Mestrado em Ciências da Saúde (FM)
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Navegando Mestrado em Ciências da Saúde (FM) por Por Orientador "Avelino, Mariza Martins"
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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 Avaliação da qualidade de vida do estudante surdo do Centro de Capacitação dos Profissionais da Educação e Atendimento às Pessoas com Surdez (CAS) de Goiânia(Universidade Federal de Goiás, 2017-11-16) Galvão, Marcus Vinicius Alves; Duarte, Soraya Bianca Reis; http://lattes.cnpq.br/1550136300492478; Avelino, Mariza Martins; http://lattes.cnpq.br/7890944202988947; Avelino, Mariza Martins; Nunes, Rodolfo Campos; Zanini, Claudia Regina de Oliveira; Duarte, Soraya Bianca dos ReisIntroduction: Deaf people and deafness have been the focus of study for different areas of knowledge such as education, law and health. These were organized to try to explain the different dimensions of the subject and contributed in different ways to the visibility of the subject. Objective: To evaluate the quality of life of the deaf schoolchild. Methods: A cross-sectional study was carried out on 29 deaf students between 13 and 26 years of age attending the Specialized Educational Assistance at the Center for the Training of Professionals of Education and Assistance to Persons with Deafness in the first semester of 2016, using the WHOQOL-Bref e Dis in Pounds. The data collected were analyzed using the Statistical Package for the Social Sciences (SPSS), version 23 for Windows. For the description of the QoL, we used averages, medians and standard deviations in Raw scale. In addition, the T-Student test and the Kolmogorov-Smirnov test were used to compare the variables. Results: 57% reported incomplete secondary education. 82% live in Goiânia; in comparison with satisfaction with their own health, 86.2% were satisfied with their own health; the sociodemographic data and quality of life (QoL) in the WHOQOL-Bref in Pounds, the age group in the physical and social domains and the schooling in the environmental domain were significant. As for the WHOQOL-Dis domains in Libras, the statistical correlation was shown to be statistically significant in the social and environmental domains. Conclusion: In the common sense when evaluating subjects with some deficiency, we expect negative results. But contrary to this opinion, the deaf students of this research showed a good quality of life and good perception.Item A violência doméstica e suas consequências para a saúde da mulher(Universidade Federal de Goiás, 2017-12-18) Magalhaes, Sônia Maria Teixeira; Avelino, Mariza Martins; Lattes.cnpq.br/7890944202988947; Avelino, Mariza Martins; Moraes, Priscilla Machado; Almeida, Suzy Darlen Soares de; Marques, Solomar MartinsContext: The study addresses the issue of violence against women. It focuses on health problems related to violence. It demystifies that violence is not a problem exclusive to private space. On the contrary, it is a public issue and requires society and public authorities to act to curb and eliminate violence against women in the Brazilian scenario. To discuss violence against women in Brazil is to discuss culture and the role that the Brazilian woman has occupied since the colony and which occupies in contemporary times. Objective: To analyze the symptoms and health problems of women with a history of domestic violence. Place: women in temporary shelter at the Center for the Appreciation of Women in Goiânia (CEVAM). Methodology: This is an experimental study of a qualitative and interpretative nature. We used a bibliographical and field research, with interview application in two groups: Control, formed by 12 women who did not suffer domestic violence and who were waiting for consultation at the Gynecology Outpatient Clinic at Hospital das Clinicas; and Experimental, formed by 12 women victims of domestic violence who were provisionally sheltered in CEVAM. Results: The issue of violence against women is an issue that has been in constant debate. The subject researched demanded attention and priority in the agenda of discussion of different public policies. This was because the bibliographic study revealed that the subject is transversal, multidisciplinary and intersectoral. Therefore, we understand that health is not absence of disease, which we verified in the cases of women who participated through their reports with this study. Absence of disease in the reported cases would have been to live without violence. The data show that most women who sought health care were not oriented or approached in relation to the subject. The way practitioners approach violence against women can in some way strengthen the invisibility of the situation and violate rights. Conclusion: The woman should receive a qualified and ethical care from the professionals and when they do not receive they are victimized again. Despite advances in relation to the attention paid to women victims of domestic violence, the prevention of violence to reduce its sequelae has not been satisfactorily achieved. This may have as one of the causes the precarious and inadequate way of approaching health and / or social professionals. Such precariousness may be related to the lack of financial investment to implement and implement essential actions in health policy for women and strengthen the network of attention, protection and coping. The study is relevant because it presents data that allow a greater understanding of domestic violence in our context, since it supports the analysis and visibility of rape and discrimination "of the female". In addition, it is a vehicle for denunciations and points out the role of women with testimonies that reveal yet another face of violence.Item Prevalência de sintomas depressivos na gestação e fatores associados(Universidade Federal de