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Item Perfil dos atendimentos em urgência e emergência em um centro de atenção integrada à saúde(Universidade Federal de Goiás, 2020-04-04) Costa, Webse da Mota; Amaral, Waldemar Naves do; http://lattes.cnpq.br/4092560599116579; Amaral, Waldemar Naves do; Saidah, Tárik Kassem; Ferreira, Ruy Gilberto; Sousa, Juarez Antônio deIntroduction: Urgent and emergency care has undergone important restructuring since 2003, with the creation of the National Policy for Attention to Urgencies, by the Ministry of Health. Based on this, the urgency and emergency service started to be composed of a network of units specialized in providing this service at levels of secondary or tertiary care, depending on its structuring and resolution capacity, with primary care responsible for the care of low complexity emergencies. Objective: To analyze the profile of the demand of patients admitted to the emergency room at an Integrated Health Care Center. Methods: This is a cross-sectional, descriptive study with a quantitative approach. To analyze the demand profile of patients admitted to the urgency and emergency, linked to the request for AIH through the Regulation System. All AIHs requested from January 1, 2018 to June 30, 2018 were evaluated. Patients of both genders, any age, and any city of origin were included, and cases with incomplete AIH were excluded for the survey data. The data referring to the sociodemographic profile (gender, age group and city of origin), data from the requested AIH (month of application, period of application and regulation, waiting interval, medical specialty, and application opinion), initial diagnoses were analyzed related to AIH, and the characterization of the approved AIH (executing establishment and purpose of the AIH). The data were analyzed using descriptive statistics, obtaining the absolute and relative frequency of the variables, in addition to Pearson's Chi-square test to compare the study variables, with significance of p <0.05. The study was submitted to and approved by the Research Ethics Committee. Results: A total of 2013 AIHs were selected for the sample. Male gender was more prevalent with 1021 cases (50.72%). Age ranged from 1 to 101 years, with a mean of 44.24 years (SD ± 23.13). The age group ≥50 years was more frequent, with 43.52% of the cases, in relation to the other categories (p <0.001). In relation to the municipality of origin, the highest number of cases was observed for Aparecida de Goiânia with 66.57% of the records, followed by Goiânia with 18.03%. In general, there was no variation per month. As for the request and regulation period, the day shift was noted as the most frequent with 68.95% and 69.50% of cases, respectively. The most prevalent waiting intervals were 60 min (45.11%), 1 to 6 hours (23.00%), 6 to 12 hours (5.81%), and 12 to 24 hours (11.03%). Regarding the request's opinion, a total of 71.49% was approved, while 17.14% was denied. About 5.32% of patients were discharged, and 5.12% escaped from the site. The specialties most frequently requested were general practice (54.25%), general surgery (18.63%) and pediatrics (12.62%). The most observed health problems were acute abdomen (8.00%), stroke (7.65%) and other intracranial injuries (6.46). The services required for the most frequent approved AIHs were highly complex procedures (36.00%), evaluation by a specialist (35.86%), and hospitalization (25.85%). Public establishments were the most frequent with 76.86, followed by private (19.88%). Conclusions: Problems with structure, equipment for exams and qualified labor were observed, in addition to the excessive request for highly complex exams, due to the absence of internal protocols to guide your request. In addition, like profile there was a higher frequency for males, aged> 50 years and from Aparecida de Goiânia. Most of the cases were approved in the 60 min waiting interval, mainly related to acute abdomen. The purpose of AIHs was frequent to the evaluation of urgency and tests of high complexity in public establishments.Item Uso de psicotrópicos em policiais militares(Universidade Federal de Goiás, 2015-12-19) Couto, Fernanda Rocha; Amaral, Waldemar Naves do; http://lattes.cnpq.br/4092560599116579; Amaral, Waldemar Naves do; Ferreira, Rui Gilberto; Castro, Eduardo Camelo de; Franco, Glaucimeire MarquezINTRODUCTION: Being a military police is stressful. The responsibility for providing security to society brings a health hazard, threats to his / her health and safety. The fear of not coming back home alive or even hurt can lead to anxiety and stress. The search for immediate relief increases the use of psychotropic drugs by the military police. Studies published until now that approached this theme showed methodological limitations. AIMS: To evaluate the use of psychotropic drugs of list B1 (Clonazepam, Bromazepam and