importance of the subject for training and for the benefit of the patient, 100% of the students answered affirmatively, and 100% also answered that errors can be avoided with the use of the checklist. In the evaluation of knowledge, students in the intervention group presented a significant increase in the mean score, from 5.10 in the pre-test to 6.16 in the post-test (p = 0.006). The means obtained in the OSCE were significantly higher (9.07) in the intervention group, when compared to the comparison group (1.06) (p <0.001). Conclusion: Students in the intervention group who participated in the EaD course presented knowledge acquisition. And a better performance in the OSCE compared to the comparison group.Item Educação permanente em saúde nos municípios do Estado de Goiás(Universidade Federal de Goiás, 2020-12-08) Barcellos, Rosilene Marques de Souza; Martins, Karine Anusca; http://lattes.cnpq.br/6576103363656577; Lima, Dione Marçal; http://lattes.cnpq.br/4310011929664114; Lima, Dione Marçal; Batista, Sandro Rogério Rodrigues; Sousa, Lucilene Maria dePermanent Education in Health (EPS) integrates training and work processes and proposes the production of effective results in health actions. It is a teaching-learning practice that articulates knowing – learning – doing. The objective of this study was to identify the challenges, the actors involved and the EPS practices in the municipalities of the State of Goiás from the perspective of the representatives of the area. This is a cross-sectional descriptive study carried out with representatives of the EPS in the municipalities of the State of Goiás, with data obtained through a semi-structured questionnaire, made available for online filling, which identified the participants' professional characteristics, health work challenges, actions of EPS, as well as who promotes these actions in the municipality. It is an integrated part of the research “Permanent Education in Health in Municipalities of the State of Goiás: Participatory Evaluation and Intervention”. 148 municipalities responded to the questionnaire (60.2%) and most participants (68.2%) were responsible for continuing health education in the municipality. Of the total informants, 65.5% were graduated in nursing, 31.8% were primary care coordinators and 58.8% were post-graduated. There was a predominance (66.2%) of those who claimed to carry out permanent health education actions, which were promoted by the municipality itself (61.3%). The most frequent challenges faced in the daily health work mentioned were attitudinal and interpersonal factors (47%), followed by human resources (45.3%) and financial and material resources (40.5%). Standing out as an EPS action, continuing education (43.6%), followed by the (re) organization of work processes (23.9%) and health education for the community (17.2%). It was also identified that there is no evaluation of permanent health education in most municipalities (83%). As an applied production, an infographic and a proposal to support the construction of the Observatory of Permanent Education in Health were prepared, as a technical contribution to the process of disseminating, evaluating and monitoring the practices of Permanent Education in Health for the management of the area in the State . This study presents subsidies for strategic planning of EPS in the municipalities, support to the bodies responsible for its promotion and management and strengthening of EPS actions with the health services.Item Multimorbidade em idosos brasileiros: prevalência, agrupamentos e redes de morbidades, continuidade de cuidado e utilização de serviços de saúde(Universidade Federal de Goiás, 2019-08-22) Batista, Sandro Rogério Rodrigues; Sousa, Ana Luiza Lima; http://lattes.cnpq.br/6578713509935374; Jardim, Paulo César Brandão Veiga; http://lattes.cnpq.br/2292209583823133; Jardim, Paulo César Brandão Veiga; Sousa, Ana Luiza Lima; Mendonça, Claunara Schilling; Thumé, Elaine; Trindade, Thiago GomesMultimorbity (MM), a simultaneous presence of two or more chronic diseases in the same individual, presents high prevalence and is related to important negative outcomes, especially in the elderly. Although frequent, the studies about MM are scarce. The aims of this study are to evaluate the presence of MM and associated factors, the presence of clusters/networking of morbidities and to analyze the potential effect of continuity of care in primary care (CCPC) in health services use among elderly people. Thus, we conducted the cross-sectional, population-based study using data from the National