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Item Autopercepção da saúde e da qualidade de vida, desempenho funcional e prática de atividade física entre idosos residentes em município rural no interior do Brasil(Universidade Federal de Goiás, 2021-07-16) Barbosa, Renata da Costa; Sousa, Ana Luiza Lima; http://lattes.cnpq.br/6578713509935374; Sousa, Ana Luiza Lima; Souza, Weimar Kunz Sebba Barroso de; Batista, Sandro Rogério Rodrigues; Zanini, Claudia Regina de Oliveira; Leite, Márcia Andréa GonçalvesAging can lead to greater dependence on the individual, compromising functional performance, self-perception of health and quality of life. A physically active lifestyle can provide the maintenance of functionality and improve the quality of life and health of the elderly. Behavior and lifestyle habits may be influenced by the location where the elderly person lives. Understanding how elderly people living in rural municipalities perceive their health and quality of life can provide subsidies to better help these populations. Objective: To analyze the associations between self-perceived health and quality of life with functional performance and the practice of physical activity among elderly people living in rural municipality in Brazil. Method: Analytical cross-sectional population-based study. Individuals aged 60 years or more, noninstitutionalized, living in a rural municipality in the interior of Goiás were included. Sociodemographic, anthropometric and lifestyle variables were evaluated. In addition, functional performance was assessed using the Timed Up and Go (TUG) test and physical activity practice using the International Physical Activity Questionnaire (IPAQ). As outcome variables, self-perceived health and quality of life were assessed using the Bref and Old World Health Organization Quality of Life Instruments questionnaires (WHOQOL BREF and WHOQOL OLD). Data were obtained during a home visit, by an interview. To assess the association of the variables of interest, Pearson's chi-square test, Fisher's exact test and the Wilcoxon sign were used. Results: The study included 142 elderly people with a mean age of 72.4 (±8.0) years. More than half were classified as sufficiently active (66.9%), among these, 55.8% performed leisure activities, the vast majority were independent in activities of daily living (87.3%), with regular/good quality of life (average overall score: 3.6±0.3) and, respectively, 57.7% and 64.1% had self-perceived health and quality of life. Elderly people with poor or very poor self-perceived health had regular self-perceived quality of life (63.6%), individuals aged 80 years and over had lower self-perception of quality of life compared to others. There was an association of self-rated health with the practice of physical activity and functional performance. However, no associations were found with the type of physical activity. It was found that 50.0% of the elderly who were insufficiently xvii Abstract 18 active and independent perceived their health positively. Of the insufficiently active and dependent elderly, 35.7% had poor/very bad and good/very good self-perceived health. Conclusions: Elderly people living in a rural municipality showed good or very good perception of health and quality of life, independent in their activities of daily living and sufficiently active. Self-perceived health was associated with quality of life, functional performance and physical activity practice, not being associated with the other study variables.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 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 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 Impactos da graduação na qualidade de vida de universitários de educação física: um estudo de coorte(Universidade Federal de Goiás, 2021-06-10) Costa, Andressa Moura; Chaveiro, Neuma; http://lattes.cnpq.br/1345257253831999; Chaveiro, Neuma; Guimarães, Valeriana de Castro; Martin, Dolores RodríguesIntroduction: Introduction: Quality of Life is the individual's perception of themselves, their cultural context and value system in which they live and in relation to their goals, expectations, standards and concerns. However, a large number of university students do not evaluate what can be considered a good quality of life during graduation. The objective of the study was to analyze the impact of graduation on the Quality of Life of university students from a Physical Education course and their sociodemographic associations. Method: Observational, cross-sectional analytical study with a quantitative approach, with university students from a Physical Education course in