Alprazolam) by military police of Goiás State, to identify the group age and gender that used it most, to quantify the time of military police service that they used the psychotropic and to evaluate the proportion of this use according to the military personnel (soldiers and officers). METHODS: A review article was written based on data published between 1990 and 2013 in PubMed and SciElo. Thereafter, and observational, descriptive and retrospective study was done. One hundred military police from Hospital of Military Police in Goiânia city were evaluated by collecting the data presented in medical prescriptions and corporate pharmacy database using a form specially designed for this. INCLUSION CRITERIA: All the controlled B1 prescriptions in 2011. EXCLUSION CRITERIA: Illegible prescriptions, other controlled prescriptions like C1 and patients that are dependent of military police. RESULTS: The frequency of use was divided according to: 1) Genre: men (68%), women (32%); 2) Age: 18 to 35 years old (4%); 36 to 50 years old (52%); 51 to 70 years old (12%); >71 years old (3%); uninformed (29%); 3) Psychotropics: Alprazolam (14%), Bromazepam (13%), Clobazam (1%), Clonazepam (53%), Cloxazolam (7%), Diazepam (1%), Flurazepam (1%), Midazolam (2%), Nitrazepam (7%);4) Trimester: Jan/Mar (22%), Apr/June (39%), July/Sept (31%), Oct/Dec (7%); 5) Service time:<5 years old (2%), 6 to 10 years old (5%), 11 to 20 years old (12%), 21 to 30 years old (48%); 6) Military rank: soldier (63%), officers (11%), pensionary (2%), uninformed (24%). CONCLUSION: The profile of the military police user of psychotropic drugs was female sex with an average age of 47. The most common psychotropic drug was Clonazepam. The service time when they most use the drugs was the one comprehended between 21 and 30 years of activity in the military force. From the Military Police personnel, there was no difference in relation to military officers.Item Estudo clínico das alterações dermatológicas nas gestantes de baixo e alto risco(Universidade Federal de Goiás, 2014-04-05) Fernandes, Lana Bezerra; Amaral, Waldemar Naves do; http://lattes.cnpq.br/4092560599116579; Amaral, Waldemar Naves do; Ferreira, Rui Gilberto; Sousa, Juarez Antônio deBACKGROUND: During pregnancy immunological, metabolic, endocrine and vascular changes responsible for physiological and pathological skin changes occur. OBJECTIVES: To determine the prevalence of physiological skin changes and specific pregnancy dermatoses, comparing the period of gestation of their appearance and compare type of prenatal care (low and high risk) and the skin changes. METHODS: A cross-sectional study with 905 pregnant women in the antenatal clinic of low-and high-risk Clinical Hospital / UFG. The patient was submitted to a complete dermatological examination, following head-foot dynamics. Laboratory tests and biopsies were required for differential diagnosis. The variables were analyzed by calculating relative and absolute frequencies and chi-square test for categorical variables. Set value of 5% for significance. RESULTS: Physiological skin changes showed most high phototype and its prevalence was 88.95%. Among these the most common abnormality was hyperpigmentation (87.95%), followed by the appearance of new stretch marks (46.96%). The period of emergence of the changes was greater in the 3rd quarter and compared to other quarters was no statistical difference between them and the type of prenatal care was no statistical difference. The specific skin dermatoses showed most high phototype and its prevalence was 8.72%. Among these the Atopic Eruption was the most common (70.88%), followed by intrahepatic cholestasis (18.98%). The 3rd quarter was the only one to show a statistical difference compared to other quarters. However, when compared to the emergence of these type of prenatal this difference was not significant. CONCLUSION: The prevalence of cutaneous physiological changes of pregnancy was 88.95%, and the specific dermatoses of pregnancy was 8.72% The most common time of onset of physiological changes was in the 3rd trimester, as well as the specific dermatoses. No statistical difference in prenatal low risk compared to high risk was observed, whereas the cutaneous physiological changes specific dermatosesItem Influência imediata das peças podais das palmilhas posturais sobre a postural corporal, equilíbrio ortostático e distribuição da pressão plantar(Universidade Federal de Goiás, 2017-03-25) Fernandes, Patrícia Guimarães; Przysiezny, Wilson Luiz; http://lattes.cnpq.br/6279372044071224; Amaral, Waldemar Naves do; http://lattes.cnpq.br/4092560599116579; Amaral, Waldemar Naves do; Andrade, Sara Rosa de Sousa; Ferreira, Rui Gilberto; Lemos, Patrícia Abreu Pinheiro deIntroduction: Several types of insoles are used to promote changes in body positioning and improve balance. The postural insoles are orthoses used to