Health Survey (PNS-2013), with the analysis of 11,177 elderly people from all Brazilian states. MM was evaluated by the patient's self report, questionnaire for depression and anthropometric measurements, being categorized by three cut points: ≥2 physical and/or mental morbidities (MM2), ≥3 physical and/or mental morbidities (MM3) and ≥2 morbidities being at least one mental morbidity (MMpm). CCPC was analyzed by the presence of regular care source. The use of health services was analysed according to the demand for health services ≥15 days, medical consultation ≥12 months and hospitalization ≥1 year. Higher prevalence of MM was observed (MM2: 58.6%, MM3: 36.4%, MMpm: 12.2%). High blood pressure was the more frequent disease (50.6%), followed by back problems, high cholesterol and obesity. Hypertension/high cholesterol was teh par of higher occurrence (16.9%). In the adjusted analysis, being female and living in the South region was associated with all categories of MM. Independent of cutoff point, we observed elevated use of health services in the three categories analyzed. CCPC was present in 36.5%, being higher in women (37.78% vs. 34.95%). Less hospitalization was observed in people with MM2 and CCPC compared to those without CCPC, a fact also observed in MM3. Prevalence of MM in Brazilian series with high association with females and living in the South region. Our studies demonstrate that CCPC is an important component of care in elderly patients with multimorbity, aiming to reduce hospitalizations. Other studies are needed to clarify the different forms of CCPC that affect and strengthen services in health services. The Unified Health System should prioritize the care of the elderly with MM.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 Análise tridimencional da configuração radicular apical de dentes anteriores superiores(Universidade Federal de Goiás, 2019-10-31) Bernardes, Cristiane Martins Rodrigues; Estrela, Carlos; http://lattes.cnpq.br/3611967334176683; Estrela, Carlos; Silva, Brunno Santos de Freitas; Pécora, Jesus Djalma; Estrela, Cyntia Rodrigues de Araújo; Barletta, Fernando BrancoThis study analyzed the apical root configuration of maxillary anterior teeth using Cone-Beam Computed Tomography (CBCT) images in a Subpopulation of the Brazilian central region. A sample of 400 maxillary anterior teeth from 167 patients (101 women; mean age 41.8 years) from January 2012 to April 2017 was analyzed. The CBCT images used in this study were from a private dental radiology clinical database. The apical root configuration of the maxillary anterior incisors was verified by navigating 0.1 mm / 0.1 mm, in the three planes, axial, coronal and sagittal sections on CBCT images, from the root canal entrance to the apical foramen as well as from the apical direction to the crown. The standard reference for apical root shape configuration corresponded to the long axis of the tooth and when necessary, CBCT images were oriented to correct Parallax error. The determination of the root configuration of teeth and their frequency were characterized according to the classification of abnormalities in root morphology proposed by Levander & Malmgren, recorded in four categories: 1. short root; 2. blunt root; 3. root with apical bend (lacerated root); 4. pipette-shaped root. The frequency and percentage of qualitative variables were obtained and analyzed by the chi-square test. The level of significance was 5%. The most common apical root form presented in the central incisors was blunt root, followed by pipette-shaped root, lacerated root and, less frequently, blunt root. In the lateral incisors, the highest frequency presented was lacerated root, followed by blunt root, pipette-shaped root and, less frequently, short root.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 Avaliação das moléculas HLA-G e PD-L1 em pacientes submetidos a transplante renal em Goiânia - GO(Universidade Federal de Goiás, 2020-09-11) Botelho, Silvia Marçal; Wastowski, Isabela Jubé; http://lattes.cnpq.br/4051434704701413; Silva, Nilzio Antonio da; http://lattes.cnpq.br/1780564621664455; Wastowski, Isabela Jubé; Reis, Ângela Adamski da Silva; Barbosa, Maria Alves; Sousa, Mauri Félix de; Barbosa, Vitalina de SouzaKidney transplantation (KT) is the treatment of choice for patients with end-stage renal disease. In KT, the HLA-G and PD-L1 molecules due to their tolerogenic action are of clinical and therapeutic interest. The aim of this study was to evaluate the HLA-G and PD-L1 molecules at different moments in the KT. 124 patients were evaluated. Of