Disertación/Tesis

Clique aqui para acessar os arquivos diretamente da Biblioteca Digital de Teses e Dissertações da UFRN

2024
Disertaciones
1
  • DENISE SOARES DE ARAUJO
  • POPULATION DISABILITY PROFILE AND ASSOCIATION WITH CONTEXTUAL FACTORS: PILOT STUDY OF THE BRIEF MODEL DISABILITY SURVEY IN BRAZIL

  • Líder : NUBIA MARIA FREIRE VIEIRA LIMA
  • MIEMBROS DE LA BANCA :
  • DIMITRI TAURINO GUEDES
  • GENTIL GOMES DA FONSECA FILHO
  • NUBIA MARIA FREIRE VIEIRA LIMA
  • WILDJA DE LIMA GOMES
  • Data: 20-feb-2024


  • Resumen Espectáculo
  • Introduction: Research related to the study of disability is becoming increasingly frequent, presenting the importance of recording reliable data about disabilities, activity limitations and participation restrictions, as well as contextual factors that may influence levels of disability. disability of the population. In 2011, the WHO announced the creation of the Model Disability Survey (MDS), this instrument being based on the biopsychosocial model of health and an important predictor of health. Objective: To describe and analyze the population profile through the Brief Model Disability Survey (MDS) in Santa Cruz, Rio Grande do Norte. Methods: This is a descriptive pilot study, carried out through a population survey. Participants over the age of 18 of both sexes, with or without disabilities, were considered eligible. Those who refused to answer all the questions in the questionnaire, those with apparent cognitive disability, as well as those who dropped out were excluded. A questionnaire on sociodemographic characteristics and the Brief MDS (40 questions) were used. The sample distribution was presented using absolute and relative frequency and the descriptive analysis was carried out using measures of central tendency and dispersion. Results: there was a predominance of an adult audience, with the majority being women. The most prevalent self-reported health conditions were systemic arterial hypertension and anxiety. The environmental factors indicated as facilitators were mainly related to places frequented, residence and social support. The report of body pain was prevalent in the population studied, and is also an important support for the development of actions aimed at promoting health and preventing injuries. With regard to personal assistance, this role seems to be represented mainly by a female figure with family ties, involving social and economic issues that affect the quality of life of these individuals.

2
  • MAXSUEL MENDONÇA DOS SANTOS
  • Effectiveness of actions and knowledge of participants of municipal health councils about social control and participation

  • Líder : JOSE JAILSON DE ALMEIDA JUNIOR
  • MIEMBROS DE LA BANCA :
  • DIMITRI TAURINO GUEDES
  • JOSE JAILSON DE ALMEIDA JUNIOR
  • MARIA NEYRIAN DE FATIMA FERNANDES
  • MAURICIO WIERING PINTO TELLES
  • Data: 29-feb-2024


  • Resumen Espectáculo
  • The control and social participation foreseen in the organic law of health 8.142, of December 28, 1990 and resolution nº 453, of May 10, 2012, constitute legislatively the guarantee of the inclusion of the population in the managerial and inspection aspects of the Unified Health System (SUS), constituting improvement and quality of service with popular involvement. From the municipal representative entity formed by the municipal health councils (CMS), the question “What is the perspective of the members of the municipal health councils on the effectiveness of their actions and knowledge about the role of social control and participation?” . The aim is to understand the process of actions of municipal health councils and the implementation of roles and knowledge as provided for in legislation. METHODOLOGY: This is a research with a qualitative approach of an exploratory and descriptive nature, the adopted approach will start from the action-research method, its pillar being the researcher's commitment to popular guidelines, in the search for solutions and/or elucidation of problems based on changes , involving the social side, deeply interconnected with the educational praxis, being guided by stages and phases of investigative moment, moment of thematization and moment of the program-action with Evaluation of the obtained results. The Target Audience will be the members of the CMS, representatives of the population, health professionals and management of the Microregion of the Oriental Seridó made up of 10 municipalities selected for convenience justified by the proximity of the location to the educational institution and the favorable availability of the place to receive the study , the sample is justified by the saturation criterion; data collection will take place through an open/in-depth interview with a focus group script. For data analysis, content analysis will be used, aided by the IRaMuTeQ tool with R 4.1.3. JUSTIFICATION: This research is justified, as it contributes to the construction of the body of knowledge in the field of collective health, public policies and instances of social control and participation, demonstrating realities that are often not observed, evidenced or neglected in the constant debate of the advice for the development of the SUS and provide data that institutions or instances of the SUS can make use of for the development of activities or prioritization of actions. EXPECTED RESULTS: contribute to the areas of knowledge in collective health, public health policies and social control and participation, demonstrate possible points of debate for the councils, aiming at the continuous development of the Unified Health System and provide data to which the Intermanagers Commission Regional, IV Regional Public Health Unit and educational institutions can make use of the development of activities and prioritization of actions in the region. In addition, we seek to demonstrate possibilities of promoting permanent health education to members of municipal health councils.

3
  • BRENDA LAVINIA CALIXTO DOS SANTOS GUEDES
  • DESCRIPTION OF THE MATERNAL HEALTH SERVICE OFFER
     
  • Líder : ANA CARINE ARRUDA ROLIM
  • MIEMBROS DE LA BANCA :
  • ANA CARINE ARRUDA ROLIM
  • ANA CRISTINA MARTINS UCHOA LOPES
  • ANNA CECILIA QUEIROZ DE MEDEIROS
  • Data: 16-abr-2024


  • Resumen Espectáculo
  • In Brazil, despite international commitments to improve maternal and child care, the challenges are significant due to great social and geographic disparities, especially in the Northeast. Lack of access to information is one of the main barriers to improving maternal health in this region. Therefore, the present study sought to evaluate the organizational structure and potential service offering of the Maternal Care Network in the V health region of the State of Rio Grande do Norte based on the equipment and services available in the Unified Health System (Sistema Único de Saúde) ( SUS), through an evaluative study analyzing the potential for offering maternal health services in the V health region, from 2017 to 2021. Using data from that period, a significant increase in the number of ICU and intermediate ICU beds in the regional headquarters city. Santa Cruz, São Paulo do Potengi and Tangará were the municipalities with the highest incidence of congenital syphilis, while neonatal mortality rates exceeded post-neonatal mortality rates in several locations. Although no detailed data on maternal mortality was found, in 2021 Rio Grande do Norte recorded its highest rate. These results highlight the need for an in-depth analysis of the structure of Rede Cegonha in the region, emphasizing the importance of the interdependence of its elements to
    improve the effectiveness of maternal and child health services. Therefore, despite some information gaps, the research results provide an understanding of the structure of Rede Cegonha in the V health region. They offer a comprehensive view of services, areas for improvement and changes in indicators over time. This information is essential for informed decisions aimed at continuously improving maternal and child health care in the region.

4
  • RAYARA CIBELLE RIBEIRO DA SILVA
  • CONFRONTING GENDER VIOLENCE IN PRIMARY HEALTH CARE IN LIGHT OF INTEGRALITY

     
  • Líder : ANA CARINE ARRUDA ROLIM
  • MIEMBROS DE LA BANCA :
  • ANA CARINE ARRUDA ROLIM
  • JULIANA DA FONSECA BEZERRA
  • RAFAELA CAROLINI DE OLIVEIRA TAVORA
  • Data: 24-may-2024


  • Resumen Espectáculo
  • The perception of violence as a health problem is directly linked to its interference in the individual's quality of life and incorporated social processes. Among the different types and characteristics of violence, gender-based violence stands out, one of the biggest health problems today. Gender-based violence is linked to physical, sexual and psychological abuse, in addition to moral and intellectual oppression, it also includes trafficking in women, ethnic and racial violence and violence committed by the State. Gender issues were gradually and predominantly established so that violence against women found forms that adapted to the characteristics of time and modern society. In this sense, Primary Health Care (PHC) is the privileged locus of care, being an ally in the prevention, combat and monitoring of gender-based violence. The valorization of PHC, part of its connection in the action scenario, enabling greater connection and understanding of subjects and their local relationships, there are at least three strong reasons that qualify PHC as a privileged domain for the route to be taken by women victims of violence in search of help. This study aimed to analyze, based on the speeches of health professionals, actions to combat gender-based violence in PHC in the light of comprehensiveness. This is a descriptive study, with a qualitative approach, methodologically systematized by the Collective Subject Discourse (DSC) and based on the Theory of Social Representations. It was developed in two Basic Health Units (UBS), one in the municipality of Caicó in the state of Rio Grande do Norte and the other in the municipality of Sousa in the state of Paraíba. All health professionals who make up the team working at the UBS involved and who wished to participate after presenting the ECR participated in the study. Data were collected through a semi-structured interview in October 2023, upon release and approval from the Ethics Committee to which the study was submitted. The empirical material was analyzed using the DSC technique. The present study considered the ethical aspects of research involving human beings, therefore, it was submitted to the Research Ethics Committee – CEP of the Faculty of Health Sciences of Trairi – FACISA of the Federal University of Rio Grande do Norte – UFRN and approved by number 6,303,429. 27 health professionals participated in the research following the inclusion and exclusion criteria. Four themes were found that generated the discussion of the study, these being based on the professionals' knowledge of the care network for victims of violence; in preventing cases of gender-based violence in PHC; comprehensive management of gender-based violence; and in the actions of professionals in the face of gender-based violence in PHC. In this way, PHC's actions in the face of gender-based violence can be presented based on the conceptions and reports of working professionals.

5
  • BRENDA KELLY PONTES SOARES
  • THE INFLUENCE OF HYDRATION ON FUNCTIONAL CAPACITY AND FATIGUE DURING LABOR

  • Líder : ADRIANA GOMES MAGALHAES
  • MIEMBROS DE LA BANCA :
  • ADRIANA GOMES MAGALHAES
  • ANA CARINE ARRUDA ROLIM
  • JESSICA NAIARA DE MEDEIROS ARAUJO
  • Data: 28-may-2024


  • Resumen Espectáculo
  • Introduction: The process of childbirth demands significant physical effort from women, which can lead to dehydration and impact the progression of labor. Therefore, adequate hydration during pregnancy and labor favors homeostatic balance and improved functional capacity. However, the literature still lacks studies regarding the relationship between hydration and its impact on functional capacity and fatigue during labor. Objective: To evaluate the influence of hydration on functional capacity and fatigue during labor. Method: The study consists of two concurrent stages. The first stage involves a Scoping Review aiming to map evidence on the effects of food, supplements, and beverages consumption in laboring women. The second stage is a cross-sectional descriptive study. The study population comprises parturients admitted to the obstetric sector, undergoing normal labor, with an estimated sample size of 100 parturients. Regarding the Scoping Review, a preliminary search was conducted in November 2023. Subsequently, search strategies were developed for a comprehensive literature search using the descriptors “Labor,” “Obstetric,” “Organism Hydration Status,” and “Food and Beverages,” along with their synonyms, across databases including Medline/PubMed, Cochrane Library, EMBASE, Web of Science, and CINAHL. Two independent reviewers selected articles based on inclusion/exclusion criteria using the Rayyan® software. Primary studies published in peer-reviewed journals were included, applying a filter for articles from 2013 onwards in any language and available in full text. Duplicated studies were counted only once, and experience reports and theoretical trials were excluded. The authors utilized a tool for data extraction and methodological analysis of the included articles. Results: The results have been described in two sections. First, the product of the Scoping Review is presented in an article structure: introduction, method, and results. In the second section, the results of the cross-sectional descriptive study are presented, which is currently in the data analysis stage. The scoping review provides insights into the effects of food, supplements, and beverages consumption in laboring women during childbirth. From the analysis of the studies, it was identified that most studies do not differentiate between food, beverages, and supplements in the labor outcome. Instead, they generally discuss the effects of overall food and liquid intake. Additionally, there was no clear distinction made between beverages and supplements. Therefore, the authors categorized isotonic, protein-rich, and carbohydrate-rich drinks as supplements. However, there was no consensus among the studies regarding carbohydrate supplement intake. Dates were the most frequently mentioned and analyzed food item in the studies, showing significant results in reducing labor duration and inducing labor. Other outcomes observed in the studies included reduced time in labor phases, maternal satisfaction, decreased ketosis, and comparable incidence of nausea and vomiting between the fed group and the fasting group. Regarding the cross-sectional descriptive study on the influence of hydration on functional performance and fatigue during labor, data analysis is currently underway. The findings will be presented during the master’s defense in May 2024. Conclusion: It is hoped that this study will contribute to improving care for parturients, minimizing discomforts, and enhancing the overall positive experience during childbirth.

6
  • AMANDA SAMARA DOS SANTOS ARAÚJO
  • EVALUATION OF SLEEP/WAKE CYCLE AND SLEEP DISORDERS KNOWLEDGE AND APPLICATION OF THIS KNOWLEDGE IN THE WORKCONTEXT BY PRIMARY HEALTHCARE PROFESSIONALS

  • Líder : JANE CARLA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • JANE CARLA DE SOUZA
  • KLAYTON GALANTE SOUSA
  • MARIO ANDRE LEOCADIO MIGUEL
  • Data: 31-may-2024


  • Resumen Espectáculo
  • Introduction: Problems with the sleep/wake cycle and disorders resulting from sleep are considered public health problems. However, there is little in the scientific literature what health professionals in the context of PHC in Brazil know about sleep problems and disorders. Objective: To evaluate knowledge about the sleep/wake cycle and sleep disorders and application of this knowledge in the field of work among primary health care professionals in the context of the 5th Regional Public Health Unit (URSAP). Methods: Mixed method, exploratory-descriptive work developed in municipalities of the 5th URSAP. 93 professionals participated in the research, with 86 for the quantitative part and 16 for the qualitative part. Data were collected from a semi-structured form divided into 2 modules: “Personal data” and “Knowledge about Sleep”, which includes part of the Health and Sleep questionnaire, and the Assessment of Sleep Knowledge in Medical Education (ASKME), in addition to open questions about the use of knowledge about sleep in professional practice and the work environment. Results: 86 professionals had higher education and 7 had secondary or technical education, focusing on the age group of 30 to 39 years old (50%), female (73.3%). Working time had an average of 3.7 (sd = 4.4), and the level of knowledge about sleep 5.7 (sd = 1.9). Regarding the source of obtaining information about sleep, participants reported looking more through digital media (60.5%). When asked if they knew about sleep hygiene, 36% of participants responded “more or less”. Knowledge about sleep hygiene was most used for routine life (80.2%). Professionals question patients about sleep duration and quality; daytime drowsiness (47.7%); sleeping and waking times and habits performed before bed, 65.1% and 61.6%, respectively, and sleep disorders (58.1%). Furthermore, 74% of participants reported not knowing the guidelines that the Ministry of Health's PHC notebooks provide regarding the importance of questioning patients about sleep. Regarding the categories of the “Health and sleep” questionnaire, overall, they obtained 70% correct answers. ASKME obtained a correct answer frequency of 46.5% in relation to the total questionnaire. As for qualitative data, the analysis showed that the word “sleep” was the one that appeared most prominently in both tests, which was accompanied by the words “sleep”, “patient”, “ask” and “action”. In the similarity analysis, “sleep” has three strongest branches that form three nuclei. Discussion: In general, professionals have some knowledge about sleep, and most question users about sleep problems and disorders in their work routine. However, little in-depth and outdated guidelines were perceived regarding the amount of sleep needed, and even lack of knowledge about basic aspects of sleep, such as sleep architecture, sleep hygiene and narcolepsy.

2023
Disertaciones
1
  • MILENA BEATRIZ DOS SANTOS SILVA
  • The Labor Market for transvestites and transsexuals: a scope review

  • Líder : DIMITRI TAURINO GUEDES
  • MIEMBROS DE LA BANCA :
  • DIMITRI TAURINO GUEDES
  • LUCIANE PAULA BATISTA ARAUJO DE OLIVEIRA
  • SAVIO MARCELINO GOMES
  • Data: 31-ene-2023


  • Resumen Espectáculo
  • Introduction: Health currently comprises more than the absence of disease, in this sense, it is necessary to take into account a series of other factors, such as: cultural, genetic, environmental, individual, and among others, social factors. Thus, the Social Determinants of Health (SDH) are, among many, some of these essential aspects to consider in the health/disease process. Work, considered a DSS, must be guaranteed to each and every citizen regardless of race, ethnicity, color, sexual orientation and gender. However, in the case of transvestite and transgender people, an absence of these people in the work environment is observed, as well as exclusion, prejudice, transphorbia, for those who manage formal and informal jobs. Therefore, it is necessary to understand how this specific population is inserted in the labor market, as this, as well as other DSS, directly impact the life of this population, which is still very vulnerable. Objective: To understand and locate how transvestites and transgender people are inserted in the labor market. Methodology: This is a scope review, carried out in the Scielo, Scopus, Web of Science, Pubmed and GreyLit databases. In the search, descriptors related to the two thematic areas involved in the review were used, namely: Gender and Occupational Health. The descriptors were inserted in the search key of the research using the Boolean operators “OR” between descriptors of the same theme, and the Boolean operator “AND”, as the operator responsible for uniting the descriptors of the different thematic areas. Results: Based on the search strategy used: 2,488 articles were found in Scopus; 302 articles on Scielo; 2,322 articles on the Web of Science; 991 articles in Pubmed and 12 articles in the Greylit database. After excluding duplicate articles, 3,507 articles remained for reading titles, abstracts and keywords. After selecting these articles, a total of 336 articles remained for reading in full. Finally, the final report of this review is composed of a total of 142 articles. Conclusions: The literature shows that transgender and transvestite people are mostly engaged in sex work, underemployed or unemployed. In addition, others are inserted in occupational ghettos, in which professions related to beauty, aesthetics, artists in concert halls prevail; professions generally associated with the “feminine”. Those who are inserted in the formal and/or informal labor market are subjected to situations of transphobia and prejudice, generally being kept in the same positions, even if they are qualified for positions and promotions at a higher hierarchical level. Those transsexuals and transvestites who go through the transition/hormone therapy process within the workplace tend to suffer more discrimination.