correcting or improving postural alignment, balance and weight bearing. Podal elements are used in this insoles, positioned in specific places to promote this correction. The immediate effects of the elements on posture are factors that define the prescription of the insoles. Objective: To carry out a systematic review of the literature about the effect of insoles on static balance and posture. We verified the immediate effects of the podal elements (infracapital and retrocalcanenus bar, calcaneus wedges and infracuboid element) on a posture, static balance and a weight bearing of healthy individuals. Methodology: The review was implemented in the Medline, PuMed, SciELO and Cochrane Library databases. Inclusion criteria of the studies: interventional studies with insoles, published from 2010 to 2016; measurement of postural variables and static balance; in Portuguese and English. Fifteen studies were selected. The experimental, controlled and randomized study included a sample composed of 60 healthy individuals divided by raffle in control group (30) and study group (30). The inclusion criteria were: individuals between 18 and 40 years of age of both genders without musculoskeletal pain complaints. The exclusion criteria were: reports of injuries or neurological diseases, vertigo or dizziness, pregnant women with spinal or foot surgeries, foot ulcers, amputation, visual impairment, who are using postural insoles, without girdles asymmetries and with discrepancy in the length of the lower limbs greater than 5 millimeters. Postural evaluation and static baropodometry and stabilometry were performed. From the postural changes, the podal elements were prescribed for the study group. Both underwent identical reassessment, in the study group with the elements under the feet. The Shapiro-Wilk normality test (S-W) was used and, from this test, parametric and non-parametric tests were used according to the variable. For the analysis of the posture the chi square test was used and for comparative analysis of baropodometry and stabilometry the Wilcoxon test was performed. Results: In the systematic review, we did not find a positive result of insoles on the posture, but the results indicated an improvement of the static balance with the use of insoles in individuals who already presented balance deficit. In the clinical trial, pelvic and scapular assimetries improved and the plantar pressure peak decreased (p <0.05). Conclusion: Although the results point to an improvement in the static balance, due to the wide variety of insoles and populations studied, it was not possible to establish a consensus in the systematic review. In the experimental study, the podal elements were able to improve the posture and distribution of plantar pressure. Positive effects on balance in normal subjects not be proved in this research, which may be due to the time of exposure to the stimulus and also to the characteristics of the sample.Item Avaliação radiográfica da condição bucal de policiais militares do estado de Goiás(Universidade Federal de Goiás, 2020-09-26) Gervásio, Helen de Melo; Amaral, Waldemar Naves do; http://lattes.cnpq.br/4092560599116579; Amaral, Waldemar Naves do; Saidah, Tarik Kassem; Sousa, Hidecazio de OliveiraMaintaining a good oral health status is important for the worker to carry out his work and social activities in a safe and productive way. The work routine of a military police officer can be strenuous, with great exposure to physical and emotional stress. Thus, it can be difficult to maintain the standard of diet and often oral health care can be neglected or ignored. Objective: To evaluate the oral health condition of the Military Policeman from the perspective of the radiographic examination. Method: This is a retrospective, descriptive, observational cross-sectional study carried out at the Military Police Hospital (HPM) in the State of Goiás, next to the Dental Service (SOPMGO), the study sample being represented by Military Police in the State of Goiás, over 18, and of both genders. The data collected through the online assessment of panoramic oral radiographs in digital format. Gender, age group, dental condition, and specific changes in non-healthy teeth were evaluated. Result: A total of 397 panoramic radiographs were evaluated, with a higher prevalence for males (n = 336) being 84.6%. Regarding dental condition, the sample consisted of 1,394 (10.9%) cases of missing teeth, 7,919 (62.4%) cases of healthy teeth and 3,388 (26.7%) cases of non-healthy teeth. Regarding the specific changes observed in non-healthy teeth, the presence of restored teeth (80.8%), endodontically treated teeth (7.8%), and endodontically treated teeth with retainer (4.9%) were the most frequent. Conclusions: There was no difference regarding gender in relation to the different dental conditions evaluated. The presence of healthy teeth and