Goiás, 2016-03-09) Moraes, Eleomar Vilela de; Avelino, Mariza Martins; http://lattes.cnpq.br/7890944202988947; Avelino, Mariza Martins; Amaral, Waldemar Naves do; David, Flávia LúciaIntroduction: Psychic suffering is a characteristic of depressive symptoms carrier. When it occurs in pregnancy, it is a predictor of post-partum depression, abortion, and pre-eclampsia, and an increase of premature and surgical deliveries. Thus, the article aimed to analyze depressive symptoms and factors associated in pregnant women during prenatal care. Methods: Cross-sectional descriptive study, whose sample consisted of 375 pregnant women assisted during prenatal care in two important Public Hospitals in Goiânia, GO, Brazil, between September 2014 and May 2015. Social, economic, demographic, psychological, obstetric and behavioral data were collected. To assess the depressive symptoms among the pregnant women, the Hospital Anxiety and Depression Scale (HAD), which is internationally recognized and validated in Brazil, was used. Data were analyzed with the assistance of EPI-INFO® software, version 7.1.5. The calculation of Cronbach’s alpha coefficient was done with the Statistical Package software for Social Sciences (SPSS) version 21.0. For the correlation analyzes of variables, the Fisher’s Exact test, Mantel-Haenszel, Chi-Square and Prevalence Ratio were used, considering statistically significant the p-value associated lower or equal to 0.05 (p≤0.05) with a 95% Confidence Interval (95% CI). Ethics Committee in Research from Hospital das Clínicas of UFG (process nº 786.358 approved the research). Results: Depressive symptoms has reached 40.80% of the interviewed women, while 25.33% of them had moderate symptoms. The sample consisted mostly of young pregnant women, where 41.87% of them had completed only high school; 56.00% earned up to two minimum wages and the prevalence of alcohol ingestion by their partners was 45.11%. After multivariate analyses it was evident that, “suffered emotional/psychological violence” (OR=6.224), “single/separated” (OR=3.020), “prior mental problem” (OR=3.042), “obstetric complications during current pregnancy” (OR=2.347) and “alcoholism by pregnant in the first three months” (OR=2.230), showed association with symptoms of depression. In addition, “perform physical activity during pregnancy” (OR=0.266) and having “alcohol-abstinent partner” (OR=0.403) had a protective relationship to the emergence of depressive symptoms. Conclusions: The prevalence of probable depressive symptoms among the participants is 15.47%. The importance of ascertaining the screening of gestational depression if the woman is single, if there is emotional violence, obstetric problems during pregnancy and the consumption of alcohol by the woman or by her partner.Item Análise neurofuncional e antropométricade recém-nascidos de mães cronicamente infectadas pelo Toxoplasma gondii(Universidade Federal de Goiás, 2016-12-09) Riesco, Thaís Bandeira; Avelino, Mariza Martins; http://lattes.cnpq.br/7890944202988947; Avelino, Mariza Martins; Castro, Ana Maria de; Amaral, Waldemar Naves doIntroduction: Toxoplasma gondii is the etiological agent of a parasitic parasitic disease of universal distribution, with infected individuals in all countries. The main forms of contagion are through the ingestion of different parasite evolutionary forms present in raw meats or undercooked, unfiltered water, unpasteurized milk, contaminated soil handling and contact with infected cats. Clinical disease is less frequent and the most severe forms can be found when congenital transmission occurs and in immunocompromised patients. When the fetus touches this infectious agent and survive, it can present several problems such as: restriction in the intrauterine growth, premature birth, microcephaly, hydrocephalus, brain calcifications, pneumonitis, hepatosplenomegaly, skin rash, intellectual disability, among others. The consequences to the fetus are higher in the first trimester of pregnancy and the transmissibility in the third trimester is the highest. The degree of commitment of the newborn will depend on the gestational period in the moment of the first transmission of the illness and the pregnant woman. Objective: The objectives of this study were to evaluate perceptible alterations in the neuropsychomotor examination and in anthropometric measures of newborns (RNs) of chronically infected mothers by Toxoplasma gondii. Methods: The study was performed in a population of 79 children of puerperal mothers, 41 of them were children of mother with infection of toxoplasmosis and 38 were children of not infected mother by the protozoan. It was made out a sociodemographic interview with these mothers through a questionnaire and an examination of primitive reflexes in their respective children. The study was conducted in one maternity of standard for risk pregnancy, in the city of Goiânia, Goiás, in the period from June 2015 to June 2016. The analysis were performed with the aid of the statistical package SPSS®, version 23. The serologic testing for confirmation of toxoplasmosis infection and absence of anti-T gondii in the mothers serum was made by Immunoassay of Microparticles by Chemiluminescense (CMIA). Results: Neuropsychomotor examination the absence of reflection escape the suffocation was found in two children of chronically infected mothers. In the comparison of the thoracic perimeter and the cephalic perimeter 31/79 children were classified as inadequate and two children of mothers chronically infected were too small for their gestational age. Conclusion: In relation to the neuropsychomotor examination and anthropometric measurements, in the group of newborn of puerperal mothers chronically infected by Toxoplasma gondii could not detect any perceptible alterations when in comparison to the control group of susceptible mothers.