Disertación/Tesis

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2024
Disertaciones
1
  • JEOVANI ALMEIDA DO NASCIMENTO
  • ASSOCIATION BETWEEN POLYPHARMACY USE AND THE OCCURRENCE OF FALLS IN NON-INSTITUTIONALISED ELDERLY PEOPLE

  • Líder : ANA ELZA OLIVEIRA DE MENDONCA
  • MIEMBROS DE LA BANCA :
  • ANA ELZA OLIVEIRA DE MENDONCA
  • FABIA BARBOSA DE ANDRADE
  • SANDERSON JOSÉ COSTA DE ASSIS
  • Data: 25-ene-2024


  • Resumen Espectáculo
  • Introduction: The elderly population faces a triple burden of disease, predominantly chronic non-communicable diseases that require continuous treatment. Polypharmacy, characterized by the simultaneous use of five or more drugs, is increasingly common in this age group. Objective: To estimate the occurrence of falls and their association with polypharmacy use in the elderly. Method: This is divided into two studies: 1) an integrative literature review and 2) a cross-sectional study with multiple analyses of the factors associated with the occurrence of falls in the elderly, carried out from September to November 2023, in a municipality in the northeast of Brazil. Results: Article 1 - Brazil contributed with three publications and China, Thailand, Spain, and Italy, each with one publication respectively, in which 468,880 people using polypharmacy participated. Polypharmacy was more frequent in elderly people being treated for chronic diseases, especially systemic arterial hypertension (SAH) and diabetes mellitus, which were described in 71.4% of the studies. The frequency of polymedication in elderly people being monitored in primary health care ranged from 18.8% to 100.0%. The most commonly used drugs were for the cardiovascular and metabolic systems. Article 2 - The study involved 100 elderly people aged between 60 and 93, 68% female. The prevalence of falls was 42% and the factors associated with falls were polypharmacy, poor handgrip strength, and age 75. 61% of participants had one or more chronic diseases. Conclusion: Elderly people in polypharmacy require greater attention and care to prevent adverse events such as falls. The research data revealed that the prevalence of falls in the elderly was positively associated with polypharmacy, poor handgrip strength, and being 75 years old.



2
  • VANESSA FREIRES MAIA
  • FROM GRADUATION TO RESIDENCY: PERSPECTIVE AND ANALYSIS OF TRAINING PROCESSES FROM THE POINT OF VIEW OF HEALTH RESIDENTS

  • Líder : LUIZ ROBERTO AUGUSTO NORO
  • MIEMBROS DE LA BANCA :
  • JANETE LIMA DE CASTRO
  • LUIZ ROBERTO AUGUSTO NORO
  • TALITHA RODRIGUES RIBEIRO FERNANDES PESSOA
  • Data: 05-feb-2024


  • Resumen Espectáculo
  • The transformations in society and in the health-disease process in Brazil highlight the importance of having professionals and services that act upon health needs, in order to strengthen the precepts of the Unified Health System. From this perspective, emphasis is placed on work interprofessional, collaborative, through emancipatory educational practices, which promote the theory-practice connection, to be developed in the undergraduate and postgraduate fields. It aims to analyze how academic training takes place in Higher Education Institutions and Multiprofessional Health Residency Programs in the Brazilian Northeast. The study population is made up of second-year residents linked to the Multiprofessional Health Residency Programs in Northeast Brazil. The research was developed in two interdependent phases, the first being a quantitative sectional study and the second a qualitative study. Data collection was carried out using a self-completed electronic questionnaire on the Google Forms platform and the qualitative study was carried out through interviews based on a semi-structured script, on an online meeting platform (Google Meet). Quantitative analysis was carried out using descriptive and inferential statistics, using contingency tables and statistical association using the Chi-Square test, at a significance level of p<0,05. For the qualitative analysis, Bardin's content analysis was used, with the support of the Atlas Ti software, finding the following categories: professional profile in the SUS; educational path: from graduation to residency; perception about the Multiprofessional Health Residency Program. According to the Higher Education Institution, a significant association was obtained for the variables related to insertion through quotas (p=0,001), retention policies (p<0,001), and curricular components together with other courses (p=0,014). It is noteworthy that most of the aspects evaluated by residents, highlighting interprofessionality (90,0%) and continuing education (85,6%), were experienced more intensely in PRMS, while in graduation the most significant aspects were those related to qualifications to carry out scientific research (43,5%) and the development of specific professional skills (35,6%). According to the Higher Education Institution and the relationship with educational aspects of graduation and residency, it was identified that active methodologies (p=0,001) and knowledge of the pedagogical project (p=0,001) were identified more frequently in residency, mainly by trained participants in private Higher Education Institutions; while the development of scientific studies was identified more frequently in the undergraduate environment (<0,001) by participants trained in public Higher Education Institutions. It was found that regarding the support and qualification of preceptors and tutors, the tutors obtained a better evaluation. Weaknesses in the support offered to residents are evident, especially due to the absence of certain professional categories in the Health Care Network, professional overload and the need for qualification. The participants also demonstrated that the weaknesses of the degree, such as the few experiences of living in the Unified Health System, multi-professionality and lack of activity with active learning methodologies made it difficult for them to be included in the Residency Programs, in addition to the organization of theoretical contents aligned with practical reality. The residency was identified as a unique opportunity in the development of interprofessionality, strengthening the Unified Health System and effective preparation as a health professional.

3
  • LOUISE NATÁLIA MESQUITA BELÉM
  •  

    SOCIAL SUPPORT NETWORK IN THE PUERPERIUM: A CASE STUDY IN A VIRTUAL GROUP

  • Líder : CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • MIEMBROS DE LA BANCA :
  • ARDIGLEUSA ALVES COELHO
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • FRANKLIN DELANO SOARES FORTE
  • LANNUZYA VERÍSSIMO E OLIVEIRA
  • Data: 26-feb-2024


  • Resumen Espectáculo
  • The puerperal period, understood as the period immediately after childbirth and of varying duration, is considered a critical time of transition, as changes occur in the woman's social role and identity, which will influence her routine and interpersonal relationships. During this phase, these mothers often experience psychological distress and need a social support network. The aim of this study was to understand the social support network in the puerperium through a virtual group. This is a case study with a qualitative approach. Data was collected between November and December 2023, using a semi-structured interview script. Ten (10) women were interviewed at home or online, depending on the availability and preference of the participants.  The study followed Resolution 466/12 of the National Health Council and was approved by the Research Ethics Committee of the Onofre Lopes University Hospital of the Federal University of Rio Grande do Norte (UFRN). Data analysis used Bardin's content analysis, which resulted in 3 thematic categories: Puerperium: from romanticization to reality; Virtual mothers' group: experiences of mothers in the covid-19 pandemic; Virtual support network: welcome amid adversity. The participants were women aged between 28 and 41, married or in a stable union, the majority identified themselves as brown or black (seven) and three as white. They all had some kind of support network, including husbands/partners, nannies, mothers, family members or friends. For mothers, the postpartum period is generally idealized, but the experience of being a mother presents many difficulties, with feelings such as fear, anguish, anxiety and psychological stress, as well as fatigue, insomnia and social isolation, weakening the women, who need to reorient their life context in this new phase. After coping with the initial months of the puerperium, and having suffered direct and indirect repercussions on their health, the women sought various protective strategies, including participation in a virtual support group, learning to deal with their fears, giving new meaning to the situations they had experienced and regaining their self-esteem and being a woman, a professional, a friend and not just a mother.  In the midst of current changes, the use of information technology has made its contribution, as the virtual support network has been a refuge for talking, exchanging experiences, feeling welcomed and minimizing the wear and tear of this transitional phase experienced by so many women.

4
  • JOHNATAN LUIS TAVARES GOES
  • MORTALITY FROM ORAL CANCER IN BRAZIL: TIME TREND ANALYSIS AND THE EFFECT OF SOCIOECONOMIC VARIABLES

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MARIA ANGELA FERNANDES FERREIRA
  • PEDRO LUIZ DE CARVALHO
  • Data: 29-feb-2024


  • Resumen Espectáculo
  • Introduction: Oral cancer is a public health issue in Brazil and around the world. In addition to presenting significant incidence and mortality rates, the costs of its treatments substantially burden the public health service. Objective: To study the time trend in mortality rates from oral cancer in Brazil, between 2000 and 2020, and the relationship with demographic and socioeconomic characteristics. Method: This is an ecological study carried out with official mortality data from the Mortality Information System (SIM) of the Brazilian Ministry of Health, available on the website of the SUS Information Technology Department (DATASUS). Mortality data by sex, color/race, education were obtained for each municipality in Brazil and the rates were calculated based on the estimated population for the year equivalent to the midpoint of each period, using the base of 100 thousand inhabitants. For the aggregate calculation, as in the case of regions for example, population-weighted averages were calculated. For trend analysis, joinpoint regression was applied, with the calculation of APC and AAPC and respective confidence intervals (95%). Distribution in the territory was carried out using the QGis program and analyzed visually. The relationship with socioeconomic factors was made by comparing the mortality ratio with tertiles of income, education and inequality indicators. Results: Higher mortality was observed among men and black people, with different growth rates between regions. Higher growth rates were found for the group with higher education. The distribution in the territory showed a different distribution pattern for the analyzed variables. The association with socioeconomic indicators showed a significant “dose-response” effect, where the disparity in cancer mortality between black and white people is more pronounced in regions with unfavorable socioeconomic conditions. Conclusions: It is imperative that public policies are directed not only to prevention, but also to assistance for oral cancer, especially in more vulnerable populations. Prevention and control strategies must be adapted to the specific needs of each region and consider existing socioeconomic and racial disparities.

5
  • RICHIENNE THAILANE DO PATROCINIO DOVAL
  •  

    BEING A TUTOR: LIMITATIONS AND POTENTIALS WITH PLANNING PRIMARY HEALTH CARE IN A PILOT TERRITORY

  • Líder : ELIANA COSTA GUERRA
  • MIEMBROS DE LA BANCA :
  • ELIANA COSTA GUERRA
  • MARIA ANGELA FERNANDES FERREIRA
  • SEVERINA ALICE DA COSTA UCHOA
  • MAURA VANESSA SILVA SOBREIRA
  • RUDGY PINTO DE FIGUEIREDO
  • Data: 25-mar-2024


  • Resumen Espectáculo
  • In the state of Rio Grande do Norte, the State Secretariat of Public Health of Rio Grande do Norte, in 2012, joined the Primary Care planning process in partnership with the Ministry of Health and the National Council of Health Secretaries in perspective of promoting moments of discussion and change in the operating modes of teams and services, in search of the correct operationalization of interconnected Care Networks, capable of meeting, with quality, the demand of each municipality in the State. The implantation of the project, with a priority network, has been developed in the 4th Health Region of the State since 2019, that of care for diseases and chronic conditions. Therefore, this work aims to analyze the structural and cyclical aspects pointed out by the actors participating in the activities of the pilot project to implement the care network for diseases and conditions chronicles in the 4th Health Region of Rio Grande do Norte. This is an exploratory, descriptive study, with a qualitative approach, which applied an electronic characterization questionnaire and a semi-structured interview, with open questions, via Google Meet. The data was analyzed according to the content analysis technique in the thematic modality, proposed by Laurence Bardin. From the results found, it was possible to understand the tutor's role in the Basic Laboratory Units, skills developed and the main difficulties seen in project implementation, including the work process, organizational factors related to local management, staff and population. The participants' speeches highlighted their satisfaction in working on the project, while revealing an overload of work to juggle the practice of tutoring and the demands related to services inherent to professional training. The results obtained in this study point to the need to strengthen the number of personnel, encourage professionals to remain on the team, avoiding turnover, raise awareness among the population on how to do health care and create spaces for dialogue between tutors and municipal management with a focus on effective communication. Such improvements are intended to strengthen the performance of the Health Regional at all levels of health care, improve professional care, as well as contribute to the use of information from the study to support SESAP/RN in decision-making

Tesis
1
  • ELIANE PEREIRA DA SILVA
  • Motivation and competencies for the success of health care quality improvement projects 

  • Líder : ZENEWTON ANDRÉ DA SILVA GAMA
  • MIEMBROS DE LA BANCA :
  • LAURA MARIA CÉSAR SCHIESARI
  • MARGARETH CRISÓSTOMO PORTELA
  • PAULO JOSE DE MEDEIROS
  • SEVERINA ALICE DA COSTA UCHOA
  • ZENEWTON ANDRÉ DA SILVA GAMA
  • Data: 18-ene-2024


  • Resumen Espectáculo
  • Introduction: the success of health quality improvement projects depends on the engagement of professionals who work in patient care and knowledge of quality improvement methods and tools. The factors that modulate motivation and assessment of skills in these projects are still unclear. The objective of this study was to analyze barriers and facilitators to the motivation of healthcare professionals to participate in a large collaborative quality improvement project, creating and validating a quality improvement competency assessment tool. Methods: the motivation study was qualitative, based on content analysis of semi-structured in-depth interviews with healthcare professionals participating in the collaborative quality improvement project “Improving patient safety on a large scale in Brazil” involving 116 Brazilian hospitals. We carried out interviews via videoconference with 28 health professionals who participated in the project, using the saturation principle. Data was coded using NVivo software and analysis was based on the Capability, Opportunity, Motivation and Behavior (COM-B) model and the Model for Understanding Success in Quality (MUSIQ). The skills assessment questionnaire was constructed after a literature review and the content analysis was carried out by a panel of experts using the Delphi technique. The skills assessment questionnaire contained 43 items, distributed across four domains, covering hard and soft skills, and demographic information. 14 experts participated in the first round and 12 experts in the second. All experts had more than 5 years of experience in quality improvement. Results: the barriers found were non-involvement of senior management, demand for immediate results, lack of inputs, excessive bureaucracy for changes, work overload, lack of scheduled workload for the project, resistance from experienced health professionals, belief in that improvement increases the workload, difficulty in engaging night shift professionals, little involvement of doctors, lack of knowledge about quality improvement and collection of indicators. Active participation of senior management in rounds, institutional policy of continuous improvement, quality improvement team present, enthusiasm of the team leader, understanding the reason for changes, teamwork, participating in change tests, learning in practice, celebrating small results and feedback on results were facilitators for motivation. The questionnaire was validated in two rounds with a minimum CVI of 83% and a maximum of 100%. Two items were eliminated. One for CVI below 80% and the other was redundant and was condensed into a single item. The final questionnaire had 41 items. Conclusion: this study reinforced the importance of customizing large projects, involving motivation modulators, intervening in the factors identified as barriers and facilitators. The skills assessment questionnaire closes the link between motivation and capacity for improvement, which are proximal contextual determinants of the microsystem necessary for the success of quality improvement projects.

2023
Disertaciones
1
  • NATHALIA PRISCILLA MEDEIROS COSTA DINIZ
  • CHARACTERIZATION OF THE PROFILE OF USERS AND INTEGRATIVE AND COMPLEMENTARY PRACTICES IN HEALTH IN THE PRIMARY CARE NETWORK OF THE MUNICIPALITY OF NATAL/RN.
  • Líder : THAIZA TEIXEIRA XAVIER NOBRE
  • MIEMBROS DE LA BANCA :
  • ANA ELZA OLIVEIRA DE MENDONCA
  • JOÃO BOSCO FILHO
  • LUCIANA ARAUJO DOS REIS
  • THAIZA TEIXEIRA XAVIER NOBRE
  • Data: 15-feb-2023


  • Resumen Espectáculo
  • Introduction: In Brazilian history, Public Policies were achieved through social movements in different forms of struggles and political confrontations. In the field of health, the protagonists of the Sanitary Reform yearned for a health care model that would meet needs, democratize health as a universal right and consider the principle of integrality in care. Thus, the Unified Health System (SUS) was established and, in this context, the National Policy on Integrative and Complementary Practices (PNPIC) was published as one of the many achievements of users and health professionals. The insertion of Integrative and Complementary Health Practices (PICS) was marked by interests, such as recovering the knowledge and identity of popular groups, some historically marginalized, and by the State's interest in a new culture of care based on health promotion. Objective: Given this context, the present study aims to characterize the profile of adult and elderly users and the PICS developed in the context of the SUS in the municipality of Natal, Rio Grande do Norte. Method: This is a study with a quantitative approach, of the exploratory-descriptive type, whose format is field with a survey design in the Primary Health Care Network of the municipality of Natal, limited to the Basic Health Unit, Health Strategy of Family and Mixed Unit. Results: 522 medical records of enrolled users were analyzed, the highest frequency being adult females (83.0%); elderly people of non-white race/color (82.6%) and with low education (67.8%); arterial hypertension (30.4%) and diabetes (17.4%) were more frequent in elderly people, as well as the presence of body pain (71.3%) and tooth/gum disease (42.6%). Auriculotherapy (58.2%) was the most used integrative practice in treatment procedures; 53.4% of the population received at least one service and 39.3% were attended in the North I health district. Conclusion: The study reaffirms the position of PICS in health care in the SUS, as well as showing its use for the health of the population, contributing to the PICS studies for health promotion, prevention and protection, as well as providing important information in the context of the integrative health of this public for health planning and management at municipal, state and national levels.

2
  • ARTHUR ALEXANDRINO
  • FACTORS ASSOCIATED WITH MULTIMORBITY AND FUNCTIONALITY IN THE AGED IN THE RURAL AREA: 
    A POPULATIONAL STUDY BASED ON THE FAMILY HEALTH STRATEGY
  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • KENIO COSTA DE LIMA
  • MATHEUS FIGUEIREDO NOGUEIRA
  • TAMIRES CARNEIRO DE OLIVEIRA MENDES
  • Data: 20-mar-2023


  • Resumen Espectáculo
  • Introduction: The population set is identified as a worldwide phenomenon, which reflects the increase in population observation. Linked to this, note an increase in the number of chronic non-communicable diseases, as well as an increase in the decline in the functional capacity of elderly people, especially those who live in rural areas. Objectives: The general objective of this study is to investigate the multimorbidity and functionality of elderly people living in rural areas. As specific: to identify sociodemographic, clinical-therapeutic factors and those related to lifestyle and access to health services, associated with multimorbidity and objective functionality in elderly people living in rural areas. Method: This is an observational and cross-sectional epidemiological investigation with an observational approach. Descriptive procedure and deviation of a data analysis (univariate), using simple measures of absolute and relative frequency, in addition to measures of central tendency as mean and standard. Then, inferential statistics are used to relate the analysis to the independent variables, version 2.0 of the IBM SPSS software (Statistical Package for the Social Sciences). In the bivariate statistics, the data were analyzed using the chidrate test, being considered significant when the p-value < 0.05. Results: Most of the elderly have multimorbidity, independent as basic activities of daily living, the more dependent on instrumental and independent activities for the main displacements. When crossing the data independent and dependent variables, we observed as variable variables sex, significant, age group, state, family arrangement, work, religion, literacy, years studied, occupation, function, government, types of benefits, retirement, time living in rural areas, number of residents in the residence, number of rooms in the residence, BMI, family income, self-reported stress, physical activity, leisure activity, meals, access to treated water, smoking, consumption of alcohol, health status, quality of life, satisfied with life, enjoy living life, access to transportation, medication use, chronic pain, taking the COVID-19 vaccine, number of doses taken of the COVID vaccine - 19, access to serv. of health, use of serv. of health, companion, last consultation, last year, number of self-reported diseases and self-reported health problem. Final considerations: It is envisaged as a reinforcement of services and health care for the elderly population residing in rural areas. Thus, the study will allow better management of diseases and their intervention proposals and strategies within the scope of the health maintenance network, aiming to enhance the functional capacity of this segment. The findings of this study, therefore, may support the system as public health policies, empowerment of health professionals after caring for the elderly, as well as reducing the health burden by strengthening the promotion of active aging and well-being. Finally, it is expected to build articles to be published in journals with a high impact factor, as well as to take these findings to scientific events.

3
  • RITA XAVIER BARBOSA NETA SILVA
  • LEGAL DEMANDS FOR NUTRITIONAL FORMULAS AT THE CHRISTMAS MUNICIPAL HEALTH SECRETARIAT: DIAGNOSIS AND PERSPECTIVES

  • Líder : KARLA PATRICIA CARDOSO AMORIM
  • MIEMBROS DE LA BANCA :
  • KARLA PATRICIA CARDOSO AMORIM
  • MARIA ANGELA FERNANDES FERREIRA
  • YONARA MONIQUE DA COSTA OLIVEIRA
  • Data: 20-mar-2023


  • Resumen Espectáculo
  • Introduction: The food thought of rights for health by the health proposal and the proposal of federal formulas through the constitution and nutritional measures are against the formulation of a management strategy of objectives: To analyze social health as benefits by formulas in the city of Natal/ RN assisted in the period from 2010 to 2020. Methods: This is a documentary study, with an exploratory descriptive approach with an analysis approach, in which the unit of analysis was the individual processes of requesting nutritional formula with the City of Natal as defendant . Results: For the sociodemographics related to the author, medical and legal profile of the sanitary characteristics of the city of Natal/RN, nutritional formulas between the years 2010, it can be seen that the highest percentage of males (52.0%) and aged under 18 (64.0%). Most of the origins came from the health districts Norte I (28.0%) and Norte II (22.0%). Most cases refer only to a disease or condition that requires the use of food formulas (54.0%). In most cases, the formulation of the nutritional formula came from the public sector (60.0%). The most requested type of food formula was modules and supplements for adults (32.0%). The majority of lawsuits originated from representation through a court decision (80.0%) and a court decision issued through a judgment (60.0%). The most common health problem was allergy to cow's milk protein (14.0%), followed by stroke (8.0%). As for the monthly cost to meet the demands of care, the total amount considering the fulfillment of all demands as guidelines for the processes in a single month was R$ 40,790.48. The amount required for the monthly cost of the formulas prescribed in the 2 follow-ups varied between R$ 3.36 and R$ 3366.00, with an average of R$ 815.00.

4
  • ÍSIS DE SIQUEIRA SILVA
  • DIGITAL HEALTH AND QUALITY OF OLDER ADULTS HOME-BASED PRIMARY CARE: A Scoping Review Protocol

  • Líder : SEVERINA ALICE DA COSTA UCHOA
  • MIEMBROS DE LA BANCA :
  • CLAUDIA SANTOS MARTINIANO SOUSA
  • RENAN CIPRIANO MOIOLI
  • SEVERINA ALICE DA COSTA UCHOA
  • TAMIRES CARNEIRO DE OLIVEIRA MENDES
  • Data: 21-mar-2023


  • Resumen Espectáculo
  • Primary home care has been expanding, following the increase in the older adult population  and the need to respond to the greater demand of their chronic conditions and health fragilities. At this level of care, digital health is considered an important tool for improving care, whose expansion had greater momentum with COVID-19 and subsequent measures of social isolation/distancing, for this group considered at risk. The objective of this study is to design a scoping review protocol to identify, map and evaluate the uses and impacts of digital health on the quality of home-based primary care for older people around the world. This is a scoping review protocol developed from the theoretical perspective of Arksey and O'malley, with updates from Levac; Peters and respective collaborators. It will be based on the Joanna Briggs Institute manual and guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR). White literature data will be extracted from multidisciplinary health databases such as: Virtual Health Library, LILACS, PubMed, Scopus, Web of Science, CINAHL and Embase; while Google Scholar will be used for grey literature. No date limits or language restrictions will be determined. Quantitative data will be analyzed using descriptive statistics and qualitative data will be analyzed using thematic analysis. The results of the review will address impacts, challenges, opportunities and gaps found in publications related to the use of digital technologies in home-based primary care of older people and will be submitted to a stakeholder consultation for suggestions on other dissemination strategies beyond that in journals and scientific events as well as on applicability of the study. The organization of this protocol will increase the methodological rigor, quality, transparency and accuracy of the scoping review, reducing the risk of bias. As a contribution, it is expected that, well-founded, the review may bring to managers and caregivers relevant subsidies to improve primary home care through digital means as a public health policy.

     

5
  • MICARLA PRISCILA SILVA DANTAS
  • COVID-19 VACCINATION COVERAGE AND ITS IMPACT ON MORTALITY IN A NORTHEASTERN BRAZILIAN STATE

  • Líder : FABIA BARBOSA DE ANDRADE
  • MIEMBROS DE LA BANCA :
  • ANA ELZA OLIVEIRA DE MENDONCA
  • CRISTINA KATYA TORRES TEIXEIRA MENDES
  • FABIA BARBOSA DE ANDRADE
  • Data: 24-mar-2023


  • Resumen Espectáculo
  • The pandemic of COVID-19 brought with it numerous challenges regarding the discovery of conditioning factors for the worsening of the disease and its forms of treatment, as well as the search for the rapid development of safe and effective immunizers to combat the virus, to contribute to the reduction of mortality cases in Brazil. The study aims to evaluate the vaccination coverage of COVID-19 and its association with the mortality indicator in the adolescent, adult and elderly population in the state of Rio Grande do Norte, Brazil. This is an ecological, quantitative study on the vaccinated population in the state of Rio Grande do Norte, through data made available by the health information systems e-SUS Epidemiological Surveillance (e-SUS-VE), in the period from January 2021 to March 2022. The data were analyzed using Microsoft Excel software, used for data grouping, as well as JoinPoint software used for statistical analysis. The vaccination coverage goal set by the PNI is at least 90% of the target population vaccinated. The results revealed that the statewide average vaccination coverage in the period studied was 81.8%. The following regions had outstanding vaccination coverage: Alto Oeste - VI and Seridó - IV, with 91% and 83%, respectively. The region with the highest rate of cases during the study period was the Seridó - IV region, with 23.9%, followed by the Alto Oeste health region VI, with 19.1%. As for the number of deaths, the Metropolitan VII and Vale do Açu VIII regions had the most expressive numbers, with 1.8% and 1.6%, respectively. The results found showed that the lower the vaccination coverage, the higher the incidence of deaths, except for the metropolitan region (Regional VII), which even presenting the third highest percentage of vaccination coverage among the eight regions, recorded the highest percentage of deaths. Therefore, considering most of the findings, it can be said that there is a relationship between vaccination coverage and the number of cases and deaths from COVID-19 among the health regions of the state of Rio Grande do Norte (RN). It is concluded that in the period analyzed Rio Grande do Norte had a coverage below the national average of 90%, however, a positive impact on the reduction of mortality in the same period studied can be seen.

6
  • JÉFITHA KALINY DOS SANTOS SILVA
  •  

    WORK AND MENTAL HEALTH OF WORKERS AND WORKERS IN THE UNITS OF
    EMERGENCY SERVICE (UPAS) OF NATAL-RN IN THE CONTEXT OF COVID-19


  • Líder : ELIANA COSTA GUERRA
  • MIEMBROS DE LA BANCA :
  • ELIANA COSTA GUERRA
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • HIAGO TRINDADE DE LIRA SILVA
  • MARIA ANGELA FERNANDES FERREIRA
  • Data: 31-mar-2023


  • Resumen Espectáculo
  • The new forms of management, relationships and working conditions established within the framework of (re)
    configurations of the world of work, added to the regressive reforms operated in the Politics of
    Health has had repercussions on the living conditions and ways of living of the population, placing
    severe impacts on the health of male and female workers. This scenario worsened with
    the advent of the covid-19 pandemic, which is imprinting new rhythms and forms of
    work, accentuating mental illness, insofar as this disease caused by
    SARS-CoV-2 virus, has affected every aspect of human life, has disrupted the systems of
    attention to health around the world and aggravated the economic, political and social crisis, causing
    an unprecedented health crisis of planetary dimensions. Indeed, the environment of
    pandemic required that responses be taken quickly due to the potential
    of contagion and the overwhelming spread of the virus. Thus, health professionals who work
    on the front lines of COVID-19 are among the groups most vulnerable to the consequences
    emotional and psychological consequences of the pandemic. In view of this, the on-screen study aims to analyze how the
    relationships and working conditions have an impact on the mental health of workers and
    workers) of the UPAS of Natal-RN in the context of the COVID-19 pandemic, through a
    research with a mixed methodological focus, in the perspective of articulating qualitative techniques and
    quantitative to apprehend the object of the research in its totality, particularity and
    singularity. For this, different research procedures were used: observation
    non-participant, interviews, socio-occupational questionnaires. In this way, it is intended
    produce, along the investigative course, subsidies for the strengthening of the actions of the
    CEREST of the municipality of Natal-RN with the Urgency and Emergency Network, as well as for
    implementation of the Workers' and Workers' Health Policy in that municipality.

7
  • FELLIPE BATISTA DE OLIVEIRA
  • HEALTHY FOOD WITH ADOLESCENTS THROUGH INFORMATION TECHNOLOGY AND COMMUNICATION: SCOPE REVIEW

  • Líder : GRÁCIA MARIA DE MIRANDA GONDIM
  • MIEMBROS DE LA BANCA :
  • GRÁCIA MARIA DE MIRANDA GONDIM
  • CLELIA DE OLIVEIRA LYRA
  • REGINA MÁRCIA SOARES CAVALCANTE
  • Data: 31-mar-2023


  • Resumen Espectáculo
  • Adolescence is characterized by the period between 10 to 19 years old. This is a phase for
    interventions related to adopting a healthy lifestyle, as well as its importance and impact on
    health throughout life. Studies show that increasingly, teenagers do not meet
    recommendations for healthy eating, which is due, among other things, to the loss of interest
    in this type of habit, often not stimulated. In addition, inadequate lifestyle habits, unbalanced
    nutrition, and sedentary behavior become one of the main factors for chronic non-
    communicable diseases, negatively affecting adulthood. Therefore, the present study aimed to
    map national and international scientific production on healthy eating with adolescents,
    mediated by Information and Communication Technologies (ICT). This is a scoping literature
    review, structured in the methodology recommended by the Joanna Briggs Institute and
    PRISMA-ScR. Thus, the following steps were adopted: formulation of research questions,
    definition of inclusion and exclusion criteria, definition of the research strategy, selection of
    studies/evidence sources, data extraction and coding, analysis, and interpretation of results.
    The consulted databases were: Medline/Pubmed, Cumulative Index to Nursing and Allied
    Health Literature (CINAHL), Scopus, Embase, and Latin American and Caribbean Health
    Sciences Literature (LILACS). The entire study selection process also occurred in duplicate,
    independently. The database search resulted in 12,990 works, after the application of initial
    filters and removal of duplicates, resulting in 7,898 documents. In the end, the sample resulted
    in 20 articles published in journals. It was possible to verify that most of the scientific
    production occurred internationally, with emphasis on studies conducted in the United States
    of America and Canada, with only one study conducted at the national level. In addition, the
    review showed that ICT are tools that can assist in promoting healthy habits, especially in the
    field of nutrition. Despite this, a critical view is necessary regarding the use of these
    technologies, especially regarding the content addressed. Thus, from this study, it is intended
    to contribute to the construction of knowledge regarding the use of ICT aimed at promoting
    healthy eating with adolescents.

8
  • SONALY MELO DE MACEDO
  • SPIRITUALITY OF PATIENTS IN THE FACE OF CANCER: SCOPING REVIEW PROTOCOL

  • Líder : KARLA PATRICIA CARDOSO AMORIM
  • MIEMBROS DE LA BANCA :
  • KARLA PATRICIA CARDOSO AMORIM
  • JOÃO BOSCO FILHO
  • RODSON RICARDO SOUZA DO NASCIMENTO
  • Data: 28-abr-2023


  • Resumen Espectáculo
  • INTRODUCTION: Spirituality is valued as technology is no longer able to provide healing solutions. Spiritual well-being is a domain of quality of life when it is related to cancer. Spirituality is recognized for helping the individual feel better about themselves and the environment around them and being a source of support and hope after diagnosis and during treatment. OBJECTIVE: To map how spirituality is conceived by patients in the process of care and coping with cancer. METHOD: this is a scoping review protocol developed according to Arksey and O'Malley and Levac et al, based on the Joanna Briggs Institute manual, and guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR). The records will be mapped in the Virtual Health Library database. Data will be summarized qualitatively through thematic analysis. Preliminary results will be presented to interested parties for analysis of studies and development of strategies for improvement. ETHICS AND DISSEMINATION: The results will be disseminated through publication in an open access scientific journal. It can be extended to national and/or international congresses in the area of public health. Ethical approval will be obtained due to stakeholder consultation, but will not involve direct patient participation.

9
  • JULIANA ISCARLATY FREIRE DE ARAUJO
  • VACCINATION HESITATION AGAINST COVID-19 IN BRAZIL FROM THE DISCOURSE OF THOSE WHO HESITATE

  • Líder : KARLA PATRICIA CARDOSO AMORIM
  • MIEMBROS DE LA BANCA :
  • KARLA PATRICIA CARDOSO AMORIM
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • FABIA BARBOSA DE ANDRADE
  • ILANA MIRIAN ALMEIDA FELIPE DA SILVA
  • Data: 31-jul-2023


  • Resumen Espectáculo
  • The emergence of vaccine production is justified by the number of deaths caused by the respiratory syndrome, and the need to control these cases and their severe forms. Concomitantly with the advancement of immunization of the population, it was observed that the social movement of vaccine hesitation characterized by refusal or delay in accepting vaccination has taken on worldwide proportions in recent years, based on questions referring mainly to the efficacy and safety of immunizers. In view of this, it is important to discuss individuality versus collectivity, and to understand the justifications that are associated with the COVID-19 vaccine hesitancy process. This study aims to analyze the vaccine hesitation process against COVID-19 in Brazil, from the perspective of those who hesitate. This is a descriptive exploratory study, with a qualitative characteristic, and a snowball-type non-probabilistic sample approach. The methodology uses chains of references to build its sample population research subjects will be individuals who may have hesitated to take any of the immunobiologicals against COVID-19 that are currently offered by the National Immunization Program, be over 18 years old, reside in the geographic territory of Rio Grande do Norte, and have accepted participate in the research by signing the Term of Free and Informed Consent – TCLE, the content analysis used the Collective Subject Discourse technique, described by LEFEVRE & LEFEVRE, based on the Theory of Social Representations. The preliminary results were organized in a systematic way, where the subjects participating in the research were socioeconomically characterized, we listed categories according to the meaning of the central ideas to understand the individual as a social being regarding the process of vaccine hesitation of COVID-19, being them: Experiences and experiences about the pandemic and the COVID-19 disease; Perceptions about the COVID-19 vaccine and vaccination; Justifications associated with vaccine hesitancy against COVID-19 and other related factors. Evidencing findings regarding these perspectives, the main notes found associated with the vaccine hesitation process are related to various reasons, namely: immunization imposition, distrust of the effects of immunobiologicals, misinformation, fear of reactions, conspiracy theories, political influence and the infodemic. Therefore, knowing that the choice to be vaccinated goes beyond an individual criterion, it becomes necessary for health policy makers to dialogue about strategies that reinforce the safety, need, efficacy and importance of the vaccine for everyone.

10
  • JÉSSICA BARACHO DE SOUZA MORAIS
  • BARRIERS AND FACILITATORS FOR THE REGULAR FOLLOW-UP OF INDIVIDUALS WITH HYPERTENSION IN PRIMARY HEALTH CARE

  • Líder : ZENEWTON ANDRÉ DA SILVA GAMA
  • MIEMBROS DE LA BANCA :
  • Deivisson Vianna Dantas dos Santos
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • ZENEWTON ANDRÉ DA SILVA GAMA
  • Data: 29-sep-2023


  • Resumen Espectáculo
  • Introduction: Systemic Arterial Hypertension (SAH) is a disease with high prevalence, and the regular monitoring of individuals with SAH has posed a significant challenge for Brazilian Primary Health Care (PHC). Objective: The aim of this study is to analyze the barriers and facilitators for conducting regular consultations and blood pressure measurements in PHC, to guide the improvement of implementing this essential process for SAH care. Method: The methodological design was descriptive with a qualitative approach from September 2022 to May 2023. Content analysis was used to analyze the discourse emerging from six focus groups (29 professionals) from five Basic Health Units (UBS) in Natal, Rio Grande do Norte. Results: The main barriers were high demand at UBSs, difficulty in using E-SUS (Unified Health System electronic platform), lack of specific training, and users with low literacy levels. The main proposed facilitators include: creating waiting rooms, implementing cardiovascular risk stratification, establishing a schedule of training sessions, and improving E-SUS reports. Final Considerations: The identified barriers and facilitators in this study provide guidance for planning improvements based on a systemic view of the root causes of the problem and multifaceted interventions to enhance SAH care.

11
  • SYLVIA PATRÍCIA DANTAS PEREIRA
  • CONTRIBUTION OF THE OPINIONS OF NATJUS/RN IN THE OUTCOME OF THE LEGAL PROCEEDINGS THAT REQUEST MEDICATION IN RIO GRANDE DO NORTE.

     

  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • LINDEMBERG ASSUNÇÃO COSTA
  • MARIA ANGELA FERNANDES FERREIRA
  • Data: 06-oct-2023


  • Resumen Espectáculo
  • With the advance of the judicialization of health in Brazil, in the 2000s, the National Council of Justice (CNJ) began to prepare studies and propose concrete measures with the objective of better understanding this phenomenon, as well as rationalizing the judicial demands involving assistance to health in the country. In this context, the CNJ then determined the creation of the Judiciary Technical Support Centers (NATJUS), by state and federal courts, with a view to producing technical opinions to support judicial decisions in the health area. In Rio Grande do Norte, under the aegis of CNJ Recommendation nº 31, of March 30, 2010, a Technical Chamber was created in 2014 by the State Committee on Health Demands, which later became known as NATJUS. This study aims to analyze the influence of opinions on medicines, prepared by NATJUS of Rio Grande do Norte, on the outcomes of lawsuits filed against public entities, as well as, and especially, the acceptability of these opinions by magistrates. The period of analysis is the triennium 2017-2019, period after the publication of CNJ Resolution No. 238, of September 6, 2016, which determined the formation of these nuclei. This is an exploratory, retrospective and descriptive study, with a quantitative-qualitative approach, in which an analysis was carried out of 212 opinions requested by magistrates from NATJUS, made available in the JUDSAÚDE system, as well as the judicial processes in the context of which they were requested. . Thus, in addition to the description and general characterization of all opinions requested from NATJUS and made available in the referred system, it was observed that there was a higher percentage of requests for opinions by the federal judiciary (81.6%), as well as a high percentage of court decisions that considered these opinions (81.6%). There was a greater number of favorable opinions to the author's request (65.1%), as well as that, for the most part, the opinions were of medicines not available within the scope of the Unified Health System (SUS) (81.0% ), notably antineoplastic and immunomodulatory drugs (38.3%), according to the ATC classification. It was also observed that the percentage of cases in which opinions were requested from the NATJUS, in the period considered, was very low (9.6%), as well as that the impact of the performance of the NATJUS, in the sense of reducing the number of convictions against of the State of Rio Grande do Norte, in the medication processes, was very low (2.1%). It is expected, therefore, that with the implementation of the e-natjus system, by the CNJ, there will be a greater adherence of the Norte-riograndense judiciary to the use of this important tool, since the judicial decision in health needs a technical basis. Finally, in addition to health issues, the judge, in order to decide fairly, considering the entire social and economic context of public health policy, should not do without this aid.

     

     

12
  • MARCIA ANDREIA PEREIRA DA SILVA
  • Paths for the implantation and implementation of the VII Regional Public Health Unit of Rio Grande do Norte: advances and challenges
  • Líder : JANETE LIMA DE CASTRO
  • MIEMBROS DE LA BANCA :
  • JANETE LIMA DE CASTRO
  • GRÁCIA MARIA DE MIRANDA GONDIM
  • RAFAEL RODOLFO TOMAZ DE LIMA
  • Data: 20-oct-2023


  • Resumen Espectáculo
  • In the state of Rio Grande do Norte, based on the Regionalization Master Plan implemented in 2008, eight Health Regions were established. In order to supervise, coordinate and advise the health services belonging to the municipalities that make up these Regions, they were implemented the Regional Public Health Units (URSAP), being considered regionalized administrative structures. Therefore, this work aims to analyze
    the contributions of the VII Regional Public Health Unit (VII URSAP) in the process of technical support to the municipalities of the 7th Health Region. This is a descriptive study, with a qualitative approach, which applied an electronic questionnaire, semi- structured interview and document analysis. The data were analyzed according to the thematic content analysis technique, proposed by Laurence Bardin. From the results found, it was possible to identify the path, performance and main difficulties in implementing the VII URSAP, including its work process, its articulation with the municipalities and its main actions carried out with a view to strengthening the territories of the municipalities of the 7th. Health Region. The participants' speeches showed greater involvement in the actions of the VII URSAP, which is aimed at strengthening the role of Health Surveillance in the territory and the performance of Primary Health Care in the Previne Brasil indicators. The results obtained in this study point to the need to strengthen the number of personnel, physical structure, governance spaces, as well as the integration of VII URSAP with the technical areas of the State Secretariat for Public Health of Rio Grande do Norte, with focus on effective communication with municipalities. Such improvements aim to strengthen the performance of the Regional Health Department at all levels of health care, as well as consolidating the principles of the Unified Health System.

13
  • KELLEN CRISTINA MARQUES DE LIMA
  • JUDICIALIZATION OF HEALTH: ANALYSIS OF JUDICIAL DEMANDS FOR NUTRITIONAL FORMULAS IN THE STATE OF RIO GRANDE DO NORTE

  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • MARIA ANGELA FERNANDES FERREIRA
  • YONARA MONIQUE DA COSTA OLIVEIRA
  • Data: 06-nov-2023


  • Resumen Espectáculo
  • In Brazil, despite healthcare being a constitutionally recognized fundamental right and having
    the largest publicly funded healthcare system, there is chronic underfunding. As a result,
    healthcare litigation is used to hold the government accountable for meeting healthcare needs.
    Nutrition and diet play an essential role in health, supported by the National Food and
    Nutrition Policy and the 1988 Federal Constitution. However, nutritional formulas used to
    treat or prevent nutrition-related issues are often unattainable due to high costs and lack of
    free access through the healthcare system. This study aims to assess legal actions for the
    supply of demanded nutritional formulas against the state of Rio Grande do Norte between
    2017 and 2021. The study is of an exploratory descriptive nature, using a database of
    individual legal cases filed against the state during the mentioned period. A descriptive
    analysis of the data was carried out using Microsoft Excel version 2306. A total of 132 active
    cases were identified. The majority of claimants were female (52.3%), and the pediatric
    population accounted for 40.9% of the cases. Diseases of the nervous system accounted for
    40.2% of the total indications for nutritional formulas. Most claimants originated from the 7th
    health region of RN - Natal and the metropolitan area (42.9%). The seizure of funds was part
    of 54.5% of all cases, and nutritional formulas were prescribed by nutritionists in 66.7% of
    cases compared to medical prescriptions. Regarding the costs incurred through legal demands,
    the accumulated total during the evaluated period was R$ 3,828,262.00, with an annual
    average of R$ 765,652.50 spent. Modified and pediatric formulas represented the majority of
    costs in the evaluated period, accounting for 44.6% and 44.1%, respectively. The average
    time between litigation and the date of the judicial decision was 28.8 days, and the total time
    from litigation to receiving care was approximately 64.8 days. The research aimed to enhance
    understanding of the legal action regarding nutritional formulas in the state of RN,
    considering the lack of literature on the topic. Given the significance of the issue, it is
    necessary to provide technical assistance to the legal system to ensure equitable, regulated,
    and uninterrupted access that meets users&#39; needs and promotes rational use, considering that
    nutritional care is essential and a matter of bioethics.

14
  • CLÁUDIA MENDES DA SILVA
  • EVALUATION OF THE FUNCTIONAL CAPACITY OF THE ELDERLY POST-COVID-19

  • Líder : THAIZA TEIXEIRA XAVIER NOBRE
  • MIEMBROS DE LA BANCA :
  • THAIZA TEIXEIRA XAVIER NOBRE
  • ANA ELZA OLIVEIRA DE MENDONCA
  • SILVANA LOANA DE OLIVEIRA SOUSA
  • Data: 07-nov-2023


  • Resumen Espectáculo
  • Introduction: COVID-19 is recognized as a respiratory disease that has high transmissibility
     and global distribution, with elderly people being the group most at risk of developing complications,
     with the potential for weaknesses. Objective: To evaluate the implications of COVID-19 on the functional 
    status of elderly people after acute infection and identify factors associated with functional impairment. 
    Method: The study was divided into two stages: 1) scoping review, conducted according to the method 
    proposed by the Joanna Briggs Institute. The literature search took place from December 2022 to February 
    2023 in the Cochrane Library databases; PubMed; Scopus and Web of Science. The descriptors contained in 
    the Health Science Descriptors (DecS) and Medical Subject Headings (MeSH) were used; 2) descriptive, 
    cross-sectional study, carried out in a Primary Health Care unit in the city of Natal, Rio Grande do Norte, 
    with elderly people living in the post-covid-19 community. Data were collected regarding sociodemographic 
    characteristics, nutritional status, lifestyle habits and health conditions, as well as the level of functional 
    performance. Results: 1) 817 potentially eligible studies were identified. Of these, 12 were selected because
     they met the eligibility criteria. The complementary search allowed the inclusion of one more article, 
    totaling 13 studies that made up the final sample. Post-COVID-19 functional impairment was present in most 
    studies included in the sample. Factors associated with this decline included frailty and physical inactivity 
    prior to infection, older age, complications during infection, length of mechanical ventilation and 
    hospitalization, and comorbidities. 2) Among the 30 participants evaluated, a predominance of low functional 
    performance was observed, with correlated factors including advanced age, female gender, multimorbidities 
    and lack of physical activity. Final considerations: COVID-19 can cause negative outcomes in the 
    functionality of elderly people, even after recovery, leading to limitations in the physical performance of 
    activities of daily living. Therefore, the implementation of comprehensive care, structured in multidimensional 
    assessment, is essential.
15
  • ANA BEATRIZ GOUVEIA DE ARAÚJO
  • PERMANENT HEALTH EDUCATION IN THE WORK PROCESS IN PRIMARY CARE: A THEORY BASED ON DATA

  • Líder : ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • MIEMBROS DE LA BANCA :
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • JANETE LIMA DE CASTRO
  • MARIA APARECIDA SALCI
  • Data: 30-nov-2023


  • Resumen Espectáculo
  • Continuing Health Education presents itself as a powerful tool to promote transformations desired by managers and workers to improve services and the health system. This study's main objectives are to understand Permanent Health Education in the work process of Primary Health Care from the perspective of professionals who work in the current context of the Unified Health System and to develop a theoretical model on Permanent Health Education in the work process in Primary Health Care in the current context of the Unified Health System. The study participants were formed by health professionals from the Basic Health Units that are part of the Western Health District of the city of Natal, Rio Grande do Norte, Brazil. This is a research with a qualitative approach that has as its methodological reference the Grounded Theory, with a structuralist approach proposed by Strauss and Corbin. Grounded Theory was chosen because it is a methodological approach that is rigorous during data collection and analysis, considering that the research will study a professional training strategy inserted into the routine and work process of professionals in a procedural manner. Data collection took place between January and May 2023 through in-depth interviews, based on the following guiding question: Talk about continuing education in your work process in primary health care. Data collection followed theoretical sampling, being carried out from three sample groups, the first composed of 16 nurses, the second by five managers and the third by a nursing technician and four community health agents. Data analysis was carried out simultaneously with data collection, with constant raising of new questions and carrying out comparative analysis, following open, axial and selective coding. The Atlas ti software, version 8, was used as a technological tool, with the appropriate license acquired. With the coding of the interviews, 1391 citations, 824 codes, four memos, 27 groups of codes and 16 networks or analytical diagrams were obtained from the analysis. After data analysis, the theoretical model was validated by the following groups: two researchers selected for their expertise in investigations, discussions and practices in Continuing Health Education; three researchers with expertise in the GT method; five participants from the study sample groups. The results achieved were divided into categories according to paradigmatic circumstances, conditions, action/interaction and consequences. The following representative categories of the phenomenon studied were elucidated: Pointing out needs and paths for implementing EPS in PHC; Facing the adversities of working in health and the need for applied knowledge and adequate working conditions; Proposing strategies and relationships that enhance the materialization of EPS; Establishing the advances arising from EPS in the context of PHC; and Declaring the difficulties of not implementing EPS in the health work process. The results provided the construction of the theoretical model that represents the understanding of Continuing Health Education in the Primary Health Care Work Process from the perspective of professionals working in the current context of the Unified Health System.

     

16
  • PAULO HENRIQUE DO NASCIMENTO
  • HEALTH DAMAGES AND VULNERABILITY IN INSTITUTIONALIZED ELDERLY PEOPLE AFTER COVID-19 PANDEMIC
  • Líder : THAIZA TEIXEIRA XAVIER NOBRE
  • MIEMBROS DE LA BANCA :
  • THAIZA TEIXEIRA XAVIER NOBRE
  • ANA ELZA OLIVEIRA DE MENDONCA
  • SILVANA LOANA DE OLIVEIRA SOUSA
  • Data: 12-dic-2023


  • Resumen Espectáculo
  • Introduction: Population aging has been growing significantly around the world, one of the consequences is the increased demand for long-term care institutions for the elderly (LTCFs), institutionalization is also a contributing factor to the increase in health problems. Objective: To analyze health problems and their relationship with gender and identify the vulnerability profile and the relationship with stress and anxiety in institutionalized elderly people. Methods: Two analyzes were carried out: 1) Descriptive, observational, cross-sectional study, sample composed of 44 elderly people living in an LTCF located in the municipality of Maranguape, Ceará. The variables analyzed were studied based on data collected from the Elderly Person's Health Record (CSPI), using the electronic form (Google Forms) for data tabulation. The variables analyzed were: sociodemographic data, presence of NCDs, use of polypharmacy, anthropometric data and assessment of nutritional status; 2) Research carried out with 31 elderly people, the instruments used were data from the CSPI through the Vulnerable Elderly Identification Protocol (VES-13), the assessment of anxiety through the Beck Anxiety Inventory (IAB) and stress through of the Perceived Stress Scale (EEP). Results: It was observed in study 1 that 59.1% (n=26) of elderly people were female and 61.3% (n=27) of the total had some type of disability, where 68.2% (n= 30) of the elderly reported having four or more years of education, while 63.7% (n=28) did not use polypharmacy. From a nutritional perspective, 61.5% (n=16) of women had body mass index classification (≥ 22 and ≤ 27 kg/m²), while 33.3% (n=10) of men had adequate weight, the Women showed greater signs of loss of muscle mass than men, although SAH is more present in women 65.4% (17) and DM is more present in men 28% (5), 70.5% of the analyzed sample had history of chronic disease, with no association with nutritional profile. In study 2) the feminization of the sample was evident (58.1%), predominance of mixed race (74.1%), with (50%) of men using polypharmacy and (42%) having one or more disabilities. A significant predominance of vulnerable elderly people was found (90.3%), with fair or poor self-rated health (74.2%), with physical limitations (80.6%) and disability (67.7%) (p < 0.05). As for mental health, it was observed that for both anxiety and stress, the lowest levels predominated, 87.1 and 54.8%, with no correlation with the vulnerability profile. Final considerations: It was possible to identify that institutionalized elderly people may be susceptible to chronic diseases, mostly hypertension and DM, although they have an adequate nutritional status based on BMI, many elderly people are overweight, with a high percentage of fat and loss of mass. muscle mass that may indicate the diagnosis of sarcopenia, where the loss of muscle mass is one of the clues for the diagnosis, it was possible to identify the predominance of vulnerability, although the perception of anxiety and stress was considered low, with no relationship with elderly people being or not vulnerable.

     

17
  • MONIQUE LEIA ARAGÃO DE LIRA
  • EVALUATION OF VACCINATION COVERAGE IN BRAZIL: A TIME SERIES STUDY FROM 2000 TO 2022

  • Líder : FABIA BARBOSA DE ANDRADE
  • MIEMBROS DE LA BANCA :
  • ANA ELZA OLIVEIRA DE MENDONCA
  • DIANA PAULA DE SOUZA REGO PINTO CARVALHO
  • FABIA BARBOSA DE ANDRADE
  • Data: 19-dic-2023


  • Resumen Espectáculo
  • The mission of the National Immunization Program is based on the control and eradication of vaccine-preventable diseases. Insufficient campaigns and declining vaccination coverage can increase the burden of endemic infectious diseases and the risk of resurgence of eliminated pathogens. In view of this, this study aims to assess vaccination coverage in Brazil, based on the time series from 2000 to 2022. This is a national population-based ecological study, using secondary data obtained from the Department of Informatics of the Unified Health System of the Ministry of Health, collected from February to May 2023. The dependent variables used were vaccination coverage and immunobiologicals, and the independent variables were Brazilian regions, states, years and underage age group. The data was analyzed using Excel 2016 for Windows, Joinpoint Regression Program and Power Business Intelligence. The results obtained in this study point to overall vaccination coverage of the Brazilian population above 80% in 2001, 2004, 2011, 2014 and 2015 and a considerable decline from 2016 onwards, with the lowest rates recorded in 2016 and 2021. In the temporal analysis, the states of the North, Northeast and Southeast had the lowest overall average vaccination coverage rates for the period. In addition, the linear regression showed four temporal variations with straight line segments to explain the autocorrelation, showing equivalent breakpoints in the 2013-2016, 2016-2019 and 2019-2022 periods, following a decreasing, increasing and decreasing order. The Northern region shows a negative variation with statistical significance in the 2019-2022 segment, confirming the downward trend. As for immunobiologicals in children under two years of age, the BCG vaccine leads the highest rates in the Brazilian states, reaching parameters above expectations (90%). In the state of Espírito Santo, the rates developed by the polio vaccine surpass BCG, and in all the country's states the target against polio (95%) is reached, except in Amapá. Another immunobiological that performs well is dose one of the triple viral vaccine, with the states of Amazonas, Amapá and Acre failing to reach the target (95%). In the regions of Brazil, high rates of vaccination coverage were identified in 2015 in the Northeast, especially in the states of Ceará and Pernambuco. The same behavior in 2015 can be seen in the North, with emphasis on the state of Rondônia, in the Midwest with the state of Minas Gerais and in the South with visibility in the state of Santa Catarina. In the Southeast of the country, high vaccination rates are not identified in a specific year, so it can be seen that the Federal District leads the rates in the period from 2004 to 2010, followed by a downward trend in subsequent years, and the state of Mato Grosso do Sul recorded high vaccination rates in 2014 and 2015. The importance of the strategy of systematic updating of health professionals, training in information systems, as well as the microplanning of high-quality vaccination activities of the routine program, intensification and campaigns is essential for all stages of vaccination to be carried out properly and safely, reaching as many people as possible.

18
  • ANA ELISA BARBOZA DE SOUZA
  • EXTERNAL CAUSE MORTALITY IN BRAZIL: TIME SERIES FROM 2000 TO 2020

  • Líder : FABIA BARBOSA DE ANDRADE
  • MIEMBROS DE LA BANCA :
  • ANA ELZA OLIVEIRA DE MENDONCA
  • CRISTINA KATYA TORRES TEIXEIRA MENDES
  • FABIA BARBOSA DE ANDRADE
  • Data: 19-dic-2023


  • Resumen Espectáculo
  • Mortality is one of the main health indicators in the world. External causes are among the leading causes of mortality in Brazil and worldwide, as well as being responsible for a large proportion of hospital admissions. In 2019, Brazil was the country with the 2nd highest number of deaths from injuries in the world. During the same year, the country ranked 1st in the Central and South American region.  They occupy 3rd place in the ranking of Brazilian deaths, in 2020 alone they were responsible for more than 146,000 deaths, even though they are tabulated in the list of preventable causes. Thus, this study aims to evaluate mortality from external causes in Brazil, as well as the most prevalent cause, considering a historical series from 2000 to 2020. This is an ecological study with a quantitative approach, using data on the number of deaths from external causes in Brazil between 2000 and 2020. Data was collected from the Information Systems of the Unified Health System, concentrated in the Department of Informatics of the Unified Health System, filtering deaths from external causes by dependent variable and year, education level, race, age group, place of occurrence, marital status and category as independent variables. Data was collected during the period September and October 2022, and Joinpoint software was used for data analysis to calculate linear regression and trends in Brazilian regions. The results showed an upward trend in mortality from external causes in Brazil and the regions in the early years, and a downward trend in the later years of the study. In addition, the majority of deaths are concentrated in the male population, aged 20 to 29, with 4 to 7 years of schooling. The Southeast region shows a difference when compared to Brazil and the other regions, demonstrating that even though it is a common and worrying cause of mortality, there are differences between the regions, both in terms of numbers and causality. At the same time that some groups show a significant increase in the number of deaths, others show a decline, thus changing the behavior of the total number of deaths from external causes throughout the country, as well as in the regions. In addition, the majority of external cause deaths occurred in the male population, among people aged between 20 and 29, brown and single. Among the main deaths are assault by gunshot or other firearm or unspecified, motor vehicle and non-motor vehicle accidents and other types of unspecified vehicles, assault by sharp or penetrating object and intentional self-harm, hanging, strangulation or suffocation. With regard to the most prevalent cause, i.e. aggression caused by the discharge of another firearm or other weapon, 712,475 deaths were recorded, with the highest number recorded in 2013, corresponding to a rate of 51 deaths per 100,000 inhabitants. In view of this, it is necessary to evaluate the application of protective public policies, as well as socio-educational measures and laws that deal with this issue, in order to protect these sensitive preventive conditions, helping to reduce mortality rates from external causes.

Tesis
1
  • VICTOR HUGO DE OLIVEIRA SEGUNDO
  • Attitude, Movement and Choices Program for a healthy life in adolescents: relationship between sedentary behavior and cognitive performance

  • Líder : GRASIELA PIUVEZAM
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • GILBERTO MARTINS SANTOS
  • GRASIELA PIUVEZAM
  • NAILTON JOSÉ BRANDÃO DE ALBUQUERQUE FILHO
  • PAULO MOREIRA SILVA DANTAS
  • Data: 16-feb-2023


  • Resumen Espectáculo
  •  

    Adolescence is a period marked by several neuroendocrine changes that influence brain development and behavior. Adolescents are more likely to adopt risky behaviors in their lifestyle, including sedentary behavior. In this sense, intervention studies have sought to develop efficient strategies to encourage adolescents to adopt a healthy lifestyle. However, although promising actions can be identified in the literature, the real mechanism that acts in the regulation of behavior in adolescents seems to be associated with the neurotrophin Brain-Derived Neurotrophic Factor (BDNF), and studying how risk behaviors influence its secretion are of great relevance to develop more effective interventions. Therefore, the objective of this thesis is to describe the theoretical foundation to the planning of a school-based multicomponent intervention with combined actions to promote physical activity, reduction of sedentary behavior and food and nutrition education, and the possible consequences for cognitive performance and adolescent health. The methodology of this thesis is described in the format of a collection of articles and was divided into four stages. The first stage describes a systematic review that was developed during the theoretical foundation studies for planning the intervention of the Attitude, Movement and Choices for a Healthy Life Program (AME Program), and it was possible to identify the need to implement a specific training stage for physical education teachers. In the second stage, was detailed the methodology of a systematic review that will be developed with the objective of investigating the association between sedentary behavior and BDNF in adolescents. The methodological protocol for the review was registered in the International Prospective Register of Systematic Reviews (PROSPERO) under the identifier CRD42022369220 and follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The third stage presents this completed systematic review, with all search results and analysis of information extracted from the included articles. The fourth step is a study of rationale and theoretical foundation for the methods addressed in the sedentary behavior axis of the AME Program intervention, which was registered on the Brazilian Registry of Clinical Trials platform under the number RBR-86xv46. The results of this thesis are based on the production of studies and, considering that part is still in the writing phase, the appreciation and suggestions of the examining board will contribute to the methodological and scientific quality of the articles. It can be said that the AME Program is an integrated, sustainable and low-cost proposal, with great potential to produce benefits in lifestyle, cognitive performance and health of adolescents. Finally, the results of these studies will strengthen evidence-based practice in research aimed at promoting health in the school context.


2
  • SUELY DEYSNY DE MATOS CELINO
  • EVALUATION OF PRIMARY HEALTH CARE IN THE CONTEXT OF THE COVID-19 PANDEMIC

  • Líder : ANA ELZA OLIVEIRA DE MENDONCA
  • MIEMBROS DE LA BANCA :
  • ANA ELZA OLIVEIRA DE MENDONCA
  • ARDIGLEUSA ALVES COELHO
  • FABIA BARBOSA DE ANDRADE
  • JOAO MARIO PESSOA JUNIOR
  • LUCIANA ARAUJO DOS REIS
  • Data: 28-abr-2023


  • Resumen Espectáculo
  • Primary Health Care (PHC) is essential in facing the COVID-19 pandemic, due to its characteristics of territorialization and bond, having as main responsibilities in this period: health surveillance in the territories; attention to suspected or confirmed users of the disease; social support to vulnerable groups and; continuity of its own actions. The general objective of the thesis was to evaluate the Primary Health Care (PHC) services during the Public Health Emergency period, due to the COVID-19 pandemic. The results are presented in three articles. The first and second contemplate the quantitative assessment of PHC, regarding its attributes, through the PCATool-Brasil instrument, from the perspective of users and professionals (doctors and nurses), respectively. The general and essential scores attributed by both users and professionals revealed services with little focus on PHC. For users, a high evaluation score was associated with low education, indicating that individuals with a lower educational level tend to be more satisfied with health services and; the highest average time of professionals in health units, an association also verified in the evaluation of professionals, which reflects the need for a bond between them and users to guarantee quality services. The attribute access to first contact had the lowest mean in both studies, which suggests that services do not meet the health needs of the population in a timely manner or comprehensively. The third article was developed through qualitative analysis, with the aim of understanding the work process of PHC teams during the pandemic and their role in coping with COVID-19. Semi-structured interviews were carried out, submitted to content analysis, and later, to the Descending Hierarchical Classification of the IRAMUTEQ software, which led to two thematic categories: Challenges in the work process of the teams and; The role of PHC in coping with the pandemic and the organization of the care network. The scarcity of personal protective equipment, with a limitation of active professionals and the lack of physical structure of the health units were aspects considered limiting in the work process, in addition to the suspension of continuous care. PHC is understood as the gateway to services and the users' main contact with the care network, although it was clearly underused in the scenario studied. It was possible to observe how much the pandemic impacted the services and these, in turn, must face new challenges: rescuing the monitoring of the chronically ill; intensify surveillance actions in the territory, through the work of community health agents; encourage vaccination of children, adults and the elderly, both for COVID-19 and for existing vaccines; and, mainly, to use strategies to improve user access.