non-healthy teeth were the most frequent conditions. In addition, clinical interventions of restored teeth, endodontically treated teeth and endodontically treated teeth with retainer were more prevalent in non-healthy teeth.Item Hiperplasia congênita da suprarrenal versus puberdade precoce verdadeira: uma visão panorâmica na infância(Universidade Federal de Goiás, 2019-09-28) Hanna, Carolina Macedo Saidah; Amaral, Waldemar Naves do; http://lattes.cnpq.br/4092560599116579; Sousa, Juarez Antônio de; Amaral, Waldemar Naves do; Cunha, André Marques; Gilberto, Rui FerreiraIntroduction: Introduction: Early puberty is the onset of sexual development before age eight in girls and before age nine in boys. Congenital adrenal hyperplasia (HSCR) is a familial, autosomal recessive disease caused by a hereditary deficiency of any of the enzymes required for cortisol synthesis, with over 90% of cases due to a 21-hydroxylase deficit. . Objectives: To analyze hormonal dysfunction in childhood with development of precocious puberty. Methodology: The first article is an integrative literature review study, which sought to describe the congenital adrenal hyperplasia, fetal, neonatal, pubertal and adult repercussions. The second article is a case-control study, nested in a prospective and longitudinal cohort, at Dona Iris Hospital and Maternity (HMDI) from October 2014 to April 2019, with female children with early puberty. Results: First article: This is a familial, autosomal recessive disease caused by a hereditary deficiency of cortisol synthesis-related enzymes. Second article: 32 patients were treated between 2014 and 2019, but when applying the inclusion and exclusion criteria, 22 patients remained. The true precocious puberty profile was for girls aged 5-7 years (70%), with onset of complaints between 5 and 7 years (60%), and the first symptoms were pubic hair or breast enlargement or only one of the options with (50%), initial height between 1.17-1.38 m (60%), with target height between 1.40 to 1.55 m (60%), with 80% reaching the target height and final height between 1.56 to 1.66m (70%), follow-up time of 5-6 years (80%). The profile of patients with congenital adrenal hyperplasia was girls aged 8-10 years (58.3%), with onset of complaints between 5 and 7 years (83.3%), and the first symptoms were pubic hair or breast enlargement. or only one of the options (50%), initial height between 1.17-1.38 m in 83.3%, with target height between 1.40 to 1.55 m (66.7%), and 50% achieved target height and 50% did not reach. The final height was between 1.33 to 1.55 m (66.7%), follow-up time of 5-6 years (75%). No significant difference in Fischer test. Conclusion: The article concludes: Early diagnosis and appropriate treatment aim to prevent virilization of the external genitals, prevent dehydration due to salt loss, control hyperandrogenism without affecting the growth rate, preserve the individual's gonadal function, fertility and final height. It concludes in article 2: For true precocious puberty the profile was girls between 5-7 years with onset of complaints between 5 and 7 years and the first symptoms were increased pubic hair and breast enlargement or just one of the options. Initial height ranged from 1.17 to 1.38 m with target height from 1.40 to 1.55. With GnRh (Goserelin) analogue treatment they reached the target height and the final height was between 1.56 and 1.66 m, being followed between 5-6 years. In congenital adrenal hyperplasia the profile was girls between 8-10 years and onset of complaints between 5 and 7 years the first symptoms were pubic hair and breast enlargement or just one of the options. Initial height between 1.17-1.38 m with target height between 1.40 and 1.55 m and with treatment with dexamethasone half reached the target height and half did not reach. Final height was between 1.33 to 1.55 m and were followed between 5-6 years. Using GnRh (Goserelin) analogues for true precocious puberty and dexamethasone for congenital adrenal hyperplasia, no significant difference in final height was observed between the two groups.Item A constituição do vínculo materno com o bebê prematuro: possibilidades de intervenção precoce(Universidade Federal de Goiás, 2016-02-26) Marciano, Rafaela Paula; Amaral, Waldemar Naves do; http://lattes.cnpq.br/4092560599116579; Amaral, Waldemar Naves do; Ferreira, Rui Gilberto; Burgarelli, Cristóvão Giovani; Franco, Glaucimeire Marquez; Sousa, Juarez Antônio deIntroduction: The arrival to the work of premature baby is marked by trauma of birth risk and can bring damages on maternity, affecting the relationship between mother and child. The theoretical reference used was Psychoanalysis. Objective: To analyze the affective bond between premature babies hospitalized in a neonatal intensive care unit. Method: Qualitative and descriptive research, with 15 mothers of premature babies. Three techniques were