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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 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.