Goiás, Brazil. Data collection took place in the years 2015 and 2019, respective 1st and 8th periods. For data collection, a sociodemographic form and the WHOQOL-bref instrument were used. Results 26 physical education students participated in the study, with an average age of 18.6 ± 6.95 years, of which 61.53% were female (n = 16). The Environment domain obtained the lowest scores in 2015 and 2019 (2015 = 56.25 ± 10.23; 2019 = 56.61 ± 21.62). At the beginning of the course, the male gender showed significant differences for the Physical domain (78.21 ± 8.81 / p = 0.03) and General QOL index (77.45 ± 17.76 / p = 0.01) in relation to the male sex. In the comparison between the initial and final stages, there was a decline in the Physical domain score (2015 = 72.25 ± 11.48; 2019 = 67.85 ± 17.17) (p <0.02). Conclusion: The analysis of the Quality of Life of the university students brought worrying answers in the Environment domain of the WHOQOL-bref, both in 2015 and in 2019. Regarding training, there was no difference in 2019 between genders, however, male entrants, in 2015, presented better scores in the Physical domain and in the General QOL than females. In the evaluation between the beginning and the end of graduation, a worsening in the Physical domain was identified when the two stages of the research were compared.Item Transmissão sexual do Trypanosoma cruzi em humanos: uma revisão de escopo associada a um estudo observacional(Universidade Federal de Goiás, 2024-08-26) Costa, Marillia Lima; Lacerda, Elisângela de Paula Silveira; Zapata, Marco Tulio Antonio Garcia; http://lattes.cnpq.br/3672512339058369; Zapata, Marco Tulio Antonio Garcia; Teixeira, Antônio Raimundo Lima Cruz; Silva, Hugo Delleon da; Anunciação, Carlos Eduardo; Cardoso, Clever GomesIntroduction: The possibility of sexual transmission of Trypanosoma cruzi was suggested by Carlos Chagas after the discovery of the disease. However, the infectivity of semen samples and sexual transmission of the parasite on animal models occurred recently with few studies evaluating this transmission mechanism in humans. Objectives: to investigate the possibility of sexual transmission of trypanosomatids and T. cruzi, both in experimental animals and human. Methods: a scopimg review associated with an observational study was conducted. The search for studies was performed in the databases PubMed, Lilacs, Global Health and Portal CAPES with the following terms: “Trypanosomids”, “Trypanosoma”, “Leishmania”, “Sexual Transmission”, “Sêmen”, “Vaginal Secretion”, “Male”, “Female”, in English, Spanish and Portuguese. An observational study was also conducted to investigate the sexual transmission of T. cruzi in a population of 171 individuals distributed across 10 families residing in the municipality of São Felipe, Bahia. Blood and semen samples obtained were analyzed by serological and molecular methods, combined with socio-epidemiological information obtained from a questionnaire, in order to confirm or exclude the sexual transmission of T. cruzi. Results: According to the eligibility criteria 27 articles were found. Literature reports showed the presence of protozoa of Leishmania and Trypanosoma genus in reproductive organs and sexual fluids, as well as the sexual transmission of these parasites to sexual partners and offspring. In the observational study, the presence of T. cruzi in blood samples was found in 24,56% through molecular testing. Epidemiological analysis indicated that the infected group consisted predominantly of women, aged 20 to 50 years, married, self-identified as black, rural workers, born in the rural areas of the municipality, with low socioeconomic status and educational level. Analysis of semen samples revealed the protozoan in only one semen samples, with the presence confirmed by sequencing technique. The association of molecular findings from blood and semen analyses and information extracted from the applied questionnaire identified at least three cases of women who acquired the infection through sexual transmission. Conclusion: based on the information obtained from the review, as well as the presence of T. cruzi in semen samples, it was possible to conclude that trypanosomatids, especially T. cruzi, can be sexually transmitted, with semen being an infective fluidItem Avaliação da instalação de implantes dentários em mandíbula por meio de navegação dinâmica utilizando um novo software de tomografia computadorizada de feixe cônico(Universidade Federal de Goiás, 2024-07-16) Garrote, Marcel da Silva; Estrela, Carlos; http://lattes.cnpq.br/3611967334176683; Alencar, Ana Helena Gonçalves de; http://lattes.cnpq.br/2039898015468283; Alencar, Ana