Programa de Pós-graduação em Saúde Coletiva
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Navegando Programa de Pós-graduação em Saúde Coletiva por Por Orientador "Barros, Patrícia de Sá"
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Item Gravidez na adolescência: perfil epidemiológico, fatores predisponentes e repercussões perinatais em uma maternidade pública de Goiânia – GO(Universidade Federal de Goiás, 2015-02-09) Barbosa, Jony Rodrigues; Barros, Patrícia de Sá; http://lattes.cnpq.br/4072686126990699; Barros, Patricia de Sá; Moraes, Alexandre Vieira Santos; Souza, Márcia Maria de; Assis, Thaís Rocha; Oliveira, Ellen Synthia Fernandes deThe teenage pregnancy brings biological implications, family, psychological and economic, limiting or delaying social development opportunities for those young people. It also associates the probability of maternal and fetal complications, being seen as a public health problem. The aim of the study was to analyze the epidemiology, associated factors and perinatal outcomes of pregnant adolescents. It is a transversal and descriptive study consisted of a sample of 170 adolescents hospitalized for childbirth or conducting clinical abortion, during the period from August / 2013 to May / 2014 in a municipal public hospital in Goiânia, Goiás . The adolescents were interviewed during hospitalization for collecting data on the sociodemographic profile; gynecological and sexual history; knowledge about contraceptives; family and obstetric history; data from the current pregnancy and the newborn. The average age was 17.3 years, brown, live in own home with partners 3- 4 people in residence, household income 01-03 minimum wages, with a higher percentage of income among adolescents> 16 years. 30% (> 16 years) have formal or informal employment compared to 4% ( 16 years). 45.3% of teens have not completed high school. 91 (53.5%) were studying when they became pregnant and 59 (64.8%) dropped out of school during pregnancy. The menarche occurred between 11 and 13 years and the first sexual intercourse between 14-15 years (general group and> 16 years), respectively. The group 16 years, first sexual intercourse was 13-14 years (p = 0.009). The main reason for the first sexual act was the feeling by the partner. The amount of partners showed scattered data, ranging from 1 to 5. 99.4% know a contraceptive and 75.9% reported having first-degree relatives who have had children before age 20. The teenagers received support from family (85.9%), baby's father (82.4%) and paternal family (75.3%) from the beginning of pregnancy. 75.9% are still loving relationship with the baby's father. 69.4% of pregnancies were unexpected and 30.6% planned. 72.4% adolescents reported being the first pregnancy and reported having done prenatal consultations with 06. 53.6% reported having any complications during the pregnancy period. 61.8% of births were normal, 33.5% and 4.7% cesarean spontaneous abortions. Prevailed pregnancies up to 37 weeks, weighing the appropriate newborn with APGAR rates between 8 and 10. The site of the first feeding was in rooming in 81.9% of cases and about 60% of teens plan to breastfeed 1 year. It is suggested public prevention, through guidance in health and educational unit, to educate teenagers about the implications of pregnancy in their lives.Item Reabilitação profissional: retorno ao mercado de trabalho e conclusão do programa(Universidade Federal de Goiás, 2015-10-31) Mata, Ricardo Rocha da; Barros, Patrícia de Sá; http://lattes.cnpq.br/4072686126990699; Barros, Patrícia de Sá; Arão, Isabelle Rocha; Teixeira, RicardoThe Vocational Rehabilitation Service (VRS) is an important public social policy as well as a repairman service of the social security fund. This study aims to analyze the outcome of the Professional Rehabilitation Program (PRP) of the National Institute of Social Security (NISS) of off policyholders from July 2013 to December 2014 for vocational rehabilitation staff of the Executive Management of Sinop, Mato Grosso, Brazil. The NISS PRP outcome of policyholders showed off 45 records from July 2013 to December 2014, mostly men, with little schooling, coming from Sinop-MT, with low family income. In the diagnosis of categorized clearance by chapters of the International Classification of Diseases (ICD-10) there was a predominance of "Injury, poisoning and certain other consequences of external causes". The "Loss or functional restriction of the upper limbs" was the most common limitation. The occupation of the insured before the disability was adverse, predominating "feeders production lines." The most common reason of PRP shutdown was "return to different function." The occupation of the insured, after completion of PRP, showed that the majority did not return to the previously exercised activity. After surveying the service database of the GEX-Sinop, it is concluded that low education and family income are limiting factors to the return to work process. Injuries and external causes of consequences as well as limitations of the upper limbs are frequent removal of conditions that lead policyholders to be allocated in adverse jobs prior clearance function.Item Estado nutricional, comportamentos de saúde, hábitos alimentares e conhecimentos nutricionais de escolares de ensino médio residentes em uma instituição pública de ensino(Universidade Federal de Goiás, 2016-11-24) Noll, Priscilla Rayanne e Silva; Silveira, Nusa de Almeida; http://lattes.cnpq.br/9225080927999489; Barros, Patrícia de Sá; http://lattes.cnpq.br/4072686126990699; Barros, Patrícia de Sá; Silva, Mara Reis; Oliveira, Ellen Synthia Fernandes de; Souza, Márcia Maria de; Teixeira, Ricardo Antônio GonçalvesThis study aimed to evaluate the nutritional status, behavioral indicators, biochemical factors, eating pattern, and nutritional knowledge of students from the Instituto Federal Goiano - Campus Ceres. This cross-sectional study was conducted in 2015 with 122 students aged 14-19 years of a Federal Public Education Institution in the Midwest of Brazil. Demographic, socioeconomic, anthropometric, hemodynamic, biochemical, nutritional and behavioral data were collected. Regarding to the time in residence at the institution, the students were grouped as freshmen in 2015 (Group 1, <8 months in the institution) and those who were freshmen in 2014 (Group 2, >20 months in the institution). Students presented behaviors risk, such as: cigarette smoking (13.1%), high alcohol consumption (45.9%), multiple sexual partners (77.1%), and early the age at first intercourse sexual (89.1%). These behaviors are intensified by fragile socioeconomic conditions (37.7% with family income up to 1 minimum wage and 51.6% from 1 to 3 minimum wages). However, they were physically active (70.5%). Spent longer time at the institution was associated with older age (p≤0.001), less doses of alcohol consumption (p=0.007), adequate BMI (p=0.027), and higher nutritional knowledge (p=0.017). Overweight prevalence (20.5%) was inversely associated with family income higher than 3 times the minimum wage (RP=0.84, CI 0.74-0.95) and breakfast consumption (RP=0.82, CI 0.72-0.92). Moreover, alterations in the arterial pressure (40.2%) were found, as well in lipid profile, such higher prevalence of inadequate HDL-c (96.7%) and LDL-c (31.7%). In conclusion, students present socioeconomic vulnerability, high prevalence of overweight and health risk behaviors, such as smoking, high alcohol consumption, and sexual behaviors. These results may be related to family distance. Such health-related behaviors in addition to changes in the biochemical and hemodynamic profile are risk factors for the development of non-communicable chronic diseases.