3
  • JANMILLI DA COSTA DANTAS SANTIAGO
  • Temporal trend and spatial distribution of gestational and congenital syphilis in Brazil, period 2008-2018

  • Líder : RICHARDSON AUGUSTO ROSENDO DA SILVA
  • MIEMBROS DE LA BANCA :
  • ANA ELZA OLIVEIRA DE MENDONCA
  • ELIÃ PINHEIRO BOTELHO
  • ELLANY GURGEL COSME DO NASCIMENTO
  • RICARDO ALEXSANDRO DE MEDEIROS VALENTIM
  • RICHARDSON AUGUSTO ROSENDO DA SILVA
  • Data: 04-may-2023


  • Resumen Espectáculo
  • Introduction: Syphilis has become a public health problem in several regions of the world. Objective: To analyze the temporal trend and spatial distribution of gestational and congenital syphilis in Brazil, from 2008 to 2018. Method: This is a study of different methods. 1) Time series study of the detection rate of gestational syphilis and correlation between socioeconomic and health service variables. Data were extracted from publicly accessible national databases. The Joinpoint Regression software and Pearson's correlation coefficient were used. 2) Ecological study of spatial analysis of the detection rate of gestational syphilis and spatial correlation between socioeconomic variables and health services. Extracted secondary data, aggregated in 482 Immediate Urban Articulation Regions. GeoDa software was used. 3) Ecological study of temporal trends and spatial distribution of the incidence rate of congenital syphilis and spatial correlation between socioeconomic variables and health services. Secondary data extracted. Joinpoint Regression and GeoDa software were used. 4) Protocol for a scoping review with the objective of proposing a protocol to identify and map the use of Spatial Analysis as a tool in research on syphilis in the health area. It was based on the Joanna Briggs Institute manual and guided by PRISMA-ScR. Results: In the first study, the South region showed the greatest trend; while the Midwest, smaller. Correlation detected with the Municipal Human Development Index, illiteracy rate, percentage of primary health care coverage and proportion of doctors, nurses and basic health units per inhabitant. In the second study, the detection rate of gestational syphilis was unevenly distributed and showed a spatial correlation with the Municipal Human Development Index, percentage of primary care coverage and proportion of physicians per population. In the third study, the incidence rate of congenital syphilis showed an upward trend and uneven distribution. It showed a spatial correlation with the percentage of individuals with inadequate water supply and sanitation and the percentage of live births with 1 to 3 prenatal consultations. The fourth study explained the research question, the databases for searches, inclusion and exclusion criteria, data extraction worksheet and the type of data analysis. Final considerations: Investments in health and social policies are necessary to mitigate social vulnerabilities and strengthen primary health care for syphilis control.

4
  • JULIANA PONTES SOARES
  • BURNOUT SYNDROME: AN ANALYSIS OF WORKERS WHO WORK IN HEALTH MANAGEMENT DURING THE COVID-19 PANDEMIC
  • Líder : JANETE LIMA DE CASTRO
  • MIEMBROS DE LA BANCA :
  • ANA CRISTINA DE OLIVEIRA E SILVA
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • ISABELA CARDOSO DE MATOS PINTO
  • JANETE LIMA DE CASTRO
  • MARIA APARECIDA DIAS
  • Data: 24-may-2023


  • Resumen Espectáculo
  •  

    Introduction: Burnout is a work-related psychological syndrome. During the Covid-19 pandemic, its increase was observed in several work spaces. Objective: To investigate the use of the Maslach Burnout Inventory scale and the existence of Burnout Syndrome in health managers, with a view to understanding the influence of work on the mental health of these professionals during the COVID-19 pandemic. Method: Quantitative and qualitative study developed in five stages: 1) Integrative Review, carried out to understand the effects and consequences of working conditions during the COVID-19 pandemic on the mental health of health professionals, highlighting the factors that may be associated with the development of burnout syndrome. IRaMuTeQ was used and through Descending Hierarchical Classification a dendrogram with 6 classes was obtained. 2) Scope Review Protocol and 3) Scope Review. Through the protocol and the review, it was possible to identify and map studies that used the Maslach Burnout Inventory to assess Burnout Syndrome in health professionals who work in public health services. Developed in accordance with the criteria of the JBI Institute Reviewer’s Manual and guided by PRISMA-ScR. 4) Observational, cross-sectional, quantitative study, designed to investigate the prevalence of Burnout Syndrome and associated factors in public health managers during the COVID-19 pandemic. A sociodemographic/occupational questionnaire and the Maslach Burnout Inventory were used. Analysis performed using descriptive statistics with presentation of simple and absolute frequency. Bivariate statistics were performed using Pearson's chi-square test. Text data were analyzed and expressed visually by word clouds. 5) Descriptive, qualitative study to identify perceptions of professional health managers regarding the repercussion of their position on their mental health and strategies used to deal with adversities at work. Remote interviews were conducted. IRaMuTeQ was used and through Descending Hierarchical Classification a dendrogram with 6 classes was obtained. Results: The first study showed professional experience, working conditions, financial situation, relationship between work and family, fear of contamination and transmission of the disease as factors associated with Burnout. The protocol guided the scope review, 55 studies were selected, published between 1999 and 2021 in 32 countries, developed mostly in Brazil, with physicians, 22 versions of the Maslach Burnout Inventory were identified with different items, likerts and cutoff points. Included studies had recommendations and implications for clinical practice. Fourth study showed a prevalence of Burnout of 12.6%. Not having children, being partially qualified for the position, not feeling valued at work, were factors associated with the syndrome. A fifth study showed insufficient human resources, inadequate work environment and excessive demands, as stressors. As strategies to deal with adversities: participatory management, listening to people, meetings and access to Worker's Health Assistance Services. Conclusion: Studies have shown a higher prevalence of Burnout in managers, when compared to the pre-pandemic period, associated factors and strategies used to deal with adversities at work. The results may contribute to the development of strategies to promote and protect the mental health of these professionals.

     

5
  • MARIANA SILVA BEZERRA
  •  

     

    Food environment and its relationship with food insecurity and socioeconomic conditions


  • Líder : CLELIA DE OLIVEIRA LYRA
  • MIEMBROS DE LA BANCA :
  • ANA CLARA DA FONSECA LEITÃO DURAN
  • CLELIA DE OLIVEIRA LYRA
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • FABIO RESENDE DE ARAUJO
  • LARISSA MENDES LOURES
  • Data: 18-jul-2023


  • Resumen Espectáculo
  •  

    Introduction: The food environment is the physical, economic, political and sociocultural context in which each consumer engages with the food system to acquire, prepare and consume food. This environment involves the availability, accessibility, convenience, promotion, quality and sustainability of food. Compromising access to and availability of healthy foods in sufficient quantities characterizes food insecurity. Objective: To analyze the food environment and its relationship with the occurrence of food insecurity at home and socioeconomic conditions. Method: It is a study of different methods. 1) Systematic review on the relationship between food environments and food insecurity, based on a systematic literature search in the PubMed, Web of Science, Science Direct, EMBASE and LILACS databases in January 2023. 2) Ecological study with census tracts of the city of Natal-RN, based on the identification of food acquisition establishments, grouped in the categories of in-natura or minimally processed, ultra-processed or mixed. Food deserts were calculated by the density of healthy establishments divided by 10,000 inhabitants and classified as less than or equal to the 25th percentile. We used socioeconomic data from the 2010 Census. Multiple Poisson regression was used to observe the relationship between the existence of food deserts and swamps and social infrastructure. 3) This is a quantitative and cross-sectional study with individual demographic, socioeconomic and food insecurity data from the Brazuca Natal Study and the relationship with the census tracts classified into deserts and food swamps. Results: In the systematic review, 22 articles were included, 18 of which found an association between food environments and food (in)security, the majority being in developed countries, in the global North. In the ecological study, it was identified that 51.45% of the food acquisition establishments in the city were of the ultra-processed type. There was a higher density of food establishments in regions with better socioeconomic conditions. The census tracts classified as food deserts (25%) were associated with household conditions and worse infrastructure in the sector. While 75% were identified as a food swamp, associated with better infrastructure in the sector. In the cross-sectional study, food insecurity was found in 42.3% of respondents, associated with individual and sector demographic and socioeconomic variables. Deserts and food swamps did not show a spatial distribution pattern and were not associated with food insecurity. Conclusion: There are inequalities in the distribution of different food acquisition establishments in the city of Natal/RN, with a predominance of food swamps. Thus, actions are needed to improve the sectors' infrastructure, decentralize the supply of healthy foods and limit the sale of ultra-processed foods, with a view to ensuring healthy food choices. It is important that new studies assess the different dimensions of the food environment, to allow a better identification of factors associated with food insecurity in different socioeconomic contexts.


6
  • ANA PATRICIA DE QUEIROZ MEDEIROS DANTAS
  • MENTAL HEALTH OF HEALTH PROFESSIONALS AT EMERGENCY CARE UNITS (UPAs) IN NATAL - RN IN THE CONTEXT OF COVID-19

  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • ROSANA ROSSETO DE OLIVEIRA
  • ANNA CECILIA QUEIROZ DE MEDEIROS
  • CLECIO DE OLIVEIRA GODEIRO JUNIOR
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • JOÃO BOSCO FILHO
  • MARIA ANGELA FERNANDES FERREIRA
  • MARIA APARECIDA SALCI
  • Data: 22-sep-2023


  • Resumen Espectáculo
  • The Covid-19 pandemic has had serious implications for individual and collective health and emotional and social functioning. At the same time, it triggered an overload on health systems around the world, directly affecting the mental health of health professionals, especially professionals in the urgent and emergency sectors who have higher levels of stress, anxiety and depression than the general population. In this sense, the present study proposes to analyze the prevalence and factors associated with mental illness among workers at Emergency Care Units in Natal-RN. This is a cross-sectional quantitative study, aimed at nurses, nursing technicians/assistants and physicians at the 04 Emergency Care Units in Natal-RN. The collection was carried out from July to December 2022 with the application of questionnaires, which contain socio-occupational data, personal clinical health data and personal and family history of mental disorders and specific questionnaires Maslach Burnout Inventory-Human Services Survey (MBI -HSS), Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI). The questionnaires were sent via whattsapp or accessed via QR code and answered after signing the Free and Informed Consent Form through the Google® forms platform. 172 participants were included in the survey. The sample consisted of 82% women, with a mean age of 39.63 years (SD 9.521) and mean time since graduation was 11.9 years (SD 7.68). The prevalence of Burnout in the sample was 51,2% and, 47.1% had high Emotional Exhaustion, 27.9% high Depersonalization and 24.4% low Personal Fulfillment. Regarding to anxiety symptoms, 28.5% had moderate to severe anxiety symptoms and the prevalence of depressive symptoms was 16 .3%. In view of the results found, it is urgent to create government actions that act at the management, organizational and individual levels to prevent new injuries in frontline health professionals, as well as in the treatment of disorders.

7
  • ANA GABRIELLA COSTA LEMOS DA SILVA
  • Nutritional status of vitamin E and cardiovascular risk factors among adults and older adults: Brazuca Natal Study

  • Líder : CLELIA DE OLIVEIRA LYRA
  • MIEMBROS DE LA BANCA :
  • CLELIA DE OLIVEIRA LYRA
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • GRASIELA PIUVEZAM
  • RICARDO NEY OLIVEIRA COBUCCI
  • SORAIA PINHEIRO MACHADO ARRUDA
  • Data: 18-dic-2023


  • Resumen Espectáculo
  • Introduction: Cardiovascular diseases (CVD) are the principal cause of morbidity and mortality in the world. Therefore, experts have studied strategies for preventing and treating cardiovascular events. One of this knowledge is vitamin E stands out for its antioxidant and anti-inflammatory properties, supported by findings that higher dietary intake of vitamin E and higher concentrations of serum α-tocopherol (α-TOH) are associated with a lower risk of cardiovascular events. Therefore, data on the nutritional status of vitamin E in the population and its relationship with cardiovascular risk factors are relevant strategies to support programs and public policies aimed at preventing and treating CVD. Objective: To evaluate the nutritional status of vitamin E and its association with cardiovascular risk factors in adults and older adults in the Brazuca Natal Study. Methods: This is a study of different methodological strategies. 1) The narrative review aimed to verify if surveys could demonstrate an association between serum vitamin E and the occurrence of CVD. Moreover, we would like to understand whether vitamin E deficiency (VED) should also be considered a public health problem. 2) Cross-sectional study, divided into two scientific articles. The first article evaluated the prevalence of VED and whether cardiovascular risk factors influenced serum α-TOH status in adults and older adults in the Brazuca Natal Study. We performed a multiple linear regression analysis between serum α-TOH (dependent variable) and cardiovascular risk factors. The second article aimed to evaluate vitamin E intake, and we would like to identify the principal food sources of this micronutrient intake. To this end, we analyzed socioeconomic and demographic conditions (sex, age, color/race, education, per capita income, and health district of residence), and vitamin E intake (dependent variable). Results: In the narrative review, we observed that VED could be a public health problem. The prevalence of VED varies from 0.6% to 55.5% in the world, with higher percentages in Asia and Europe, where the high mortality rates from CVD stand out. Population studies suggest the protective effects of vitamin E on CVD. However, intervention studies with α-TOH supplementation have not confirmed its cardioprotective action. In article 2 of the cross-sectional study, we observed that 24.8% of adults and older adults in Natal had VED, and 89% had low concentrations of circulating α-TOH (below 30 µmol/L). We found that females had higher mean serum α-TOH values. In addition, the cardiovascular risk factors that increased the individuals' serum α-TOH were a high visceral adiposity index and higher global risk score values. Article 3 demonstrated that 95.7% of individuals had a low intake of vitamin E, considering the Estimated Average Requirement (EAR) of 12 mg/day, with lower intake values among older adults, women, and those who have a per capita income of less than half minimum wage and with less education. Soybean oil, açaí pulp, and red meat provided the highest content of ingested vitamin E. Conclusion: the study demonstrated a high prevalence of VED and low consumption of vitamin E in the studied population. We verified an association between serum α-TOH and cardiovascular risk factors.

8
  • RAMON EVANGELISTA DOS ANJOS PAIVA
  • ACCIDENTS AT WORK IN BRAZIL AND THEIR IMPACT ON WORKER MORBIDITY AND MORTALITY: A TIME SERIES STUDY FROM 2011 TO 2021 

  • Líder : FABIA BARBOSA DE ANDRADE
  • MIEMBROS DE LA BANCA :
  • ANA ELZA OLIVEIRA DE MENDONCA
  • ARDIGLEUSA ALVES COELHO
  • CRISTINA KATYA TORRES TEIXEIRA MENDES
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • FABIA BARBOSA DE ANDRADE
  • Data: 20-dic-2023


  • Resumen Espectáculo
  • Introduction: It is clear that the greatest advance in workers' health in Brazil was its constitutional recognition as an area of public health. Understanding the impact of the work process on Workers' Health, the Unified Health System describes the promotion of a safe working environment as one of its objectives. In Brazil, according to the Social Security Statistical Yearbook published in 2019, around 582,000 accidents at work were recorded. General objective: To assess the morbidity and mortality of occupational accidents in Brazil between 2011 and 2021. Method: Ecological time series study, using secondary sources from the National Institute of Social Security, of workers registered through the Communication of Accidents at Work. After collecting the data, it was stored in Microsoft Excel® and Joinpoint® and Python software was used for regression and correlation analysis. Results: Brazil presented a rate of 61 deaths for every 100,000 formal work accidents in 2011 with a growth curve to 68 deaths for 100,000 work accidents in 2018 however, in 2021 the country presents a downward curve to 32 deaths for 100,000 work accidents, being a decrease of 52% in relation to the beginning of the study. Accidents to the upper limbs were found to be the most affected part of the body, with the highest rates in the south and southeast. When observed longitudinally, these rates showed an increase in cases between 2011 and 2021, in the South and Midwest regions. If analyzed in relation to the Brazilian Classification of Occupations, industrial workers stand out from the rest, followed by service providers and mid-level technicians. As for the International Classification of Diseases and Related Health Problems, in the chapter, Injuries, poisoning and certain other consequences of external causes, they stand out as the most prevalent pathologies among workers, with a temporal variation in the year 2013, then showing a downward curve until the year 2021. The drop is more pronounced in the Southeast and the Midwest shows a higher number of final cases than the initial number in 2011. Discussion: The global panel shows how Brazil is part of a scenario seen around the world, in which the occupation is linked to more than 2 million deaths, with 318,000 deaths due to accidents and 2 million due to work-related illnesses. Accidents at work account for 18% of deaths in low- and middle-income countries such as Brazil, compared to only 5% in high-income countries. onclusion: The creation of public policies such as the National Workers' Health Policy has corroborated other actions such as the strengthening of the National Comprehensive Workers' Health Care Network, as well as being related to the presence of more intersectoral actions as a result of the maturing of the sectors responsible for Workers' Health.

9
  • LAVINIA MABEL VIANA LOPES
  • MARKS OF A PANDEMIC IN BRAZIL: BIOETHICAL ANALYSIS OF FACTORS RELATED TO THE BRAZILIAN STATE'S POSTURE TOWARDS COVID-19

  • Líder : KARLA PATRICIA CARDOSO AMORIM
  • MIEMBROS DE LA BANCA :
  • KARLA PATRICIA CARDOSO AMORIM
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • ELIANA COSTA GUERRA
  • CECILIA NOGUEIRA VALENCA
  • VOLNEI CARAFFA
  • JOÃO BOSCO FILHO
  • SAULO FERREIRA FEITOSA
  • Data: 22-dic-2023


  • Resumen Espectáculo
  • Brazil came to occupy second place in the absolute number of deaths from Covid-19 and, in March 2021, it was considered the global epicenter of the pandemic. The lack of adoption of alternatives for managing the health crisis that privileged the principles, methods and practices of epidemiological surveillance to combat it allowed this scenario. Added to this, scientific denialism on the part of the Brazilian federal government continued to be established in the country, with the perpetuation of discourses of contempt for universities and the rights of the most vulnerable populations. Thus, this thesis aims to analyze, in the light of Intervention Bioethics (BI), factors related to the Brazilian federal government's stance towards Covid-19. This is a Case Study with a qualitative approach. We opted for several sources of evidence, using the triangulation of data from documents relating to the period of the Covid-19 pandemic in Brazil and which were in accordance with the proposed objectives: (a) videos and texts of official statements by the federal government, carried out by the former President of the Republic, during the first year of the Covid-19 pandemic in Brazil, 2020; (b) the final report of the Covid-19 CPI, carried out in 2021 in Brazil; (c) journalistic/news articles that recount important events in Brazil at the time of the Covid-19 pandemic; and (d) publications by ANVISA about the health guidelines for containing Covid-19 in Brazil, that is, which ethical parameters should be followed, according to the regulations published by that body. The results were analyzed using Thematic Content Analysis and are arranged in three sections: (1) published article entitled “The Covid-19 CPI: a bioethical analysis of what was revealed in the management of the pandemic”. This article aims to discuss, based on the main findings of the Covid-19 CPI, the stance of the Brazilian federal government and its consequences in the management of the pandemic, in light of BI; (2) article accepted for publication entitled “Bioethics, Brazilian official pronouncements and the Covid-19 pandemic: irresponsibility and lack of protection”. This article analyzes the official statements of the Brazilian federal government, made by Bolsonaro in 2020, during the Covid-19 pandemic. For this critical analysis, the BI theoretical framework was used; (3) article under construction for subsequent submission entitled “Management of the Covid-19 Pandemic in perspective: bioethical inconsistencies between ANVISA and the Brazilian federal government”. This article presents data collected in ANVISA publications about health guidelines for combating the Covid-19 pandemic, and seeks to analyze, through BI, the bioethical inconsistencies between the measures proposed by the Agency and those adopted by the federal government. Based on the analysis carried out in this thesis, it is concluded that the bioethical precepts proposed by BI were not respected in confronting the Covid-19 pandemic in Brazil, highlighting the negligence, on the part of the Brazilian federal government, of ethical parameters such as solidarity, corporeality, responsibility, vulnerability, equity, justice and the 4 'feet' of BI that involve precaution, prudence, protection and prevention.

     

     

     

     

2022
Disertaciones
1
  • IZABELLE BEZERRA COSTA
  • CONGENITAL SYPHILIS IN BRAZIL AND INDICATORS PROPOSED BY THE CEGONHA NETWORK IN THE FRAMEWORK OF PRENATAL CARE

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANDRÉ LUIS BONIFÁCIO DE CARVALHO
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • RICHARDSON AUGUSTO ROSENDO DA SILVA
  • TATYANA MARIA SILVA DE SOUZA ROSENDO
  • Data: 25-ene-2022


  • Resumen Espectáculo
  • Compared to other Latin American countries, Brazil has stood out over the years for presenting high rates of congenital syphilis notifications – denouncing, in particular, the evident deficit of health interventions during prenatal care. In 2011, in an attempt to improve maternal and child health conditions in the country, the “Rede Cegonha” programm was created, a policy that guides the implementation of a new model of health care for women and children, the organization of the care network and the reduction of maternal and child mortality. The objective of this research was to analyze the incidence of congenital syphilis in Brazilian cities according to indicators proposed by “Rede Cegonha” in the context of prenatal care. This is an observational ecological type study with an analytical character, whose sample consisted of 257 municipalities with a number of inhabitants equal to or greater than one hundred thousand (n = 257). Descriptive analysis of dependent and independent variables and bivariate analysis by Poisson Regression by Robust Variance were performed for the outcomes “incidence of congenital syphilis” and “ratio between congenital syphilis and syphilis in pregnant women”. In the trend analysis (2015-2019), marginal means were estimated using Split-Plot Analysis of Variance (ANOVA) for the outcomes chosen according to the independent variables. The cross-sectional analysis showed that the mean incidence of congenital syphilis was 42% higher in municipalities with HDI up to 0.785 (RM=1.42; p<0.001) and 36% higher among populations with availability of a rapid test below 50% (RM = 1.36; p<0.005). The ratio between congenital syphilis and syphilis in pregnant women was 33% higher among municipalities with a proportion of poor people above 6.9% (RM=1.33; p<0.001) and 24% higher among locations with less than 50% availability of rapid tests (RM=1.24; p<0.001). There was no statistical significance of the “Prenatal Quality Score” compared to the outcomes. Trend analysis showed a strong effect of time (years) on the incidence of congenital syphilis (F=0.146; p<0.001) and on the ratio between congenital syphilis and syphilis in pregnant women (F=0.192; p<0.001). In contrast, it was verified that the interaction between year and Human Development Index (HDI) and year and “Prenatal Quality Score” had low effects on outcomes. The findings of this study refer to a worrying national scenario with regard to the prevention and control of congenital syphilis. However, it is noteworthy that the availability of rapid tests and better living conditions and health of the population, especially regarding socioeconomic aspects, were associated with better outcomes. The present research highlighted the important features of inequality in the occurrence of congenital syphilis, drawing attention to strategies to reduce health inequities and improve prenatal care.

2
  • RICARDO AUGUSTO DE CARVALHO JANSEN FERREIRA CUNEGUNDES
  • Chikungunya Fever in the older adults in Rio Grande do Norte - Brazil

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • DIANA PAULA DE SOUZA REGO PINTO CARVALHO
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • KENIO COSTA DE LIMA
  • Data: 28-ene-2022


  • Resumen Espectáculo
  • INTRODUCTION: Chikungunya Fever is a disease that, in its acute phase, causes polyarthralgia, myalgia and fever, and its symptoms can last for a period of up to three years after its initial presentation. After the great national outbreak experienced in the year 2015, in Rio Grande do Norte, Brazil, more than 16,800 cases have been registered, until the year 2019. OBJECTIVE: Analyze the cases of elderly people affected by Chikungunya Fever in Rio Grande do Norte, between 2016 and 2020. METHODS: This is a hybrid analytical epidemiological study, part cross-sectional, part ecological. The data on disease notification and deaths of the elderly due to Chikungunya Fever were obtained from the Information System for Notifiable Diseases and the Mortality Information System, respectively. The population was composed of elderly people, aged 60 years or older, residing in Rio Grande do Norte, in the period between 2016 and 2020. The data were analyzed according to the dependent variables, disease notification and deaths, through the Software SPSS, version 20. An evaluation of the Epidemiological Surveillance Systems was performed, regarding their quality and acceptability. The ecological part will be composed of a spatial analysis, according to the municipalities of residence, done through the TerraView software; and a linear regression analysis, done with the Joinpoint software, to evaluate any change in the trend line. RESULTS: There were 4,994 cases of elderly people affected by Chikungunya Fever, between the years 2016 and 2020, predominantly females (63.3%), with an average age of 70.5 years (±8.2 years), black and brown (62.1%), with 49.4% without having completed elementary school. In the period, 47 deaths (0.94%) with Chikungunya fever as the cause of death were registered in the Mortality Information System. The completion of all data evaluated by the municipalities was considered regular (67.34%). There were 117 cases (2.29%) with duplicate notification. Regarding the dissonance of data among the three spheres, a discrepancy was observed by the low notification of cases by the headquarters city of VI URSAP, compared to data at state and national levels; and by the high number of notifications by the headquarters of VIII URSAP, also compared to state and national levels.

3
  • KARINY KELLY DE OLIVEIRA MAIA
  • HEALTH-RELATED BEHAVIORS OF ELDERLY PEOPLE IN LABOR ACTIVITY IN A PUBLIC UNIVERSITY
  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • ELIANA COSTA GUERRA
  • KENIO COSTA DE LIMA
  • VANESSA DE LIMA SILVA
  • Data: 31-ene-2022


  • Resumen Espectáculo
  • The increase in life expectancy is celebrated as a breakthrough for humanity, but it brings with it the aging of the population and consequently a great challenge for the contemporary world. Know the features and behaviors related to the health of the elderly population will allow the implementation of policies and actions aimed at the real needs of this public. To analyze the behaviors related to the health of elderly people in work activity in a public university. Descriptive and inferential cross-sectional study, with an approach quantitative. The sample consisted of 80 individuals and data were collected between months from May to December 2021. It was carried out from descriptive analyzes to Pearson's chi-square test or Fisher's exact test for a significance level of 95%, in addition to regression of Poisson and cluster analysis, through the IBM SPSS software. Most of the interviewed was male (n=45, 53.8%), mean age was 64 years, color/race that predominated was black (n=40, 50.0%). It is noteworthy that the technical servers administrative staff participated more (n=46, 57.7%) and in the length of service the vast majority have more than 41 years (n=36, 45.0) of service at UFRN. A significant association was found between position and up-to-date influenza vaccine (p<0.03), between religion and demand for care doctor in the last year (p<0.03), sexual intercourse in the last year and sex (p<0.001), marital status (p<0.001) and cohabitation (p<0.02). After creating two clusters, eight individuals did not clustered to no cluster and were considered to have health-related behaviors excellent. Cluster 1 was considered to have very good behavior and cluster 2 with regular behaviors. A significant association was found between the clusters and marital status (p<0.04) and cohabitation (p<0.05), with both present in cluster 1. Although the study shows that in general the individuals who participated in the research showed good health-related behaviors, there was still a portion that reported health risk behaviors, which highlights the challenges on self-care in the elderly population. With this, it is possible to perceive the importance of raising awareness of these older people towards health risk behaviors and their impacts on health and quality of life, mainly in providing information and actions for them to take decisions about your behaviors.

     

4
  • VICTOR HUGO DE FRANÇA DO NASCIMENTO
  • EVALUATION OF THE QUALITY OF MATERNAL AND CHILDREN'S CARE FROM THE PERSPECTIVE OF USERS IN PRIMARY CARE IN RIO GRANDE DO NORTE

  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • MARIA ANGELA FERNANDES FERREIRA
  • SEVERINA ALICE DA COSTA UCHOA
  • PETRONIO JOSÉ DE LIMA MARTELLI
  • Data: 31-ene-2022


  • Resumen Espectáculo
  • The study aims to analyze the quality of Maternal and Child Health within the scope of
    Primary Care in Rio Grande do Norte in the three cycles of the PMAQ-AB from the
    perspective of users. This is an evaluative, cross-sectional, retrospective study using
    secondary data from the 1º, 2º and 3º cycle of the PMAQ-AB. The sample consisted of 7,787
    users, respectively, 1,085, 715 and 866 Basic Health Units participating in the external
    evaluation of the Program, in the 3 cycles. The dependent variables for evaluation in the three
    cycles were “satisfaction with care”, “material conditions”, “access to health services”,
    “inputs” and “drugs”. For the last three variables, scores were created using the
    interdependence technique (Exploratory Factor Analysis of the Principal Component Analysis
    (PCA) type and Item Response Theory (IRT) type, obtained to reduce the number of variables
    in each dimension and subdimension. Pearson&#39;s chi-square test and Kruskal-Wallis&#39; H test
    were used to compare quality scores, means of satisfaction with care and availability of
    materials, among the three PMAQ cycles. In the organizational dimension, when analyzing
    the quality of care, a significant difference (p&gt;0.001) between the 3 cycles was identified in
    the women&#39;s health subdimension, totaling 51% in the last cycle. Regarding satisfaction with
    care, 90.2% recommended the Basic Health Unit to a friend or family member (p&gt;0.001) and
    only 13.2% (p&gt;0.001) of the users would change their team or Basic Health Unit if had the
    option. The structural dimension showed improvement in the three sub-dimensions 44%
    (p&gt;0.001), drugs 52.4% (p&gt;0.001) and material 93.6% (p&gt;0.001). There is an improvement in
    Primary Care from the perspective of users in Rio Grande do Norte, especially in women&#39;s
    health. It is also evident the importance of investing in quality improvement programs to
    strengthen Primary Care.

5
  • DEBORAH ZULEIDE DE FARIAS MELO
  • Between the Health Crisis and Institutional Racism: The Covid-19 Scenario in the Black Population of the Northeast Region
  • Líder : JANETE LIMA DE CASTRO
  • MIEMBROS DE LA BANCA :
  • JANETE LIMA DE CASTRO
  • MERCES DE FATIMA DOS SANTOS SILVA
  • RODRIGO PINHEIRO DE TOLEDO VIANNA
  • Data: 31-ene-2022


  • Resumen Espectáculo
  • INTRODUCTION: The covid-19 pandemic brought several challenges to the health sector for the control of the virus that spread throughout the world. Thus, when considering the social determination of health, it is observed that the vulnerable population may be more exposed to illness and worsening of diseases. In this case, the importance of understanding SUS management decision-making in relation to the protection of the health of the black population is highlighted. GOAL: Analyzes the measures of state health management in Northeastern States for the protection of the black population considering the control of covid-19. METHODOLOGY: This is an analytical and exploratory research, with a qualitative approach, with a cross-sectional nature, based on the Epidemiological Bulletins, the State Contingency Plan for the Control of Covid-19 and the State Health Plans of the State Health Departments in the Northeast Region. Data analysis was performed through content analysis and collectively through analytical frameworks. RESULT: About 2,495 Epidemiological Bulletins published in the period from February 27, 2020 to April 30, 2021, 09 State Contingency Plans of Covid-19 and 08 State Health Plans were identified, data from the bulletins show that the black population was the most affected by the pandemic in the Northeast Region compared to other populations. The protection measures for this population found, it was only in one Contingency Plan presented some type of action, and 5 Health Plans presented proposals. FINAL CONSIDERATIONS: According to the assumptions of institutional racism in health and the effects of covid-19 on the black population, negligence in the management of the health sector in planning measures to protect the health of the black population was observed.

6
  • ISAC DAVIDSON SANTIAGO FERNANDES PIMENTA
  • TRAINING OF NON-TECHNICAL SKILLS IN INTENSIVE CARE UNITS: A SYSTEMATIC REVIEW

  • Líder : GRASIELA PIUVEZAM
  • MIEMBROS DE LA BANCA :
  • DANIEL GUILLÉN MARTÍNEZ
  • GRASIELA PIUVEZAM
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • LILIANE PEREIRA BRAGA
  • Data: 10-feb-2022


  • Resumen Espectáculo
  • Non-technical skills are social, personal, and cognitive skills that can influence safety and efficiency in performing tasks. Studies show that in intensive care units, most safety incidents have low performance in these skills as their root cause, and training programs are an alternative to solving this problem. This study aimed to analyze the effect of implementing non-technical skills programs in intensive care units based on Kirkpatrick's evaluation model for training programs, which includes reaction to training, learning, behaviors, and organizational results. For this, we perform a systematic review, registered on the PROSPERO platform under the code: CRD42021244769. We review original articles published in the following databases/portals: Pubmed/Medline, Scopus, Web of Science, Science Direct, CINHAL, EMBASE, and PsycINFO. We include randomized clinical trials, quasi-experimental studies with a control group, or studies with a before and after design. The risk of bias for the included studies was assessed using the Risk of Bias 2, Risk of Bias in Non-randomized Studies of Interventions, and NHI Assessment Tool for Before and After Studies tools. Two pairs of reviewers independently selected and evaluated the works, and in case of disagreement, we consulted the fifth reviewer. From a universe of 3976 documents identified in the databases/portals, 14 studies were included in the review. In the reaction dimension, the participants evaluated the training programs as useful, even though the teaching strategies implemented were different.  Only one study explored the effect of the training program on the learning dimension, however, the difference was not significant. We identified a positive relationship between the adoption of non-technical skills training programs and the improvement of teamwork behaviors, situational awareness, leadership, and communication. In the organizational results, there were no significant changes observed in patient safety culture, as well in the length of stay and mortality rates, and the improvement of process indicators was limited. The analysis of the risk of bias indicated a low methodological quality, mostly linked to the way of measuring the outcomes, predominantly self-reported. The adoption of non-technical skills training programs in intensive care units shows limited effects, but they can contribute to the existing professional training curriculum.

7
  • MELISSA DE OLIVEIRA ARAUJO
  • WOMEN VICTIMS OF SEXUAL VIOLENCE: EVALUATION OF THE CARE OFFERED IN A PUBLIC SCHOOL MATERNITY

  • Líder : KARLA PATRICIA CARDOSO AMORIM
  • MIEMBROS DE LA BANCA :
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • KARLA PATRICIA CARDOSO AMORIM
  • WAGLÂNIA DE MENDONÇA FAUSTINO
  • Data: 11-feb-2022


  • Resumen Espectáculo
  • Violence against women is the product of a historical construction that reinforces over the years the figure of women as a submissive object, which weakens and exposes them to the occurrence of numerous aggressions, in all spheres of social life. It has become a serious public health problem, in addition to a crime of violation of human rights, as it is associated with risks of physical and mental health problems, as well as the greater frequency of use of health services. This study is organized from a theoretical discussion, which brings the historical, legal and cultural aspects that permeate the theme of sexual violence, and a snippet of records of care provided in the health service that serves these victims, especially in reality. in the city of Natal, capital of the state of Rio Grande do Norte, located in the Northeast region of the country. This is a field research with a qualitative approach and an evaluative nature that seeks to understand and broaden understanding in order to achieve the proposed objectives, through a documental, field research with semi-structured interviews and direct participant observation of the context studied. The sample consisted of 449 medical records of sexually assaulted women who were assisted in the service from 2015 to 2020, 10 professionals linked to this type of service, 02 managers and finally, 07 women who suffered sexual violence and were assisted in the year 2021 . Respectively, a descriptive analysis of the data collected in the medical records was carried out, aiming to outline the profile of these women and, in relation to the interviews, a content analysis was carried out following the process of elaboration of categories that was based on the content of floating reading, through which the coding of the speeches occurred. The form of selection of registration units was the appearance of specific terms, that is, word repetition, which constituted the framework for the context units through which the categorization (grouping) took place. Through the previous organization of the results, there are three categories of discussion: 1) Profile of women attended at the Januário Cicco Maternity School; 2) Analysis of the care provided; 3) Advances, limits and possibilities of care. The results found suggest that the theme of comprehensive health care for women victims of sexual violence needs to be discussed, as well as the need to broaden the debate and publicize the services in civil society spaces.

8
  • TATIANA MARIA DE OLIVEIRA
  • Food insecurity and overweight among adults and older adults in the Brazuca Natal Study: what is the relationship with food purchase and consumption habits?

  • Líder : CLELIA DE OLIVEIRA LYRA
  • MIEMBROS DE LA BANCA :
  • CLELIA DE OLIVEIRA LYRA
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • ALANDERSON ALVES RAMALHO
  • Data: 29-abr-2022


  • Resumen Espectáculo
  • The right to food begins by guaranteeing all citizens daily access to food in sufficient quantity and quality. It is the right to food to have correct information about the content of food and preparations, healthy eating practices and lifestyle, which promote health and reduce risks for diseases and guarantee food security. Within the scope of Food and Nutrition Security (SAN) several aspects reflect the social reality; should be approached and analyzed simultaneously, establishing correlations. In this way, this research evaluated the occurrence of food insecurity and overweight, and the relationship with food purchase and consumption habits, among the adult and elderly population of the Brazuca Study - Natal/RN. This is a cross-sectional study, conducted with 411 adults and elderly people living at home. Household interviews were carried out using an electronic questionnaire (Epicollect5) to obtain demographic, socioeconomic, anthropometric (weight, height) and AI-related data. To measure the AI, the prevalence and confidence interval (95%) were calculated. The analysis of factors associated with food insecurity was performed using Poisson regression, with robust variance estimation, to obtain crude and adjusted prevalence ratios (PR) and their confidence intervals (95%). Variables with p<0.20 were included in the model and those with p<0.05 remained in the final model. In the BMI analysis, excess weight (overweight/obesity) was observed in 76.3% (CI: 70.3– 81.7%) of adults and 61.3% of the elderly (CI: 54.5 – 68.1%). AI was observed in 42.2% (CI: 37.6 – 47.3) of respondents. A total of 398 respondents were investigated, of which 80.2% (CI: 85.4 – 92.0) make their purchases in super/hypermarkets and 2.3% (CI: 2.0 – 5.8) in street markets. The habit of consuming powdered juice or soda, between 1 and 4 times a week, was indicated by 28.7% (CI: 24.5-33.3%) of the individuals surveyed. In this same weekly interval, 48.2% (CI: 43.5-53.0%) of the interviewees prefer cookies or sweet biscuits with or without filling. Super/hypermarkets are  requented by 37.4% of people considered in AI and 62.6% of those in SA. There was a significant association between the family income variable, between R$ 401 and R$ 998.00 RP = 3.56 (2.19- 5.78) and ≤ R$ 400.00 RP = 5.22 (3.30-5.78) 8,25) and the occurrence of AI. Per capita family income was the factor associated with the greatest effect on the prevalence of food insecurity. People with per capita family income between R$ 401.00 and R$ 998.00 have a prevalence of food insecurity 2.9 times higher than people with income equal to or greater than R$ 999.00. This effect is more pronounced in people earning up to R$ 400.00
    per capita, in which the prevalence of food insecurity is 4.13 (p<0,001) times higher. A higher prevalence of food insecurity was also observed among people with inadequate access to treated water PR=1.46 (CI: 1,19-1,78).As for the adjusted analysis, a 37% higher prevalence of food insecurity was observed among individuals who reported consuming fruits from 1 to 4 times a week, and 42% higher among those who reported consuming
    fruits never or almost never. The consumption of cookies or crackers, consuming 5 or more times was associated with a 30% higher prevalence of food insecurity. It is concluded that households in a situation of FI consume fruits less frequently, which can compromise the health and guarantee of SAN of the population studied. 

9
  • BÁRBARA LETÍCIA DE QUEIROZ XAVIER
  • HEALTH CARE FOR THE STREET POPULATION IN THE CONTEXT OF THE COVID-19 PANDEMIC

  • Líder : RICHARDSON AUGUSTO ROSENDO DA SILVA
  • MIEMBROS DE LA BANCA :
  • RICHARDSON AUGUSTO ROSENDO DA SILVA
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • JEFERSON FALCÃO DO AMARAL
  • Data: 12-jul-2022


  • Resumen Espectáculo
  • The homeless population is a group potentially vulnerable to the development of COVID-19, due to drug use, poor diet, barriers to accessing health services, difficulty in sheltering, causing them to crowd together, making them more susceptible to communicable diseases. Thus, we sought to analyze the care provided to the homeless population with Covid-19 in the perception of users and health professionals. This is a descriptive study with a qualitative approach. The data were processed with the support of the IRaMuTeQ 0.6 alpha 3 software, giving rise to similarity and word cloud analyses. Thematic analysis was also used, according to Bardin. The research was approved by the Research Ethics Committee of the Universidade da Integração Internacional da Lusofonia Afro-Brasileira, with opinion No. 4,787,355 and CAAE No. 42997021.7.0000.5576. The study was carried out from May to July 2021, in a capital city in northeastern Brazil. Five professionals from the Consultório na Rua and 31 people living on the streets participated in the research, through a semi-structured interview. The care provided to the homeless population with Covid-19 in the perception of health professionals was marked by difficulties and potential. It was identified that the difficulties in providing care were related to the lack of mobile transport for professionals to travel and provide health services; difficulty in the use of protective supplies, fear of the vaccine against Covid-19, resistance to social isolation and continuous use of drugs by the population living on the streets. As for the potential, the active search for respiratory symptoms stood out, in addition to strategies that minimize bureaucracy for care, health education provided and the offer of the anti-Covid-19 vaccine. The categories that emerged from the discourse of the homeless population with Covid-19, in relation to health care, were related to: providing assistance in the pandemic period; fear of getting sick from Covid-19 and acquisition of barrier measures; needs faced during the pandemic and implementation of hygiene measures. The way of life of the homeless population increased their vulnerability in the pandemic, however health care was enhanced by the availability of the office on the street, humanization of care and welcoming care. It is believed that the study will bring relevant contributions and collaborate in the delimitation of resolutive proposals for public policies related to the specifics of care for homeless people in the context of Covid-19, as well as in the face of the possibility of the emergence of new diseases of easy dissemination.



10
  • MARILANE VILELA MARQUES
  • COVID-19 PANDEMIC AND ELDERLY POPULATION IN BRAZIL: YEARS OF LIFE LOST AND EFFECTS ON LIFE EXPECTATION

  • Líder : GRASIELA PIUVEZAM
  • MIEMBROS DE LA BANCA :
  • EVA VEGUE PARRA
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • ELEONORA D' ORSI
  • GRASIELA PIUVEZAM
  • Data: 30-sep-2022


  • Resumen Espectáculo
  • The pandemic generated by the new coronavirus (SARS-CoV-2), which started in December 2019, has been characterized by severe acute respiratory syndrome (SARS), among other relevant health problems. The objective of this research is to analyze the burden of the Covid-19 pandemic on the elderly population in Brazil, by estimating the COVID-19 mortality curve for the year 2020, observing the years of life lost and effects on life expectancy. This is an ecological study of multiple groups, whose unit of analysis will be composed of the municipalities in Brazil. The study population is people aged 60 years and over. Death data were extracted secondarily through the Mortality Information System (SIM). The results of the present study show that there are differences in mortality from Covid-19 between regions in Brazil. The most affected age group was 80 years and over. And the male sex having a higher occurrence of deaths. From the spatial statistics, the correlation between PMR by Covid-19 and the socioeconomic variables of the study was verified. With regard to years of life lost, the Southeast and Northeast regions stood out with the highest absolute number of potential years lost. The estimates produced by the multiple decrement tables represented gains in years in life expectancy for all regions when excluding Covid-19 deaths. For both sexes, the greatest gains occurred in the North and Midwest regions, reaching more than 2 years in gains considering the absence of these deaths. The northern region still had the highest probability of death when including only deaths from Covid-19 (nqx) and a significant reduction when these deaths were eliminated (nqx-ix). This study may support strategic planning/actions aimed at fighting Covid-19.

11
  • GUSTAVO GOMES TORRES
  • ARTIFICIAL HEART STIMULATION: EPIDEMIOLOGICAL PROFILE IN A REFERENCE PUBLIC HOSPITAL IN THE STATE OF RIO GRANDE DO NORTE

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • SIMONE MARIA MUNIZ DA SILVA BEZERRA
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MARIA ANGELA FERNANDES FERREIRA
  • Data: 08-nov-2022


  • Resumen Espectáculo
  • Artificial Cardiac Pacing is an important tool in the treatment of heart rhythm disorders, as well as improving ventricular function in patients with heart failure. The present study aims to analyze the clinical and epidemiological profile of patients undergoing Artificial Cardiac Stimulation procedures in a reference service for the Unified Health System (SUS), as well as to evaluate the spatial distribution of patients in the state of Rio Grande. do Norte (RN) in terms of origin and to analyze the temporal evolution of the number of procedures in the service. We carried out an analytical observational study, with data obtained from a primary source, of patients undergoing Artificial Cardiac Stimulation procedures at the Onofre Lopes Hospital (HUOL), of the Federal University of Rio Grande do Norte (UFRN), between 2006 and 2021. Of a total of 885 patients analyzed, 533 (60.2%) were male, with a mean age of 65.5 years. 3rd degree Atrial Ventricular Block (AVB) was the indication for the procedure in 165 patients (20.5%). Only 55 patients (5.5%) required temporary pacemaker support. 141 patients had an ischemic etiology (24.8%) and 298 patients reported dyspnea as the main complaint (33.7%), 41.8% of patients are hypertensive, 11.9% diabetic, 19.4% dyslipidemic and 19.5 % smokers or ex-smokers. The population studied had a mean left ventricular (LV) Ejection Fraction of 33.6%. Mean creatinine levels of 1.04 mg/mL and potassium 4.19 mg/mL pre-procedure. We observed a homogeneity in relation to the referral of SUS patients to the service, regardless of the city of origin. The temporal analysis identified an increase of 1.1% per year in the number of procedures, which is related to the increase in procedures in male patients. We concluded that the characteristics of the service contributed to the differences in our population in relation to the findings in the literature. Despite the absence of a specific flowchart, access to the service occurred without the presence of clusters in relation to the municipality of origin. The temporal increase in procedures was discreet, despite partial interruptions of the structure and the presence of the pandemic in this period.

12
  • ANDERSON DA SILVA SOUSA
  • WORK IN THE COVID-19 PANDEMIC: coping strategies and repercussions on the lives of health professionals

  • Líder : ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • MIEMBROS DE LA BANCA :
  • ELIANA COSTA GUERRA
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • MARIA APARECIDA SALCI
  • Data: 22-dic-2022


  • Resumen Espectáculo
  • The main objective of this study was to develop a theoretical model on frontline care work in the COVID-19 pandemic, considering the ways of coping and the repercussions on the health of the professionals involved. The main researcher acted as a professional nurse on the front line within a COVID-19 sector in the research institution, a situation that aroused the search for understanding the suffering, as well as the learning caused by this disease. This is a qualitative research that uses Grounded Theory as its methodological framework in the structuralist approach of Strauss and Corbin. The Onofre Lopes University Hospital of the Federal University of Rio Grande do Norte was the research scenario. A theoretical sampling of the population of professional nurses, physiotherapists, doctors and nursing technicians was carried out, divided into two sample groups: one with health professionals who worked on the front lines of the COVID-19 pandemic and the other with managers of the COVID sectors -19 of the institution where the study was conducted. Data collection was carried out through in-depth interviews, which were carried out in person and online, according to the availability and preference of the participants. A total of 24 interviews were carried out, with six managers, nine nurses, four physicians, one physiotherapist and four nursing technicians. Data analysis was performed through open, axial and selective coding, using the Atlas Ti 22.0 software. The results achieved made it possible to elucidate the central category of the phenomenon, Working on the front line of care in the COVID-19 pandemic, based on the support of 21 subcategories and five categories, according to the paradigmatic circumstances, the conditions: Working in care during the pandemic by high transmissibility agent; the action/interaction: Facing the adversities of working in care during the COVID-19 pandemic; and Engaging with people involved in the care of patients with COVID-19; and the consequences: Dealing with the impact of work on one's own health and Reaching teachings and overcoming the adversities of working in the pandemic. By highlighting the articulation between the categories, it was possible to represent them through a theoretical model of the studied phenomenon. Working on the front line of care during the COVID-19 pandemic represented a challenge for health professionals and managers in various aspects of professional activity and the personal dimension, which had to adapt to the pandemic situation, facing feelings such as fear, anguish , impotence and experiencing situations that impacted positively and negatively on patient care and on the way of relating. After facing the worst moments of the pandemic, and having suffered direct and indirect repercussions on their health, they adopted different protective strategies, learning to deal with the public health emergency, re-signifying the situations experienced and achieving professional learning that propelled new work perspectives . The theoretical model developed will be able to contribute to the planning and development of institutional strategies to face critical periods, characterized by an increase in the demand for health services, the presence of a highly transmissible etiological agent and, mainly, the impact on the health of health professionals, with suffering and illness in those involved in the assistance front line.

13
  • VINICIUS RODRIGUES DE OLIVEIRA
  • PRACTICES FOR ADOLESCENTS WITH OBESITY IN PRIMARY HEALTH CARE

     

  • Líder : CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • MIEMBROS DE LA BANCA :
  • ANTONIO GERMANE ALVES PINTO
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • Data: 22-dic-2022


  • Resumen Espectáculo
  • The objective was to analyze care practices for adolescents with obesity within the scope of Primary Health Care in the municipality of Iguatu-Ceará. This is a single, integrated and qualitative case study, carried out with municipal and state health managers, nutritionists associated with the school lunch sector and professional nurses, doctors and nutritionists linked to Primary Health Care. Data collection was carried out from March to June 2022 and occurred in two stages: Analysis of official documents and legislation implemented in the municipality and aimed at combating obesity; Semi-structured interview with five municipal and state managers and 19 health professionals, totaling 24 participants. The analytical procedure adopted for the first stage was based on the proposal of document analysis, and the data from the interviews were processed through the software Interface de R pour les Analyzes Multidimensionnelles de Textes et de Questionnaires and appreciated from the perspective of Bardin's content analysis, which culminated in the elaboration of five thematic categories. This study was based on Resolution No. 466/12 of the National Health Council and was approved by the Research Ethics Committee of the University Hospital Onofre Lopes of the Federal University of Rio Grande do Norte (UFRN) through Opinion No. 5,272,685 . With the completion of the first stage of the study, 11 documents were found that were suitable for the profile sought by the researcher, that is, documents guiding actions aimed at combating obesity, this material consists essentially of legal documents and authored by the government federal, published between the years 1994 to 2021. The second stage revealed aspects about the care for adolescents with obesity, where fragile care practices were identified, carried out as the professional deems to be important, without clear directions and with few opportunities for access to health care. continuing education on the subject. Therefore, it was observed that the health of adolescents and obesity are not priorities in the scope of the health of the municipality and that the actions directed to the public happen, almost exclusively, through the Health at School Program, however the program is centralized in the health sector. health and has little articulation with education. As for the performance of managers, it was incipient, always based on the need for federal or state stimuli to carry out actions on obesity. The interviewees pointed out difficulties and potentialities in the area of care, where the difficulties were mainly associated with the actions of the adolescent, while the potentialities were primarily related to the practices of the multidisciplinary health team. It is concluded that the study presented an overview of care practices and made it possible to see the main weaknesses and challenges for consolidating care for adolescents with obesity. It is recommended that managers make obesity a priority issue for the municipality, giving it due attention, and that professionals act based on the principle of comprehensive care and co-responsibility. The need to align the actions of the Health at School Program is highlighted, so that they can be articulated from an intersectoral perspective. As a limitation, the fact that the study was carried out only in the context of Primary Health Care stands out.

Tesis
1
  • DANILA AUGUSTA ACCIOLY VARELLA BARCA
  • META-EVALUATION OF PHC IN BRAZIL: THE CASE OF THE EXTERNAL EVALUATION OF THE PROGRAM TO IMPROVE THE ACCESS AND QUALITY OF PRIMARY CARE – PMAQ-AB
  • Líder : SEVERINA ALICE DA COSTA UCHOA
  • MIEMBROS DE LA BANCA :
  • SEVERINA ALICE DA COSTA UCHOA
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • Cinthia Kalyne de Almeida Alves
  • MARCO AKERMAN
  • Tania Cristina Morais Santa Barbara Rehem
  • Data: 17-feb-2022


  • Resumen Espectáculo
  •  

    The Primary Care Access and Quality Improvement Program (PMAQ-AB) implemented in 3 evaluation cycles (2011/2019), represents a turning point in the performance evaluation of Primary Health Care (PHC) in Brazil. The Program has 3 components: Voluntary adhesion of municipal managers and Contracting of teams; the External Assessment (AE/PMAQ-AB) and Certification; and Recontractualization, in addition to a transversal development axis. This study aims to assess the quality of AE/PMAQ-AB in light of internationally recognized standards. This is a summative meta-assessment using the qualitative Case Study method, preceded by an Indicator Content Validation Study. The matrix of indicators was prepared based on the 4 principles/standards of the Joint Committee on Standards for Educational Evaluations (utility, feasibility, propriety and accuracy) and articulated at each stage of the evaluation (stakeholder engagement, program description, evaluation design , systematization and analysis of evidence, justification of conclusions and sharing of lessons learned). Validation used the intentional sample with 2 groups of judges (7 experts and 16 evaluators) in 2 rounds of the Delphi technique with each group and analysis through agreement indices. The Case Study, between July/2018 and December/2019, had 54 participants. Semi-structured interviews (01 with a coordinator from the Ministry of Health (MS) and 6 from the universities) and focus groups (01 with a technical team from the MS and 6 from the universities) were used, in addition to the analysis of 07 formal documents of the Program. Data were categorized by dimensions and standards and their respective criteria/indicators adapted to the context of AE/PMAQ-AB. Categorization was performed using the Atlas ti software. 8.4.24 and followed by Bardin's content analysis. The “Involvement of Stakeholders” presented an agreement in the instances of the Unified Health System, expansion of the adhesion of the municipalities in the cycles, credibility of the evaluator and conciliation by the federal government of the interests of certification of the municipalities and of research by the universities, as strengths; and as a deficiency, the absence of users in the decision-making processes of formulating and executing the program. The “Program Description” was positive in the consistency of the AE/PMAQ-AB with the National Primary Care Policy/2011. The “Evaluation Design” portrayed the Brazilian PHC and construction of comparable standards and certification criteria. The use of Information Technology, logistics and guidelines for training the interviewers gave the collection homogeneity, pointing to the usefulness and feasibility. The "Systematization and Analysis of Evidence" had as strengths the online validation systems, offer of micro data, availability of electronic reports to stakeholders, but there were weaknesses in the transmission of the methodology to municipal managers, incipient strategies of technical empowerment for interpretation and applicability of results impacting negatively on the dimension “Justification of Conclusions”. In the “Sharing Lessons Learned”, the utility of AE/PMAQ-AB prevailed for a culture of evaluation in management, services, and academia. The meta-assessment presents a systemic view of the AE/PMAQ-AB, helping managers and professionals in the PHC assessment process. It raises awareness of user engagement in policy and program evaluations, making them more plural, participatory and democratic.

2
  • EDIENNE ROSANGELA SARMENTO DINIZ
  • ANALYSIS OF THE EFFECT OF THE STANDARDIZATION OF MEASURES TO PREVENT BLOOD CURRENT INFECTION RELATED TO THE CENTRALLY INSERTED CATHETER IN NEWBORNS IN THE NEONATAL INTENSIVE CARE UNIT

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • AUREAN DECA JÚNIOR
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • KÁTIA SUELY QUEIROZ SILVA RIBEIRO
  • NILBA LIMA DE SOUZA
  • RITA DE CÁSSIA SILVEIRA
  • Data: 24-may-2022


  • Resumen Espectáculo
  • Introduction: The use of peripherally inserted central catheters (PICC) in neonatology has significantly contributed to the reduction of neonatal mortality in neonatal intensive care units (NICUs). This safe intravenous practice favors the hemodynamic stabilization of the newborn, allows the administration of vesicant drugs, irritants and parenteral nutrition (PN). Thus, this study aims to evaluate the effect of standardization of infection prevention measures during insertion and handling of peripherally inserted central venous catheters (PICC) by the catheter team on the incidence of CRBSI in newborns in the Unit of Neonatal Intensive Care. Methodology: it is divided into three studies. 1) Systematic review protocol, which addresses the prevalence of complications associated with the use of PICCs in newborns (NBs); 2) prospective cohort to assess risk factors for the development of catheter-related bloodstream infection (CRBIS) in newborns; 3) cohort with retro and prospective analysis, which will analyze the effect of standardization of infection prevention measures adopted by the PICC team on the number of CRBSI cases in neonates in the Neonatal Intensive Care Unit. Results: in article 1, the prevalence of complications resulting from the inadequate management of the PICC in NBs was observed, information considered important for the improvement of clinical practice. In article 2, it was found that the majority of the sample consisted of premature infants, with inadequate weight, respiratory disorders and heart disease, but there was no association of these variables with CRBSI. Neonates with PICC in the upper limbs had a higher risk of CRBSI (RR=2.84; 95%CI 1.02-6.85). Article 3 analyzed 365 newborns who used the PICC, who underwent 563 catheter insertion procedures, of which 69 had CRBSI, giving an incidence of CRBSI of 12.3%. In the analysis of characteristics related to the PICC insertion procedure in neonates as a result of CRBSI notification, the variables significantly associated with the occurrence of CRBSI were the vessel accessed (p=0.002) and catheter position (p=0.005). In the statistical analysis of the variables related to infusion therapy, statistical significance was observed in the association between the occurrence of CRBSI and the use of two ATBs during the first antibiotic therapy regimen, which presented a value of p<0.05. There was also a description of 8 groups of pathogens involved in 69 cases of CRBSI, with the most common pathogens related to CRBSI in newborns with PICC being the Enterobacteria (5.2%), Staphylococcus coaEnterobacteria (5.2%), Coagulase negative Staphylococcus (3.4%) and coagulase positive Staphylococcus (2.0%). Conclusion: the importance of catheter teams in the systematization of the monitoring process of risk factors related to the NB, surveillance during the procedure, and infusion therapy was observed. Such measures have impacted on reducing the development of catheter-related bloodstream infection (CRBIS).

3
  • MARIA HELENA RODRIGUES GALVÃO
  • FACTORS ASSOCIATED WITH THE USE OF DENTAL SERVICES BY ADULTS IN BRAZIL

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • FERNANDO JOSÉ HERKRATH
  • FRANKLIN DELANO SOARES FORTE
  • HELDER HENRIQUE COSTA PINHEIRO
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • SÔNIA CRISTINA LIMA CHAVES
  • Data: 27-may-2022


  • Resumen Espectáculo
  • The present study aimed to understand the factors associated with dental services utilization by adults in Brazil. This is a quantitative, observational, cross-sectional, analytical study. Individual data from the National Health Surveys developed in 2013 and 2019 are available on the Brazilian Institute of Geography and Statistics website. Data were analyzed by adjusting the sample weights resulting from complex samples. For each study, multivariate analysis techniques addressed the study's objectives. The results will be discussed in 3 scientific papers accepted for publication in journals. It was noticed that the population subgroups comprising Blacks and those residing in the North or Northeast, with lower social class and education, had a greater chance of having irregular follow-up and never having been to the dentist. In addition, this population stratum also had a greater chance of undergoing surgical or emergency dental procedures in the last dental appointment. The outcome never had a dental appointment was significantly associated with illiterate, males, without private dental insurance, self-rated oral health as bad or very bad, household not enrolled in primary care teams, household in a rural area, high household crowding, and low household income per capita. The highest prevalence of public dental service utilization on an individual level was observed among unable to read or write people, indigenous, black or brown, with per capita household income of up to U$124, living in the rural area, and who self-rated oral health as regular or very bad/bad. On the contextual level, highest public dental service utilization was observed among those living in federal units with increased oral health coverage in primary health care. In general, we observe inequalities in dental services utilization in Brazil. This scenario occurs when social characteristics and facilitating aspects determine who uses the services, to the detriment of the need to use them. Despite this, we observed an important effect resulting from the provision of dental services in primary care as a mitigating factor for such inequalities, demonstrating a positive effect of the strategies adopted in the National Oral Health Policy.