used: participant observation, semi-structured interview, and support group. Collected data were analyzed using content analysis technique. Results: The results showed that prematurity interferes in mother-baby bond formation. Results also revealed the following difficulties in bond formation: early separation between mother and baby; limitations in the interaction between baby and mother due to organic weakness; insecurity, fear of having physical contact with bay and fear of not being able to give the necessary care to the child; the lack of reactions from the baby in response to stimuli. Conclusions: Despite the psychological trauma experienced, at first, by mothers, all of the participants were able to develop bonding and recognition with the children. With the clinical evolution of babies, mothers became able to develop the necessary care and, through this process, they felt that they were capable of performing motherhood.Item Disfunções sexuais em mulheres de casais infertéis(Universidade Federal de Goiás, 2014-01-23) Mendonça, Carolina Rodrigues de; Amaral, Waldemar Naves do; http://lattes.cnpq.br/4092560599116579; Amaral, Waldemar Naves do; Ferreira, Rui Gilberto; Forêncio, Rodopiano de Souza; Approbato, Márcio Silva; Viggiano, Marcello BragaIntroduction: Infertility, besides being a medical condition that deserves medical attention and treatment, is a disturbing development, with implications on various aspects of life of infertile couples and individuals (personal, relational, social and sexual). The impact of infertility on women's sexuality is not entirely clear. Studies that have investigated the topic reported contradictory results and methodological limitation. Objectives: • Review important aspects of female sexual function, including, in Brazil the prevalence, diagnosis and treatment. • Establish the risk of female sexual dysfunction in infertile couples. • Determine the prevalence of sexual dysfunction among infertile and fertile women and among women undergoing the techniques of low and high complexity. • Compare the dysfunctions in fertile and infertile women and in women subjected to low and high technical complexity. Methods: A literature review article, constructed from research on PubMed/Medline and SciELO databases between 1985 and 2012 was drafted. Then an original article where a study of the case-control was developed with 278 infertile participants met at the Laboratory of Huma n Reproduction, Hospital das Clínicas and fertile patients recruited at the Clinic of Gynecology in the same hospital, from March 2012 to September 2013. The case group consisted of 92 women with sexual dysfunction and a control group of 186 women without sexual dysfunction. The questionnaire Female Sexual Function Index (FSFI) Portuguese version, which assesses the domains desire, arousal, lubrication, orgasm, satisfaction and pain, was used. Data were collected through interviews after signing the WIC. Two controls per case were randomly selected. The odds ratio (OR) was calculated for chance of female sexual dysfunction in infertile couples (p ≤ 0.05). Results: In the literature, it is observed that female sexual dysfunction have a multifactorial etiology, prevalence ranged from 35.9 % to 49.0 % and is rarely studied in the Brazilian population. Infertile and fertile women have the same chance for sexual dysfunction (OR = 1.45, 95% CI 0.86 to 2.44, p = 0.20). The prevalence of sexual dysfunction in infertile women was 36.31 %, and the fertile women was 28.18 %. In women undergoing low technical complexity prevalence was 38.88 %, 34.37 % and high complexity. Desire and arousal were significantly lower in infertile women. No significant differences were observed in relation to sexual dysfunction in women subjected to the techniques of low and high complexity. Conclusions: The risk of infertile women experiencing sexual dysfunction is the same fertile women. There was no statistical difference regarding the prevalence in infertile women compared to fertile, and women undergoing fertilization of low complexity when compared to high complexity. The desire and arousal domains were the most affected in infertile women. No differences were observed in the areas in relation to the techniques of low and high complexity.Item Avaliação e acompanhamento da assistência à gestante no ciclo gravídico puerperal numa maternidade humanizada(Universidade Federal de Goiás, 2018-11-10) Oliveira, Cinthya Leal de; Amaral, Waldemar Naves do; http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4708455H9; Amaral, Waldemar Naves do; Almeida, Suzy Darlen Soares de; Sousa, Juarez AntonioIntroduction: Maternal mortality became an indicator of social development, the Millennium Development Goals were a global initiative promoted by the United Nations and signed in 2000 by the governments of more than 180 countries, with targets between the years 