2
  • PEDRO BEZERRA XAVIER
  • INTERPROFESSIONAL WORK IN THE APS IN THE CONTEXT OF THE PANDEMIC

  • Líder : DIMITRI TAURINO GUEDES
  • MIEMBROS DE LA BANCA :
  • ADRIANA GOMES MAGALHAES
  • DIMITRI TAURINO GUEDES
  • GISETTI CORINA GOMES BRANDÃO
  • Data: 15-mar-2023


  • Resumen Espectáculo
  • The complexity of the obstacles in the context of health care and the need to make systems more responsive to the demands of citizens trigger debates about the most appropriate ways to organize health care. Therefore, from the pandemic scenario due to COVID-19, greater demands and practices in health have been evidenced, increasing work overload and the complexity of health activities, also creating a context of instability and vulnerability. Therefore, it is necessary to understand these changes and, thus, to outline ways to effect collaborative and integrated work, from the establishment of an interdisciplinary dialogue, respecting the users' autonomy. This study has as a general objective to analyze the impacts of the pandemic of COVID-19 in the interprofessional work of Primary Health Care teams. And in this way, it is developed through two studies. The first article is an Integrative Literature Review (ILR), with the purpose of synthesizing results of studies already carried out. It was searched in PubMed, with the descriptors: "primary health care"; "interprofessionality"; "COVID-19", with the Boolean operator "AND". A total of 79 articles were obtained. After a critical reading of the documents, using the exclusion criteria, 7 articles were obtained. This article sought to contribute to the good development of the systematization of the interprofessional work process in health teams, improving the quality of care provided to the population and favoring the good functioning of health units. The second article is an exploratory, descriptive study with a qualitative approach, whose field of investigation will be the Basic Family Health Units in the municipality of Campina Grande, Paraíba. The study sample was composed of the health teams linked to the ESF. Data collection occurred between the months of January and April 2022. The content analysis was based on Bardin, with the help of the Atlas ti software. This research was submitted to the Ethics and Research Committee of the Faculdade de Ciências da Saúde do Trairi (FACISA/UFRN) and approved under CAAE number 54029521.0.0000.5568. From the content analysis, through data management by means of Atlas ti., the coding process of the interviews was carried out, which generated 4 categories of codes, being the following: interprofessional competencies, consequences of the pandemic of COVID-19, management and management, organization of the work process. The categories reveal that the main activities affected by the pandemic are health promotion, prevention and surveillance activities. From this perspective, The results indicate that the pandemic caused impacts on the interprofessional work in PHC, including the development of health promotion actions, fragmentation of prevention activities, changes in collaborative practices, lack of training provided by management, structural problems, distance between the service, professionals and the community and direct impacts on teamwork and quality of care. These results are relevant, and may contribute to future decisions about the theme; this study reveals actions that were impaired during the pandemic, and that need more attention in this post-pandemic moment.

3
  • LEONARA CARLA DE ARAUJO PEREIRA
  • Contextual and psychosocial factors related to breastfeeding

  • Líder : ANNA CECILIA QUEIROZ DE MEDEIROS
  • MIEMBROS DE LA BANCA :
  • ANNA CECILIA QUEIROZ DE MEDEIROS
  • CATARINE SANTOS DA SILVA
  • MARILIA DE CARVALHO LIMA
  • Data: 28-mar-2023


  • Resumen Espectáculo
  • Breastfeeding (BF), which is recommended exclusively for up to 6 months, is a complex practice permeated by several factors that can contribute positively or negatively to its continuity. Studies show that breastfeeding goes beyond biological issues, being also affected by psychosocial and contextual factors, with the study of the various aspects related to BF being extremely relevant in view of such low rates of exclusive breastfeeding. Thus, the objective of this study was to investigate the relationship between exclusive breastfeeding and contextual factors (urbanity and region of residence) and psychosocial factors (locus of health control and social support received). Therefore, the present work was structured in two studies. In the first, of a quantitative, observational, and descriptive nature, secondary data from the database of the Food and Nutritional Surveillance System (SISVAN web) on the prevalence of EBF, by Brazilian municipality, from 2019 to 2021 were analyzed. region, municipal typology and degree of urbanization were taken from the Brazilian Institute of Geography and Statistics. The final sample obtained from 223,764 children distributed in 1603 municipalities. The second study, classified as quantitative, descriptive and analytical, was carried out with postpartum women at Hospital do Seridó (Caicó/RN). During hospitalization, in the immediate puerperium, after consent via the Free and Informed Consent Form, the Health Locus of Control Scale (MHLC), the Breastfeeding Observation and Evaluation Form, information on perception about breastfeeding, in addition to sociodemographic information. Then, through telephone contact, information on breastfeeding at 4 months was collected, and the Multidimensional Perceived Social Support Scale (MSPSS) was applied. The study included postpartum women over 18 years of age, in rooming-in, mothers of full-term babies who were exclusively breastfeeding. The final sample obtained from 75 women. Data were analyzed using the Statistical Package Social Science software. The results obtained point to the need to consider contextual and psychosocial factors when thinking about actions, policies and strategies involving breastfeeding.

4
  • JULYENNE DAYSE DE OLIVEIRA FERREIRA
  • PERMANENT EDUCATION IN FAMILY HEALTH MEDIATED BY TECHNOLOGIES OF DISTANCE EDUCATION: A CASE STUDY.


  • Líder : CECILIA NOGUEIRA VALENCA
  • MIEMBROS DE LA BANCA :
  • CECILIA NOGUEIRA VALENCA
  • CRISTIANE DA SILVA RAMOS MARINHO
  • HELLYDA DE SOUZA BEZERRA
  • Data: 03-abr-2023


  • Resumen Espectáculo
  • Introduction: the Family Health Permanent Education Program is a health training strategy for professionals working in the Family Health Strategy. It results from the partnership between the Ministry of Health and the Federal University of Rio Grande do Norte as a strategy to support and strengthen Primary Health Care. Objective: To analyze the use of the Distance Learning modality in the Permanent Education Program in Family Health related to Permanent Education in Health. Methodology: this is a case study with a qualitative approach using online questionnaires on the course platform as instruments. Results: Technologies can still be a problem in some extremes of Brazil. The Permanent Education Program in Family Health sparked a movement to consolidate Permanent Education in the educational processes carried out to train professionals in the Unified Health System, especially in primary care. It allowed for discussion among professionals on topics that emerged in their daily work, resulting in an exchange of experiences among the team, which contributes to updating technical knowledge and providing changes in professional practices. Conclusion: The Distance Learning modality of the Permanent Education Program in Family Health is configured as a strong permanent education strategy, contributing to the advancement of the teaching-learning process in the Unified Health System.

5
  • DANILO ERIVELTON MEDEIROS DIAS
  • MORTALITY FROM EXTERNAL CAUSES IN THE ELDERLY IN BRAZIL
  • Líder : CRISTIANE DA SILVA RAMOS MARINHO
  • MIEMBROS DE LA BANCA :
  • CRISTIANE DA SILVA RAMOS MARINHO
  • CECILIA NOGUEIRA VALENCA
  • JESSICA NAIARA DE MEDEIROS ARAUJO
  • MATHEUS FIGUEIREDO NOGUEIRA
  • Data: 10-abr-2023


  • Resumen Espectáculo
  • Human aging can be understood as a common, dynamic, and progressive artifice where several physiological, morphological, physical, biochemical, and psychological changes occur continuously over time. However, in this process, two phases deserve to be understood: senescence and senility.  The first one concerns the aging process, where a series of natural physiological transformations occurs; it is linked to age and does not represent a disease. On the other hand, the second one is associated with pathological events, which are responsible for gradually causing a decline in the functioning of the body systems. The epidemiological transition led to changes in the main causes of morbidity and mortality among the elderly, reducing the number of deaths from infectious and parasitic diseases, and increasing mortality from violent events, that is, external causes. These can be understood as phenomena of the external environment, which through an effect, whether a force gradient, chemical, or radioactive, are capable of causing damage to the human organism with several undesirable effects, such as physical and neurological disabilities, or even the death of the individual. Nowadays, external causes are a relevant public health problem, as they impact the quality of life of individuals and cause hospitalization and/or rehabilitation, disability, or death. However, these are preventable events, that is, they can be avoided if the Primary Health Care network plays a fundamental, efficient, and effective role in acting on the main causes and health problems, as in the case of external causes. This requires qualified assistance from Primary Health Care, which needs to receive investments for training professionals so as to make them able to recognize vulnerable groups, such as the elderly. Thus, this thesis aims to investigate mortality from external causes among the elderly in Brazil. Two studies were carried out: the first one was an ecological study using secondary data, which aimed to analyze the mortality rate from external causes among the elderly in Brazil, between 2019 and 2021; the second one is a scope review protocol, whose objective is to map and describe the scientific evidence on the role of Primary Health Care in the face of mortality from external causes among the elderly, based on the Joanna Briggs Institute Review Manual, 2015. The first study showed an upward trend in mortality rates from external causes among the elderly in Brazil during the study period. The interval between 2000 and 2014 was the period in which the coefficient of mortality from external causes among the elderly increased the most, with an average Annual Percentage Change (APC) of 1.83% (95%CI: 1.6; 2.0). The second study aims to present the main evidence of research on the subject, allowing the identification of gaps in the literature so as to guide actions for coping with external causes among the elderly through Primary Health Care.

6
  • CAYLA CAROLIEVA FERNANDES FERREIRA
  • MEANING OF PRENATAL FOR MEN, IN THE LIGHT OF THE DISCOURSE OF THE COLLECTIVE SUBJECT

  • Líder : RAFAELA CAROLINI DE OLIVEIRA TAVORA
  • MIEMBROS DE LA BANCA :
  • ANA MARIA MARTINS PEREIRA
  • KALYANE KELLY DUARTE DE OLIVEIRA
  • RAFAELA CAROLINI DE OLIVEIRA TAVORA
  • Data: 01-jun-2023


  • Resumen Espectáculo
  • Introduction: Pregnancy is a complex and differentiated phase of life that involves many physical and psychosocial transformations. It is a period of great expectations and emotional influences, permeated by feelings and discoveries regarding the new roles that will be exercised within the home. Therefore, the function of primary care is paramount in providing quality and humanized prenatal and puerperal care with the aim of welcoming women from the beginning of pregnancy, seeking, at the end of pregnancy, the birth of a healthy and healthy child. maternal and newborn well-being. In this context, the man's participation in the reproductive process is explored, allowing his choice to be a father, and in the affective relationship with the children that can be established with prenatal care. However, cultural and professional factors tend to distance men from prenatal care. Objective: to identify the meaning of prenatal care for men, in the light of the Collective Subject Discourse. Methodology: this is a qualitative, descriptive and exploratory research that had as its setting two health units selected by drawing lots among the four existing in the municipality of Nova Floresta/PB. The subjects of this study were the companions of the pregnant women assisted at the health units drawn and registered in the Prenatal program and who had had at least three consultations. Furthermore, a semi-structured interview was used and data analysis was performed using the Discourse of the Collective Subject (DSC) obtained by verbal analysis issued in the first person (collective) singular. Results: All eight partners interviewed are the biological parents of the current conceptus, ranging in age from 18 to 30 years. They have a family income of less than one minimum wage. Regarding the number of pregnant women's consultations, six were between three and six prenatal consultations and five of these with gestational age in the second trimester and all started their follow-ups in the 1st trimester of pregnancy. Of these, four pregnant women were in their 1st pregnancy. No participant interviewed accompanied the pregnant woman in the current prenatal consultations. DISCUSSION: 9 DCS were elaborated based on key expressions and central ideas emitted by the participants' speeches. The results showed that the companions had imprecision or doubts regarding the meaning and importance of prenatal care, identified by the lack of knowledge about the program and its practice in the service. In turn, they recognize the importance of the pregnant woman in carrying out the consultations, as it reflects on the well-being of the pregnant woman and the health of the baby, in addition to being a time to solve concerns and doubts of the pregnant woman and the couple that can influence the quality of life of the mother. pregnant. They affirmed their willingness to be present at the consultations and stated that they felt pregnant. There are no educational actions in their health units. He considers that fatherhood encompasses feelings linked to the emotional, favoring support in the family environment and positive changes in the couple's relationship. There were no difficulties in accessing the prenatal service. FINAL CONSIDERATIONS: It is concluded that men want and can participate in prenatal consultations and follow-up throughout the pregnancy process, however there are several variants in the health system that must be reviewed to improve public policies on men's health to insert it in care within collective health.

7
  • ONADJA BENÍCIO RODRIGUES
  • COLLECTIVE DISCOURSE OF THE NURSE REGARDING THE CARE FOR HIGH-RISK PREGNANT WOMEN IN THE FAMILY HEALTH STRATEGY

  • Líder : RAFAELA CAROLINI DE OLIVEIRA TAVORA
  • MIEMBROS DE LA BANCA :
  • ANA MARIA MARTINS PEREIRA
  • KALYANE KELLY DUARTE DE OLIVEIRA
  • RAFAELA CAROLINI DE OLIVEIRA TAVORA
  • Data: 01-jun-2023


  • Resumen Espectáculo
  • Introduction: Assistance to women in the pregnancy-puerperal cycle is based on recommendations from the Ministry of Health's policies and protocols, so that it can run in a resolute and organized manner at levels of care and demands are addressed according to their complexities. Primary health care is responsible for welcoming and directing within the care network, not exempting itself from care even if it is referred to a specialized level, ensuring that care is offered based on the principles of the unified health system. It is in this scenario that the family health strategy nurse has gained prominence. Objectives: The objective of this study was to understand the collective discourse of the family health strategy nurse regarding the care of high-risk pregnant women in the family health strategy. Methodology: The research has a qualitative, descriptive approach, the data are being analyzed through the discourse of the collective subject, the study was developed in a municipality in the interior of Paraíba, data collection through semi-structured interviews, with 16 nurses from the family health in the place of action. Results and discussion: The intention of the present study was to bring about improvements in the development of the care process, enhancing the execution of professional attributions and consequently in the care of high-risk pregnant women, while it can lead to reflective attitudes and adoption of measures in favor of the improvement of professional qualification. Nurses see themselves as protagonists of care, identify that teamwork contributes to comprehensive care, with shared care, although there are difficulties in communication regarding teamwork and counter-referral.

8
  • JESSYELLEN PEREIRA DE LIMA
  • FOOD AND NUTRITIONAL SECURITY AND THE USE OF HEALTH SERVICES BY PEOPLE AFFECTED BY COVID-19 IN THE STATE OF PARAÍBA

  • Líder : ELEAZAR MARINHO DE FREITAS LUCENA
  • MIEMBROS DE LA BANCA :
  • CATARINE SANTOS DA SILVA
  • ELEAZAR MARINHO DE FREITAS LUCENA
  • JAIRO DOMINGOS DE MORAIS
  • Data: 28-jun-2023


  • Resumen Espectáculo
  • Introduction: Given the high potential for severity and transmissibility of covid-19 in the pandemic period, food and nutritional insecurity tended to increase in magnitude. In addition, routine health services were reorganized or discontinued as a way to minimize the consequences of this condition for the population. Objective: To investigate the relationship between food and nutritional security against the use of health services by people affected by covid-19 in the state of Paraíba. Objective: To investigate the relationship between food and nutritional security against the use of health services by people affected by covid-19 in the state of Paraíba. Methodology: This is an observational, cross-sectional, retrospective research with a quantitative approach, carried out through the application of a digital questionnaire. Data analysis took place in stages. Initially, exploratory factor analysis was performed to examine the structural validity of the short version of the Brazilian Food Insecurity Scale (EBIA). Cluster analysis was used to verify similarities between individuals, in relation to Food Insecurity (FI) and the difference in Body Mass Index (BMI), before and during the pandemic. Then, the Kolmogorov-Smirnov test was used to verify the normality of the data, in addition to the Kruskal-Wallis test and the Mann-Whitiney post-test with Bonferroni correction to compare the groups formed regarding the EBIA score, difference in BMI and Age. The Wilcoxon test was also used to compare BMI before and during the pandemic in the sample. The descriptive analysis of the groups, based on measures of center and variation, characterized the sociodemographic aspects and the use of health services. Finally, the association between food consumption, before and during the pandemic, with the AI classification using the chi-square test was verified. Results: Cluster analysis resulted in three groups: higher AI (15.4%); lower AI (20.8%); and minimal or no AI (63.8%). Significant differences were identified between groups for the EBIA score variables; difference in BMI before and during the pandemic; and Age. In health care for covid-19, the three groups observed greater use of the public system and the search for primary care, with no need for hospitalization by the majority of the sample. Individuals in the group with the highest AI lived in municipalities with fewer services of greater complexity, as well as taking longer to receive the first dose of the vaccine against covid-19 and obtaining more prescriptions for early treatment. Regarding food consumption, the results pointed to an association between the lower frequency of eating foods such as greens, vegetables and fruits with the highest AI classification. Final considerations: Faced with the use of health services during the covid-19 pandemic, this study highlighted the demand of the public with higher AI for priority actions of equity in health. The profile of food consumption reinforces the need for articulated actions between different sectors of society, such as health and the social sector, with the aim of encouraging and enabling means for the population to acquire a healthy diet. Therefore, the findings found in this study can contribute to the construction and strengthening of public policies aimed at guaranteeing access to health, considering aspects related to Food and Nutritional Security (SAN).

9
  • DÉBORAH ÁKILA ALVES BARBOSA
  •  

    “KEEPING THE PATIENT ALWAYS STABILIZED”: REFLECTIONS ON MENTAL HEALTH CARE IN A PSYCHOSOCIAL CARE CENTER

  • Líder : ANA KALLINY DE SOUSA SEVERO
  • MIEMBROS DE LA BANCA :
  • ALYNNE MENDONÇA SARAIVA NAGASHIMA
  • ANA IZABEL OLIVEIRA LIMA
  • ANA KALLINY DE SOUSA SEVERO
  • ANA KARENINA DE MELO ARRAES AMORIM
  • Data: 12-jul-2023


  • Resumen Espectáculo
  • In view of the consequences of the treatment offered in asylums, which labeled the insane and subjected them to the institution's violence, suffering and alienation, the Psychiatric Reform and the process of deinstitutionalization are developed taking into account the transformation of this form of treatment, comprising the care in the territory in dialogue with the networks. However, the production of mental health care is crossed by challenges in implementing policies and initiatives aimed at the social reintegration of users, involving their life projects, actions are still fragmented or do not materialize. Therefore, this study aims to analyze how the mental health care production process takes place and its relationship with the territory in a Psychosocial Care Center (CAPS) II located in the interior of Rio Grande do Norte (RN), from the perspectives of service workers. This is a qualitative intervention-research that uses Institutional Analysis. It was developed through the following steps: conducting a conversation with professionals; participant-observation on days of collective activities; and the use of a research diary to facilitate recording and reflections resulting from contact with the field. Ethical aspects were complied with in accordance with Resolution nº 510/2016 - National Health Council, after the project was duly submitted and approved by the Ethics and Research Committee (CEP) of the Faculty of Health Sciences of Trairí (FACISA/UFRN ), under CAAE opinion: 62774222.2.0000.5568. The data constructed from the researcher's presence in the field, in the investigation situation, were organized into 4 (four) thematic axes: The order, the demands and the research process; “Function is of paramount importance”: functioning of CAPS II; “It is a reality of every interior to have a character that is labeled as crazy”: experiences and perspectives on madness; “Keep the patient stabilized at all times”: care processes and the relationship between the CAPS and the territory. It is concluded that the aforementioned CAPS II presents its care production crossed by the asylum and asylum logic of closing the service in itself and is based on the pathologization of users. Thus, there is a lack of openness for the production of care in the territory, as well as failures in articulation with the users' networks and, therefore, in the process of social reintegration, so that care is limited to the walls of the service.