Helena Gonçalves de; Estrela, Cynthia Rodrigues de Araújo; Serpa, Giulliano Caixeta; Silva, Julio Almeida; Decurcio, Daniel de AlmeidaIntroduction: Contemporary dentistry has been gradually adjusting to the changing needs and technological e-Volution of this field of health, and the use of modern techniques, with more advanced appliances, is essential in treatments with dental implants in the mandible, as in the case of the use of new cone beam computed tomography software, capable of dynamically navigating. contributing to the greater success of this type of procedure. Objectives: Evaluate Jaw Dental Implant Placement Through Dynamic Navigation Using Novel Cone Beam CT Scan Software. Methods: The initial sample consisted of 2,872 cone beam computed tomography scans of patients of both sexes aged between 18 and 80 years. The criteria used to evaluate the installation of dental implants were: location of the implants in the mandible; implant length; anatomical relationship with the mandibular canal; presence or absence of damage to the teeth adjacent to the implant; presence or absence of implant fracture; presence or absence of bone support for the implant. Categorical variables were described as frequencies and percentages and evaluated using the chi-square test. The level of significance was set at p <0.05. Statistical analysis was performed using the Statistical Package for the Social Sciences, version 20. Results: From the initial sample of 2,872 CBCT exams, 214 images of patients of both sexes and with a mean age of 44.5 years were included in the present study. The most frequent positioning of implants was in the posterior region of the mandible (93.5%), with 54.0% having a length between 9 and 14mm. It was found that 92.0% were located above the mandibular canal, and there were no records of implants inside the mandibular canal. There was no statistically significant relationship between implant length and mandibular canal invasion (p=0.357). Three cases of damage to adjacent teeth were observed, with no correlation with implant positioning (p=0.999). No correlation was observed between age group and damage to adjacent teeth (p=0.999). In 100.0% of cases of anterior implants there was the presence of bone support, and in 91.6% of posterior implants, no statistically significant difference was observed between them (p=0.614). There was no statistically significant difference between age groups regarding the presence of bone support (p=0.254). Although fractures were observed (1.7%) in implants with lengths between 9mm and 14mm, there was no statistically significant relationship between implant length and fracture (p=0.702). Conclusion: Dynamic navigation using e-VolDX allowed us to conclude that the installation of implants in the mandible occurred more frequently in the posterior region, in the presence of bone support and with a low percentage of damage to adjacent teeth, anatomical structures and fracturesItem Detecção do papilomavírus humano e análise de P16ink4a em carcinomas colorretais(Universidade Federal de Goiás, 2021-03-26) Libera, Larisse Silva Dalla; Saddi, Vera Aparecida; http://lattes.cnpq.br/7496804650895441; Saddi, Vera Aparecida; Silva, Antônio Márcio Teodoro Cordeiro; Carneiro, Megmar Aparecida dos Santos; Guillo, Lidia Andreu; Mrué, FátimaIntroduction: Colorectal cancer (CRC) is one of the most prevalent cancers, being the second leading cause of cancer death worldwide. Despite the well established role of human papillomavirus (HPV) in anal cancer, its involvement in colon and rectum tumors is still a controversial issue. Objective: To investigate the presence of HPV and the expression of p16INK4a in colorectal carcinomas and in non-tumor controls, and to describe the prevalence of HPV in colon, rectum and anal cancers through a literature review. Methodology: This is a retrospective observational study that used clinical and pathological data and paraffin embedded specimens from patients with and without colorectal carcinoma. HPV detection was accomplished by PCR, genotyping by reverse hybridization, and the expression of the cellular protein p16INK4a was investigated by immunohistochemistry. A systematic review was also carried out on the databases, PUBMED, LILACS and SCIELO, according to PRISMA recommendations. Results: HPV was detected in 13% of the cases and the most prevalent genotype was HPV 16. The virus was not detected in both control groups. A high expression of p16INK4A was observed in 30% of the cases, but it was not associated with the presence of HPV. The overall survival was 53.3% and it was influenced by the prognostic