2000 to 2015 which aimed at social development and the eradication of poverty. , to improve care for women, it is necessary to plan and evaluate existing actions, mainly during the puerperal pregnancy period. Considering the identification of risk factors related to maternal and neonatal mortality, since this situation is an important indicator that reflects socioeconomic and reproductive conditions, and especially those related to prenatal care, delivery and newborns. Objectives: To evaluate the puerperal pregnancy cycle by measuring the impact of this care within the context of humanization. Methods: This is a cross-sectional, observational, descriptive and quantitative study developed at the Dona Iris Hospital and Maternity Hospital (HMDI), located in the city of Goiânia, which performs 100% of the visits by SUS.23.0. Results and discussion: It was observed that almost 35% of the puerperae already had a child and were in the second gestation and the type of delivery, of the last gestation was normal 63% versus 37% cesarean, most did not report that they did not have abortions 81% and that used the public service for consultation in prenatal care 99.7%. These data draw attention because it is a group that despite the type of normal delivery having a higher rate the number of cesareans were high. Regarding the type of delivery, it was observed that 37% of the puerperae had a cesarean delivery. Considering that 99.7% of the women used the public service for consultation in prenatal care, and that the majority of prenatal routine exams were performed by SUS and 64% showed that women did not wait of examinations by the system preferring the private network to advance the exams. The distribution of exams 99.7% took blood and urine and all did 100% sonography. Regarding the participation of the choice of delivery 56% reported having participated and 44% stated they did not participate in the choice by the type of delivery. When considering the number of times she needed to go to the maternity ward until she was admitted to the hospital, 37% said only once and 25% had to go to maternity hospital more than or equal to twice.The results showed that most of the puerperal women 66% reported a number of vaginal touches greater than or equal to three and the professionals who performed were 59%. Conclusion: When evaluating the pregnancy-puerperal cycle in the puerperal view, a great improvement in care and assistance in this period after the humanization policy in maternities is noticed, but it is necessary to improve working conditions for professionals, financial and human resources, providing education and Cheers. It is concluded that managers need to invest more in the improvement of the policy in the attention of women offering training to the employees that the reference and reference is effective and resolutive for the woman does not peregrine with her pregnancy and that employees respect the physiology of woman avoiding abuse.Item Prevalência e fatores associados à infecção pelo HIV em gestantes e parturientes(Universidade Federal de Goiás, 2017-10-07) Porto, Maria Laura de Almeida; Amaral, Waldemar Naves do; http://lattes.cnpq.br/4092560599116579; Amaral, Waldemar Naves do; Sousa, Juarez Antônio de; Franco, Glaucimeire Marquez; Almeida, Suzy Darlen Soares deIntroduction: The increase in HIV-positive heterosexuals and the consequent contamination of women of reproductive age leads to a higher occurrence of vertical transmission. Therefore, it is relevant to assess the risk factors associated with HIV infection. Objectives: To make an original article to evaluate the prevalence in the rapid test for HIV in pregnant women hospitalized for obstetric emergencies (births and abortions). Make an original article to evaluate the prevalence of HIV infection in low- and high-risk prenatal care and to define the factors associated with HIV infection in pregnant women and parturients in a maternity hospital in Goiânia. Methodology: Cross-sectional study, case-control. The case group consisted of 15 HIV-positive patients who agreed to participate in the study, for which the epidemiological profile was drawn. The control group consists of a sample of 60 non-HIV patients, for whom the same profile of the case group was drawn. Patients attended during the prenatal care and in the emergency of the Dona Iris Hospital and Maternity Unit in Goiânia-Goiás, between 08/01/2015 and 03/30/2017 were recruited for the interview; and prevalences were assessed. Results: The sample N consisted of 10,822 patients, 617 of low risk prenatal care, 754 of high risk and 9,451 of urgency. Of these, 25 had positive serology for HIV. The overall prevalence of HIV-positive patients was 0.23% and they had a mean age of 25 to 29 years, most of them living in a stable union, with a previous number of partners > 10, schooling until high school, evangelicals and employed