10
  • LAEDJA DRIELY SILVA DE MOURA
  • HUMAN RIGHT TO FOOD: DRAFTING ACCESS TO WOMEN IN THE INTERIOR OF THE STATE OF RIO GRANDE DO NORTE
  • Líder : ANA KALLINY DE SOUSA SEVERO
  • MIEMBROS DE LA BANCA :
  • ANA KALLINY DE SOUSA SEVERO
  • ALYNNE MENDONÇA SARAIVA NAGASHIMA
  • CATARINE SANTOS DA SILVA
  • JULIANA SOUZA OLIVEIRA
  • Data: 19-jul-2023


  • Resumen Espectáculo
  • Food is a basic fundamental right to life recognized by the International Covenant on
    human, economic, social and cultural rights in several countries, including Brazil, as
    provided for in the Federal Constitution of 1988. However, it is not recent that this right
    has been violated , mainly affecting more vulnerable populations, due to the lack of
    adequate conditions for decent food for their survival.The objective of this research is to
    know the access to the right to adequate food of a group of women users of the Social
    Assistance Reference Centers (CRAS) in the municipality of Santa Cruz-RN. This is a
    quantitative and qualitative study of the intervention-research type, having Institutional
    Analysis as a methodological theoretical perspective. The meetings took place between
    October and December 2022, with a maximum participation of 17 women aged between
    21 and 59 years. The data were constructed through the application of a socioeconomic
    questionnaire, the Brazilian Food Insecurity Scale (EBIA), in addition to conversation
    circles and a research diary. Three conversation circles were held about the experience
    of women in relation to the right to food and the research diary served as a contribution
    throughout the collection of material.In the meetings, the women did not know a priori
    that food was a social right, just as they did not know that the State was responsible for
    guaranteeing this right to the population. The participation of some support networks
    did not guarantee access to food, given that most were in some degree of food insecurity
    and did not recognize this fact. It is necessary to develop and improve programs and
    projects in order to strengthen the support networks in guaranteeing the right to food, as
    well as the development of activities at CRAS that take information about education and
    citizenship, in order to better inform and assist these subjects. about their rights and
    guarantees in society.

11
  • JOSÉ DIÊGO BEZERRA ARRAES
  • HUMANIZATION IN PRIMARY HEALTH CARE IN THE CONTEXT OF THE COVID-19 PANDEMIC


  • Líder : LUCIANE PAULA BATISTA ARAUJO DE OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ADRIANA GOMES MAGALHAES
  • ANNA CECILIA QUEIROZ DE MEDEIROS
  • GIGLIOLA MARCOS BERNARDO DE LIMA
  • JOSE JAILSON DE ALMEIDA JUNIOR
  • ROSANGELA DINIZ CAVALCANTE
  • Data: 24-jul-2023


  • Resumen Espectáculo

  • Introduction: The COVID-19 pandemic has highlighted the strengths, but also the weaknesses that already exist in the different levels of care of the SUS. In Primary Health Care (PHC), one of the challenges is the fulfillment of its essential attributes, however, there is also concern about the implementation of the guidelines of the National Humanization Policy (PNH), namely: welcoming, ambience, participatory management, defense of users' rights, appreciation of the worker and expanded clinic. Objective: To analyze compliance with PNH guidelines in PHC during the COVID-19 pandemic, from the user's perspective. Methods: A qualitative, exploratory and descriptive study was carried out with users assisted by the Family Health Strategy (ESF) in the municipality of Brejo Santo/CE. The research meets the criteria of resolution n° 466/12 of the National Health Council and was appreciated by the Research Ethics Committee (CEP) of the Faculty of Health Sciences of Trairi (FACISA)/Federal University of Rio Grande do Norte (UFRN ), having obtained a favorable opinion from nº 5.538.037/2022. The collection technique was a semi-structured interview, guided by a script prepared by the research team. The study included users of PHC services aged 18 years or over, registered in the ESF of the referred municipality for at least two years. Sampling was carried out for convenience, considering the period established for data collection (between September and December 2022), so that a total of 23 participants was reached. The recorded audio material was transcribed by the researcher and is currently being processed to be submitted to thematic content analysis, with the support of the Iramuteq software.


12
  • RÁVILA SUÊNIA BEZERRA DA SILVA
  • TRANSLATION OF KNOWLEDGE FROM THE PERSPECTIVE OF PRIMARY HEALTH CARE MANAGERS, PROFESSIONALS AND USERS

  • Líder : ADRIANA GOMES MAGALHAES
  • MIEMBROS DE LA BANCA :
  • ADRIANA GOMES MAGALHAES
  • JOSE JAILSON DE ALMEIDA JUNIOR
  • LEONILDO SANTOS DO NASCIMENTO JUNIOR
  • Data: 27-jul-2023


  • Resumen Espectáculo
  •  

    Knowledge Translation (KT) refers to the process of applying research findings in real-world settings. It is a participatory and dynamic process that strengthens healthcare systems, aids decision-making, and improves the population's health outcomes. This study aimed to analyze KT from the perspective of professionals, managers, and users in the context of care for individuals with non-communicable chronic diseases (NCDs) in Primary Health Care (PHC). It was an observational, descriptive, cross-sectional study with a quantitative approach conducted in the V Regional Unit of Public Health (URSAP), located in the Trairi and Potengi Health Region, Rio Grande do Norte, Brazil. This study is a subset of the research project titled "Caring: Enhancing Comprehensive Care for Non-Communicable Chronic Diseases in the Agreste Potiguar," developed by researchers from the Faculty of Health Sciences of Trairi - FACISA / UFRN, conducted between February and December 2022. The sample consisted of 130 participants, including 58 professionals, 17 managers, and 55 users of Primary Health Care (PHC). All ethical precepts were respected. Data collection was conducted using semi-structured questionnaires developed by the researchers and directed toward professionals, managers, and users of PHC. A descriptive analysis of the data was performed, including measures of central tendency and relative and absolute frequencies. Statistical treatment was carried out using SPSS software version 22.0. The results were presented in three articles. The first article aimed to investigate KT in the care of non-communicable chronic diseases (NCDs) from the perspective of managers and professionals in PHC. The sample included 58 professionals and 17 health managers, with the majority of participants being female (74.2%). Fifty percent of professionals reported not having knowledge about KT, while 41.2% of managers reported having heard about KT but were unable to explain or define it. It was found that the majority (96.6%) did not receive management support to participate in KT training with a focus on NCDs. The second article aimed to investigate how KT occurs in the context of care for non-communicable chronic diseases (NCDs) from the perspective of users and professionals in Primary Health Care (PHC). The sample consisted of 58 professionals and 55 PHC users, with the majority being female. It was observed that users sought information by visiting the healthcare unit in person and through community health workers. They did not encounter difficulties in understanding the guidance provided by professionals, who adopted a language that was easily understandable. According to professionals, KT occurred through the transmission of information during individual consultations. The third article aimed to report the experience of knowledge translation and dissemination through the use of digital communication tools in the care of non-communicable chronic diseases in PHC. Official databases were consulted for KT purposes regarding NCDs. To disseminate knowledge, infographics, informative cards, videos, podcasts, and lay summaries were produced and targeted to the intended audience. These materials were then shared on digital platforms and local radio stations in the Trairi and Potengi regions. Digital communication tools allowed for a broader reach of the target audience, which can facilitate health promotion and improve access to information about NCDs.

13
  • JANAI DE ALBUQUERQUE RAMOS
  • MENTAL HEALTH OF WOMEN HEALTH PROFESSIONALS WORKING ON THE FRONTLINE IN THE COVID-19 PANDEMIC

  • Líder : ANA KALLINY DE SOUSA SEVERO
  • MIEMBROS DE LA BANCA :
  • ALYNNE MENDONÇA SARAIVA NAGASHIMA
  • ANA KALLINY DE SOUSA SEVERO
  • CARLA APARECIDA SPAGNOL
  • MAURICIO WIERING PINTO TELLES
  • Data: 24-ago-2023


  • Resumen Espectáculo
  •  

    In the context of the pandemic, we observe the need to discuss the performance of women health professionals, since it is a category that deserves to be highlighted, both for their way of acting and for the responsibilities they carry. This research sought to analyze the implications of the covid-19 pandemic on the mental health of women health professionals, who worked on the front line of hospital services. It consists of a study with a qualitative approach, which is based on the theoretical framework of Institutional Analysis. The study was carried out with 08 female health professionals, who worked in the emergency room of a public hospital in the municipal sphere of a northeast region, which is a component of the municipality's Urgency and Emergency Network and a reference in the care of people affected by Covid -19. The execution of the research was authorized by the Research Ethics Committee (CEP) of FACISA/UFRN, having obtained a favorable opinion CAAE nº 62776322.10000.5568, respecting the ethical precepts of Resolution nº 510/16 (CNS, 2016). Data construction took place through semi-structured interviews that were carried out from December 2022 to January 2023 and observations recorded in the research diary. With regard to the analysis of the data produced, it was developed based on some seminal concepts of Institutional Analysis. Results: It stands out among the constructed data that the participants are young women, aged between 24 and 49 years old, most of whom are brown, single and mostly employed at the hospital where the research was carried out through a temporary contract. The results reinforce that female work is surrounded by crossings and power relations, it was also observed that factors such as precariousness and work overload were aggravated during the pandemic and that frontline work in an emergency room involves workloads, which lead to mental illness. Conclusion: The study points out factors that influence the mental health of women health professionals and contributes to Collective Health, as it describes an experienced reality that cannot be neglected. to the strengthening of public health policies, so that it is possible to respond to demands.

     

14
  • ANA PEDRINA FREITAS MASCARENHAS
  • PREVALENCE OF HEALTH CONDITIONS AND ASSOCIATION WITH FUNCTIONALITY IN THE MUNICIPALITY OF SANTA CRUZ, RIO GRANDE DO NORTE: MDS-BRASIL STUDY
  • Líder : NUBIA MARIA FREIRE VIEIRA LIMA
  • MIEMBROS DE LA BANCA :
  • CECILIA NOGUEIRA VALENCA
  • RAFAELA CAROLINI DE OLIVEIRA TAVORA
  • TÂNIA ALTENIZA LEANDRO
  • Data: 28-sep-2023


  • Resumen Espectáculo
  • Introduction: The International Classification of Functioning, Disability and Health considers functionality to be influenced by the complex interaction between existing diseases and environmental and social factors based on the biopsychosocial model of care. Thus, the Model Disability Survey (MDS) is a tool created by the World Health Organization (WHO) in order to assess the functionality and disability profile of a population. It was translated, adapted and validated in Brazil in 2021, also indicated for epidemiological use, standing out for having a more detailed analysis proposal. Objective: To describe the prevalence of health conditions and their association with sociodemographic characteristics and functionality in the adult and elderly population of Santa Cruz, Rio Grande do Norte. Methods: This is an observational and cross-sectional study with data collected through a population survey. The survey was carried out in the municipality of Santa Cruz between October 12th and November 1st, 2022 with a total of 504 respondents adults over 18 years old in different households with an average duration of 48 minutes using tablets. automatically in the search system, thus reducing the possibility of problems. Adults and elderly people aged 18 years or over, of both genders, residing in the municipality and excluded, participants who chose not to complete the interview and those unable to understand and/or respond were included. Results: Statistical analysis was performed using SPSS Statistics 22.0. The results were presented in 2 different ways: inferential analysis and descriptive analysis of the modules 1000-Sociodemographic data, 4000-Functionality and 5000-Health Conditions of MDS Brazil. The Chi-square Test was used to analyze the association between the variables gender, color/race and marital status with the items in the Health Conditions module of the MDS-Brasil. The level of statistical significance adopted was 5%. Among the 504 people who participated in the study, it was found that 98.6% declared themselves to be Brazilian, 76.4% female, 44.6% self-declared brown, 38.3% married and 17.6% were between 4 -8 years of study. Among the three aspects of the Functionality module, the highest prevalence for severe disability was Activities and Participation, comprising 28.2% of the population. Pain was reported by 36.6% of people with moderate or severe disability. The most prevalent health condition in use of medication and other treatments was systemic arterial hypertension with 35,3% prevalence. If associated with sociodemographic conditions, women diagnosed with arthritis/arthrosis were the most prevalent finding, representing 98.4% of those diagnosed. The condition was more prevalent among married people (37.5%) and self-declared white (42.2%). Moderate disability, in terms of Body Functions, was predominant for the diagnosis of arthritis/arthrosis with a prevalence of 50.8%, as well as for the Mobility aspect, this condition represented 43.8% among those with severe disability . In the classification for the Activity and Participation aspect, back pain was the most incapacitating, as it severely disables 53.2% of respondentes.

15
  • IZABEL CRISTINA DOS SANTOS SOARES
  • Evaluation of parameters related to care for people with conditions and chronic non-communicable diseases in Primary Health Care

  • Líder : ANNA CECILIA QUEIROZ DE MEDEIROS
  • MIEMBROS DE LA BANCA :
  • ANNA CECILIA QUEIROZ DE MEDEIROS
  • LUCIANE PAULA BATISTA ARAUJO DE OLIVEIRA
  • ERIKA CARDOSO DOS REIS
  • Data: 28-sep-2023


  • Resumen Espectáculo
  • Noncommunicable Chronic Diseases and Conditions (NCDs), namely Diabetes Mellitus (DM), Systemic Arterial Hypertension (SAH) and Obesity significantly impact the health system, since they represent, together, one of the main causes of morbidity and mortality in the Brazil. As a provider of care and the main gateway to the Brazilian public health system, Primary Health Care (PHC) must be well structured to provide comprehensive, egalitarian and longitudinal assistance, bearing in mind the multifactoriality and complexity involved in managing these conditions. conditions. From this perspective, several guidelines have been proposed by the Ministry of Health, including the design of specific Care Lines for the main CNCDs. Thus, the main objective of the present study was to investigate how DM, SAH and Obesity care is taking place in PHC, based on indicators based on the care parameters recommended by the Ministry of Health. Information for Primary Care in the period 2021 and 2022. Therefore, the results of indicators on care for people with DM were treated in thematic maps by Brazilian states and macro-regions. Concerning the care of people with SAH, the prevalence and chance of adequacy of the indicators and their association with the type of Brazilian municipality were calculated. Regarding obesity, the odds ratio was estimated for the outcome of the consultation to be referral to the group, a collective approach that is part of care. The results obtained indicate weaknesses in the care of the NCDs under study, with differences regarding the adequacy of care in PHC at regional, state and municipal levels. It is noteworthy that care indicators created in the present study, based on parameters such as the Lines of Care for these conditions, have great potential to help in the situational analysis of states and municipalities, and may contribute to the design of interventions adjusted to the local reality.

16
  • MATHEUS OLIVEIRA LACERDA

  • SOCIAL ACTIVISM AND THE FIGHT FOR THE RIGHT TO HEALTH LGBTI+ POPULATION IN RIO GRANDE DO NORTE

  • Líder : MERCES DE FATIMA DOS SANTOS SILVA
  • MIEMBROS DE LA BANCA :
  • MAURICIO WIERING PINTO TELLES
  • MERCES DE FATIMA DOS SANTOS SILVA
  • FRANCISCO CLEITON VIEIRA SILVA DO RÊGO
  • LUCAS PEREIRA DE MELO
  • Data: 29-sep-2023


  • Resumen Espectáculo
  • The right to health of the LGBTI+ population entered the Brazilian political agenda from the construction of tensions guided by social activists, especially in the 1980s and 1990s during the HIV/AIDS epidemic. One of the advances in this agenda was the enactment of the National Policy on Comprehensive Health for Lesbians, Gays, Bisexuals, Transvestites and Transsexuals, in 2011, considered an important milestone in the struggle for recognition and for the right to health. The histography of social activism reveals the elaborations and contributions in the construction of public policies and in other political processes by social movements. Still, there are materials on the history of LGBTI+ activism in the Brazilian Northeast is still scarce. Understanding the articulation of the right to health agenda throughout the history of this movement, although undertaken by some authors, suggests further deepening. The discrimination and violence to which LGBTI+ people are exposed on a daily basis, including in health services, reveal the need for changes in health care and assistance practices. Faced with these issues, we understand that the role of social movements is fundamental in the struggle for recognition and social justice in human rights for this population. Based on this assertion, we intend to analyze how the right to health agenda was articulated by the LGBTI+ movement in Rio Grande do Norte, throughout its history. To achieve our goal, we will use the semi-structured interview technique, along the lines of oral history, with LGBTI+ activists in RN. In addition, documentary research will be carried out on action plans, debate records, minutes of meetings and other historical records related to the LGBTI+ movement in RN. For data analysis, the theoretical-methodological perspective of Hermeneutic-Dialectic Analysis will be used. The initial analyzes of the study allow us to observe certain limits of institutionalized spaces of social control. In addition, it suggests that two main moments that overlap in the articulation of the agenda of the right to health by the LGBTI+ movement: the moment of the HIV/AIDS epidemic and the moment of rise of the agendas of the trans and transvestite population.

17
  • NAYRE BEATRIZ MARTINIANO DE MEDEIROS
  • FACTORS ASSOCIATED WITH VACCINATION COVERAGE IN THE FIRST YEAR OF LIFE IN CHILDREN BORN IN 2017-2018 IN THE MUNICIPALITY OF NATAL/RN 

  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • DIANA PAULA DE SOUZA REGO PINTO CARVALHO
  • HELLYDA DE SOUZA BEZERRA
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • Data: 29-sep-2023


  • Resumen Espectáculo
  • Introduction: Vaccine coverage of children in their first year of life is essential to know the effectiveness and current compliance with the National Immunization Program as a health promotion and protection strategy. In Brazil, in recent years, vaccination coverage among children under 1 year of age has been lower than recommended. Identifying susceptible population groups is essential for monitoring vaccination programs, as it allows for the assessment and correction of existing inequalities. Objective: To analyze the factors associated with vaccination coverage of children during their first year of life in the city of Natal, Rio Grande do Norte. Methods: The Vaccination Coverage Survey was carried out, which analyzed 693 live births in 2017 and 2018 living in the urban area of Natal/RN. Information present in the vaccination books was analyzed and information was collected from the child, mother and family through interviews with a structured questionnaire. Vaccination coverage was calculated for those who are part of the vaccination schedule for children up to one year old. Data were analyzed using Poisson Regression, considering the sample weights of the complex sample design and a 95% confidence interval. Results: complete coverage of the vaccination schedule for doses applied in the first year of life (except yellow fever) had coverage of 50.9% and 15.8% for opportune doses. There was lower vaccination coverage for the variables: among children of brown-skinned mothers (PR=0.67), who live with a partner (PR=0.66) and of working mothers (PR=0.79). Final Considerations: The presented results demonstrate that the completeness of the vaccination schedule of children in the first year of life in the city of Natal presents low coverage and is associated with some social and life conditions.