4
  • RAFAEL RODOLFO TOMAZ DE LIMA
  • HEALTH CARE FOR TRANSVESTITES AND TRANSSEXUALS IN THE SINGLE HEALTH SYSTEM

  • Líder : LUIZ ROBERTO AUGUSTO NORO
  • MIEMBROS DE LA BANCA :
  • PABLO CARDOZO ROCON
  • GRÁCIA MARIA DE MIRANDA GONDIM
  • JOÃO BOSCO FILHO
  • LUIZ ROBERTO AUGUSTO NORO
  • NELSON FILICE DE BARROS
  • PAULO VICTOR LEITE LOPES
  • Data: 06-jun-2022


  • Resumen Espectáculo
  • Brazilian health, as attention to gender identity in the attention to issues related to social issues and determinations of the health-disease process. However, people in vulnerable situations, such as crossings and exuals, still do not face challenges for the right to health in an integral way, since their health needs are fully recognized. Therefore, this Doctoral Thesis in Public Health aims to characterize health care for transvestites and transsexuals in the Unified Health System. Therefore, it was decided to carry out a study on the methodological designs: bibliometrics, systematic and systematic review protocol. The bibliometric findings of the analysis and Brazilian dissertations of theses that studies on transvestism, transsexuality and health have been on the rise in recent years, with an increase in the focus on the illness of transvestites and transsexuals and an increase in the focus of social, organizational and policies that interfere in these people's access to health services. Despite the existence of the Transsexualizing Process program in the Unified Health System, the articles included in the systematic show that health care for transvestites and transsexuals is composed of a series of violations, including the lack of health preparation to welcome and care for transvestites and transsexuals. transsexuals. From their specific health, the weaving of the characterization results, the weaving of the characterization results to contribute to the attention to care for people as caregivers, within the Brazilian health system as fragmented, non-specialized and guided by curative actions, delimiting care Models of care that precede the Unified Health System that are selected by critics since the Brazilian Sanitary Reform Movement.

5
  • SAVIO MARCELINO GOMES
  • Vulnerability of transgender people to Food Insecurity

  • Líder : LUIZ ROBERTO AUGUSTO NORO
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • FABIO RESENDE DE ARAUJO
  • LUIZ ROBERTO AUGUSTO NORO
  • MARCOS PEREIRA SANTOS
  • RODRIGO MORETTI
  • RODRIGO PINHEIRO DE TOLEDO VIANNA
  • Data: 09-jun-2022


  • Resumen Espectáculo
  • The gender is one of the factors associated with Food Insecurity (FI). Although people in gender minority groups are exposed to potential risk factors for FI, we do not have large-scale data on these groups. This is due to the way gender is classified in population surveys (i.e., male and female), leaving transgender populations “hidden” in a binary classification. In this thesis, we propose to explore the relationships between minority gender experiences and vulnerability to FI. In this way, we investigated the nexus between transgender experiences and the impact on dietary outcomes and verified the association of social, economic and prejudice factors with AI in a group of transgender people. We conclude that excluding gender diversity in research on food insecurity has possibly failed to reveal important demands for the transgender population. In this thesis, we present the relationships understood so far between AI in the transgender population, as well as possible challenges and alternative strategies for overcoming them. We hope that in doing so, we can guide food and nutrition policies and surveillance systems, as well as researchers around the world, to understand the hidden diversity in AI studies.

6
  • LIZIE EMANUELLE EULALIO BRASILEIRO
  • .

  • Líder : DYEGO LEANDRO BEZERRA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • IVANOR VELLOSO MEIRA LIMA
  • DULCIAN MEDEIROS DE AZEVEDO
  • TIAGO ROCHA PINTO
  • Data: 28-jun-2022


  • Resumen Espectáculo
  • .

7
  • DAVID FRANCIOLE DE OLIVEIRA SILVA
  • THE COVID-19 PANDEMIC: REFLECTIONS FOR HEALTH SURVEILLANCE

  • Líder : FABIA BARBOSA DE ANDRADE
  • MIEMBROS DE LA BANCA :
  • FABIA BARBOSA DE ANDRADE
  • CLELIA DE OLIVEIRA LYRA
  • LUCIA DE FATIMA CAMPOS PEDROSA
  • ALTAMIRA PEREIRA DA SILVA REICHERT
  • CRISTINA KATYA TORRES TEIXEIRA MENDES
  • RODRIGO PINHEIRO DE TOLEDO VIANNA
  • Data: 14-dic-2022


  • Resumen Espectáculo
  • The disease caused by the new coronavirus (COVID-19) is currently the most serious public health problem in the world. Evaluating the temporal distribution and factors associated with mortality from COVID-19 in different publics can provide evidence about the temporal dynamics and the groups with the highest risk of death. Furthermore, with the measures adopted to face the pandemic, changes were observed in the professional practice of health professionals and teachers, and it is important to assess the impact on mental health. In this context, the aim of this study was to assess morbidity and mortality from COVID-19 in Brazil and the impact of the pandemic on the mental health of health professionals and teachers. To respond to this objective, four studies were developed. In the first, a cross-sectional study, 8,402 children and adolescents aged 0 to 19 years with SARS due to COVID-19 were included. The incidence and mortality rates were 13.74 and 1.35 per 100,000, respectively, with a mortality rate of 9.81%. In the multivariate analysis using Poisson Regression with robust variance, the factors associated with a higher risk of death were age group < 1 year, heart disease, immunosuppressive diseases, neurological diseases and Down syndrome. In the second article, a systematic review, it was identified that the instruments Mini Nutritional Assessment (MNA), MNA-short form, the Geriatric Nutrition Risk Index, the Nutritional Risk Screening 2002, the Malnutrition Universal Screening Tool, the modified Nutrition Risk in Critically Ill (NUTRIC) score and the Subjective Global Assessmen have high sensitivity for identifying nutritional risk in older adults with COVID-19. In the third article, a systematic review on the mental health of teachers in times of COVID-19, it was found that the prevalence of anxiety ranged from ten to 49.4%, for depression, from 15.9 to 28.9%, and, for stress, from 12.6 to 50.6%. Working in schools (compared to universities), being female and experiencing a return to face-to-face classes were factors related to a higher risk of emotional changes. In the fourth article, a systematic review with meta-analysis on anxiety in health professionals, a prevalence of 35% (95%CI: 29-40) was identified, being higher in women and nurses. Working on the front lines, being infected with the coronavirus and having chronic illnesses were also factors associated with a higher risk of anxiety. The results of this thesis show that despite being less prevalent than in the elderly, COVID-19 also affects a considerable number of children and adolescents in Brazil. For the older adults, it was found that nutritional screening instruments are useful for identifying nutritional risk. A high prevalence of alterations in the emotional state was registered in health professionals and teachers, with the need for collective health measures aimed at preventing these alterations in these professionals. There is a need to include this agenda in Health Surveillance, specifically Occupational Health.

8
  • RAYSSA HORACIO LOPES
  • SURVEILLANCE OF WATER QUALITY FOR HUMAN CONSUMPTION: analysis of actions developed
  • Líder : SEVERINA ALICE DA COSTA UCHOA
  • MIEMBROS DE LA BANCA :
  • Miguel Ángel Fuentealba Torres
  • PAULO RUBENS GUIMARÃES BARROCAS
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • GRÁCIA MARIA DE MIRANDA GONDIM
  • SEVERINA ALICE DA COSTA UCHOA
  • Data: 15-dic-2022


  • Resumen Espectáculo
  • Drinking water is indispensable for life, recognized by the United Nations as a fundamental human right, it is one of the goals of the Sustainable Development Goals, as it guides access to safe water for all and the elimination of water-borne diseases until 2030. Water quality is a health protection factor and is given through essential requirements oriented by countries, or based on guidelines published by the World Health Organization, translated into the standard of quality and potability. It is recommended that drinking water be the object of surveillance actions and with that, it becomes relevant to analyze how these actions have been developed on the world stage. The objective is to analyze the actions of surveillance of the drinking water quality developed by governmental agencies or public health services of the countries. As specific objectives: a) Propose a scoping review protocol to identify and map global actions and initiatives to monitor the quality of drinking water implemented by government agencies or public health services; b) Identify and map drinking water quality surveillance actions and initiatives implemented worldwide by government agencies or public health services. This is a scoping review, based on recommendations from the Joanna Briggs Institute. The 9 steps were followed: definition and alignment of research objectives and questions; development and alignment of inclusion criteria; description of evidence selection; search for evidence; evidence selection; evidence extraction; evidence analysis; results presentation; summary of evidence, conclusions and implications of findings. Additionally, stakeholders were consulted to share the results of the review. The study was approved by the Research Ethics Committee of the Hospital Universitário Onofre Lopes. The results supported the writing of two articles, being (1) “Surveillance of Drinking Water Quality Worldwide: Scoping Review Protocol” and (2) “Worldwide surveillance actions and initiatives of drinking water quality: a scoping review”. The study protocol highlighted the characteristics and methodological steps that guided the review, favoring replicability and reliability of the research process, providing scientific rigor to the work. The scope review identified and mapped the drinking water quality surveillance actions developed, their impacts and results, producing four thematic classes: (1) evaluation of coverage, accessibility, quantity and quality of water for human consumption in situations routine and emergencies; (2) analysis of physical-chemical and microbiological parameters in public supply networks and alternative water supply solutions; (3) Identification of household water contamination, communication and education with the community and (4) Investigation of outbreaks of water-borne diseases, which detailed important actions and results in the countries, allowing the comparability and identification of the main challenges object of these actions. The study identified important issues that need to be analyzed so that drinking water quality surveillance actions can contribute to safe access to water.

     

9
  • ADRIANA AMORIM DE FARIAS LEAL
  • ACCESS TO MEDICINES BY THE BRAZILIAN POPULATION: DATA FROM THE 2019 NATIONAL HEALTH SURVEY

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • DANIELLE FRANKLIN DE CARVALHO
  • GABRIELA MARIA CAVALCANTI COSTA
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • MARIA ANGELA FERNANDES FERREIRA
  • Data: 21-dic-2022


  • Resumen Espectáculo
  • Introduction: Access to medication is a global challenge, especially in developing countries, so data from population surveys are essential to measure related factors. In addition, the high prevalence of people with chronic diseases and, consequently, who use continuous medication implies the need to guarantee this access through efficient public policies. Objective: To analyze access to medicines in Brazil and associated factors, based on data from the 2019 National Health Survey (PNS). Methods: This is a cross-sectional population-based study that used data from the PNS 2019, enabling the writing of three studies: 1 – general assessment of access to medicines by the Brazilian population, based on Andersen's behavioral model; 2 – analysis of factors associated with access to medication for the treatment of arterial hypertension and diabetes; 3 – study of factors associated with the use of medication for the treatment of depression. In the three studies, descriptive analysis was performed, followed by multivariate analysis, considering the independent variables that presented a significance level greater than 95%. Results: In article 1, it was observed that the greatest chances of not having access to medication at the individual level were observed in people aged between 40 and 59 years, women, people with complete elementary school and high school, with lower family income people who performed consultations in public services, individuals with a worse self-rated health and those who sought the health service for disease prevention and health promotion. In article 2, data regarding access via the Popular Pharmacy Program of Brazil (PFPB) and public service were analyzed. There was a higher prevalence of access to medication for hypertension and oral medication for diabetes via PFPB, and the factors that most influenced this access were a higher age group, lower income, lower education, not having a health plan and reporting a self-assessment of health too bad. Access to insulin, in turn, was more prevalent via the public health service, and the factors that most influenced this access were black/brown race, lower income, not having a health plan and reporting a very poor self-rated health. In article 3, it was found that the factors associated with not using medication prescribed for depression in the last two weeks were marital status, self-rated health, prevalence of sleep problems, routine medical appointments, and time since diagnosis of the disease. Conclusions: Access to medication in the Brazilian population is related to socioeconomic and health perception factors. In general, the importance of the PFPB as a policy to expand access to essential medicines in Brazil is proven, considering the free use of antihypertensive and antidiabetic drugs, as well as the weaknesses of the public health system in Brazil in the supply of medicines. Furthermore, these findings can guide the updating or formulation of public policies on medicines and pharmaceutical assistance, promoting better mechanisms for the purchase of medicines by the user and, consequently, reducing health inequities.

2021
Disertaciones
1
  • ROBERTA MACHADO ALVES
  • COMMON MENTAL DISORDER AND ABUSE OF ALCOHOL AMONG FARMERS IN CAICÓ-RN

  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • JULIANE DE OLIVEIRA COSTA LIMA
  • DIMITRI TAURINO GUEDES
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • Data: 16-jul-2021


  • Resumen Espectáculo
  • With regard to farmers and rural populations, the difficulty in accessing health services and the higher cost of psychiatric treatments contribute to the neglect of some care related to mental health. In addition, stressful characteristics of the work environment, such as long distances, isolation, difficulty in developing other work activities, economic decline, irregular income and exposure to pesticides reflect on the development of disorders. We sought to identify the prevalence and factors associated with Common Mental Disorder and alcohol abuse among farmers living in a medium-sized municipality in northeastern Brazil, during 2019 and 2020. Trained interviewers applied the standardized questionnaire to 450 participants. Sociodemographic, health, income and work characteristics were investigated. Screening for Common Mental Disorder (CMD) was carried out using the SRQ-20 questionnaire (Self-Reporting Questionaire, with a cutoff point ≥7 for women and ≥5 for men. the use of the CAGE questionnaire (Cut down, Annoyed by criticism, Guilty and Eye-opener), with the cutoff point ≥ 2. Poisson Regression with robust estimation was applied to verify the prevalence ratios (PR) in the bivariate and multivariate analysis. The prevalence of CMD among farmers was 55.1% (95%CI 50.4-59.6.) The variables that remained significant and associated with CMD were: being male (PR=1.7), having over 60 years old (PR=0.5), having poor or very poor self-rated health (PR=1.4), having undergone previous treatment for mental health (PR=1.2), having abused alcohol (PR =1.2) and having had loss of production (PR=1.3). The prevalence of alcohol abuse among farmers was 32% (95%CI 27.8- 36.4). Factors such as being male, having a diagnosis of mental disorder in the family, being a smoker and using drugs were associated with a higher prevalence of the outcome. Being 60 years old or more was associated with a lower prevalence of alcohol abuse. These results indicate the need for social support to this group of workers in the context of occupational health and point out that both CMD and alcohol abuse are associated with individual factors and the context of life and work of farmers, which demonstrates the importance social, economic and health services support to this group of workers.

2
  • MAYARA PRISCILLA DANTAS ARAÚJO
  • RISK FACTORS FOR SEVERE FORM OF COVID-19 IN INSTITUTIONALIZED ELDERLY

  • Líder : THAIZA TEIXEIRA XAVIER NOBRE
  • MIEMBROS DE LA BANCA :
  • LUCIANA ARAUJO DOS REIS
  • MEIRY FERNANDA PINTO OKUNO
  • THAIZA TEIXEIRA XAVIER NOBRE
  • Data: 29-jul-2021


  • Resumen Espectáculo
  • Introduction:   COVID-19 is characterized  by a respiratory syndrome with variations  in the degree of severity. However, this disease has disproportionately affected institutionalized elderly people, leading to a high mortality in this population.  Objective:  To analyze the health conditions that make institutionalized elderly people more vulnerable to severe form and death by COVID-19. Methods:  Two analyses were performed: 1) descriptive study, cross-sectional approach, carried out in eight LSIEs of the Metropolitan region of Natal, Rio Grande do Norte, with a population of 267 elderly people, between February and December 2018, which used as an instrument to collect sociodemographic data, health and risk factors the Elderly Health Booklet, and pearson's chi-square and Chance Ratio tests were performed for the analysis of variables; 2) systematic review of the literature of observational epidemiological studies published between January 2020 and February 10, 2021, for which searches were performed in the databases Virtual Health Library (VHL), PubMed, Scopus and Web of Science, using mesh and DeCS descriptors, and evaluated the risk of  bias by instruments of the Joanna Briggs Institute. Results:  1) Of the 267 elderly people evaluated, the most prevalent risk conditions were cognitive impairment (57.5%), hypertension (55.6%) and diabetes (27.5%), with a higher frequency of low birth weight in elderly with cognitive impairment (24.6%), and overweight in those hypertensive (23.3%) diabetics (12.9%). Body mass index (BMI) was associated with the age group 80 years or more (p=0.013), hypertension (p<0.001) and diabetes (p=0.001). Hypertensive elderly people are more likely to have low weight when compared to non-hypertensive people (CR=3.6; IC95% 1.5-8.6). 2) A  total of  171 publications were identified, of which 9 met the eligibility criteria. The complementary search in the list of references of these studies resulted in two articles. With this, 11 articles were included in the review. Different risk factors were identified grouped into: sociodemographic factors - male gender, age over 80 years and institutionalization itself; clinical manifestations – presence of symptoms, loss of appetite, fever, diarrhea, altered mental status, lethargy, respiratory symptoms and shorthand; and  health conditions – cardiovascular diseases, diabetes, kidney disease, functional and cognitive decline, Parkinson's disease, frailty, depression and chronic obstructive pulmonary disease. Final considerations:  Institutionalized elderly people present health conditions that make them more vulnerable to progress to the severe form of COVID-19 if infected, which requires the adoption of protective measures for this population and the adoption of protocols for timely infected individuals and those at higher risk for severe form of the disease.

3
  • KEZAUYN MIRANDA AIQUOC
  • Scars of racism! Racial discrimination and exposure to violences in brazilian adolescents and young people according to the race / skin color

  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • ANA PAULA NOGUEIRA NUNES
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • KARINA CARDOSO MEIRA
  • Data: 04-ago-2021


  • Resumen Espectáculo
  • Introduction: Exposure to violence can result in injury, psychological damage, developmental disabilities and even death. However, violence affects the population in an unequal way, generating differentiated risks based on gender, race / color, social space and age, especially among adolescents and youth. Objective: To analyze perceived racial discrimination and exposure to various types of violence in Brazilian adolescents and young people, according to race / skin color differences. Methodology: Three analyzes were performed: 1) cross-sectional study with data 2015 National Student Health Survey (PeNSE) 2015, in which the prevalence of racial discrimination and its association with socioeconomic, health and school context factors were analyzed in a Poisson regression; 2) cross-sectional study that analyzed the prevalence of different types of violence according to race / skin color, in a multilevel Poisson Regression model adjusted for age, sex and maternal education using data from PeNSE 2015 and 3) ecological study that analyzed rates homicides of young people aged 15 to 29 years in Brazilian municipalities in the period 2015-2017, by sex and race and contextual variables related to education, income, schooling and vulnerability in a multilevel Linear Regression. Results: The prevalence of racial discrimination perceived among Brazilian schoolchildren was 2.58% (95% CI: 2.40-2.78) and was associated with the following factors such as male gender (PR 1.69; 1.40 -2.04), having black skin color (RP 7.39; 5.49-9.96), being indigenous (RP 4.95; 3.32-7.38), with an uneducated mother (RP 1 , 74; 1.25-2.42) and who has expected schooling up to high school (RP 1.50; 1.24-1.83). As for exposure to violence, black students were more involved in fighting with firearms and who were seriously injured (PR = 1.50; 95% CI: 1.27-1.76; and PR = 1.36; 95% CI : 1.22-1.52, respectively); indigenous people had a higher prevalence of being involved in physical fighting (PR = 1.23; 95% CI: 1.09-1.38) and of getting involved in fights with blunt weapons and sharps (PR = 1.38; 95% CI: 1.11 - 1.73). In the multilevel model, having black skin color was associated with studying at a school located in a risk area and studying at a school that interrupted or suspended classes for safety reasons. Regarding homicide mortality rates, the most pronounced relationship between homicides among young blacks and homicide rates in the adult population stands out. Conclusion: the results demonstrate that there is racial inequity in the exposure to violence in Brazil, with the main victims being adolescents and young people belonging to the black and indigenous population.

4
  • PAULA BEATRIZ DE SOUZA MENDONÇA
  •  

    GRADUATION IN HEALTH COLLECTIVE IN BRAZIL

  • Líder : JANETE LIMA DE CASTRO
  • MIEMBROS DE LA BANCA :
  • ANA TANIA LOPES SAMPAIO
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • ISABELA CARDOSO DE MATOS PINTO
  • JANETE LIMA DE CASTRO
  • Data: 03-sep-2021


  • Resumen Espectáculo
  • The object of study of this dissertation is the training of the sanitarist at the undergraduate level. It is delimited in the historical recovery of undergraduate courses in Collective Health and drawing training carried out for the new profession. The objective is to analyze the graduate training in Collective Health of existing courses in Brazil in the light of the Pedagogical Projects of the Courses. This is a qualitative and exploratory study with a documentary approach, using the content analysis method, in the thematic modality according to the technique of Minayo (2014) contemplating three phases. In phase 1), the selection of 22 pedagogical projects of the course of undergraduate courses in Collective Health and organization of textual corpus; 2) the data were organized into 4 corpus from 4 record units; 3) was performed the encoding, later processing the 4 corpus in the Iramuteq software for obtaining the Descending Hierarchical Classification, to analyze, interpret and present the results through dendrograms. The results demonstrate an openness course, with a concentration between 2008-2009, the last in 2019. The courses are organized in the Brazilian regions in greater number in the northern region with 27.3%. Most courses follow or fit the National Curriculum Guidelines of the Course of Graduation in Collective Health (DCNCsGSC) 2017 with a predominance of workload equal to or greater than 3,200 hours, duration from eight to nine semesters and an average of four years, with night shift in 45.5% of courses. The average offer is 1,864 vacancies/year with entry through of Enem/SISU, with 68% of courses in federal universities and 77.3% with nomenclature Bachelor's Degree in Collective Health. Of the 22 courses, 18 were evaluated by the MEC, being 67% with concept 5. Training allows a gradual construction of knowledge from curricular components between 45 to 60 hours arising from epidemiology, from human and social sciences, surveillance, health sciences, education, planning, management, health services, and policies. The courses are articulated with health services and systems SUS publics and with the community through practical classes, internships, research, and projects extension and technical visits, strengthening the students' practical contact with real situations of the health of the population, as well as mitigating that the graduates can enter professionally in these spaces. It is concluded that the courses are consolidated based on the regionalization of courses, the number of vacancies, unification of the nomenclature, and the predominance of the concept of excellence. The training follows the DCNCsGSC regulations of the bases of Collective Health, so that the articulation with the SUS has contributed to its strengthening and training of human resources in health.

5
  • JÉSSICA LIMA MOURA
  • Repercussions of COVID-19 on the daily lives of women living in a rural settlement

  • Líder : RICHARDSON AUGUSTO ROSENDO DA SILVA
  • MIEMBROS DE LA BANCA :
  • RICHARDSON AUGUSTO ROSENDO DA SILVA
  • MARIA ANGELA FERNANDES FERREIRA
  • SARA FITERMAN LIMA
  • Data: 27-sep-2021


  • Resumen Espectáculo
  • The COVID-19 pandemic is configured as the greatest health challenge of the 21st century, causing multiple impacts, affecting the world population both individually and collectively and being considered a Public Health Emergency of International Importance. This study aimed to understand the repercussions of COVID-19 on the daily lives of women in a rural settlement in Northeastern Brazil. Therefore, a qualitative approach research was carried out, whose data were analyzed using the Collective Subject Discourse method in the light of the epidemic disease framework proposed by Charles Rosemberg. The project was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte, under opinion number 4,063,657. Forty-eight interviews were carried out with women in a rural settlement in northeastern Brazil, between January and March 2021, in the residences of the interviews in a reserved place. Participants reported concerns generated in dealing with the pandemic: lack of work; difficulty in supporting the family due to lack of resources; uncertainty in the future; contamination risk; fear of death; cancellation of children's classes; sadness; racism and prejudice. They unveiled opportunities in the experience of the pandemic: adoption of prevention measures for survival; solidarity and help received; inner and familiar strength; rethink life; belief in God and hope for a better future. The findings point to the need to implement public health actions and policies for women in the rural context, which are compatible with the demarcations presented socio-historically by this population.

     

6
  • JESSICA MARTINELLI MARTINS DE ASSIS
  • ABSENTEEISM AND ITS CAUSES IN THE CONTEXT OF ONCOLOGY WORKERS' HEALTH: A SCOPING REVIEW

  • Líder : FABIA BARBOSA DE ANDRADE
  • MIEMBROS DE LA BANCA :
  • CRISTINA KATYA TORRES TEIXEIRA MENDES
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • FABIA BARBOSA DE ANDRADE
  • Data: 26-nov-2021


  • Resumen Espectáculo
  • The high rhythm of work added to the physical and psychological demands lead to a picture of stress in personal and work contexts. Stress is defined as a physiological, psychological and behavioral response of an individual in order to adapt to the demands of the environment and the internal ones, being seen as a stimulant and source of balance. In addition to this, other causes can be inserted, such as the professional's life habits, among them: cigarette, alcohol, lack of physical exercise, sleep deprivation, among others, which are harmful to health. This reality has been the most observed in the hospital scenario, possibly associated with problems related to the fatigue of compassion, where professionals end up discounting their special. The motivation for the study, it was understood why the high numbers of absenteeism in oncology, and if this occurs, the work process itself occurs, identifying them. Then the following research question was elaborated: analysis of published studies on absenteeism in oncology hospitals in the form of systematic review. This is a Systematic Literature Review (RSL). This type of study serves to guide the development of projects, indicating new directions for investigations and identifying which research methods were used in an area. A literature review was carried out to give robustness to the theme. This review was based on three pillars: 1) multidisciplinary work and; 2) absenteeism among professionals. Subsequently, the descriptors were elected and based on them, searches were carried out on the electronic databases PUBMED, LILACS and SCOPUS. After reading, those who did not answer the research question were excluded, thus obtaining a result from 11 studies. The main occupational diseases were listed by the authors of the selected studies. The main disorders were of psychic origin (depression and Burnout syndrome) and of musculoskeletal origin (RSI / WRMSD). It was discussed about each disorder presented by the authors in addition to contributions from other authors, in order to contextualize the research.

7
  • ANNA CLAUDIA SALES GOMES CALDAS
  • DEVELOPMENT OF PATIENT SAFETY INDICATORS FOR MONITORING SURGICAL CARE IN THE UNIQUE HEALTH SYSTEM

  • Líder : ZENEWTON ANDRÉ DA SILVA GAMA
  • MIEMBROS DE LA BANCA :
  • CARLA SIMONE DUARTE DE GOUVÊA
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • ZENEWTON ANDRÉ DA SILVA GAMA
  • Data: 09-dic-2021


  • Resumen Espectáculo
  • Monitoring healthcare is an essential activity for any continuous quality improvement activity. However, the Unified Health System (SUS) does not have a set of indicators to monitor the quality of surgical care, making health care management fragile and difficult, given the lack of information to carry out quality improvement cycles . This gap justifies the research carried out, which aims to validate a set of indicators for monitoring the quality of surgical procedures within the SUS. The methodological study of validation of quality indicators developed in 4 stages was used as method: 1) Literature review; 2) Selection of indicators for consensus; 3) Validation of the content of the indicators by the RAND/UCLA consensus method; and 4) Pilot study to analyze reliability and identify quality indicators that can be monitored via official information systems. From the literature review, 217 surgical quality indicators were identified. Indicators considered based on scientific evidence inferior to 1A, similar, specific indicators that corresponded to sentinel events and those that did not apply to the SUS context were excluded. Twenty-six indicators with a high level of scientific evidence were taken to the consensus of experts. After using the RAND/UCLA Consensus Method, 14 process indicators and 8 outcome indicators were validated. Six process indicators were considered substantially reliable (Kappa coefficient between 0.6 and 0.8; p<0.05) and 2 had almost perfect reliability (Kappa coefficient> 0.8, p<0.05) when analyzed the inter-rater agreement. It was possible to measure and establish a tabulation mechanism for 7 result indicators. The study contributes to the development of a set of quality indicators in the surgical field that translates into an effective mechanism for measuring the performance and quality of services offered by the network of hospital services in the State of Rio Grande do Norte and in Brazil.

8
  • VANESSA CRISTINA DE GÓES E SILVA FAUSTINO DA COSTA
  • MENTAL HEALTH OF THE ELDERLY IN THE PERIOD OF A PANDEMIC COVID-19
  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • MARIA ANGELA FERNANDES FERREIRA
  • ELIANA COSTA GUERRA
  • VANESSA DE LIMA SILVA
  • Data: 22-dic-2021


  • Resumen Espectáculo
  • The COVID-19 pandemic has led several countries, including Brazil, to adopt measures to contain the transmission of the disease. It has been identified that the elderly are among the most vulnerable individuals to the most severe forms of the disease, being considered a risk group. Given this scenario, the present study is justified by Knowing the negative affectivity which mainly involves emotional states such as depression, anxiety and stress of elderly people monitored during the COVID-19 pandemic in the territory of the Family Health Units (USF) in the city of Natal. This is a cross-sectional and analytical study. Secondary data from the surveillance forms of the extension project “Prevention of COVID-19: telesurveillance of the elderly in primary health care” were used. Of the elderly people monitored by the Telesurveillance and Telemonitoring project, 251 elderly people agreed to answer the DASS-21 completely, 63.3% of the sample was female. For data collection, the reduced version of the Depression, Anxiety and Stress Scale (DASS-21) was used. Quantitative data were processed and analyzed using the statistical package Statistical Package for Social Sciences (SPSS for Windows) in its version 22.0. The research project is in line with Resolution nº 466/2012 of the National Health Council and has been submitted for evaluation to the Research Ethics Committee nº 4.431.316. Data collected by the researcher indicate that elderly people have significant levels of anxiety, depression and stress (p<0.05) during the COVID-19 pandemic period. The average age corresponds to 71.09 years (SD=7.91). Regarding frequency and percentage, 57.8% had levels of depression; 52.6% had levels of anxiety; and 52.6% had stress levels. Elderly people reported that they (69.8%) already felt anxious, depressive and stressful symptoms before the COVID-19 pandemic. Regarding the prevalence of symptoms, there was no significant difference (p>0.05) between genders. It was observed that the fear of becoming infected with the disease, as well as the measures taken to reduce its contagion (quarantine, isolation and social distancing) can negatively impact the psychological of elderly people, thus triggering mental disorders, such as: depression , anxiety and stress, in addition to the fear of dying, sadness and loneliness.

Tesis
1
  • ARYELLY DAYANE DA SILVA NUNES ARAÚJO
  • SCHOOL HEALTH PROGRAM: PROTOCOLS OF HEARING LOSS IDENTIFICATION

  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • ADRIANA BENDER MOREIRA DE LACERDA
  • HANNALICE GOTTSCHALCK CAVALCANTI
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • KENIO COSTA DE LIMA
  • MARIA ANGELA FERNANDES FERREIRA
  • Data: 25-ene-2021


  • Resumen Espectáculo
  • It is essential to use instruments with adequate diagnostic accuracy to identify hearing loss in
    schoolchildren. Knowing and managing information in hearing health that covers school
    environment, individual and school information, helps the elaboration of individual and
    collective actions in the scope of Health and Education, as the Brazilian Health in School
    Program (PSE) aims. The objective of this thesis is to study protocols for identifying hearing
    loss in elementary school students I and II, developed from five studies. Two studies of
    diagnostic accuracy will be described, a systematic review, an experience report and an
    ecological study. 1) Study of diagnostic accuracy, comparing conventional hearing screening
    methods to the reference standard - audiometric, tympanometric screening and otoacoustic
    emissions with transient stimulus (TOAE); 2) Accuracy study comparing different TOAE
    failure criteria compared to the reference standard; 3) Systematic review of computerized
    methods of hearing screening; 4) Report on actions to promote hearing health in the school
    environment; 5) Ecological study on School Hearing Screening (TAE) within the scope of SUS.
    The results of the thesis include 1) TOAE as a protocol with better measures of accuracy for
    school hearing screening; 2) TEOAE with signal / noise ratio equal to or greater than 3dB in
    three of the five non-consecutive frequency bands with better accuracy; 3) Among the six
    instruments identified, three had sensitivity and specificity greater than 70% - teleaudiometer
    based on a P.E.T.I.T. tablet, HearScreen ™ application, computer-based audiometer; 4) The
    five proposed activities were effective, with engagement observed by the entire school
    community and changes in habits by the students; 5) There is no tendency for a significant
    increase in the rates of school hearing screening in Brazil, which are distributed unevenly in the
    national territory. With the completion of individual studies and their joint analysis, it is
    observed that different methods can be used to identify hearing loss in schoolchildren as long
    as they are valid, but this action should not be isolated, and local realities and the network must
    be considered hearing health, since there is low coverage of TAE under SUS. In this way, it
    will be possible to carry out the actions proposed by the PSE in the scope of hearing health,
    considering the intersectoral needs and health and education.

2
  • KÁLYA YASMINE NUNES DE LIMA
  • Inequalities in lung cancer mortality and staging in Brazil

  • Líder : DYEGO LEANDRO BEZERRA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • ARN MIGOWSKI ROCHA DOS SANTOS
  • CLELIA DE OLIVEIRA LYRA
  • CRISTIANE MURTA RAMALHO NASCIMENTO
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • Data: 28-ene-2021


  • Resumen Espectáculo
  • The objective was to analyze the stage of diagnosis and mortality from lung cancer and its relationship with socioeconomic factors and the provision of health services in Brazil. This is an ecological and cross-sectional study. Deaths (C33-34) were collected from the Mortality Information System for the period from 2011 to 2015. Individual data related to cancer diagnosis and socioeconomic conditions were obtained from the Integrator of Hospital Cancer Records for the period 2006 to 2015. The contextual variables were collected in the Atlas of Human Development in Brazil, in the National Register of Health Facilities and in the National Supplementary Health Agency. For analysis of mortality and late diagnosis of lung cancer, the Chi-Square test and the Poisson Regression with robust variance were applied to a 95% confidence level. The spatial dependence on mortality rates and the proportion of delayed diagnosis (PDD) were verified by the Moran Global index and the Local Spatial Association Indicator. Early diagnosis was analyzed using Pearson's chi-square test and multilevel Poisson regression. The average age-adjusted mortality rate between 2011 and 2015 was 12.8 deaths per 100,000 inhabitants. The high mortality rates from lung cancer were significantly associated with the density of general practitioners (PR = 1.68), establishments qualified in oncology (PR = 1.49) and inversely associated with % of poor (PR = 1.73) and, they presented spatial autocorrelation (Moran = 0.5; p = 0.01). The multivariate spatial model was constituted by the variables Establishments qualified in oncology, Income and Coverage of health plans and presented an explanatory power of 66% for lung cancer mortality. Between 2011 and 2015, the PDD was 85.49% for the population between 18 and 99 years old. PDD, combined for both sexes, showed low spatial autocorrelation, however significant (Moran = 0.37; p = 0.01) and correlation with Aging Rate (0.109; p = 0.010),% of Workers Exposed to carcinogenic agents (p = 0.019), Gini (p = 0.001) and Density of Primary Health Care Teams (p = 0.042). From 2006 to 2015, 87.71% of cases were diagnosed at an advanced stage. The age group of 50 to 59 years (PR = 1.04), male (PR = 1.02), non-white race / color (PR = 1.01), incomplete elementary education (PR = 1.05) and small cell tumors (PR = 1.08) are associated with advanced diagnosis. For the same period, the proportion of early lung cancer diagnosis was associated with an older age group (70 years or older - RP 1.30; CI 1.14-1.48), with higher education (RP 1.45 ; CI 1.24-1.69), female (PR 1.18; CI 1.10-1.26) and squamous cell tumor (PR 1.19; CI 1.10-1.29). Early diagnosis was not associated with contextual variables. There are inequalities in the distribution of lung cancer mortality rates related to the provision of health services and socioeconomic conditions. The absence of a direct relationship between the context and the stage of cancer in the diagnosis points to the greater influence that the individual and tumor characteristics have on the detection of cancer.

3
  • JOAO PAULO DAMASIO SALES
  • EVALUATION OF HEALTH PROMOTION PROGRAMS FOR THE ELDERLY: AN ANALYSIS OF THE QUALITY OF SERVICES IN SUPPLEMENTARY HEALTH

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • ARDIGLEUSA ALVES COELHO
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • FABIO RESENDE DE ARAUJO
  • KENIO COSTA DE LIMA
  • RENATO PEIXOTO VERAS
  • Data: 28-ene-2021


  • Resumen Espectáculo
  • Rapid global population ageing is considered to be one of the major social and economic challenges of our time. Healthcare events and conferences, scientific investigations and conceptualization seek to elucidate the phenomenon and its political, social, economic, cultural and epidemiological impacts. In Brazil, the healthcare system needs to discover new ways to resolve these effects, since the increase in the number of elderly people dimension the demands for health services and modify the population's morbidity and mortality profile, requiring healthcare sector adaptations to new demands. Given this fact, health promotion emerges as a coping strategy, which seeks solutions to mitigate the effects imposed by this demographic phenomenon, such as the risks, fragility and vulnerability common to the aging process. This study aims to analyze the quality of health promotion services for the elderly through the evaluation of a health promotion program for old-aged in supplementary health. An integrative literature review on the evaluation of health promotion programs for the elderly was carried out between January and March 2020; a documentary research, developed through the study of secondary data requested from National Agency of Supplementary Health - Brazil, submitted to descriptive statistical analysis and Descending Hierarchical Analysis in the IRaMuTeQ® software; a consensus of experts, who used the Delphi technique in three rounds: a) open-ended questionnaire addressed through content analysis, b) closed-ended questionnaire, using the Likert scale and using a coefficient of variation to determine consensus , and c) sending the result and questionnaire of open-ended questions for final consensus; finally, a case study was carried out in a program of quality of life for the elderly in supplementary health, with the adoption of semi-structured interviews, treated by means of content analysis and institutional documents, submitted to documentary research. The results were crossed with the dimensions of health promotion practices for the elderly and guidelines from the National Agency of Supplementary Health – Brazil. Thus, a sequence of studies was developed, entitled: evaluation of health promotion programs for the elderly: an integrative review; profile of health promotion and risk and disease prevention programs, exclusive to the elderly, in supplementary health; dimensions of health promotion practices for the elderly: a consensus of specialists; evaluation of a quality of life program for the elderly in supplementary health. Most studies on the subject discuss the evaluation of the impact of health promotion actions on participants, however few have an emphasis on the evaluation of services, structure and work processes. It was found that there was a gradual commitment by the regulatory agency to establish guidelines, financial incentives, and qualification of programs for health operators, which resulted in an increase in the number of new programs. However, despite the efforts, the number of programs focusing on the elderly is still small, given the growing demand in the national territory. Eighteen dimensions of health promotion practices were found and resulted in guiding principles in the theoretical and practical fields, serving as a framework for the planning, execution and evaluation of health promotion practices for the elderly. These dimensions, when applied to a quality of life program for the elderly, enabled the identification of an adequate structure to offer the service, a favorable organizational climate and an integrated team formed by diverse professionals, is in accordance with the guidelines of the National Agency of Supplementary Health – Brazil, does not have a continuous professional training program and does not systematically evaluate the results. Information capable of supporting decision making and devising ways to achieve efficiency, effectiveness and effectiveness in the management of care for the elderly can be provided, through knowledge and evidence resulting from the application of the proposed dimensions.

     



4
  • ANDIARA ARAUJO CUNEGUNDES DE BRITO
  • INSTITUTIONALIZING CARES FOR ELDERLY PEOPLE IN RIO GRANDE DO NORTE
  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • VANESSA DE LIMA SILVA
  • JACILEIDE GUIMARAES
  • KARLA CRISTINA GIACOMIN
  • KENIO COSTA DE LIMA
  • VILANI MEDEIROS DE ARAUJO NUNES
  • Data: 29-ene-2021


  • Resumen Espectáculo
  • The Long-Stay Institution for the Elderly (ILPI) are a type of home assistance, collective and with longitudinal care, aimed at people aged 60 or over, with or without family support, where they must live in conditions of freedom , dignity and citizenship. However, in the history of the institutionalization of old age, these ILPI were also known as asylums that were sometimes configured as spaces for the exercise of Christian charity and for the protection of individual and family poverty, with rules to limit and homogenize the activities of sheltered elderly people. , depriving them of social and family life, which is observed in some ILPI even today. In this sense, questions arise about the care offered, whose reflection focuses on the process of asylum for institutionalized elderly people. The objective is to analyze the process of care provided to institutionalized elderly people, from the creation of ILPI to the present day. This research has a mixed approach, descriptive and exploratory and was carried out in public and philanthropic ILPI in Rio Grande do Norte, registered in the Unified Social Assistance System (SUAS) and recognized by the Health Surveillance. The fieldwork was carried out in the first half of 2019, using an instrument of direct observation, application of structured questionnaires and semi-structured interviews with actors involved in the foundation of the ILPI. The analysis of the data raised aspects that cross and condition the care offered to residents. Thus, the discussions are organized in three chapters, namely: 1- Profile of Long Term Care Institutions for the Elderly and residents' quality of life; 2- Institutionalization of the elderly: between curative and alienating care; and, 3- Live or coexist? Challenges and possibilities of care for the elderly in Long Term Care Institutions. Therefore, the reflection on the care offered at the ILPI shows a discontinuity in the dialogue between the social and health care networks, producing the need for transformation in the long-term care of the elderly. The networks need to come together for effective planning regarding public policies for the protection of the elderly, showing strategies that meet the needs of Brazilian society in aging, through services that support longitudinal care and promote the deinstitutionalization of elderly people in the ILPI who have the possibility of getting back together in their family and community.

5
  • NATALIA LOUISE DE ARAUJO CABRAL
  • Development of a Multidimensional Instrument for the evaluation of Food and Nutritional Insecurity - Brazuca Natal Study

  • Líder : CLELIA DE OLIVEIRA LYRA
  • MIEMBROS DE LA BANCA :
  • ALANDERSON ALVES RAMALHO
  • CLELIA DE OLIVEIRA LYRA
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • MARIA CECILIA ROCHA
  • RODRIGO PINHEIRO DE TOLEDO VIANNA
  • Data: 09-feb-2021


  • Resumen Espectáculo
  • The conceptual complexity of Food and Nutrition Security (FNS) makes its assessment a challenge. Full indicators, like the food and nutritional components and their different dimensions: availability, access, stability, and biological use, are necessary. Despite this, the main instrument used in Brazil, the Brazilian Food Insecurity Scale (EBIA), includes only the dimension of access. A global indicator formulation is necessary to optimize the screening of individuals at risk of food insecurity (FI), especially in Nutritional Surveillance (NS). Thus, the aim was to assess the factors associated with food and nutritional insecurity (FNI). In addition, to develop a multidimensional screening instrument (Vigi-INSAN). The formulation of Vigi-INSAN used data from the Brazuca Natal Study, a cross-sectional study, conducted with 411 adults and older adults living at home. Home interviews were conducted using an electronic questionnaire to obtain demographic, socioeconomic, anthropometric data (weight, height, body perimeters), food consumption (items on the scale of adherence to Dietary Guidelines for the Brazilian Population), and FI measured by EBIA. The construction of Vigi-INSAN occurred in three stages: 1- Organization of the theoretical basis and selection of items, based on bivariate analysis; 2- Multiple Poisson regression to select the instrument's variables. Variables with p <0.20 were included in the model and those with p <0.05 remained in the final model; 3 - Analysis of adjustment assumptions with Omnibus test and deviance, and ROC curve to analyze the model's efficiency. The 5th and 75th percentiles were used as cutoff points. The factors associated with FI in the elderly population (n = 191) were also investigated. For this, the crude and adjusted prevalence ratios were analyzed using Poisson Regression. The prevalence of FI was 42.1% (37.4% - 46.9%). Women (47.5%), adults (48.2%) and people of non-white color / race (52.7%) had significantly higher FI. After multiple analysis, the presence of children under 18 at home (ajPR = 1.3; 1.0 - 1.6), main income (<R$ 998.00) (ajPR = 1.6; 1.2 - 2.0), the work situation (ajPR = 1.2; 1.0 - 1.5), the type of drinking water treatment (ajPR= 1.4; 1.2 - 1.7), the presence of chronic non-communicable diseases (ajPR = 1.3; 1.0 - 1.7), the absence of the habit of eating fruit for breakfast (ajPR = 2.1; 1.5 – 3.0), the habit of eating meals on the living room sofa or bed (ajPR = 1.3; 1.1 - 1.6) and skipping at least lunch or dinner (ajPR = 1.4; 1.1 - 1, 7) were selected to compose Vigi-INSAN, with an area under the ROC curve of 80%. The proposed scores were: <0.3 = Low; 0.3 to 1.9 points = Moderate; > 1.9 = High probability of FNI. In older people, income below R $ 998.00 (ajPR = 1.47; 1.01 - 2.14), not having a job or retirement (ajPR = 7.39; 1.30 - 2.49), do not eating fruit for breakfast ajPR = 7.39; 2.478– 19.66) and skipping at least lunch or dinner (ajPR = 1.75; 1.27 - 2.40) made up the adjusted model. It is concluded that Vigi-INSAN has potential for use in NS, based on multidimensional indicators, at the household and individual level.

6
  • JOSILENE MARIA FERREIRA PINHEIRO
  • EVALUATION OF ASSISTANCE ACTIONS IN THE NEONATAL PERIOD

  • Líder : FABIA BARBOSA DE ANDRADE
  • MIEMBROS DE LA BANCA :
  • FABIA BARBOSA DE ANDRADE
  • CLELIA DE OLIVEIRA LYRA
  • FLAVIA ANDREIA PEREIRA SOARES DOS SANTOS
  • KENYA DE LIMA SILVA
  • RODRIGO PINHEIRO DE TOLEDO VIANNA
  • Data: 10-mar-2021


  • Resumen Espectáculo
  • The neonatal period requires qualified attention, given the newborn’s susceptibility to adversities. This study was intended to assess the accomplishment of the care actions recommended by the Brazilian Ministry of Health for the neonatal period and its associations with institutional characteristics and demographic partners. A longitudinal study was held in four public maternity hospitals in the city of Natal/RN, Brazil. The sample consisted of 415 mother/child binomials, being full-term newborns, weight ≥ 2.5 kg and Apgar ≥ 7.0. Data collection took place 48 hours after birth (in person), with seven days and 28 days of life (by telephone call). From the obtained data, five studies were developed, three cross-sectional, one longitudinal; and, in view of the current context of Covid-19, a reflective study. The studies addressed the following issues: (1) Care actions for the newborn and the continuity of care in the neonatal period; (2) Prevalence of the five neonatal screening tests; (3) Determinants of the supply of complement to breast milk in the first 48 hours of life; (4) Feeding practices in the neonatal period; (5) Challenges to maintain exclusive breastfeeding in view of the measures imposed to prevent transmissibility by the SARS-CoV-2 coronavirus. The statistical analysis included applications of Pearson’s chi-square and multiple Poisson regression, with a 95% confidence interval (95% CI). Of the 415 binomials initially assessed, there was a loss of 13.7% in the second period and 16.6% in the third period. The mothers, mostly, were in the age group of 20 to 29 years (46.5%), were married or lived in a stable relationship (79.0%) and had high school or higher education (65.3%). As for the newborn, most (52.5%) were male, with an average gestational age of 39.2 weeks and birth weight of 3.310g. The main results of the studies should be highlighted: (1) Of the 29 actions performed in the maternity ward and 11 in Primary Health Care, 22.5% were classified as satisfactory, 45% partial and 32.5% unsatisfactory. The adequacy of composite care indicators was associated with multiparous women undergoing vaginal delivery, and low complexity risk maternity hospitals. (2) The prevalence of the five tests (36.6%) was associated with mothers living in the state capital (PR = 1.36; 95% CI = 1.18-1.56) and with those who received guidance at the maternity hospitals (PR = 1.30; 95% CI = 1.08-1.67). (3) Half of the newborns received complementary breast milk, being 57.6% in the first hour of life and 92% with artificial formula, which was associated with maternal age ≤ 20 years (PR = 0.64; 95% CI = 0.47-0.86), primiparity (PR=1.37; 95% CI=1.11-1.60) and cesarean delivery (PR = 1.2; 95% CI = 1.00-1.45). (4) Regarding feeding practices, the prevalence of EBF was 48.7%, 91.6% and 83.3% at 48 hours, seven and 28 days, respectively. Early weaning was associated with the absence of paternal support (RR: 4.98; CI: 2.54-9.79) and the use of a pacifier (RR = 3.2, CI: 1.63-6.32) seven days, and only using a pacifier (RR = 2.48, CI: 1.53-4.02) at 28 days. (5) The mother/baby transmissibility by the new coronavirus is still a controversial issue that, given the uncertainties, may compromise team/family/mother/newborn interaction, as well as breastfeeding, in the first hours of life. The results underline the need to restructure care and readjust good practices that favor comprehensive and longitudinal care of the newborn.  

7
  • ERICO GURGEL AMORIM
  • REINVENTIONS IN THE LIFE OF PEOPLE WITH VISUAL DISABILITIES: WAYS TO INCLUSIVE REHABILITATION?
  • Líder : JACILEIDE GUIMARAES
  • MIEMBROS DE LA BANCA :
  • FRANCISCO RICARDO LINS VIEIRA DE MELO
  • JACILEIDE GUIMARAES
  • LENINA LOPES SOARES SILVA
  • SEVERINA ALICE DA COSTA UCHOA
  • STELLA MARIS NICOLAU
  • Data: 09-abr-2021


  • Resumen Espectáculo
  • As a result of the advances in the conquest of rights for people with disabilities during the first years of the 21st century, a greater participation of people with different types of disabilities has been observed in various sectors of society, however this advance has not been observed with the same proportion in the subgroup of visual impairment. One path used by such individuals to reach new levels of life is rehabilitation. Assuming that the spaces and practices of rehabilitation enable the reinvention of life in the face of loss of vision, in this study we aim to analyze the reinventions of life of the person with visual impairment along the rehabilitational path. In this trajectory, we weave a dialogue with the deepening of interdependence based on the theoretical-conceptual contributions developed by Elias (1994), Kittay (2011) and Butler (2015). Methodologically, we undertake an exploratory research with a qualitative approach, supported by dialectics and reflectivity, aiming at potentializing different knowledges. The subjects of this research were fifteen people over eighteen years of age, blind or with low vision, who have undergone or are undergoing visual rehabilitation

     and members of a university extension group focused on people with disabilities, as well as a key informant linked to the management of the health care network for people with disabilities in the state of Rio Grande do Norte (SESAP) and also a member of the board of directors of the Institute of Education and Rehabilitation of the Blind of Rio Grande do Norte (IERC). To capture the empirical data, we conducted three sessions of heterogeneous focus groups that took place between the months of September and October 2019 and two semi-structured interviews with managers during the same period. Later, the data were analyzed with subsidy in the thematic contente analysis (MINAYO, 2008). The research obtained ethical approval for its execution in accordance with current regulations involving research with human beings. As for the results, the emerging categories emerged primarily from the inductive and ascending analysis of the data and were constituted in three main axes: 1) spaces and practices of rehabilitation for the constitution of new enclaves, 2) challenges to rehabilitation; and 3) subject's rehabilitation and reinvention. It was possible to know the extent to which reinventions constitute and permeate the material and symbolic daily lives of those who have lost their vision, and the advances and challenges in this construction. Additionally, we propose an inclusive model of rehabilitation with a view to better understand the instances for action between the subject-subject-society, whose main characteristics are: biopsychosocial, interdependence, accessibility, acceptance of diversity and appreciation of the protagonisms of the subjects. The findings of the research lead us to consider as necessary the refusal of the negative approach to visual disability, based on the ideas of lack, deficit and defect, transmuting it to a notion of inventive power that propels emancipation, in order to bring out a common and heterogeneous world open to dialogue with diversity and permeated by the model of social inclusion.

8
  • TAIANA BRITO MENEZES FLOR
  • TRAINING AND PROFESSIONAL INSERTION OF MULTIPROFESSIONAL RESIDENTS EGRESSED FROM PROGRAMS FOR BASIC ATTENTION
  • Líder : LUIZ ROBERTO AUGUSTO NORO
  • MIEMBROS DE LA BANCA :
  • LUIZ ROBERTO AUGUSTO NORO
  • CLELIA DE OLIVEIRA LYRA
  • MARCELO VIANA DA COSTA
  • PAULETTE CAVALCANTI DE ALBUQUERQUE
  • ANA ESTELA HADDAD
  • DANIELA LEMOS CARCERERI
  • Data: 05-may-2021


  • Resumen Espectáculo
  • This thesis aims to evaluate main aspects of health staff professional training in Primary Health Care Multiprofessional Programs (PHCMP) in Brazil and their employability in Unified Health System (SUS) from graduates from 2015 to 2019. In order to achieve this objective, three studies were developed: a systematic review (SR), an evaluability study and a cross-sectional study. The SR sought to understand how professional training in PHCMP has been provided. The review was performed on Scielo, BVS and PubMed databases in 2019. Thirteen articles were included, from whom the following categories emerged: Mechanisms contribution to training through work; Definer strategies for professional training; Potentialities of PHCMP to health professional training and Experienced difficulties during professional training process. The evaluability study aimed to build and validate a matrix of evaluation criteria for PHCMP, covering the stages of elaboration of a theoretical logical model, proposal of a preliminary criteria matrix and validation by the Delphi consensus technique. The study was carried out in three rounds of validation, with the participation of 16 experts. A matrix composed by 44 criteria, organized in 11 sub-dimensions, which are grouped in the dimensions Personal motivation, Pedagogical approach and In-service education scenarios was obtained. The crosssectional study was performed on 365 graduates from PHCMP from 2015 to 2019, whose programs were affiliated to Higher Education Institutions, Government Schools and Public Health Schools in Brazil. Data collection occurred through online tool application composed by structured form approaching graduate main characteristics, professional training during undergraduate, employability with emphasis to SUS; beyond the previously validated criteria matrix. The cross-sectional study results were organized in three articles. The first one approached employability in SUS and its associated factors, finding a proportion of 47.9% of graduate working in SUS, being this outcome associated to graduate Nurses and Dentists (RP 1,87; IC95% 1,54 – 2,28) and to no insertion in stricto sensu post-graduate courses (RP 0,77; IC95% 0,61-0,97). Employability also revealed a great part of graduate precariously inserted to labor market. The preliminary results from the second article point out as main motivations to seek PHCMP those related to increasement of practical skills in real settings, beyond associations of Nursery or Dentistry and Pet-Saúde program participation to the outcome high affinity with working process in primary care. The third article results, which is in process of formulation, suggest professional training in PHCMP in line with contemporaneous demands of health professional training, with focus on integrality and prevention, although limitations are identified in practical scenarios and within individuals involved in professional training. The thesis in progress supports the potential of PHCMP in training differentiated professionals, at the same time that signals to necessity of qualification processes and the proposition of a valorization Health Residencies policy.

9
  • CRISTIANE DA SILVA RAMOS MARINHO
  • CHILD MORTALITY IN BRAZIL,  RIO GRANDE DO NORTE AND THE PUBLIC POLICIES.

  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • MARIA ANGELA FERNANDES FERREIRA
  • GRÁCIA MARIA DE MIRANDA GONDIM
  • JOVANKA BITTENCOURT LEITE DE CARVALHO
  • SILVIA WANICK SARINHO
  • PAULO GERMANO DE FRIAS
  • Data: 28-may-2021


  • Resumen Espectáculo
  • The mortality of children in Brazil showed a reduction considered in the last years, however, unevenly between the different regions and Brazilian states, due to the great and important national differences. A macro-regional analysis revealing the Northeast region of Brazil as the one that most reduced childhood mortality. The state of Rio Grande do Norte reached a reduction of more than 80% in child and the under-five mortality rate in the last four decades. It is emphasized that the monitoring of infant and childhood mortality rates makes it possible to develop preventive strategies aimed at reducing the risk of death through public policies related to children's health. This thesis aims to analyze infant and under-five mortality in Brazil and Rio Grande do Norte, their associated factors and the intervening public policies. Four studies were developed: 1) descriptive and reflective study about the trajectory of public health and social policies for children in Brazil. The different strategies, programs and public health and social policies developed over the years were essential to achieve reductions in infant and under-five mortality rates in Brazil; 2) ecological study using secondary data for Brazil according to Intermediate Urban Linkage Regions from 2001 to 2017. Analyses of tendencies were performed with joinpoint and multiple linear regression models. Low income (extreme poverty) in the children’s families and absence of maternal schooling were the variables most closely correlated with underfive mortality rate (r = 0.649, p < 0.001 and r = 0.640, p < 0.001, respectively); 3) a time-series ecological study for 1979 and 2019 was conducted with Rio Grande do Norte as the unit of analysis. The annual percentage change (APC) was calculated using the Joinpoint software. The study showed a significant reduce trend between the years 1979 and 2005, AAPC = -6.13; 95% CI: -6.8; -5.5, for the infant mortality rate, and AAPC = -5.87; 95% CI: -6.6; -5.1, for the children mortality rate of aged 1 to 4 years.  As for the basic causes of death, the complications of pregnancy, childbirth, puerperium / conditions originating in the perinatal period and external causes showed an increasing behavior in the proportionality of infant and children deaths from 01 to 04 years, respectively, over the period studied; 4) cross-sectional study in a secondary database of Epidemiological Surveillance Sub-coordinator (SUVIGE), of the State Health Secretariat of Rio Grande do Norte of children notified with COVID-19 during 2020. Mortality from COVID-19 in children predominated in those aged between 1 and 4 years old, male, race / brown color, who had some kind of comorbidity, who needed to use ventilatory support, needed ICU admission and lived in the metropolitan region of Natal, capital of Rio Grande do Norte. Infant and childhood mortality is directly influenced by public health and social policies, with a stronger impact on the integrated presence of these types of policies, however, being able to change its pattern even in the face of fragmented and / or isolated.

10
  • MAURICIO WIERING PINTO TELLES
  • Training in public health in speech-language-hearing undergraduate programs of public Higher Education Institutions

  • Líder : LUIZ ROBERTO AUGUSTO NORO
  • MIEMBROS DE LA BANCA :
  • ELAINE CRISTINA DE OLIVEIRA
  • CARMEN FONTES DE SOUZA TEIXEIRA
  • JANETE LIMA DE CASTRO
  • LUIZ ROBERTO AUGUSTO NORO
  • MIRELLA BEZERRA RODRIGUES VILELA
  • SYLVIA HELENA SOUZA DA SILVA BATISTA
  • Data: 17-jun-2021


  • Resumen Espectáculo
  • Introduction: The public health is constituted as a field of knowledge that aims to understand health and explain its social determinants, and the scope of practices aimed primarily at promoting it. Due to its characterization, public health is a field that has the potential to contribute to the reorientation of health practices of different health professions, such as speech-language-hering sciences. In Brazil, the speech-language-hearing therapists practice focused on school health, between the 1920s and 1940s, with practices based on health pedagogization and medicalization of education. Between 1950 and 1970, it directed it’s work to private offices and rehabilitation clinics. In the 1990s, with the recently created Unified Health System (SUS), public gaps were identified in the performance of the speech-language-hearing therapist, beginning studies to rethink their training in the health context. Purpose: To analyze public health training in speech-language-hearing undergraduate programs at public Higher Education Institutions (HEIs) in the Northeast. Methodology: For the production of the data, interviews were conducted with key informants, students and professors from seven public HEIs in the Northeast. The interviews were recorded, transcribed, categorized and analyzed through Content Thematic Analysis. In addition, a documentary analysis of the lattes curricula of the speech-language-hearing teachers responsible for the public health curricular components in the Brazilian public HEIs was identified using the “snowball” technique. This analysis allowed to characterize of the training, performance and publication of these teachers. The data produced were organized in IBM SPSS software version 20, generating descriptive statistics, and correspondence analysis was performed. Results: It was identified in the analysis of the students' interviews that they have training experiences in public health that favor learning in SUS, but that have weaknesses in interprofessionality and in the integration of content. In the interviews with teachers, it was observed that speech-language-hearing undergraduate programs have a heterogeneous approach to public health and a predominance of traditional methodology in curriculum, which favors a fragmentation of knowledge. In the analysis of the teacher education, performance and production characterization, it was possible to visualize the existence of teachers who did not have postgraduate training in public  health and who publish articles in the field of speech-language-hearing clinic. In addition, it is also possible to notice the existence of differences in the characterization of training and performance of teachers when analyzing this reality in the regions of the country, with the Northeast region having the most teachers with training, performance and publication in the area of public health. Final considerations: From the perspective of subjects involved with training, this work shows, in the context of the Northeast, the potentials and limits that speech-language-hearing undergraduate programs in public HEIs have for training in public health and SUS. Furthermore, the work expands the analysis to the national scope, through the identification of the characterization of performance, training and publication of teachers, aiming to stimulate reflection on how this profile can, in some way, influence the training in public health.