factors such as advanced staging, lymph node and distant metastasis. Regarding the literature review, data were collected from 42 studies (5,834 samples). HPV was detected in 88.9% of anal cancer cases, and in 10.9% of colorectal cancer cases. Genotypes 16 and 18 were the most prevalent in both tumors. HPV was associated with anal squamous cell carcinoma (p <0.0001) and more prevalent in women with anal cancer (p <0.0001). Conclusion: Our results demonstrate that HPV is unlikely to be involved in colorectal carcinogenesis, and that p16INK4a expression is not a relevant biomarker of transcriptionally active HPV infection in CCR. The literature review data reassures the HPV causal relationship in anal cancer, but not in colorectal cancer.Item Fatores de risco relacionados ao estresse materno e indicadores neurocomportamentais de recém-nascidos pré-termo em unidade de terapia intensiva neonatal(Universidade Federal de Goiás, 2023-04-01) Ramos, Bruna Abreu; Formiga, Cibelle Kayenne Martins Roberto; http://lattes.cnpq.br/5231575956660644; Amaral, Waldemar Naves do; http://lattes.cnpq.br/4092560599116579; Amaral, Waldemar Naves do; Oliveira, Nayara Rodrigues Gomes de; Sousa, Juarez Antonio de; Ferreira, Rui Gilberto; Vieira, Martina Estevam BromIntroduction: Prematurity is the main cause of hospitalization in the Neonatal Intensive Care Unit, being considered an important factor for adverse infant outcomes, in terms of quality of life. Objectives: To analyze maternal stress and its correlation with neonatal neurobehavioral indicators and to identify the main risk factors (maternal and neonatal) associated with preterm newborns in neonatal intensive care units. Methods: The total study sample consisted of 251 preterm, low birth weight newborns and their respective mothers, who were admitted to the Neonatal Intensive Care Unit and the Neonatal Intermediate Care Unit of a Public Maternity Hospital in the city of Goiania ( GO). An analysis of medical records was performed, the parental stress assessment scale (PSS: NICU) was applied, and finally, the neurobehavioral assessment instrument for preterm newborns (NAPI) was used. For the statistical analysis of the total sample, the Spearman correlation test was performed (p < 0.05) and for the logistic regression analysis, the sample n of 165 participants was used based on the exclusion criteria, in order to test the possible factors of risk for maternal stress. In all analyses, p < 0.05 was considered. Results: Considering the outcome on maternal stress, the level of stress was assessed as moderate among mothers. The subscale that presented the highest level of stress was "Change in the Role of Mother" and the one with the lowest level of stress was "Sounds and Images", with total scores ranging from "little stressful" to "very stressful". . The higher the stress level on the item “the other sick babies in the room” the lower the leg resistance performance (p <0.049). It was also observed that neonatal and maternal risk factors did not present an outcome with maternal stress. The respiratory rate variable of 49.8 bpm and the scarf signal of 60.11 at the time of the neonatal neurobehavioral assessment, was shown to be a protective factor for maternal stress (p <0.05) and adjusted OR <1. Conclusion: The mothers considered the experience of having a newborn hospitalized in the Neonatal Intensive Care Unit moderately stressful. Weak correlations were identified between maternal stress and neonatal neurobehavioral indicators. No relationship was found between neonatal and maternal risk factors for maternal stress, but muscle tone (scarf sign) and respiratory rate at the time of assessment behaved as protective factors for maternal stress.Item Pseudodemência depressiva: fenomenologia psicopatológica e disfunções cognitivas(Universidade Federal de Goiás, 2019-11-22) Reimer, Cláudio Henrique Ribeiro; Caixeta, Leonardo Ferreira; http://lattes.cnpq.br/9536747113677509; Caixeta, Leonardo Ferreira; Azevedo, Paulo Verlaine Borges e; Vieira, Renata Teles; Nascimento, Eberson da Silva Rodrigues; Taveira, Daniela LondeDepressed patients often present cognitive impairment, including the possibility of developing dementia - called Depressive Pseudodementia. Despite the seriousness of the disease, publications with case presentation and psychopathological discussion are scarce. Objectives: To describe demographic, clinical and cognitive aspects in a group of patients with depressive Pseudodementia, besides reporting possible associations between Pseudodementia and the observed clinical findings. To perform a review on the topic and discuss the relevance and validity