     

18
  • CLARA JANYELLE GOMES DE CARVALHO
  • ANALYSIS OF ACCESS TO HEALTH SERVICES IN A MUNICIPALITY OF RIO GRANDE DO NORTE: A PERCEPTION OF THE USERS FROM THE MODEL DISABILITY PROPOSAL SURVEY BRAZIL

  • Líder : NUBIA MARIA FREIRE VIEIRA LIMA
  • MIEMBROS DE LA BANCA :
  • CLECIO GABRIEL DE SOUZA
  • DIMITRI TAURINO GUEDES
  • LEONILDO SANTOS DO NASCIMENTO JUNIOR
  • NUBIA MARIA FREIRE VIEIRA LIMA
  • Data: 11-oct-2023


  • Resumen Espectáculo
  • It is a product of the Qualifying Examination being developed by the Academic Master Degree Program in Collective Health at the Federal University of Rio Grande do Norte, Faculty of Health Sciences of Trairi, belonging to the Research Line Epidemiology and living conditions and population health. This study aims to evaluate the perception of users regarding access to health services in the municipality of Santa Cruz, Rio Grande do Norte, Brazil, through the Model Disability Survey - MDS-Brasil survey. This is an observational and cross-sectional study with data collected through a population survey in the city of Santa Cruz-RN. Adults and elderly people aged 18 or over, of both sexes, were included. In this study, a population survey was carried out and modules 1000- Sociodemographic data, 4000-Functionality and 6000-Use of Health Services from MDS Brazil were selected. The program used for statistical analysis was SPSS Statistics 22.0 and Programa R. 504 people were interviewed. Most respondents considered themselves dissatisfied with the health services provided in Brazil and classified the way in which the Unified Health System (SUS) in Brazil involves them in decisions about the types and where health services are provided, as “neither good or bad”. In the study, there was a prevalence of females, high school education, married marital status, brown race/color, country of birth Brazil and age range from 25 to 59 years. Most of the interviewees presented moderate disability for the aspect of mobility and body
    functions and severe disability for the aspect of activity and participation.

19
  • ANA CAROLINA LOPES CAVALCANTI DE OLIVEIRA
  • THE TRAINING OF NURSES FOR THE HEALTH CARE OF THE ELDERLY POPULATION

  • Líder : MAURICIO WIERING PINTO TELLES
  • MIEMBROS DE LA BANCA :
  • JOSE JAILSON DE ALMEIDA JUNIOR
  • MAURICIO WIERING PINTO TELLES
  • OSVALDO DE GOES BAY JUNIOR
  • RAFAEL RODOLFO TOMAZ DE LIMA
  • Data: 31-oct-2023


  • Resumen Espectáculo
  • Introduction: The Brazilian population is aging rapidly, with life expectancy increasing due to improved living conditions and health. In this scenario, it is essential to adopt measures to ensure the well-being and quality of life of this aging population, which has specific health needs. In this context, it is crucial that healthcare professionals, including nurses, are prepared to meet the demands of the elderly. Objective: To analyze the situation of nursing education for the healthcare of the elderly population in public Higher Education Institutions (HEIs) in Rio Grande do Norte. Methods: For this qualitative research, public HEIs in the state offering a Bachelor's degree in Nursing were selected. Data collection involved semi-structured interviews with faculty members of the Structuring Teaching Nucleus (NDE), appointed by the course coordination. Additionally, two focus groups were conducted with final-year students from two HEIs in RN, appointed by the student representative or, in their absence, by the course coordination. The collected data were analyzed using Content Analysis technique. Results: Results from the analysis of focus group data revealed two categories: Pedagogical approach of nursing courses and Nursing education for working with the elderly population. Interviews with faculty were categorized into: Structure of nursing education in public HEIs in Rio Grande do Norte and Nursing education for working with the elderly population. Final considerations: This research revealed weaknesses in the curriculum structure of nursing programs concerning the health care of the elderly, which is a relevant concern in light of Brazil's demographic and epidemiological scenario.

     
20
  • ALBENIZE DE AZEVEDO SOARES
  • TEMPORAL AND SPATIAL ANALYSIS OF WOMEN'S MORTALITY BY FIREARMS IN BRAZIL
  • Líder : CRISTIANE DA SILVA RAMOS MARINHO
  • MIEMBROS DE LA BANCA :
  • ANA MARIA MARTINS PEREIRA
  • CRISTIANE DA SILVA RAMOS MARINHO
  • HELLYDA DE SOUZA BEZERRA
  • JANMILLI DA COSTA DANTAS SANTIAGO
  • Data: 06-dic-2023


  • Resumen Espectáculo
  • Introduction: Feminicide is characterized as the murder of women resulting from gender inequality. In Brazil, these crimes are mainly committed in places with higher rates of poverty and social vulnerability. The highest occurrence of these crimes occurs among young, mixed-race, single women with less schooling, being executed preferably through the use of firearms. Objective: To analyze the temporal trend and spatial distribution of female firearm-related mortality and socioeconomic indicators in Brazil from 2010 to 2019. Methodology: Two studies will be developed. The first of the ecological type of temporal trend, based on secondary data from the Mortality Information System. The mortality rate due to firearm discharge in women aged 15 to 49 years was considered as an outcome variable, these data were analyzed using the JoinPoint open source software. Independent variables such as marital status, race/color and education were also collected from the SIM and the other variables such as Average Per Capita Income, Percentage of Poor People, Gine Index and Schooling were obtained through the Atlas of Human Development in Brazil from the Programa das United Nations for Development. The second study, also ecological, population-based and with the same variables used in the first study, however the analysis software is in the process of being chosen. Preliminary Results: Identified the occurrence of 2,022 deaths of women due to firearms in Brazil in the age group of 15 to 49 years of age in the period from 2010 to 2019, totaling an average rate of 0.36 deaths/100,000 women. During this period, there was a tendency towards a reduction in these mortalities from 2017 (APC= -11.8% CI95% -44.2; 39.5), but without statistical significance for most regions. Only the Central-West Region showed a reduction in statistical significance from 2010 to 2014 (APC = -41.9*% CI95% -64.7; -4.3). However, the North Region obtained the opposite result, with an increase in statistical significance from 2013 onwards (APC= 23.5* 95%CI 0.4; 51.9). During this period, RIAUS clusters with high mortality rates were formed in the North and Northeast regions, with the formation of respective clusters (High-High and Low-High). The highest occurrence of these crimes occurred among mixed-race, single, less educated, unemployed and low-income women. Final considerations of the work: Even though the country shows a tendency to reduce feminicide by firearm in most regions, the numbers are still below what is desired, with a wide distribution especially in the most socially and economically disadvantaged populations, such as the Region North and Northeast. Therefore, it is necessary to strengthen and restructure public policies that aim to protect women and take into account the social and economic context in which they are inserted.

21
  • NATÁLIA RAMOS DA SILVA
  • Equity and Care Network: the trajectories of black women leaving the prison system

  • Líder : MERCES DE FATIMA DOS SANTOS SILVA
  • MIEMBROS DE LA BANCA :
  • ALYNNE MENDONÇA SARAIVA NAGASHIMA
  • ESTER PAIXAO CORREA
  • FLAVIA DA SILVA CLEMENTE
  • MERCES DE FATIMA DOS SANTOS SILVA
  • Data: 20-dic-2023


  • Resumen Espectáculo
  • In Brazil, we currently have approximately 832,295 thousand people in situations of deprivation and/or restriction of freedom. With regard to people released from the prison system, it is almost impossible to measure the population due to the lack of data. Women account for around 5% of people in situations of deprivation and/or restriction of freedom, however, it is worth noting that these, despite being relatively few, are involved in processes that mark a greater trivialization of life and greater violation of rights human, considering that they are achieved by the intersectionalities of structural oppressions (social class, gender identity, race/color, sexual orientation, place of origin, among others.). Thus, leaving prison is also a process of maintaining deprivation, attributes acquired through social stigma and violations of social rights and lack of access to goods and services. In this sense, this study aims to analyze the access of black women released from the prison system to intersectoral care networks. To this end, we adopted the dialectical historical method as an analytical approach. It is necessary to point out that this method will dialogue with the participant observation technique and the interview technique along the lines of life history, based on the analysis of the narratives of five women released from the prison system. The chosen analysis scenario was the Social Office of Paraíba, a public service, responsible for welcoming and monitoring people pre-egress and egress from the prison system, as well as their families and its purpose is to enable access to social rights, with the aim of to break the cycle of violence. With this work, we point out the scarcity of studies in the field of Public Health regarding the health-disease process and care for people deprived of liberty and, above all, women released from the prison system. Furthermore, the structural oppressions of Brazilian society, maintained in the prison-asylum logic, are reflections of the capitalism-colonialism-racism-sexism articulation practiced and renewed in social institutions, such as the health institution.

22
  • SABRINA MARCIA RESENDE DE ALMEIDA SANTOS CUNHA
  • PERMANENT HEALTH EDUCATION IN THE MUNICIPALITIES OF THE 4TH HEALTH REGION: AN ANALYSIS OF MANAGEMENT INSTRUMENTS
     
    Ícone "Verificada pela comunidade"
     
  • Líder : JOSE JAILSON DE ALMEIDA JUNIOR
  • MIEMBROS DE LA BANCA :
  • GIGLIOLA MARCOS BERNARDO DE LIMA
  • GRACIELLE MALHEIRO DOS SANTOS
  • JOSE JAILSON DE ALMEIDA JUNIOR
  • OSVALDO DE GOES BAY JUNIOR
  • Data: 20-dic-2023


  • Resumen Espectáculo
  • Introduction: Health work management aims to implement new models of organization and operation of the country's public health services, making it indispensable in the processes of political-administrative organizations of the Unified Health System. Objective: Analyze the insertion of Education Permanent Health Care (EPS) present in the management planning instruments of the municipalities of the 4th Health Region of Paraíba. Methods: This is a documentary research with a qualitative approach with a descriptive and exploratory nature. Among the health microregions, the 4th Health Region of the state of Paraíba, located in the region of Curimataú and Seridó Paraibano, was delimited for this research. Results and Discussion: Among the materials analyzed, Management Planning instruments, Municipal Plans of Health and Continuing Health Education, Ordinances and Resolutions, Reports of the Teaching and Service Integration Commission, Technical Chamber and State Conferences and Mental Health Program, totaling 69 documents. It was found that health conferences played a key role in providing a basis for managers and teams in developing municipal and state health plans, with active consideration of relevant health advice. These plans reflect a significant integration of Continuing Education, incorporating actions, goals and objectives aligned with the deliberations of these events. Conclusion: The incorporation of public education policies into management instruments is the result of actions developed in the territories. The autonomy of workers and users in defining their paths differs from the perspective of managers, who may believe they are controlling work only through management spreadsheets and information systems.

2022
Disertaciones
1
  • EUCLENES FELINTO MEDEIROS
  • Nuances of care: Perceptions of caregivers of students with disabilities
  • Líder : MERCES DE FATIMA DOS SANTOS SILVA
  • MIEMBROS DE LA BANCA :
  • MERCES DE FATIMA DOS SANTOS SILVA
  • DIMITRI TAURINO GUEDES
  • RAFAELA CAROLINI DE OLIVEIRA TAVORA
  • LUCAS PEREIRA DE MELO
  • NUBIA GARCIA VIANNA
  • Data: 17-ene-2022


  • Resumen Espectáculo
  • This research approaches the study on the health-disease processes and care of people caring for students with disabilities at the Federal Institute of Education, Science and Technology of Rio Grande do Norte (IFRN). In this way, it was applied surveys to the advisors of the Support Center for People with Special Educational Needs (NAPNE) in order to carry out a survey of the services provided, as well as the number of students with disabilities assisted throughout the State of Rio Grande do Norte in the IFRN by these Centers. In addition, we carried out a documentary analysis of the registration forms of students with disabilities at the IFRN, in order to select people caring for students with disabilities, at the IFRN in Currais Novos-RN. We also performed semi-structured changes with the selected people, using a thematic analysis to capture the data.We based on the theoretical-methodological perspective of Alfred Schutz's phenomenology, in order to understand from our interlocutors how they propose to describe their experiences in the caring for themselves and the other, how they represent and create their health process disease and care.From the narratives analysis, four analytical categories emerged: 1) The barriers of care; 2) Perception of caregivers about their care process; 2) Solitude in caring for the other and, 4) Caring in times of pandemic at COVID-19. By main results, we are faced with the need to bring educational institutions closer to the families of students with disabilities, which would primarily benefit the students themselves, resulting in practices for a concrete social inclusion; as well in needing to build spaces for listening and speaking by caregivers in the most varied social environments in order to take care of the caregivers. We emphasize results that the role of care is still socially assigned to women; that the experiences of care in the interviews were prevailed by social barriers for people with disabilities and; that, for the most part, caregivers experienced overload arising from care. We consider the role of the caregiver fundamental for the process of health, education and inclusion of people with disabilities, but it is necessary to discuss the economics of care for mothers of people with disabilities. This is because, thinking about the care of people with disabilities involves building an intersectoral support network, taking into account the care of caregivers as subjects of rights as well.

2
  • KATARINA MÁRCIA RODRIGUES DOS SANTOS
  • SIMULTANITY OF HEALTH RISK BEHAVIORS IN BRAZILIAN ADOLESCENTS ACCORDING TO RACE/SKIN COLOR

  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • ARTHUR DE ALMEIDA MEDEIROS
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • RAFAELA CAROLINI DE OLIVEIRA TAVORA
  • Data: 04-feb-2022


  • Resumen Espectáculo
  • Introduction: adolescence is a complex stage of biopsychosocial transformations and risk behaviors promoted at this stage tend to remain in adulthood. Alcohol use, smoking, obesity and sedentary lifestyle are factors that, when started in adolescence, are related to the health of adults and are associated with the development of chronic non-communicable diseases (NCDs) throughout life. Individuals who live in precarious socioeconomic situations have worse health conditions when compared to those with better economic situations, with greater disadvantage due to sex, ethnicity, and education, among others. And in Brazil, race/skin color is a marker of social disparities, being considered a predictor of health outcomes. Objective: to analyze the simultaneity of health risk behaviors of Brazilian adolescents according to race or skin color. Methods: cross-sectional study with data from the National School Health Survey (2015). The study sample consisted of 102,301 participants and the simultaneity of risk factors (physical inactivity, precarious consumption of fruits, vegetables and vegetables, consumption of alcohol and cigarettes) by differences in race/color was analyzed. The crude and adjusted prevalence ratios (PR) were calculated, with their respective 95% confidence intervals and p values, using Poisson Regression, in an analysis adjusted for gender, age and maternal education. Results: In 2015, 102,301 schoolchildren were interviewed, 43.05% of whom declared themselves brown, 36.14% white, 13.38% black, 4.11% yellow and 3.29% indigenous. In the sample, the prevalence of physical inactivity was 38.42% (95%CI 37.9-38.95), of cigarette use was 5.55% (95%CI 5.29-5.83), of precarious consumption was 80 .68% (95%CI 80.24-81.12) and the use of alcohol was 23.78% (95%CI 23.31-24.25). The prevalence of simultaneity of the four risk factors among adolescents was of 1.43% (95%CI 1.29-1.58) and the most frequent simultaneity was physical inactivity and precarious consumption of fruits, vegetables and vegetables (25.11% 95%CI 24.64-25.58). The prevalence of simultaneity of the four factors was higher among indigenous people (PR 1.77; 95%CI 1.00-3.13) and the combination of physical inactivity, alcohol and cigarette use was significant among browns (PR 2.11 ; 95%CI 1.05-4.24) when compared to whites. Conclusions: there was a higher prevalence of simultaneous risk factors for chronic conditions among self-declared browns and indigenous peoples when compared to whites. This inequity may be a reflection of the inequitable social structure present throughout the Brazilian historical process, and this situation may impact the health conditions in the life cycles of these populations.

3
  • MARIA APARECIDA PAULO DOS SANTOS
  • ACCESS TO PAP SMEAR TEST AMONG BLACK WOMEN COMPARED TO OTHER RACES/ETHNICS: A SYSTEMATIC REVIEW WITH META-NALYSIS 

  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • RAFAELA CAROLINI DE OLIVEIRA TAVORA
  • ARTHUR DE ALMEIDA MEDEIROS
  • Data: 07-feb-2022


  • Resumen Espectáculo
  • Introduction: Pap smears test are among the most effective measures for screening for cervical cancer. Its widespread use of cytological screening derives from its ease, cost-effectiveness and ability to identify premalignant diseases. Studies show that among racial minorities there is an increase in mortality from cervical cancer, due to disparities in screening, ranging from difficulty in accessing the service to basic health information. Objective: to identify the prevalence of access to Pap smears among black women compared to other races/ethnicities in a systematic review and to identify the magnitude of this association in a meta-analysis. Methodology: The protocol for this review is registered on the PROSPERO platform under number CRD42021251764. Searches were performed in PubMed, Web of Science, Lilacs, Scopus, Cinahl databases, in addition to Google Scholar and Open Grey, using the Mesh terms “ethnic groups”, “race factors”, “papanicolaou test”, “prevalence”, “papanicolaou smear”,“Transversal studies”. For eligibility, cross-sectional studies that showed women's access to the Pap smear were included. Study quality and risk of bias were analyzed using the Joanna Briggs Critical Appraisal Checklist for Analytical Cross-Sectional Studies instrument. The extracted data were tabulated and analyzed qualitatively and quantitatively through meta-analysis (Review Manager). The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) was used as a writing guide. Results: The review resulted in 29 cross-sectional studies that analyzed the prevalence of access to the Pap smear based on the race/ethnicity criterion. The prevalence of access in blacks ranged from 10.3% to 90.60% and among whites ranged from 14% to 89.47%. Among Asian women it ranged from 2.56% to 76.3% and among Hispanic women it ranged from 21.8% to 92.3%. Regarding race, the highest chances of undergoing Pap smears were associated with white women OR=2.49 (95%CI 1.12-4.54) and Hispanic (OR= 2.08; 95%CI 1.96-2) ,21) when compared to black women. The results of the meta-analysis show that access to the Pap smear is lower among black women when compared to white women (OR=0.61; 95% CI 0.43-0.86). However, when compared to other ethnicities (except white), there was no significant difference (OR=1.39; 95% CI 0.82-2.35). Final considerations: Race is still an important factor in determining access to the Pap smear. The results showed disparities in the prevalence of access when comparing black and white women. The difficulty of access, coupled with the lack of knowledge about the need to perform the exam and the lack of guidance for its execution, represent a risk for non-adherence to the preventive program.