11
  • ANDREZZA DUARTE FARIAS
  • Population aging and potentially inappropriate medication: from selection to prescription in Primary Health Care

  • Líder : CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • MIEMBROS DE LA BANCA :
  • MONICA OLIVEIRA DA SILVA SIMOES
  • ARDIGLEUSA ALVES COELHO
  • CLAUDIA SANTOS MARTINIANO SOUSA
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • TALITHA RODRIGUES RIBEIRO FERNANDES PESSOA
  • Data: 18-jun-2021


  • Resumen Espectáculo
  • Population aging is a growing reality, and the elderly need medications, which often expose them to risks. Potentially inappropriate medications (PIMs) in the elderly are those in which risks outweigh benefits. Essential medications must meet health needs of a population, and medication prescription is one determinant for its use. This study aimed to analyze PIM in the elderly from the selection of essential drugs to prescription in primary health care (PHC). A descriptive and analytical study with quali-quantitative approach was conducted in PHC in Campina Grande (PB) between March and December 2019. The study was developed triangulating methods: 1) documentary research, which analyzed medicines of the National Essential Medicines List (RENAME) in 2010 and 2020 editions according to AGS/Beers criteria and essential medicines lists (EML) of the World Health Organization; 2) cross-sectional study, conducted using interviews with 458 elderly users of 71 basic health units. Independent variables were demographic and socioeconomic characteristics, health condition, and use of medication, whereas the dependent variable was prescribed medication classified as inappropriate by the Brazilian Consensus on Potentially Inappropriate Medications. Descriptive data analysis and Poisson regression were performed; and 3) case study, using interviews conducted with 10 PHC prescribers to observe perception of these professionals regarding prescription for the elderly. One thousand four hundred and forty-nine medications and 244 PIM (16.8%) were prescribed; of these, 91.6% and 70.5% were listed in RENAME, respectively. Most PIM acted in the central nervous system (54.4%) and gastrointestinal tract and metabolism (20.1%). RENAME lacked safer therapeutic alternatives for main PIMs. In the cross-sectional study, at least one PIM was prescribed for 44.8% (95%CI 40.2 ˗ 49.3) of the elderly. In the adjusted model, depression (PR=2.01; 95%CI 1.59 ˗ 2.55), use of medication other than those prescribed (PR=1.36; 95%CI 1.08 ˗ 1.72), and polypharmacy (PR = 1.80; 95%CI 1.40 ˗ 2.33) were associated with PIM, whereas self-reported hypertension was a protective factor (PR=0.65; 95%CI 0.49 ˗ 0.87). Two categories emerged in the qualitative analysis: 1) approach of prescribers to assist the elderly in PHC and 2) use of medication by the elderly: view of prescribers. Doctors reported preventive activities but emphasized treatment of prevalent chronic diseases among the elderly. They also highlighted polypharmacy and considered benzodiazepines to be inappropriate. Doctors lacked knowledge about inappropriate medication lists. Medicalization of the elderly and availability of essential medication were described as challenges. PIMs were highly prescribed for the elderly in PHC according to the RENAME and safer therapeutic alternatives were absent. Actions to qualify access of the elderly to medication are needed, such as elaborating a specific list of medication, inserting safer therapeutic alternatives for the elderly in RENAME, training prescribers, and monitoring the elderly. Access to medication and safety of the elderly must be guaranteed because of aging of the Brazilian population.

12
  • SANDERSON JOSÉ COSTA DE ASSIS
  • Factors associated with chronic spinal problems and the impact of Primary Health Care on the management of covid-19 and on the waiting time for the specialized physical therapy service

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • CAIO ALANO DE ALMEIDA LINS
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • JOSÉ PATRÍCIO BISPO JÚNIOR
  • MARCOS HENRIQUE FERNANDES
  • NEY ARMANDO DE MELLO MEZIAT FILHO
  • RICARDO OLIVEIRA GUERRA
  • Data: 07-jul-2021


  • Resumen Espectáculo
  • Introduction: Chronic spine problems are strongly present in society and have a relevant impact on public health due to their high prevalence and the rate of disability and absenteeism that they cause in the population. Much has been discussed about the possible causes of these problems, however little emphasis has been given to the social context and public policies involved in its genesis. In addition, further research is needed on the influence of lifestyle habits, such as the use of technologies and the management of these cases in primary health care. In addition to these aspects, these conditions can generate high waiting lines, increasing the waiting time for the treatment of these conditions. An organized PHC can reduce this high number of cases, in addition to contributing to infectious and contagious conditions, such as Covid-19. This thesis aims to analyze in a broader way the factors that may be associated with chronic spinal problems, as well as the impact of Primary Health Care on Covid-19 management and on the waiting time for the specialized physiotherapy service. Methodology: it is divided into four studies. 1) cross-sectional study, with multilevel analysis of factors associated with chronic back problems, based on the National Health Survey; 2) case-control study, with analysis of factors associated with chronic neck pain in young adults, based on primary data; 3) cross-sectional study, with multilevel analysis of factors associated with waiting time for specialized physiotherapy services, based on the National Program for Improving Access and Quality of Primary Care; and 4) time series with data on diagnosed cases of COVID-19 and their deaths as outcomes in the capitals of the Northeast region of Brazil. Results: a higher prevalence of chronic spine problems was found in females (PR = 1.23; 95% CI 1.15-1.30), aged over 49 years (PR = 1.75; 95% CI 1.1 -1.90), and in individuals who perform heavy activities at work (PR = 1.37; 95% CI 1.28-1.46). It was associated with worse self-assessment of health status (PR = 3.92; 95% CI 3.03-5.07), greater number of days with perception of depression (PR = 1.70; 95% CI 1.50-1, 94), and the presence of smoking habits (PR = 1.37; 95% CI 1.27-1.48). There was also an association for chronic spine problems in cities with a higher proportion of NASF per inhabitants (PR = 1.28; 95% CI 1.07-1.54). For chronic neck pain in young adults, a greater association was observed in individuals with greater sedentary behavior (OR = 2.41; 95% CI 1.01-5.88) and with vision problems (OR = 2.83; 95% CI 1 , 26-6.38). No association was found between chronic neck pain and postural habits and use of a cell phone. As for the waiting time for the specialized physiotherapy service, less referral time was found in the health teams that received support for the planning and organization of the work process (p <0.0001), in those that provide information about the health situation. health (p <0.0016), in teams that have a counter-reference (p <0.0001) and in teams that are supported by the NASF physiotherapist (p <0.0001. In the management of Covid, a greater coverage of PHC (p=0.01), in addition to a higher rate of social isolation (p=0.001) were shown to be mitigating factors for the dissemination of COVID-19 and its deaths. Conclusion: There is an association of chronic spinal problems with both biological and behavioral factors, and an importance of organization and greater coverage of PHC, both for a reduction in the time of referral to the specialized physiotherapy service, and in the management of Covid-19 , with a greater attenuation of cases and deaths in locations with greater coverage of PHC.

13
  • OSVALDO DE GOES BAY JUNIOR
  • THE INCORPORATION OF INFORMATION TECHNOLOGY FOR THE PRIMARY HEALTH CARE  EVALUATION  IN BRAZIL: A META-EVALUATION STUDY

  • Líder : SEVERINA ALICE DA COSTA UCHOA
  • MIEMBROS DE LA BANCA :
  • SEVERINA ALICE DA COSTA UCHOA
  • ZENEWTON ANDRÉ DA SILVA GAMA
  • LUÍS MIGUEL VELEZ LAPÃO
  • ISABELLA CHAGAS SAMICO
  • PAULO GERMANO DE FRIAS
  • Data: 09-jul-2021


  • Resumen Espectáculo
  • Despite the ascendancy of evaluations in Primary Health Carewith possibilities for the development of

    meta-evaluations, as well as the increase in investments and access to InformationTechnologies, with an increase

    in its applicability in evaluationprocesses, mainly for the collection of data and Dissemination of results, so far, are

    incipient meta-evaluative studies  that show the consequences of the relationships established between

    technologies and evaluators in the quality of the assessment.

    Using the Scoping Review, the Case Study, and the conceptual structure of sociomateriality, this thesis sought tocontribute to this field of research and valuable practices, evaluating the incorporation of Information Technologyin the evaluation of Primary Health Care in Brazil considering international quality standards. The scoping reviewwas developed following the Joanna Briggs Institute manual tomap the uses of the meta-evaluation of evaluative studies carried out in Primary Health Care. 23 studies,published between 1999 and 2018, predominantly carried out in Brazil, were included.

    There was more emphasis on summative meta-evaluations, with a focus on health programs and on the

     management of Primary Care, which used the evaluative standards those recommended by the Joint Committee onStandards for Educational Evaluation.

    The Case Study had a qualitative approach. 07 technicians from the coordination of the Ministry of Health

     and 47 researchers from Education and Research Institutions participated, with a total sample of 54

    participants. Data collection took place between July 2018 and July 2019, using interviews, focus groups,

     and document analysis. Data were categorized by quality standards using the Atlas ti.8.4.24 software

    followed by Bardin's content analysis.

    For the case study on data collection, the results showed that the technology made it possible to assess

    the national territory; contributed to the operationalization of an assessment with a large thematic scope;

     provided resources for field activity management; minimized errors, streamlined and homogenized the

    collection; ensured the completeness of the necessary information with a minimum of inconsistency, allowing

    the achievement of useful and valid results for the certification of teams, health policies and research. 

    In addition, factors such as difficulty in handling, inoperability of the system, and lack of investment in

    equipment and human resources can represent possible restrictions for the efficiency of the application

    of technology in the assessment. As for the study on the dissemination of results, advances were found

     in data visualization and the implementation of open data initiatives, enabling its availability to professionals,

     policymakers and universities. Challenges related to reporting delivery time, access restriction, reference to

     lack of interest, and digital skills influenced the achievement of the objectives expected by the evaluation

    proponent. It is considered that the incorporation of Information Technology has the potential to reach quality

     standards, providing opportunities for the implementation of more effective assessments, with the production of better results, acting constructively in the process of improving the performance of health and management teams, inducing theredefinition of its priority work processes, to improve and strengthen Primary Health Care. 

    The thesis is part of the Project “Evaluation of the External Evaluation of the Program for Improving Access

    and Quality of Primary Care (PMAQ—AB) do Brasil: a Case Study" partially funded by the Ministry of Health

    (MS/UFRN/TED No. 106/2015 and the National Council for Scientific and Technological Development

     (public notice 09/2018) and approved by CEP-HUOL (CAAE: 84537418.1. 0000.5902).

     

     

14
  • MONIQUE RAMOS PASCHOAL DUTRA
  • EVALUATION OF CHILD HEARING HEALTH POLICY IN THE STATE OF RIO GRANDE DO NORTE

  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • HANNALICE GOTTSCHALCK CAVALCANTI
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • MARIA ANGELA FERNANDES FERREIRA
  • SHEILA ANDREOLI BALEN
  • STELA MARIS AGUIAR LEMOS
  • Data: 16-jul-2021


  • Resumen Espectáculo
  • Hearing impairment compromises the child's language development and learning process. The Neonatal Hearing Screening programs aim to identify and treat children with disabilities early and must be integrated into the Care Network for People with Disabilities. This thesis aims to evaluate the Neonatal Hearing Screening programs and the Care Network for People with Hearing Impairment aimed at children born in the cities of Natal and Santa Cruz in the state of Rio Grande do Norte. This is a cross-sectional study, using secondary data. The target population are children born in three municipal public maternity hospitals studied in the period 2015 to 2019. Three studies were developed, of which the first two refer to the program in Santa Cruz. The first evaluated the quality indicators of the newborn hearing screening program and found that of the eight indicators, only three, retest and referral rates for auditory diagnosis and age at screening completion, are within the recommended range, the others are inferior or null. The second assessed access to child hearing health services and the factors that influence access to a newborn hearing screening program in the state of Rio Grande do Norte and found an evasion in access to the service and completion of the diagnosis and children are assisted at later ages. The mother's age and education and the distance between the municipality and the service did not influence access to and use of the service. The third study verified the quality indicators of the three neonatal hearing screening programs and analyzed access to the Hearing Health Care Network for children in the state of Rio Grande do Norte. Screening was not universal in maternity hospitals and access to the Network presents a high dropout rate, yet, therapeutic interventions were offered to children with hearing impairment. The results point to the need for improvements in screening programs both in maternity hospitals and in hearing health services, dropout is a problem and specialized assistance occurs late. The Network offered the treatment recommended by public policies for children with hearing impairment.

15
  • CAMILA ALVES DOS SANTOS SIQUEIRA
  • .

  • Líder : DYEGO LEANDRO BEZERRA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • HELDER HENRIQUE COSTA PINHEIRO
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • JAVIER JEREZ ROIG
  • LIZA BARRETO VIEIRA
  • Data: 29-oct-2021


  • Resumen Espectáculo
  • .

16
  • WAGNER IVAN FONSECA DE OLIVEIRA
  • CONCEPTUAL MODEL OF CARE IN ATTENTION PRIMARY TO HEALTH FROM PROTAGONISM SOCIO POLITICAL OF THE OLDER ADULTS
  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • ELIANA COSTA GUERRA
  • EWERTON WILLIAM GOMES BRITO
  • KENIO COSTA DE LIMA
  • MARILIA LOUVISON
  • VANESSA DE LIMA SILVA
  • Data: 30-nov-2021


  • Resumen Espectáculo
  • Even in an aging society, elderly people contribute to a restriction of individual experiences from the induction of universal old age, in which the extension of functional capacity and the need to justify its usefulness are premises of social approval. Objective: To develop a conceptual model based on Person-Centered Care and public policies for the protection of the elderly. Methods: This is an exploratory qualitative research with an analytical and documental approach, divided into five stages: (1) we carried out a documentary research on the factors involved in the process of formulating public policies for the protection of the elderly. We seek to understand the guidelines that establish its functioning and the power relations intrinsic to different sociopolitical and economic interests under the prerogative of biopolitics; (2) we conducted a Scoping Review, following the guidelines established by the Joanna Briggs Institute's (JBI) from the following research question: which initiatives are relevant to promote quality in Primary Health Care for the elderly in line with the dimension of quality PersonCentered Care; (3) documentary research to understand the power relations that determine the social construction of the elderly based on the National Health Promotion Policies; (4) qualitative research based on secondary data collected at the State Council for the Rights of the Elderly in the state of Rio Grande do Norte to understand the obstacles associated with the functioning of the rights councils for the elderly and (5) qualitative study considering the previous steps for the development of the conceptual model of care for the elderly with emphasis on the dimension of quality Person-Centered Care and Primary Health Care. Results and discussion: We found that the mechanisms of power implicit in the policies protect old age for better management and efficiency from the capitalist interests. The light of an uninterrupted youth ideal materialized by profit and productivity is denaturalized. Thus, the neoliberal ideology based on depoliticization and individualistic messages ignores the social aspects related to the elderly person's own trajectory to induce, according to a prescriptive and regulatory biomedical rationality, the utopia of achieving aging without old age and legitimizing the State's disaccountability as promoter of health and care for the elderly. Final considerations: In light of the above, we built a conceptual model for the care of the elderly, opposing the neoliberal precepts surrounding the commodification of health to the detriment of the sociopolitical role of the elderly and, therefore, the recognition of multidimensional aspects as essential social instruments of political emancipation and health promotion.

17
  • KESLEY PABLO MORAIS DE AZEVEDO
  • PHYSICAL ACTIVITY AND HEALTH IN ADOLESCENCE: PROTOCOL FOR A SCHOOL-BASED INTERVENTION

  • Líder : GRASIELA PIUVEZAM
  • MIEMBROS DE LA BANCA :
  • DANIEL GUILLÉN MARTÍNEZ
  • JOSÉ CARLOS GOMES DE CARVALHO LEITÃO
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • GRASIELA PIUVEZAM
  • PAULO MOREIRA SILVA DANTAS
  • Data: 13-dic-2021


  • Resumen Espectáculo
  • The literature indicates that adolescents are more likely to adopt health risk behaviors such as physical inactivity, sedentary behavior and inappropriate eating habits. These factors are presented as potential risk factors for chronic diseases worldwide. From a perspective focused on Health Promotion, having as a reference the Health Promoting Schools approach, evidence indicates that school-based interventions emerge as a promising strategy for producing positive effects on the health of children and adolescents. Therefore, the objective of this thesis is to present a school-based multicomponent intervention aimed at promoting physical activity and health in adolescents. The methods were organized in two stages: 1) first stage: methods and eligibility criteria incorporated in the Systematic Review (SR) and Meta-analysis (MA) protocol following the methods developed in RS and MA that addressed the mechanisms related to the effects of exercise on cognition (BDNF levels) in adolescents; 2) second stage: the conception, planning and methods described in the intervention of the Program Attitude, Movement and Choices for a healthy life (AME). The multicomponent intervention consists of 4 components: (I) Teacher training and planning of activities related to the themes (promotion of physical activity, sedentary behavior and food and nutrition education); (II) Training and specific planning for physical education teachers; (III) Provision of materials and strategies that encourage the adoption of healthy habits in the school environment; and (IV) Health education at school with lectures and actions aimed at students, parents and teachers. Information leaflets and use of social networks will be distributed in order to disseminate knowledge about the benefits of regular physical activity. The AME Program presents itself as an articulated, integrated, sustainable and low-cost proposal with great potential to produce benefits in the health and cognition of adolescents. Finally, it is noteworthy that the results of the study will strengthen evidence-based practice in the context of research aimed at promoting health in the school context.

18
  • EMELYNNE GABRIELLY DE OLIVEIRA SANTOS
  • FACTORS ASSOCIATED WITH SUICID BEHAVIOR AMONG FARMERS IN CAICÓ MUNICIPALITY

  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • VERÔNICA DE MEDEIROS ALVES
  • DULCIAN MEDEIROS DE AZEVEDO
  • GIRLIANI SILVA DE SOUSA
  • KELLY GRAZIANI GIACCHERO VEDANA
  • TIAGO ROCHA PINTO
  • Data: 14-dic-2021


  • Resumen Espectáculo
  • Introduction: Suicidal behavior is configured as a self-deliberate conduct with the purpose of causing harm or death, and can be understood as an interim between suicidal ideation, suicide attempts and that may culminate in the act of committing suicide. Farmers are at risk of suicidal ideation due to vulnerability and exposure to different factors associated with living conditions and work in the field. Objective: To analyze factors associated with ideation and suicide attempts in farmers. Method: This is a study of different methods. 1) a systematic review of observational studies on factors associated with suicidal behavior in farmers was developed, with searches in PubMed, LILACS, Web of Science, Scopus, PsycInfo and CINAHL databases; 2) cross-sectional study, carried out from August 2019 to March 2020, with 450 farmers in Rio Grande do Norte, where the prevalence of suicidal ideation was assessed through the Beck Suicidal Ideation Inventory, and sociodemographic variables were analyzed, of health, income, work; 3) case-control study, in order to assess suicidal behavior considering suicidal ideation and suicide attempt, in which the sample corresponded to four controls per case and, to compensate for possible losses, 15% was increased, with the final size defined in 62 cases and 288 controls. Results: 14 studies were included in the systematic review, and factors associated with suicidal behavior in farmers were identified in mental health (depression), seasonal impacts (drought) and occupational exposures (herbicides and insecticides). In the cross-sectional stage, the prevalence of suicidal ideation was 12.4% (95%CI 9.69-15.84). In the final multivariate model, the variables associated with the highest prevalence of IS were: female gender (PR=3.28), having a diagnosis of mental disorder in the family (PR=2.37), presence of common mental disorder (PR=2. 50), alcohol abuse (RP=2.22) and being salaried or temporary (R=1.91). In the case-control study, a positive and significant association was observed between suicidal behavior and having a diagnosis of mental disorder in the family (OR=2.30), having a common mental disorder (OR=3.16), having previously undergone health treatment mental (OR=3.08), perform salaried or temporary work (OR=2.69) and have been poisoned by pesticides (OR=3.34). Conclusion: suicidal ideation and suicide attempt in farmers are mainly associated with health aspects, especially mental health, work and the female gender, and signals the need to strengthen public policies for suicide prevention with targeting strategies effective for the rural worker.

19
  • HELLYDA DE SOUZA BEZERRA
  • PREVALENCE AND FACTORS ASSOCIATED WITH MENTAL DISORDERS AND ACCESS TO MENTAL HEALTH SERVICES

     

  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • KELLY GRAZIANI GIACCHERO VEDANA
  • JAEL MARIA DE AQUINO
  • ANA KALLINY DE SOUSA SEVERO
  • DIEGO BONFADA
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • Data: 14-dic-2021


  • Resumen Espectáculo
  • Introduction: mental disorders are a serious public health problem, with high prevalence in Brazil and worldwide. Common mental disorders are the most prevalent mental illnesses and involve depression and anxiety disorders, affecting mainly women. Timely access to mental health services is the main form of early diagnosis and effective treatment, minimizing complications and reducing the number of mental illnesses. Objective: To identify factors associated with mental disorders and access to mental health services in Brazil and worldwide. Method: This is a study of different methods. 1) systematic review of cross-sectional studies on the prevalence and factors associated with common mental disorders in women, with searches in PubMed, Web of Science, Science Direct, Scopus, Cinahl databases; 2) systematic review of cross-sectional studies on the difference in the prevalence of access to mental health services between women and men, with searches in the PubMed, Web of Science, Science Direct, Scopus, Cinahl databases; 3) Cross-sectional study with data from the 2013 National Health Survey of Brazil, aged 18 years or older, which analyzed the prevalence of symptoms of mental distress in the Brazilian population and the association between individual characteristics and social context, in an analysis multilevel; 4) Cross-sectional study with data from the 2019 National Health Survey, including 15 years or more to analyze factors associated with poor access to health services for the treatment of depression in Brazil. Results: In the systematic review on the prevalence and factors associated with common mental disorders in women, 19 studies were included, the main associated factors were unemployment, debt, low economic income, being a housewife, smoking, lower educational level, low self-assessment in health, being single, divorced or widowed. The risk of bias of the studies was classified as low and moderate. In the second systematic review, on differences in access between men and women, 11 studies were included. The prevalence of access to mental health services among women ranged from 5.2% to 56.5%; among men it was 2.9% to 47%. Men had a higher prevalence of access only to services for the treatment of alcohol and drug use. In the first cross-sectional study, depressive thinking was associated with young and middle-aged female adults, with a low level of education, without a partner, previous or ex-persistent, and who do not have a private health plan. greater risk; belonging to classes D-E and living in states with lower expectations of years of education if disclosed as a protective factor. Results found were found for the second outcome In the cross-sectional study on poor access to depression treatment, the prevalence of poor access to health services for the treatment of depression was 14.9% (95%CI 13.6-16.2) , and was associated with owners aged 15-29 years (PR = 1.52) and 30-59 years (PR= 1.22), without education (PR = 1.43), who rate their health as regular⁄poor⁄ very bad (PR = 1.26), who have some limitation in their usual activities because of depression (PR = 2.71), who have had the last appointment of 6 months less than 2 years (PR = 2.63) and for more than 2 years (PR = 2.25) and who do not undergo psychotherapy (PR = 4.28). Conclusion: it is necessary to strengthen and redirect public mental health policies, not aiming to meet the needs of the most vulnerable people with risk factors, offering timely access to health services and reducing mental suffering, as well as the numbers of mental disorders in Brazil and worldwide.

2020
Disertaciones
1
  • RANYELLE CHRISTIAN DIAS RODRIGUES

  • ANALYSIS OF THE RELIABILITY OF SELF-ASSESSMENT OF PATIENT SAFETY PRACTICES IN BRAZIL

  • Líder : ZENEWTON ANDRÉ DA SILVA GAMA
  • MIEMBROS DE LA BANCA :
  • ZENEWTON ANDRÉ DA SILVA GAMA
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • HEIKO THEREZA SANTANA
  • Data: 30-ene-2020


  • Resumen Espectáculo
  • With the objective of reducing risks in health services, the National Health Surveillance System implemented the Integrated Plan for Health Management of Patient Safety in Health Services (2015). This plan instituted the Self-Assessment of Patient Safety Practices so that each hospital service with an intensive care bed would report its compliance with legal provisions. Although the self-assessment or self-inspection of health services is a practice applied internationally and nationally, it is necessary to analyze the reliability of the information produced with this type of regulatory intervention. Thus, this project proposes to conduct a national primary study to analyze the reliability of the Self-Assessments of Patient Safety Practices in Brazil. This is a cross-sectional study to analyze the reliability in which they will be calculated: a) general agreement index; b) specific agreement index; c) point and interval estimation (95%) of Kappa; d) correlation coefficient for the difference indicator of percentage of adhesion. The sample will be random stratified composed of 66 health services in the country that participated in the Self-assessment in 2018. Upon official request from Anvisa, the Sanitary Surveillance teams of the respective municipalities / States where these services are located, will interview those in charge of the Safety Nuclei of the Patient following a questionnaire specifically designed for this purpose. This tool is based on the Self-Assessment Form to check the compliance of information provided by self-inspection. The results are expected to provide evidence on the validity and usefulness of this national intervention for patient safety and a better knowledge about the use of self-inspection as a method for monitoring and controlling risks in health services.

2
  • SAVIO MARCELINO GOMES
  • Health training for the care of the Lesbian, Gay, Bisexual and Transgender population in SUS

  • Líder : LUIZ ROBERTO AUGUSTO NORO
  • MIEMBROS DE LA BANCA :
  • DANIEL CANAVESE DE OLIVEIRA
  • LUIZ ROBERTO AUGUSTO NORO
  • MERCES DE FATIMA DOS SANTOS SILVA
  • Data: 25-may-2020


  • Resumen Espectáculo
  • The regulatory practices of the body, gender, and desire produce historical inequalities experienced by the Lesbian, Gay, Bisexual, Transvestite, and Transsexual (LGBT) population. These inequalities materialize in various forms of violence in institutional spaces within the scope of health, education, and social assistance services. The inclusion of the demands of LGBT people in health services depends on the knowledge of their workers on this topic, which highlights the need to include this approach in professional training. In this sense, the present study aimed to analyze the insertion of the themes of gender identity and sexuality in health education. It was performed in two stages: 1) construction and validation of the research instrument and 2) cross-sectional study with the application of the questionnaire. In the first stage, the logical theoretical model was created, followed by the previous elaboration of an inquiry, to be evaluated by 25 specialists. The consensus was obtained by measures of central tendency and by the Content Validity Index. The questionnaire was validated by 19 specialists, consisting of 39 items and 92 of 92.9% CVI. In the second stage, a cross-sectional study was executed, with a quantitative approach, in the setting of public higher education institutions in the province of Rio Grande do Norte. We studied five campi: at the federal university, we investigated the campus in Natal and Santa Cruz, and at the province university, we included the campus in Mossoró, Caicó, and Pau dos Ferros.  The instrument validated in the first stage was applied, composed of three modalities: 1) sociodemographic characterization, 2) training on LGBT health, and 3) conceptions on LGBT health. All 517 students who completed Nursing, Physiotherapy, Speech Therapy, Medicine, Nutrition, Dentistry, and Public Health courses in 2019 were invited to participate in the research. In the end, 438 students answered the questionnaire. Descriptive, cluster analysis were performed, bivariate through the Chi-square and Fischer Exact tests, and multivariate through Poisson Regression and Multiple Correspondence Analysis, using SPSS 25.0 software. Higher frequencies were presented for items present in training related to transsexuals and transvestites and the lowest concerning the National LGBT Comprehensive Health Policy. The groupings showed an association between the average number of items that students had access to and participation in social movements and political training strategies. The final adjusted model revealed that the educational institution and self-declaration as LGBT are associated with greater access to LGBT care issues. Most of the students agreed with health policies to the LGBT population, and we observed groups between those who agree with all proposed policies, others that disagree, and those who did not express an opinion. The training is crossed, therefore, by individual and institutional experiences, which must be considered in the PNSI-LGBT guidelines, to enhance and democratize access to essential items for the care of bodies in SUS.

3
  • FERNANDA FORMIGA FLAVIO
  • INDIVIDUAL AND CONTEXTUAL DETERMINANTS OF RISK FACTORS FOR CHRONIC NON-TRANSMISSIBLE DISEASES IN ADOLESCENTS IN BRAZIL: NATIONAL SCHOOL HEALTH SURVEY (PeNSE 2015)
  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • ARTHUR DE ALMEIDA MEDEIROS
  • ROSIMERY CRUZ DE OLIVEIRA DANTAS
  • Data: 17-jun-2020


  • Resumen Espectáculo
  • Introduction: Adolescence is an important phase of transition of human life. Lifestyle represents conscious actions that reflect personal attitudes and values, the individual's perception is associated with their quality of life. Its influence can provide the maintenance of well-being, favoring longevity or generating problems and health problems still in adolescence or adulthood. Objectives: To produce an indicator of health risk behavior and an inherent to the school structure, and tonalyze the influence of individual and contextual factors on the behavior of risk to the health of adolescents. Method: The data originated from PeNSE (2015), a sample of 102,072 questionnaires. The analysis focused on the association of the frequency of consumption of healthy and unhealthy foods, physical activity practice, alcohol and tobacco use in relation to the socioeconomic dimension of the school and the influence of the school environment. For the risk profile, a factor analysis was performed. The was fit using the polycoric matrix. Then, the variables related to the school were submitted to analysis from the item response theory (TRI) technique. To verify the factors associated with risk profiles, the final modeling for observing the effect on outcomes was obtained from Poisson's multilevel regression. Results: It was observed that the healthy eating behavior positively associated with females, Brancthe, aged 12-14 years whose mothers had at least complete elementary school, living in Capital, in the most developed regions, in socioeconomic situation in the upper or upper tercil. Regarding low healthy eating and physical activity, a positive association was observed with females, age group 15-18 years, whose mothers have not studied, live in less developed regions, and are in socioeconomic situations of poverty. The high use of smoking and alcohol consumption presented a positive association with males, aged between 15-18 years. In multilevel analysis, for the and high unhealthy eating score, being female (PR=1.10) is a risk factor, with an association of 10%. About contextual factors private schools (RP=1.12) and with a regular structure (RP=1.12) or good (RP=1.14), establish a risk association of 12-14% the structure of the school. The healthy eating score and low physical activity, convergence was not achieved. For high smoking use and alcohol consumption, being female (RP=0.87) is a 14% protection factor. Age between 15 and 18 years (PR=1.36) establishes a risk association at 36%. Attending private school assumes protection association in 12% (RP=0.88). Conclusion: The school becomes a privileged place for health promotion, because it is a social space where schoolchildren spend much of their time. However, it is necessary to promote actions in intersectoral partnerships, mobilize resources, integrated and coordinated efforts and actions, as well as to advance communication and health education, by appropriate means that new times require when considering, in particular, the connection with the interests and possibilities presented by youth.

4
  • DANDARA RAYSSA SILVA DE SOUZA
  • MATERNAL HEALTH IN BRAZIL: ECOLOGICAL STUDY TO EVALUATE THE IMPLEMENTATION OF THE STORK NETWORK

     

  • Líder : FABIA BARBOSA DE ANDRADE
  • MIEMBROS DE LA BANCA :
  • CINTIA BEZERRA ALMEIDA COSTA
  • FABIA BARBOSA DE ANDRADE
  • FLAVIA CHRISTIANE DE AZEVEDO MACHADO
  • Data: 19-jun-2020


  • Resumen Espectáculo
  • Maternal health is an area of high interest for public health, its main indicator is the maternal mortality coefficient, with high rates being characteristic of underdeveloped countries like Brazil, but which can be avoided most of the time through actions such as quality prenatal care and adequate delivery and postpartum care. In this perspective, several policies were instituted to promote improvements for maternal health, the most recent being the stork network, established in 2011. Thus, the general objective of this work is to assess maternal health before and after the implementation of the Stork Network in Brazil. To achieve this objective, it was proposed to carry out a quantitative study of the mixed ecological type, with an analytical character, on maternal health before and after the implementation of the stork network in Brazil, using the municipalities, the intermediate regions of urban coordination, federation units and regions; considering as variables the coefficient of maternal mortality, adherence to the stork network, nine socioeconomic and demographic indicators, three indicators of the quality of maternal health and the coverage of primary care; all data that composed the variables were obtained from secondary sources of public access. For data treatment and analysis, the software Microsoft Office Excel, Statistical Package for the Social Science (SPSS) and Geoda were used, where tables, graphs, maps and statistical tests were carried out for analysis under the perspective of descriptive statistical and statistics inferential, including spatial analysis. The results demonstrate that there was an increase in the average of the maternal mortality coefficient from 5.99 to 6.28 per 10,000 live births, from the period before to the period after the implementation of the stork network, with the highest coefficients occurring in the northern and southern regions. Northeast, as well as the worst socioeconomic and demographic indicators. 61.15% of the municipalities in Brazil joined the stork network until the last year studied, with the highest percentages recorded in the northern region. The correlation between maternal mortality and the variables human development index, households with running water, life expectancy at birth, aging rate and schooling increased from the first to the second period. The distribution of maternal mortality averages in relation to adherence to the stork network demonstrates that in recent years, the average maternal mortality has become lower among the municipalities that have joined the stork network than among those that have not joined. The spatial correlation of adherence to the stork network with maternal mortality reveals significant high-high and low-high clusters located in the north, northeast and midwest regions, and low-low and high-low clusters located in the southeast regions and south. Maternal health indicators reveal that after joining the stork network, there was a constant increase in the breastfeeding coefficient, the number of prenatal consultations and the percentage of pregnant women who started prenatal care in the first trimester of pregnancy. The dispersion of the percentage of adherence to the stork network with the percentage of coverage of primary care reveals that both increased concomitantly in the second period analyzed. It can be concluded that the stork network has been gradually implemented in the municipalities of Brazil from 2012 to 2017, reaching 61% in the last year, considering it important to pay attention to the constant incentive to this adherence, aiming at uniformity in health care processes maternal and child. The increase in maternal mortality after the implementation of the stork network, can be attributed to greater exposure to risk factors and changes in the lifestyle of women today, as well as to the improvement in the notification process of maternal deaths in recent years. In addition, there was a potential long-term effect of lower maternal mortality in the municipalities that joined the stork network.

5
  • LAVINIA MABEL VIANA LOPES

  • NASF professionals' perception of the work process, advances and challenges

  • Líder : KARLA PATRICIA CARDOSO AMORIM
  • MIEMBROS DE LA BANCA :
  • JANETE LIMA DE CASTRO
  • KARLA PATRICIA CARDOSO AMORIM
  • VLADIMIR ANDREI RODRIGUES ARCE
  • Data: 25-jun-2020


  • Resumen Espectáculo
  • The NASF were created with the objective of strengthening, integrating and expanding the activities developed by the Health Familly , being a specialized support of performance guided by Matrix Support. In the work routine, there are some obstacles for the NASF to be effective in the face of the health situations of the territories it supports. Thus, the objective of this study is to understand the work process of the NASF in a capital city in northeastern Brazil, based on the perception of its professionals. This is a case study with a qualitative approach, carried out with 11 professionals. For data collection, the semi-structured interview and empirical field observation were used. The data were processed through Content Analysis, categorizing the findings using the Thematic Analysis modality. All participants were publicly contested in the municipality, distributed in three NASF teams, the majority being female (n = 9), with an average age of 56 years. The professional categories that were interviewed include Physiotherapists, Physical Education Professionals, Nutritionists, Psychologists and Social Workers. From the analysis of the empirical material, five thematic categories emerged: The NASF work agent; labor relations and their implications for health practices; an incorporation of NASF's means of work; presentation of the work scenario of NASF professionals; and the paths taken, the future and uncertainties. According to the data obtained, there was no training in health that would instrumentalize professionals for SUS, the work with the supported teams develops in a distant way, with isolated actions, and the work relations with the management are marked by a lack of dialogue between peers and pressure for productivism. Regarding Matrix Support, professionals recognize their conceptual aspects, but there is still the reproduction of the logic of referral and a defense by activities of assistance nature. Work tools are also recognized, but underutilized in conducting cases. In the groups conducted by the NASF, although they did not present a defined methodology, efforts were noticed to incorporate practices based on Popular Education in Health. The work scenario has some limitations, such as the precariousness of the Health Care Networks and lack of inputs and materials for the development of activities. Even so, it is evident that the provision of NASF services has broadened the scope of the ESF's actions and the professionals note that it is not possible to discuss resolvability of the service without mentioning points that interfere with the work developed. Faced with the new PNAB, some professionals feel comfortable prioritizing individual care and others recognize the threat of losing the matrix function of the Centers. NASF still faces many difficulties in establishing itself as decisive and essential for PHC in Brazil. It is necessary to review the guiding documents of the work so that its performance is enhanced, redirecting the practices for the defense of Matrix Support as guiding this work, in order to strengthen the permanence of the NASF with the Family Health of Brazil.

6
  • JÉSSICA KELLY RAMOS CORDEIRO
  • KNOWLEDGE, BEHAVIOUR AND PRACTICES OF ADOLESCENTS CONCERNING HIV/AIDS AND OTHER STI: STUDY ON COUNTRYSIDE OF BRAZILIAN NORTHEAST.

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MARQUIONY MARQUES DOS SANTOS
  • RICHARDSON AUGUSTO ROSENDO DA SILVA
  • Data: 08-jul-2020


  • Resumen Espectáculo
  • In adolescence, basic patterns of behavior are established that reverberate throughout life and, among these, there is sexuality. In this moment of great biopsychosocial transformations, sexual initiation usually occurs, often without the prior guidance of an adult and surrounded by many doubts and curiosities. Thus, it is imperative to know the knowledge and practices of school adolescents about HIV / AIDS and other STIs, in order to subsidize public health policies that work with the sexual health of this population. Thus, the objective of this work is to evaluate the knowledge and practices of adolescents in relation to HIV / AIDS and other STIs in the Northeast of Brazil. For this, a transversal study of the type CAP survey (Knowledge, Attitude and Practice) was carried out, which included twelve public schools in seven cities in the North of Rio Grande do Sul, totaling 623 individuals. Two electronic questionnaires were used, one about socioeconomic / demographic data, and the other entitled “Questionnaire for the evaluation of STD / AIDS prevention programs”, used by the Ministry of Health. The reliability of the items was verified through the Alpha Cronbach, where the mean of each value ranged from 0.198 to 0.379. Factor analysis was also performed to analyze the structure of the correlations between the variables. The study found that the remaining 10 items presented the requirements required for the development of AFE, presenting the value of 0.639 for the Kaiser-Meyer-Olkin statistic. Bartlett's sphericity test showed significance (Chi2: 762,479; GL: 45; p <0.001). The total accumulated variance was 0.763. The domains resulting from the factor analysis were: Lifestyle / habits, preventive attitudes, endogenous forms of transmission and exogenous forms of transmission. Regarding the level of general knowledge about HIV / AIDS, it was observed that female participants (6.16), with a partner (6.24), attending the 3rd year of high school (6.19), whites ( 6.20), not adepts (6.15) and not attending religious ceremonies (6.20), living alone (7.49), with unmarried parents (6.17) and children of parents with complete higher education ( 6.26 / 6.34) obtained higher average scores. Half of the adolescents said they had already had their first sexual intercourse, however, only 31.3% reported having used condoms in the last six months. Although they have a considerable level of knowledge about HIV / AIDS prevention, adolescents' sexual practices do not go against preventive measures, essentially regarding the use of condoms. Regarding the reliability of the questionnaire through the analyzes carried out, the quality of the instrument was ensured. Through the study, it was possible to evaluate the knowledge, attitudes and practices of the students, with a view to subsidizing the creation of policies and programs of sexual orientation in schools with attention to the integral health of adolescents.

7
  • LETÍCIA GABRIELLA SOUZA DA SILVA
  • PURCHASE OF FAMILY FARMING FOOD FOR PNAE IN RIO GRANDE DO NORTE MUNICIPALITIES MONITORED BY CECANE IN 2017 AND 2018

  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • CLELIA DE OLIVEIRA LYRA
  • MARIA ANGELA FERNANDES FERREIRA
  • RICHARD MEDEIROS DE ARAÚJO
  • Data: 27-jul-2020


  • Resumen Espectáculo
  • Introduction: The National School Feeding Program (PNAE) is one of the oldest and most comprehensive programs related to Food and Nutrition Security (FNS) of schoolchildren. Through Law 11. 947/2009 30%, of foodstuffs must coming directly from family farming. Objective: To characterize the scenario of the acquisition of food from family farming under the PNAE in the municipalities of the state of Rio Grande do Norte accompanied by the Collaborating Center for School Food and Nutrition (CECANE / UFRN) in 2017 and 2018. Method: This is an evaluative research with ecological design, whose information was analyzed according to data from (CECANE) linked to the Federal University of Rio Grande do Norte (UFRN) from 2017 and 2018. The sample consisted of 31 municipalities where It was analyzed the percentage of food acquisition from family farming to PNAE in 2017 and 2018, as well as the possible difficulties in relation to this process, being variables related to the management model, bureaucratic demands, internal demands and forms of acquisition. Results: It was found that the municipalities that received monitoring and advice from CECANE in 2017 and 2018, more than 50% reported having purchased food from family farming in the previous year and said they are buying it in the current year. All municipalities reported using the centralized management model, 29% reported acquisition below 30%, 9.7% reported acquisition above 30% and 61.3% were unable to report the percentage in 2017 and 2018. Related to bureaucratic demands, It was observed that the intersectoral articulation and the public call notice were considered difficult in the process of buying and selling these foods. Concerning the internal demands the hygienic-sanitary conditions necessary for the farmer's regularization as fit to supply proved to be a point that may impact the percentage of purchase, and as regards the forms of acquisition, acquisition of organic foods and / or agroecological to be a major difficulty, listed by 80.6% of the municipalities.

     

8
  • AMANDA DE CONCEICAO LEAO MENDES
  • HOSPITALIZATION FROM PNEUMONIA IN CHILDREN UNDER FIVE YEARS OF AGE: AN SPACE-TEMPORAL AND NUTRITIONAL CONDITION ANALYSIS

  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • KENYA DE LIMA SILVA
  • WILTON RODRIGUES MEDEIROS
  • Data: 22-sep-2020


  • Resumen Espectáculo
  • Introduction: Pneumonia is associated with a high rate of hospitalization. Among the risk factors for this disease are those of socioeconomic, environmental and nutritional origin. Objectives: To analyze hospital morbidity due to pneumonia in children under five years of age, from the perspective of space and time and nutritional conditions. Methods: Two analyzes were carried out, the first addressing an ecological study of hospitalizations for pneumonia in children under five years old in Brazil and the second, an integrative review on the prevalence of vitamin A deficiency in children hospitalized for pneumonia. In the ecological study, data from the SUS Hospitalization Information System from 2000 to 2019 were used. The temporal trend was analyzed by the Joinpoint Regression and the spatial analysis by the techniques of Moran, SatScan and Skater scanning. For the Integrative Review, publications were searched in PubMed, LILACS, Web of Science, Scopus and CINAHL, and in the gray literature - OpenGrey, Proquest and Google Scholar. The studies were screened in the eligibility phase and read in full and those who did not answer the research question were excluded. Methodological quality was assessed using the Downs & Black (1998) and JBI checklists. Results: a SUS hospitalization rate for pneumonia of 25.08 / 1000 children in 2000 and 13.83 / 1000 children in 2019 was identified. A significant downward trend was identified in the period from 2000 to 2019 for Brazil (APC = -3.4% CI95% -3.8; -3.0). The spatial analysis showed weak spatial autocorrelation (I <0.3), although clusters with high rates in the southern region and low rates in the northeast and southeast regions have been identified. The Scan scan map showed Relative Risk <1 for these regions. The Skater map showed clusters of areas with high rates in areas of better socioeconomic conditions and greater offer of health services in southern Brazil. The integrative review included 7 studies, which indicated subclinical and clinical vitamin A deficiency in children hospitalized for pneumonia, with the highest frequency of subclinical and clinical deficiency being 93.2% and 68.9%, respectively. Conclusion: There is a tendency to reduce hospitalization for pneumonia in the SUS associated with contextual factors and there is a high frequency of vitamin A deficiency in children hospitalized for pneumonia.

9
  • PEDRO HENRIQUE ALCÂNTARA DA SILVA
  • RACIAL INIQUITY IN PRENATAL ACCESS IN THE FIRST QUARTER OF PREGNANCY: A SYSTEMATIC REVIEW AND METANALYSIS

  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • ARTHUR DE ALMEIDA MEDEIROS
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • ROSANGELA DINIZ CAVALCANTE
  • Data: 30-sep-2020


  • Resumen Espectáculo
  • Access to prenatal care is the main promoter of healthy birth and the main preventive measure of maternal mortality from preventable causes in primary care. Early entry to this service makes it possible to reach the appropriate number of consultations, as well as the performance of the recommended procedures and suitability definers. Race / skin color is an important predictor of the population's health status, as well as a marker of social inequalities. The objective was, then, to carry out a systematic review of the literature and meta-analysis of cross-sectional studies, to identify the prevalence of access to prenatal care in the first trimester of pregnancy according to race or ethnicity and its magnitude of association. The protocol for this review is registered on the PROSPERO platform under number CRD42020159968. Searches were conducted at PUBMED, LILACS, Web of Science, Scopus, CINAHL and in the gray literature (Google Scholar and Opengray), using the descriptors "pregnancy", "prenatal" and "Accessibility to health services". The quality of studies and the risk of bias were analyzed using the Joanna Briggs Critical Assessment Checklist for Cross-Sectional Analytical Studies. After the analysis steps, 17 studies were included in this review. The extracted data were tabulated and distributed qualitatively and quantitatively through meta-analysis. It was observed that, in most of the included studies, black women were those who had less access to prenatal services in the first trimester, with a prevalence of access ranging from 53% to 56.4%; white women between 74% and 76.5%; and those of other ethnicities from 64.2% to 68.8%. In the quantitative analysis of the data, it was found that black women, when compared to white women, had a 43% less chance (OR = 0.57 95% CI 0.51-0.64) of obtaining obstetric care in the first trimester, and of 22% less chances when compared with women of other ethnicities (OR = 0.78 CI 95% 0.65-0.95). Thus, it is concluded that black women, even when contrasted with white and other minorities of similar sociodemographic characteristics, still received a difficulty in accessing maternal health services, and it can be inferred that the issue of race / skin color is itself an important determinant in obtaining obstetric care, requiring the development of public policies aimed at this population and expanding their access to health services.

10
  • GERONIMO JOSE BOUZAS SANCHIS
  • Prevalence and associated factors of patellofemoral pain syndrome in schoolcrildren of Natal-RN
  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • THIAGO RIBEIRO TELES DOS SANTOS
  • ALBERT ESPELT HERNÁNDEZ
  • ANDRESSA DA SILVA DE MELLO
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • Data: 27-oct-2020


  • Resumen Espectáculo
  • Objective: To estimate the prevalence and analysis the factors related to patellofemoral pain syndrome (PFPS) in schoolchildren of both genders, between 10 and 18 years old, enrolled in public elementary and high school in the city of Natal / RN. Methods: The research had an exploratory, descriptive, transversal, and quantitative character carried out in the city of Natal-RN. The presence of PFPS was evaluated, as well as the level of physical activity through IPAQ, the quality of movement, body mass index, navicular drop test, pain level and Kujala questionnaire. The prevalence was calculated from the complex sampling design with the inclusion of weights and cluster effects. For an association analysis, adjusted Prevalence Ratios (PR) and the confidence intervals (95%) of the outcome in relation to the independent variables were calculated and a significance level of 5% was adopted. Results: 144 students participated in the research, 51.4% (CI: 41.6 - 61.1) of the sample is male. A prevalence of 29.7% (CI: 21.5 - 39.4) of PFPS was observed. In the adapted model, the PFPS was more prevalent in females (p = 0.02) (PR: 1.82 CI: 1.0 - 3.0), in physical active (p = 0.02) (PR: 2, 3 CI: 1.13 - 4.9), in underweight youth (p = 0.03) (PR: 1.9 CI: 1.0 - 3.6). When obtained by sex, men associated a positive association between poor quality of movement of the right limb (p: 0.01) (PR: 6.0 CI: 1.3 - 26) and the outcome and the female sex obtained an association with the presence of the dynamic valgus of the left knee (p: 0.03) (PR: 2.4 CI: 1.0 - 5.8). Conclusions: The prevalence of PFPS was higher in females, in active young people, and with low weight, at the same time, the poor quality of movement associated with young male people with the syndrome and the presence of dynamic knee valgus in young women.

Tesis
1
  • KELIENNY DE MENESES SOUSA FREITAS
  • QUALITY OF OBSTETRIC AND NEONATAL CARE: GOOD PRACTICES, ADVERSE EVENTS AND EFFECTS OF THE WHO SAFE CHILDBIERTH CHECKLIST

  • Líder : ZENEWTON ANDRÉ DA SILVA GAMA
  • MIEMBROS DE LA BANCA :
  • GILBERTO MARTINS SANTOS
  • MARIA ANGELA FERNANDES FERREIRA
  • MÔNICA SILVA MARTINS
  • RODRIGO ASSIS NEVES DANTAS
  • ZENEWTON ANDRÉ DA SILVA GAMA
  • Data: 28-feb-2020


  • Resumen Espectáculo
  • Introduction: Although it is a physiological event, institutionalized birth is a complex process that often results in unnecessary interventions and harm. To reduce maternal and neonatal morbidity and mortality, which is intrinsically related to quality of care, the World Health Organization (WHO) developed the Safe Birth Checklist. Studies demonstrate their potential effect on improving good practice, but new studies need to assess their impact on adverse events and health outcomes. Objectives: (1) to evaluate and compare adherence to Good Practice (GP) and incidence of Obstetric Adverse Events (AE) in maternity wards in Brazil and Mexico; (2) develop a platform for monitoring childbirth care indicators; (3) analyze the effect of the intervention with the checklist on the quality of care. Method: This is a multicenter research carried out in hospitals in Brazil and Mexico, part of the WHO Safe Childbirth Checklist Collaboration initiative. An uncontrolled quasi-experimental time series design was performed with retrospective analysis of birth records from 2015 to 2016 for 24 successive biweekly measurements and cross-sectional analysis before-after longitudinal measurements. 1,440 deliveries were reviewed in two hospitals in northeastern Brazil and 2,707 in five Mexican hospitals. Chi-square statistics and control graphs were performed to evaluate the performance of the transverse and longitudinal estimates, respectively. The software for collecting, monitoring and analyzing indicators was developed with Information Technology professionals to issue evaluation reports containing descriptive tables and longitudinal and cross-sectional graphs of estimates. Results: Before the implementation of the checklist, a low adherence to BP and a high incidence of AE was identified in institutions in both countries, especially in Brazilian hospitals (26.8% of BP and 16.0% of AE) and those specialized in pregnancy high risk (24.5% BP and 27.2% EA). After the implementation of the checklist in Brazilian services, even with a relatively low level of completion (20.7%), a significant increase (p <0.001) was found in the general compliance with 9 BP recommended by the checklist for the management of hypertensive disorders and of immediate care for mother and baby was 45.4% in the reference period and rose to 49.2% after the intervention (relative improvement of 7.0%; p <0.001). There was also a significant reduction in the rate of deliveries complicated by severe hypertensive disorders, hemorrhage and AS and in the incidence of uterine rupture, obstetric hemorrhage and severe hypertension. The development of the Plataforma QualiParto (in Portuguese) (qualiparto.ccs.ufrn.br) allowed participating services to use a system to monitor and evaluate outcome indicators and care processes of childbirth. Conclusions: The main results of this study (knowledge of the obstetrics GP and AE profile, intervention with checklist and development of technology for quality monitoring allowed the contextual identification and prioritization of interventions for quality improvement and benefited the care of mothers and newborns and the organizational management of services, making obstetric practices safer and more effective.

2
  • LANNUZYA VERÍSSIMO E OLIVEIRA
  • EVALUATION OF MENTAL HEALTH CARE PROVIDED TO PERSONS WITH MENTAL DISORDERS IN CONFLICT WITH THE LAW

  • Líder : CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • MIEMBROS DE LA BANCA :
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • SEVERINA ALICE DA COSTA UCHOA
  • ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • GABRIELA MARIA CAVALCANTI COSTA
  • ROBSON DA FONSECA NEVES
  • Data: 12-may-2020


  • Resumen Espectáculo
  • The objective was to evaluate the assistance to people with mental disorders in conflict with the law. It is an evaluation study carried out in two stages: Methodological Study and Case Study. The methodological study, developed in February 2019, outlines a construction and validation of the logical model and the matrix of criteria for assessing assistance to the studied group, based on the three procedures suggested by Pasquali's psychometric framework: 1) theorists- composed of theoretical essay, scope review and availability study, in order to identify the contents that make up the logical model and the criteria matrix; 2) empirical - understand the construction of a collection instrument using Google Forms and the selection of 44 specialists for the validation process of the analyzed evaluation instrument; and 3) analytical - carried out using two Delphi steps, in which the item evaluated as adequate is considered valid, which recovered 70% of agreement between the specialists. The case study took place at the Hospital of Custody and Psychiatric Treatment of the State of Rio Grande do Norte. In January 2020, three managers and seven health professionals who worked in the surveyed scenario were interviewed. The textual content resulting from the interviews was subjected to lexicographic textual analysis, with the aid of the software Interface de R pour Analyzes Multidimensionnelles de Textes et de Questionneires and the data analysis was performed from the relevant literature. The theoretical essay reflected on the existence of (in) visible walls that surround people with mental disorders in conflict with the law. The scoping review identified that research on mental health care offered to interns at the Institutes of Forensic Psychiatry in Brazil was predominantly dissertations, with a qualitative approach, in the area of Psychology and Law, published in 2014, carried out in the southeastern region of Brazil, with emphasis on the speeches of health professionals and without specifying the methodology of data analysis. In addition, he indicated that the assistance offered to the interns of these institutions has a punitive character, is based on excessive medicalization and diverges from the current legislation, which hinders the social reintegration of these subjects. The evaluability study resulted in: the elaboration and agreement of the logical model; in the analysis and comparison between the reality of politics and the logical model; and in the elaboration of the criteria matrix. The logical model was validated by the Nominal Group Technique. The content adequacy of the criteria matrix was assessed by 16 experts in the Delphi 1 stage and by 12 in the Delphi 2 stage. The content matrix had its content validated by 0.93 Content Validity Coefficient. For managers and health professionals interviewed in the field stage, assistance in the scenario studied is permeated by structural deficiencies, but changes in the scope of institutional management have allowed advances in the process of deinstitutionalization of inmates. It is recommended to establish achievable goals, as well as the criteria matrix proposed in this study to direct continuous and systematic assessment, capable of focusing on improvements in the assistance provided to this cliente.

3
  • ALEXANDRE POLICARPO DA SILVA
  • A UTILIZAÇÃO DO ÍNDICE DE NECESSIDADE FUNCIONAL DE TRATAMENTO ORTOGNÁTICO (IOFTN) COMO FERRAMENTA DE TRIAGEM POPULACIONAL PARA TRATAMENTO DAS DEFORMIDADES DENTOFACIAIS

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • FERNANDO JOSE DE OLIVEIRA NOBREGA
  • FRANKLIN DELANO SOARES FORTE
  • JOSE SANDRO PEREIRA DA SILVA
  • LUIZ ROBERTO AUGUSTO NORO
  • Data: 21-may-2020


  • Resumen Espectáculo
  • Dentofacial deformity (DDF) can be understood as a distortion in the process of skeletal and dental development, leading to a geometric discrepancy between maxilla and mandible, affecting the functions of the stomatognathic system and facial aesthetics, with psychological and social consequences. Its treatment is carried out in an interdisciplinary way, mainly involving surgery, and orthodontics. The aim of this study is to determine the accuracy of IOFTN in screening the need for surgical treatment in patients with DDF in the Brazilian population, validating it through an integrative review on its use, and verifying its validity by comparing its results with clinical indications between those who need and not undergo a surgical procedure to correct Dentofacial Deformity. In the integrative review we obtained 13 studies that used IOFTN in its methodology. All studies used secondary data, obtaining 90.7% of individuals classified in the categories “Great need for treatment” (class 4) and “very great need for treatment” (class 5). All patients in the study who had an indication for surgery were classified in classes 3, 4 and 5. 85.5% of them in classes 4 and 5. Among those who had no indication for surgery, 79.2% were class 1 and 2 (who do not need to perform a surgical procedure). The accuracy values were considered good, with an ideal cutoff point between classes 2 and 3, where the highest diagnostic precision (90.91%) was obtained, with 100% sensitivity and 79.17% specificity. From that point on, sensitivity tends to decrease and specificity increases. Therefore, classes 3, 4 and 5 are effective in determining the need for surgical treatment of DDF. With that, we can say that the IOFTN is an effective and reliable index to predict, in a clear and objective way, the need for orthognathic surgery. 

4
  • YONARA MONIQUE DA COSTA OLIVEIRA
  • ANALYSIS OF JUDICIAL DEMANDS FOR MEDICINAL PRODUCTS IN RIO GRANDE DO NORTE STATE
  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • GRASIELA PIUVEZAM
  • MARIA ANGELA FERNANDES FERREIRA
  • MARILIA LOUVISON
  • SILVANA NAIR LEITE
  • THEO DUARTE DA COSTA
  • Data: 24-jul-2020


  • Resumen Espectáculo
  • The judicialization of health, especially in access to medicines, is a complex and multifactorial phenomenon that involves technical-scientific, legal, economic and social aspects, and may have different implications for public health. With the constitutional recognition of health as a right and the implementation of the Unified Health System (Sistema único de Saúde -SUS), an increasing number of citizens have sought the Judiciary to guarantee the constitutional promise, and the number of lawsuits has grown over the years. As a relevante issue, the theme of judicialization has been debated in several spaces: in society, in academia, by legal institutions and by health managers. However, it has not yet been possible to draw a national panorama of the judicialization of medicines in Brazil, with a marked concentration of research in the Southeast and South regions of the country. In this context, the aim of this study was to identify and analyze the lawsuits for medicines in the State of Rio Grande do Norte, describing the sociodemographic, medical-sanitary and judicial characteristics of the actions, making an analysis in the light of current drug policies and evaluating its possible interfaces with the process of incorporating technologies into SUS. It was conducted a descriptive, exploratory and retrospective, whose unit of analysis was the individual processes requesting medicines from the State of Rio Grande do Norte, between the years 2013 to 2017. The data were collected from the State Department of Public Health (SESAP/RN), and the information on the cases was collected through consultation with the website of the Court of Justice of RN. Nine hundred eighty-seven (987) processes were analyzed, in which 1517 medicines were requested. Most of the claimants were female (58.8%), residing in the interior of the State, with an average age of 48.3 years, represented predominantly by public legal assistance (52.8%) and with prescription from private medical services (38.1%). Most of the requested drugs (61.7%) were not incorporated into SUS, however, in 75% of the cases, there was a therapeutic alternative. In 13.6% of the actions, at least 1 medicine was prescribed for off-label use. Even the judicialized drugs that were part of the National List of Essential Medicines (RENAME), were constantly requested for indications not recommended in official protocols. In 68% of the cases, access to the drug was available, with the author responsible for the purchase in 56.1% of them, through blocking public funds. The most requested medicine was insulin glargine (74 lawsuits). Drugs not available in SUS and frequently requested in court demands tend to be incorporated later, becoming part of health policy. Of the 10 drugs with the highest number of lawsuits, 4 were subsequently incorporated into SUS, mainly insulin analogues. Regarding the process of incorporating these drugs, it was observed that internal demands predominated (60%), and the minority had economic assessments (40%), the main justification used to support decisions being the presence of scientific evidence. However, a change of position was observed after the expressive participation in public consultations and the judicialization of medicines is mentioned in some reports. The results showed that the judicial system has been consolidated as a way of accessing medicines in Rio Grande do Norte, including by citizens residing in the interior of the State, who obtain free legal assistance. The most of drugs requested that were not yet incorporated into SUS, and these requests frequently violated health and Pharmaceutical Assistance management rules. The blocking of public funds for the fulfillment of these decisions is another worrying factor for the SUS manager, as it compromises the execution of the programmed medicines policies, which impair their execution. In the process of incorporating drugs targeted by lawsuits, it was observed that despite the preponderance of the technical-scientific basis in decisions to incorporate drugs into SUS, there was an indirect influence of judicialization in the decision-making process.

5
  • GENYKLEA SILVA DE OLIVEIRA
  • FAMILY AGRICULTURE IN FOOD SCHOOL AND THE PROMOTION OF SAFETY FOOD AND NUTRITION IN BRAZIL.