these, 114 were previously transplanted (Group of old patients-GOP) and, in 10 patients, the evaluation started in the pre-KT (Group of new patients-GNP). In the GOP a cross-sectional study with a single blood collection, while in the GPN a 12-month follow-up was carried out with serial blood collection. Patients who had graft dysfunction were submitted to renal biopsy samples and immunohistochemistry was performed for both molecules (GNP). The study execution phase took place from March/2016 to December/2017. In GOP the use of corticosteroids+calcineurin inhibitor +azathioprine as an initial immunosuppression regimen (p<0,001), the presence of one or two episodes of rejection (p <0,001), and CMV infection (p= ,006) were correlated with a low dosage of HLA-G. Having performed 6-10 hemodialysis sessions in post-KT was associated with a high dose of HLA-G (p=0,02). In GNP the occurrence of rejection episodes was associated with low expression of HLA-G (p<0,001) and PD-L1 (p<0,001). The variable time after KT (p<0,001) was associated with a lower level of HLA-G. Transfused patients had low levels of PD-L1 (p=0,03). Increased levels of HLA-G (p=0,001) and PD-L1 (p<0,001) were observed in female patients. Patients who received a kidney from a related live donor expressed more HLA-G (p<0,001). The study concluded that the aforementioned variables, which were positively and negatively associated with the levels of HLA-G and PD-L1 can promote the stability or instability of the grafts respectively, maintaining renal function or perhaps providing rejection processes.Item Vaginose bacteriana e tricomoníase: prevalência, fatores associados e desempenho de testes diagnósticos em mulheres atendidas em ambulatório de ginecologia preventiva(Universidade Federal de Goiás, 2022-02-21) Camargo, Kélvia Cristina de; Saddi, Vera Aparecida; http://lattes.cnpq.br/7496804650895441; Alves, Rosane Ribeiro Figueiredo; http://lattes.cnpq.br/8335736301768972; Alves, Rosane Ribeiro Figueiredo; Santos, Silvia Helena Rabelo dos; Matos, Marcos André de; Barbosa, Maria Alves; Ribeiro, Andrea AlvesINTRODUCTION. Bacterial vaginosis BV and genital infections have a great impact on women's health and are the main causes of demand for health services. GOALS. To investigate the prevalence, associated factors and performance of diagnostic methods for BV and Trichomonas vaginalis TV. METHODS. The thesis is presented in articles, in an original cross-sectional article and a systematic review. The Crosssectional study, conducted with women seen at a preventive gynecology clinic, in the public network of Goiânia, referred to a gynecological consultation. Gynecological examination with evaluation of the characteristics of the vaginal secretion, and the collection of cervicovaginal material for cytological study, fresh examination, vaginal pH, Whiff test, Gram-stained bacterioscopy and the polymerase chain reaction (PCR) for the detection of TV . The samples were analyzed at the Genetic Diversity Laboratory of the Pontifical Catholic University of Goiás (PUC GO) and at the Rômulo Rocha Clinical Analysis Center of the Faculty of Pharmacy of the Federal University of Goiás (FF/UFG). Sociodemographic and behavioral characteristics were analyzed using descriptive statistics. Logistic regression analysis was performed to identify factors associated with BV. The degree of agreement between the clinical characteristics of the vaginal secretion and the different diagnostic methods was evaluated by the Kappa index. The systematic review study was registered in the International Prospective Register of Systematic Reviews (PROSPERO) and performed according to the methodological guidelines of the “Preferred Reporting Items for Systematic Reviews and Meta-Analyses” (PRISMA). The search was performed on PubMed and Scopus databases in September 2021, with no language restriction. Articles were considered eligible if they investigated the prevalence of BV in Brazil; used Amsel's clinical diagnostic criteria or Gram-stained bacterioscopy in women of reproductive age and without comorbidities. Studies were evaluated by two investigators to establish reliability. The risk of bias and the quality of the selected studies were assessed using the Joana Briggs Institute (JBI) tool. RESULTS. The cross-sectional study showed a prevalence of BV, according to the Nugent criteria, of 33.7% and of trichomoniasis by PCR, of 0.5%. The complaint of abnormal vaginal secretion was significantly associated with the diagnosis of BV (OR = 2.2; 95%CI: 1.0- 4.5); The diagnostic accuracy for BV, by the methods of Amsel, Ison & Hay and cytological examination, compared to the Nugent criteria was 35.6%, 97.0% and 84.2%, respectively. The sensitivity and degree of agreement for the diagnosis of TV, by the fresh test was 0.0% and 0.0% and by the cytological test, 100% and 1, respectively. Systematic review included ten articles. The mean prevalence of BV in the included studies was 25.4% (95%CI: 24.0-26.8), ranging from 15.3% (95%CI: 11.8- 19.4) to 51. 