of the diagnosis. Methods: This is a descriptive study composed of patients with Pseudodementia Depressiva treated in Goiás in the 2007-2017 period, presenting a discussion about the results and comparison with other studies through literature review. Multidimensional anamnesis was used for the collection of clinical history and pathological antecedents. The diagnosis of Depressive Pseudodementia was performed by Yousef pseudodementia scale (YPS); other psychiatric diagnoses were defined by the DSM-5 and the severity of depression by the Hamilton scale. The cognitive assessment was performed by the Mini-Mental State Examination, functional questionnaire of Pfeffer and Clinical Dementia Rating (CDR). Results: The sample consisted mainly of women (96.67%) with a history of cardiovascular disease (43.33%) and neurological signs (53.33%). Depression with melancholic features occurred in 56,66% of the cases and the diagnosis of Bipolar Mood Disorder occurred in 100% of the sample. The main cognitive dysfunctions found were inattention (100%) and short-term hypomnesia (93.33%) corroborating the findings of the literature related to cognitive impairment and depression. Conclusions: The demographic and clinical aspects associated with Depressive Pseudo-dementia were female, antecedent of cardiovascular disease and presence of neurological signs; the basic psychiatric diagnosis was Bipolar Mood Disorder and the dominant depressive phenotype was depression with melancholic characteristics; and the central cognitive impairment was attention and short-term memory.Item Qualidade de vida dos demandantes de medicamentos oncológicos nas vias administrativa e judicial em Goiás(Universidade Federal de Goiás, 2022-10-16) Salha , Leila Abou; Barbosa, Maria Alves; http://lattes.cnpq.br/5025797873585225; Barbosa, Maria Alves; Brasil, Virgínia Visconde; Mendonça, Reginaldo Teixeira; Ferreira, Pedro Lopes; Féres, Valéria Christina de RezendeBackground: The significant increase in access to oncological medicines through court cases suggests that constitutional guarantees of integral and universal care in the Brazilian public health system are uncertain. Methods: A retrospective observational study was conducted to analyze data from lawsuits requesting oncological medicines from 2014 to 2020 in the State of Goiás, Brazil, in state and federal courts. Sociodemographic, medical, and legal variables were statistically examined using descriptive, association, and correlation methods. Results: Women brought more than half (54%) of the 301 processes analyzed. The most frequent age group was over 55 years, with income below 3x the minimum wage (total about USD$600/month), and their cases were promoted through the public minister and public defender’s offices. The most requested medications, not on official public health system lists, were indicated for multiple myeloma and brain cancer. Conclusions: Improved quality of life, frequently used as a justification, could be conceptually confused with an increase in survival. Finally, judicialization indicates that individual health needs arise even with properly defined and adequately implemented public policies. These needs should be considered for the adequate provisioning of services by the state to ensure the right to health.Item Teleducação enquanto estratégia para qualificação profissional: uma imersão no contexto do Telessaúde Goiás(Universidade Federal de Goiás, 2024-08-27) Santana, Cristina Célia de Almeida Pereira; Taleb, Alexandre Chater; http://lattes.cnpq.br/3191620401627150; Taleb, Alexandre Chater; Naghettini , Alessandra Vitorino; Dornelas, Rodrigo Faria; Alves, Sergiane Bisinoto; Ferreira, Eric BenchimolA assistência à saúde tem sido impulsionada por constante inovação e pela incorporação da tecnologia em seus processos de trabalho. Neste contexto, a telessaúde se traduz como um método de mediação entre os profissionais e o ato de cuidar com o intuito de instrumentalizar as atividades teórico-práticas para garantir maior acessibilidade, resolutividade e qualidade à assistência. Durante a Pandemia pela COVID-19, a telessaúde tornou-se um pilar essencial para o atendimento de demandas assistenciais e educativas na saúde. Dentre as suas diversas modalidades destacou-se a teleducação, pois seus recursos, direcionados primariamente para fomentar a educação permanente dos profissionais alocados no Sistema Único de Saúde (SUS), foram indispensáveis para manter processos formativo-acadêmicos, capacitar os profissionais de saúde e oportunizar informação à comunidade. Concebendo a relevância desta estratégia, o presente estudo objetivou conhecer o contexto da teleducação