4
  • MARCUS VINÍCIUS AMARANTE DA SILVA
  • ASSESSMENT OF ORGANIZATIONAL READINESS FOR CHANGE (POM): TRANSLATION, ADAPTATION AND VALIDATION FOR USE IN BRAZIL

  • Líder : EGMAR LONGO HULL
  • MIEMBROS DE LA BANCA :
  • ADRIANA GOMES MAGALHAES
  • EGMAR LONGO HULL
  • ISABELLY CRISTINA RODRIGUES REGALADO MOURA
  • ROCÍO PALOMO CARRIÓN
  • Data: 14-mar-2022


  • Resumen Espectáculo
  • Introduction: The development of valid instruments to measure the degree to which an organization is prone to innovation, according to its professionals, is crucial to increase the response capacity of organizations in the face of new health demands. From this, instruments such as the Organizational Functioning and Readiness for Change (ORC) were created. The abbreviated version of Organizational Functioning and Readiness for Change (ORC), called Organizational Readiness for Change (POM) or POM Assessment, contains 65 items distributed across 12 domains.  Objective: translate, adapt and validate the POM Assessment to identify the level of propensity to change in health professionals. Methodology: This is a methodological research developed in 3 stages: translation of the original instrument, cross-cultural adaptation and validation of reproducibility; 32 health professionals from Tangará-RN participated in the research. The research was approved by the Research Ethics Committee and the participants were contacted personally, via email and/or via WhatsApp, informed about the objectives and signed the informed consent, answering the questionnaire via Google Forms. The instrument is self-administered, answered in 20 minutes and will contribute to the realization of other studies that aim to measure the impact of the proposed change in the studied population. The instrument was validated by analyzing the psychometric characteristics: reliability and internal consistency. For test-retest reliability: ICC; and to calculate the internal consistency of the scale: Cronbach's Alpha, using the Statistical Package for the Social Sciences (SPSS) version 21.0 for data analysis. Results: 32 professionals (71.11%) agreed to participate and responded to the test, and, of these, 29 to the retest, with a loss of 3 professionals (9.37%) of the total number of participants. Test: 26 women (81.25%) and 6 men (18.75%), mean age of 32.50 years, mean time since graduation of 6.07 years and mean experience in the area of 5.50 years . Retest: 24 women (82.75%) and 5 men (17.25%), mean age of 32.24 years, mean time since graduation of 5.98 years and mean experience in the area of 5.51 years ; Most nurses (37.50%) and dentists (18.75%) participated in the test; in the retest, most nurses (37.94%) and dentists (17.24%) also participated. Most professionals were assigned to Basic Health Units (UBSs) (56.25%), and to Hospital Santa Terezinha (18.75%;). Regarding reliability, the 65 items of the 12 domains were related and, in general, the POM Assessment presented Cronbach's alpha of 0.898 in the test phase and 0.900 in the retest, in addition to a test-retest ICC of 0.921, which are values considered optimal. Conclusions: The POM Assessment is a short and easy-to-administer instrument, which presents adequate internal consistency, test-retest reliability and agreement values within acceptable limits, which indicates potential for its application in clinical practice and in scientific research, allowing management to evaluate the degree of commitment and participation of its employees within a health unit.


5
  • MONIQUE LEITE GALVAO COELHO
  • My child is growing and now? Exploring the environmental needs of children with Congenital Zika Syndrome according to their caregivers' perception

     

  • Líder : EGMAR LONGO HULL
  • MIEMBROS DE LA BANCA :
  • ALINNE BESERRA DE LUCENA
  • ADRIANA GOMES MAGALHAES
  • EGMAR LONGO HULL
  • Data: 15-mar-2022


  • Resumen Espectáculo
  • Introduction: Congenital Zika Syndrome (CZS) was described in Brazil after the outbreak of microcephaly related to the Zika virus (ZIKV) between 2015 and 2016. The vast majority of children have severe impairment of neuropsychomotor development, mainly associated with microcephaly. Promoting the social inclusion of children with CZS is challenging and requires lifelong professional assistance. Participation can be understood as involvement in a life situation and is strongly influenced by physical, social and attitudinal environmental factors. As with other developmental disabilities, children with CZS may be disadvantaged in terms of full participation in society. Although there are studies that assess the positive influence of participation in the social context for the development of children with disabilities, information about environmental needs is still little explored. Objective: To explore caregivers' perception of the environmental needs of children with CZS in terms of barriers and facilitators. Material and methods: This is a qualitative research that included 32 caregivers of children with CZS. Thematic analysis was used to identify the environmental needs perceived by caregivers of children with CZS. The patient public involvement (EPP) approach was incorporated with the purpose of validating the data analysis performed by the researchers. After this step, the data were categorized in terms of barriers and facilitators and validated by the group of researchers. Results: The environmental needs expressed in the caregivers' quotes were initially organized into 10 themes and later consolidated into 7 thematic groups during the EPP process. The themes were: Social support; Accessibility to health services; Community participation; Foods; Architectural accessibility; Medication Adherence and Assistive Technology. Finally, the conceptual map representing the environmental needs perceived by caregivers of children with CZS was elaborated on barriers and facilitators. A relevant environmental need reported by caregivers as a barrier was social support for children with CZS. Ableism was also evidenced as an important attitudinal barrier. Health services were essential for the lives of children with CZS and the availability of auxiliary devices as facilitators of participation. Environmental factors related to medication and food routines were, for the most part, facilitators. Conclusion: This study contributes to critical approaches about the impacts linked to environmental factors of children with CZS, using a participatory action methodology through the involvement of caregivers in the research. Recognition of the daily needs of growing children with CZS is an evolving process, and fundamental to basic rights for adequate living in society. The data point to the need to implement public policies aimed at children with CZS, as well as availability of qualified professionals to apply family-centered care and skills-focused management. Building friendly environments that promote broad social participation will contribute to the healthy growth of children with CZS.

6
  • JÉSSYCA CAMILA CARVALHO SANTOS
  • Public spaces for physical activity in the Trairi Potiguar micro-region.

  • Líder : ANNA CECILIA QUEIROZ DE MEDEIROS
  • MIEMBROS DE LA BANCA :
  • ADRIANA GOMES MAGALHAES
  • ANNA CECILIA QUEIROZ DE MEDEIROS
  • CAMILA FURUKAVA
  • Data: 31-mar-2022


  • Resumen Espectáculo
  • Encouraging the practice of physical activity is one of the main strategies used to face non-communicable diseases and chronic diseases, especially in relation to obesity, diabetes and hypertension. Furthermore, physical activity is an important component of quality of life, physical and mental health. However, not everyone has access to environments that provide opportunities for this practice. This is a reality that needs to be better evaluated and, although it has more defined contours in large urban centers, it is relatively little known in small cities. Thus, the objective of the present work is to evaluate public spaces destined to the practice of physical activity in the microregion of Trairi Potiguar. This is a descriptive observational cross-sectional study that evaluated public structures dedicated to the practice of physical activity in the 11 municipalities that make up the micro-region of Trairi, in the state of Rio Grande do Norte. This territory has an estimated population of 125,620 inhabitants for 2021, the predominant biome is the caatinga and the climate is semi-arid with long periods of drought. Initially, a survey of the structures destined to the practice of PA was carried out with the Municipal Sports Departments. Courts/gyms, parks for walking, health academies and squares were included. Thus, 79 structures were visited in loco, and aspects related to the repertoire and quality of available equipment, user comfort attributes, aesthetics, safety, services and shading were evaluated. A photographic record of all spaces visited was also carried out. It is hoped that the results obtained can be used to improve planning and access to equipment and public initiatives aimed at the practice of physical activity in this micro-region.

7
  • ANA CRISTINA LIMA CARVALHO
  • TRANSLATION, CROSS-CULTURAL ADAPTATION AND VALIDITY OF CONSTRUCTION OF THE ASSESSMENT OF HEALTH RELATED QUALITY OF LIFE IN OSTEOPOROSIS (ECOS-16) QUESTIONNAIRE FOR BRAZIL

  • Líder : MARCELO CARDOSO DE SOUZA
  • MIEMBROS DE LA BANCA :
  • ALMIR VIEIRA DIBAI FILHO
  • IMPERIO LOMBARDI JUNIOR
  • MARCELO CARDOSO DE SOUZA
  • NUBIA MARIA FREIRE VIEIRA LIMA
  • Data: 08-abr-2022


  • Resumen Espectáculo
  • Introduction: Osteoporosis is an important public health problem worldwide, this disease is characterized by a decrease in Bone Mineral Density (BMD), which causes fragility in bone tissue, contributing to the development of fractures. Among the risk factors are: Advanced age, genetic factors and nutritional deficiencies, 25% of people with osteoporosis refer to postmenopausal women, with a prevalence of lumbar osteoporosis between 15.8% to 54.5%. The Assessment of Health related Quality of Life in Osteoporosis (ECOS-16) questionnaire is a tool aimed at measuring the quality of life of women with postmenopausal osteoporosis. The questionnaire contains 16 items present in four subscales. Objective: To translate, adapt to Brazilian culture and test the validity of the Assessment of Health related Quality of Life in Osteoporosis (ECOS-16) questionnaire. Methods: This is a cross-sectional study carried out in two stages: Translate into Portuguese and carry out the cross-cultural adaptation of the ECOS-16; and to test the validity of the construct for the Brazilian population. Fifty-six women diagnosed with postmenopausal lumbar osteoporosis participated in the study. The research was approved by the Research Ethics Committee and the participants were contacted via Facebook, Instagram, WhatsApp and email, the questionnaire was made available via Google Forms along with the Free and Informed Consent Term (ICF). The validity of the questionnaire was tested by internal consistency analysis using Cronbach's Alpha and Spearman's correlation test to verify the correlation between ECOS-16, SF-36 and END using SPSS version 26.0. Results: Of the 63 women who responded to the questionnaire, 5 did not meet the inclusion criteria and 2 did not complete the questionnaire in full. ); married (42%), with complete postgraduate studies (42%); white race (64%); with an income of 3 to 6 minimum wages (33%) and with a time of diagnosis of the disease of 54 months. The internal consistency of ECOS 16 analyzed using Cronbach's alpha (0.94) indicated good internal consistency, the correlation of each item with its subscale showed substantial correlations. The analysis showed significant correlations between all subscales of ECOS 16 and SF-36 (p-value <0.64) and END (p-value 0.69). Conclusion: The ECOS 16 was translated and culturally adapted to the Portuguese language, and the findings show that the questionnaire is a valid and reliable measure to assess the quality of life of women with postmenopausal lumbar osteoporosis.

8
  • BRUNNO ALVES DE LUCENA
  • THE PRIMARY CARE WORKER AND THE PSYCHOSOCIAL IMPACTS RESULTING FROM HIS PERFORMANCE IN TIMES OF PANDEMICS.
  • Líder : CECILIA NOGUEIRA VALENCA
  • MIEMBROS DE LA BANCA :
  • CECILIA NOGUEIRA VALENCA
  • RAFAELA CAROLINI DE OLIVEIRA TAVORA
  • ILDONE FORTE DE MORAIS
  • Data: 22-abr-2022


  • Resumen Espectáculo
  • The objective of this study was to analyze the implications that the pandemic scenario of COVID-19 has had on the mental health of Primary Care workers, in a municipality in the interior of Rio Grande do Norte. It is a study with a qualitative approach of the descriptive and exploratory type. Data collection took place between December 2020 and March 2021. The data investigated in this study were obtained through a semi-structured interview, carried out by telephone, in which the professionals answered the questions verbally and were subsequently transcribed, ensuring ethical rigor regarding the anonymity and confidentiality of the participants. The treatment and analysis of discourses were performed using the software Interface de R pour Analyses Multidimensionnelles de Textes et de Questionneires (IRAMUTEQ), which performs quantitative analyzes of textual data based on contexts and content classes based on similarity of vocabulary or used in different contexts. similar, associating to the same lexical field. Based on the classification of the categories by IRAMUTEQ, they were interpreted through content analysis, covering the steps indicated by Bardin, in order to extract the relevant content for discussion based on the literature. This study was licensed by the Research Ethics Committee of the Faculty of Health Sciences of Trairí (FACISA) / Federal University of Rio Grande do Norte – UFRN according to CAAE: 39785420.9.0000.5568 and opinion number 4,428,312. Among the workers participating in the research, there was a predominance of females (70.0%), aged between 31 and 40 years (55.0%), being married or in a stable relationship (75.0%). As for the level of education, it was noticed the predominance of professionals who attended high school (55.0%). Most of the population studied work as community health agents (25.0%), with a workload of 40 hours per week (85.0%), with a monthly income of up to 3 minimum wages (70.0%), with more than 10 years of experience in the Basic Health Unit (45.0%). From the lexical analysis by CDH of IRAMUTEQ, four dendrograms were unveiled with the following themes: Class 1: “Heroes or Villains?”, which highlights the social stigma and discriminatory behaviors suffered by primary care workers participating in this research, as well as the social processes of exclusion, resulting from the creation of prejudices and the potentialization of stereotypes linked to negative attitudes and beliefs directed at these workers. Class 2: "Illness in work management", which is based on the reports of the interviewees, on the transformations that occurred in professional relationships, in the increase in requests for demands, in the different management models, variable remuneration, increase in controls and registration processes as a result of the pandemic. Class 3: “between suffering and pleasure”, which presents reports resulting from the worker's relationship with the work process in primary care during the course of the pandemic, considering the experiences of pleasure, suffering, exhaustion, satisfaction and illness. And class 4: “The pains I have here in my chest”, in which we sought to analyze terms in the interviewees' speech, which refer to possible repercussions on their mental health, correlating with aspects of the literature on the subject. It is concluded that through this research it was possible to understand the interference and impacts of the work process during the course of the COVID-19 Pandemic on the mental health of primary care workers. It is hoped that this research can support the development of public policies to promote and care strategies aimed at the collective of health workers.

9
  • MARIA EDUARDA DA SILVA MATOS
  • “WOMEN HAVE TO HANDLE EVERYTHING”: COVID-19 AND THE MENTAL
    HEALTH OF WOMEN WHO ARE MEMBERS OF A SOCIAL ASSISTANCE
    REFERENCE CENTER IN THE COUNTRYSIDE OF THE NORTHEAST

  • Líder : ANA KALLINY DE SOUSA SEVERO
  • MIEMBROS DE LA BANCA :
  • ALYNNE MENDONÇA SARAIVA NAGASHIMA
  • ANA KALLINY DE SOUSA SEVERO
  • MICHAEL FERREIRA MACHADO
  • Data: 24-jun-2022


  • Resumen Espectáculo
  • COVID-19 is an infectious disease caused by the new Coronavirus, first identified in
    December 2019, in the city of Wuhan, China. In January 2020, World Health Organization
    (WHO) decreed that the outbreak caused by the COVID-19 constituted a Public Health
    Emergency of International Concern, being categorized as a pandemic. This has affected a
    large part of the population and caused structural consequences at both micro and macro
    levels. It has been observed that, in addition to the economic repercussions, the advent of the
    pandemic reverberated in an overwhelming way in the lives of people in situations of social
    vulnerability, especially women&#39;s. This study aimed to understand, alongside with the
    technical team of a Social Assistance Reference Center (CRAS) in a city in the countryside of
    Rio Grande do Norte, the repercussions of the Covid-19 pandemic on mental health of women
    who benefit from the service. This is an intervention-research of a multimethod nature, based
    on the theoretical-methodological framework of Institutional Analysis (IA). To this end, three
    rounds of conversations were carried out with the team&#39;s technicians; consultations with the
    service&#39;s medical records to map the demands that occurred during the period between 2020
    and 2021; and participant observation with records in the research diaries. The data were
    analyzed through important concepts from the theoretical-methodological framework of IA.
    Among the data collected, what drew attention in the research was the fact that the public
    benefited from the service, during the period analyzed, was mostly adult women, with a lower
    level of education than complete secondary education, in extreme poverty, and predominantly
    beneficiaries of the extinct “Bolsa Família” Program. Regarding the results of this research,
    we have observed changes in the demands of CRAS, such as the increase in demand for
    eventual benefits and the emergence of mental health issues related to the repercussions of the
    pandemic. Furthermore, we have noticed significant changes in the work process of the
    service affecting the professionals, in order to analyze their implications. Therefore, such
    studies are fundamental to understanding the particularities of each region, in addition to
    providing reflections on the repercussions of the COVID-19 pandemic for the population, in
    order to think about policies that may respond to such demands.