in the interview period, with family income between 1 and 2 minimum wages. Conclusion: The article 1 concludes: The prevalence of HIV-positive pregnant women admitted to the obstetric emergency in which the rapid test was performed was 0.11%. We conclude in article 2: The seroprevalence of HIV infection in low prenatal care was 0.32%. Seroprevalence in high-risk prenatal care was 1.72%. The epidemiological profile was similar in both groups and among the factors associated with HIV infection, two were the significant variables when compared to the non-infected group: mean age of the patients (25 to 29 years) and number of partners previous to the current gestation (> 10), which were higher in the group of people living with HIV.Item Qualidade de vida e percepção materna sobre o método canguru aplicado ao recém-nascido prematuro de baixo peso(Universidade Federal de Goiás, 2017-12-23) Ramos, Bruna Abreu; Formiga, Cibele Kayenne Martins Roberto; http://lattes.cnpq.br/5231575956660644; Amaral, Waldemar Naves do; http://lattes.cnpq.br/4092560599116579; Amaral, Waldemar Naves do; http://lattes.cnpq.br/4092560599116579; Amaral, Waldemar Naves do; Formiga, Cibele Kayenne Martins Roberto; Sousa, Juarez Antônio deIntroduction: The main component of the kangaroo method is skin-to-skin contact, performed to the extent that the mother / child dyad can tolerate it. Reinforcing the relationship of maternal quality of life and the bond created with the newborn. Objectives: To elaborate a systematic review article on the recommendations and repercussions of the kangaroo method in the mother-child binomial and an original article about the quality of life and the factors influencing the puerperal participants.Methods: The sample consisted of 85 women, mothers of preterm low birth weight infants and participants in the kangaroo method of the Dona Íris Maternity Hospital in Goiânia (GO), with their children hospitalized in the Neonatal Intensive Care Unit (NICU) and Kangaroo Nursing (Kangaroo). Mothers were evaluated in a single moment, through socioeconomic questionnaires, on quality of life, maternal perception about breastfeeding, kangaroo method and development and analysis of medical records. Data were analyzed using Statistical Package for Social Sciences (SPSS) 23.0. Results: In article 1, the review culminated in 22 scientific articles for final analysis in the Pubmed databases of the year 2017. The included studies were divided into three categories: Repercussions of the kangaroo method in the mother, repercussions of the kangaroo method in the newborn and recommendations in the use of the method. Article 2 pointed out that the majority of newborns were born between 33-36 weeks of gestational age, weighing between 1,501- 2,500g, with high neonatal risk. Mothers mostly aged 15-25 years, single marital status, who planned pregnancy, type of cesarean delivery. Regarding quality of life, the domain that presented worse quality of life was the environment, and several factors influenced such as weight, NMI, economic profile, hospitalization sector and pregnancy planning. Conclusion: In article 1, the scientific evidence revealed that the kangaroo method has a positive influence on the life of the newborn and the mother, strengthening the affective bond, thermal stability, stimulation to breastfeeding, development and improvement of pain relief. Article 2 showed that the majority of the newborns were female, with gestational age between 33-36 weeks, with high neonatal risk, hospitalized in the NICU and with hospitalization time of up to 20 days. The overall quality of life of the mothers participating in the kangaroo method was 64.81% according to a Whoqol, and the mothers who have their infants admitted to the NICU present greater difficulty in breastfeeding and lower milk production, leading to a worse quality of life. In addition, the quality of life of mothers participating in the kangaroo method was negatively impacted by biological and environmental risk factors in all domains evaluated, with the environmental domain being the most affected.Item Gestação ectópica em fertilização in vitro – estudo analítico com embriões frescos e congelados(Universidade Federal de Goiás, 2015-09-20) Saidah, Tárik Kassem; Amaral, Waldemar Naves do; http://lattes.cnpq.br/4092560599116579; Amaral, Waldemar Naves do; Sousa, Juarez Antônio de; Viggiano, Marcello BragaAims: To make a review article on ectopic pregnancy (EP) in high complexity fertilization, to define the epidemiological and reproductive profile of women carriers of EP, to evaluate the prevalence of EP after in vitro fertilization (IVF) and to verify if the transfer of frozen embryos reduces the rates of EP. METHODS: All fresh and frozen embryos transfers obtained through IVF via ICSI conducted between January 2007 and December 2014 were reviewed. Clinical pregnancies characterized by the