0% (95%CI: 43.1-58.7). In three population-based studies, the prevalence ranged from 15.3% (95%CI:11.8-19.4) to 20% (95%CI:16.9-23.6), with a mean of 18,1% (CI:16.0-20.5). In seven clinical-based studies, the prevalence ranged from 18.6% (95%CI: 13.6-25.0) to 51% (95%CI: 43.1-58.7), with an average of 27.2% (95%CI: 24.6-29.9). Factors associated with BV were use of sexual accessories (OR: 2.4; 95%CI: 1.1-4.9), single marital status (OR: 1.4; 95%CI: 1.1-1.8), partner infidelity (OR: 1.5; 95%CI: 1.2-1.9), abnormal vaginal discharge (OR: 1.5; 95%CI:1.2-2.0), presence of trichomoniasis (OR: : 4.1 (95% CI: 1.5-11.5).CONCLUSION. The crosssectional study showed a high prevalence of BV and a low prevalence of TV; The report of abnormal vaginal secretion as the only factor associated with BV; the methods with the best diagnostic performance for BV, compared to the Nugent method, were those Abstract xix of Ison and Hay and cytological examination and cytological examination considered to be easily accessible in the daily clinic. The systematic carried out in this study showed a high prevalence of BV and associated factors linked to sexual behavior, although it is not considered a sexually transmitted infection.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 Vínculo parental, saúde mental e catastrofização em mulheres com dor pélvica crônica(Universidade Federal de Goiás, 2022-10-26) 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; Alcântara, Keila Correia de; Ribeiro, Marília Oliveira; Finotti, Marta Curado Carvalho Franco; Silva, Nílzio Antonio daIntroduction: The experience of pain and its coping strategies, mental disorders such as anxiety and depression, and maladaptive personality traits such as catastrophizing have been associated with parenting styles in childhood. In turn, catastrophizing has been considered an important predictor of outcomes for different types of pain, including chronic pelvic pain (CPP) in women, which is a common and difficult-to-treat health condition. Aims: To perform a narrative review of the available literature on CPP in women. To evaluate the association between parenting style and CPP in women, and to investigate the association between catastrophizing, pain intensity, anxiety, depression, and parenting style in women with CPP. Methods: A search was conducted of the Medline, Embase and SciELO (Scientific Electronic Library Online) databases up to the cut-off date of October 15, 2021. The following terms were used: chronic pelvic pain, central sensitization, hyperalgesia, chronic pain, neuromodulation, women, somatic pain, visceral pain, nociplastic pain and neuropathic pain. An observational case-control study was also conducted between May 2018 and August 2021 with 123 women with CPP and 123 pain-free controls. Sociodemographic, clinical, and behavioral data were investigated. Parental Bonding Instrument was used to assess parenting styles. Generalized Anxiety Disorder-7 e 9-item Patient Health Questionnaire were used to evaluate anxiety and depression, respectively. Pain intensity and catastrophizing were investigated in the CPP group using, respectively, a 10-cm numerical pain rating scale and the Pain Catastrophizing Scale. Yates’s chi-square test and the Mann-Whitney test were used to compare characteristics between the groups. Multiple logistic regression analyses were conducted to determine possible associations between each parenting style and CPP in women, and the odds ratios (OR) and their respective 95% confidence intervals (95%CI) were calculated. Spearman’s correlation coefficient (r) was used to verify possible correlations between catastrophizing, pain intensity, the duration of pain, anxiety, depression, and parental bonding style (maternal and paternal care and overprotection) in the group of women with CPP. Results: A higher frequency of low maternal care (60.7% versus 45.2%; p=0.026), anxiety (79.7% versus 56.9%; p<0.001), depression (73.2% versus 56.1%; p=0.008), physical violence (31.7% versus 14.6%; p=0.003), relationship difficulties (39.8% versus 19.5%; p=0.001), and abdominal/pelvic surgery (78.0% versus 