10
  • NATÁLIA DE CARVALHO CORDEIRO LIRA
  • TRANSLATION, ADAPTATION AND VALIDATION OF CHRONONUTRITION PROFILE – QUESTIONNAIRE (CPQ) FOR THE BRAZILIAN POPULATION

  • Líder : JANE CARLA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • CRISTIANA ARAÚJO GONTIJO
  • JANE CARLA DE SOUZA
  • NUBIA MARIA FREIRE VIEIRA LIMA
  • Data: 29-jun-2022


  • Resumen Espectáculo
  • Introduction: Chrononutrition is an emerging topic and proposes that dietary intake  associated with mealtimes can affect the regulation of the circadian system. In order  to assess chrononutritional parameters, it is necessary to obtain detailed information  on eating and sleep/wake habits, which are not accessed by a single, specific  questionnaire. Objectives: to translate and culturally adapt the Chrononutrition Profile  – Questionnaire (CP-Q) to Portuguese and to assess its validity and reliability for the  Brazilian population. Methods: Cross-sectional quantitative study. Initially, the  translation and cultural adaptation of the CP-Q was carried out, which was proposed  for the American population, with the objective of accessing parameters referring to  the behaviors and preferences of an individual, both for sleep and wakefulness habits,  as well as dietary intake. This step was carried out by two independent translators with  mastery in both languages and followed the following steps: translation; synthesis of  translations; back translation; expert committee and pre-test. In the validation and  reliability stage of the instrument, the following questionnaires were applied: Translated  Crononutritional Profile Questionnaire (QPC); Pittsburgh Sleep Quality Index (IQSP);  Evening Eating Questionnaire; SF-36 Quality of Life Questionnaire; MUNICH  Chronotype Questionnaire (MCTQ) and 24h Food Recall Questionnaire (R24). The  application of the instruments was carried out through the electronic platform of the  Google® questionnaire - Google Forms. The validity of the questionnaire was tested  by the Spearman correlation test and the reproducibility by the Intraclass Correlation  Coefficient (ICC), the significance level adopted for all analyzes was p < 0.05. Results: We evaluated 636 individuals with mean age of 32.4 ± 11.2 years, most of them women  (71.3%), single (61.7%), from the northeast region (78.4%), with an anthropometric  profile eutrophic (52.3%) and with a mean score of 55.8 SD ± 17.9 quality of life.  Sleeping and waking times on work/study days and off days of the QPC showed  moderate to strong correlations with the same parameters of the IQSP (r= 0.66 and  0.60; r = 0.78 and 0.72) and of the MCTQ (r=0.86 and 0.83; r=0.72 and 0.79),  respectively. The largest meal (Kappa = 0.399), skipping breakfast (r = 0.739), eating  window (r = 0.66), nocturnal latency (r = 0.52), and last eating event (r = 0.51) had  moderate to strong correlations when compared to R24. The reproducibility, tested  between 5 and 10 days after the first application, evaluated by the ICC, proved to be  good to excellent in all parameters. Conclusion: The results indicate that the  translation and adaptation of the QPC into the Brazilian language was adequate,  generating a valid and reliable questionnaire to assess the sleep and eating habits of  the Brazilian population. 

11
  • AMANDA CARLA SILVA CAVALCANTI
  • CHALLENGES IN PSYCHOSOCIAL CARE OF USERS OF PSYCHOACTIVE SUBSTANCES FACED BY COMMUNITY HEALTH AGENTS IN THE TERRITORY

     

  • Líder : ANA KALLINY DE SOUSA SEVERO
  • MIEMBROS DE LA BANCA :
  • ALYNNE MENDONÇA SARAIVA NAGASHIMA
  • ANA KALLINY DE SOUSA SEVERO
  • MAURICIO ROBERTO CAMPELO DE MACEDO
  • TIAGO ROCHA PINTO
  • Data: 30-jun-2022


  • Resumen Espectáculo
  • Throughout human existence, it is common to perceive the use of multiple
    psychoactive substances due to different reasons, meanings, and contexts. When
    addressing such theme, understanding how this demand reaches the Unified Health
    System (UHS) is essential, especially in Primary Health Care (PHC), as well as how
    it relates to the professional activities of Community Health Agents (CHAs). Thus, this
    research has as its main objective to comprehend how Community Health Agents in
    Primary Health Care take care of individuals who make harmful use of psychoactive
    substances. The field of research was a Basic Health Unit (BHU) in the city of Santa
    Cruz, RN. This is a case study of a qualitative nature, which was carried out through
    an intervention-research approach and based on the theoretical framework of
    Institutional Analysis. The activities that were developed with the CHAs took place
    between August and September, 2021. The data were collected through the three
    following instruments: a conversation circle, semi-structured interviews, and a
    research diary. In total, 01 conversation circle and 08 individual interviews were
    carried out. As for the diary, it was prepared during the experiences described above
    as a potential for analysis and reflection in the in loco meetings in the research. With
    regard to the analysis of the collected data, important concepts from the theoretical
    framework of Institutional Analysis were applied, such as order, demand,
    transversality, and implication. When analyzing the interfaces of the CHAs’ work
    experiences, the following results were found: a low demand at the BHU by users of
    psychoactive substances; valuation of the biomedical model and medicalization;
    hospitalization in therapeutic communities as an instituted possibility of care; low
    planning in the individual provision of care; and little coverage in intersectoral
    articulation. Therefore, although the CHAs’ work may be a challenging task, it is still
    possible to act in a daily collective construction that gives space for care based on
    the bond, listening, and welcoming guided by the principles that rule Harm
    Reduction, expanded clinic, and the UHS.

12
  • URSULA COSTA
  • BUREAUCRACY AT STREET LEVEL AND PROFESSIONAL AUTONOMY: IMPLEMENTATION OF PUBLIC HEALTH POLICIES IN THE WORK OF COMMUNITY HEALTH AGENTS IN THE SEMI-ARID NORTHEAST

  • Líder : ANA LUIZA DE OLIVEIRA E OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANA LUIZA DE OLIVEIRA E OLIVEIRA
  • LUÍSA DA MATTA MACHADO FERNANDES
  • MERCES DE FATIMA DOS SANTOS SILVA
  • MICHELLE VIEIRA FERNANDEZ DE OLIVEIRA
  • Data: 11-jul-2022


  • Resumen Espectáculo
  • Introduction: The development of public policies involves a cycle of steps - agenda, formulation, implementation, evaluation - necessary to understand the decisions taken and their consequences. In implementation, planned decisions are consolidated into final actions. Street Level Bureaucrats (BNR's) are implementing agents, responsible for the direct delivery of policies to citizens. In the Unified Health System (SUS), professionals from the Family Health Strategy (ESF) are considered BNR's of reference in health actions and, in the exercise of their functions, they use their professional autonomy as a strategy to meet the population's needs. Objective: The present study aimed to analyze how the Community Health Agents (ACS's) of a municipality in the Brazilian semi-arid region historically establish their professional autonomy as BNR's in their work routines. Methods: consists of an exploratory qualitative study that, through interviews with as using the Thematic Oral History method and content analysis (Bardin), allowed the construction of analytical categories associated with individual and collective dimensions and the environment of action of these workers. Results: it was observed the development of mechanisms of autonomy by ACS´s in decision making during the implementation of public health policies. Conclusion: the performance of these BNR's can directly influence the execution of these policies.

     

     

13
  • LUIZ PAULO GOMES DOS SANTOS ROSA
  •  

     
     
  • Líder : KLAYTON GALANTE SOUSA
  • MIEMBROS DE LA BANCA :
  • ALEXANDRE MEDEIROS DE FIGUEIREDO
  • ANA KALLINY DE SOUSA SEVERO
  • KLAYTON GALANTE SOUSA
  • Data: 27-jul-2022


  • Resumen Espectáculo
  •  

     
     
14
  • MARCOS VINÍCIUS DA SILVA BENTO
  • THE SLEEP/WAKE CYCLE IN HEALTH POLICIES: A SCOPING REVIEW

  • Líder : JANE CARLA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • JANE CARLA DE SOUZA
  • CECILIA NOGUEIRA VALENCA
  • RUBIA APARECIDA PEREIRA DE CARVALHO MENDES
  • Data: 29-jul-2022


  • Resumen Espectáculo
  • Primary Health Care (PHC) is one of the levels of Brazilian Unified Health System (SUS), characterized by carrying out health promotion, prevention and protection actions. PHC is directly linked to public health policies as it is governed by the National Primary Care Policy. Among the important issues that can be addressed in public policies, the sleep/wake cycle (SWC) can be highlighted. The damage to health caused by changes in relation to SWC is becoming increasingly evident. Therefore, the aim of this study was to map evidence about SWC related to health policies in the context of PHC. This is a scoping review conducted according to the Joanna Briggs Institute (JBI) methodology and PRISMA-ScR. The databases consulted were PubMed, LILACS, and Scopus, on publications from the last 5 years, in English and Portuguese. In addition, we included the primary care notebooks that are available on the website of the Primary Health Care Secretariat of the Brazilian Ministry of Health. Of 959 articles found in the databases, 34 were selected for full reading, of which 8 met the inclusion criteria. However, 1 more article was added because it was related to the research objective, totaling 9 articles included in the study. Among the 30 primary care notebooks mapped, only 23 returned results. The 9 articles analyzed were mostly from North American and European countries, and addressed health policies related to the following topics: insomnia; sleep apnea; quality of life improvement course; sleep education program; sleep clinic; compliance with national guidelines; lifestyle and academic performance; and about delayed school start in the morning. In the care notebooks, it was observed that 9 guide health professionalsto investigate or question patients about sleep during appointments, and some inform that professionals should guide about sleep. In addition, 8 care notebooks noted sleep or somnolence as an adverse effect to the use of drugs, and 10 indicate changes in sleep or somnolence as symptoms resulting from diseases or health conditions. It is clear then that the central theme addressed in the articles and notebooks evaluated in this study refers specifically to sleep, dealing in a limited way with evidence on SWC and biological rhythmicity in PHC health policies. In addition, no health policy related to SWC was observed in Brazil. In a positive way, it can be observed that sleep is a theme approached in the basic care booklets, but it does not include or approach the biological rhythmicity of the most varied body systems, which is fundamental for individual and collective health, as well as the relationship of the SWC with the health-disease processes. It is expected that this review may provide evidence for the development of new studies and health policies about SWC in Brazil and worldwide, and serve as a basis for the implementation of actions and strategies for health promotion and disease prevention. 


15
  • IZABEL CRISTINA DE MEDEIROS
  • LEARNING AT WORK: EXPERIENCE IN THE SEMI-ARID NORTHEAST

  • Líder : ANA LUIZA DE OLIVEIRA E OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANA KALLINY DE SOUSA SEVERO
  • ANA LUIZA DE OLIVEIRA E OLIVEIRA
  • RICARDO BURG CECCIM
  • Data: 30-ago-2022


  • Resumen Espectáculo
  • Introduction: Continuing health education (EPS) is configured as a proposal for learning in and through work, through which the teaching-learning process is incorporated into daily work with the possibility of transforming professional practices. In this perspective, the Ministry of Health instituted, in 2004, the National Policy for Permanent Education in Health (PNEPS) as a strategy to encourage the training of workers, seeking to articulate qualified initiatives to face the needs of the Unified Health System (SUS). The PNEPS has interprofessional work as its central element, as the interaction between the different professions is itself a space for learning. This space, materialized by teamwork in the bowels of a family health team as a condition to implement health care in Primary Care. Objective: To understand how the workers of the Family Health Strategy (ESF) perceive teamwork as an element of Permanent Health Education in Primary Care (AB). Methodology: This is a qualitative, descriptive and exploratory research carried out with workers from health of a family health team in the city of Currais Novos - RN. Data collection took place through two meetings structured as critical reflective workshops to discuss the themes teamwork in AB and Permanent education at work in the context of AB. The narratives produced during the Workshop were recorded, transcribed and organized in order to enable a critical thematic analysis Results: From the meetings, it was observed that health workers perceive the importance of teamwork in the AB context, as well as understand this as an important and decisive point in solving users' demands. Regarding the EPS, the perception was observed that the AB work field demands constant needs and that in the day-to-day work, learning happens through sharing with colleagues. However, workers do not perceive such sharing as EPS and work as a training potential, often understanding that training only happens when there is a formal and “standard” moment promoted by health management.

16
  • NATÁLIA FERNANDES DO NASCIMENTO
  • FAMILY AGRICULTURE AND GENDER IN THE CONTEXT OF THE PANDEMIC: A QUANTI-QUALI STUDY IN A REMOTE AREA OF NORTHEAST BRAZIL
  • Líder : MERCES DE FATIMA DOS SANTOS SILVA
  • MIEMBROS DE LA BANCA :
  • MERCES DE FATIMA DOS SANTOS SILVA
  • ANA KALLINY DE SOUSA SEVERO
  • CATARINE SANTOS DA SILVA
  • FERNANDA FERNANDES GURGEL
  • POLIANA DE ARAÚJO PALMEIRA
  • Data: 27-sep-2022


  • Resumen Espectáculo
  • This research aims to analyze the impacts of the COVID-19 pandemic on issues of class, food and gender in family farming in a municipality in the interior of the Northeast. It consists of a cross-sectional study with a qualitative-quantitative approach with a descriptive and analytical nature from the perspective of the theoretical-methodological approach of dialectical materialism. The study will take place in Jaçanã, located in Rio Grande do Norte. It will consist of two phases, the first will include the documentary analysis of technical notes and official bulletins on measures aimed at family farming during the COVID-19 pandemic period, from April to October 2020 and April 2021 to October of 2021. These documents will be researched on the official websites of the Federation, the State and the Municipalities and will be decoded from the thematic analysis in the light of the Marxist dialectical perspective. In the second phase, we will carry out interviews with the representative of the municipal union of family agriculture and with the women farmers unionized in that union in Jaçanã-RN. Therefore, we will apply a semi-structured questionnaire divided into four modules: 1st) Identification; 2º) Socioeconomic Characterization of family farmers; 3rd) Information on Food and Nutritional Security, based on the Brazilian Scale of Food Insecurity (EBIA). This scale is a collection instrument validated by the Brazilian population to classify families in situations of mild, moderate or severe food insecurity and; the 4th) comprises discursive gender issues in the context of family farming during the pandemic. To analyze the quantitative results, the Statistical Package for Social Science (SPSS) for Windows version 20.0 will be used with descriptive statistical analysis. Qualitative data will be analyzed using thematic analysis. With the results of the study, it will be possible to verify the officially documented measures for the protection of family farming and inform the food and nutritional security of women farmers and the challenges faced by them during the COVID-19 pandemic.

2021
Disertaciones
1
  • DAYANE SHIRLEY DE LIMA SANTIAGO
  • MECHANISMS OF ACTION OF A MUNICIPAL HEALTH COUNCIL IN THE BRASILIAN NORTHEAST REGION: a cartographic study of social control

  • Líder : ANA LUIZA DE OLIVEIRA E OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANA LUIZA DE OLIVEIRA E OLIVEIRA
  • DIMITRI TAURINO GUEDES
  • MERCES DE FATIMA DOS SANTOS SILVA
  • LAIS ALVES DE SOUZA BONILHA
  • Data: 02-feb-2021


  • Resumen Espectáculo
  • This study aims to understand the mechanisms of social control and participatory democracy of the Municipal Health Council (MHC) of Caicó, Rio Grande do Norte, during the idealization and operation of the local health pre-conferences until the Municipal Health Conference in 2019. Social control is characterized as the participation of organized civil society in the elaboration, implementation and inspection of public policies, whereas participatory democracy is qualified through the joint participation of diverse strands and voices of society in an active and continuous dialogue with the government to overcome the representative perspective. It is a cartographic research, of a qualitative nature and of an exploratory and descriptive character. The data were constructed from participant observation and field diary following the cartographic steps: 1) the ordinary and extraordinary meetings of the MHC from September 2018 to October 2019, 2) the local health pre-conferences in Caicó from March to April of 2019, and 3) the 7th Municipal Health Conference in April 2019. Approaches with social control and participatory democracy in their dimensions of autonomy, organization and access were used to compose our analytical structure. From our foray into the field of study, three analytical categories emerged, namely: i) agency of the MHC from planning to the evaluation of local pre-conferences, ii) co-management; iii) intersectoral articulations. The proposals related to the theme of the study permeated the different axes of discussion and extrapolated local reality with denunciation of the risk of democracy in Brazil. The analysis of the results of these mechanisms contributed to reveal the difficulties of autonomy, access and organization of the MHC, with insipient social control and the absence of participatory democracy. This work can contribute to the execution of other conferences such as fostering participatory democracy and assisting in planning actions, overcoming challenges and strengthening social control.

2
  • ESLIA MARIA NUNES PINHEIRO
  • Institutional Analysis of Professional Practices of Attention to women in situation of violence at the Psychosocial Care Center of a countryside city

  • Líder : ANA KALLINY DE SOUSA SEVERO
  • MIEMBROS DE LA BANCA :
  • ANA KALLINY DE SOUSA SEVERO
  • FLÁVIO ADRIANO BORGES MELO
  • NUBIA MARIA FREIRE VIEIRA LIMA
  • Data: 26-feb-2021


  • Resumen Espectáculo
  • The gender debate has increasingly entered the theoretical and practical field of Psychiatric Reform, with the deconstruction of gender, race and class inequalities being understood as a fundamental process for the praxis of care based on the biopsychosocial model. Considering violence against women as a instituted dimension in society that also goes through mental health care practices, the present work had the general objective of analyzing professional practices with the Psychosocial Care Center workers in the city of Santa Cruz/RN, focusing on the professional implications with violence against women. Therefore, we opted for the intervention research, with a qualitative approach, based on the theoretical and methodological support of the Institutional Socioclinics, in the form of Institutional Analysis of Professional Practices. This dissertation is part of a larger project that involves teaching, research and extension and seeks to investigate various dimensions of care for women in severe psychological distress and in situations of violence in Santa Cruz/RN. Thus, the research began in parallel with the other axes of the project, from an analysis of the field carried out in conjunction with the researchers’ team. The data were produced with the Psychosocial Care Center professionals using three instruments: conversation circles, individual interviews and research diaries. Four rounds of conversation, three in person and one remote (online), and 07 individual interviews were held and the diaries were written by the author of this work based on the moments experienced in the service and in the planning/orientation meetings. The results were organized based on the professional implications in their psycho-affective, historical-existential and structural-professional dimensions with some institutions such as gender (and violence against women). In addition to these, the implications with other institutions have proved to be relevant throughout the intervention and analysis process, such as academic-scientific, profession(s) and mental health. The analysis work has been important to remove the violence from the dimension of the unspoken in the service, but also to reflect on other institutional interferences - the instituted modes of care, the conceptions of mental health and the management of the work process. The tension between discourses and practices has pointed to the creation of instituting forces, resulting from the intervention-research movement itself. The possibility of education in/through work demonstrates the potential of the analytical devices created to develop Permanent Education, which is consistent with the socioclinical principle of knowledge production during the intervention.