  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • MARIA ANGELA FERNANDES FERREIRA
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • FABIO RESENDE DE ARAUJO
  • ISLANDIA BEZERRA DA COSTA
  • RODRIGO PINHEIRO DE TOLEDO VIANNA
  • Data: 31-jul-2020


  • Resumen Espectáculo
  • Introduction: The National School Feeding Programme (PNAE) is one of the oldest programmes in Brazil in the area of Food and Nutrition Security in Brazil (SAN) and with a significant number of students attended, which makes it important to evaluate the implementation and impacts of this programme. Objective: to evaluate the contributions of direct food purchases from family agriculture to the PNAE on SAN in Brazil. Method: This is an evaluative research, using secondary data, in which different methods are used: an integrative review of the literature; a spatial correlation analysis to know the spatial distribution of the purchase of food from family agriculture and analysis of purchase trends in the years studied; and a third descriptive analysis of the deficit of stature and the percentage of resources used in the purchase of food from family agriculture with analysis through the t-test for independent samples, and multivariate analysis performed through multiple linear regression with significance of 0.05%. Results: the main contributions of the purchase of food from family agriculture for school feeding on the FNS reported were the access to diversified, mostly in natura, minimally processed and organic food; the formation of local food production and distribution markets bringing the consumer and the small producer closer together; the access to food with better nutritional and hygienic sanitary quality; and the incentive to promote healthy eating habits. Regarding the panorama of the use of PNAE resources for the acquisition of food from family agriculture, the percentage of municipalities that comply with the legal requirement rose from 34.3% in 2013 to 43.7% in 2016, with the largest number of municipalities in the southern region of the country with 72.5%, while only 26.1% in the Midwest, 27.4% in the North and 31.6% in the Northeast. The South region stands out when compared to the others (p = < 0.001). The trend analysis of the union's annual budget resources showed an average growth of 30.8% (CI = 13.2-51.1). When assessing the difference in averages between the purchases and the deficit of stature in under five years there was a statistically significant difference in the deficit of stature in the municipalities that used < 30% and ≥30%, with a difference of 1.47%. As well, in the multiple analysis it was found that the variables with independent effect on the stature deficit in children under five years, besides the purchase of food from family agriculture, were the HDI, Gini Index, illiteracy rate and proportion of extremely poor children. The linear regression model showed that for each percentage point of increase in the use of resources for the purchase of food from family agriculture to the PNAE by the municipality there will be, on average, a decrease of 0.55% in stature deficit, independent of the other variables. Conclusion: from the results it can be concluded that the purchase of food from family agriculture for the PNAE in Brazil promoted the improvement of the SAN in its different dimensions and reduced the deficit of stature in children under five years. 

6
  • GIDYENNE CHRISTINE BANDEIRA SILVA DE MEDEIROS
  • CHOICES FOR HEALTHY LIFE: NUTRITIONAL INTERVENTION IN SCHOOL TEENAGERS

  • Líder : GRASIELA PIUVEZAM
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • GILBERTO MARTINS SANTOS
  • GRASIELA PIUVEZAM
  • LUCIA LEITE LAIS
  • VALTER CORDEIRO BARBOSA FILHO
  • Data: 04-ago-2020


  • Resumen Espectáculo
  • The increase in the prevalence of early obesity, especially in the first decades of the 21st century, has become an important public health problem of worldwide proportions. This is due to the fact that obesity among children and adolescents tends to persist in adulthood and is strongly associated with the development of chronic diseases and increased risk of death. Actions become relevant and necessary to contain this progression, in this sense, the school environment is suitable for educational interventions to prevent and combat obesity. The AME Program “Attitude, Movement and Choices for a Healthy Life” was developed in the Postgraduate Program in the Collective Health at the Federal University of Rio Grande do Norte and is a multicomponent, including school-based food and nutrition education, reduction of sedentary behavior, and the practice of physical activity. The objective of the doctoral thesis is to develop strategies in Food and Nutrition Education (FNE) in a school-based multicomponent intervention program to promote an active lifestyle and adequate and healthy nutrition among adolescents. This is a developmental research in which the current scientific literature was used and available in order to elaborate the protocol of the FNE axis of the AME Program. The method section is organized in two stages; the first described the method of studies of systematic reviews (SR) that contributed with the technical-scientific basis for the development of the protocol; and the second described the protocol of the randomized clinical trial (RCT) study. In stage 1, two SRs were developed following the recommendations of the Preferred Report Items for Systematic Reviews and Meta-analyzes (PRISMA) and were registered in the International prospective register of systematic reviews (PROSPERO - CRD42019116520 and CRD42019100914). Stage 2 presents the methods of the ECR, which underlie the construction of the rationale and methodological characteristics of the FNE axis of the AME Program. The ECR was approved by the Research Ethics Committee (CEP-HUOL UFRN) and registered in the Brazilian Registry of Clinical Trials (RBR-86xv46). The doctoral thesis is organized in the collection of articles. The first SR addresses educational strategies and the effect on food consumption of school adolescents and 24 RCTs were included. In 16 studies, the intervention managed to improve the consumption of at least one food or group of foods recommended as healthy foods. The results indicate that school-based interventions are generating favorable changes in adolescent food consumption. The second SR addresses the association of red meat consumption and cardiovascular diseases and 22 prospective cohort studies were included. The results indicate a possible association between the consumption of red meat, especially processed meat, and the incidence and mortality from coronary heart disease, stroke and / or heart failure. The trend of linear dose response indicates that the greater the consumption of red meat, the greater the risk of incidence and mortality from cardiovascular diseases. Stage 2 contemplates the intervention proposal of the EAN axis of the AME Program which, for its construction, considered the results found in RS, combined with the recommendations of official documents of the World Health Organization, Ministry of Health of Brazil and international institutions. The study presents the rationale for the development of the axis; the guiding theories of the AME program; goals and objectives; and characteristics of the EAN axis of the AME program. Developing FNE strategies in a school-based multicomponent intervention program to promote an active lifestyle and adequate and healthy nutrition among adolescents may provide adolescents with the construction of critical and reflective thoughts that can transform their lives, that of their families, community and even their territory.

7
  • NILA PATRÍCIA FREIRE PEQUENO
  • Quality of Life and Food Insecurity in adults and older adults: Brazuca Natal Study

  • Líder : CLELIA DE OLIVEIRA LYRA
  • MIEMBROS DE LA BANCA :
  • CLELIA DE OLIVEIRA LYRA
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • MARIA CECILIA ROCHA
  • RODRIGO PINHEIRO DE TOLEDO VIANNA
  • VILANI MEDEIROS DE ARAUJO NUNES
  • Data: 21-ago-2020


  • Resumen Espectáculo
  • Quality of life (QOL) studies have been increasingly valued, given the growing aging population and increased survival of individuals with Chronic Noncommunicable Diseases (NCD). The identification of conditions that may be related to the QOL of people can help explain the heterogeneous distribution of adverse health issues. Besides, it provides decision-making support to those responsible for the management, and it can expand government actions to ensure better social, economic, and health conditions for the population. This study aimed to identify socioeconomic, demographic, lifestyle, health, and food security characteristics that may be associated with the QoL of adults and older adults in the city of Natal, Brazil. Cross-sectional research performed using data from the BRAZUCA Natal study. A group of 295 adults and older adults of both sexes aged over 20 years, residents in Natal-Brazil participated in home interviews, using a digital questionnaire (Epicollect5). The WHOQOL-bref questionnaire used to the measured quality of life and the food insecurity by the Brazilian Food Insecurity Scale (EBIA in Portuguese). Also, socioeconomic, demographic, lifestyle, and health data were collected. Data analysis was performed from the absolute and percentage frequencies, and Poisson multivariate regression was used to verify the association between quality of life domains (physical, psychological, social relations and environment) and two general questions “Perception of QOL” and “Satisfaction with health”  with the independent variables. Stratified analysis carried out to determine the association between the food security situation and QOL among people with food safety - SA (n = 152) and Food Insecurity - IA (n = 143). For the general population, being non-white people (PR = 1.56; 95% CI 1.10-2.19) and being mildly insecure (PR = 2.53; 95% CI 1.62-3.96) moderate (PR = 3.19; 95% CI 2.03-5.00) and severe (PR = 2.86; 95% CI 1.65-4.95) were associated with a higher probability of Perception of regular quality of life , bad or very bad. Satisfaction with regular, unsatisfactory, or very unsatisfactory health was associated with mild food insecurity (PR = 1.73; 95% CI 1.26-2.37), emotional disorders (1.88; 95% CI 1.43-2,49) and having hypertension (1.39; 95% CI 1.05-1.84). In the stratified analysis, being sedentary, sleeping less than 7 hours a day, having diabetes, hypertension, overweight and emotional disturbances were associated with a low perception of QOL (in different domains) in both groups (SA and AI). In group IA, in addition to the factors mentioned, being elderly, not having a partner, not having daily availability of water, and drinking untreated water was associated with a low perception of QOL, highlighting the social vulnerability of this group. In addition to conditions related to social and health inequities, QOL was shown to be associated with conditions related to physical and mental health, NCD, and their risk factors, regardless of being in a situation of AI. However, in the AI group, the condition was worsened due to the lack of adequate access to water, doubly violating the right to adequate food.

8
  • DIOGO VALE
  • PENSE - BEHAVIORS, PSYCHOSOCIAL FACTORS AND SUSTAINABILITY IN THE FEEDING OF BRAZILIAN ADOLESCENTS: FROM SURVEILLANCE TO CARE

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANA CLAUDIA CAVALCANTI PEIXOTO DE VASCONCELOS
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • GRASIELA PIUVEZAM
  • ISLANDIA BEZERRA DA COSTA
  • RODRIGO PINHEIRO DE TOLEDO VIANNA
  • URSULA VIANA BAGNI
  • Data: 31-ago-2020


  • Resumen Espectáculo
  • Adolescence is a period of bodily changes, the formation of behaviors, and social interactions, which impact the eating patterns and nutritional status of individuals, with possible repercussions throughout life. Aiming to contribute to the process of surveillance and food and nutritional care of this public, the objective of this doctoral thesis was to investigate the prevalence of nutritional deviations, patterns, and eating behaviors of Brazilian adolescents and their associations with psychosocial, behavioral and sustainability factors. Ten studies were developed, one methodological and eight association, using a quantitative approach with data from sample 2 of the National School Health Survey (PeNSE) 2015, and one trial. (1) The methodological study highlights the potential of PeNSE databases in studies of food and nutrition surveillance (VAN). The association studies explore the following food and nutrition issues for adolescents: (2) adherence to school feeding, (3) food and nutritional profiles, (4) obesity and height deficit, (5) indicators of food sustainability; (6) risk behaviors for eating disorders, (7) distortion of body image, (8) experience of food insecurity and (9) dissatisfaction with body image. Finally, the essay discusses (10) food and nutritional care in adolescence. The dependent/main and independent/secondary variables of the association studies were representatives of individual, home, and school contexts. The identification of the explanatory models for each problem occurred with the application of descriptive statistics, Person's Chi-square test, Poisson Regression Analysis (classic or multilevel), or Correspondence Analysis. The main results were: (1) the PeNSE databases allow several association analyzes to explore food, nutritional and behavioral issues relevant to the Brazilian adolescents' VAN process; (2) the prevalence of low adherence to school meals (64.2%) was associated with individual behaviors, the family's socioeconomic position and the school context; (3) the most prevalent food and nutritional profile among adolescents was characterized by a dietary pattern with lower nutritional risk with eutrophy (42.6%) and the six profiles formed by combinations between categories of dietary pattern and nutritional status were associated with distinct sociodemographic characteristics, behaviors and sustainability indicators; (4) the height deficit (2.3%) was explained by biological variables and the worse socioeconomic position of the adolescents; the prevalence of obesity (10.0%) was associated with individual behaviors, psychosocial risk factors for health and better socioeconomic status; (5) the average carbon (1206 gCO2e / kg), water (2760 liters / kg) and ecological (8.07 g-m2 / kg) footprints were higher among adolescents in the South and Southeast, with a higher risk food pattern nutritional; (6) the prevalence of risk behaviors for eating disorders (16.5%) was associated with worse socioeconomic status, with individual behaviors and with psychosocial factors of greater vulnerability, with differences between the behaviors for weight loss (11.3% ) and those for weight gain or muscle mass (8.8%); (7) overestimation (6.6%) and underestimation (37.1%) of body image were associated with individual behaviors (sex, body satisfaction and risk behaviors for eating disorders); (8) the experience of household food insecurity (22.8%) was explained by the worse socioeconomic position, behaviors of greater food and nutritional risk and by psychosocial factors of greater vulnerability; and (9) body dissatisfaction coexists with nutritional deviations, food consumption with greater nutritional risk, food insecurity, inattentive eating, risky behaviors for eating disorders and better socioeconomic status. Based on the recognition of this entire context, (10) a model of management and production of food and nutritional care for Brazilian adolescents should be considered based on (a) incorporating new indicators into VAN, (b) qualifying educational actions for resilience and autonomy and (c) and in the development of public health, food and nutrition policies aimed at this population in Brazil.

9
  • NAYARA PRISCILA DANTAS DE OLIVEIRA
  • Líder : DYEGO LEANDRO BEZERRA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • ARN MIGOWSKI ROCHA DOS SANTOS
  • CLELIA DE OLIVEIRA LYRA
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • GUSTAVO PINA GODOY
  • TATYANA MARIA SILVA DE SOUZA ROSENDO
  • Data: 25-sep-2020


  • Resumen Espectáculo
  • Breast and cervical cancers stand out among female cancer types with high incidence and mortality rates, which have considerable regional differences. The discussion on inequalities in the diagnosis and death due to breast and cervical cancer enables the understanding of the understanding of these diseases at the individual and population levels. The objective of this thesis was to analyze the staging and mortality from breast and cervical cancer and its connection with socioeconomic context and the distribution of health services in Brazil. Five observational studies were developed, one of the classic ecological type, two cross-sectional studies and two of the ecological type of spatial analysis. The mortality data were collected from the Mortality Information System (SIM). Individual data related to the diagnosis of cancer were obtained from the Integrator of Hospital Cancer Registries (RHC). The contextual socioeconomic variables were collected in the Atlas of Human Development in Brazil and the data on offer of health services from the National Registry of Health Institutions (NRHI), the Outpatient Health Information System (SIA-SUS) and the Agency National Supplementary Health (ANS). The mortality analysis was performed using the Poisson regression with robust variance. For the analysis of advanced staging, the Multilevel Poisson Regression model was chosen, with a random intercept. In the spatial analysis, the Moran Global Index and the Local Spatial Association Indicator (LISA) and the models with global spatial effects were used. The main results were: (1) The average age-standardized mortality rates for cervical and breast cancers were, respectively, 5.95 (±3.97) and 10.65 (±3.12) per 100,000 women. The high mortality rate from breast cancer was associated with a higher density of general practitioners and a greater offer of health services in oncology. The high mortality rate due to cervical cancer was associated with higher rates of local social inequality and lower levels of human development in the regions evaluated. (2) The proportion of late breast cancer diagnosis in Brazil was of 40.0%. Advanced staging was associated with individual and contextual factors related to public access to health services and the low density of mammography equipment. (3) In 32.4% of cervical cancer cases, staging was absent, significantly associated with individual and contextual factors in the provision of health services. The proportion of advanced staging was 48.4%, with association with individual and contextual factors of public access to health services and the low proportion of cytopathological exams. (4) Advanced staging of breast cancer presented positive spatial correlation with the Gini Index and a negative one with the density of gynecologists. Mortality rates presented a positive spatial correlation with the HDI and the density of gynecologists. (5) Advanced staging of cervical cancer presented a positive spatial correlation with the Gini Index and a negative correlation with the proportion of beneficiaries of private health plans. Mortality rates presented a positive spatial correlation with the Gini Index and a negative one with the density of gynecologists. The study highlights the social inequalities involved in advanced staging and mortality from breast and cervical cancer in Brazil. The importance of structuring equality in the access to health services and technologies in the Brazilian territory is highlighted. In addition, the reorientation of public health policies would make it possible to optimize the control, prevention and timely treatment of breast and cervical cancer.

2019
Disertaciones
1
  • MARIANNY NAYARA PAIVA DANTAS
  • INIQUITY IN BRAZILIAN HEALTH SERVICES: AN ANALYSIS OF RACIAL DISCRIMINATION AND ACCESS FROM THE NATIONAL HEALTH RESEARCH, 2013.
  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • ANA CLAUDIA R. DA SILVA
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • MERCES DE FATIMA DOS SANTOS SILVA
  • Data: 12-abr-2019


  • Resumen Espectáculo
  • The black population is identified in several studies as vulnerable because it is disadvantaged in socioeconomic aspects, morbidity and mortality profile and access to health services. The incapacity of the institutions, structures and organizations of society to attend this population in an equitable way can be evidenced both in the difficulty of access to health services and through the practice of racial discrimination perpetrated by health care providers. This study aims to analyze the difficulty of access and discrimination by race/color in Brazilian health services, considering the data from the “Pesquisa Nacional de Saúde” (PNS), 2013. It is a cross-sectional study based on the PNS data, 2013, with 60.202 people over 18 years. Questionnaires were used in the survey on obtaining care, not seeking health services and on discrimination by health care providers. We analyze the prevalence of difficulty of access and discrimination by race/color practiced by health care providers in relation to the socioeconomic characteristics and health conditions of the studied population; bivariate analysis with attainment of Prevalence Ratios (PR), Confidence Intervals of 95% (95% CI) and p values (p <0,05); and multivariate model using the Poisson regression, with Wald test for robust estimation, for significant variables in the bivariate analysis (p value <0,2). The difficulty of access was found for 18,11% (CI 95% 16,88-19,41) of the individuals and associated with black skin color, residing in the central-west region, in the rural area, being smoker, self-evaluation bad/very bad health and have no private health insurance. The prevalence of race/color discrimination practiced health care providers was 1,45% (95% CI 1,29-1,62) and was associated with being black, being between 25-39 years old, being a smoker, possessing four morbidities, having poor/very poor health self-evaluation, being a public health service user and residing in the urban area of the country. We found that racial discrimination and the difficulty of access to Brazilian health services reach the majority of the black population. We observe the legitimacy of institutional racism through the Brazilian health services, highlighting SUS, which proposes universal, inclusive and integral. We reinforce the need to strengthen health policies with a view to transforming this panorama.

2
  • CARLA RODRIGUES DE LIMA SILVA
  • VOCAL TRACT DISCOMFORT RELATED TO THE LABOR ACTIVITY OF SOPROINSTRUMENTIST MUSICIANS IN THE CITY OF NATAL- RN

  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • LEANDRO DE ARAUJO PERNAMBUCO
  • LEONARDO WANDERLEY LOPES
  • Data: 14-may-2019


  • Resumen Espectáculo
  •  

    Introduction: Wins instrumentalist musicians belong to a specific group of individuals who use the vocal tract intensely in the exercise of their professional activities, which can lead to the development of work-related voice disorders. These disturbances can be triggered or aggravated by individual, organizational and environmental factors of the work. Objective: This study aims to verify the perception of vocal tract discomfort associated with the working characteristics of instrumental musicians in the city of Natal-RN and to identify the presence of vocal and laryngeal symptoms and associated factors in these professionals. Methodology: The sample consisted of 117 professional and training musicians, who answered a questionnaire of socioeconomic characterization, demographic and health conditions and habits, as well as filling the Vocal Tract Discomfort Scale (EDTV). A Systematic Review was also performed on the electronic databases Science Direct, Scopus, Web of Science, PubMed and LILACS, gray literature as well as manual search, without limitation of date and language, as directed by PRISMA. A title and summary analysis was carried out, followed by the analysis of the full text, risk assessment of bias (Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies) and synthesis of the results. The research was conducted independently by two researchers. Results: The most frequent DTV symptoms reported by the musicians were dryness (53%), irritated throat (35.9%) and sensitive throat (30.8%). Similarly, these symptoms presented higher averages in EDTV before and after the practice of the instrument, the dryness symptom being more frequent the more intense. Musicians who report muscle pain, gastroesophageal reflux, and respiratory allergies have a greater number of DTV symptoms. According to the six studies selected for systematic review, the main vocal symptoms in musicians of blowing are: dysphonia, altered vocal quality, hoarseness and voice failures - laryngeal symptoms - dryness, sore throat, throat irritation, throat clearing, discomfort and tension. The associated factors identified to these symptoms were the shorter time of profession, intense use of the instrument and individual vocal issues. However, the methodological discrepancies between the studies, especially in relation to the heterogeneity and size of the sample and the instruments used, signalize great variability and compromise the reliability of the results. Conclusion: The symptoms of vocal tract discomfort are present in high frequency in wind instrumentalists musicians, being more frequent in musicians with less instrument study time. In addition, the various vocal and laryngeal symptoms found in wind instrumentalists musicians in the selected studies were associated with individual factors (prior vocal alteration, inadequate vocal habits) and organizational factors of the work (time of profession, intense use, type and instrument technique). We also reinforce the need for health education actions for these professionals taking into account physiological aspects as well as working conditions.

3
  • ANA PAULA DO REGO
  • The history of the Januário Cicco Maternity School and care provided to the mental health of women: Is there a link?

  • Líder : JACILEIDE GUIMARAES
  • MIEMBROS DE LA BANCA :
  • JACILEIDE GUIMARAES
  • JOÃO BOSCO FILHO
  • MARIA ANGELA FERNANDES FERREIRA
  • Data: 17-jun-2019


  • Resumen Espectáculo
  • The Januário Cicco Maternity School (MEJC) was founded in the first half of the 20th century in the city of Natal-RN, known at the time as the Natal Maternity, and was used as a headquarters and hospital during World War II. With the vision to improve the health and public education of Natal, a doctor named Januário Cicco restored the building with federal funds and inaugurated the MEJC in 1928. The present study has the objective to investigate the approach about the mental health of women hospitalized in the MEJC after its creation, referring us to the developed knowledge of know-how and practices as comprehensive health, although not always having this denomination, composes an indisputable fact of the human condition. Faced with this, the question is asked about which mental health care strategies were offered to women hospitalized at the MEJC at the time of its creation? This is a study of the historical approach of the know-how in health and mental health, with the purpose of contributing to the current comprehensive care in the perspective of the care network and its devices. Documentary research favored the approach to official reports and thematic oral history enabled investigating and filling in the remaining gaps, as well as to understand situations of official foundation of a certain time or context. In doing so, we intend to reflect on the studied phenomenon and how it influences the present. The thematic oral history was based on a semi-structured interview in order to capture the discourses of key informants. The inclusion criteria for the subjects in the research were to have been a worker at the MEJC at the time of its creation and to be in a position to participate in the research, and to accept to do so freely. The participants were informed and signed the Free and Informed Consent Form recommended by Resolution 466/12 which provides for research involving human beings. The documentary data collection used were: digitized newspapers of the National Digital Library and the Zila Mamede Central Library. The analysis of the present research implemented the content analysis technique as reference according to the steps described by Minayo, which consist of preanalysis (floating reading of the material), exploration of the material or codification (search for categories and significant words) and treating the obtained results/interpretation (proposes inferences and performs interpretations). The results showed that the knowledge of Mental Health practices developed in the maternity run through the knowledge and assimilation of mental health as a psychiatry model, focused on the figures of the psychiatrist, psychologist and social worker; and is also associated with the conducts and norms related to the humanization process, such as: patient listening, 24-hour availability/visitation for companions, sufficient professionals trained in mental health, privacy and therapeutic projects which work with the mothers of children admitted to the neonatal unit. Another point considered as an approach in mental health is the way the social context is inserted in maternity, as well as the context of unemployment, safety, social determinants in health and expanded concept in health.

4
  • REGINA CÉLIA CARDOSO DE MELO BARROS
  • Public Ministry and health defense: study on the extensive heads of family health and primay health care

  • Líder : JACILEIDE GUIMARAES
  • MIEMBROS DE LA BANCA :
  • JACILEIDE GUIMARAES
  • LENINA LOPES SOARES SILVA
  • MARIA ANGELA FERNANDES FERREIRA
  • Data: 19-jun-2019


  • Resumen Espectáculo
  • The study analyzes the performance of the Public Prosecutor's Office in the defense of health for the strengthening of NASF's through the Health Defense Offices of Natal and the assistance of the Operational Support Center to the Health Protection Justice Prosecutors (CAOP) in order to identify as this work contributes to the strengthening of the Expanded Nuclei of Family Health and Basic Care (NASF-AB). It is a qualitative research of descriptive exploratory type that used as a collection instrument semi-structured interviews applied to key informants, having as subjects of the research the professionals who are part of the team of the Office of Justice of Defense of Health of Natal, including the promoters and their holders; professional member of the team of the Operational Support Center of the Justice Ministry of Health Defense; the professionals that integrate the Family Health Strategy teams of the municipality of Natal with the support of NASF-AB; and professionals who are part of the teams of the Expanded Nuclei of Family Health and Basic Care in Natal; with a total of 23 participants. In addition to the semi-structured interviews, a documentary analysis was carried out at the Office of Justice of Defense of Health of Natal, including Civil Inquiries, Recommendations and complaints received, all referring to NASF-AB in Natal; and also the analysis of the queries answered (doubts of the prosecution) and the reports of visits, all carried out by the CAOP Saúde team; and also of the strategic project of the Public Prosecution Service that included NASF-AB as one of its axes. Regarding the results, it can be seen that the performance of the Office of Justice of the Health of Natal is aimed at expanding the number of NASF-AB teams and structuring the working conditions of the teams already implemented, it is a focused work however, NASF-AB professionals revealed a dissatisfaction about the direction of this action due to the few advances made. And as for CAOP Saúde, this directs its action focused on the NASF from a Strategic Project, but focuses only on the municipalities of the interior of the state, not being requested to support the prosecution of Natal on this issue, failing to contribute with a more specialized look at this problem.

5
  • ANA MAYARA GOMES DE SOUZA
  • EVALUATION OF MORTALITY OF WOMEN IN THE FERTILITY VICTIMS OF VIOLENCE

  • Líder : FABIA BARBOSA DE ANDRADE
  • MIEMBROS DE LA BANCA :
  • CINTIA BEZERRA ALMEIDA COSTA
  • FABIA BARBOSA DE ANDRADE
  • FLAVIA CHRISTIANE DE AZEVEDO MACHADO
  • Data: 25-jun-2019


  • Resumen Espectáculo
  • Violence against women is not a new phenomenon, although, facing consequence it brings for health and well-being, this aggression has received a growing recognition in Brazil as well as other countries regarding public health concerning. Childbearing-age women correspond to 10 to 49 age range, and they are the majority part of Brazilian female population. Therefore, this study aims to evaluate mortality data of childbearing-age women by acts of violence from 2007 to 2016, in Brazil. This is an ecological study which dependent variable was the Women Mortality Coefficient for women who were victims of violence between 10 to 49 years old range. For an analysis of space self correlation among 161 Urban Articulation Intermediary Regions (RIAU – Regiões Intermediárias de Articulação Urbana, in Portuguese) in Brazil, we applied Moran Global tests and we performed a bivariate analysis between closuring variable and independent variables (general coefficient of mortality, coefficient of mortality by chapters in 10thInternational Classification of Diseases and Related Health Problems, coefficient of mortality by socioeconomic, social inequality, health services access and age group). We also performed a classical descriptive data analysis, in which we evaluate average and medium standard deviation and test t Student for average rates comparison, concerning a confidence interval (CI) of 95% and value of p<0,05. From 2007 to 2016 it was possible to identify a mortality raise by external causes and aggression to childbearing-age women, with a higher concentration of deaths in North, Southeast and Southern regions, specially in 2016, when death numbers reach 45,24% in this population. Regarding to age groups, we noticed that 40 to 49 years-old women number of deaths is higher, and we must remark that this number increased according age raising. About schooling, the highest percentage was found between 4 and 7 years of school attendance, followed by the ones between 8 and 11 years of schooling. Lastly, regarding marital status, the proportion of deaths was higher in single women group. So, we concluded that mortality by violence amongst women express high coefficients in the most of Brazilian regions and they are still related to contextual characteristics such as breed, social layer factors, socioeconomic factors and health service access. Thus, these findings remark how important is to face violence not only by individual factors and there must be a sensibilization in services of hosting women services. 

6
  • BRUNA LORENA ALVES COELHO
  • ANALYSIS OF THE JUDICIALIZATION OF ANTINEOPLASTIC MEDICINES IN THE STATE OF RIO GRANDE DO NORTE

  • Líder : CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • MIEMBROS DE LA BANCA :
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • KARINA CARDOSO MEIRA
  • MARIA ANGELA FERNANDES FERREIRA
  • MARILIA LOUVISON
  • Data: 26-jun-2019


  • Resumen Espectáculo
  • The advances of health policies from the Federal Constitution of 1988 are unquestionable. However, deficiencies in the physical structure, financing and management have meant that the Unified Health System was not able to meet the health needs of the population in its fullness. Changes in the epidemiological profile of the population and technological advances have caused the population to turn to the judiciary to satisfy their health demands. This practice has become increasingly recurrent and has become what is now called the Judicialization of Health, a multifaceted phenomenon with controversial views among the authors. Among the demands in the field of health, the processes that call for drugs stand out, and in this segment one of the biggest financial impacts is linked to antineoplastic drugs, since cancer is a group of chronic non-communicable diseases, which occupies a leading role among the largest causes of death in the world, and whose technological contribution to its treatment is constantly being renewed. This is a descriptive study of lawsuits claiming antineoplastic drugs that have the state of Rio Grande do Norte as sole defendant or in solidarity with other entities, between the five-year period from 2013 to 2017, analyzed by indicators withdrawn of the manual "Evaluation indicators and monitoring of drug lawsuits". A total of 145 procedures were collected, which were analyzed according to the socio-demographic characteristics of the author; Procedural characteristics of lawsuits; Medical-sanitary characteristics of actions and Political-administrative characteristics of actions. The findings so far show that the global expenditure of the defined temporal scope was R $ 17,745,602.70, with a greater number of cases coming from the capital of the State and of the Municipality of Mossoró, composed mostly by female individuals 60 and 69, represented by public defenders. 68% of the individuals had access to the medication, which had a purchase made mostly by the author of the action (62%).

7
  • MARIA HELENA RODRIGUES GALVÃO
  • ACESSO AOS SERVIÇOS DE SAÚDE BUCAL NO BRASIL: EVOLUÇÃO DA DESIGUALDADE E FATORES RELACIONADOS À ATENÇÃO SECUNDÁRIA

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • FRANKLIN DELANO SOARES FORTE
  • ROGER KELLER CELESTE
  • Data: 27-jun-2019


  • Resumen Espectáculo
  • O objetivo do presente estudo foi avaliar a influência dos determinantes socioeconômicos no acesso aos serviços odontológicos no Brasil, sob a perspectiva da utilização e disponibilidade, considerando duas estratégias analíticas: (a) a desigualdade na utilização dos serviços odontológicos relacionada à renda na população brasileira a partir dos dados da Pesquisa Nacional por Amostragem de Domicílios (PNAD) dos anos 1998, 2003 e 2008, e a Pesquisa Nacional de Saúde (PNS) no ano de 2013 (b) a associação entre os indicadores sociais e de organização dos serviços de saúde dos municípios e a disponibilidade de serviços nos Centros de Especialidades Odontológicas, a partir dos dados do Programa Nacional de Melhoria do Acesso e da Qualidade (PMAQ-CEO). A primeira abordagem consiste em um estudo de painéis repetidos, com análise de dados secundários provenientes de estudos seccionais de base domiciliar. Foram selecionados os dados das PNAD 1998, 2003 e 2008, e os dados da PNS 2013. As variáveis dependentes foram “Já teve acesso à consulta odontológica alguma vez na vida” e “Última consulta odontológica realizada a 3 anos ou mais”. A variável independente selecionada foi “Rendimento per capita domiciliar em salários mínimos”. Com a finalidade de avaliar a desigualdade em saúde para os desfechos avaliados, foram utilizados índices complexos de avaliação de desigualdade em saúde baseados em regressão, o Coeficiente Angular de Desigualdade (CAD) e o Coeficiente Relativo de Desigualdade (CRD). A segunda abordagem trata-se de um estudo ecológico, com amostra de 776 municípios brasileiros que participaram do 1° ciclo do PMAQ-CEO realizado no ano de 2014. As variáveis dependentes do estudo consistiram no número de profissionais e carga horária semanal de cirurgiões-dentistas atuando nas especialidades mínimas por 10.000 habitantes. Realizou-se uma análise de componentes principais para a criação de um escore para mensurar o desempenho dos municípios quanto à disponibilidade de serviços odontológicos especializados. A fim de avaliar os fatores associados ao desempenho dos municípios, utilizou-se o teste do Qui-quadrado de Person, tendo como variáveis independentes os seguintes indicadores municipais categorizados em tercis: renda per capita, Índice de Desenvolvimento Humano, Índice de Gini, População residente, Despesa total de saúde por habitante, Equipes de Saúde Bucal por 10.000 habitantes, e Cadeiras de CEO por 10.000 habitantes. Observa-se uma redução na diferença absoluta no percentual de ausência de acesso entre os indivíduos com maior e menor renda. A diferença absoluta para a ausência de acesso dentre os grupos passou de 10,92% em 1998 para 7,61% em 2013. Para a ausência de acesso nos últimos 3 anos, os valores reduziram de 48,19% em 1998 para 26,98% em 2013. Também se observou uma redução da desigualdade relativa quanto à renda para ambos os desfechos. O desempenho ótimo quanto à disponibilidade de serviços especializados em saúde bucal foi observado em municípios com menor porte populacional (67,3%), com menor IDHM (41,9%) e com menor renda per capita (41,2), maior média de equipes de saúde bucal por 10.000 habitantes (50,6%), maior média de cadeiras do CEO por 10.000 habitantes (66,3%). Conclui-se que houve uma redução das desigualdades no acesso a consulta odontológica com o passar dos anos analisados, embora se mantenha em níveis preocupantes. Os municípios com piores indicadores socioeconômicos e com melhor organização dos serviços de saúde bucal obtiveram melhor desempenho quanto à disponibilidade de serviços odontológicos especializados. Os resultados demonstram o avanço obtido a partir da Política Nacional de Saúde Bucal, entretanto existem desafios a serem superados da efetivação dos pressupostos desta política.

8
  • TALITA ARAUJO DE SOUZA
  • EVALUATION OF CHILD MORTALITY TO REACH GOAL OF LIFE GOALS IN BRAZIL

  • Líder : FABIA BARBOSA DE ANDRADE
  • MIEMBROS DE LA BANCA :
  • FABIA BARBOSA DE ANDRADE
  • FLAVIA CHRISTIANE DE AZEVEDO MACHADO
  • IRIS DO CEU CLARA COSTA
  • KENYA DE LIMA SILVA
  • Data: 27-jun-2019


  • Resumen Espectáculo
  • Infant mortality is the term used to designate all deaths that occur in children under 1 year old of age. It is the most effective indicator in the evaluation of the health situation of the population. Over the last twenty-five years, it has been possible to observe a reduction in infant mortality in Brazil. It has been shown that the country has achieved four of all objectives of the Millennium Development Goals before 2015. In 2006, the Pact for Life was released highlighting infant mortality in one of its indicators, being divided into three pacts: reduction of neonatal mortality, infant mortality due to diarrhea and reduction of infant mortality due to pneumonia. This study aims to evaluate whether the goals of the Pact for Life established by Ordinance N º 399 has been reached in relation to neonatal mortality rate for diarrheal diseases and pneumonia before and after its release in 1996 decades to 2005 and 2007 to 2016. It appears as an epidemiological ecological study of time series and spatial correlation, conducted through the Mortality Information System, considering the years 1996 to 2016, excluding 2006 due the fact it is the year of implementation of the Pacto Pela Vida. For the development and analysis of the data the 161 Intermediate Regions of Urban Articulation were considered. The coefficient of infant mortality in the years studied was determined as a dependent variable and secondary dependent variables: coefficient of neonatal mortality, coefficient of infant mortality due to diarrhea and coefficient of infant mortality due to pneumonia.  As independent variables were selected: Human Development Index, Gini Index, percentage of poor, Bolsa Famíliacoverage, Primary Care coverage, nurses rate of family health strategies per thousand inhabitants, physicians rate of health strategies family per thousand inhabitants and coverage of childcare consultations. The descriptive data were analyzed in the software Statistical Package for the Social Sciences, then the mortality data were specialized in TerraViewto determine the spatial autocorrelation and bivariate analysis was used GeoDa software, and correlated the coefficient of infant mortality with the independent variables of the study. It was found that neonatal mortality only reached the target goal of 5% decrease in 2007 and 2016, while mortality from diarrhea and pneumonia did not reach the goal proposed by the indicator in any year (decrease of 50% and 20% % respectively). In addition, infant mortality decreased in the two decades analyzed, with a mean coefficient of 22.67 in the first decade and 14.30 in the second decade. When spatially evaluated, high coefficients of infant mortality were found with positive association when compared to neighboring regions. In addition, the spatial distribution presented statistical significance in all the independent variables of the study. Based on the results, it was possible to identify that the goals of the Pact for Life were not met, making it necessary to review health actions, suggesting that there is a fragility even if there are public health policies for children that aim at reducing those diseases that must corroborate with the improvement of child health indicators.

9
  • TAINARA LÔRENA DOS SANTOS FERREIRA
  • HOSPITAL MORBIDITY AND MORTALITY IN CHILDREN UNDER FIVE YEARS IN BRAZIL IN THE PERIOD 2007 TO 2016

  • Líder : FABIA BARBOSA DE ANDRADE
  • MIEMBROS DE LA BANCA :
  • FABIA BARBOSA DE ANDRADE
  • FLAVIA CHRISTIANE DE AZEVEDO MACHADO
  • IRIS DO CEU CLARA COSTA
  • KENYA DE LIMA SILVA
  • Data: 28-jun-2019


  • Resumen Espectáculo
  • In the last decades, we have noticed a reduction of mortality rates amongst under 5 years-old children, although a high number of deaths could be avoided. So, this age group received a new perspective by United Nations in 2015, aiming to finish avoidable deaths of newborn and under 5 years-old children. Therefore, this study aims to evaluate hospital morbidity and mortality in Brazil among under 5 years-old children between 2007 and 2016, and relate those numbers to social indicators and inequality of health and access to public services of health in Brazil. It is an transversal epidemiologic study, ecological and time series to be performed with usage of secondary data from Sistema de Informações Hospitalares do Sistema Único de Saúde (System of Hospital Information of Unique Health System, in free translation) and Informação sobre Mortalidade (Mortality Information System, in free translation) in last ten years (2007 to 2016) in a national range, available and extracted from national base of public domain by the Information Department of SUS. We used the following dependent variants: Children Mortality Estimation and Mortality Estimation of Children Among One and Under Five Years Old, percentual distribution of children hospital intakes and percentage of children among one and under five years old hospital intakes. As independent variants, we selected: Atenção Básica (Basic Attention Service, in free translation) coverage, childcare appointments coverage, immunization coverage, Bolsa Família Program coverage, Índice de Desenvolvimento Humano (Index of Human Deveolpment, in free translation), Gini Index and poverty proportion. For a statistical data analysis, we used Statistical Package for the Social Sciences (SPSS) program, 22.0 version, 10101141047 serial number, and we calculated the measures of central tendencies and dispersion. We also applied test t Student among Regiões Intermediárias de Articulação Urbana (Urban Articulation Intermediary Regions, in free translation). For spatial analysis and map construction, we used TerraView program, 4.2.2 version, and Geoda, 1.2 version. We noticed that, among under one-year old children, during the analyzed period, there was a variation in cause of deaths averages: as first cause, 33,56 (respiratory system); followed by 32,13 (diseases that come from perinatal period); and, at last, 17,07 (infectious and parasitic diseases). There was a reduction in children mortality estimation when compared 16,43 average in 2007 and 13,41 in 2016. Regarding age group between one and four years old, first cause of illness was respiratory system (42,69); the second cause was infectious and parasitic diseases (25,84). Concerning mortality coefficient of 1 to 5-year-old children, we had these numbers: 2,84 in 2007 and 2,34 in 2016. We verified clusters formation to hospital morbidity and mortality, presenting spatial dependence for events, independent age group, correlated to social, health inequality and health public services access indicators. Thus, it shows the necessity of lowering social and regional inequality, besides raising access to health public services for children and quality of low and medium complexity health assistance, aiming to reduce grievance and children morbidity and mortality indicators.

10
  • ANA CLARA DANTAS DE SOUZA
  • Prevalence of multimorbidity and associated factors in the workers Brazilian population
  • Líder : DYEGO LEANDRO BEZERRA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • JANUSE NOGUEIRA DE CARVALHO
  • MARIA ANGELA FERNANDES FERREIRA
  • Data: 12-jul-2019


  • Resumen Espectáculo
  • The fast transition in the demographic and epidemiological profile has recorded the increasein longevity, chronic illness and the prococity of disability, making the health system lessprepared to meet the growinf demando f people with non communicable chronic diseases,especially those with two or more, known as multimorbidity. This study aims to estimate theprevalence of multimorbidity in the brazilian population (≥18 years old) and to know itsassociated factors considering he data from the National Health Survey (PNS), 2013. Inprinciple, a systematic literature review was conducted based on the PRISMA protocol, inorder to identify the impacto f multimorbidity on workers' health. After the review, a crosssectional study was developed based on the data from the PNS, 2013, with 60,202 people over18 years old. Survey questions were used to answer wheter the individual had alread receivedthe   diagnosis   of   some   of   the   chronic   diseases   included   in   the   study.   We   analyze   theprevalences of multimorbidity in relation to socioeconomic characteristics, lifestyle and work;bivariate analysis with obtaining the prevalence ration (RP),  confidence intervals at a leve of95% (CI 95%); and multivariate model through Poisson regression, with Wald test robustestimation, for significant variables in the analysis.. The prevalence of multimorbidity was19.98 (95%CI: 19.29% - 20.70%) and was associated with the female gender. To the agerange of 60+, to live with the spouse, to ingest alcoholic beverage moderately, to be formersmoker, to be illiterate, to live the urban área, have health insurance, perform night work andhave already suffered some work accident. A low prevalence of multimorbidity was estimatedin the economically active brazilian population and was associated with labor, socioeconomicand lifestyle characteristics.   

11
  • ANA CLARA DE FRANÇA NUNES
  • Vitamin A and Symptoms of Multiple Sclerosis: A Systematic Review of Epidemiologic and Clinical Trial Studies”.


  • Líder : GRASIELA PIUVEZAM
  • MIEMBROS DE LA BANCA :
  • GRASIELA PIUVEZAM
  • LUCIA LEITE LAIS
  • SANDRA MARIA NUNES MONTEIRO
  • Data: 07-ago-2019


  • Resumen Espectáculo
  • Introduction: Multiple sclerosis (MS) is the most prevalent autoimmune disorder today and is associated with demyelination of neurons in the central nervous system (CNS) through activation of the immune system. Studies using vitamin A have been promising to improve the disease. Thus, the present dissertation aims to provide the best available evidence on the clinical impact of vitamin A on the outcomes related to symptoms of patients with MS. Methods: The article collection format was used for the production of two articles, the first one being a protocol article, used as the basis for the production of the second article, a systematic review. We searched the pubmed, embase, scopus, cinahl, scielo, web of science, cochrane library, and science direct for studies published until May 2019 to assess the relationship of vitamin A supplementation and / or serum level analysis and symptoms in patients with MS. For the design of the systematic review, PRISMA was used. To assess the methodological quality of the studies, the JADAD scale was used for randomized controlled trials and Newcastle – Ottawa for observational studies. To extract all the data found, a database was created in the Microsoft Excel program. Results: In the initial search we found 2053 studies, and at the end of the searches, 6 articles eligible for the research were selected, being 2 RCTs and 4 observational (cohort). Of the six studies included, two used vitamin A supplementation and obtained results that vitamin A is capable of containing upper limb progression and cognitive impairments, significant improvement in depression scores, total fatigue and the three fatigue subscales (physical, cognitive and psychosocial). The other four studies performed serum vitamin A dosing and found that serum retinol levels were not associated with risk and number of relapses and worsening of EDSS, but increasing retinol levels are associated with decreased results of disease activity. and retinol predict results of new lesions in subsequent months by magnetic resonance imaging. Conclusion: These findings are not yet sufficient to recommend vitamin A supplementation for MS patients. New well-controlled controlled trials are needed.


12
  • ALESSANDRA LUCCHESI DE MENEZES XAVIER FRANCO
  • Cancer care for children nd young people quality assessment tool: elaboration and validation
  • Líder : DYEGO LEANDRO BEZERRA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • MIRIAN CARVALHO DE SOUZA
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • ZENEWTON ANDRÉ DA SILVA GAMA
  • Data: 26-ago-2019


  • Resumen Espectáculo
  • This study aimed to elaborate and validate an instrument to evaluate the quality of care for childhood cancer. This is a cross-sectional quantitative diagnostic study, developed in 2018 and 2019 in the city of Natal/RN, in two stages comprised in the elaboration of the instrument and the validation of the instrument content by experts. The sample was selected by intentionality, following the inclusion criteria, so that the invitation to the judges was through an electronic form, obeying all ethical aspects for the research. The elaboration phase of the instrument was understood through the meeting with the experts, which directed the literature review that culminated in the elaboration of the first version of the instrument. Starting the second stage of the study, the instrument was subjected to expert evaluation, according to the Delphi technique, and should be evaluated by them, judging each item using the established Likert scale, until agreement was measured using the of the Content Validity Index by Item (IVC-I) and the Content Validity Index (IVC) of the instrument, adopting as a minimum reference value 0.78, and an acceptable agreement rate of 80%. Given the meeting of experts, it was possible to determine that the instrument would be organized by four domains: prior to diagnosis; for the diagnosis; treatment; after treatment. Thus, the evaluation criteria were defined, which were translated in the first version of the instrument with ninety-five items. After the first round of evaluation by the experts, of the 17 invited judges, 12 proceeded with the evaluation. It was observed that only 14 items presented CVI-I lower than recommended, CVI corresponded to 0.89, however CVI based on the criteria of the assessment used was equivalent to 0.75 which indicated the need for adjustments. Thus, 50 items were revised, 14 were deleted, 3 were added and 13 were kept according to the original wording. Therefore, the second version of the instrument was elaborated and submitted again to the judges, presenting IVC-I for all items with values above 0,78, in addition to IVC equivalent to 0.98, and according to the evaluation criteria. obtained an IVC of 0,99, compared to the participation of only ten judges. Thus, in view of obtaining agreement between the judges, the instrument was validated according to its content, tense in its final version the existence of eighty-four items. For this instrument the score was proposed based on the percentage of positive responses by domain, and overall, according to three evaluation categories: presence of weaknesses to obtain quality; presence of improvement opportunities to achieve quality; presence of strongholds to obtain quality. The use of such an instrument will contribute to the assessment of the quality of care attention for children and juvenile cancer, thus allowing the diagnosis of this, in order to guide the interventions to optimize the results obtained, consequently directing the organization and formatting of the care attention pursuing the destination of higher quality care attettion for children and young adults.
13
  • EWERTON HANDERSON FIGUEIREDO DE MEDEIROS
  • ANÁLISE DO PROCESSO DE REGULAMENTAÇÃO E FISCALIZAÇÃO SANITÁRIAS DAS COMUNIDADES TERAPÊUTICAS DO ESTADO DO RIO GRANDE DO NORTE

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • JOAO MARIO PESSOA JUNIOR
  • KENIO COSTA DE LIMA
  • ROSIRES MAGALI BEZERRA DE BARROS
  • Data: 14-nov-2019


  • Resumen Espectáculo
  • Therapeutic Communities (TC) are presented as an alternative to the treatment of addiction to alcohol and other drugs. With the insertion of these institutions into the Psychosocial Care Network (RAPS) and their multiplication in various regions of the country, the State has been left with the role of accompanying this dizzying growth and, especially, regulating and overseeing these services. Thus, this study aims to analyze the process of sanitary regulation and inspection related to therapeutic communities located in the state of Rio Grande do Norte (RN). This is a descriptive and exploratory research using a mixed method involving a quantitative and qualitative approach. The target audience were eleven TC and sixteen Health Surveillance (Visa) professionals from various regions of RN. For data analysis, the Statistical Package for Social Sciences (SPSS) was used in the quantitative approach, whose description was based on absolute and percentage frequency and measurements of the distribution center. In the qualitative approach, the technique used for content analysis was the ―thematic analysis‖, which seeks to discover meaning cores present in the communication and that demonstrate some meaning for the research object. Regarding the organizational characteristics of the TC, the results show that most of them are located in rural areas (63.6%), religious in nature (81.8%) and associated with evangelical denominations (63.6%). The family is responsible for a significant part of the institutionalization (90.9%), as well as being the main source of TC funding (63.6%). Regarding the sanitary characteristics of the TC, (63.6%) had an updated sanitary license and only (36.4%) had solid waste shelter. Residents' access to health services in their territories is still one of the problems observed in this study, because despite advances in the approach to primary care services, they are still far from the CAPS and other services offered by the organization. RAPS. The sanitary organs present weaknesses regarding the sanitary regulation and inspection process of these institutions, which, consequently, corroborates the perceived distance between them and the TC, weakening the construction of a permanent interinstitutional dialogue.

14
  • TASSIANA ALICE FIGUEIREDO ROCHA
  • PUBLIC DEATH POLICIES: UNDERSTANDING THE LIFE CARE OF HEALTH CARE SERVICES

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • KENIO COSTA DE LIMA
  • MARIA ELIANE MOREIRA FREIRE
  • ROSANA LUCIA ALVES DE VILLAR
  • Data: 25-nov-2019


  • Resumen Espectáculo
  • The present work deals with a qualitative research, using as methodological instruments: indepth interview and documentary research, focusing on the thematic content analysis based on Bardin. The objective was to understand the articulation of Primary Care in the Health Care Network for end-of-life care, through the analysis of how actions are developed and articulated health care services to assist people in end of life in the understanding of professionals and health managers. The study was developed in the state of Rio Grande do Norte and had as collaborators the managers and health workers who work in cities with more than 100,000 inhabitants: Natal, Mossoró, Parnamirim and São Gonçalo do Amarante. The collaborators were the Health Secretaries of the cities, the heads of the Primary Care Departments, as well as primary health care doctors, nurses and nursing technicians. The sample size of doctors, nurses and nursing technicians was defined by theoretical saturation. . The narratives were analyzed and categorized following the steps proposed by Bardin: Pre-analysis, Material Exploration, Coding and category selection. The thematic categories were related to the objectives of the work and later grouped into sections for discussion of the results. The complexity of living with the phenomenon of death, described by the research participants, points to an ambivalence: Death that is seen naturally, while there is great difficulty in dealing with it. The structure of the health system and lack of training were pointed out as elements that hinder end-of-life care, in addition to the absence of specific guidelines and provisions that offer subsidies, and the doctrinal principles of SUS were pointed as guidelines. It is considered that this study is an invitation to rethink practices, but also to problematize the very structure of the system. It is an appeal that adds to the struggle for the right to comprehensive care, which considers not only health-related needs but also those related to death.

15
  • EMILY KATHIENE SILVA DE MESQUITA
  • OS DESAFIOS DA ESTRUTURAÇÃO DOS CUIDADOS PALIATIVOS NA CIDADE DO NATAL RN

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • MARIA ELIANE MOREIRA FREIRE
  • KARLA PATRICIA CARDOSO AMORIM
  • KENIO COSTA DE LIMA
  • Data: 25-nov-2019


  • Resumen Espectáculo
  • The purpose was to evaluate how the end of life care is structured in the city of Natal RN. It is about a sectional study, with a convergent parallel combination method type, involving quantitative and qualitative approaches of treatment and data analysis. It was developed at institutions enrolled on the National Academy of Palliative Care Website on Natal RN, that offers the basic needed services regarding palliative care. The included institutions were: Hospital Monsenhor Walfredo Gurgel, University hospital Onofre Lopes and Liga Contra o Câncer. The target population of this study were medical professionals specialized on palliative care or that nominate palliative care and patients under palliative care, accompanied by enrolled institutions at the National Academy of Palliative Care (ANCP), which are able to provide this type of care, during the period of data gathering that occurred between June and September of 2019. Initially, one made an identification of the units who were providing palliative care. After this, one raised the epidemiological profile of patients under palliative care: mostly women, with an age group of 60 to 79 years old, that never smoked and most of them (40.2%) had advanced mammary neoplasia. Afterwards, deep interviews were made with medical professionals with the purpose of identifying the knowledge about palliative care, and finally, it aimed to evaluate the quality of life of the patients under palliative care through the Palliative Care Outcome Scale (POS). We obtained as results that the quality of life is unfavorable, because the scores are always at a moderate level. It is concluded that palliative care in Natal RN is still under construction. For it arose as challenges: The advanced state of illness in which the patient arrives. Professionals feel uncomfortable to indicate palliation, because throughout their training is taught to cure and not care. The unfavorable quality of life results from the entire unfavorable process to palliative care, even with staff and medication support, as it encompasses major factors ranging from culture change to the absence of guidelines that regulate palliative care more effectively.

     

     

16
  • AMANDA ALMEIDA BATISTA
  • HEARING HEALTH PROGRAMS: CONTRIBUTIONS TO DEVELOPING CHILD IMPLANTS
     


     
  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • MARIA ANGELA FERNANDES FERREIRA
  • JOSELI SOARES BRAZOROTTO
  • HANNALICE GOTTSCHALCK CAVALCANTI
  • Data: 05-dic-2019


  • Resumen Espectáculo
  • Cochlear Implant (CI) is an electronic device capable of partially replacing a sensory organ in individuals with severe to profound hearing loss. Brazil currently has 26 referral centers that assist the deaf population at all ages, both in the private network and in the Unified Health Service. The objective of this study is to know the sociodemographic profile and the etiology of deaf children submitted to cochlear implantation by the Unified Health System in Rio Grande do Norte. This is a cross-sectional study, based on information from medical records of children using cochlear implants throughout the state, at the cochlear implant referral service, Otomed Clinic. The study population consisted of children from 0 to 12 years old, of both sexes, users of cochlear implants, who underwent surgery and activation between January 2008 and December 2017, residents of the state of Rio Grande do Norte. For the analysis of qualitative variables, it was used the description of absolute and relative frequencies and for the quantitative variables were extracted the measures of central tendency and dispersion. The qualitative analysis also considered the descriptions of the cases with the dissertation of the particular findings of the relevant cases. The partial results show that the service has been working positively regarding the equitable access of low-income families and early diagnosis, however, it was also observed the negative aspects such as the lack of etiological diagnosis of deafness, the cochlear implant after the critical period for oral language development and the failure of medical records.

17
  • LUCIANA MARIA PEREIRA DE SOUSA
  •  

    HUMAN RIGHT TO FEEDING OF WOMEN IN THE PRISONAL SYSTEM OF PARAÍBA

     

  • Líder : CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • MIEMBROS DE LA BANCA :
  • ANA CLAUDIA CAVALCANTI PEIXOTO DE VASCONCELOS
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • GABRIELA MARIA CAVALCANTI COSTA
  • SEVERINA ALICE DA COSTA UCHOA
  • Data: 16-dic-2019


  • Resumen Espectáculo
  • The right to food is part of the fundamental rights of humanity and refers to a set of necessary and essential conditions for all human beings, equally and without discrimination, to exist, to develop their capacities and to participate fully and with dignity. of life in society. A challenging context for the realization of the right to food is the scenario of the Brazilian prison system. In 2016, with 42 thousand women deprived of liberty, the occupation rate in the Brazilian prison system, compared to women, is 156.7%, which means that in a space for 10 women, they are in custody 16 women in the prison system. In Paraíba, this rate is over 168% and currently there are 620 women in the state prison system. Overcrowding increases the chance of exposure to precarious conditions and hinders the access of this population to quality food, effective and equitable, thus representing a relevant problem of public health. The aim of this study is to analyze the realization of the human right to adequate food for women in the Paraíba prison system. This is a case study with a qualitative approach, developed in the four prisons that receive women in conflict with the law in the state of Paraíba: The Maria Júlia Maranhão Reeducation Center in João Pessoa, the female prison of Campina Grande, the Penitentiary Ducks and the Cajazeiras Women's Penitentiary. The subjects of the research are representatives of the Paraíba Penitentiary Administration Secretariat, nutritionist of the general storeroom of the state penitentiary administration, female prison officers for the state, women in prison (closed for at least one year) and women in prison that develop labor activity in the kitchens of the penitentiaries studied. Data collection was through semi-structured interview. For data analysis we used the Content Analysis method, by Bardin, 2011. The results are presented through the categories: 1- Scenario of Female Incarceration in Paraíba; 2- Access to adequate food for women in prison in Paraíba; and 3- Perception of women deprived of liberty regarding the right to adequate food. We note that the context of incarceration makes it impossible to realize the right to food with regard to food availability, adequacy, accessibility and stability of supply. As a conclusion, it is evident that with regard to women in the Paraíba prison system, the dimensions of the right to food that refer to being free from hunger and the right to adequate food are not effectively realized. Food for human beings must be understood as a process of transforming nature into healthy and citizenship people. For this, it is essential that practices that promote the right to food consider the principles that relate to it and thus overcome discriminatory and authoritarian practices.

     

18
  • ISABELLE NASCIMENTO DE OLIVEIRA BEZERRA
  • Planning, self-assessment and institutional support in primary health care: a study with data from the 3rd cycle of the Access and Quality Improvement Program

  • Líder : CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • MIEMBROS DE LA BANCA :
  • ARDIGLEUSA ALVES COELHO
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • FABIA BARBOSA DE ANDRADE
  • Data: 17-dic-2019


  • Resumen Espectáculo
  • The aim of this study was to analyze an association of socioeconomic factors with the quality and practices of municipal management in primary health care in Brazil, from a perspective of Planning, Self-Assessment and Institutional Support (AI). An ecological cross-sectional study with aggregation at the municipal level, conducted in 5324 Brazilian municipalities participating in the third cycle external evaluation phase, and statistical data on the final EAB certification of the Access and Quality Improvement Program - PMAQ-AB (2015- 2018). The dependent variables to the management were the activities of Planning, Self-Assessment and Institutional Support by EAB, after grouping by municipality and organization by participation were classified as: 1- “No team perform (2) - what is the quality of AB, how was the EAB grouped into: 1-Good Teams ”; 2- “Bad Teams”, and the answers were categorized as: 1- “No good (bad) teams”; 2- “Partially good (bad)”; 3- "All teams are good (bad)". The contextual independent variables were: Municipal Human Development Index - MHDI; Gini Index; Proportion of 15-24 year olds who do not study, do not exercise and are vulnerable in the vulnerable population in this range; Proportion of extreme poverty; adopted the categorization from the median.  In order to evaluate the associated factors, Pearson's chi-square test (Qui²)  was used. As the main results were observed on the Planning, Self-Assessment and Institutional Support activity, there is a significant association (p <0.001) for the population size, small size municipalities (up to 20,000hab), the best percentages and greater homogeneity within the population. of the territory; In general, the municipalities of the interior perform more as activities than the Brazilian capitals. In regional terms (p <0.001), the municipalities in which all teams develop better management are concentrated in the Northeast (Planning-89.9%; Self-assessment-72.9%; AI-85.1%) and less in the Northeast. North region (Planning-80.4%, Self-Assessment-48.3%; AI-69.1%). When it comes to socioeconomic aspects, or the percentage of management activities is detected in all as EAB in smaller municipalities (Gini up to 0.4900), (Planning-85.3%; Self-assessment- 76.3%; AI-80, 9%); low HDI (up to 0.6630) (Planning-89.1%; AI-83.6%), highest extremely weak proportion (> 6.880) (Planning-89.2%; AI-83.3%). The best teams (good teams) are concentrated in inland municipalities (24.1%), small, up to 20,000hab (29.1%); in the Northeast (26.3%) and lower in the North (10.6%), with lower inequality (Gini up to 0.4900) (28.6%) and highest mean extreme poverty (24.6%). the teams are in municipalities with the best HDI (33.8%); The results show the advancement in shared management, especially in the interior and small municipalities, induced by the equity policies, and expansion of the ESF, strengthening the National Policy of Primary Care, despite the challenges to be overcome, to achieve a management that impacts the work process of the Primary Care Teams and the reduction of regional inequalities.

     

Tesis
1
  • MARIA DE FÁTIMA TRINDADE PINTO CAMPOS
  • MASTICATORY PERFORMANCE AND  ORAL HEALTH IMPACT OF LIFE ON IMMEDIATE LOAD IMPLANT SUPPORTED DENTURES

  • Líder : ADRIANA DA FONTE PORTO CARREIRO
  • MIEMBROS DE LA BANCA :
  • ADRIANA DA FONTE PORTO CARREIRO
  • ANTONIO RICARDO CALAZANS DUARTE
  • CARMEM SILVA LAUREANO DALLE PIAGGE
  • ERIKA OLIVEIRA DE ALMEIDA FREITAS
  • SANDRA LÚCIA DANTAS DE MORAES
  • Data: 14-feb-2019


  • Resumen Espectáculo
  • Introduction: The impact of oral health on the quality of life (OHRQoL) of patients through the replacement of conventional total dentures (PTC) with implanted implanted prostheses (PFIS) still lacks evidence. Objective: The objective of this non-randomized controlled clinical trial was to compare masticatory performance (PM) and OHRQoL in patients who were rehabilitated with PFIS with immediate loading and PTC. Methodology: The sample included 43 individuals, 4 males and 39 males, mean age 58.56 (± 7.15). All patients were rehabilitated with PTC initially. The PFIS group (20 patients), after 3 months of rehabilitation, had their PTC converted into PFIS and were installed with immediate loading, after the placement of 3 or 4 implants. The OHRQoL was measured using the OHIP - edent questionnaire (Brazilian version) and the PM, using the sieve method. Data were collected before (T0), and after 3 months of installation of PTC and PFIS (T1), remaining in this last group 10 collections to be performed. The statistical analysis was developed from the Generalized Estimates and Poisson distribution, adopting α≤0.05. Results: It was evidenced that the PFIS group had better PM when compared to the PTC group (1.71 mm, p <0.001) and in the initial condition (CI) (1.41 mm, p <0.001). PTC group did not improve their PM (0.30 mm, p = 0.02). Regarding OHRQoL, it was identified that the PFIS group obtained better results in all domains of OHIP-edent in relation to IC (p <0.01). When compared to the PTC group, the PFIS group was only higher in domain 3 (0.42 mm, p = 0.08). The OHIP-edent values were also different among the groups, with the lowest scores in the PFIS group followed by the PTC group and the CI group, with a significant difference between them (p <0.01). There was also a positive and moderate correlation between PM and OHIP-edent (r = 0.51; p = 0.03) in the PFIS group alone.