63.4%; p=0.017) were found in the CPP group compared to the control group. The domains of parental bonding were not independently associated with CPP in women. Catastrophizing was identified in 77.2% of women in the CPP group. Catastrophizing women were found to use significantly more pain medication compared to non-catastrophizing women (94.7% vs 78.6%; p=0.024). A positive correlation was found between catastrophizing and pain intensity (r=0.342; p<0.001), anxiety (r=0.271; p=0.002), depression (r=0.272; p=0.002), and maternal overprotection (r=0.185; p=0.046). A negative correlation was found between anxiety and maternal (r=-0.184; p=0.047) and paternal (r=-0.286; p=0.006) care and between depression and maternal (r=-0.219; p=0.018) and paternal (r=-0.234; p=0.026) care in the CPP group. Conclusions: CPP is an challenger condition that may not be associated with an obvious cause. A timely scheme of investigation and treatment of associated comorbidities is recommended. The clinical identification of a central sensitization phenotype can guide the management of women with CPP, which must be interdisciplinary and involve biopsychosocial aspects. Low maternal care was more common in women with CPP compared to the pain-free controls, with no independent association between parental bonding and CPP. Catastrophizing was very common and positively, but weakly, correlated with the intensity of pain, anxiety, depression, and maternal overprotection in the CPP group. Maternal and paternal care was negatively and weakly correlated with anxiety and depression in women with CPP. Our findings suggest further studies on the role of families, particularly fathers and mothers, in the emotional development and pain coping strategies of women with CPP. They also indicate the need for a personalized approach to women with CPP, seeking better therapeutic outcomes.Item Qualidade de vida de gestantes com Zika virus(Universidade Federal de Goiás, 2019-11-11) Cançado, Myrella Silveira Macedo; Oliveira, Ellen Synthia Fernandes de; http://lattes.cnpq.br/3128365764211694; Barbosa, Maria Alves; http://lattes.cnpq.br/5025797873585225; Barbosa, Maria Alves; Teixeira, Ricardo Antônio Gonçalves; Cardoso, Clever Gomes; Almeida, Fábio Marques de; Medeiros, MarceloIntroduction: In Brazil, the increase in cases of neurological malformations in newborns from congenital Zika virus (ZIKV) infection has led to an intensification of maternal and fetal care during and after prenatal care. Objective: To analyze the quality of life of pregnant women diagnosed with ZIKV followed in public health services, from 2017 to 2018. Methods: Cross-sectional, qualitative and quantitative study, conducted through semi-structured interviews, addressing health care, and by two questionnaires, one on profile (socioeconomic / demographic and gestational), and the other on quality of life assessment, the World Health Organization Quality of Life instrument abbreviated version (WHOQOL-bref). Quantitative data were analyzed by multiple linear regression model and qualitative data by Bardin (2011) content analysis with the aid of NVivo® version 11 software. Results: 42 pregnant women diagnosed with ZIKV participated in the study. The average age was 26.1 years (SD = ± 6.1) and the overall quality of life (QOL) was 61.5 (SD = 12). Among the domains analyzed by the WHOQOL-bref, the psychological with the highest score (69.3; SD = 15.8) and the lowest was the Environment (52.0; SD = 12.8). The parameters that contributed to the highest quality of life were being married, using contraception before the current pregnancy, having ZIKV infection in the later trimester and having a higher family income. Regarding the content analysis of the interviews, main ideas emerged which were grouped into three categories: Feelings (fear of microcephaly and faith / religiosity); Health care (access to examinations and consultations, quality of care, knowledge of ZIKV and multi-professional support) and social and family context (family support, financial resources and influence of the media). Conclusion: Quality of life obtained higher score in the psychological domain. The aspects of quality of life were deepened during the interviews whose results showed the pregnant woman's perceptions about ZIKV and the potentialities and weaknesses of public health services. The findings of this study are important for the (re) planning and strengthening of prenatal public health policies.