no Núcleo de Telemedicina e Telessaúde de Goiás (NUTTs-GO). Trata-se de uma pesquisa de campo, descritiva e exploratória com uma abordagem de escopo quanti-qualitativa. O desenvolvimento da pesquisa compreendeu três fases: a realização de uma revisão integrativa da literatura para contextualização da teleducação no Brasil; a análise do banco de dados de teleducação do NUTTs-GO e a realização de uma entrevista com profissionais da atenção básica, usuários da modalidade teleducação. Os resultados da revisão de literatura demonstraram que a teleducação como estratégia fortaleceu-se por suas inúmeras possibilidades e por sua incorporação na dinâmica da sociedade. Constatou-se que há uma contínua ampliação dos pontos de telessaúde para propiciar aos trabalhadores da saúde no SUS maior acessibilidade ou oportunidades a momentos para educação permanente. Entretanto, ainda há desafios a serem superados como a necessidade de melhorar a instrumentalização das unidades e mais apoio dos gestores para implementar a iniciativa. A análise do banco de dados das teleaulas do NUTTs-GO permitiu verificar a existência de diversidade temática, boa abrangência em sua xiv Resumo disponibilização e o envolvimento multidisciplinar em sua construção, critérios que fazem o Núcleo Telessaúde em Goiás estar alinhado aos pressupostos para fomentar a capacitação de profissionais lotados na Atenção Básica. A análise qualitativa das entrevistas, última etapa do estudo, identificou que os profissionais dos Estabelecimentos Assistenciais de Saúde validam positivamente o processo de educação permanente mediado pela modalidade teleducação. Os elementos identificados em suas percepções indicam que os recursos de teleducação têm colaborado para interação, troca de experiências e aprimoramento técnico-científico, o que contribui para agregar qualidade ao cuidado e para uma prática assistencial mais resolutiva e humanizada. Todavia, as falas dos participantes indicaram que, para promover o processo de aprendizado com significado, premissa da educação permanente em saúde, os recursos de teleducação devem ser elaborados a partir da abordagem de problemas ou situações vivenciadas na prática laboral, ou de demandas de saúde locorregionais. Este alinhamento pode estimular a melhor reflexão crítica e a busca por melhorias efetivas nos processos de trabalho. Conclui-se que a imersão, no contexto da modalidade de teleducação no NUTTs-GO, permitiu vislumbrar uma dimensão importante da telessaúde. Como estratégia educativa, a teleducação alia recursos tecnodigitais para estender aos profissionais na atenção primária, mais conhecimento, consultoria e interatividade com os grandes centros e Universidades. Considerou-se que o Núcleo de Telessaúde em Goiás tem colaborado de maneira assertiva e proativa na formação de vínculos para implementar o processo de educação permanente dos profissionais da Atenção Básica no estado, movimento que vem ao encontro da Política Nacional de Educação Permanente para adjuvar o fortalecimento do SUS.Item Consenso docente sobre competências em saúde bucal coletiva a serem desenvolvidas na graduação em instituições de ensino superior brasileiras(Universidade Federal de Goiás, 2022-04-01) Silva, Flávia de Oliveira e; Queiroz, Maria Goretti; http://lattes.cnpq.br/7079676967280121; Queiroz , Maria Goretti; Casotti, Elisete; Naghettini, Alessandra VitorinoThe training in Dentistry, historically, proved to be technicist, fragmented, focused on the disease, under the strong influence of the Flexinerian teaching model. The National Curriculum Guidelines (NCG) for the undergraduate course in Dentistry brought the proposal of a critical, reflective, generalist training, with a focus on comprehensive health care, in addition to teaching by competences. The curricular structure must contemplate the ethical, humanistic and social dimensions, directed to citizenship and human rights, characteristics that insert the area of Collective Health as a longitudinal axis of the teaching-learning process. This study has a descriptive, cross-sectional character, with a quantitative approach and aims to identify the competencies to be developed in undergraduate courses in the area of Collective Oral Health (COH), in the view of professors from Brazilian Higher Education Institutions (HEI). The participants were professors from 49 HEI (37 public and 12 private) with grade four or five in the National Student Performance Exam in 2019, in an initial sample of 236 professors. The Delphi technique was used, developed in three rounds. The degree of agreement was set at 70% or more. In the first stage, an instrument was developed to collect