2
  • LAERCIO ALMEIDA DE MELO
  • PREVALENCE AND FACTORS ASSOCIATED WITH MULTIMORBIDITIES IN BRAZILIAN OLDER ADULTS

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • KENIO COSTA DE LIMA
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • VILANI MEDEIROS DE ARAUJO NUNES
  • LEANDRO DE ARAUJO PERNAMBUCO
  • MANUEL ANTONIO GORDON NUNEZ
  • Data: 18-feb-2019


  • Resumen Espectáculo
  • The objective of this study was to identify the prevalence of multimorbidity in the elderly in Brazil and its factors associated with socioeconomic and lifestyle variables. This is a cross-sectional, population-based study. The database was used for the National Health Survey. The elderly were considered multimorbital when they had a diagnosis of two or more chronic diseases. In the analysis of the data, the chi-square test was used and then the prevalence ratios were estimated by means of Poisson multiple regression, both with 95% confidence level. A total of 11,697 elderly people with a mean age of 70.1 years participated in the study. The prevalence of multimorbidity was 53.1%. As a result of the multivariate analysis, the elderly (p<0.001), the older (p=0.002), those who are not single, more strongly associated with widowers (p=0.001) and those with health insurance in the (p<0.001) are associated with multimorbidity. Compared with the elderly with two chronic diseases, women are associated with three (p=0.003) and four or more chronic diseases (p<0,001). In addition, hypertension and high cholesterol (31.3%), hypertension and stroke (30.9%) and hypertension and diabetes (23.3%) were found to be the most prevalent conditions for those with multimorbidity. There was association of the first condition with the female sex (p<0.001), younger elderly people (p<0.001) and the fact of not smoking (p = 0.005). On the other hand, the second condition was associated with female gender (p = 0.001) and low level of education (p<0,001). The third group was associated with low educational level (p=0.020), those who did not exercise (p<0.001) and did not smoke (p<0.001). It is concluded that multimorbidity in Brazilian elderly is a very common condition and that it has been influenced by socioeconomic factors and little related to lifestyle. However, for the main multimorbities, in addition to socioeconomic conditions, lifestyle also influenced their prevalence.

3
  • MATHEUS DE SOUSA MATA
  • INEQUALITY IN MORTALITY AND THE COMPOSITION OF THE INEQUITY IN HEALTH INDEX IN A BRAZILIAN CAPITAL

  • Líder : IRIS DO CEU CLARA COSTA
  • MIEMBROS DE LA BANCA :
  • FABIA BARBOSA DE ANDRADE
  • IRIS DO CEU CLARA COSTA
  • SAIONARA MARIA AIRES DA CAMARA
  • ALEXSANDRO SILVA COURA
  • ARDIGLEUSA ALVES COELHO
  • Data: 25-feb-2019


  • Resumen Espectáculo
  • Differences in health outcomes among different population groups are revealed by several academic studies and government reports, and are not new. Nevertheless, the theme of social inequalities is the object of a recurrent study in the different areas of knowledge, perhaps due to the expansion of these inequalities over the years. In Brazil, despite the reduction in inequalities in the last decades, there is an immense inequality and there is a clear distinction between health indicators between north-south of the country, mortality among blacks and whites, and sickness among the poorest and the most affluent. In view of this, this study proposes to describe the inequality in health in a Brazilian capital and, also, to propose an index that is composed of health and socioeconomic indicators. Descriptive analyzes consisted of comparing the average of years lived between the districts of the city of Natal-NR, as well as the means of the potential years of life lost. The creation of the Index of Inequality and Vulnerability in Health (IDVS), in turn, sought to contemplate the data of the census tracts, whose area is smaller than a neighborhood, allowing to discriminate even better the inequality within the territories. The results show that the difference in the average of the years lived between the neighborhoods of Natal-RN reaches 25 years, with the worst neighborhood showing comparable mortality conditions to poor countries in Africa, whereas the neighborhood with the highest average of years lived is similar to the Brazilian average. The results point to a relationship between health outcomes and socioeconomic indicators. For index creation, factorial analysis and cluster analysis were consistent methodological possibilities, and it is not conclusive which is the best option to describe territorial inequalities in smaller units, such as the census tracts.
4
  • MARCOS FELIPE SILVA DE LIMA
  • Assessment of nutritional status, development and validation of equations for the estimation of weight and height among elderly people living in nursing homes.

  • Líder : CLELIA DE OLIVEIRA LYRA
  • MIEMBROS DE LA BANCA :
  • CLELIA DE OLIVEIRA LYRA
  • KENIO COSTA DE LIMA
  • LEANDRO DE ARAUJO PERNAMBUCO
  • RODRIGO PINHEIRO DE TOLEDO VIANNA
  • URSULA VIANA BAGNI
  • Data: 22-jul-2019


  • Resumen Espectáculo
  • Malnutrition in elderly people is related to the fragility, multimorbidity and mortality. In order to identify the risk of deficits early, anthropometric methods based on weight, height, perimeters and skinfolds can be used, which allow for the evaluation of anthropometric indicators. When it is not possible to measure weight and height, estimative equations can be used from these measures. The objective of this study was to evaluate the anthropometric nutritional status, to develop and validate equations for estimating weight and height in elderly living in nursing homes. The study was conducted with elderly people living of nursing homes in Brazil. Anthropometric data (weight, height, body perimeters and skinfolds) were collected for each participant. For analyze the anthropometric nutritional status Principal Component Analysis stratified by sex was performed and the factorial scores of the chosen model were evaluated in relation to the age group, type of nursing home, racial/ethnic identity, schooling, burden of disease and functional capacity. Methods of weight and height estimation were elaborated by linear multiple regression. The regression models developed considered statistical reliability criteria, such as the coefficient of determination (R²), the standard error of the estimate and the Akaike Information Criterion (AIC). The prediction equations were validated by concordance tests such as the Intraclass Correlation Coefficient (ICC) and its respective confidence interval (95% CI). For all analyzes, p values <0.05 were considered statistically significant. Regarding the analysis of main components, the extracted components were denominated "Anthropometric Nutritional State (ANS)" and "Stature (S)". It was verified that the elderly people living in non-profit nursing home (male ANS = -0.855, female ANS = -0.952, male S = -0.919, female S = -0.711), non-white color (male ANS = -0.866, female ANS = -0,816, male S = -0,783; female S = -0,700), low level of schooling (male ANS = -0.973, female ANS = -0.931, male E = -0.846, female E = -0.692), and with a restriction of mobility (male ANS = -0,855; female ANS = -1,076) were the ones that presented the lowest score in the evaluation by the joint indicators. In relation to the development of weight equations, we developed models of predictive equations broken down by the perimeter of the arm, another model adjusted to the statistical criteria, and a third model of equations with measures that are easy to obtain in bedridden or wheelchair-bound elderly. The most appropriate model is calf circumference, knee height, waist circumference, subscapular skinfold, age and sex (ICC = 0.876). Regarding the development of equations of height estimation, models were developed with measurements of knee height, hemi-span, demi-span or ulna length. The most adjusted model uses knee height, age and sex (ICC = 0.863). The components "Nutritional Status" and "Stature" were extracted, which had relation with, especially, the restriction of mobility. The development of weight and height estimation methods followed statistical criteria and the convenience of collecting the component variables of the models.

5
  • IRISMAR KARLA SARMENTO DE PAIVA
  • Psychosocial Care Network IN the interface with homeless persons: BETWEEN THE INSTITUTED AND THE instituting

  • Líder : JACILEIDE GUIMARAES
  • MIEMBROS DE LA BANCA :
  • ANDERSON DA SILVA ROSA
  • ANA KARENINA DE MELO ARRAES AMORIM
  • ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • JACILEIDE GUIMARAES
  • JOÃO BOSCO FILHO
  • SEVERINA ALICE DA COSTA UCHOA
  • Data: 29-jul-2019


  • Resumen Espectáculo
  • This research brings up the interface Psychosocial Care Network (PCN) and Homeless Persons (HPs). These people have historically been relegated to the commonplace of crime and madness, constituting a challenge for health services, which requires us to break with the institutionalizing and bureaucratized ways of producing health towards a true integration among actors/services/social movements in line with the principles of the Brazilian Sanitary Reform (BSR) and of the Brazilian Psychiatric Reform (BPR). The core objective of this paper is to analyze how the articulation among the services of the Psychosocial Care Network in Natal/RN is performed in the perspective of the comprehensive care for the homeless persons. This is a qualitative research with descriptive-exploratory approach, guided by the light of dialectical historical thought. Data collection took place by means of the circulation of ten services representing the five Health Districts that integrate the components of the Psychosocial Care Network in Natal/RN, establishment of a focus group with professionals of this Network and semi-structured interviews with 13 homeless citizens who were users of these services. It received the approval from the Research Ethics Committee of the Onofre Lopes University Hospital of the Federal University of Rio Grande do Norte (HUOL-UFRN) on August 9th, 2018 – CAAE 92971818.1.0000.5292 and opinion nº 2.809.420. The construction of the results entailed movements from concrete to abstract, from singular to plural, seeking new references that illuminate the research object. The results were systematized on the basis of the Minayo’s operational proposal, drawing up the following analytical categories: Homeless Persons in the Psychosocial Care Network: from white blindness to black numbers, where we discuss how PCN sees the Homeless Persons. These people, when not invisible, are associated with stigmas and labels that refer them to places of discredit, street of exception, i.e., deathly life. Regarding the access of the Homeless Persons to the mental health services, we can identify numerous barriers that separate the places of care from the empty place of the (de) territorialized individuals. Faced with this model of lack of care, we should place our bet on the processes of singularization as a challenge to introduce care to these people. Psychosocial Care Network: on the tightrope of the care structure, which consists of a Network balance performed through the challenges for deinstitutionalization of madness. Although we have been identified in this category obstacles that walk against the Brazilian Psychiatric Reform, we recognize potentialities that favor its effectiveness in the instituting forces that are arranged in a micro-politics of the desire. In summary, the interface Psychosocial Care Network and Homeless Persons has vulnerabilities, being this public relegated to a kind of exile landscape that hampers the achievement of the right to health. Moreover, the living condition of the public in question requires us to consider the different ways of inhabiting and circulating in the city, the inclusion of diversity and the production of new sociabilities. We hope that the results may serve as a way of contributing to the feasibility of a national policy for homeless persons in the loco-regional context; and, in the molar dimension, we intend to activate instituting ways of fostering the Brazilian Psychiatric Reform and the defense of the right to health as a matter of citizenship.

6
  • JANMILLE VALDIVINO DA SILVA
  • Perspectives of the sexual violence in Brazil

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • EDMILSON LOPES JUNIOR
  • JOSÉ MARIA PEREIRA DA NÓBREGA JÚNIOR
  • MARIA ANGELA FERNANDES FERREIRA
  • THADEU DE SOUSA BRANDAO
  • Data: 02-ago-2019


  • Resumen Espectáculo
  • Sexual violence has a major impact on individuals, families and society in general. In addition to being a violation of human rights, it causes profound damage to physical, sexual, reproductive, emotional, mental and social well-being. However, due to their nature, their occurrence and impacts are often veiled, resulting in a significant underestimation of the actual level of damage caused. This type of injury has been registered in all countries, but the issue is still little investigated in developing countries. In this perspective, this paper aimed to know, from a conceptual and epidemiological point of view, the situation of sexual violence in Brazil, analyze its evolution over the years and its association with contextual characteristics and social inequities. To do so, this study was developed from six different designs in order to contemplate as much as possible the strands that involve such a complex phenomenon. In the first study a conceptual essay on sexual violence was carried out. In the other studies, an epidemiological approach was adopted using ecological designs with different statistical models. As for the units of analysis, individual data were used, from the municipalities and Brazilian federal units. The results analyzed in all the studies were the occurrence of sexual violence, in different calculations, with data collected by the Violence and Accident Surveillance System (VIVA) and / or National System of Public Security and Criminal Justice Statistics (SINESPJC). The independent variables used were individual characteristics collected by VIVA; contextual characteristics related to education, economic, social and employment conditions extracted from the Brazilian Census; and contextual variables related to health services, social services and public safety, obtained respectively from the National Registry of Health Establishments (CNES), the Public Health Information System (SIOPS), the Census of the Single Social Assistance System SUAS) and the Brazilian Yearbooks of Public Security. Descriptive analyzes, mean comparisons, multilevel Poisson analysis, multiple linear regression analysis for panel data, inequality analysis and multiple linear regression were performed. The results point to an unequal gender structure in Brazilian society, with a male hegemonic pattern that establishes behaviors and social positions, which has favored sexual violence. As for the associated factors, both individual and contextual characteristics are related to sexual violence, observing a strong contextual effect, at the level of federative units. The records of sexual violence were more prevalent in Brazilian municipalities and federative units with better socioeconomic conditions. These records varied over the years 2010 to 2014 between the Brazilian federal units, with an overall increase over the years. In the same period there was an improvement in the indicators of economic and social conditions in the Brazilian states and municipalities, with the highest records of sexual violence associated with the best living conditions in all years. There was an increase in the inequality of the rate of notifications of sexual violence as a function of household income and HDI. There was a reversal in the reports of sexual violence structured by social inequality in Brazil. There was an increase in the reporting rate of sexual violence, which was accompanied by a simultaneous increase in reporting inequality. Rates of records of sexual violence vary according to the registration system. In general, the police system recorded more sexual violence than the health services system. There is considerable underreporting of sexual violence in the VIVA system, especially in the southern region of the country and in small towns. However, in some federative units, the VIVA registry is more efficient in capturing sexual violence than the police system. Contextual factors are also associated with sub-registration of sexual violence in different information systems on the subject. It is concluded that more incisive gender equality policies backed by the reduction of structural violence are still necessary in Brazil to confront sexual violence. In addition, guarantees of basic rights, such as education and income, are also needed, both to reduce the statistics of the problem and to improve the registration of this grievance in the national information systems. More equitable income distribution and increased social development are also relevant factors in combating sexual violence in the country. Finally, it is understood that for the construction of more assertive health policies in the fight against sexual violence, it is necessary to compile information from different sources, considering that there is currently a considerable underreporting of the VIVA system, the main governmental tool of situational analysis of violence in the country.

7
  • INGRID FREITAS DA SILVA PEREIRA
  • Life expectancy free of lifestyle-related risk factors in the Brazilian population

  • Líder : CLELIA DE OLIVEIRA LYRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • CLELIA DE OLIVEIRA LYRA
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIRELA CASTRO SANTOS CAMARGOS
  • RODRIGO PINHEIRO DE TOLEDO VIANNA
  • Data: 19-ago-2019


  • Resumen Espectáculo
  • The substantial increase in life expectancy in Brazil in the last decades makes it essential to know the health situation and the quality of the years lived by the country’s longest-lived population. In this context, Chronic Non-communicable Diseases (NCD) point out as the main causes of limitations, disabilities and morbimortality. Measuring the occurrence and magnitude of lifestyle-related modifiable risk factors for NCD is an indispensable premise for meeting this emerging demand through effective public policy. In this sense, the aims were: (1) to identify multidimensional profiles of lifestyle-related risk factors, describing the prevalence of the sociodemographic and self-perceived health profiles and their characteristics; (2) to estimate life expectancy free from lifestyle-related risk factors in the Brazilian population. This is an ecological study, based on data from the National Health Survey (Pesquisa Nacional de Saude, PNS) published in 2013. Grade of Membership (GoM) method was used to identify lifestyle profiles, with data from 45,881 individuals over 30 years by applying the inclusion of 12 lifestyle-related variables. The analysis of the characteristics associated with these profiles was done through Pearson's chi-square test and unconditional logistic regression. The prevalence of the healthy profile identified in the first stage of the study - alongside the Brazilian population's life table for 2013 - were used in the Sullivan's method to calculate life expectancy free of lifestyle-related risk factors. In this stage, individuals aged between 30 and 69 years were selected, totalling 40,942. Two lifestyle profiles were identified in the first stage of the study: a profile called “healthy profile” (61.6%; 95% CI 61.1 - 62.2), characterized by adequate consumption of fruits and vegetables, fish, and non-regular consumption of soda, meat with fat and beans. The profile was also characterized by overweight and for meeting the recommendations for physical activity at leisure time. The second profile was entitled “risk profile” (38.4%; 95% CI 37.8 - 38.9), characterized by non-consumption of healthy markers, except bean consumption, by the consumption of all unhealthy markers of eating, replacing meals with snacks, alcohol consumption and tobacco use. The second profile was also characterized for not being physically active at leisure and for being eutrophic when it comes to the Body Mass Index (BMI) classification. The healthy profile was associated with females, elderlies, white populations, residents of the North and Northeast regions of Brazil, widowed, married, high-educated populations and individuals who evaluate their health habits positively. The risk profile was associated with males, young adults, residents of the Midwest and South regions of Brazil, singles, less educated populations and individuals who evaluate their health habits negatively. The estimated lifetime for Brazilians free of lifestyle-related risk factors at age 30 was 29.5 years for both sexes: 33.5 years for women and 25.5 years for men. Females had a higher life expectancy free of risk factors at all ages in relation to males, although the gender disparities reduced with increasing age. The findings of the present study show the association of lifestyle-related risk factors with sociodemographic characteristics and contribute to the discussion of gender inequalities when it comes to morbimortality. Brazilian men live less time free of lifestyle-related risk factors, which may contribute to the high rates of premature mortality among them.

8
  • DENISE GUERRA WINGERTER
  •  

    ACURACY OF THE PROBABILISTIC RELATIONSHIP OF RECORDS IN THE IDENTIFICATION OF OBJECTS BY FALLS OF ELDERLY PERSONS IN THE STATE OF RIO GRANDE DO NORTE

  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • GRASIELA PIUVEZAM
  • KENIO COSTA DE LIMA
  • MARTA ROVERY DE SOUZA
  • NEIR ANTUNES PAES
  • Data: 29-ago-2019


  • Resumen Espectáculo
  • The underreporting of deaths due to falls in the elderly has been commonly observed. In this regard, the probabilistic relationship of records has been increasingly used in the identification of subregistrations and for the improvement of information quality. The objective of this study was to evaluate the accuracy of the probabilistic relationship in the identification of deaths by falls individuals aged 60 and over in the State of Rio Grande do Norte, in the years 2010 and 2015. This is a Diagnostic study based on in the probabilistic relationship (linkage) of death records by falls reported to the Mortality Information System (SIM) and hospitalizations with falls information in the Hospital Intervention System (SIH) using RecLink software. In 2010 and 2015, a total of 23631 deaths were reported to the elderly, and 106 (0.45%) of them were caused by falls. In the same period, the SIH reported 3107 hospitalization procedures for the elderly with primary or secondary diagnosis of falls, of which, 163 died, a difference of 57 deaths. The method presented sensitivity of 99.9% in 2010, specificity of 74.7%, positive predictive value of 65.4%, negative predictive value of 99.9% and accuracy of 82.8%, in 2015 these values were, respectively, 99.8%, 83.8%, 62.6%, 99.9% and 87.2%. After linkage the specific mortality coefficient for fall was adjusted in 2010 from 15.9 to 65.2 / 1000.000hab, and in 2015 from 14.7 to 64.3, an increase of 308% and 333% respectively. These results suggest that the probabilistic relationship of registers is a valuable tool in the identification of under-registration in the systems. It is observed the need to qualify the morbidity and mortality data by falling in the elderly in the NB, so that the epidemiological picture can be closer to reality and that this data can serve as a basis for the design of strategies for health promotion and prevention of this aggravation.

9
  • NATERCIA JANINE DANTAS DA SILVEIRA
  • PROGRAMA MAIS MÉDICOS: ANÁLISE DA PRODUÇÃO DE CUIDADOS NA ATENÇÃO PRIMÁRIA A SAÚDE

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • PAULO DE MEDEIROS ROCHA
  • FABIO CESAR BRAGA DE ABREU E LIMA
  • JULIANA SAMPAIO
  • Data: 10-sep-2019


  • Resumen Espectáculo
  • Brazil has been currently experiencing a struggle for the survival of the Unified Health System (SUS) as a political and democratic project in a scenario where there is the strong feeling of a collapse of the public sector and profound difficulty in the continuation of social policies. A scenario with the prevalence of distributive inequality with respect to human resources persists, which translates into cracks in the production of integral care. The purpose of the “More Doctors” Program (PMM), launched in 2013, is to educate/train human resources in the medical area of the SUS, it is the main public policy in terms of the emergency provision of care in the country. The research intends to analyze the production of care conducted by the professionals of the More Doctors Program in Brazil in 2015. For that purpose, quantitative and observational research was conducted, relying on the use of secondary data derived from the report of the first supervision visit, held in 2015, related to the working process and the health actions. For the data analysis, it was used the multiple model approach through Poisson regression with robust variance and the multiple correspondence analysis for the identification of the latent variable. It was also used qualitative research in small and extremely vulnerable municipalities, namely: Venha Ver, Riacho de Santana, Vera Cruz and Jardim do Seridó, where techniques such as Observation and Focus Group were performed. Data analysis was conducted through Minayo’s operative proposal. An analysis of data from 3,816 municipalities, encompassing 16,000 professionals, was conducted. The production of care pervaded the working process, with emphasis on the principle of fairness, taking into account that the most vulnerable municipalities and which count on a larger coverage conduct a larger number of activities in their working process. With respect to the professional profile, the production of care permeated the health actions, obtaining three professional profiles: “Bright White: the community physician”; “White Coat: the clinical-traditional physician”; “Promotion, Prevention and Education: construction of the medical professional”, which have their practices associated with the professional background, consolidating itself as a determining factor for the carrying out of actions compatible with the population’s real needs. Such findings were associated with the socioeconomic variables, with special focus on funding, health centers’ infrastructure and coverage. The production of care was consolidated and embodied through narratives experienced by the social players in the municipalities in Rio Grande do Norte’s countryside which associated the More Doctors Program (PMM) to an “enzyme”, a catalyzing element for the strengthening of Primary Health Care, being capable of causing changes in the care models, as well as in the working process. It is concluded that, with the implementation of the More Doctors Program (PMM), it took place the consolidation of the tripod working process in health, basic care and fairness, making it possible the carrying out of a working process focused on the Primary Health Care (APS). This implies in the performance of a larger number of activities inherent to the Primary Health Care, which were not conducted as a result of the absence. It’s also suggested strategies to expand the scope of the practices carried out in the Primary Health Care, from the perspective of permanent education and training of health professionals, being of paramount importance the emphasis on the routine of the service.

10
  • ANDERSON NICOLLY FERNANDES DA COSTA
  • Avaliação longitudinal da condição periodontal em idosos institucionalizados e não institucionalizados 

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • GRASIELA PIUVEZAM
  • GUSTAVO PINA GODOY
  • KENIO COSTA DE LIMA
  • RUTHINEIA DIOGENES ALVES UCHOA LINS
  • YURI WANDERLEY CAVALCANTI
  • Data: 11-oct-2019


  • Resumen Espectáculo
  • Since changes in the oral cavity that cause aging lead to physiological changes that predispose the elderly to develop periodontal diseases, which is the most common condition, causing changes in periodontal tissues that most often culminate without edentulism. Before that, this research aimed to investigate a periodontal condition in institutionalized and non-institutionalized elderly from philanthropic and private institutions. This research is characterized by being a qualified prospective cohort for 128 elderly, 94 non-institutionalized and 34 institutionalized elderly. Most of the elderly were diagnosed with periodontics in stages I/II and grade A. The periodontal condition of the elderly is applied by individuals suffering from institutional damage or not seen by those suffering gingival bleeding, dental calculus, shallow and deep periodontal pocket. As latent variables created from the periodontal condition were Periodontal disease, Periodontal disease sequel and Deep periodontal pocket. There was a significant relationship (p <0.05) between functional capacity and periodontal impact factors and Deep periodontal pocket. The worsening of the Deep periodontal pocket factor was associated with variables institutionalization, diabetes and cognitive ability. It was concluded that in relation to periodontal diagnosis, the majority of the elderly have a higher prevalence of periodontics in recent groups and granules, as well as the elderly who were not institutionalized, non-diabetic and oriented are related to the worst Deep periodontal pocket. 

11
  • JONIA CYBELE SANTOS LIMA
  • PROFESSIONAL TRAINING FOR THE UNIFIED HEALTH SYSTEM AND PERCEPTIONS ON PUBLIC HEALTH CONTENTS

  • Líder : LUIZ ROBERTO AUGUSTO NORO
  • MIEMBROS DE LA BANCA :
  • DANIELA LEMOS CARCERERI
  • ELIANA COSTA GUERRA
  • JANETE LIMA DE CASTRO
  • LUIZ ROBERTO AUGUSTO NORO
  • TALITHA RODRIGUES RIBEIRO FERNANDES PESSOA
  • Data: 18-nov-2019


  • Resumen Espectáculo
  • Most health courses, guided by the National Curriculum Guidelines (DCN), have sought to privilege the Unified Health System (SUS) as the preferred setting for academic education. This perspective has been emphasized in the pedagogical projects of these courses and in the incorporation of teachers with collective health education seeking to approach this logic. The objectives of the present study were to define essential elements to be addressed for SUS-oriented education, to identify students' views on the impact of these elements on their academic education and their possible insertion in the SUS, and to analyze the perception of teachers of Brazilian dentistry courses on the possible advances already achieved in the academic education for SUS. It is a research composed of three phases. In the first phase, an evaluability study was conducted to validate the matrix of criteria with an approach to the fundamental elements to the academic education processes, enabling health professionals to work in the SUS. The matrix was characterized as a tool for knowledge integration, starting from the premise that by taking the essential competences to the formation in SUS, the formative process can be problematized by all actors involved. In the second phase, the validated matrix was applied to graduating students of health courses at UFRN, characterized as a case study with quantitative, cross-sectional and exploratory approach. Among the findings of the study, there was a significant number of students who reported wishing to work in the SUS, which is a positive point when considering the constant disputes between the public and private sector to attract professionals. With the participation of 119 teachers of dentistry courses from various Brazilian Higher Education Institutions, the third phase of the study was conducted. Participants responded to the validated criteria matrix, and exploratory factor analysis was performed for data analysis, which defined five factors responsible for the formation of SUS: Primary Care; Social Responsibility and Teamwork; Health Management; Information Systems and Continuing Education / Humanization. The clear signaling of the main advances indicated by the professors of dentistry courses, participants of this study, is configured as an essential aspect for understanding the education focused on the SUS. The following stand out as progress: the planning of activities and the development of actions in Primary Care; the learning scenarios that run through diverse knowledge which encompass the contents of teamwork; knowledge of SUS principles and guidelines; the Primary Care information system that brings mastery and knowledge based on valuing health analysis; the perception of social groups, knowledge of language and the reality of the community; the process of territorialization of the area of action of the team, considering the social, economic, demographic and epidemiological characteristics of the territory and turning to the applicability of the provisions of the National Humanization Policy. However, there are challenges posed by teachers that require a deepening in order to face the barriers still posed by traditional health education.

12
  • ADALA NAYANA DE SOUSA MATA
  • TECHNOLOGIES FOR IMPROVING QUALITY OF COMMUNICATION SKILLS IN PRIMARY HEALTH CARE

  • Líder : GRASIELA PIUVEZAM
  • MIEMBROS DE LA BANCA :
  • SUELY GROSSEMAN
  • GILBERTO MARTINS SANTOS
  • GRASIELA PIUVEZAM
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • TATYANA MARIA SILVA DE SOUZA ROSENDO
  • Data: 06-dic-2019


  • Resumen Espectáculo
  • Communication skills used as an important tool for patient-centered health systems and services. An effective professional-patient relationship should consider the patient's needs, placing them as an active subject in the decision-making process of their healthcare. Improved care can be stimulated through assessment and training in communication skills that enable behavioral changes in clinical practice. This study aims to develop technologies to improve communication skills of primary health care professionals. It is structured in a two-phase methodological model. Phase 1 includes the Systematic Review study and the process of cross-cultural adaptation and validation, and phase 2, the construction of the training protocol. The implementation of the Systematic Review was designed to provide scientific information on effective communication skills training to improve the self-efficacy of health professionals. We included 5 clinical studies investigating the effectiveness of communication skills training by searching 8 databases, extracting information on time, content and assessment methods employed. The quality of the studies was assessed by Risk of Bias by RevMan software. The review pointed out that the programs include content related to the basic concepts of communication, contextualized to the context in which professionals are inserted, and patient-centered. They use student-centered learning strategies such as videos and role play, pointing to improved communication skills after the intervention. the process of cross-cultural adaptation and validation of the Self-Efficacy Questionnaire (SE-12) was performed using standard methodology, through the following steps: conceptual and item equivalence, semantic equivalence (translations, retranslations, formal appraisal, discussion and synthesis, and pretest), operational and idiomatic equivalence, and measurement equivalence through Cronbach's Alpha (α) internal consistency analysis and exploratory factor analysis. A viable instrument was produced for the Brazilian context, which after some adjustments was considered valid, presenting high internal consistency (α = 0.946), and factor analysis indicating a single dominant factor in SE-12, with high correlation between items. Phase 2 is the construction of a communication skills training program for health professionals, consisting of 2 content modules, which should address basic concepts and specific themes of communication through active learning methodologies. The program should be implemented through 3 meetings in each module, with follow-up at 12 months. The evaluation of the participants should take place in six moments, through the Self-efficacy Questionnaire (SEbr-12) and the Jefferson Empathy Scale. The systematization of scientific evidence, the construction of an accurate and useful measure to assess the self-efficacy of communication of health professionals, and the proposal of a communication skills intervention program can instrument the improvement processes that focus on focused care. to the patient.

2018
Disertaciones
1
  • ARETHA HEITOR VERISSIMO
  • EFFECT OF DIFFERENT REPAIR STRATEGIES ON THE BOND STRENGTH TO COMPOSITE RESIN AND CELL VIABILITY OF NEW CAD/CAM BLOCKS: IN SITU STUDY


  • Líder : RODRIGO OTHAVIO DE ASSUNCAO E SOUZA
  • MIEMBROS DE LA BANCA :
  • PATRICIA DOS SANTOS CALDERON
  • RENATA MARQUES DE MELO
  • RODRIGO OTHAVIO DE ASSUNCAO E SOUZA
  • Data: 20-mar-2018


  • Resumen Espectáculo
  • Introduction: New CAD/CAM blocks of resin, hybrid and ceramic restorative materials have been recently developed. However, the literature does not yet have a repair protocol for these materials against a cohesive fracture of the restorative material. Purpose: To determine the influence of surface treatment (diamond burs, abrasive jet Al2O3, COJET, and hydrofluoric acid) and in situ aging on CAD/CAM shear bond strength (Lava Ultimate / 3M, Vita Enamic / VITA and VITA Suprinity / VITA) to the composite resin. Methodology: 300 blocks (6 x 5 x 2.5mm) were made, with 100 of each restorative material. Fifty samples of each restorative material were embedded in total dentures in use, and after a period of 60 days (aging in situ), the 150 aged and 150 no aged samples were randomly divided (N = 30 / n = 10) according to treatment done: Diamond burs + Single Bond Universal (SUB), Diamond burs + silane + conventional adhesive; Hydrofluoric acid 10% + silane + conventional adhesive; COJET + silane + conventional adhesive; abrasive jet aluminum oxide Al2O2 + silane + conventional adhesive. Then, Z350 (3M ESPE) composite resin cylinders (Æ: 2.37mm, height: 2mm) were built on the cementation surface of the blocks. Subsequently, the 300 specimens were then thermocycled (10,000 cycles, 50 / 550C) and then the shear test (50KgF, 0.5mm/min). After fracture, the failure analysis was performed in stereomicroscope (20X). Additional samples were made from each restorative material for further analysis: Vickers microhardness (10 units each); analysis of cell viability (10 units each); scanning electron microscopy (SEM) analysis of surface treatments (10 units each). And in two samples of each block by surface treatment were carried out the analyzes of EDS and XRD for characterization of the materials. The data of shear strength (MPa), cell viability (UFC/mL) and microhardness (HV) were analyzed statistically by ANOVA (2 factors) for the first two (1 factor) for the latter and Tukey's test (5%). Results: For the LU, the highest bond strength was observed in the group Diamond burs + Universal Single Bond (SUB) aged (14.67Mpa), for the VE the aged HF group (17.10Mpa) had higher union strength, for VS the HF group without aging (14.27Mpa) presented higher bond strength. Adhesive failure presented a higher prevalence in all types of CAD / CAM block. The Vita Suprinity (734.31HV) exhibited the highest hardness of Vikers and the Lava Ultimate (137.34HV) the lowest statistically relevant. Cell viability demonstrated no difference between fungal adhesion between the three materials. Regarding the analysis of the treated surfaces (SEM), it was observed that the blasting showed a greater change in the surfaces of the materials; the EDS analysis showed that surface sandblasting with Al2O3 and COJET showed the deposition of aluminum in the composition of all materials. Conclusion: The bond strength of the materials was altered by in situ aging. The zirconium-reinforced glass ceramic has a higher hardness, surface treatments promote surface changes of topography as composition in the materials tested.

2
  • ANA EDIMILDA AMADOR
  • The youth lost in Brazil: socioeconomic and spatial inequalities in youth mortality due to violence.

  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • GRASIELA PIUVEZAM
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • MARTA ROVERY DE SOUZA
  • Data: 03-may-2018


  • Resumen Espectáculo
  • The objective of this study was to analyze the inequalities in spatial distribution of mortality among young people aged 15 to 29 years due to violent causes in Brazil. This is an ecological study in the 482 in the Immediate Regions of Urban Articulation (RIAU) of Brazil. The spatial distribution of violent deaths, intensity and significance were assessed using the Global and Local Moran index, their correlation with socioeconomic variables, and the Years of Life Lost (YLL) indicator for the period from 2001 to 2015 for five years. There were 425,180 deaths of young people due to violence in Brazil. Deaths were obtained in a secondary way from the Mortality Information System and the socioeconomic indicators of UNDP. The RIAUs that presented the highest Standardized Mortality Rates from 2001 to 2005 were: Foz do Iguaçu (48.45 deaths/ 100 thousand young people), Recife (42.26 deaths/ 100 thousand young people) and Vitória (37.18 deaths / 100 thousand young people); from 2006 to 2010: Foz do Iguaçu (48.12 deaths/ 100 thousand young people), Maceió (43.95 deaths/ 100 thousand young people) and Porto Seguro (40.40 deaths/ 100 thousand young people). From 2011 to 2015: São Miguel dos Campos - AL (53.29 deaths/ 100 thousand young people), Porto Seguro - BA (48.74 deaths/ 100 thousand young people) and Maceió - AL (45.13 deaths/ 100 thousand young people). The Moran Global test pointed to a pattern of spatial dependence in the distribution of rates for the North, Northeast and Southeast regions. These deaths resulted in a loss of YLL of 6,435,042.5 years in the first period, 6,494,960 years in the second and 7,216,005 in the third. The mean age of death is at 22 years of age, resulting in a mean PWL / death of 47 years. The ratio of YLL to sex ratio was 15.09 from 2001 to 2005 and from 15.22 from 2011 to 2015. Male overmortality is observed for all quinquennia, as well as for the black population, compared to the white population. The bivariate analysis showed that, among the 9 selected socioeconomic indicators, all correlated significantly with the RIAU Standardized Mortality Rate (p<0.05). It is concluded that violence mortality is unevenly distributed in the immediate regions, forming clusters in the north, northeast and southeast of the country. Although with a weak correlation with the socioeconomic factors, there was an unequal distribution in the territory, as well as differentials of YLL by sex and race / color.

3
  • DANYLLO DO NASCIMENTO SILVA JUNIOR
  • QUALITY OF HOSPITAL CARE IN RIO GRANDE DO NORTE: EVALUATION OF USERS AND COMPANIONS

  • Líder : LUIZ ROBERTO AUGUSTO NORO
  • MIEMBROS DE LA BANCA :
  • ELLANY GURGEL COSME DO NASCIMENTO
  • LUIZ ROBERTO AUGUSTO NORO
  • SEVERINA ALICE DA COSTA UCHOA
  • Data: 12-jun-2018


  • Resumen Espectáculo
  • The evaluation in the health area has gained more and more space in the national and international scenario, quality being one of the strategic elements on which the transformation and improvement of modern health systems is based. This research had the general objective of analyzing the perceptions of users and companions about the quality of hospital care in Rio Grande do Norte. To that end, the methodological course was guided by the following steps: (a) an integrative review was carried out, aiming to identify national and international perspectives related to the quality evaluation of hospital care; (b) a sectional study with the objective of identifying relationships among socio-demographic variables of users who answered the SUS Charter with characteristics of the hospital and outpatient services of the Unified Health System (SUS); (c) an analytical cross-sectional study to evaluate the SUS users' satisfaction regarding hospital and outpatient care, with reference to the physical structure, the health team's attendance and the quality of the treatment received; and (d) a qualitative study aimed at capturing and evaluating the perception of users and caregivers of public hospitals and contracted to SUS in Rio Grande do Norte. The results evidenced that most of the studies produced in Brazil and in the world about the subject had the user as a public, as well as American origin and quantitative approach. Of the total SUS SUS respondents, 62.3% were women, 62.4% were over 40 years old, 56.8% were in services in the interior, 70.3% in public services, the majority of the visits (68.7%) characterized as of medium complexity. The overall level of user satisfaction with services was above 80% in almost all regions of the state. The results also showed that there was no difference in the evaluation of services when compared to men and women; people over 60 tend to better evaluate health services; in all aspects the high complexity and services of the capital had better results (p≤0.001) and users evaluated more positively the service rendered by the private units agreed to the SUS than the public establishments. Regarding the qualitative findings, it was noticed that users and companions presented variations when comparing the types of hospitals, with fewer complaints to a university hospital before a state hospital of reference. It was also noticed that issues involving structural and material resources tend to have a greater negative impact on the perception of users. In general, this research revealed that the users were satisfied with the health services, however, peculiar aspects as indicated in the results of this study collaborate for the change in satisfaction level and reveal deficiencies in fundamental aspects for the guarantee of the organizational arrangements and the integrality of the care, essential to the process of realizing SUS.

4
  • RODOLFO XAVIER DE SOUSA LIMA

  • Physical and biological properties of experimental self-etching adhesive systems

  • Líder : BONIEK CASTILLO DUTRA BORGES
  • MIEMBROS DE LA BANCA :
  • BONIEK CASTILLO DUTRA BORGES
  • ISAUREMI VIEIRA DE ASSUNCAO
  • PEDRO HENRIQUE SETTE DE SOUZA
  • Data: 25-jun-2018


  • Resumen Espectáculo
  • Objective: To evaluate the Residual Monomer Release (RMR), Flexural Strength (FS), 
    elastic modulus (EM) and cytotoxicity of GDMA-P-based experimental adhesives (EA). Methodology: EA 
    were divided into 9 groups according to the following parameters: a) monomeric %mass 
    of GDMA-P/HEMA/UDMA (10/30/30, 20/30/20 and 30/30/10); mol% of photoinitiators 
    CQ/BAPO/EDMAB/DH (1.0/0.0/1.0/0.2, 0.0/1.0/0.0/0.2; 0.5/0.5/1.0/0.2). For cytotoxicity, NIH-3T3 
    cells and the MTT Assay and Alamar Blue (n = 8) assays were used. For FS and EM, the method described 
    in ISO 4049 (n = 7) was followed. To assess RMR, 54 third molars were used to obtain a flat area of dentin 
    (n = 6), which received the adhesive systems and the MRL was read in a high performance liquid chromatography 
    apparatus after 24 hours. Statistical analysis was performed with two-way ANOVA and Tukey post-hoc test 
    (p<0.05). Results: for Alamar Blue, there was no difference among the 10%, 20% and 30% concentrations. 
    Among the photoinitiators, CQ and BAPO alone presented better values for 30% and CQ + BAPO for the 20% 
    concentration. For MTT Assay, there was no difference among photoinitiators and % of GDMA-P. For RMR, for 
    the same photoinitiators and different concentrations of GDMA-P, the 10% concentration released more HEMA. 
    For the different concentrations of GDMA-P and the same photoinitiators, the groups containing CQ released more 
    HEMA. For UDMA, among the groups of photoinitiators, only CQ presented differences, being the percentage of 
    10% of GDMA-P that most released UDMA monomers. For the three concentrations of GDMA-P, CQ released more 
    UDMA monomers. For the release of GDMA-P, among the same photoinitiators, the concentration of 10% provided 
    greater release of monomers to the groups containing CQ. Among the same concentrations and different 
    photoinitiators, CQ provided greater release of GDMA-P to 10% and 30%. For the 20% concentration, BAPO 
    allowed the highest release. For FS, 10% of GDMA-P presented differences between the photoinitiators, being the 
    BAPO group the highest FS. The BAPO + CQ mixture allowed a higher FS value for the 20% and 30% 
    concentrations. For EM, 30% GDMA-P was the only one to present significant difference, being the BAPO + CQ 
    group the highest value. Conclusions: 20% and 30% concentrations of GDMA-P associated with the BAPO + CQ 
    photoinitiator group may provide better results for the properties tested.
5
  • ANA MARGARIDA DOS SANTOS MELO
  • Use of dual-cured adhesive systems and its impact on degree of conversion in situ, marginal adaptation, bond strength and nanoleakage of composites in dentin cavities

  • Líder : ISAUREMI VIEIRA DE ASSUNCAO
  • MIEMBROS DE LA BANCA :
  • ADRIANA DA FONTE PORTO CARREIRO
  • EMANUELLE DAYANA VIEIRA DANTAS
  • ISAUREMI VIEIRA DE ASSUNCAO
  • Data: 27-jun-2018


  • Resumen Espectáculo
  • The proper polymerization of adhesive system influences the mechanical properties and longevity of restoration. The effect of irradiance on the adhesive layer in deep cavities is still unknown, in which dual-cure adhesives may be a viable alternative. Objective: To evaluate the influence of the use of dual-cured adhesive systems cured in different ways on the degree of conversion on hybrid layer (GC), marginal adaptation (AM), bond strength (RU), failure pattern (PF) and nanoleakage (NN) of adhesive interfaces of restorations with composite resin in dentin cavities. Methods: High C-factor dentin cavities were prepared on 120 bovine incisors with maxicut burs in custom-made preparation, creating cavities with 4 mm of depth, which were then restored with the composites Filtek Z250 XT [XT], Filtek Bulk Fill [FB] and Filtek Bulk Fill Flow [FF] with the adhesives Single Bond Universal [SB], Adper Scotchbond Multiuso Plus cured [MPa] and the last one without photo-activation [MPd]. The GC analysis was performed in micro Raman, the AM with Caries Detector product and software Image J, the RU in a universal testing machine, the PF by eteroscopic magnifying glass and the NN in Scanning Electron Microscopy (MEV). GC, AM and RU data were analyzed by two-way analysis of variance and Tukey tests (p<0.05).  The other tests were qualitatively analyzed through descriptive statistics. Results: GC, unlike AM, did not change due to the region analyzed. In addition, MPf obtained the best performance for the GC and the worst for the AM and intermediate for the RU, while the MPd had balanced results for GC and AM and excellent performance in the RU. The predominant PF was adhesive failure. All the adhesive strategies used presented nanoinfiltration. Conclusions: The strategy without immediate photoactivation had balanced results, evidencing the value of this adhesive strategy to establish good physical properties to the final restoration.

6
  • ANA PATRICIA DE QUEIROZ MEDEIROS DANTAS
  • Prevalence of antipsychotics in the Nursing homes in the city of Natal / RN.
  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • GRASIELA PIUVEZAM
  • LUCIANA BRANCO DA MOTTA
  • MARIA ANGELA FERNANDES FERREIRA
  • Data: 29-jun-2018


  • Resumen Espectáculo
  • Aim: To identify the prevalence of the use of antipsychotics in elderly in Nursing Homes in the city of Natal-RN. Methodology: A cross-sectional study based on data from the project "Human Aging and Health: the reality of the institutionalized elderly in the city of Natal / RN", which occurred between October to December 2013 in 10 Nursing Homes of the city of Natal. The sample consisted of 320 residents of Nursing Homes who were 60 years or older who consented to participate in the study. For the identification of factors associated with antipsychotic prescription, bivariate analysis was used using the chi-square test and Poisson regression in which the dependent variable was the number of prescribed antipsychotics. Independent variables included age, gender, type of Nursing Homes (for-profit and non-profit), mental disorder, depressive symptoms, polypharmacy, cognitive impairment, functional capacity and morbidities. A multivariate analysis was performed from the Poisson Regression model with robust variance. Results: The prevalence of antipsychotic use among the elderly was 50% (n = 160). In the for-profit institutions, 65.5% (n = 76) of the elderly used at least 1 antipsychotic, whereas in non-profit Nursing Homes, the prevalence was 40.9% (n = 83). Multiple analysis showed that the age of 60 to 79 years (PR = 1.39), had moderate to severe cognitive impairment (PR = 1.78), had a mental disorder (PR = 2.07), had polypharmacy PR = 1.30), being in For-Profit Institutions (PR = 1.51), presented statistical association (p <0.05), to the greater use of antipsychotics in the elderly in the Natal’s Nursing Homes. Conclusion: A high prevalence of antipsychotic use was observed in Nursing Homes in the city of Natal and due to the possible negative outcomes that this may generate, other measures that result in decrease of the prescription of these medications should be evaluated.

7
  • AMANDA FELIX GONÇALVES TOMAZ
  •  

    Confiabilidade da análise morfológica da telerradiografia em norma lateral na determinação da tendência de crescimento craniofacial de pacientes na dentadura mista

  • Líder : PATRICIA TEIXEIRA DE OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • PATRICIA TEIXEIRA DE OLIVEIRA
  • SERGEI GODEIRO FERNANDES RABELO CALDAS
  • PATRICIA BITTENCOURT DUTRA DOS SANTOS
  • Data: 04-jul-2018


  • Resumen Espectáculo
  • Introduction: The determination of the craniofacial growth tendency has a fundamental importance in Orthodontics, since it is directly related to the prognosis of the case and guides the orthodontist in the selection of an individualized orthodonticTo mechanic. Purpouse: To evaluate the level of orthodontists concordance in morphological analysis of the lateral radiographs to determinate the craniofacial growth tendency in mixed dentition patients. Materials: A researcher selected 3 digital lateral radiographs of children between age of 7-11 years in the mixed denture phase, diagnosed with Class I Angle dental and skeletal function. Each radiographs represented a craniofacial gowth tendency (vertical, balanced and horizontal) which was confirmed cephalometrically through manual tracing of the cephalogram on ultraphan paper measurements of SN.GoGn and FMA angles and the Vert index. A form was developed on the Google Forms® platform, which was aswered by orthodontists randomly divided in 3 study groups, according to the time of orthodontic training: Group 1 (G1) consisting of orthodontists trained for up 1 year, Group 2 (G2) composed of orthodontists graduated for more than 1 and up to 5 years, and Group 3 (G3) composed of orthodontists trained for more than 5 years ago. The cephalograms were cut in the regions of mandibular head, mandibular ramus, gonial angle, mandibular plane, mandibular bevel, mandibular symphysis, occlusal plane and interincisal angle using the Adobe Photoshop CS6® software. The images obtained from the clippings, as well as the complete cephalometric radiographs, were ramdomly distributed throughout the questionnaire so the orthodontists did not know which cut belonged to each cephalometric radiograph. The orthodontists should define the craniofacial growth tendency that the images suggested. Results: Orthodontists demonstrated a low level of concordance for the mandibular head in the horizontal growth tendency and a almost perfect concordance for the gonial angle e the mandibular plane in the vertical growth tendency, for the mandibular bevel and for the mandibular plane in the horizontal growth tendency, and when all the anatomical structures were analysed concomitantly in the complete cephalograms. There were no significant differences in the morphologival analysis performed by the studied groups. Orhodontists demonstrated similar levels of difficulty or ease to morphologically analyse the interincisal angle, mandibular ramus and the complete radiographs in the 3 growth tendencys. Conclusion: Orthodontists demonstrated different levels of concordance in the morphological analysis of lateral cephalometric radiography, depending on the anatomical structure and the craniofacial growth tendency analyzed. Additionally, the time of graduation as a specialist did not influence the ability to determine the craniofacial growth tendency from the observation of lateral radiographs.

8
  • ARYELLY DAYANE DA SILVA NUNES ARAÚJO
  • PREVALENCE OF HEARING DISABILITY AND ASSOCIATED FACTORS IN SCHOOLS IN NATAL/RN.

  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • ADRIANA BENDER MOREIRA DE LACERDA
  • Data: 04-jul-2018


  • Resumen Espectáculo
  • Introduction: Hearing is fundamental for the development of language and learning, social interaction, acquisition of knowledge and makes it possible for the individual to transmit thoughts and feelings. Early prevention, identification and intervention of auditory changes are essential because of their relevance to language and learning aspects and to reduce costs with the consequences of hearing impairment. Objective: to analyze the prevalence of hearing impairment in schoolchildren in the city of Natal / RN and its associated factors. Methodology: This is a cross-sectional study that analyzed 238 primary school children and adolescents, enrolled in public schools in the city of Natal-RN, evaluated by meatoscopy, audiometric screening with a Telehealth Audiometer and self-rated hearing loss and earache evaluation. The bivariate analysis was used to identify factors associated with hearing loss using the Chi-square, Fisher's Exact and Prevalence Ratio tests, considering a significance of 5%. Data were analyzed in SPSS 23. Results: the prevalence of hearing loss was 16% (11.7% -21.4%); 20% reported ear pain and 26.1% presented altered meatoscopy. About 90% of the participants belonged to the economic class C-D-E; the mean age of participants was 10.76 years. The prevalence of hearing loss was higher among schoolchildren who reported hearing difficulties and earache, among children aged 6 to 12 years and type of airway infections (p <0.05). Airway infection (PR = 3.37 CI 95% 1.48-7.68) was found as a risk factor associated with hearing loss. Conclusions: the prevalence of hearing loss in schoolchildren in the city of Natal is above that reported in other studies conducted in Brazil for this age group, which shows the need for fonoaudiologic care, in order to systematize actions of hearing health promotion for this population in the city of Natal-RN.

9
  • DAYANE CAROLINY PEREIRA JUSTINO
  • EVALUATION OF MORBIDITY AND CHILD MORTALITY FROM 2000 TO 2015 IN BRAZIL

  • Líder : FABIA BARBOSA DE ANDRADE
  • MIEMBROS DE LA BANCA :
  • FABIA BARBOSA DE ANDRADE
  • FLAVIA CHRISTIANE DE AZEVEDO MACHADO
  • CRISTINA KATYA TORRES TEIXEIRA MENDES
  • Data: 05-jul-2018


  • Resumen Espectáculo
  • The year was to have a higher health care in the age of children, have been found in the age of behavior the age of behavior in the Primary Health Care. Among the factors that contribute to the reduction of values and, consequently, the improvement of health and health, fertility level, mothers' schooling and environmental conditions, and the quality of health care can be evaluated by mortality preventable causes. Thus, an idea for the situation of Brazil arose. The present study aimed to analyze the distribution of infant morbidity and mortality in the period from 2000 to 2015 in Brazil. It is an ecological study of temporal trend with spatial relationship, using the DATASUS data, through the Hospital Information System and the Mortality Information System, from 2000 to 2015. admissions and deaths in minors of one year, and as independent, causes of illness, Human Development Index, income, schooling and coverage of basic care. Statistical Parameters for the Statistical Study of the Social Sciences by means of the standard test, standard deviation, Student's ttest and chi-square, using the 95% Confidence Interval and Spatial Analysis of TerraView and GeoDa. When evaluated, the Mortality rate was seen decreasing on average between the first (100.87), the second five years (82.42) and the third of 83.25. It was observed a high rate of infant mortality in the North and Northeast regions. When correlated with cluster systems, in the Northeast, Central-West, Southeast and South regions. When evaluated, the hospital admission rate is that between the first (66.89) and the second (53.38) is less than that the average (56.79) quinquennium. The major causes of infant mortality were: some conditions originating in the perinatal period (57.3%), congenital malformations, deformities and chromosomal abnormalities, some infectious and parasitic diseases (6.1%), symptoms, signs and findings, abnormal examinations (5.9%) and Diseases of the respiratory system (5.8%). The main causes of hospitalization were respiratory diseases (33.7%), Some conditions originating in the perinatal period (31.9%), Some infectious and parasitic diseases (17.1%), Diseases of the digestive system (3.5%) and Endocrine, nutritional and metabolic diseases (2.1%). The correlations with the support of the Basic Consultation and Child Care Consultations were clusters in the Midwest, South and Southeast regions. Independent of the health-disease process in common areas. More attention and specific planning to modify the reality of the data presented here is advisable.

10
  • MONIQUE DA SILVA LOPES
  • EVALUATION OF MORBIDITY AND MORTALITY FROM CHRONIC DISEASES: A STUDY FOCUSED ON PMAQ-AB

     

  • Líder : FABIA BARBOSA DE ANDRADE
  • MIEMBROS DE LA BANCA :
  • ARDIGLEUSA ALVES COELHO
  • FABIA BARBOSA DE ANDRADE
  • FLAVIA CHRISTIANE DE AZEVEDO MACHADO
  • Data: 05-jul-2018


  • Resumen Espectáculo
  • Chronic diseases represent a problem of great magnitude and are the main cause of death today. It is pertinent to highlight that Systemic Arterial Hypertension and Diabetes Mellitus are among the main causes of morbidity and mortality due to these diseases. The objective of this study is to evaluate the indicators of morbidity and mortality in the Northeast of Brazil from Chronic Non-communicable Diseases - specifically Systemic Hypertension and Diabetes Mellitus, considering actions recommended by the Ministry of Health based on the External Evaluation of Program for Improving Access and Quality of Primary Care. This is a retrospective study, whose data were obtained in secondary banks, on actions developed by the Primary Care teams for chronic diseases and obtained in the Portal of the Department of Basic Attention of the Ministry of Health regarding the External Evaluation in cycles 1 and 2 of that program. The data for calculations referring to mortality and morbidity rates were obtained from the Health Information Systems on Mortality and Hospitals, respectively, through the Information System of the Unified Health System. The results showed that 5,549 teams of Basic Care, of the Northeast Region, participated in the improvement program in cycle 1 and, in cycle 2, this number was 10,678. The nurse was the professional who most answered the interview. Most of the teams said to program actions for hypertension, being 90% in cycle 1 and 96.6% in cycle 2. For diabetes were 90.1% and 96.1%. It is expressive the number of teams that referred to request specific tests, to have registered users and to schedule the actions from the stratification of cases for Hypertension and diabetes. The correlation between the morbimortality rates for both diseases presented a heterogeneous distribution and the concentration of these rates even in places with high coverage of Primary Care. The spatial analysis presented a poor autocorrelation for the rates but presented statistical significance (p<0.05) in the majority. On the spatial correlation with the coverage of Basic Attention in some analyzed places, it was possible to observe a significance of  95%. The study concludes that a significant number of Primary Care teams participated in the Basic Attention Improvement program in the Northeast Region. These presented positive answers for most of the questions about the management of hypertension and diabetes. Despite a high coverage of Basic Care and a poor correlation presented, morbidity and mortality indicators were unevenly distributed in the territory of the delimited Region, which reveals a need for state analysis.

11
  • JONATAS PEREIRA DE LIMA
  • EFFECTIVENESS OF A HEALTH EDUCATION PROGRAM IN STUDENTS 
  • Líder : GRASIELA PIUVEZAM
  • MIEMBROS DE LA BANCA :
  • GRASIELA PIUVEZAM
  • MARIA ANGELA FERNANDES FERREIRA
  • MARIA DE FÁTIMA CAMAROTTI
  • Data: 16-jul-2018


  • Resumen Espectáculo
  • The helminthiases are diseases that have as main targets the children of school age, especially in the age group between 3 and 12 years. This fact is justified by the lack of information related to personal hygiene measures and the greater contact of these subjects with risk environments. The process of health education is considered an important tool to control and prevent these. The objective of this study was to evaluate the effectiveness of a school health education program aimed at the prevention of helminth diseases at two moments, one month and one year after the implemented health education practices. This is a research with epidemiological design of intervention of the type prophylactic clinical trial. The study was carried out at the Sesquicentennial Teaching-Learning Experimental State Center (CEEEA Sesqui.), And included in the data collection children aged 10 to 14 years, enrolled in the 6th and 7th year of Elementary School II. The methodological procedures developed in the project include the following steps: Baseline, Educational intervention for teaching and sensitization of helminthiases, Post-test T1 performed one month after the intervention and Post-test T2 performed one year after project completion and Test application with Group control. Preliminary results indicate that after the application of the intervention the number of hits related to the transmission of the diseases were: Ascaridiasis (86.7%), Enterobiosis (86.7%), Schistosomiasis (89.6%), Ancylostomiasis ) and teniasis (84.4%). One year after the educational intervention, the results remained positive Ascaridiasis (77.8%), Enterobiosis (72.7%), Schistosomiasis (80.7%), Ancylostomiasis (74.1%) and Teniasis (83%). Thus, the results indicate that the proposed intervention model was effective one month later and remained one year after the intervention, so that the methodology used can be recommended for interventions in health education for schoolchildren in this age group.

12
  • TACIANA EMÍLIA LEITE VILA- NOVA
  • Effect of low temperature degradation, finishing and polishing regimes on the flexural strength, surface topography and phase transformation of monolithic zirconias.

  • Líder : RODRIGO OTHAVIO DE ASSUNCAO E SOUZA
  • MIEMBROS DE LA BANCA :
  • LILIANA GRESSLER MAY
  • PATRICIA DOS SANTOS CALDERON
  • RODRIGO OTHAVIO DE ASSUNCAO E SOUZA
  • Data: 17-jul-2018


  • Resumen Espectáculo
  • Monolithic zirconia restorations may require adjustments to their structure prior to cementation. Several methods of finishing and polishing are suggested in the literature, however they may promote changes in the surface characteristics of the zirconia, which may affect the mechanical strength of the material in the long term. The aim of this study was to investigate in vitro the effect of degradation at low temperatures and different finishing and polishing regimes on the flexural strength and surface topography of two types of zirconia. Methods: 300 zirconia bars (zirkon ice translucent / Conventional and Prettau Anterior / Ultratranluzent, Zirkonzahn, Gais, Italy) were made in sizes 1,9-1,3x 2,5x10mm, sanded and sintered, presenting final dimensions of 1,5 -1 x 2 x 8mm. The bars were divided into 20 groups (n = 15) according to three factors "type of ceramic - 2 levels", "Degradation" - (with: autoclave at 127 ° C, 1,7 bar / 24h; "Polishing" - (C- Control, B- Polishing, P- grinding with burs, PB- grinding with burs + polishing, PG- burs + glaze). The bars were submitted to the miniflexural test (3 points). Two samples from each group were prepared for the topographic analyzes in SEM. Data were analyzed statistically by means of ANOVA (3 factors) and Tukey (5%). Results: ANOVA revealed that the factors "Degradation" (p=0.01, 1007.4 MPaA> 919.1MPaB), "Polishing" (p=0.0000, 1183.4MPaA >1066.4MPaB > 1012.4MPaBC> 933.2MPaC > 620.9MPaD) and "Zirconia" (p = 0.0000; 1398.4 MPaA> 528.1 MPaB) were statistically significant. The ZPBD (1670.2 ± 252.7)A, ZBD (1663.5 ± 216.8)A and ZB (1654.7 ± 367.7A) groups had the highest mean flexural strength. The groups of the ultratranslucent zirconia had lower averages of flexural strength, standing out the group UTPG (372.1 ± 56.2) G, which obtained the lowest one among the others (Tukey).

13
  • MICAELLA POLLYANA SILVA DO NASCIMENTO DA COSTA
  • INFLUENCE OF THE THERAPIES PLATE, ADVICE AND MANUAL THERAPY ON SLEEP, PAIN AND DEPRESSION IN PATIENTS WITH DTM. RANDOMIZED CLINICAL TEST.