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 Determinação da distância da junção amelocementária à crista óssea alveolar decorridos onze anos do inicio do tratamento ortodôntico(Universidade Federal de Goiás, 2019-11-01) Castro, Luma Oliveira; Alencar, Ana Helena Gonçalves de; http://lattes.cnpq.br/2039898015468283; Estrela, Carlos; http://lattes.cnpq.br/3611967334176683; Estrela, Carlos; Alencar, Ana Helena Gonçalves de; Siqueira, Patrícia Correia de; Silva, Julio Almeida; Pecora, Jesus DjalmaObjective: The objective of the present study was to determine, by means of Cone-Beam Computed Tomography (CBCT) images, the distance between the cementoenamel junction and the alveolar bone crest in teeth undergoing orthodontic treatment after 11 years of follow-up. Methodology: Dental CBCT images of patients undergoing orthodontic treatment (T1) were selected from a database. The reference points for the measurements were the cementoenamel junction and the buccal and palatal / lingual alveolar bone crest, being determined by navigating the sagittal, axial and coronal sections. With the aid of the software, a vertical straight line was drawn between the two points, and the distance between the cementoenamel junction to the alveolar bone crest of the buccal (n = 379) and palatal / lingual (n = 379) faces obtained in millimeters. At follow-up after 11 years, the distance from the cementoenamel junction to the alveolar bone crest was again measured following the protocol previously described (T2). Results: After 11 years, there was an increase in the distance from the cementoenamel junction to the alveolar bone crest in all dental groups evaluated. From the total of 758 faces evaluated, 81% (614) presented increased distance when compared to the initial. The buccal face of the lower canines showed the highest frequency of enlargement (91%). In the initial sample, 117 (15%) faces presented a distance greater than 2 mm, while 11 years later, 327 (43%), and the canine buccal face was the one with the highest frequency. Conclusion: The results of the present study showed that 11 years after the beginning of orthodontic treatment, there was an increase in the distance from the cementoenamel junction to the alveolar bone crest in all dental groups evaluated.Item Percepção discente do ambiente educacional de residência multiprofissional em hospital universitário(Universidade Federal de Goiás, 2020-03-04) Costa, Ana Carolina Arantes Coutinho; Pereira, Edna Regina Silva; http://lattes.cnpq.br/4503589425013098; Costa, Nilce Maria Silva Campos; http://lattes.cnpq.br/6977373149115047; Costa, Nilce Maria da Silva Campos; Marques, Flávio; Naghettini, Alessandra Vitorino; Mota, João Felipe; Batista, Sandro Rogério RodriguesINTRODUCTION: The educational environment has a significant impact on students' behavior and learning, being strongly related to satisfaction and success. Students are important elements in the quality of the educational environment, one of these being the residents. OBJECTIVE: To analyze the perceptions of the educational environment of the multidisciplinary health residency in a university hospital from the students' perspective. METHODS: The DREEM questionnaire was applied to all students in the multiprofessional residency program in health for the first and second years, with data analysis using the T-student test, Mann-Whitney and Kruskall Wallis. RESULTS: The total score was 85.23 (95% CI), which shows a more negative than positive educational environment. None of the 50 questions had a score above 3.5. 71.4% of the questions were identified as problematic. The three highest points are confident that I will pass this year, I have good friends on this course and I live in a comfortable place, the lowest three were: the teaching adopted is often stimulating, there is a good support program for stressed students and I rarely I feel discouraged in this course. CONCLUSIONS: The poor analysis of the educational environment, especially in the learning and social domains, may signal the need to review the educational structure of the residence as well as the creation of support for students who feel overwhelmed, stressed or unable to deal with their own insecurities and expectations as well as supporting the coping with the patient's health-disease process. A longitudinal analysis, with a larger sample or with a qualitative evaluation can also help to face the limitations of the study. The difficulties are similar to those faced by other multiprofessional residency programs in health, suggesting, therefore, that there is a systemic action by the Ministry of Health and also Brazilian Education.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.