data on knowledge, skills and attitudes based on data from previous qualitative research with professors and preceptors at the Federal University of Goiás (UFG). A fourpoint Likert scale and an open question were used for teachers' suggestions about each competence. This stage presented 71 respondents. In the second stage, with 49 respondents, a questionnaire with closed questions was used, composed of the skills already presented in the first stage, plus the suggestions most cited by the participants, using the four-point Likert scale. In the third stage, with 24 participants, professors were asked to express their opinion of maintaining or excluding the analyzed question, in addition to requesting suggestions for the improvement of a competence matrix. The relative frequencies of each answer were calculated to verify if the consensus was reached in each step and the internal consistency was measured by Cronbach's Alpha. Among the most cited knowledge, there are social determinants of health and health promotion. Regarding skills, teamwork and recognizing local vulnerabilities are mentioned. Among the most cited attitudes, there is autonomy and exercising leadership in the health team. The competencies identified relate the Unified Health System (SUS) as an integral part of the training process and stimulate understanding of the health-disease process and social health needs. The contribution of practices in Collective Health to training in Dentistry reveals new ways of training and educating in health, with the consideration of social determinants in health and new teaching paradigms beyond the technicist. It is concluded that, by the teaching consensus, it was possible to establish knowledge, skills and attitudes that must be developed in the undergraduate course by the SBC area and that these are aligned with the proposals of the NCG and the principles and guidelines of the SUS. The competencies identified reflected the prevailing view of professors from public HEI, Institutions that represent the smallest part of the Brazilian HEI that offer the undergraduate course in Dentistry, highlighting the need for more studies on the subject, which include strategies for joining the research of more professors from private HEI. As a technical product, this study presents a proposal for a competency matrix to collaborate in improving the conduction of the discipline within the scope of HEI.Item Perfil clínico, epidemiológico e molecular de crianças hospitalizadas em Centros Hospitalares de Goiânia-GO com Infecções Respiratórias Agudas (IRA) causadas pelos vírus Influenza A e B e seus subtipos(Universidade Federal de Goiás, 2022-10-13) Silva, Paulo Alex Neves da; Avelino, Melissa Ameloti Gomes; http://lattes.cnpq.br/0519039948275501; Carneiro, Lilian Carla; http://lattes.cnpq.br/6506744224041777; Carneiro, Lilian Carla; Byk, Jonas; Wastowski, Isabela Jubé; Pires, Debora de Jesus; Costa, Paulo Sérgio Sucasas daAcute respiratory infections (ARI) are the largest group of diseases with prevalence in children and were included among the three main public health problems of childhood in the late 1960s. The high rate of morbidity makes ARI the main cause of use of health services, representing 20 to 40% of consultations in pediatric services worldwide and 12 to 35% of hospital admissions. Among the main causes of infections, bacterial, fungal and viral infections can be mentioned and according to the World Health Organization, approximately 90% of respiratory infections in children are of viral origin. Given the above, the objectives of the study were to evaluate the epidemiological and molecular profile of acute respiratory infections caused by influenza A and B viruses and their subtypes in children in Hospital Centers in Goiânia-GO. All children with acute respiratory symptoms who were treated in the Emergency Department and/or were admitted to Pediatric wards and/or ICUs were included. Our results corroborate the data that indicate that Rhinovirus, Adenovirus, Metapneumovirus and Influenza are among the most important AKI agents in pediatrics. As for influenza viruses, most patients were asymptomatic, however, some patients had symptoms such as fever and cough. Most of the infected were female. Knowing the epidemic period of respiratory infections observed in Goiânia can be useful to plan and implement prevention strategies.Item Percepção da qualidade de vida de acadêmicos e de professores de educação física em inicio de carreira(Universidade Federal de Goiás, 2023-06-01) Souza, Lídia Acyole de; Barbosa, Maria Alves; http://lattes.cnpq.br/5025797873585225; Barbosa, Maria Alves; Brasil, Virgínia