  • Líder : ERIKA OLIVEIRA DE ALMEIDA FREITAS
  • MIEMBROS DE LA BANCA :
  • ERIKA OLIVEIRA DE ALMEIDA FREITAS
  • EDUARDO JOSÉ GUERRA SEABRA
  • RENATA SILVA MELO FERNANDES
  • Data: 17-jul-2018


  • Resumen Espectáculo
  • TMDs are a major public health problem, they are the most commonly reported causes of chronic pain that interfere with daily activities. Biological and behavioral characteristics such as depression and sleep quality may play an important role in adapting to pain and patients recuperation. Aim: Analysis of  therapies,  splint, counseling and therapy manual on pain, depression and sleep in patients with temporomandibular disorders. Methods: 85 patients diagnosed with TMD through RDC / TMD (Diagnostic Criteria for Research in Temporomandibular Disorders) were included in this randomized clinical trial. They were randomly assigned to 4 different treatment groups: PO (n = 24), PAC (n = 24) TM (n = 19) and AC (n = 18). The patients were analyzed for the Visual Analogue Scale (VAS) to evaluate pain, Beck Depression Inventory (BDI) and Hospital Anxiety and Depression Scale (HADSd) to evaluate depression and the Pittsburgh Sleep Quality Index (PSQI) to evaluate sleep quality. The data were used in the Split Plot ANOVA test, in order to observe the difference between time and groups, with a confidence level of 95%. Results: all therapies were optimized, with reduction of pain (p = 0.000), decrease in depression scores BDI (p = 0.001) and also sleep by PSQI (p = 0.001) 0.005). Except for depression assessed by HADSd, it was not found over time (p = 0.106) and between groups (p = 0.890). Significant difference was not found between treatment groups in any of the variables during the study period. Conclusion: splint oclusal, splint oclusal with counseling, therapy manual, and therapeutic counseling, positive results regarding pain, depression and sleep in patients with TMD, without presenting differences of superiority between them.

14
  • ANA LOUISE OLIVEIRA DE CARVALHO
  •  EFFECT OF DIFFERENT CONSERVATIVE THERAPIES IN PAIN, QUALITY OF LIFE AND ANXIETY OF PATIENTS WITH TMD. RANDOMIZED CLINICAL TRIAL.

  • Líder : ERIKA OLIVEIRA DE ALMEIDA FREITAS
  • MIEMBROS DE LA BANCA :
  • ERIKA OLIVEIRA DE ALMEIDA FREITAS
  • EDUARDO JOSÉ GUERRA SEABRA
  • RENATA SILVA MELO FERNANDES
  • Data: 18-jul-2018


  • Resumen Espectáculo
  • Introduction: Temporomandibular dysfunction (TMD) is a condition that affects the chewing muscles, temporomandibular joint (TMJ), and associated structures. Such condition has high prevalence and implies in the biopsychosocial behavior of the individual, reflecting in damages the quality of life. Of multifactorial character, numerous options of therapy are available for the TMD, but without clear evidence of isolated effectiveness. Objective: The present study aims to evaluate the effectiveness of conservative therapies isolated for TMD, as well as their interference on quality of life, pain and anxiety in patients with dysfunction. Methods: A double-blind randomized clinical trial with TMD patients diagnosed by the Diagnostic Criteria for Temporomandibular Dysfunction (RDC / TMD) was performed. 85 patients were randomly assigned to four different groups: counseling (CA), manual therapy (TM), occlusal plaque (PO) and plaque associated with counseling (PO + AC) and evaluated without therapy and at 1 month and 3 months after therapy. The statistical test Slip Plot ANOVA with a confidence level of 95% was used. Results: all therapies were effective over time for the variables: pain (p = 0.000), oral health impact on quality of life (p = 0.000), general quality of life (p = 0.029) and physical p = 0.000), psychological (p = 0.006) and social p = 0.017) and anxiety through BAI, HADS and IDATE trait (p = 0.000, p = 0.000 and p = 0.002, respectively). Conclusions: conservative therapies (counseling, physical therapy, and plaque in association with counseling) were effective in improving pain symptomatology, anxiety and quality of life over time, but no therapy was superior to another.

15
  • DAVI NETO DE ARAÚJO SILVA
  • Effects of antimicrobial photodynamic therapy with chloro-aluminum phthalocyanine on clinical parameters and salivary levels of GSH and MDA in patients with chronic periodontitis
  • Líder : ANA RAFAELA LUZ DE AQUINO MARTINS
  • MIEMBROS DE LA BANCA :
  • ANA RAFAELA LUZ DE AQUINO MARTINS
  • EULER MACIEL DANTAS
  • LUCIANA BASTOS ALVES
  • Data: 19-jul-2018


  • Resumen Espectáculo
  • Antimicrobial photodynamic therapy (ADT) has been suggested as adjunctive therapy to basic periodontal scaling and coronal root straightening (RACR) therapy. In vitro and in vivo studies have demonstrated superior efficacy when PDA is performed with the photosensitizer chloro-aluminum phthalocyanine (AlClFc) in association with nanocarriers. Objective: To evaluate the efficacy of TFF with AlClFc in oral hygiene indexes, periodontal clinical parameters and salivary levels of oxidative stress markers (GHT) and malondialdehyde (MDA) in patients with chronic periodontitis. Methods: This randomized, double-blind, parallel, longitudinal, and prospective trial evaluated 22 patients in two groups: 14 in the test group (RACR + TFDA) and 8 in the control group (RACR only). Each patient had at least 2 diseased periodontal sites (PS≥5mm), totaling 63 periodontal sites, 40 sites belonging to patients in the test group, and 23 sites belonging to patients in the control group. The TFDA was applied once only after the completion of the RACR sessions. The oral hygiene indexes - visible plaque index [IPV], gingival bleeding index [ISG], and periodontal clinical parameters - probing bleeding [SS], probing depth [PS] and clinical insertion level [NIC] - were evaluated before treatment at T0, and after 3 months (T3) and 6 months (T6) times. Saliva samples were collected at each study time for GSH and MDA dosing. Data were statistically analyzed using non-parametric Wilcoxon and Mann-Whitney tests, with a significance level of 5% being pre-established. Results: The intragroup analysis showed that there was a statistically significant difference between the T0, T3 and T6 times with p <0.05 for the ISG, NIC and GSH variables only in the control group, but without detecting between the time pairs the difference. For PS, there was a significant decrease in the median in the test group between T0 (5.49) and T6 (4.33), with p1 = 0.008. In the control group there was also a significant difference between the three times, but it was not possible to identify among which there was this difference. For the other IPV, SS and MDA variables, there was no significant difference between the two groups. In the intergroup analysis, it was observed that there was a statistically significant reduction in the control group for the ISG in the T6 (p2 = 0.041) and the GSH in the test group in T3 (p2 = 0,031). For the other variables, there were no statistically significant differences between the two groups. Conclusion: TFAP with the adjuvant AlClFc photosensitizer to RACR did not bring additional benefits over periodontal clinical parameters after 6 months of treatment, but showed additional benefits over GSH after 03 months of treatment.

16
  • HELOÍSA HELENA GOMES LIMA

  • Inequality in spatial distribution of breast cancer mortality in Brazil.

  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • ANA CRISTINA PINHEIRO FERNANDES DE ARAUJO
  • GRÁCIA MARIA DE MIRANDA GONDIM
  • MARIA ANGELA FERNANDES FERREIRA
  • Data: 19-jul-2018


  • Resumen Espectáculo
  • Introduction: breast cancer is the type of neoplasia that has the highest incidence and the highest mortality rate in the female population worldwide. Affecting both developing and developed countries. Purpose: To evaluate the spatial distribution of mortality from breast cancer in the Intermediate Regions of Urban Articulation of Brazil from 1998 to 2015. Methodology: This is an ecological study carried out in Brazil through the 161 Regions of Urban Articulation that analyzed the deaths of women caused by breast cancer between the age of 50-69 years and its association with the ratio of screening mammography exams, population coverage estimated by the Primary Care teams, coverage of women with private health plans and the index of municipal human development (IDHM). It was calculated in terraView the global and Local Moran index for the mortality standardized rate (TMP) for breast cancer. In Geoda, the bivariate analyzes were performed between the mortality rate and the socioeconomic and service indicators; The local bivariate Index of Moran and representations by means of the Dispersion Diagram of Moran Bivariate and Lisa Cluster Map were calculated. Results: Breast cancer mortality rates in the period 1998-2006 ranged from 0.23 to 7.67 deaths per 100,000 inhabitants. (Moran index: 0.733, p-value: 0.01) with higher rates found in the South and Southeast regions; in the 2007/2015 period ranged from 0.23 to 8.73 / 100,000 inhabitants. (Moran index: 0.594, p-value: 0.01), the high rates were observed in the South, Southeast, Midwest and Northeast regions. In the bivariate analyzes, positive correlations were obtained between TMP for breast cancer and the ratio of mammographic examinations (I = 0.352), private health plan (I = 0.436) and IDHM (I = 0.733) and a negative correlation with the primary care (I = -0.116). Conclusions: Mortality from breast cancer has increased in the country over the years and the services and socio-economic indicators do not seem to contribute to a reduction of mortality, requiring reassessment and reformulation strategies that contribute to the reduction in mortality from breast cancer.

17
  • HAROLDO GURGEL MOTA FILHO
  • Effect of low level laser therapy on cell viability and oxidative stress of periodontal ligament stem cells

  • Líder : RUTHINEIA DIOGENES ALVES UCHOA LINS
  • MIEMBROS DE LA BANCA :
  • ANA RAFAELA LUZ DE AQUINO MARTINS
  • FERNANDO JOSE DE OLIVEIRA NOBREGA
  • RUTHINEIA DIOGENES ALVES UCHOA LINS
  • Data: 23-jul-2018


  • Resumen Espectáculo
  • Low level laser therapy (LLLT) is widely used in different areas of the regenerative medicine, especially for its beneficial effects on cellular metabolism. This study aims to evaluate the effects of LLLT on cell viability and oxidative stress of periodontal ligament stem cells (PDLSCs). PDLSCs will be isolated from the periodontal ligament extracted from human teeth. The cells will be characterized, through the differentiation in adipogenic and osteogenic culture media and also analysis of surface markers of stem cells in flow cytometry. After their isolation and characterization, the PDLSCs will be maintained under cell culture conditions, and divided into three groups: Group I (control); Group II (Laser 7.5 J / cm 2) and Group III (Laser 22.5 J / cm 2). The experiments were performed in quadruplicate and occurred in three time intervals (T0h, T24h and T48h). After the intervals, the experimental tests were done to evaluate the cellular parameters. For the cellular viability analysis, the Alamar Blue tests, the MTT assay, and the evaluation in flow cytometry of Annexin V and PI will be used. To evaluate the release of reactive oxygen species, the dosage of malonaldehyde will be used. Preliminary results showed that the cells scored positively for markers of mesenchymal stem cells. The MTT result showed that Group III had a lower absorbance in the range of T48h with statistical difference in relation to both Group I and in relation to Group II.

18
  • LIDYA NARA MARQUES DE ARAÚJO
  • EFFECT OF PERI-IMPLANT TISSUE CONDITIONING DURING SINGLE REHABILITATION WITH IMPLANT-RETAINED TEMPORARY CROWN IN ESTHETIC AREA.

  • Líder : BRUNO CESAR DE VASCONCELOS GURGEL
  • MIEMBROS DE LA BANCA :
  • BRUNO BRAGA BENATTI
  • BRUNO CESAR DE VASCONCELOS GURGEL
  • FERNANDO JOSE DE OLIVEIRA NOBREGA
  • Data: 26-jul-2018


  • Resumen Espectáculo
  • Aim: To analyze the behavior of peri-implant tissues during rehabilitation with   provisional crowns in superior esthetic region. Methods: This longitudinal observational study evaluated the periodontal condition of 16 patients rehabilitated with implant-supported provisional crowns in esthetic area using the parameters of Visible Plaque Index (VPI), Bleeding on probing (BoP) and Gingival Thickness (GT) of the adjacent teeth and the prosthetic space (PS) in T0 (before implant placement surgery), T1 (installation of provisional crown), and T2 (during soft tissue conditioning). The parameters: Probing Depth (PD), Transparency in Probe (TP), Height/Width of the interdental papilla (HP/WP), Height/Width of the provisional crown (HC / WC), and keratinized mucosa (KM) were performed on T1 and T2. The parameters of the implant-supported prosthesis were compared to the same aspects of adjacent teeth. Friedman and Wilcoxon tests were applied to analyze data from the follow-ups. The comparison between the rehabilitated region and the adjacent teeth were achieved using Wilcoxon test for paired sample. Both analyses showed significance level of 5%.  Results: The mean time of soft tissue conditioning was 40 days (mean of 2.6 sessions). There was an increase on the VPI between T0 (31.1%) and T2 (40.5%), but without statistically significant difference (p> 0.05). Regarding the BoP, it was not observed statistically significant differences over time (T0 - 21%, T2 = 20.8%). For GT, there was statistically significant difference between follow up periods (T0 - 1.66mm, T1 - 1.22mm, T2 - 1.16mm). The PD increased from T1 (1.76 mm) to T2 (1.86 mm) without statistically significant difference. The same was observed with an HC / WC (from 1.06 to 1.19) and HP / WP (0.62 to 0.84). The Wilcoxon test showed a not significant result between T1 and T2 for HP / WP (p <0.05) and HC / WC (p <0.05). When comparing the implant and the adjacent teeth area, the parameters that showed statistically difference (p<0,05) of means were: HP/WP in T1, with a lower mean (0,62) than the adjacent teeth (0.79); and GT at T0, when the implant area had a higher mean (1,66) than the adjacent teeth (1,18). Conclusion: For this study, the provisional implant-supported crown promoted alterations on the adjacent peri-implant soft tissue on GT, HP/WP, and HC/WC.

19
  • SAMUEL BATISTA BORGES
  • IMPACT OF TREATMENTS FOR ROOT COVERAGE USING CONJUNCTIVE TISSUE AND A COLLAGEN MATRIX IN PATIENTS CENTRATED FACTORS.

  • Líder : BRUNO CESAR DE VASCONCELOS GURGEL
  • MIEMBROS DE LA BANCA :
  • ANA RAFAELA LUZ DE AQUINO MARTINS
  • BRUNO BRAGA BENATTI
  • BRUNO CESAR DE VASCONCELOS GURGEL
  • Data: 27-jul-2018


  • Resumen Espectáculo
  • Gingival recessions can cause cervical dentin hypersensitivity and have a negative effect on the oral health related quality of life and a strong social, psychological and emotional impacts on the daily life of each patient. Root coverage techniques by subepithelial connective tissue graft (CTG) and collagen matrix being a great treatment options for gingival recessions. OBJECTIVE: To evaluate the impact of root coverage techniques by subepithelial connective tissue graft and collagen matrix in the groups of patients with Miller's class-I and II gingival recession with 6-month follow-up. METHODS: This randomized, double-blind, split-mouth, controlled clinical trial evaluated 27 subjects with bilateral Miller's class-I and II gingival recession treated with root coverage techniques by subepithelial connective tissue graft (control) and collagen matrix (test). Data evaluation of hipersensibilty, aesthetics, patient satisfaction and quality of life was realized at post-operative at baseline, three months and six months after surgery. Data were analyzed using the split-plot analysis of variance (SPANOVA) and One-way ANOVA with a significance level of 5%. RESULTS: The patients had a mean age of 29,53 years (22-53, ± 7,12) and were equally distributed according to sex. Statistical analysis showed that was an improvement in quality of life after 03 and 06 months of the surgical procedure (p<0,001) with physical pain and psychological discomfort being the ones that presented the best results. Statistically significant reductions were observed in the parameters postoperative pain, dentin hypersensitivity, aesthetics and patient satisfaction within each treatment group in the evaluated periods (p<0,001). CONCLUSION: Both treatment procedures resulted in significant reduction of negative impacts on quality of life and patients centrated fator at 06 months. No statistically significant differences were found between the two techniques for root coverage with regard to any parameter evaluated. The collagen matrix represents a possible alternative to CTG.

20
  • BÁRBARA SUELLEN FONSECA BRAGA
  •  
    PUBLIC EXPENDITURE WITH JUDICIALIZED MEDICINES IN RIO GRANDE DO NORTE IN THE YEARS OF 2016 AND 2017
  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • GRASIELA PIUVEZAM
  • MARIA ANGELA FERNANDES FERREIRA
  • MARILIA LOUVISON
  • Data: 30-jul-2018


  • Resumen Espectáculo
  • The judicialization of health is a phenomenon that began in Brazil after the Federal Constitution of 1988. This type of lawsuit has been growing in quantity every year, which directly affects health financing. The objective of this article is to characterize the legal claims for drugs in the State of Rio Grande do Norte in relation to the financial aspect in the years 2016 and 2017. This is a descriptive exploratory study, in which 370 individual 2016 and 2017, requesting medicines, moved in the State of Rio Grande do Norte. The amounts spent on the judicialization of medicines in these years were R$ 10.687.951,09. 572 drugs were required, 61.36% of which were outside the official list of drugs and the most demanded type of drug were antineoplastic agents and immunomodulators (24.13%). The purchase was made by the patient in 75.81% of the cases from the release of a court order. Thus, the judicialization of medicines in a small state causes iniquities in the access of users of the Brazilian health system to medicines and in the financing of Pharmaceutical Assistance.

     

21
  • MYLA MARILANA FREIRE DA CUNHA
  • EFFECTS OF THERAPIES FOR TEMPOROMANDIBULAR DYSFUNCTION ON CRANIOCERVICAL POSTURE

  • Líder : GUSTAVO AUGUSTO SEABRA BARBOSA
  • MIEMBROS DE LA BANCA :
  • ANDRE ULISSES DANTAS BATISTA
  • ERIKA OLIVEIRA DE ALMEIDA FREITAS
  • GUSTAVO AUGUSTO SEABRA BARBOSA
  • Data: 07-ago-2018


  • Resumen Espectáculo
  • The objective of the present study was to evaluate whether the occlusal plaque, physiotherapy and counseling therapies used in the treatment of temporomandibular disorders (TMD) alter the craniocervical posture and the pain picture. This is a controlled, randomized, blinded study that included individuals previously diagnosed with TMD through the RDC / TMD (Research criteria criteria for temporomandibular disorders). The patients were randomly selected from four treatment groups: occlusal (OP, n = 17), physiotherapy (F, n = 19), counseling (AC, n = 15) and counseling, totaling 65 individuals. For the postural analysis, a teleradiography was performed at the baseline and 1 month after the application of the therapy, in order to observe the occipito-atlas distance (DOA), the craniocervical relationship (ACR) and the positioning of the hyoid bone. Traits were performed on the images using CorelDraw X6 software (2012 Corel Corporation, Canada). To analyze the pain variable, the visual analogue scale was applied before and 1 month after the therapies. The data obtained were submitted to several paired T tests (α = 5%) and for the pain variable the SPANOVA test was applied. With the exception of the PAC group in the ACr variable (p = 0.003), the results showed that there was no statistically significant difference for the analyzed variables regarding the different therapies over time. However, it can be observed that all the treatment groups allowed a reduction of the patients' pain picture (p = 0.013) over time. It is concluded that the therapies applied have little influence on craniocervical posture, but are effective for the relief of painful symptoms.

22
  • MARCELO LEITE MACHADO DA SILVEIRA
  • BIOMECHANICAL ANALYSIS OF DIFFERENT TYPES OF FIXATION IN THE SAGITTAL SPLIT RAMUS OSTEOTOMY AFTER DIFFERENT TYPES OF MANDIBULAR MOVEMENTS: A FINITE ELEMENT STUDY.

  • Líder : ADRIANO ROCHA GERMANO
  • MIEMBROS DE LA BANCA :
  • ADRIANO ROCHA GERMANO
  • EDUARDO COSTA STUDART SOARES
  • JOSÉ WILSON NOLETO JÚNIOR
  • Data: 10-ago-2018


  • Resumen Espectáculo
  • The present study aimed to evaluate the best osteosynthesis arrangement in patients that underwent orthognathic surgery with mandibular advancement and mandibular angle clockwise and counter-clockwise rotation through a finite element analysis. A virtual model of a mandible was obtained via CT scan and then subjected to different kinds of surgical planning in the Dolphin® software. A total of 6 surgical plans were made and 6mm and 12mm advances were associated with linear, clockwise and counter-clockwise rotation of the mandibular angle. The virtually operated mandibles were then transformed in a solid framework in the NX 10® software. In this stage, the mandibular solids were meshed with the solids of the osteosynthesis plates and screws in a one or two plate fashion using 4 or 8 mini screws respectively. After the 12 solids were built, the Nastran software® was utilized to evaluate the superficial tensions after loading in the incisors region.

23
  • DANIELLE CLARISSE BARBOSA COSTA
  • STUDY OF OCCURRENCE OF RECURRENCE AFTER ENUCLEARATION, FOLLOWED BY PERIPHERAL OSTECTOMY AND CARNOY SOLUTION IN THE TREATMENT OF AGGRESSIVE BENIGN ODONTOGENIC LESIONS: PRELIMINARY RESULTS

  • Líder : ADRIANO ROCHA GERMANO
  • MIEMBROS DE LA BANCA :
  • ADRIANO ROCHA GERMANO
  • PATRICIA TEIXEIRA DE OLIVEIRA
  • EDUARDO COSTA STUDART SOARES
  • Data: 07-nov-2018


  • Resumen Espectáculo
  • The purpose of this study was to verify the relapse rate and associated clinical, radiographic and surgical factors after the protocol of enucleation followed by peripheral ostectomy and Carnoy's solution as treatment of aggressive odontogenic lesions. The retrospective cross - sectional study was composed of thirty patients submitted to the protocol from 2008 to 2018 who were contacted and submitted to clinical and radiographic exams in order to verify the presence of relapses. The study consisted of two phases, represented by the data collection of the medical records (phase I) and return of the patient for clinical and radiographic evaluation (phase II). Descriptive and statistical analyzes were performed using the Stata / IC version 14.0 program (StataCorp, College Station, TX). The Mann-Whitney test, the Fisher's exact test and the Chi-square test, as well as the Kaplan Meier method and the Log-rank test were used to verify the possible prognostic factors for relapses, adopting p <0,05. The sample was composed of 22 patients with odontogenic keratocysts (73.3%), 3 odontogenic myxomas (10%) and 5 ameloblastomas (16.7%). Recurrence affected 7 patients (23.3%), all of which were in odontogenic keratocysts, with a minimum recurrence time of 12 months and a maximum of 34 months and a maximum follow-up of 9 years and 5 months. There was no statistical difference between the factors evaluated and the development of relapses, but patients who remained with adjacent teeth after the surgical procedure presented earlier recurrence. Kaplan-Meier curves showed a cumulative risk of more than 80% for recurrence after 29 months postoperatively and after 36 months of follow-up, only 37.50% of these patients would be free of relapses (p = 0.023), in addition this group were 5.5 times more likely to develop recurrences than patients who had their teeth extracted. The results showed that the protocol presented lower recurrences than what in the scientific literature when comparing marsupialization and enucleation/curettage alone, considering the same lesions, however, it presented inferior results when compared to similar therapies.


24
  • JOÃO PAULO TEIXEIRA DA SILVA
  • The regional health planning in Brazil: evaluation from the hospital network

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • CLELIA DE OLIVEIRA LYRA
  • MARILIA LOUVISON
  • Data: 19-nov-2018


  • Resumen Espectáculo
  • The Brazilian health regions correspond to 437 clusters of Brazilian municipalities and 1 that corresponds to the federal district, totaling 438 clusters. The distribution and composition of these regions is the responsibility of the states in partnership with the regional inter-agency commissions, with a great diversity in this distribution due to the peculiar dimensions and multiculturality of the Brazilian territory. This study aims to evaluate the regionalization of health in Brazil, the performance of the regions and associated factors, in light of the information provided by the health indicators, focusing on the hospital network. This is an ecological, multi-group, quantitative approach that incorporates descriptive and analytical statistical analysis using SPSS v. 24. Pearson's association and linear regression analyzes were performed, with the dependent variable being the proportion of hospitalizations within the health region and independent socioeconomic, structural, and health care variables. The period of analysis is from 2012 to 2016 and includes data from the Ministry of Health (DATASUS) linked to data from the Annual Report on Social Information and Atlas of Human Development in Brazil. The socioeconomic profile of the health regions presents better indexes in the South and Southeast regions of the country, with better HDI indicators, higher life expectancy, higher per capita income, lower percentage of those vulnerable to poverty and inadequate sanitary conditions. The health structure of the regions reveals that coverage and resources invested in primary health care are better in the Northeast, while the percentage of municipalities' own resources is higher in the Southeast. The number of beneficiaries of health insurance is higher in the Southeast. While the Central-West region has the highest number of hospitals per 100,000 inhabitants, the Southeast region has the largest number of beds and the Northeast region has the most basic care units. The Southeast region is the one that most invests in beds in detriment of the primary care units. The participation of SUS beds is greater in the Northeast and North regions. The South and Southeast regions have more doctors, nurses and intensive care beds. The health regions present in the South and Southeast of the country still stand out by interning patients within their regions of residence, maintaining the best indicators for the hospitalizations of urgency, medium and high complexity in their own health regions. However, the North region is the highlight for the number of hospitalizations in the own network, while the South region is the one that resorts the most to the private sector. The Central-West region is the one that presented the best indicators for medical consultation and outpatient production per inhabitant. The analysis of association with the hospitalization variable in the same region showed a significant correlation with the mean number of beds in SUS, life expectancy at birth and ambulatory procedures.

25
  • PEDRO PAULO MAIA DE SENA
  • TOMOGRAPHIC EVALUATION OF PALATAL MUCOSA THICKNESS IN INDIVIDUALS WITH THIN AND THICK  BIOTYPES
  • Líder : EULER MACIEL DANTAS
  • MIEMBROS DE LA BANCA :
  • BRUNO CESAR DE VASCONCELOS GURGEL
  • EULER MACIEL DANTAS
  • FERNANDO JOSE DE OLIVEIRA NOBREGA
  • Data: 04-dic-2018


  • Resumen Espectáculo
  • INTRODUCTION: The identification of the periodontal biotype is an important tool in the diagnosis and prognosis of periodontal treatments. In the treatment of gingival recession, the palatal region has been described as the main graft donor area. PURPOSE: This study aimed to investigate the difference in thickness of the palatal mucosa in individuals with thin and thick biotypes, evaluated in different regions. METHODS: This study included 30 periodontally healthy patients submitted to computed tomography (CT) scans. The images were acquired on the CS8100 3D tomograph and all parameters were analyzed tomographically in the CS 3D Imaging software. The gingival thickness was measured in the maxillary central incisors and categorized into thin or thick biotype. Then, the thickness of the palatal mucosa was measured in the canine, 1st premolar, 2nd premolar and 1st molar at 3mm, 6mm, 9mm and 12mm from the gingival margin. The Mann-Whitney, Wilcoxon and Friedman tests were used to evaluate differences in palatal mucosa thickness between groups, between teeth and in different regions, respectively. RESULTS: There was no statistical difference in mucosal thickness between the groups and between the different teeth analyzed (p> 0.05). In all analyzed teeth, the furthest from the gingival margin, the thickness of the palatal mucosa was higher (p <0.0001). CONCLUSION: In the analyzed sample, the palatal mucosa thickness was not correlated to the type of patient biotype and there was no statistical difference between the different teeth evaluated. However, it was observed that, independently of the tooth, areas more distant from the gingival margin may be better suited to grafting procedures because they have a higher tissue thickness.

26
  • THIAGO CLÍSTINES DE MEDEIROS
  • EVALUATION OF BOND STRENGTH OF REPAIRS IN BULK FILL RESINS AFTER DIFFERENT PROTOCOLS OF ADHESION


  • Líder : MARILIA REGALADO GALVAO RABELO CALDAS
  • MIEMBROS DE LA BANCA :
  • ANA KARINA MACIEL DE ANDRADE
  • DIANA FERREIRA GADELHA DE ARAUJO
  • MARILIA REGALADO GALVAO RABELO CALDAS
  • Data: 06-dic-2018


  • Resumen Espectáculo
  • Objective: To evaluate the microtensile bond strength of repairs performed on bulk fill and conventional composite resins subjected to aging, after different adhesion protocols.Materials and methods: 42 specimens (8x8x4 mm3) of each of the following materials were prepared in shade A1: a microhybrid composite (Filtek Z250 XT-3M ESPE, St. Paul, MN, USA) and a regular consistency bulk fill (Filtek Bulk Fill - 3M ESPE, St. Paul, MN, USA). These specimens were aged by storage in artificial saliva at 37 ° C for 30 days. After, they received a mechanical surface treatment by means of abrasion with a diamond bur 4138F, followed by the division in six groups, according to the adhesion protocol employed: FSA - etching with 37% phosphoric acid + silane + conventional adhesive (Single Bond 2 - 3M ESPE, St. Paul, MN, USA); SA - silane + conventional adhesive; FA - etching with 37% phosphoric acid + conventional adhesive; A - conventional adhesive; FU - 37% phosphoric acid + universal adhesive (Universal Bond Single - 3M ESPE, St. Paul, MN, USA); U - universal adhesive. All specimens were repaired with Z250 XT composite, in shade A3, to differentiate them from the base materials. The repaired resin blocks were cut into sticks (8x1x1 mm3) and submitted to microtensile test. Fractured specimens were evaluated by macrophotography to determine the type of fracture (adhesive or cohesive). In order to analyze the differences among the adhesion protocols and among the composite types, two-way ANOVA statistical test was used, with a significance level of 5%. Results: No statistically significant differences were found in bond strength values among the adhesion protocols (p=0.38) and among the composite resins repaired (p=0.13), as well as no interaction between these variables (p=0.16). Conclusion: For the aging pattern adopted in this study, repair bond strength of bulk fill composites was similar to that found in conventional microhybrid composites, with no distinction between several adhesion protocols.

     

27
  • JÉSSIKA RAÍSSA MEDEIROS DE ALMEIDA
  • EVALUATION OF SUPERFICIAL ROUGHNESS AND SURFACE TOPOGRAPHY OF BULK FILL, CONVENTIONAL AND FLOW COMPOSITES BEFORE AND AFTER SIMULATED TOOTHBRUSHING

  • Líder : MARILIA REGALADO GALVAO RABELO CALDAS
  • MIEMBROS DE LA BANCA :
  • ANA KARINA MACIEL DE ANDRADE
  • DIANA FERREIRA GADELHA DE ARAUJO
  • MARILIA REGALADO GALVAO RABELO CALDAS
  • Data: 06-dic-2018


  • Resumen Espectáculo
  • Introduction: The increasing of the aesthetic exigency by the patients and the continual development of materials – such as bulk fill and flow composites, demands a crescent need of studies on this area to evaluate the properties of the materials when submitted to the wear occasioned by toothbrushing abrasion over time. Objective: To evaluate the surface characteristics of restorations performed before and after the process of simulated toothbrushing and to compare the results between the composites. Materials and methods: In total, 80 samples were made (7x4mm), being 20 to each type of resin utilized, color A1: Bulk Fill One (3M/ESPE, St. Paul, MN, USA), Bulk Fill Flow (3M/ESPE, St. Paul, MN, USA), Z350XT 3M/ESPE St. Paul, MN, USA) and Z350XT Flow (3M/ESPE, St. Paul, MN, USA). After the confection of the specimens, the samples were immersed in distilled water for 24 hours and stored at 37°C in stove, moment that was performed the finishing and polishing with the sequence of sandpaper discs (TDV, Brasil). Half of the specimens was submitted to 60,000 cycles of simulated toothbrushing, meanwhile the other half was the control group (n=10). The surface of the restorations was evaluated through Scanning Electronic Microscopy (SEM), surface roughness (Ra), and weight loss (through measurements), in two moments: before and after the process of simulated toothbrushing. To the statistical analysis, it was used the variance analysis ANOVA two factors and Tukey’s post test. Results: In the analysis performed by SEM, in amplification of 500x, it was observed the presence of medium and small protruding particles in all resins tested after simulated toothbrushing, with exception of the resin Z350 flow. All materials presented increasing on Ra after simulated toothbrushing. Regarding to mass variation, all materials presented mass loss after simulated toothbrushing, suggesting that wear of the restoration structure. Conclusion: To sum up, there is still a concern about whether the wear is most influenced by the type of dentifrice or by the proprieties of the material itself. 

28
  • CAMILA DAYZE PEREIRA SANTOS
  • Temporal distribution of Infant Mortality in a capital of Northeastern Brazil, 2006-2013: reflections on the quality of Primary Health Care.

  • Líder : CLELIA DE OLIVEIRA LYRA
  • MIEMBROS DE LA BANCA :
  • CLELIA DE OLIVEIRA LYRA
  • DIRCE MARIA LOBO MARCHIONI
  • ZENEWTON ANDRÉ DA SILVA GAMA
  • Data: 07-dic-2018


  • Resumen Espectáculo
  • The objective of this study was to analyze the temporal distribution of infant deaths, bio sociodemographic factors related to infant mortality, the main causes, type of avoidance of death and factors related to the quality of maternal and child health care in Primary Health Care in Natal / RN, between 2003 and 2016, before and after the Pact for the Reduction of Infant Mortality in the Northeast and Legal Amazon (PRMI) (2003-2009 and 2010-2016 respectively). Ecological study, of a time series, carried out with data from the Mortality Information System. Infant mortality rates (IMR), neonatal (TMN) and post-neonatal (MTP), and IMR due to death and type of avoidance of death were calculated for each year evaluated. The join point method was used to calculate the Annual Percentage Change (APC). The bio sociodemographic variables were analyzed: sex, race, type of gestation, type of delivery, gestational age, and birth weight, comparing the periods of 2003-2009 and 2010-2016. To assess the association of these variables and the occurrence of infant death in the neonatal and post-neonatal period, the prevalence ratio (PR) and the 95% confidence interval were calculated. To evaluate the quality of care in Primary Care (AB), data from the Program for Improving Access and Quality of Primary Care (PMAQ-AB) 2014 were used. IMR significantly reduced -12.74% (95% CI -23.9 (-7.01% / year) and in endocrine and nutritional diseases (16.21% / year), between 2007 and 2011. From the causes of death, there was a significant reduction only in deaths due to respiratory diseases. The probability of avoidable death was higher in neonatal mortality for both 2003-2009 and 2010-2016 periods. From the bio sociodemographic variables analyzed, the type of gestation, gestational age at birth and birth weight were associated with neonatal mortality, with a higher probability of dying in the neonatal period; of twin gestation; premature and that presented very low birth weight in the two periods analyzed. Regarding maternal and child care, there was a significant increase in the number of pregnant women who performed more than 7 prenatal consultations (4.1% / year between 2003 and 2009) and the number of neonatal ICU beds (8.5% / year between 2005-2016). Of the total number of infant deaths, 1836 (71.7%) occurred due to preventable causes, the highest proportion being reduced by adequate attention to women during pregnancy (38%), which showed a tendency to increase between 2010 and 2016 (APC 6.59%). Regarding the quality of prenatal care, some indicators were found that may have a negative impact on the infant mortality rate: referral consultation (7.4%); existence of a system that alerts to the probable date of birth (10.2%); (34.7%) and early capture of pregnant women and complications during pregnancy (45.3%). It is concluded that PRMI's objective of reducing the IMR by 5% per year in 2009 and 2010 in Natal / RN was reached, but there was an upward trend in the succeeding years, which showed that efforts, were insufficient to keep infant mortality in decline. There is still a high occurrence of deaths due to preventable causes and failures in Primary Care assistance observed due to the low supply of some agreed maternal and child health indicators.

29
  • CRISTIANE LORENA MAIA PINHEIRO
  • DEVELOPMENT AND CHARACTERIZATION OF SODIUM HYPOCHLORITE GEL FORMULATION FOR ENDODONTIC USE

  • Líder : FABIO ROBERTO DAMETTO
  • MIEMBROS DE LA BANCA :
  • CICERO ROMAO GADE NETO
  • FABIO ROBERTO DAMETTO
  • LETICIA MARIA MENEZES NOBREGA
  • Data: 10-dic-2018


  • Resumen Espectáculo
  • This research focused on the development and characterization of a gel formulation for NaOCl, which allows greater control during the root canals irrigation without losing the characteristics that make it such na efficient cleaning and decontamination agent. It was used a concentrated solution of NaOCl, which was titrated to determine the active chlorine content, and a surfactant, sodium lauryl ether sulfate, for which the critical micellar concentration in distilled water was calculated. From these reagents were carried out dilutions and manipulated seven formulations of 2.5% NaOCl with different surfactant concentrations, which were submitted to the following analysis: pH, surface tension, Fourier transform infrared spectroscopy (FTIR), wettability on human dentin, rheology and antibacterial potential against Enterococcus faecalis. The pH values showed that the addition of the surfactant did not alter this parameter, keeping the alkaline medium desirable for NaOCl action. The surfactant addition reduced surface tension by more than 50% relative to the NaOCl aqueous solution. The FTIR showed that the reagents only solubilize and interact, not implying the occurrence of chemical reaction between them. The wettability on human dentin was lower than that measured for the NaOCl solution. The viscosity study revealed micellar solution behavior for the formulations with lower concentrations of surfactant, and gel behavior for the more concentrated ones. All formulations showed viscosity and appearance that allow clinical use satisfactorily. The microbiological disk-diffusion test on agar showed a satisfactory action similar to the 2.5% aqueous NaOCl solution.

30
  • RAFAELA MONTEIRO DE ARAÚJO
  • EVALUATION OF TENSILE STRENGTH WITH DIFFERENT TYPES OF SURGICAL FIXATION HOOK PREFABRICATED ON ORTHODONTICS WIRES

  • Líder : HALLISSA SIMPLICIO GOMES PEREIRA
  • MIEMBROS DE LA BANCA :
  • HALLISSA SIMPLICIO GOMES PEREIRA
  • SERGEI GODEIRO FERNANDES RABELO CALDAS
  • LEONARDO EULER ANDRADE GOMES DO NASCIMENTO
  • Data: 10-dic-2018


  • Resumen Espectáculo
  • OBJECTIVES: This research was realized in vitro assay to evaluate the traction resistance of prefabricated surgical hook, threaded prefabricated hooks, hooks made of stainless-steel wire and surgical hook made of brass wire comparing different ways of fixing them and different commercial brands. MATERIAL AND METHODS: The sample consisted of 340 segments of orthodontic wire associated to surgical hooks divided into 34 groups. One of them was the control group with 10 hooks made of brass wire fixated with silver weld and the others 33 experimental groups were composed of 10 surgical hooks in each group. In 25 groups, the hooks were prefabricated, fixed to the orthodontic wires by means of manual pressure made with appropriate pliers associated to different quantities of electric welding points. In one group, the pressure was performed with heavy-cut pliers and in another group the base of the hook was distempered and then the pressure was made with appropriate orthodontic pliers. The brands compared were Morelli, TP orthodontics, American Orthodontics and MAO MidAtlantic Ortho and the types of fixation were manual pressure made with appropriate pliers and manual pressure associated with 2,3,4 and 5 point of electric solder. In 5 groups, the hooks were made of stainless-steel wire, one group being fixed with silver solder or with 1, 2, 3, and 4 electric soldering points respectively. The last group consisted of 10 threaded surgical hooks. Topography of the sample was evaluated by scanning electron microscopy before and after the experiment. The Kruskal-Wallis and Mann-Whitney analyzes were used to compare the groups at a significance level of 0.05 to identify the differences between the measures of each group. RESULTS: The control group was better than all the other groups (p <0.0001 / Kruskal-Wallis). The group of steel hooks was independent of the control group (p <0.0001 / Kruskal-Wallis). American Orthodontics hooks were also found in relation to the other brands, regardless of the form of fixation (p <0.05 / Mann-Whitney). The rosquetics were those that improved with the difference between them (p <0.05 / Mann-Whitney). CONCLUSIONS: There was no increase in the resistance of the pressable hooks when different solder exposure points were saved. The best mark was an American Orthodontics. Welding wire hooks with soldering points have the same efficacy to welding with silver soldering, and can replace them. The threaded hooks are successful results with the clips.

31
  • ANDERSON DE SOUZA FERNANDES
  • HEALTH PLANNING IN THE ORAL HEALTH TEAMS: ANALYSIS OF THE LABOR PROCESS AND ASSOCIATED FACTORS

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • LUIZ ROBERTO AUGUSTO NORO
  • NILCEMA FIGUEIREDO
  • Data: 13-dic-2018


  • Resumen Espectáculo
  • The dentist has in the family health strategy a broad field of action, but must maintain its practices oriented by the principles of basic care and SUS. In this context, among the responsibilities of the oral health team, health planning and the organization of the work process are mandatory and elementary management technologies to achieve greater reorientation and quality of actions and oral health services. Thus, the objective of this study is to analyze the knowledge and practices about health planning as part of the work process of the oral health teams. This is an exploratory study developed in two phases: 1) Quantitative analysis of secondary data from the external evaluation of the 2nd cycle of the Program for Improving Access and Quality of Primary Care (PMAQ-AB) with oral health teams in Brazil; 2) Qualitative research with dental surgeons of the family health strategy and health managers of Rio Grande do Norte (RN). Phase 1 consisted of a multivariate analysis with data from the Health Information Systems aggregated with socioeconomic variables of the Atlas of Human Development in Brazil. In phase 2 a case study was carried out with four municipalities of the RN, being used triangulation of methods for data collection, followed by content analysis by the Bardin method. As results, in the factorial analysis were generated three components: Poverty and edentulism; Oral health care; Coverage of oral health team. There was a significant difference (p <0.001) in the distribution of these components among the Brazilian regions, being associated (p <0.001), for the most part, with questions related to the oral health planning practice evaluated by PMAQ-AB, that also present locoregional differences (p <0.001). In the case study in the RN, it is verified that the practice of planning oral health actions is generally incipient and amateur, as well as the epidemiological surveys and the reorientation of the oral health care model. Despite the commitments made with PMAQ-AB, the improvements are punctual and evidently manipulated for the moment of external evaluation of the program. In addition, there was little institutional support for management and little mobilization and leadership of professionals for the qualification of care and for the strengthening of SUS.

32
  • EDER SAMUEL OLIVEIRA DANTAS
  • PSYCHOSOCIAL CONTEXT OF SUICIDE OF WOMEN INSIDE RIO GRANDE DO NORTE

  • Líder : JACILEIDE GUIMARAES
  • MIEMBROS DE LA BANCA :
  • ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • JACILEIDE GUIMARAES
  • NADJA CRISTIANE LAPPANN BOTTI
  • SORAYA MARIA DE MEDEIROS
  • Data: 13-dic-2018


  • Resumen Espectáculo
  • Suicide is an intentional and deliberate act of putting an end to one's life. There are several factors related to this
    type of self-inflicted death, which may be related to the biological, psychological and social. In this scenario, the 
    gender relations are predicted as predictors of suicide, and all individual and non-individual factors that are based 
    on social relations.  Thus, the objective of this study was to analyze the psychosocial context of women who 
    committed suicide in the city of Caicó / RN. It is a qualitative research that uses the psychosocial autopsy method 
    as a means to approach this phenomenon in a socially wide way and to seek singularities of the human dimensions. 
    First-degree relatives of women who committed suicide between the years 2011 and 2016 were interviewed. 
    The analysis of the collected material will be carried out through the thematic content analysis, using a theoretical 
    reference on gender relations and suicide. Finally, it is expected that this study may reveal particularities about the 
    suicide of women from the interior of Rio Grande do Norte, and may even subsidize preventive measures for suicide.
33
  • MARCELA EMÍLIO DE ARAÚJO
  • Effect of a high potency light emitting diode (led) on the retina of rats

  • Líder : SERGEI GODEIRO FERNANDES RABELO CALDAS
  • MIEMBROS DE LA BANCA :
  • HALLISSA SIMPLICIO GOMES PEREIRA
  • MATHEUS MELO PITHON
  • SERGEI GODEIRO FERNANDES RABELO CALDAS
  • Data: 13-dic-2018


  • Resumen Espectáculo
  • Introduction: The evolution of light curing units (LCU) in terms of potency and consequent reduction of clinical time have been shown to be of great value to orthodontists, regarding the routine of brackets bonding. However, there is a lack in the literature regarding the effect of these devices on the operator and/or patient retina, as both may receive indirect reflected light during procedures. Aims: Evaluate the effect of the use of a high potency light emitting diode-based device (LED) in the retina of Wistar rats. Material and Methods: Six Wistar rats were used and their ocular structures considered objects of the study. During the photostimulation of each animal, the right eye, established as the control sample, was covered with a removable PVC tampon, as the contralateral eye - experimental sample - was exposed to high potency LED light, 3200mW/cm2 (Valo Ortho - Ultradent) for 144 seconds, at the distance of 30cm. Animals were exposed to LED light three times per day, aiming to induce possible acute inflammatory alterations in retina. Seven days after the first photostimulation, all rats were anesthetized and then euthanized for posterior eye removal and histological processing. The histological slides were scanned using a camera connected to an optical microscope and their images analyzed for the measurement of histomorphological and stereological parameters of the retina. Results: A statistically significant raise was found in the total volume of retina and in the following layers: ganglion cells layer (GCL), outer nuclear layer (ONL), inner nuclear layer (INL) and extension of cone and rods (ECR) in the experimental group. Regarding density, no statistically significant difference was observed. However, the nuclear area of the cells raised significantly in all layers analyzed after high potency LED exposure. Besides that, hyperchromic cells suggestive of pyknosis were found. Conclusions: Despite the short and acute protocol of eye exposure to high potency LED, a significant alteration was found, especially in the metabolic activity of photosensitive and neuronal cells. These results emphasize the importance of using eye protection during the use of these devices.

34
  • ULICÉLIA NASCIMENTO DE AZEVEDO
  • SUICIDE IN THE ELDERLY POPULATION: ANALYSIS OF GENDER MORTALITY IN THE BRAZILIAN STATES

  • Líder : MARIA DO SOCORRO COSTA FEITOSA ALVES
  • MIEMBROS DE LA BANCA :
  • KARLA PATRICIA CARDOSO AMORIM
  • MARIA DO SOCORRO COSTA FEITOSA ALVES
  • NADJA CRISTIANE LAPPANN BOTTI
  • Data: 14-dic-2018


  • Resumen Espectáculo
  • OBJECTIVE: To analyze the standardized mortality rate for suicide in the elderly in the Brazilian states and the differences between the genders. METHODS: An ecological study was carried out to analyze suicide deaths in the elderly in the Brazilian states, based on data from the Mortality Information System (SIM) in the period from 2011 to 2015. Deaths from suicides (self-induced injuries: X60 -X84), according to the age group of 60 years and over, and the gender of the individual, categorized from the International Statistical Classification of Diseases and Related Health Problems - 10th Revision. Information on deaths was collected from the Mortality Information System (SIM) of the Department of Informatics of the National Health System (Datasus). Population data by State and Federal District, by sex and by age group, were obtained from the Demographic Censuses and Intercensity Projections, on the website of the Brazilian Institute of Geography and Statistics (IBGE). RESULTS: 8,483 deaths from suicide among the elderly in Brazil were recorded between 2011 and 2015. The proportion of deaths was 80% (6,799) for males, and 20% (1,683) for females. The spatial distribution of the standardized Mortality Rate (TMP) for suicide according to sex in Brazil indicated an average rate of 0.84 deaths (105 inhabitants) for both sexes, 1.32 deaths (105 inhabitants) for males and 0.33 deaths (105 inhabitants) to the female. The highest TMP per suicide expressed per 100,000 inhabitants went to Rio Grande do Sul (both sexes with 1.99, male with 3.30 and female with 0.76), Santa Catarina (both sexes with 1.78, male with 2.80 and female with 0.74) and Piauí (both sexes with 1.52, male with 2.42 and female with 0.64). The TMP ratio between the male and female sexes in Brazil was 4.15 / 105 inhabitants. The states with the highest ratios were: Acre (10.20 / 105 inhabitants), Amapá (8.62 / 105 inhabitants), Bahia (5.39 / 105 inhabitants), Maranhão (5.25 / 105 inhabitants), Paraná (4.90 / 105 inhabitants), Mato Grosso 4.87 / 105 inhabitants) and Paraíba (4.84 / 105 inhabitants). CONCLUSIONS: Mortality due to suicide among the elderly presents a tendency to increase and its greatest distribution is between the states of the Northeast, Center-West and South of Brazil. There are differences between the proportion of deaths by suicide considering the male and female sexes among the elderly population, being the highest rates found in the male population

35
  • CARINA TAÍSE DE MEDEIROS MACÊDO
  • EVALUATION OF HUMOR (AFFECTIVE) DISORDERS AND OTHER MENTAL AND BEHAVIORAL DISORDERS IN NORTHEAST OF BRAZIL

  • Líder : FABIA BARBOSA DE ANDRADE
  • MIEMBROS DE LA BANCA :
  • FABIA BARBOSA DE ANDRADE
  • JULLIANE TAMARA ARAUJO DE MELO CAMPOS
  • MARIA DJAIR DIAS
  • Data: 14-dic-2018


  • Resumen Espectáculo
  • This study consists of the evaluation of morbidity and mortality indicators in the Northeast region of Brazil in relation to hospitalization for mood disorders (THA and other mental and behavioral disorders), which seeks to compare indicators of morbidity and mortality related to these diseases, in the period from 2007 to 2016, with the objectives and goals of the Prevention of Mental Retardation Policies in Brazil. This is an ecological, retrospective, exploratory study, using health information from the northeast region of Brazil, produced by DATASUS, through the Hospital Information System and Mortality Information System. The dependent variables are the hospitalization rate and mortality rate of the diseases studied and as independent the age group, sex, schooling and marital status. The Statistical Package for the Social Sciences (SPSS) was used to analyze the data, by means of the study of mean, median, standard deviation and Student's t test, considering a 95% confidence interval. Thus, when the hospitalizations for mood disorders (affective) and other mental and behavioral disorders were evaluated, both had a reduction in the average throughout the decade, and mood disorders (affective) have higher values when compared to other mental disorders and behavioral. These data are statistically significant when submitted to the t student test. It was found that the average hospitalizations and mortality rate of both diseases showed a general tendency to reduce, however, with some points of increase, such as in the period between 2007 and 2008 for other mental and behavioral disorders and between 2009 and 2010 for mood (affective) disorders. The mortality rate from hospitalization has behaved the same in both of them during the decade. Still on the mortality rate, a greater number of elderly people are identified in the age groups of 80 years or more, followed by the age group of 70 to 79 years and the tendency presented is an increase in the number of deaths, according to the increase in the life years of the population. Regarding gender, a higher percentage of women were observed when dealing with mood disorders (affective), the opposite observed in other mental and behavioral disorders, whose male population has the highest numbers. Regarding marital status, most deaths were concentrated among single people. When the chapter on mental disorders was evaluated, it was found that, in general, 50% of deaths were related to mental and behavioral disorders due to alcohol use. When spatially evaluated, similar areas are observed over the years studied. Overall, the data indicate that the most vulnerable populations, such as children and the elderly, are more likely to suffer from mood (affective) disorders.

36
  • KÉZIA RAPHAELA DE LUCENA ALVES
  • LONG-TERM EFFICACY OF A 4% SODIUM FLUORIDE SOLUTION AND AsgAaL LASER FOR THE TREATMENT OF CERVICAL DENTIN HYPERSENSITIVITY

  • Líder : EULER MACIEL DANTAS
  • MIEMBROS DE LA BANCA :
  • BRUNO CESAR DE VASCONCELOS GURGEL
  • EULER MACIEL DANTAS
  • FERNANDO JOSE DE OLIVEIRA NOBREGA
  • Data: 18-dic-2018


  • Resumen Espectáculo
  • INTRODUCTION AND BACKGROUND: Although there are several forms of treatment for Dentin Hypersensitivity (DH), the main challenge is to find a substance or form of treatment that effectively eliminates pain and does not recur in the short or long term. OBJECTIVE: This randomized controlled clinical trial evaluated the efficacy of 4% sodium fluoride solution for the treatment of DH, comparing it to low power laser therapy with visible infrared LASER emitter, and the active AsGaAl medium. METHODOLOGY: The sample was composed of 92 dental elements selected after being submitted to two stimuli, a tactile one, and a second thermal-evaporative stimulus. The sensitivity was measured through a visual numerical scale. The teeth were alternately divided into two groups (Group 1 and Group 2) to receive the treatment according to the group for which it was selected. For Group 1, 4% sodium fluoride solution was applied in three sessions, with intervals of 1 week between them. The dental elements of Group 2 received low-power laser irradiation of AsGaAl diode in a punctual way, in the cervical region of the vestibular face in three sessions with intervals of 1 week between them. At each application of the 4% sodium fluoride solution or the low-power LASER, patient responses to tactile and thermal-evaporative stimuli were recorded on the visual numerical scale. At the end of the treatment and with one, three and six months, new evaluations were carried out to verify the effectiveness of the substances in the long term. Statistical analysis of the data was done using non-parametric Wilcoxon and Mann-Whitney tests, complemented with a descriptive analysis composed of tables and graphs. PARTIAL RESULTS: The results showed that after six months of treatment, there was a reduction in pain sensitivity in relation to both stimuli, both in dental elements treated with fluoride solution and those treated with LASER. The average pain of the dental elements treated with the 4% sodium fluoride solution increased from 5.93 to 1.73 in response to the evaporative stimulus and from 3.63 to 0.804 to the tactile stimulus. For dental elements treated with LASER, the average pain increased from 6.020 to 1.854 with the evaporative stimulus and from 3.50 to 0.937 with the tactile stimulus. All of these pain reductions were statistically significant (p <0.00). However, when comparing the two therapies, there were no statistically significant differences between them (P> 0.05). CONCLUSION: Both therapies were effective in reducing DH after six months of control. There is no statistically significant difference between the two therapies proposed in this study.

    INTRODUÇÃO E JUSTIFICATIVA: Embora existam diversas formas de tratamento para a HSDC, o principal desafio é encontrar uma substância ou forma de tratamento que efetivamente elimine a dor e não tenha recidiva em curto e longo prazo. OBJETIVO: Este ensaio clínico controlado randomizado avaliou a eficácia do uso da solução de fluoreto de sódio a 4% para o tratamento da Hipersensibilidade Dentinária Cervical (HSDC) comparando- a laserterapia de baixa potência com emissor invisível de LASER infravermelho, e o meio ativo AsGaAl. METODOLOGIA: A amostra foi composta por 92 elementos dentários selecionados após serem submetidos a dois estímulos, um táctil, e um segundo estímulo, térmico-evaporativo,  A sensibilidade foi mensurada através de uma escala visual numérica. Os dentes foram distribuídos aleatoriamente e alternadamente em dois grupos (Grupo 1 e Grupo 2) para receber o tratamento de acordo com o grupo para o qual foi selecionado. Para o Grupo 1 foi realizado aplicação de solução de fluoreto de sódio a 4%, em três sessões, com intervalos de 1 semana entre elas, Os elementos dentários do grupo 2 receberam irradiação do LASER de baixa potência de diodo AsGaAl de forma pontual, na região cervical da face vestibular em três sessões com intervalos de 1 semana entre as mesmas. A cada aplicação da solução de fluoreto de sódio a 4% ou do LASER de baixa potência, foram registradas as respostas dos pacientes aos estímulos tácteis e térmicos-evaporativo, na escala visual numérica. Ao término do tratamento e com um, três e seis meses foram realizadas novas avaliações para a verificação da efetividade das substâncias em longo prazo. A análise estatística dos dados foi feita através dos testes não paramétricos Wilcoxon, Friedman e Mann-Whitney, complementada com uma análise descritiva composta de tabelas e gráficos. RESULTADOS PARCIAIS: Os resultados demostraram que após seis meses de encerrado o tratamento, houve redução da sensibilidade dolorosa frente aos dois estímulos, tanto nos elementos dentários tratados com a solução de fluoreto quanto aqueles tratados com o LASER.  A média de dor do elementos dentários tratados com  a solução de fluoreto de sódio a 4% passou de 5,93 para 1,73 em resposta ao estímulo evaporativo e de 3,63 para 0,804 ao estimulo táctil. Para os elementos dentários tratados com  LASER a media da dor passou de 6,020 para 1,854 ao estímulo evaporativo e de 3,50 para 0,937 ao estímulo táctil. Todas essas reduções da dor foram estatisticamente significativas (p <,0,00).  No entanto quando comparadas as duas terapias, não se observaram diferenças estatisticamente significantes entre as mesmas (P>0,05). CONCLUSÃO: As duas terapias foram eficazes na redução da HSDC após seis meses de controle. Não há diferença estaticamente significativa entre as duas terapias propostas nesse estudo.  

37
  • VICTOR ARTHUR OLIVEIRA DE FARIAS
  • Soft Tissue Conditioning in Provisional Crowns in Esthetic Zone: a Clinical Trial.

  • Líder : PATRICIA DOS SANTOS CALDERON
  • MIEMBROS DE LA BANCA :
  • ANA CLARA SOARES PAIVA TORRES
  • ANA RAFAELA LUZ DE AQUINO MARTINS
  • PATRICIA DOS SANTOS CALDERON
  • Data: 21-dic-2018


  • Resumen Espectáculo
  • BACKGROUND: The esthetic outcome is one of the criteria used to build a definition of success in implant-supported restorations. Besides performing a masticatory function, dental implants have to bring back satisfactorily the smile esthetic, which is composed not only by the restoration but also by the adjacent peri-implant soft tissue. The aim of this study is to measure the influence of soft tissue conditioning on esthetic outcome of provisional crowns on single implants in the smile zone. METHODS: This study had sixteen patients with indication for rehabilitation with single implant in esthetic region. All patients underwent an implant placement surgery to install a morse tapered implant and whenever possible, immediate loading was applied. All patients received an acrylic resin implant-supported provisional crown. The soft tissue conditioning was performed with a non-surgical technique of gradual pressure. Photographs of the rehabilitated region were taken at the first provisional crown installation and at the last section of soft tissue management. A blind examiner applied the Pink Esthetic Score (PES) based on criteria observed at the photographs. RESULTS: The sample consisted of 10 females and 6 males with a mean age of 40.8 (21—57) years with indication to receive single implants. The missing teeth occurred mostly in anterior region (9) and the most frequent tooth to be rehabilitated was the central incisor (5). Two patients had implant placement with immediate loading, receiving a provisional crown after the surgery procedure. The mean soft tissue conditioning session number was 2,6 (2—4).

     

38
  • ANTONIO PEDRO DA SILVA NETO
  • ELDERLIES HEALTH: A CROSS-SECTIONAL STUDY ON THE LIVING AND HEALTH CONDITIONS OF A PLACE IN THE NORTHEAST OF BRAZIL
  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • KENIO COSTA DE LIMA
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • ELIANA BARRETO FIXINA
  • Data: 26-dic-2018


  • Resumen Espectáculo
  • The current society is in constant process of aging, thus triggering a significant increase in the number of elderly people. In this sense, the present study aimed to analyze the prevalence and associated factors to multimorbidities and negative self-evaluation of health in elderlies in a municipality in the interior of the Brazilian Northeast. This is a transversal study with a quantitative, descriptive and inferential approach. The target group was 181 elderly people from the city of Pau dos Ferros, registered in the Family Health Strategies (ESF) of the municipality and that were randomly selected and proportional to the number of elderly registered in each ESF team in the municipality. Of the 181 elderly people, belonging to the first stage of the research, there was a loss of 33 elderly (18.2%). The interviewer in charge was a resident of each elderly woman, drawn with the Free and Informed Consent Form (TCLE) for the application of a questionnaire from the "Health, well-being and aging" survey (SABE). Data collection was performed from January to September, 2018. The Statistical Package for the Social Science (SPSS) was used to analyze the data, whose description was based on absolute and percentage frequency values. The inferential analysis was based on the Chi-square test for a significance level of 5% and, later, a logistic regression analysis, whose odds ratio was converted to the prevalence ratio. In the sample, female superiority was found (64.2%). It was observed that the age group between 70 and 79 years presented a frequency of 40.5% of the elderly, influencing the characterization of a municipality with an already marked aging process. Regarding the dependent variables, one has to consider two forms of conceptualization for the multimorbidities. The first one is the one that considers the presence of two chronic diseases, and the second one is based on three chronic diseases. For the first condition, a prevalence of 66.2% (95% CI 58.6 - 73.8%) was found, with a significant association with hypertension, polypharmacy, difficulty in accessing health services, and self-evaluation of memory. For multimorbidity characterized by three or more pathologies, a percentage of 40.5% (95% CI 32.6 - 48.4%) was obtained, with significant associations for polypharmacy, memory self-evaluation and hypertension. In addition, dependent self - rated health had a negative self - assessment prevalence of 73% (CI 95% 66 - 80%) with associations with the following variables: multimorbidities with 3 more pathologies, polypharmacy, oral health and number of caregivers. It is evident, therefore, how much the disease health process is influenced by the most varied factors, whether biological or not, evidencing the need for a strategy that discusses the social determinants as an important aspect to be taken into account in the care. Not unlike the other studies, SABE Pau dos Ferros has produced results that will support the execution of a strategic planning aimed at the elderly public.
Tesis
1
  • LIGIA REJANE SIQUEIRA GARCIA
  • CHILD STUNTING IN BENEFICIARIES OF BOLSA FAMILIA PROGRAM: DETERMINANTS AND INEQUALITIES IN BRAZIL

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MARIA ANGELA FERNANDES FERREIRA
  • RAFAEL DA SILVEIRA MOREIRA
  • RODRIGO PINHEIRO DE TOLEDO VIANNA
  • URSULA VIANA BAGNI
  • Data: 02-mar-2018


  • Resumen Espectáculo
  • This study aimed to identify social inequalities and the associations between life conditions and child stunting on beneficiaries of a Brazilian cash transfer program. It was developed from three different designs, using secondary data from the Department of Informatics of the Brazilian National Health System (DATASUS, from the Portuguese acronym) and from the Brazilian division of the United Nations Development Program (UNDP). The dependent variable was child stunting in beneficiaries of the Brazilian cash transfer program called “Programa Bolsa Família (PBF)” and the independent variables were those related to life conditions in the 5570 Brazilian municipalities, especially indicators for educational and socioeconomic status, sanitation, income inequality and human development, from 2009 to 2012. Regarding the analysis of determinants, it was initially performed a bivariate analysis using Chi-square test, followed by the estimation of adjusted Prevalence Ratios through the Poisson Regression modelling. The spatial dependence of child stunting prevalence was assessed by the Global Moran Index and the spatial correlation was verified by the Bivariate Moran Index. In order to assess the modifications in social inequalities between 2009 and 2012, the Slope Index of Inequality and the Relative Index of Inequality were calculated. For all tests, the significance threshold adopted was 5%. Results showed that the probability of having a high prevalence of child stunting was higher in those municipalities with low socioeconomic indicators (PR 1.43; 95% CI 1.25–1.64) and higher prioritization of Primary Health Care (0.78; 0.70–0.87). It was observed spatial dependence in the distribution of child stunting (I=0.52; p=0.010), with higher prevalence in North and Northeast regions. It was observed reduction in the prevalence of child stunting and an improvement in socioeconomic indicators, followed by a decrease in the absolute inequalities over the studied period (2009 to 2012). In conclusion, the child stunting in Brazil showed a significant reduction in the inequalities, a strong evidence of the social determination and a spatial dependence, when analysed in children beneficiaries of the “Bolsa Família” program.