3
  • RENATHA CELIANA DA SILVA BRITO
  • Online in the puerperium: interactions and dynamics of a virtual group

  • Líder : ANNA CECILIA QUEIROZ DE MEDEIROS
  • MIEMBROS DE LA BANCA :
  • ANNA CECILIA QUEIROZ DE MEDEIROS
  • DIMITRI TAURINO GUEDES
  • MARIA NEYRIAN DE FATIMA FERNANDES
  • Data: 27-feb-2021


  • Resumen Espectáculo
  • The puerperium is a phase of a woman's life marked by changes, physical and biopsychosocial challenges. In view of the current world pandemic situation caused by the new coronavirus, this period is facing new challenges, and the mother-child binomial can be characterized as a group particularly vulnerable to this reality. Thus, the present study, with a qualitative approach, of an exploratory character, analyzed six months of interactions of a virtual Whatsapp group, composed of 9 women, users of the basic health services of six Family Health Strategies in the Municipality of Currais Novos / RN. The investigated time period ran from January to June 2020, starting when the women were in the last weeks of pregnancy and following the entire puerperium, mostly occurring concurrently with the pandemic state. The corpus resulting from the interactions was prepared, coded, revised and corrected and then submitted to the Descending Hierarchical Classification Analysis of the IRAMUTEQ software. The next step was the content analysis of the material obtained, according to Bardin. The exploration of two dimensions obtained in this process, called "Health Care" and "Daily routine of the puerperium" revealed, among other things: the negative impact of the pandemic by COVID-19 on access to basic services of the public health network specifically for this stage of life; the difficulties inherent in the routine and demand for postpartum care, as well as the limitations experienced at this moment; and the discovery that the virtual group can act by strengthening the support network necessary to face the difficulties of the puerperium based on the exchange of experiences.

4
  • EDJANCLEY TEIXEIRA DE LIMA
  • RELATIONSHIP BETWEEN DOMESTIC VIOLENCE AGAINST HOURLY WOMEN AND SLEEPING PROBLEMS: OBSERVATIONAL STUDY

  • Líder : NUBIA MARIA FREIRE VIEIRA LIMA
  • MIEMBROS DE LA BANCA :
  • GIGLIOLA MARCOS BERNARDO DE LIMA
  • JANE CARLA DE SOUZA
  • NUBIA MARIA FREIRE VIEIRA LIMA
  • Data: 27-feb-2021


  • Resumen Espectáculo
  • Violence is a phenomenon known worldwide and has a significant impact on interpersonal and group relationships. Socially, it has a subjective, systematic and triggering value of social conditions and, therefore, needs to be widely understood since it causes the most varied biopsychosocial impacts. The investigation of domestic violence, more specifically, in the peri-urban context is of scientific and social importance, considering the existence of few studies on gender relations experienced by women who reside and / or develop rural activities. Women who are victims of domestic violence are at risk of developing morbidities, with the possibility of resulting in sleep problems. In this sense, this study aims to evaluate the frequency and the relationship of domestic violence against women farmers and sleep problems. This is an exploratory, observational and descriptive study, with a quantitative approach. The study was carried out in 2 (two) female horticultural cooperatives, located in the Paraíso district of the municipality of Santa Cruz, in the interior of Rio Grande do Norte. For data collection, a sociodemographic characterization form was used, then the measurement instruments validated in Brazil were applied to screen for domestic violence and to assess sleep quality: the HITS-Brazil instrument, the Sleep Quality Index Pittsburgh (PSQI) and the Epworth Sleep Scale. For the analysis of quantitative data, the program Statistical Package for Social Sciences (SPSS - version 22.0) was used. Descriptive analysis of the frequency distribution of categorical and numerical variables was performed. The normality of the distribution was determined by the Shapiro-Wilk test, for the descriptive analysis, the non-parametric Spearman correlation coefficient test was used. A significance level of 5% (p <0.05) was adopted. With the application of the HITS Instrument, we identified that 85.2% (n = 58) of the interviewees had no indication of experience of domestic violence, while 14.8% (n = 10) experienced this experience. Regarding the analysis of daytime sleepiness through the Epworth sleepiness scale score among the interviewees, 92.5% (n = 63) had little sleepiness, while 7.5% (n = 5) had excessive daytime sleepiness. With the results of the final PSQI score that evaluates sleep quality in relation to the last month, it was found in this sample that, 53.0% (n = 36) classified the quality of their sleep in the last month as good, 47, 0% (n = 32) as bad. Regarding the data correlation analysis, there was statistical significance between the variables HITS and Hours per day (rho = -0.295 and p-value = 0.014); HITS and Epworth (rho = 0.370 and p-value = 0.002) and HITS and PSQI (rho = 0.322 and p-value = 0.007). With the results of the study, a small number of women farmers who were victims of domestic violence was evident, however, considering the varied presentations of domestic violence, the present study suggests an association between domestic violence and excessive daytime sleepiness and an association between domestic violence and poor sleep quality. in the last month. It is hoped that this study will serve as a subsidy to promote discussions in horticultural women's associations to promote empowerment and health care.

5
  • HELOUISE THAINA DA SILVA MACEDO
  • Work capacity evaluation during aging: an integrative review

  • Líder : DIMITRI TAURINO GUEDES
  • MIEMBROS DE LA BANCA :
  • DIMITRI TAURINO GUEDES
  • MERCES DE FATIMA DOS SANTOS SILVA
  • ROBSON DA FONSECA NEVES
  • Data: 27-feb-2021


  • Resumen Espectáculo
  • Introduction: The relationship between population aging and work has been defined as a challenge for the public policy agenda. Determination of the ability to work has gained more and more independence and has been used as an important tool to predict the ability of workers to perform their tasks in the future. Objective: To Understand the behavior of the ability to work during human aging. Method: Integrative review performed in the Scielo, PubMED and LILACS databases; including studies in Portuguese, English and Spanish; open access and available in full. Literature reviews and evidence from case studies, experience, or expert opinion were excluded. Results: Of the total of studies surveyed (n = 225), 17 studies integrated the review. The results were categorized into three dimensions: factors associated with the ability to work; test of theoretical model and validation of instrument of work capacity evaluation and pain, chronic health conditions and ability to work in aging. Conclusion: The evidence points to the need to incorporate early and continuous assessment of work capacity during the worker's working life in order to provide an active, healthy and physically independent old age in which the work force that aging society can assume relevant roles in society.

6
  • XAIZE DE FATIMA DE MEDEIROS LOPES
  • ASSOCIATE FACTORS WITH SLEEP DURATION AND SOCIAL LAG IN UNIVERSITY STUDENTS IN THE COUNTRYSIDE OF RIO GRANDE DO NORTE: STUDY BASED ON SOCIAL HEALTH DETERMINANTS

  • Líder : JANE CARLA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • BRUNA DEL VECHIO KOIKE
  • JANE CARLA DE SOUZA
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 05-mar-2021


  • Resumen Espectáculo
  • In the last decade, the  growth of higher education in countryside has led to the migration of students from neighboring municipalities to a university city, and this displacement may generate a change in lifestyle. Among these changes, sleep deprivation and different schedules sleep anda wake up times between free days and work / study days, which characterize social lag, are increasingly observed in society, being prevalent in university students. Therefore, the aim of this study was to analyze which factors of Social Determinants of Health are associated with sleep duration and social lag in university students in the countryside of Rio Grande do Norte (RN). Developed with students from the Faculty of Health Sciences of Trairi, located in Santa Cruz-RN, through the application of 02 questionnaires: “Health and sleep” and the Munich chronotype questionnaire. Pearson's correlation coefficient was used to analyze the association of variables independently to outcomes, sleep duration during the week and weekend, and social lag. Independent variables with significant association (p <0.20) in the correlation test were included in the multivariate model. Multiple linear regression with stepwise foward method was used, with variables that showed a statistically significant correlation with the analyzed outcome remaining in the final model (p <0.05). Sleep duration in the week of less than 6h was prevalent in 43% of the sample (6h39min ± 1h28min) while at the weekend, 92.3% had sleep duration greater than 6h (8h01min ± 1h32min). Regarding social lag (1h21min ± 55min), 34.2% of the participants had social lag <1 hour, 52.3% had social lag between 1 and 2 hours and 13.4% had> 2 hours. There was no association between structural health determinants and the variables sleep duration in the week, sleep duration at the weekend and social lag. Regarding the intermediate determinants of health, the predictive variables for the duration of sleep in the week: chronotype (B = -0.55), sex (B = - 24.78), leisure activities (B = -27.94), sleeping place (B = -42.78) and housing (B = 24.95). For the duration of sleep over the weekend: sex (B = -36.36), chronotype (B = 0.24), sleeping place (B = -58.15), recreational and religious activities (B = -31 , 11), leisure activities (B = -25.10) and academic demand (B = -23.60). For Social lag were: leisure activities (B = 23.24), academic demand (B = 19.51), household chores (B = 17.61) and stimulating drinks (B = -15.17).Therefore, university students in the countryside of RN had shorter sleep duration on school days and longer duration on free days, and more than half of the sample had social lag. Regarding the intermediate determinants of health, there was an association of the outcomes with the biological, behavioral factors and with the students' living conditions. It is important to note that this is an unprecedented study carried out with students from the countryside of the state. Therefore, these discussions help both in the university context and in public health, and can expand the knowledge of how DSS impact sleep health. Considering that these university students will be future health professionals, the results of this study can serve as a basis for expanding the discussion and dissemination of knowledge about sleep hygiene in order to contribute to the learning process of these future health professionals.

     

7
  • MARINA GABRIELA MEDEIROS DE MOURA
  • RISKS AND MEASURES FOR THE PROTECTION OF WORKERS IN A SARS-COV-2 DIAGNOSTIC LABORATORY
  • Líder : CECILIA NOGUEIRA VALENCA
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRO SILVA COURA
  • CECILIA NOGUEIRA VALENCA
  • DIMITRI TAURINO GUEDES
  • Data: 16-abr-2021


  • Resumen Espectáculo
  • COVID-19 is a communicable and potentially serious respiratory disease that became a pandemic in March 2020. Early detection and rapid diagnosis, preferably with RTPCR, are essential to prevent transmission and provide supportive care in a timely manner. It is necessary for health laboratories to use appropriate biosafety practices, in order to avoid occupational contamination with SARS-CoV-2 and thus guarantee the health and safety of this workforce so important in facing the pandemic. Therefore, this study aims to analyze the conceptions of professionals who work in a reference laboratory for the diagnosis of COVID-19 on occupational risks of contamination by the new coronavirus and what are the protection and prevention measures adopted. This is a descriptive study, with a qualitative approach carried out at the Institute of Tropical Medicine of the State of Rio Grande do Norte. The study population consisted of 13 workers from the IMT RN laboratory. The instrument used for data collection was a semi-structured interview script. The data analysis of the sociodemographic questionnaires was developed using descriptive analysis, which was presented in the form of tables and graphs. The data related to the subjective questions were transcribed and categorized with the aid of the IRAMUTEQ software. The results demonstrate that professionals recognize the risk of contamination at work as existing and real. They understand the types of risks to which they are exposed and the ways of contamination. There was consensus on how to prevent contamination and minimize occupational risk, based on the correct use of PPE and CPE. The workers described the PPE used, demonstrating knowledge, mastery of the techniques, reported access to training and qualification offered both by the institution and sought by them. There was no mention of the quantity or unsatisfactory quality of PPE. It was observed that the intense work hours and increased workload that were necessary, insufficient human resources, haste, tiredness, physical and mental exhaustion were brought up as factors that can increase the risk of contamination. The personal measures taken outside the work environment to avoid contamination have been described, based on personal hygiene, social distance, wearing masks, cleaning and disinfecting possible fomites taken from work to home. The interviewees showed, in general, satisfaction with the work environment, with statements showing contentment for working in an environment considered safe, as well as pleasure in contributing with their own work and expertise, in such a complex and challenging moment for which humanity has been passing. It is concluded that the research brings contributions to the literature corroborating for future studies, as it enables knowledge about this work reality, from the perspective of the workers themselves. The much-needed testing laboratory was evidenced in this study from the reports of its workers, in the most reliable way possible, thus supporting the proposition of promising strategies for improving the living and working conditions of these professionals.

8
  • RAI NABICHEDI DA SILVA
  • Trajectories of total hemoglobin during pregnancy and postpartum and its associated factors among adolescents and adults of Trairi region: a longitudinal study

  • Líder : SAIONARA MARIA AIRES DA CAMARA
  • MIEMBROS DE LA BANCA :
  • ANNA CECILIA QUEIROZ DE MEDEIROS
  • JULIANA FERNANDES DE SOUZA BARBOSA
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 28-may-2021


  • Resumen Espectáculo
  • Introduction: During pregnancy, there is intense anabolic activity that increases demand for hemoglobin to ensure adequate fetal development. Hemoglobin levels are expected to reduce from the first to third trimester of pregnancy and return to pre- pregnancy levels in the post-partum period. However, little is known about the variation between adolescent and adult pregnant women and their associated factors. Objective: The aim of this study is to evaluate the trajectories of total hemoglobin (THB) variation during pregnancy and postpartum and its associated factors among low-income adolescents and adults. Methods: This is an observational, longitudinal study that is part of the pilot project AMOR. The data was collected between July 2017 and January 2019 in five municipalities of the Trairi region of the Rio Grande do Norte State, with a sample consisting of 50 pregnant adolescents and 50 adults in their first pregnancy. The participants’s THB levels were monitored in three periods: up to 16 weeks of gestation, in the third trimester of gestation, and between 4 and 6 weeks postpartum. Covariates included socioeconomic characteristics, weight and height, self-perceived health status, number of prenatal appointments, pregnancy planning, food security, age at menarche, type of delivery and breastfeeding. Mixed linear models were used to evaluate the trajectories of variation of THB in both groups, in the total sample, and the associated factors. Results: The results showed that THB levels decreased from the first 16-weeks of pregnancy to the third trimester and increased from the third trimester to the 4-6 weeks postpartum for both groups. However, they differ in relation to the THB trajectories. For the adolescent cohort, the rebound in THB concentration between the third trimester and postpartum was not enough to make up for the initial losses, as happened to the adult cohort. For the adult group, higher THB levels were associated with planning of pregnancy and good self-rated health. Race was marginally associated to THB levels for both groups, with black/brown women presenting higher concentrations in the adolescent group and lower concentration in the adult group. Conclusion: Changes in THB concentrations during pregnancy and postpartum differ between adults and adolescents, with the latter presenting lower capacity to recover levels from the beginning of pregnancy through postpartum. Special attention to prenatal care among pregnant adolescents should consider their higher risk and include strategies that reduce the risk of anemia and its negative effects for the mother and her child.

9
  • BRÍGIDA GABRIELE ALBUQUERQUE BARRA
  • TRANSLATION AND TRANSCULTURAL ADAPTATION OF THE BRAZILIAN VERSION OF THE GENDER MINORITY STRESS AND RESILIENCE MEASURE INSTRUMENT

  • Líder : NUBIA MARIA FREIRE VIEIRA LIMA
  • MIEMBROS DE LA BANCA :
  • ALYNNE MENDONÇA SARAIVA NAGASHIMA
  • NUBIA MARIA FREIRE VIEIRA LIMA
  • RAFAELA CAROLINI DE OLIVEIRA TAVORA
  • Data: 06-ago-2021


  • Resumen Espectáculo
  • Introduction: Transvestite and non-binary transsexual people are those whose identification gender is different from the gender assigned at birth. These gender dissidents are faced throughout their lives with an LGBT-phobic society, having lives marked by high levels of violence and discrimination. LGBTphobia and transphobia are underreported in Brazil and this phenomenon requires specific tools for their tracking and identification. Despite the growing number of studies involving the LGBTQIA+ population in Brazil, it is still difficult to find translated and adapted measurement instruments aimed at this audience in the country. Objective: To translate and culturally adapt the instrument The Gender Minority Stress and Resilience (GMSR) Measure for use in Brazil. Methodology: The work consisted of the process of translation and cross-cultural adaptation of the questionnaire and manual of the instrument The Gender Minority Stress and Resilience (GMSR) Measure. The study followed the Beaton methodology and the international COSMIN (Consensus-based Standards for the Selection of Health Measurement Instruments) recommendation. The stages of the study included: 1. Translation into Portuguese, 2. Synthesis of translations, 3. Reverse translation, 4. Review by a Committee of Judges and 5. Pre-test of the Brazilian version of the GMSR. In the pre-test stage, 33 transsexual, transvestite and non-binary people from all over the country were interviewed. The Portuguese language version of the GMSR instrument was translated and cross-culturally adapted for use in Brazil, resulting in the GMSR-Brasil.

10
  • CATHIA ALESSANDRA VARELA ATAIDE
  • INDIVIDUAL AND CONTEXTUAL FACTORS ASSOCIATED WITH SELF-REFERRED DEPRESSION IN BRAZIL

  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • CRISTIANE DA SILVA RAMOS MARINHO
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • YAN NOGUEIRA LEITE DE FREITAS
  • Data: 20-ago-2021


  • Resumen Espectáculo
  • Introduction: Depression is considered a complex and multidimensional phenomenon, which causes disorders that impair quality of life and social life. It is one of the most prevalent health problems worldwide. Brazil leads the ranking of the prevalence of depression among developing nations, pointing out that the forms of illness / mental suffering may have a strong relationship with individual conditions and the social context. Objective: to analyze the association of individual and contextual factors with self-reported depression in the Brazilian population. Methods: cross-sectional study with data from the National Health Survey (2019). The outcome was based on question Q092 (Has any doctor or mental health professional (such as a psychiatrist or psychologist) ever given you a diagnosis of depression?). Among the individual independent variables, sociodemographic, lifestyle and health conditions were considered. The predisposing contextual variables selected were the Human Development Index (HDI) and coverage of primary care. Descriptive and bivariate analysis was performed and Prevalence Ratios were calculated in a multilevel Poisson Regression (95% CI) to verify the association of individual and contextual variables with the outcome. Only variables that showed statistical significance (p <0.05) remained in the final model. All analyzes were performed using the software Stata version 13. Results: The prevalence of depression in the Brazilian population was 9.9% (95% CI 9.5-10.3), and is associated with being female (PR = 2.28), age 30-59 years ( PR = 1.17), divorced (PR = 1.23), with higher education (PR = 1.68), with per capita income above 3 minimum wages (PR = 1.20), living in the urban area ( PR = 1.15), who assess their health as regular, bad or very bad (PR = 1.89), who have another NCD (PR = 2.80), smokers (PR = 1.48) and with screen on cell phones of 3 hours or more (PR = 1.13). Factors such as having black or yellow skin color, not having a pet, being 60 years old or more and living in households with 4 or more residents were associated with a lower prevalence of the outcome. The variables 'Human Development Index (HDI)' and 'coverage of primary care' were associated with the outcome, showing that depression is less prevalent in areas with less human development and with less coverage of primary care. Conclusion: the findings indicate the high prevalence of depression in Brazil and that this outcome is associated with individual factors and the context of the federation unit.