visualization of an intrauterine gestational sac or ectopic pregnancy were included in the evaluation. Ectopic pregnancies were diagnosed by ultrasonography and / or laparoscopy. The prevalence of EP and the comparison of the rates between fresh and frozen embryos transfers were analyzed by logistic regression using the SPPS software version 15.0. Results: Of the 933 embryos obtained through IVF that resulted in clinical pregnancies, 19 cases of EP were found. The fertilization with fresh embryos resulted in 772 clinical pregnancies (group I), and 161 with frozen embryos (group II). The global prevalence of EP was 2.02%. When considered by group, group one had 16 EP that represented a rate of 2.1% and group two had a rate of 1.9%. There was a lower rate of ectopic pregnancy with frozen embryos in comparison to fresh embryos, although this did not demonstrate statistical significance (p=0.86)(OR=0.89, IC=0.258-3.11). CONCLUSIONS: The reproductive profile of patients that exhibit EP was of young female with young partner, good ovarian response and that had more than 3 embryos transferred. The prevalence of EP in this study was 2.02. It was observed that there was no significant difference in the occurrence of EP when both groups, frozen and fresh embryos, were compared.Item Ultrassonografia de calcâneo e de falange no diagnóstico da osteoporose(Universidade Federal de Goiás, 2016-04-16) Silva, Maria Rita de Sousa; Amaral, Waldemar Naves do; http://lattes.cnpq.br/4092560599116579; Amaral, Waldemar Naves do; Sousa, Juarez Antônio de; Gilberto, RuiIntroduction: Resulting from changes in bone remodeling process osteoporosis affects a large segment of the adult population. According to Ministry of Health data in Brazil are spent on average with hip fractures due to osteoporosis, 28 million reais per year. The gold standard for diagnosis and DXA (Dual Energy X-ray Absorptiometry) but doubts remain whether the BMD (Bone Mineral Density) by means of this standard is the best way to diagnose osteoporosis and predict fracture risk. Objectives: Make an osteoporosis on review article entitled "Physiology of Osteoporosis. Establish the sensibility of ultrasound in screening for osteoporosis from Ultrasonometry the calcaneus (USQC) in relation to the gold standard DXA. Establish the sensitivity of ultrasonography in screening for osteoporosis based on bone quality by Ultrasonometry Phalange (USQF) in relation to the gold standard DXA. Establish the sensitivity of ultrasonography in screening for osteoporosis based on bone quantity of USQF in relation to the gold standard DXA. Methods: A survey was conducted in PUBMED, MEDLINE, BVS / LILACS with the key words: osteoporosis, epidemiology and pathophysiology. We selected 80 articles and after reading these, we selected 25 articles published in the last 10 years. For diagnostic tests used a descriptive study consists of sample of 125 women between 30 and 90 years who underwent screening BMD through USQC, in the period between 13 and 23 May 2013 and after accepting participate and sign the Informed Consent and were referred to the realization of USQF and the gold standard DXA spine and femur Results: At USQC in relation to the column of DXA: S=16%, E=97%, VPP=57%, VPN=82% and accuracy of 80% in relation to the femur DXA: S=42,8%, E=97%, VPP=43%, VPN=96% and accuracy of 93%. In bone quality UBPI (Ultrassoud and Bone Profile Index) versus column DXA: S=68%, E=82%, VPP=48%, VPN=91% and accuracy of 79% and the femur DXA: S=77%, E=75%, VPP=17%, VPN=99% and accuracy of 76%. Bone quantity USQF relative to Column DXA: S=77% E=83%, VPP=54%, VPN=93 and accuracy of 81% and in relation to the femur DXA: S=100%, E=75%, VPP=19%, VPN=100% and accuracy 76%. Bone quantity USQC relative to USQF: S=14%, E=95.5%, VPP=50%, VPN=74% and accuracy of 72%. Discussion: Diagnostic tests are used to assess the commitment of the skeleton and check the presence of bone deterioration. The quantitative diagnostic test of calcaneal ultrasound compared to the column DXA and femur showed little sensitive to identify bone deterioration considering that the sample included women outside the risk group and this test is effective when carried out in over 60 patient years. The quality parameter UBPI and bone quantity USQF demonstrated to be sensitive and specific, especially in relation to the femur DXA with sensibility equal to the gold standard. Conclusion: The ultrasound of calcaneus had no relevance in screening or diagnosis of osteoporosis as compared to the gold standard DXA spine and femur in this study. The phalanx of Ultrasonography considering bone quality was an important factor in the screening or diagnosis of osteoporosis, especially when compared to the femur DXA. The phalanx ultrasound quantification of bone mass had relevance to the evaluation or diagnosis of osteoporosis column and especially in the femoral osteoporosis.