2
  • TAMIRES CARNEIRO DE OLIVEIRA MENDES
  • PROFILES OF MORTALITY OF ELDERLY IN THE NORTHEAST: STUDY
    COMPARATIVE BETWEEN THREE AGE GROUP AND ITS FACTORS
    RELATED CONTEXT

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • DALIA ELENA ROMERO MONTILLA
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • KENIO COSTA DE LIMA
  • MARIA DO CARMO EULÁLIO
  • VILANI MEDEIROS DE ARAUJO NUNES
  • Data: 27-mar-2018


  • Resumen Espectáculo
  • The elderly population grows rapidly and reveals a variability of characteristics that results
    in different levels of health. In order to make public policies adequate to the new demands, it
    is essential to comprehend the real health pattern and the mortality statistics are an important
    instrument to produce objective bases for this. In this sense, this ecological study proposes to
    analyze the mortality profile of the elderly in the northeastern municipalities from 2001 to
    2015, as well as to identify the contextual socioeconomic factors related. The elderly
    population was analyzed from the perspective of their heterogeneity, dividing it into three
    groups: 60 to 69 years old (younger or sexagenarians), 70 to 79 years (septuagenarians) and
    80 years old or older (longevity). Based on data from the Mortality Information System (SIM)
    and the Brazilian Institute of Geography and Statistics (IGBE), the causes of death, according
    to ICD-10 chapters, were measured using Proportional Mortality (MP) for the descriptive
    analysis of the Northeast region as a whole and through the Age - specific Mortality
    Coefficient (CMId) for the delineation of the mortality profiles in municipalities level. Data
    from IBGE, United Nations Program (PNUD) and the Institute of Applied Economic
    Research (IPEA) were summarized by Principal Component Analysis for the Brazil and then
    in the Northeastern municipalities specifically. The clusters of municipalities with similar
    mortality profiles were defined by means of K-means Clustering Analysis and compared with
    each other and with the socioeconomic indices by Student's T test, Mann-Whitiney, ANOVA
    or Kruskal-Wallis, according to the number of groups and the distribution of the data, at a 5%
    significance level. In addition, the results were analyzed spatially. In the studied period,
    2,461,383 deaths were recorded in the elderly in Northeast. 44.2% of the deaths corresponded
    to the octogenarians, 31.4% to the septuagenarians and 24.4% to the sexagenarians. Most of
    the deaths occurred in the hospital (55.5%), among males (50.8%), brown race (49.0%),
    married (37.1%) and without any study (34.5%). Regarding the causes of death,
    cardiovascular diseases have the highest number of deaths (35.8%), followed by ill-defined
    causes (15.4%) and neoplasms (13.1%). The clustering analysis formed five clusters for the
    sexagenarians group (High burden of neoplasms, High burden of ill-defined causes, Low
    coverage, Intermediate profile and High mortality and good registration), three for the
    septuagenarians (Highest quality of information, Low coverage and Ill-defined causes and
    low coverage profile) and two clusters for octogenarian’s individuals (Cardiovascular
    diseases and ill-defined causes and low coverage and ill-defined causes). The indices of
    Deprivation and Rurality were constructed for the Brazilian municipalities and, in the
    application of the analysis specifically in Northeast, the first one was divided in two
    components (Favorable socioeconomic context and Low education and dependence of the
    State) and the second was adapted as Urbanization and its reflexes. The last one was the most
    important factor for the discrimination of the northeastern municipalities. The bivariate
    analysis showed that satisfactory levels of contextual socioeconomic determinants are related
    to mortality patterns that are closer to the modern characteristics of epidemiological
    transition, as well as a higher quality of the SIM, and this influence is greater in the younger
    individuals. The municipalities identified in the clusters with the most unfavorable health
    profiles should be prioritized in health planning, considering the socioeconomic context for
    reducing health inequities.

3
  • YAN NOGUEIRA LEITE DE FREITAS
  • ORAL HEALTH CONDITIONS AND FUNCTIONAL CAPACITY IN ELDERLY: A POPULATION-BASED LONGITUDINAL STUDY
  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • EDJA MARIA MELO DE BRITO COSTA
  • EUDES EULER DE SOUZA LUCENA
  • GUSTAVO PINA GODOY
  • KENIO COSTA DE LIMA
  • Data: 08-may-2018


  • Resumen Espectáculo
  • The study proposes a longitudinal analysis between oral health conditions and the functional capacity of the elderly population from the municipality of Macaíba-RN. For that, two waves of observations were performed in a elderly population representative cohort from this municipality. The oral health conditions examination sought to evaluate the degree of caries attack (DMFT), the periodontal condition (CPI/PAL), pairs of teeth in occlusion, the use and necessity of dental prostheses and the presence of changes in soft tissue. The functional capacity evaluation, which determines their degree of dependence, was obtained through the application of the Katz index and the Lawton-Brody index. Furthermore, a questionnaire was used to characterize the socioeconomic and demographic profile of the sample. Data from the 209 individuals investigated in the second wave revealed a predominantly female sample (66.5%). The mean age was 75.2 (± 8.14) years, with an average family income of 1.99 (± 1.49) minimum wages. The number of self-reported diseases by the elderly was 1.7 (± 1.1) on average, and regular consumption of medications was reported by 182 subjects (87.1%). As to the oral health longitudinal evaluation, measured from the proposed multidimensional indicator, it was observed that for 22.2% of the subjects there was a worsening in the oral health condition, while 115 individuals (63.9%) maintained the same oral health conditions and, therefore, to 13.9% was observed an improvement in these conditions. Functional capacity was not associated with these changes. Although the functional capacity was not associated with the oral health condition, it was observed that the oral health situation of the elderly from Macaíba-RN is precarious and stable over time, which makes it difficult to investigate associations that may indicate factors related to this context. It is understood that the findings presented are extremely useful to foster reflections on the living conditions of these individuals regarding health policies, especially the policies of oral health, which clearly does not prioritize this age group.

4
  • HIPOLITO VIRGILIO MAGALHAES JUNIOR
  • EVIDENCES OF VALIDATION OF AN OROPHARYNGEAL DYSPHAGIA SCREENING INSTRUMENT

  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • ANA CALINE NÓBREGA DA COSTA
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • LUCIA FIGUEIREDO MOURÃO
  • MARIA ANGELA FERNANDES FERREIRA
  • ZENEWTON ANDRÉ DA SILVA GAMA
  • Data: 21-may-2018


  • Resumen Espectáculo
  • In the elderly, feeding may be compromised as a result of a swallowing disorder during the passage of food through the oral and pharyngeal region called oropharyngeal dysphagia (DO), a health condition that interferes with the maintenance of the nutritional status and hydration of the with the possibility of significant respiratory complications. Recognized as a geriatric syndrome by two important European communities, OD affects the autonomy and independence of the elderly in carrying out their daily life activities and contributes to functional decline and fragility. The objective of this study was to develop and validate a self-referenced questionnaire for the diagnosis of oropharyngeal dysphagia in the elderly (RaDI). The research methodology of this non-randomized, cross-sectional validation study followed the assumptions of the Standards for Educational and Psychological Testing, which describe the process of obtaining evidence based on: test content, response processes, internal structure, with other variables (convergent validity, discriminant, criterion and generalization). The collection, carried out from March 2013 to October 2017, in the city of Natal, state of Rio Grande do Norte, included the elderly, aged 60 and older, of both sexes, attended in the services of care for the elderly, Institution de Longa permanence, University Hospital and two Coexistence Centers, and excluded those with functional difficulties to understand, without any oral feeding, laryngectomized and tracheostomized patients. In the first two stages of validation, four researchers involved in the issues of swallowing and aging, three speech therapists and a sanitary dentist participated in a panel of experts to evaluate the analyzes of 32 judges on the first version of RaDI with 17 items. After its reformulation, the questionnaire was applied to the target population in 40 elderly people, and adjusted to 14 questions that were applied in 211 elderly people to perform the confirmatory factor analysis within a previously hypothesized theoretical model. The RaDI was reduced in 9 questions and was administered along with the associated factors questionnaire in 393 participants, within the same sociodemographic profile, to evaluate the concurrent validity, and in 110 along with the Rosenberg Self-esteem Scale to analyze its divergent validity , performed using the Spearman coefficient (r). The reliability examined by the test-retest in 75 elderly, used intraclass correlation (ICC), weighted Kappa, instrument measurement error (SEM) and the smallest real difference (SRD), and the internal consistency considered Cronbach's alpha, in of the 95% confidence interval. Results: RaDI was adjusted in its internal structure in the nine questions model, with good reliability (ICC = 0.83, CI 0.74-0.89, p <0.001, SEM = 2.13, SRD = 5.90 ) and high internal consistency (a = 0.90). Conclusions: RaDI has produced valid and reliable answers to identify the symptoms of oropharyngeal dysphagia in the elderly and is still in the process of obtaining the most adjusted psychometric parameters in its confidence interval.
     
     
5
  • JOSE ADAILTON DA SILVA
  • STRATEGIC GROUP ON HEALTH PROMOTION: A PARTICIPATORY RESEARCH ON THE AUTONOMY OF PEOPLE LIVING WITH DIABETES

  • Líder : ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • MIEMBROS DE LA BANCA :
  • ANA KARENINA DE MELO ARRAES AMORIM
  • ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • JOÃO BOSCO FILHO
  • MARCELO VIANA DA COSTA
  • MARIA DE FÁTIMA ANTERO SOUSA MACHADO
  • Data: 26-jun-2018


  • Resumen Espectáculo
  • Diabetes requires changes in the lives of those who become diagnosed with it, requiring healthy living habits, regular physical activity and even self-administration of medications. Sometimes, it requires a certain self-control that involves the ability to recognize options and make decisions: in this sense, the exercise of personal autonomy is necessary. Discussion on autonomy pays attention to the respect for people's choices, even in the face of restraining situations. Certainly, working with practices of autonomy in chronic diseases are still quite challenging. The purpose of this study was to compose health promotion strategies, based on a Strategic Health Promotion Group (GEPS), to help create the conditions for the exercise of people's autonomy regarding health care dealing with a disease chronic condition. The research is participatory, with a qualitative approach based on reflexivity. A previous consent was necessary to form a sixteen people group diagnosed with diabetes. Different topics were discussed, and the analysis of narratives produced in the meetings resulted in three thematic axes: a) Recognizing diabetes; b) Living with diabetes, and c) Exercising autonomy and protagonism. These axes formed three respective textual summaries, which were evaluated and validated by the participants in other three meetings. An interpretative exercise unfolded these summaries. Results demonstrate how participant´s experiences are related to the impact of diabetes diagnosis, provoking a moment of instability in the recognition of their ways of taking care of their own health, implying in the adoption of new meanings for their life habits. The recognition of this chronic condition transforms the way they come to live with diabetes, deriving in diverse personal strategies of self-control, self-care and adaptation. Sharing experiences facilitates the recognition of choices to the subject, stimulating their autonomy and protagonism. Shared care in a co-management process is critical to the longitudinality of diabetes care. In conclusion, the study emphasizes that the Strategic Group for Health Promotion extends the possibilities of self-care management and provokes reflections on health workers and health promotion practices, becoming an important tool for the health collective management. Group strategies, when directed towards the subject´s autonomy, tend to strengthen Primary Health Care and to achieve its essential attributes. 

6
  • MÁRCIA CAVALCANTE VINHAS LUCAS
  • WHERE DOES SIDA COME FROM, WHERE DOES IT GO TO? POSSIBLE PATHWAYS FOR THE ERADICATION OF THE HIV EPIDEMIC FROM THE PRESENT TIME

  • Líder : ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • MIEMBROS DE LA BANCA :
  • ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • JACILEIDE GUIMARAES
  • ROSANA LUCIA ALVES DE VILLAR
  • ANGELA APARECIDA CAPOZZOLO
  • JOÃO BOSCO FILHO
  • Data: 02-jul-2018


  • Resumen Espectáculo
  • As the fourth decade of HIV/AIDS epidemic in Brazil approaches, the epidemic context in the country has extremely complex new characteristics. In 2016, what we find in Brazil is a picture of resurgence of the epidemic with a new profile centered in MSM, chemical dependents, young gays and sex workers; reduction on international investments; and the upsurge of conservative sectors against public policies, restraining the epidemic approach based on human rights. At the same time, the United Nations affirm that it is possible to eradicate the epidemic of HIV/AIDS until 2030. The general purpose of this research is to understand and to assess experiences of people who live the epidemic of HIV/AIDS in the present context of adoption of therapeutic strategies in order to achieve national and international goals of eradication of the epidemic until 2030. Two central research strategies have been adopted: interviews focused on life stories and ocumentary research. The later assessed documents produced by the UN System that address the global policy of confrontation of the epidemic in the period from 2000 to 2016, in a total of 27 documents.The researcher has also explored official documents about the Brazilian Policy of Control and Eradication of the epidemic, from 1999 to 2016, and the Epidemiologic Bulletins of HIV/AIDS, from 2001 to 2016, in a total of 24 documents. Five health professionals and four users have been interviewed. The interpretive exercise of the interviews, with emphasis on life stories, was referenced in Sociology of Emergencies, Translation Work and in the Ecology of Knowledge, inspired by Boaventura de Souza Santos, who sought on local speech what, from the experience and expectation of the subjects who experience the care to the people living with HIV routinely, affirmed or denied knowledge and practices, new and old, and identified possibilities of future that are being built in the present through care practices concerned with the future of individuals and collectivities. The Translation work between narratives of subjects that produce local knowledge and practices and the official narrative that produces global knowledge from the argumentative work of the researcher was based on the analysis of the empirical material produced on the research and from the theoretical framework that has been adopted. From this work of translation between global, national and local knowledge and practices, prevention emerged as the most neglected stage of HIV/aids care and, thus, the most prone to setbacks, at the same time that we notice a pluralism of practical knowledge associated to it. Setting the epistemological path oriented by the ecology of knowledge, we identified the insufficiency of the image associated to combination prevention proposed by the Health Ministry in the representation of practices announced by different actors as being the ones with the capability of conciliation, provoking the need for its expansion. For this reason, based on the results of the study, we propose an alternative representation of the combination prevention mandala that embodies other aspects of the care applicable to the combination prevention. The interpretive exercise of approximation between different knowledge highlighted the need to put people, community and specially the right to prevention in the center of the responses to the confrontation of the epidemic of HIV/aids, if we want to understand the reinvention of the present more than projecting a future.

7
  • SAMARA CAROLLYNE MAFRA SOARES
  • PREVALENCE AND FACTORS ASSOCIATED WITH SCREENING FOR PROSTATE CANCER AND BREAST CANCER IN THE BRAZILIAN POPULATION

  • Líder : DYEGO LEANDRO BEZERRA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • CLELIA DE OLIVEIRA LYRA
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • GUSTAVO PINA GODOY
  • ISABELA PINHEIRO CAVALCANTI LIMA
  • ZENEWTON ANDRÉ DA SILVA GAMA
  • Data: 26-jul-2018


  • Resumen Espectáculo
  • Screening for the early detection of cancer has advantages and disadvantages in its realization, and its practices. Both in the public service and in the private health sector, should be guided by scientific evidence in order to ensure benefits and to avoid potencial damages and harms. Prostate cancer is one of the most frequent among men in Brazil and worldwide, and recommendations for its screening have been undergoing constant changes in the face of recent scientific evidence about the gains and potential harms of diagnostic tests, the PSA and digital rectal examination (DRE). The present study aims to identify the prevalence and factors associated with the performance of DRE in Brazilian men over 40 years of age. The Stata® 14 software was used to tabulate and statistically analyze the Prevalence Ratios with the respective 95% Confidence Intervals and p values, using the National Health Survey (NHS), Brazil, 2013. Multivariate analysis with Poisson regression. The men with private health plans (63.3%, CI = 60.5-66.0) had a higher prevalence in the implementation of DRE than in the public health system (41.6%, CI = 39.8% 43.4). The results showed a positive association for DRE in men with private plans aged 60-69 who married, and never smoked and domiciled in urban areas. For men who use the public health service, this positive association with DRE occurred in the age group of 70-79 years, living with consort, have poor / very poor self-perception, who do not drink, former smokers, with university level, who have 4 or more comorbidities, and domiciled in urban areas. Also for this group there was a negative association of the DRE for men living in the northern region of the country. The findings point to a difference in the medical practice in force in these two types of health service in the country, and also differences in access to this diagnostic test.
8
  • ANGELA MARIA DE MEDEIROS SOARES
  • INTERNAÇÕES EM IDOSOS E FATORES CONTEXTUAIS ASSOCIADOS NO NORDESTE BRASILEIRO

  • Líder : KENIO COSTA DE LIMA
  • MIEMBROS DE LA BANCA :
  • ALBERT ESPELT HERNÁNDEZ
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • KENIO COSTA DE LIMA
  • LEANDRO DE ARAUJO PERNAMBUCO
  • VILANI MEDEIROS DE ARAUJO NUNES
  • Data: 02-ago-2018


  • Resumen Espectáculo
  • The present study aimed to investigate the elderly hospitalizations by cause group and by sensitive conditions to basic health (HSCBH), identifying their relationship with contextual factors in the Northeast of Brazil. A cross-sectional ecological study was performed using secondary data from the Hospital Information System of Brazil (SIH-SUS) to describe hospitalization rates by cause group and by HSCBH of the elderly between 2010 and 2015. The dependent variables were the elderly hospitalizations by cause group and by HSCBH. Therefore, the non-hierarchical cluster analysis (K-means) was performed by grouping of municipalities based on the cause group chapters in general admissions and those sensitive to basic care, with 3 Clusters. For the general hospitalization rate, Cluster 1 was characterized by the prevalence of low hospitalization rates, Cluster 2 with a high prevalence of hospitalization rates and Cluster 3 with predominance of intermediate hospitalization rates. In the HSCBH rates, Cluster 1 was classified as intermediate rates, 2 as low rates and 3 high rates. For the association with the dependent variables, were selected 11 independent socioeconomic contextual variables. The variables selected were summarized through the Factor Analysis starting Principal Components Analysis (PCA). Thus, we obtained component 1 that was called "urbanization and its reflexes", the second component being nominated as "favorable socioeconomic context" and the third component titled "little education and dependence of the state". In addition to these variables, we used the GINI Index, HDI, Firjan Index, the average coverage of basic care in municipalities between 2010 and 2015, and the rate of the physician visits among the elderly in basic care during the same period. The total hospitalization rate in the period was 1,212.60, with the greatest number being to circulatory system diseases, followed by respiratory system diseases and infectious/parasitic diseases. The clusters of hospitalization rates differed significantly between contextual factors, so that the municipalities with the highest hospitalization rates presented the highest values for the favorable socioeconomic context, the highest values being related to the few schooling and state dependence of municipalities with lower hospitalization rates. In relation to HSCBH, the total hospitalization rate was 527,524 (43.5% of all hospitalizations), with a higher number of heart failure diseases, followed by cerebrovascular and infectious gastroenteritis. In the association between the rates with the contextual factors, there was a significant difference between all the clusters and the factors. The cluster with the highest admission rates was the one that presented the highest averages for the “favorable socioeconomic contexto” and for “little education and dependence of the state”. The cluster with the lowest hospitalization rates had the highest averages for the "urbanization and its reflexes” factor. In the analysis of the coverage and the rate of physician visits among elderly people in basic care, it was observed that the clusters did not differ significantly, although in the cluster with the highest hospitalization rates, there were the highest number of physician visits among the elderly. About this context, was concluded that in this elderly population there is a predominance of hospitalizations due to diseases of the circulatory system. In the HSCBH, the largest number of hospitalizations is due to heart failure. Regarding the contextual factors, we can conclude that these fators interfere in a significant way in the hospitalizations of the elderly population, being relevant the point of these factors in the construction of the health public policies, taking into account the vulnerabilities of this population and contributing to the improvement of the elderly health  and the reduction of hospitalizations in this population.

9
  • CLECIO GABRIEL DE SOUZA
  • EFFECTS OF TRANSCRANIAL STIMULATION BY CONTINUOUS CURRENT ON CHRONIC PAIN IN INDIVIDUALS SUFFERED BY CHIKUNGUNYA.

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ALEXANDRE HIDEKI OKANO
  • ALEXSANDRO SILVA COURA
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MARCELO CARDOSO DE SOUZA
  • WOUBER HÉRICKSON DE BRITO VIEIRA
  • Data: 09-ago-2018


  • Resumen Espectáculo
  • Chikungunya is a condition that has reached thousands of Brazilians, with alarming numbers of serious and incapacitating cases throughout the country. It is transmitted by the Aedes Aegypti mosquito and causes acute onset fever, joint and muscle pain. The persistence of symptoms of continuous and disabling joint pain has been a characteristic of relevant concern for collective health. There is still no specific treatment for cases of chronic pain caused by Chikungunya and the mechanisms responsible for chronic pain can be involved with the phenomenon of central pain sensitization. Neuromodulation techniques could act on these effects and among them there is Transcranial Current Stimulation (ETCC), which is a technique of applying currents of low intensity on the scalp in order to modulate cerebral areas and has been shown to be efficient in the treatment of cases involving chronic pain. The objective of this study was to analyze the effect of CTEF on chronic pain in patients treated by Chikungunya. A randomized clinical trial of women with Chikungunya, aged between 28 and 70 years, was divided into two experimental groups (CTEF) and placebo (SHAM). The sociodemographic and clinical characteristics of the participants were evaluated, as well as the level of functional capacity and pain symptomatology before and after being submitted to six sessions of ECTS on alternate days. A total of 59 women participated in the study, with a mean age of 52.85 ± 10.76 years and the time of disease involvement presented a mean of 21.54 ± 3.53 months. Regarding the presence of Chikungunya-associated diseases, 39% reported having a previous rheumatic disease. For the variables of functional capacity and pain, an improvement was observed in the two groups of the research, but this difference was greater in the experimental group, especially when compared to pain at different moments, with a follow-up of fifteen days after the last session. ETCC was able to improve the level of pain reported by individuals affected by Chikungunya.

10
  • HUGO DE ALMEIDA VARELA
  • Platelet rich fibrin in injectable form (i-PRF): celular, morphological and protein characterization

  • Líder : AURIGENA ANTUNES DE ARAUJO
  • MIEMBROS DE LA BANCA :
  • AURIGENA ANTUNES DE ARAUJO
  • ANA RAFAELA LUZ DE AQUINO MARTINS
  • JOSE SANDRO PEREIRA DA SILVA
  • HECIO HENRIQUE ARAUJO DE MORAIS
  • RENATA CIMÕES JOVINO SILVEIRA
  • Data: 09-ago-2018


  • Resumen Espectáculo
  • One of the great challenges of clinical research is the development of new biomaterials that aid in tissue regeneration and accelerate the healing process. Experimental studies demonstrate the effect of platelet rich fibrin (PRF) on tissue regeneration techniques, optimizing the repair process; and can be used in injectable form (i-PRF). The objective of this research was to determine the cellular, morphology and protein characterizations  involved in the repair process and to evaluate its interaction with a bioceramic material from an in vitro model. Blood samples were collected from 15 human volunteers for comparison of the cellular constituents between i-PRF and peripheral blood. Samples of i-PRF and blood clots were cultured in vitro for 10 days. The supernatant of the samples was collected at intervals 1h, 8h, 24h, 3 days and 10 days for quantification of PDGF-AB and VEGF growth factors by ELISA immunoassay. Samples were histologically treated for morphological characterization and submitted to the immunohistochemical methodology for the labeling of IL-10, Osteocalcin  and TGF-β proteins. The gene expression of collagen transcription factor type 1 was investigated. Samples of i-PRF mixed with granular bioactive ceramics (HA / β-TCP) were prepared to evaluate the interaction between these compounds through SEM. A higher concentration of leukocytes (8,124 ± 1,419) and platelets (3.96x105 ± 0.72) in i-PRF compared to peripheral blood (p <0.001) was observed, with a higher proportion of lymphocytes (60%) in i- PRF. Higher levels of VEGF were released from the blood clot (1933± 704) compared to i-PRF (852 ± 376; p <0.001); no differences were observed between PDGF-AB levels (p>0.05). Immunohistochemical assay demonstrated staining  for TGF-β, IL-10 and Osteocalcin in the i-PRF group. RT-PCR analysis showed increased gene expression of collagen type 1 in the i-PRF group (p>0.05) . Microscopically, the formation of large platelets and fibrin clusters and a fibrin network in a three-dimensional spatial and homogeneous distribution were observed. SEM images showed good integration between the ceramic granules and the fibrin mesh formed by i-PRF. In describing and analyzing the morphological and biological properties of i-PRF in vitro, we can better understand its clinical effects and develop guidelines for future therapeutic applications.

     

11
  • LYANE RAMALHO CORTEZ
  • FIXATION OF THE PHYSICIAN IN PRIMARY HEALTH CARE – A PERSPECTIVE FROM THE PROGRAM TO VALUE PRIMARY HEALTHCARE PROFESSIONALS


  • Líder : LUIZ ROBERTO AUGUSTO NORO
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • LUIZ ROBERTO AUGUSTO NORO
  • PAULO DE MEDEIROS ROCHA
  • CLAUDIA SANTOS MARTINIANO SOUSA
  • WASHINGTON LUIZ ABREU DE JESUS
  • Data: 16-ago-2018


  • Resumen Espectáculo
  • The present study not only analyzed factors that led physicians to migrate from the Program to Value Primary Healthcare Professionals (PROVAB) to the More Physicians for Brazil Project (PMM), opting to continue as Primary Health Care (APS), but also aimed to identify the perception of users, managers and supervisors regarding the profile and work of physicians, gathering which factors were important for individual and collective care. It used a mixed methodology when contemplating qualitative and quantitative aspects in order to potentialize the diagnosis and to approach the researched phenomenon. Secondary data from the First Impressions Report (RPI) were used by physicians when they arrived at PROVAB. The Iramuteq software was used to analyze these data. To analyze the qualitative data collected from six focus groups, the content analysis technique was used, identifying the respective categories of thematic analyzes. Upon arriving at PROVAB, the doctor identified that the access of the user was hampered by an agenda organization that prioritized free demand and care by type of illness and life cycles, with a loss in the identification, listening and reception of the users' health needs. There were difficulties related to lack of material, inadequate infrastructure conditions and a routine of overloading health workers. In the training of these doctors there was a gap in the graduation course related to the APS, and the year of formation at PROVAB was configured as an aggregator of these competences, providing professional experience with autonomy, ability to work as a team and to work in permanent education in their territories qualifying care in APS. The physicians identified a differentiated posture regarding the listening and follow-up of users with a strong bond and commitment to care in the territory. It was verified that the access to health services and actions is influenced by the presence of the physician and the model of attention with emphasis on the health needs of the users and in the health promotion and education from the reception and humanized access, increasing the resolving capacity and the completeness of care. The management was a facilitator of this qualification process triggered by the program, and aspects such as sensitivity, flexibility and search for permanent qualification were observed, which allowed the promotion of a live work in an act, produced by the knowledge and know-how social workers involved in the Primary Health Care workforce. Finally, despite all the challenges faced by PROVAB throughout its course, it has had a unique contribution to the qualification of APS, contributing to the birth of a new logic of medical education in Brazil. Its effective contribution to the consolidation of the PMM, which is still under construction, is a major movement of resistance to the disarticulation and deconstruction of the SUS that happens daily in our country.

12
  • DÉBORAH KAROLLYNE RIBEIRO RAMOS LIMA
  • BETWEEN WIRES AND KNOTS: AN ANALYSIS OF THE PSYCHOSOCIAL CARE NETWORK IN NATAL/RN

  • Líder : JACILEIDE GUIMARAES
  • MIEMBROS DE LA BANCA :
  • JACILEIDE GUIMARAES
  • ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • ANA KARENINA DE MELO ARRAES AMORIM
  • JOÃO BOSCO FILHO
  • NADJA CRISTIANE LAPPANN BOTTI
  • Data: 29-ago-2018


  • Resumen Espectáculo
  • This thesis is at the interface between collective health and mental health. Its research object is the Psychosocial Care Network (RAPS, as per its Portuguese acronym), analyzed from the viewpoint of its organizational logic and having as a guiding axis the articulation between the services comprising it. It is broadly aimed: to analyze the RAPS Natal/RN, considering the care in the territory and its modes of articulation; and specifically: to draw up a network design, relating the municipal installed capacity, the current care flows and the intersectoral partnerships directly related to the line of care in psychosocial care; to understand the modes of articulation between the services comprising it, considering the continuity of care in the territory; to propose strategies to enhance this network of care, based on loco-regional specificities. This is a qualitative research guided by the Complex Thought, with Morin’s orientation, as an understandable lens of reality and of the phenomenon in question. In order to collect data, we moved through the health services comprising the various points of care in the RAPS Natal/RN, and also performed focus group sessions with directors, workers and users of the visited health services, totaling 22 subjects. It was approved by the Research Ethics Committee of the Onofre Lopes University Hospital of the Federal University of Rio Grande do Norte (HUOL-UFRN), on April 3rd, 2017 – CAAE 65226817.5.0000.5292 and opinion 1.997. The results were built from the corpus originating from the transcripts of the focus groups, and divided into two categories of analysis, namely: 1) From the tangled wires to the basting of a network –  which consists of the presentation of the RAPS Natal/RN from the graphic viewpoint and regarding the characteristics of community-based mental health care developed in the municipality; 2) Concerning the articulation of the RAPS: relinking wires and knots, basting the network – where we will discuss the strategies adopted by actors, services and sectors to promote interconnections that foster the continuity of mental health care in the territory. Still in the second category, problems are debated evidenced in the local scenario and that have direct or indirect implications for the articulation of the RAPS and for the continuity of the care in territory and that are denominated like the "nodes of the network". In short, we recognize in the local scenario more the existence of a continuum between services than of an RAS proper. We call attention to the relationship of recursion that we judge to be established between care in the territory and the articulation of RAPS. So, care based on specialty, medicalization and fragmentation - as evidenced by the research - is the product and producer of a network that articulates in a timely manner, in a fodder triggered by labels and intersubjectivities. We are betting on the trinity of "integrality-sharing of care-intersectoriality" to extrapolate flows of labyrinth assistance towards the realization in RAPS territory

13
  • ISABELLE MARIA MENDES DE ARAÚJO
  • Vulnerability in Enviromental Health: the case of impementation of automobile complex in the Goiana territory, Pernambuco, Brazil.

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • CRISTINA LARREA KILLINGER
  • ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • IDE GOMES DANTAS GURGEL
  • LUIZ ROBERTO AUGUSTO NORO
  • Data: 12-sep-2018


  • Resumen Espectáculo
  • This research was based on the reflection on the integrated approach of Collective Health and the environmental issue, considering the scenario of the coming of global industrial enterprises in the brazilian local context, related to the productive restructuring of capital, with evidence for the automotive sector. The general objective of the study was to analyze the environmental health vulnerability resulting from the installation of the FCA / Jeep automotive complex in the city of Goiana, Pernambuco, especially on the Acaú-Goiana extractive reserve, with emphasis on the health, economic, political-social, cultural and environmental aspects of the territory, for the construction of a predictive matrix of vulnerabilities. Specifically, we involve discussing the environmental issue in the field of collective health in a theoretical-conceptual articulation with the field of political ecology; to understand the socio-sanitary profile of Goiana/PE in the pre and post installation of the automotive pole, as well as the impacts on the water resources of the territory and the consequences for human health; to construct an explanatory matrix based on the FPSEEA (Force-Pressure-Situation-Exposure-Effect-Action) framework, with systematization of indicators for the monitoring of impacts / effects on the health of the local population and the environment; in addition to analyzing the perception of the traditional extractive communities (Resex Goiana) on the dimensions of the processes of vulnerability caused by the pole, using the categories of social reproduction (ecological, biocommunal, communal-cultural, societal-economic and political reproduction). We conclude that the study on environmental health vulnerability makes it possible to understand the aggravations in local contexts, nature, social relations and singular and communitarian life, resulting from the inequities and injustices caused by the power of Capital and the State to the detriment of social groups historically destitute and socioecological systems.

14
  • ANA CLARA SOARES PAIVA TORRES
  • MANDIBULAR COMPLETE DENTURE SUPPORTED BY IMPLANTS: FACTORS INFLUENCING THE SUCCESS OF REHABILITATION

  • Líder : ADRIANA DA FONTE PORTO CARREIRO
  • MIEMBROS DE LA BANCA :
  • ADRIANA DA FONTE PORTO CARREIRO
  • ANDRE ULISSES DANTAS BATISTA
  • BRUNO CESAR DE VASCONCELOS GURGEL
  • JULIANA APARECIDA DELBEN
  • PATRICIA DOS SANTOS CALDERON
  • Data: 14-sep-2018


  • Resumen Espectáculo
  • The long-term success of implant-supported dentures is one of the supports to indicate these treatments. The aim of this study was to evaluate a set of variables that may interfere in the success of rehabilitation. The masticatory performance (PM) (granulometric method - X50 identification), oral health impact on quality of life (OHIP-EDENT), occurrence of complications and the health of the peri-implant tissues of patients with overdentures supported by 2 implants with a bar  clip retention system (G1) or with fixed complete dentures on 4 or 5 implants (G2), opposed to conventional complete denture. The peri-implant tissues were evaluated for mini-pillar biofilm (BMP), probing depth (PS), bleeding, inflammation, keratinized mucosa (MC), mucosal margin level (NMM) and bone loss (PO). Follow-up times were 3 (T1), 12 (T2), 24 (T3), 36 (T4) and 48 months (T5) after rehabilitation. To analyze the statistical differences in each group and over time the main tests used were Mann-Whitney, Wilcoxon and Friedman, with a significance level of 5%. The sample consisted of 45 patients. Among them, 32 have HE-type implants. The others (n = 13) had Cone Morse implants (CM). The mean age of the total sample, including patients with HE and CM, is 63.02 years (± 8.27). Rehabilitation groups were as follows: G1 with n = 25 (55.6%) and G2 with n = 20 (44.4%). Of these, 34 (75.6%) were women and 11 (24.4%) were men. The results showed that mean values of total OHIP increased from 5 to 6.60 and 6.71 in 2 (n = 33), 3 (n = 30) and 4 years (n = 28). In those times the same thing happened with the X50 that increased from 5.68 mm to 6.25 mm and 6.33 mm. In T4, G1 had a greater negative impact of oral health on quality of life in terms of physical dysfunction (p = 0.019). Overdenture patients experienced worsening of PM over time (p = 0.001). Regarding the complications, it is highlighted that in G1 there are 2.28 times more chances of complications occurring. Among the HE patients BMP increased over time in G2 (p = 0.042) and was higher in G2 than in G1 from T2 through T5 (p <0.05). PS values increased in G1 over time (p <0.001) and NMM was lower in G2 than in G1 at all times (p <0.05) and PO over time increased in G2 (p <0.001) and was greater than in G1 at 2, 3 and 4 years (p <0.05). When evaluating patients with HE and CM, it was possible to notice that bleeding was greater in G2 than in G1 in T3 and T4 (p <0.05) and NMM remained lower in G2 at all times (p <0 , 05). Thus, it was concluded that both treatments resemble the impact on quality of life and masticatory performance, however, patients rehabilitated with overdentures are more prone to prosthetic failure. While patients who are rehabilitated with fixed prosthesis have less favorable peri-implant tissue conditions.

15
  • LORENA MARQUES FERREIRA DE SENA
  • Effect of different bonding protocols on degree of monomer conversion and bond strength between orthodontic brackets and enamel

  • Líder : RODRIGO OTHAVIO DE ASSUNCAO E SOUZA
  • MIEMBROS DE LA BANCA :
  • ANA CLÁUDIA MOREIRA MELO TOYOFUKU
  • CARMEM SILVA LAUREANO DALLE PIAGGE
  • HALLISSA SIMPLICIO GOMES PEREIRA
  • PATRICIA DOS SANTOS CALDERON
  • RODRIGO OTHAVIO DE ASSUNCAO E SOUZA
  • Data: 13-nov-2018


  • Resumen Espectáculo
  • Objective: To evaluate the effect of different surface treatments and polymerization protocols on the bond strength of brackets to enamel, and the degree of conversion of the bonding agents. Methods: 120 bovine crowns were embedded in acrylic resin blocks and sanded. Next, the blocks were randomly assigned into 12 groups. Metal brackets were bonded to enamel according to the "surface treatment" factor (A: Phosphoric Acid; ATxt: Phosphoric Acid + Transbond XT Primer®; Tse: Transbond Plus Self Etching Primer®; and SBU: Scotchbond Universal®) and "polymerization" factor (R20: Radii-Cal®/20 seconds; V20: Valo Cordless®/20 seconds; and V3: Valo Cordless®/3 seconds). All samples were stored for 6 months (water, 37ºC) and then subjected to a shear bond strength test (SBS). Bond failures were classified according to the Adhesive Remnant Index (ARI) and analyzed with the Kruskal-Wallis and Mann-Whitney tests (5%). Using the same factors, 120 resin discs were made to assess the degree of conversion (DC) of the monomer. Data from the SBS (MPa) and DC (%) were analyzed by analysis of variance (2 factors) and Tukey's test (5%). Results: For the SBS, the factors "polymerization" (R20=8.1B; V20=13.2A; V3=5.2C, p=0.0001) and “surface treatment” (A=3.1C; ATxt=13.6A; Tse=12.3A; SBU=6.3B, p=0.0001) were statistically significant among groups. The highest adhesion value were found for the ATxt/V20 group (22.2A) and the lowest value for the A/R20 group (1.2E). Regarding ARI, score 2 was the most prevalent in groups A, ATxt, V20 and V3, while score 4 was the most prevalent in the Tse, SBU and R20 groups, with no significant difference between them (p=1.0).  Regarding DC, the factors "polymerization" (R20=66.6A; V20=58.4B; V3=45.1C, p=0.0001) and "surface treatment" (A=52B, ATxt=59.7A, Tse=51.4B, SBU=63.8A, p=0.0001) were statistically significant. Conclusions: Tse was more sensitive to the variations in polymerization protocols than the other surface treatments. Treatment A did not present suitable bond strength or degree of conversion.

16
  • GIOVANNA DE FATIMA ALVES DA COSTA BORGES
  • IMPACT OF AN ADDITIONAL POLISHING METHOD ON PHYSICAL, MICROMORPHOLOGIC AND MICROTOPOGRAPHIC PROPERTIES OF BULK FILL COMPOSITES

  • Líder : BONIEK CASTILLO DUTRA BORGES
  • MIEMBROS DE LA BANCA :
  • ALEX JOSE SOUZA DOS SANTOS
  • BONIEK CASTILLO DUTRA BORGES
  • CLAUDIA TAVARES MACHADO CUNHA
  • ISABELA PINHEIRO CAVALCANTI LIMA
  • JOSE RENATO CAVALCANTI DE QUEIROZ
  • Data: 12-dic-2018


  • Resumen Espectáculo
  • The aim of this study was to evaluate the surface roughness, wettability, compactness, mapping of chemical elements, 3D microtopography and micromorphology of bulk fill composites after additional polishing. The specimens were prepared from bulk fill (Filtek Bulk Fill Tetric N-Ceram Bulk Fill Opus Bulk Fill X-tra Fil) and conventional composites (Filtek Z250 XT, Grandioso, Tetric N-Ceram, Vittra APS), and randomly distributed in 3 groups (n = 10): without finishing and polishing, finishing and polishing with Astropol, additional polishing with Astrobrush (Astropol + Astrobrush). The surface roughness (Ra) and contact angles were measured using a profilometer and adapted goniometer, respectively. The 3D microtopography was evaluated using atomic force microscopy (AFM), while the micromorphology and the compactness, through scanning electron microscopy (SEM). The mapping of chemical elements was evaluated using (SEM / EDS - X-ray Dispersive Energy Detector). The roughness and the contact angle were analyzed by 2-way ANOVA and Tukey's test (p <0.05); other variables were descriptively analyzed. All the composites involved in this study had a superficial layer rich in dilute organic matrix, a subsurface layer rich in particles of smaller dimensions. Additional polishing step reduced surface roughness of Filtek Bulk Fill resins, Vittra APS, Tetric N-ceram Bulk Fill and X-trafil resins, increased the contact angle value of the X-tra Fil and decreased the Filtek Z250 XT. In the analyzes for 3D microtopography and micromorphology, smoother and uniform surfaces were observed in all a composites. The elements: Carbon (C), Oxygen (O), Silicon (Si) were present in all composite resins. Fluorine (F) was detected only in the Tetric N-ceram, Tetric N-ceram Bulk Fill. Only X-tra Fil did not present zirconia (Zr). Barium (Ba) was detected in Filtek Bulk Fill, TetricN-ceram Tetric N-ceram Bulk Fill, X-tra Fil, but absent in Vittra APS, Opus Bulk Fill and Grandiose. Titanium was found only in Opus Bulk Fill and tungsten only in Filtek Bulk Fill. Additional polishing step improved the surface properties of the composites studied.

17
  • FRANCISCA SUELI MONTE MOREIRA
  •  

    Use of drugs for elderly people in the elderly in long-term care institutions
     
     
     
  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • DJANILSON BARBOSA DOS SANTOS
  • JULIANA MARIA GAZZOLA
  • MARIA ANGELA FERNANDES FERREIRA
  • MARIANA MARTINS GONZAGA DO NASCIMENTO
  • RAND RANDALL MARTINS
  • Data: 17-dic-2018


  • Resumen Espectáculo
  • The rapid growth of the Brazilian elderly population has been accompanied by a greater burden of diseases, an increase in the use of health services and an increase in the demand for Nursing Home (NH). The elderly are more susceptible to the occurrence of adverse events due to physiological changes related to aging that may influence the pharmacokinetics and pharmacodynamics of the drugs. The present study has as main objectives to verify the prevalence of potentially inappropriate drug use (PIM) for the elderly and the associated factors, as well as to evaluate the changes in the occurrence of PIM over time. The first stage of the study (study 1) follows a cross-sectional design and used baseline data from the study "Human Aging and Health: the reality of the institutionalized elderly in the city of Natal / RN", which aims to assess health / institutionalized elderly in the city of Natal / RN. The collection was performed based on the data collected in 10 Institutions of NH. Inappropriate medications were classified according to the 2015 American Geriatric Scoiety (AGS) Beers Criteria. Sociodemographic variables, related to NH and health conditions, were analyzed. Univariate and multivariate analyzes were performed between the main variable (PIM use) and the other variables. The study population consisted of 321 elderly people, and the prevalence of 54.6% of PIP was identified. Multivariate analysis revealed that PIM use was associated with polypharmacy and dementia. The second part of the study (Study 2) followed a 24-month longitudinal with 6-month follow-up intervals. The variables and 2015 AGS Beers Criteria adopted in study 1 were maintained. The prevalence of PIM use was high in the 4 waves, with 63.4% in wave 1, 62.9% in wave 2, 69.2% % in wave 3 and 65.9% in wave 4. The classes of drugs most frequently used as PIM in all waves were antipsychotics, bezodiazepines and proton pump inhibitors. The study revealed that the use of PIP is high among NH residents, remaining high over time. The prevalence of MPI in this magnitude reveals the need to improve the quality of the pharmacotherapy of the elderly and requires actions of professionals and managers.

2017
Disertaciones
1
  • ARIANE SALGADO GONZAGA
  • Mechanical, thermodynamical and chemical characterization of commercial CuNiTi wires

  • Líder : SERGEI GODEIRO FERNANDES RABELO CALDAS
  • MIEMBROS DE LA BANCA :
  • SERGEI GODEIRO FERNANDES RABELO CALDAS
  • PATRICIA BITTENCOURT DUTRA DOS SANTOS
  • RENATO PARSEKIAN MARTINS
  • Data: 30-ene-2017


  • Resumen Espectáculo
  • Introduction: CuNiTi (copper Ni-Ti) wires have indications of specific clinical use and should therefore express the mechanical and thermodynamic characteristics reported by manufacturers. With the fall of the production patent, several companies began to manufacture these wires with great variation of price, process of manufacture and possibly of quality. Objectives: In order to verify the properties of these wires, this work aims to characterize mechanically, thermodynamically and chemically CuNiTi commercial wires. Materials and Methods: The sample consisted of 40 precontoured, thermodynamic arches with addition of copper, dimensions of 0.017 "x 0.025" with Af temperature of 35°C, from 5 manufacturers, American Orthodontics® (G1), Eurodonto® (G2), Morelli® (G3), Ormco® (G4) e Orthometric® (G5), 8 wires of each one. The wires underwent a standardization test of their dimensions, tensile tests, MEV-EDS and differential scanning calorimetry (DSC) test. Due to the small variability inherent of the mechanical tests in wires, parametric tests (ANOVA OneWay and Tukey post test) were used, considering a significance level of 5%. Results: All wires presented standardized dimensions of 0.017 "x0.025". In the tensile test, all presented superelastic behavior with SE rate higher than 8 and the following means of force plateau - G1 36,49N; G2 27,34N; G3 19,24N; G4 37,54N; e G5 17,87N. In the DSC assay, the means of Af for G1 (29.40°C), G2 (29.13°C) and G3 (31.43°C), had p>0.05 relative to each other. G4 (32.77°C) and G5 (35.17°C) presented statistically significant differences between themselves and among the other groups, with p <0.05. MEV-EDS assay for all samples presented Ni, Ti, Cu and Al in different concentrations. Conclusion: All wires have superelastic behavior. G5 wires were the only ones having an Af temperature similar to that indicated by the manufacturer. G5 and G3 showed the lowest plateau means during deactivation. Cu is fundamental to stabilize the TTRs, however in non-equiatomic alloys a higher concentration of Al seems to be fundamental to raise the transition temperature.

2
  • GLEYSSON MATIAS DE ASSIS
  • BIOMECHANICAL ANALYSIS OF RESISTANCE OF SAGITAL OSTEOTOMY OF RAMO AFTER DIFFERENT MANDIBULAR MOVEMENTS: IN VITRO STUDY

  • Líder : ADRIANO ROCHA GERMANO
  • MIEMBROS DE LA BANCA :
  • ADRIANO ROCHA GERMANO
  • ALESSANDRO COSTA DA SILVA
  • PETRUS PEREIRA GOMES
  • Data: 10-feb-2017


  • Resumen Espectáculo
  • The objective of this study was to evaluate the resistance of fixation in the sagittal split ramus osteotomy (SSRO) when performing great advances (12 mm), as well as the influence of the movement associated to the occlusal plane clockwise rotation, using a biomechanical test. Plates and screws of the 2.0 mm system. Two types of advancements were used (6 and 12 mm), using polyurethane hemimandibulars, with standardized SSRO, divided into 5 groups: G1 (Test 1) - linear advance of 6 mm / 1 plate and 4 screws; G2 (Test 2) - linear advance of 12 mm / 1 plate and 4 screws; G3 (Test 3) - linear advance of 12 mm / 2 plates and 8 screws; G4 (Test 4) - advance of 12 mm, associated to the clockwise rotation of the occlusal plane / 1 plate and 4 screws; G5 (Test 5) - 12 mm feed rate, associated with the plane clockwise rotation / 2 plates and 4 screws. The hemimandibules were submitted to a vertical compressive load in the first molar region and the applied force in Newtons was recorded in the displacements of 1mm, 5mm and 10mm, as well as the maximum force applied between 1 and 10mm. Using a 95% confidence interval, the means of strength were obtained and the groups were compared to each other. The statistical tests used were Kruskal-Wallis * for the analysis of all groups and Mann-Whitney ** for the comparison of two groups separately. The results showed that the G3 group presented higher strength means (p <0.001 *), being therefore the most resistant between the groups. When only 1 plate was used for the fixation of the hemimandibula, at the 12 mm advance, the clockwise rotation was more resistant than in the linear movement, at the displacements of 1, 5 and 10 mm (p <0.05 **) , Not resulting in statistical difference only in the maximum displacement (p = 0.112 **). In a large advance (12mm) there was a significant loss of resistance in the FIR, being necessary to compensate this situation with use of more fixation and the clockwise rotation in these cases also added resistance in the OSRM, only in cases where a single plate is used.

3
  • CAMILA DE OLIVEIRA PICADO NOGUEIRA
  • EFFICACY EVALUATION OF FIBERGLASS POSTS DISINFECTION METHODS AND ITS INFLUENCE ON BOND STRENGTH.

  • Líder : MARILIA REGALADO GALVAO RABELO CALDAS
  • MIEMBROS DE LA BANCA :
  • MARILIA REGALADO GALVAO RABELO CALDAS
  • ISAUREMI VIEIRA DE ASSUNCAO
  • BRUNNA MOREIRA DE FARIAS PEREIRA
  • Data: 17-feb-2017


  • Resumen Espectáculo
  • The purpose of this study was to evaluate which disinfection method is more effective on the decontamination of fiberglass posts, and to observe if these methods influence on the bond strength of the post to the root canal. Sixty-four fiberglass posts were used, being 32 serrated type, and 32 smooth type. They were submersed in solution containing 5mL of suspension of  E. faecalis. Then, were divided in 8 groups in which each one remained for 5 minutes in its respective disinfection agents (Chlorhexidine 2%, phosphoric acid 35% and alcohol 70%), with the exception of the control group. Afterwards, the number of colony forming units per milliliter (UFC/mL) of E. faecalis was determined. Then, 64 selected bovine roots were patronized and restored with fiberglass post. Passed 7 days of cementation, the roots were sectioned perpendicular to the long axis, and the specimens were submitted to the adhesive resistance test (push-out). Anova 2 factors and Tukey post test were used as statistical method to analysis of the results obtained. The analysis of UFC/mL did not present any growing/development of E. faecalis coloniesThe evaluation of bond strength, considering the type of post, presented significant statistical difference only on control and alcohol groups, in which the type smooth post showed greater results. On the evaluation of the surface treatment factor, is noted significant difference on the smooth post group which did not receive any type of treatment, the one which was cleaned with phosphoric acid or chlorhexidine, and the one which was cleaned with alcohol, obtaining so the greater values of bond strength. There was not any significant statistical difference on the serrated posts groups. Therefore, antimicrobial substances commonly used on the disinfection of fiber glass post are, in fact, efficient at the elimination of E. faecalis colonies. However, there is some influence on the bond strength between the fiber glass post groups previously disinfected with those irrigators. Alcohol 70% presented greater results of bond strength when applied to this purpose.

4
  • RENATA SUELLEN GALVÃO DA SILVA COSTA
  • DENTAL CLARIFICATION WITH 38% HYDROGEN PEROXIDE INDUCES INFLAMMATION AND EXPRESSION OF IL-1β, TNFβ, FGF2, GPX AND OSTEOCALCIN IN RATS PULP

  • Líder : BONIEK CASTILLO DUTRA BORGES
  • MIEMBROS DE LA BANCA :
  • BONIEK CASTILLO DUTRA BORGES
  • EMANUELLE DAYANA VIEIRA DANTAS
  • RUTHINEIA DIOGENES ALVES UCHOA LINS
  • Data: 20-feb-2017


  • Resumen Espectáculo
  • The presence of inflammatory infiltrate in pulp after dental bleaching has been
    increasingly discussed, however, it is not known which mediators participate in this process. This study analyzed the inflammatory infiltrate and expression of interleukin (IL)-1β, tumor necrosis factor (TNF) β, cyclooxygenase (COX)-2, macrophage migration inhibitory factor (MIF), fibroblast growth factor (FGF)2, superoxide dismutase (SOD), glutathione peroxidase (GPX), inducible nitric oxide synthase (iNOS) and osteocalcin, due to bleaching procedure in teeth of rats with 38% hydrogen peroxide gel. Forty incisors of male Wistar rats were bleached, and forty unbleached incisors were used as controls. Two bleaching sessions were performed in two test groups, with an interval of 7 days between them. At each session, animals were anesthetized, and two bleaching gel applications of 15 min each were made. Half of animals were sacrificed after 24 h of last session, and the other half after 10 days. Teeth were processed for histological analysis, confocal immunofluorescence of osteocalcin and immunohistochemistry of IL-1β, TNFβ, COX-2, MIF, FGF2, SOD, GPX and iNOS. Data were statistically analyzed using Mann-Whitney test, Student&#39;s t test (p&lt;0.05) and in a descriptive way, respectively. There was a statistically significant difference between bleached groups and control groups (p&lt;0.05), when condition of pulp tissue 
    and stage of inflammation were analyzed, however, there was no significant difference between bleached groups, despite the 10-day interval for analysis. There was immunoreactivity only in bleached groups for IL-1β, TNFβ, FGF2 and GPX. There was no immunoreactivity for SOD, MIF, COX-2 and iNOS in any groups. The bleached group 10 days showed a statistically superior value of osteocalcin when compared to groups bleached 24 h and control 10 days (p &lt;0.05). In conclusion, tooth bleaching causes damage to pulp in rats, and IL-1β, TNFβ, FGF2, GPX and osteocalcin act as mediators in this process. 
5
  • RIVANALDO ADRIANO HOLANDA ALVES
  • PHYTOCHEMICAL SCREENING AND ANTIMICROBIAL ACTION IN VITRO OF Spondias mombin L. EXTRACT FRONT To Staphylococcus aureus, Pseudomonas aeruginosa and Escherichia coli

  • Líder : RUTHINEIA DIOGENES ALVES UCHOA LINS
  • MIEMBROS DE LA BANCA :
  • RUTHINEIA DIOGENES ALVES UCHOA LINS
  • FABIO ROBERTO DAMETTO
  • CICERO ROMAO GADE NETO
  • Data: 22-feb-2017


  • Resumen Espectáculo
  • Brazil is a country of great ethnobotanical diversity and due to the immense therapeutic potential of
    our flora, there is a notorious need for further research on new species of plants, especially ones such 
    as the Spondias mombim L that reportedly present antimicrobial, anti-inflammatory and anti-oxidant effects.
    This paper was based on various databases ( ) and gathers information from previous researches regarding 
    the Spondias Genus (with emphasis on the Spondias mombim L Species, which belongs to the Anacardiaceae 
    Family) analyzing its botanical characteristics along with its ethno-pharmaceutical and chemical properties. 
    Popularly known as ‘Hog Plum Fruit’ the Spondias mombim L species is frequently prescribed in the 
    ethnomedicine as a abortifacient, vermifuge, diuretic, snakebite venom antidote, antidepressant, 
    emetic substance as well as a treatment against throat and oral cavity inflammations, prostatitis, herpes labialis, 
    urethritis, cystitis,conjunctivitis, venereal diseases and tumors. As to its chemical properties, it is important to 
    indicate the existence of carotenoids, vitamin A, tannins, saponins, resins, sterols, triterpenes, flavonoids, 
    alkaloids, anarcadic acid, 2-O-caffeicol - (+) - alloxycytic acid, chlorogenic acid butyl ester, as well as ellagic 
    acid and quercetin. Despite its proven properties, further research is still necessary especially around the 
    plant’s antimicrobial effect on both exogenous and endogenous microorganisms that inhabit the oral cavity 
    and other parts of the human organism, allowing for future production of clinically applicable substances. 
    It was observed that the extract S. mombin L. showed activity on the tested microorganisms, 
    showed anti-adherent effect on all the bacteria tested, revealed that the crude extract was remarkable 
    already in the first two hours of contact with the samples tested .
6
  • MARIANA LINHARES ALMEIDA
  • EVALUATION OF THE INFLUENCE OF DIABETES MELLITUS TYPE II ON THE EFFECTIVENESS OF BASIC PERIODONTAL THERAPY ABOUT THE CLINICAL AND MICROBIOLOGICAL PARAMETERS OF 
    SALIVA IN PERIODONTAL DISEASE
  • Líder : BRUNO CESAR DE VASCONCELOS GURGEL
  • MIEMBROS DE LA BANCA :
  • ANA RAFAELA LUZ DE AQUINO MARTINS
  • BRUNO CESAR DE VASCONCELOS GURGEL
  • LUCIANA MACHION SHADDOX
  • Data: 23-feb-2017


  • Resumen Espectáculo
  • The relationship between periodontal disease and diabetes mellitus is bidirectional, however, there is a need for more evidence regarding basic periodontal treatment on clinical aspects and the presence of bacteria in patients with and without diabetes. The aim of the present study was to evaluate the influence of type II diabetes mellitus (DM) on the efficacy of basic periodontal treatment in the clinical and microbiological parameters of saliva. Fifty-one patients were treated between 30 and 65 years old, who were evaluated before the periodontal treatment, at six and 12 months after its conclusion. In the periodontal examination, the Bleeding Probing Index (BOP), Visible Plaque Index (VPI), Probing Depth (PD), Gingival Recession (GR) and Clinical Attachment Level (CAL) were evaluated. The blood parameters evaluated were fasting glucose and glycated hemoglobin (HbA1C) only for the group with diabetes (GD). Saliva samples were collected before each periodontal examination. Quantification of the bacterial species Treponema denticola, Porphyromonas gingivalis, and Tannerella forsythia by real-time PCR was performed. The results showed that the clinical parameters showed a significant improvement for BOP, VPI and PD for both groups, whereas for CAL only for GD (p = 0.023). There were no differences between the group with diabetes and no diabetes in the evaluated periods, only the species Tanerella forsythia presented a statistically significant difference in the 12-month period (p = 0.004), with a higher median for the GND group. In the intragroup analysis, only GD presented statistical difference for all species evaluated (p <0.05), but Porphyromonas gingivalis increased after 12 months. Diabetes did not influence the response of periodontal treatment, both groups showed improved clinical parameters, and the diabetic group had a lower amount of bacteria over time.

7
  • PAULO RAPHAEL LEITE MAIA
  • OCCURRENCE AND FACTORS ASSOCIATED WITH CAROTID ARTERY CALCIFICATIONS DETECTED BY DIGITAL PANORAMIC RADIOGRAPHY IN CHRONIC RENAL PATIENTS ON HEMODIALYSIS.

  • Líder : HALLISSA SIMPLICIO GOMES PEREIRA
  • MIEMBROS DE LA BANCA :
  • KENIO COSTA DE LIMA
  • PATRICIA TEIXEIRA DE OLIVEIRA
  • SANDRA REGINA TORRES
  • Data: 07-mar-2017


  • Resumen Espectáculo
  • Chronic Kidney Disease (CKD) leads to a progressive and irreversible loss of renal function. The final and most severe stage of the disease often requires supportive therapy through hemodialysis. Patients with CKD have a higher risk of developing cardiovascular complications, such as atherosclerosis. This condition is characterized by the accumulation of fatty plaques in intima of blood vessels, which when calcified can be observed on panoramic radiographs requested by dental surgeons. The aim of this study was to evaluate the occurrence of detectable carotid artery calcifications (CAC) in digital panoramic radiography of patients with CKD undergoing hemodialysis and, in addition, to investigate possible associated factors. The clinical data were obtained from the records of the Nephrology sector of the Onofre Lopes Hospital while the panoramic radiographs were collected from the database of the Department of Dentistry of UFRN. The exam´s analyses were done by a single radiologist, who investigated the presence of CAC in these individuals. Of the 309 patients in the study, 15.9% had calcifications. To verify the associations between the dependent variable, presence of CAC, and the independent variables of the study, Chi-square and Fisher's exact tests were used. After analysis, a statistically significant association (p≤0.05) was observed between the presence of these calcifications and the following independent variables: age, sex, hemodialysis time, diabetes mellitus and presence of styloid process elongation. The results of this research revealed a high occurrence of CAC in patients with CKD on hemodialysis when compared to the general population, and this presence was statistically associated with female sex, advanced age, longer time of hemodialysis, presence of diabetes mellitus and Presence of elongation of the styloid process.

8
  • ISABELE DOS ANJOS PAIVA DOS SANTOS
  • PATIENT SAFETY AND NURSING WORK PROCESS

  • Líder : JACILEIDE GUIMARAES
  • MIEMBROS DE LA BANCA :
  • JACILEIDE GUIMARAES
  • EDILMA DE OLIVEIRA COSTA