Visconde; Ferreira, Pedro Augusto de Melo Lopes; Rechenchosky, Leandro; Póvoa, Thaís Inácio RolimIntroduction: Quality of life (QOL) is an important indicator of population health, and covers the inspection of different areas of a person's life. The process of formation and insertion in the labor market is characterized by change and uncertainty, and therefore the importance of studying QoL in this period. The aim of this study is to evaluate QoL in the academic training and beginning pysical education teachers (PET) career Methodology: The field research was transversal, quantitative, with academics and graduates of Physical Education at a University in Goiás. The sample was probabilistic by clusters and occurred in 2019. A sociodemographic form and the WHOQOL BREF questionnaire were used to assess QOL. The SPSS package was used and the significance value was set at 5%. Results: There were 330 participants, where 246 (74.5%) were academics and 84 (25.4%) were teachers. In general, lows were more frequent in women in Domino Social (OR: 1.93; p = 0.005) and general QOL (OR: 1.63; p = 0.030); Academics had higher chances of scores up to 33.3 in the Psychological Domain in relation to professors (OR: 11.1; p = 0.002), and each year unit, increased the chance of lower scores in the psychological domain (OR: 0.94 ; p = 0.0039). Conclusion: Women had low perceptions in the social domain and QOL, and increasing age showed higher scores in the psychological domain. In female undergraduates, it was associated with low scores in QOL domains, however, at the beginning of the Physical Education Teacher's career, time since training in the area of expertise contributed to worse results in the social, psychological and QVG domains. In the association between academics and early-career professors, academics were worse in the field of psychology.Item O conhecimento e a prática do autoexame das mamas e sua associação com os fatores prognósticos, o tratamento cirúrgico e a sobrevida em mulheres com câncer de mama(Universidade Federal de Goiás, 2017-08-10) Vasconcelos, Flávio Lúcio; Rahal, Rosemar Macedo Sousa; http://lattes.cnpq.br/1322145394447454; Freitas Júnior, Ruffo de; http://lattes.cnpq.br/7343840830786566; Freitas Júnior, Ruffo de; Oliveira, Luís Fernando Pádua; Matos Neto, João Nunes de; Almeida, Nilza Alves MarquesIntroduction: Despite its unclear efficacy for preventing breast cancer-related mortality, breast self-examination (BSE) remains a useful technique because it is simple, inexpensive, and promotes self-awareness. Furthermore, this technique is important in developing countries with limited breast cancer screening programs. Objective: Analyze the influence of BSE knowledge and practice on surgical treatment and survival of women with breast cancer and their association with prognostic factors for tumors. Methods: This retrospective cohort study evaluated 272 women who were diagnosed with breast cancer, in the period from 1993 to 2004, in the Breast Cancer Program of the School of Medicine of the Universidade Federal de Goiás, in Goiânia, GO, Brazil, followed until 2015. Data regarding BSE knowledge and practice were correlated with the other variables studied: age, number of affected axillary lymph nodes, tumor size, histological type, histological grade, strogen receptors, progesteron receptors, HER-2 status, surgical treatment, overall survival, locoregional disease-free survival, and distant disease-free survival. Results: A total of 177 women (79%) knew of BSE and, among these, 131 (74%) practiced it. The average age of the women who knew of or practiced BSE was significantly lower than that of the women who were unaware of or did not practice it (p = 0.003 and p = 0.001, respectively). Women who knew of BSE had smaller tumors (p = 0.03). Overall survival was higher for women who knew of BSE, but with no impact on the practice of this exam. No significant statistical differences were found between the women who knew of BSE or who were unaware of it or between those who practiced or did not practice it regarding the other prognostic factors, overall survival, locoregional disease-free survival, distant disease-free survival, and surgical treatment. Conclusions: Younger women were more likely to know of and practice BSE. Women who knew of BSE had smaller tumors. However, BSE knowledge or practice did not influence on the prognostic factors such as lymph node involvement, histological type, and histological grade, and could not increase the number of conservative surgeries. Overall survival, locoregional disease-free survival, and distant disease-free survival were not influenced by BSE.