11
  • JOSÉ LUCAS BRAGA SANTOS
  •  

     
     
     
  • Líder : KLAYTON GALANTE SOUSA
  • MIEMBROS DE LA BANCA :
  • KLAYTON GALANTE SOUSA
  • MARCOS FELIPE SILVA DE LIMA
  • POLIANA DE ARAÚJO PALMEIRA
  • SILVANA ALVES PEREIRA
  • Data: 30-ago-2021


  • Resumen Espectáculo
  •  

     
     
     
12
  • CARLA DEIZIANA DE LIMA DANTAS
  • SLEEP QUALITY AND DAYTIME SLEEPINESS IN ADOLESCENTS FROM FEDERAL TECHNICAL EDUCATION INSTITUTIONS IN RIO GRANDE DO NORTE ACCORDING TO THE URBAN CONTEXT, SEX AND AGE

  • Líder : JANE CARLA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • ANNA CECILIA QUEIROZ DE MEDEIROS
  • JANE CARLA DE SOUZA
  • RUBIA APARECIDA PEREIRA DE CARVALHO MENDES
  • Data: 30-ago-2021


  • Resumen Espectáculo
  • Adolescence is marked, among other factors, by increased daytime sleepiness as a result of insufficient and poor quality sleep during school days, especially in adolescents who study in the morning shift. Among social factors, the urban context has been studied as a possible factor that impacts the quantity and quality of sleep, and daytime sleepiness of adolescents. With this in mind, the objective of this study is to identify the prevalence of poor sleep quality, assess the relationship between sleep quality and daytime sleepiness in adolescents from the integrated technical high school of federal institutions in RN according to the urban context, gender and age. This study was carried out with 324 students from the campuses of the IFRN Natal central, São Gonçalo do Amarante, Lajes and Santa Cruz, of both genders, who attend the 1st, 2nd and 3rd year of high school, in the morning shift. For this, three questionnaires were applied: “Identification Form”, “Pittsburgh Sleep Quality Index (IQSP)” and “Pediatric Day Sleepiness Scale (PDSS)”. The data distribution curve was tested by the Shapiro-Wilk normality test and the sample homogeneity by the Levene test (Levene's Test of Equality of Error Variancesa). The Chi-square test (X2) was used to assess the frequency of distribution of the total sample according to sex (female/male) and sleep quality (good/poor), as well as sex distribution and quality classification. of sleep in relation to the campus. Age and daytime sleepiness level were compared between campuses using the ANOVA (F) test. To assess how much the independent variables: campus, sex and age are associated with sleep quality and daytime sleepiness, the general linear model (General Linear Model) was used. The total sample showed a 71.6% prevalence of poor sleep quality and an overall mean of 7.35 ± 2.8. There was a difference between the campuses, where adolescents studying in Natal (X2 = 9.2; p = 0.002) and São Gonçalo do Amarante (X2 = 9.6; p < 0.001) had worse sleep quality compared to the Lajes campus. The general average of daytime sleepiness found in this study was 18.90 ± 4.9 and differences were found in the level of daytime sleepiness between the campuses, so that Santa Cruz had a lower average of daytime sleepiness in relation to the Lajes and São campuses Gonçalo do Amarante (F=5.0; p=0.002). Regarding the campus, the post-test showed that the sleep quality variable does not differ between the different urban contexts present in this study. Regarding daytime sleepiness, adolescents who study on the Santa Cruz campus have less daytime sleepiness (β = 0th; p = 0.03), when compared to Lajes (β = 2.75; p < 0.01), and São Gonçalo do Amarante (β = 1.99; p < 0.01). The gender variable showed a positive association with sleep quality (β = 0.98; p = 0.02) and with daytime sleepiness (β = 2.9; p < 0.01), so that female adolescents females had worse sleep quality and greater daytime sleepiness compared to males. The variable age was not related to sleep quality and daytime sleepiness. Thus, it can be seen that poor sleep quality and high levels of daytime sleepiness have been present in the lives of high school students, who study in the morning shift, in all age groups, affecting mainly girls, present in all social contexts, be it less urbanized or more urbanized.

     

13
  • FRANCIANNE RAYSSA DA ROCHA TEIXEIRA LIMA
  • Factors associated with the ability to work in public servants of an University
  • Líder : DIMITRI TAURINO GUEDES
  • MIEMBROS DE LA BANCA :
  • DIMITRI TAURINO GUEDES
  • SANDERSON JOSÉ COSTA DE ASSIS
  • WILTON RODRIGUES MEDEIROS
  • Data: 31-ago-2021


  • Resumen Espectáculo
  • Introduction: Human aging is associated with social issues such as hunger, housing, the environment, work and retirement. This transition is due to several factors, such as the reduction in fertility and mortality. Considering the health-illness process, it was found that the modes of organization of production, work and society in a given historical context are determinant for the health of individuals. The factors responsible for the decline in work capacity begin to reflect on workers aged around 45 years. Considering the greater permanence of elderly workers in the fields of work, it is essential that health services are prepared and qualified to meet the demands of these workers and focus on health promotion actions, in order to maintain the quality of life and better conditions of health for these people.

    Objective: To evaluate the work capacity of middle-aged and elderly workers at a public higher education institution and its associated factors.

    Methods: Cross-sectional study that selected, by stratified random sampling, middle-aged and elderly workers from a public higher education institution. In the first stage, two data collection instruments were applied, questionnaires on sociodemographic factors, lifestyle, labor factors and psychological factors of the participants and the Work Ability Index – WAI. The second stage comprised the assessment of functional capacity through the 10-meter walk test and the handgrip strength test. Data were analyzed using the Software Statistics and Data Science (STATA).

    Results: The sample consisted of 138 participants, 50.72% of whom were women aged between 45 and 73 years (74.29% aged 59 years or less) with a mean age of 56 years (standard deviation = ±6 .56). The results indicated 29.71% of participants with moderate or low work capacity, 39.02% for men and 60.98% for women. Among the variables analyzed, four were associated with low or moderate work ability: monthly income (OR = 2.13; 95% CI = 1.01 - 4.47) and BMI (OR = 5.70; CI 95 % = 1.95 – 16.53) in the general sample; monthly income (OR = 3.69; 95% CI = 1.34 – 10.19) and physical and mental demands at work (OR = 4.05; 95% CI = 1.11 – 14.00) for women in stratification by sex; and BMI (OR = 5.86; 95% CI = 1.69 – 20.00) and handgrip strength (OR = 3.26; 95% CI = 1.13 – 9.42) for middle age in the stratification by age.

    Conclusion: The study showed that the factors associated with impaired work ability comprise some social and personal determinants. However, having knowledge of work as a dynamic process, future analyzes that look for other factors associated with impaired work ability will be necessary.

14
  • RÔNISSON THOMAS DE OLIVEIRA SILVA
  •  

     
     
     
     
  • Líder : KLAYTON GALANTE SOUSA
  • MIEMBROS DE LA BANCA :
  • KLAYTON GALANTE SOUSA
  • LIGIA REJANE SIQUEIRA GARCIA
  • RODRIGO PINHEIRO DE TOLEDO VIANNA
  • Data: 20-sep-2021


  • Resumen Espectáculo
  •  

     
     
     
     
15
  • DINORAH DE FRANCA LIMA
  • Popular Health Care: use of herbs and prayers in Santa Cruz/RN
  • Líder : MERCES DE FATIMA DOS SANTOS SILVA
  • MIEMBROS DE LA BANCA :
  • DIMITRI TAURINO GUEDES
  • MERCES DE FATIMA DOS SANTOS SILVA
  • RAQUEL LITTERIO DE BASTOS
  • BÁRBARA LUNA DE ARAÚJO
  • Data: 29-nov-2021


  • Resumen Espectáculo
  • The use of nature articulated to the sociodiversity of peoples and communities, with their worldviews, knowledge and unique cultural practices, provide the therapeutic bases for variable culturais systems of care and healing in societies. That is why popular therapies, with their knowledge and practices, are intrinsically related to health territories and as an integral part of the sociocultural and economic reproduction of their communities. Reflecting on this social stage, this study aimed to map popular health care practices using medicinal herbs in a remote area of Northeastern Brazil. Therefore, we conducted semi-structured interviews with popular health care therapists in Santa Cruz-RN. From the thematic analysis of the narratives produced by our interlocutors, the following analytical categories emerged: 1) “Herbs and prayer practices”: the transmission of care; 2) “Health as the production of meaning in life” and 3) Meetings and disagreements of cultural health systems: SUS and the popular. Popular therapists, with their practices of cultivating herbs and praying, constitute a cultural resistance in health, as we find in dialogue with the scientific literature, and their practices and knowledge are promoters and protectors of health and healthy living spaces.

2020
Disertaciones
1
  • RENATA CRISTINA DANTAS DA SILVA
  • POPULAR EDUCATION IN MENTAL HEALTH AND GROUP INTEGRATIVE PRACTICES: LOVE AND EMPOWERMENT IN THE PRODUCTION OF CARE BETWEEN SERIDÓ POTIGUAR WOMEN
  • Líder : ANA KALLINY DE SOUSA SEVERO
  • MIEMBROS DE LA BANCA :
  • ANA KALLINY DE SOUSA SEVERO
  • ANTÔNIO VLADIMIR FÉLIX DA SILVA
  • MERCES DE FATIMA DOS SANTOS SILVA
  • MICHELE DE FREITAS FARIA DE VASCONCELOS
  • NUBIA MARIA FREIRE VIEIRA LIMA
  • Data: 13-feb-2020


  • Resumen Espectáculo
  • The mental health policy in Brazil establishes the need for a territorial and community-based care practice that goes beyond the madhouse logic of isolation and exclusion from madness. In this context, the debate on gender and mental health is still incipient, which drives us to seek, through the exercise of collectivity and lovingness in health practices, broadening the discussion on care with visibility in these women. Thus, the objective of the research is to analyze the repercussion of group integrative practices among women in psychological distress from a dance therapy group with users of the TERAPICS Space in Currais Novos-RN, Seridó Potiguar region. This is a qualitative study, using the intervention research and methodological perspective of Institutional Analysis and Culture Circles, which dialogue with each other by departing from a horizontal practice of research, centered on the actions and discourses of the actors involved. We use the field diary, document analysis and culture circles for data collection, which will be analyzed by the look of implication analysis, understanding that research and intervention are inseparable, and the field is made by the research subjects and also by researcher. Throughout the study, the participants signaled that the meetings that occurred between them during the therapeutic groups and outside them, were configured as spaces of life production and collective care, regardless of the presence of the health professional. Thus, we raise some questions regarding the production of life in a group of women in psychological distress, based on actions based on the theoretical framework of popular education, dialogue, love and encouraging the autonomy of the subjects. We arouse discussion about the impact of group integrative practices and new modes of care on the relationship between female and mental health.

2
  • DALYANE LOUISE DE ARAÚJO MEDEIROS
  • IN LIVING MEAT: THE BODY'S REFLECTION FROM THE EXPERIENCE OF BIG BURNS

  • Líder : CECILIA NOGUEIRA VALENCA
  • MIEMBROS DE LA BANCA :
  • CECILIA NOGUEIRA VALENCA
  • ANA KALLINY DE SOUSA SEVERO
  • ROSANGELA DINIZ CAVALCANTE
  • Data: 19-feb-2020


  • Resumen Espectáculo

  • Introduction: The experience of a traumatic situation can trigger the description of a story in order to elucidate and give meaning to the lived experience, or it can even reframe an event. The body undergoes changes in the most diverse societies with regard to its aesthetic concept dictated by the standards of perfection. Therefore, it is understood as the final process of experiences, whether pleasant or not, emancipates as a point of reference for the self. The person who suffered a major burn on his body lives with the fact that he has marks resulting from this event, which generally causes limitations and changes of great impact on his life and allows the person to assign meanings to the body marks and to the lived experience. Objectives: to understand the experience of having the body burned; understand the meaning of the burn mark on the body; reflect on the changes in life after the burn. Methodology: The research deals with a qualitative study that through phenomenology seeks to understand the meaning of the marks on the body of subjects who suffered major burns, subjectively apprehending the perception of the body, the way of being and living. The research participants are individuals in outpatient follow-up for more than six months in the outpatient clinic of the Burns Treatment Center of a hospital in northeastern Brazil. The choice of participants was made once they fit the objective of the study and, in the case of patients who have recently suffered major burns, the impact of the burn is not yet something everyday. With the information in hand, the process of description of the experience, reduction, that is, putting yourself in parentheses (putting in parentheses the theoretical and clinical knowledge about the body marks of burns) will be carried out in order to have an understanding of the phenomenon from the description, in addition to the data processing by the Iramuteq software. Results: The stories reported expressed the simplicity and humility of the subjects interviewed and reveal the feeling of fear of fire and consequently of the burn for remembering the moment, especially about how everything happened and the feeling of the lived experience. Through the speeches, it was noticed the attachment to religion, family support, changes in life and overcoming from a traumatic event. Conclusion: The participants reported that the burn occurs very abruptly and that after such a fast moment, trauma and fear of fire become part of their lives; the hospitalization period was considered to be the most difficult part of the process due to intense pain, itching, contractures, anesthesia, bathing and dressing, in addition to other painful procedures such as skin grafting and debridement; it was possible to perceive that family support has great relevance in this process and that their religion, faith and belief in their lives made it possible to overcome and accept their bodies and their new limitations, besides being one of the great stimuli in their process of treatment and recovery.

3
  • BRUNO GONCALVES DE MEDEIROS
  •  


    Suicide in the settings of Primary Health Care in Seridó do RN

  • Líder : TIAGO ROCHA PINTO
  • MIEMBROS DE LA BANCA :
  • ANA KALLINY DE SOUSA SEVERO
  • DULCIAN MEDEIROS DE AZEVEDO
  • TIAGO ROCHA PINTO
  • Data: 20-feb-2020


  • Resumen Espectáculo
  • Suicide refers to a human act to end life, with the intentionality of death. It is a complex phenomenon that is growing all over the world, most situations could be avoided. Therefore, the objective of this study is to evaluate attitudes and knowledge about suicide in Primary Care professionals. It is a research of quantitative nature and cross-sectional design carried out in two cities in the interior of Rio Grande do Norte, Caicó and Currais Novos. A total of 140 professionals from the Family Health Strategy participated in the study, of which 107 were CHWs, 19 nurses, 2 doctors, 2 nursing technicians, 3 physical educators, 4 social workers and 3 psychologists. The results showed that higher-level professionals presented more positive attitudes when compared to high school professionals. Practitioners who have had contact with people with suicidal ideation or who have committed suicide also showed attitudes that are more positive. The rate of correct answers in knowledge / clinical skills questionnaires for suicide prevention was low. There were no differences between the levels of professional training in the rates of correct answers on suicide questions. Therefore, it is important to think about and evaluate regional issues for the proper development of Primary Care professionals in relation to patient management.

4
  • TAYNAH NERI CORREIA CAMPOS
  • “My Opinion Matters”: Considering the perception of parents for follow-up outcomes for their children with Congenital Zika Syndrome

  • Líder : EGMAR LONGO HULL
  • MIEMBROS DE LA BANCA :
  • EGMAR LONGO HULL
  • JANE CARLA DE SOUZA
  • KLAYTON GALANTE SOUSA
  • KÁTIA SUELY QUEIROZ SILVA RIBEIRO
  • Data: 09-mar-2020


  • Resumen Espectáculo
  • Introdution: The Zika Virus (ZIKV) outbreak in Brazil had devasting social, medical and financial consequences. ZIKV in some settings caused severe microcephaly, abnormal brain development, congenital abnormalities, epilepsy, hearing and vision problems. Many researchers and clinicians are now following up the children to understand the impact of the ZIKV on child development, functioning and disability, but outcomes measured are heterogenous, and often; it is not clear how meaningful they are to families and children. Objectives: To identify the parents' perspectives on relevant areas of functioning and disability that should be included as outcome measures for children affected by congenital Zika syndrome (CZS), guided by the International Classification of Functioning, Disability and Health (ICF). Methods: Participants were recruited from child rehabilitation centers in two states in northeastern Brazil. Inclusion criteria: parents of children aged 0 to 6 years with confirmed CZS living in northern Brazil. Overall, 32 participants agreed to participate, 88% were mothers (average age, 30 years). Most of their children were male (59%), all GMFCS level V.  Purposive sampling was used. Interviews were conducted using focus groups. A questionnaire covering the ICF was developed. In addition, visual cards illustrating the ICF categories were used to assist the understanding of the concepts. Saturation was achieved with 6 focus groups. Three raters analyzed the content using NVIVO 11. Agreement between raters was assessed using Kappa (k=90.9). Results: Six focus groups were conducted with 32 caregivers of children with severe neurodevelopmental disorders associated with CZS, including: 68.8% vision problems, 31.3% hearing, 31.3% sleep problems and 34, 4% had epilepsy. Functioning and disability themes were predominantly linked to activities and participation, environemntal factors and body functions. Although parents mentioned areas across all ICF components, they reported that areas of mobility, eating and recreation were very relevant for them. In addition, environmental factors were highly identified as barriers, specifically services, policies and access to assistive devices.  Conclusions: This is the first qualitative study addressing long term outcomes of children with CZS using the ICF coding system in Brazil. Although parents emphasized issues related to mobility, their greatest concerns involved environmental factors, such as access and quality of health and social services, systems and policies. These results reinforce the importance of including the parents' perspective when selecting or developing outcome measures for CZS. Finally, our findings highlight the urgent need for environmental modifications to improve the lives of children with congenital CZS and their families in Brazil.

5
  • MAYONARA FABIOLA SILVA ARAUJO
  • SLEEP QUALITY, DAYTIME SLEEPINESS AND RELATED FACTORS IN UNIVERSITY STUDENTS: A STUDY BASED ON SOCIAL DETERMINATS 

  • Líder : JANE CARLA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • ANNA MYRNA JAGUARIBE DE LIMA
  • JANE CARLA DE SOUZA
  • WILTON RODRIGUES MEDEIROS
  • Data: 05-may-2020


  • Resumen Espectáculo
  • Admission to university is considered a milestone in the lives of many young people. However, it constitutes a stressful experience, which contributes to the emergence of unhealthy habits and can interfere with the expression of the sleep /wake cycle. These changes in sleep/wake cycle can have consequences on the physical, mental and social health of these young people. In addition, the living conditions of individuals and population groups can also lead to the occurrence of health problems and their risk factors in the population, being defined as Social Determinants of Health. Based on these determinants, the objective of this study was to identify the factors associated with poor sleep quality and excessive daytime sleepiness in university students from a campus in the contryside of Rio Grande do Norte (RN), using the Solar and Irwin model of Social Determinants of Health. This model is currently used by the World Health Organization to support discussions and plan policies and actions in this area. Participated in the research 298 students enrolled in the Faculty of Health Sciences of Trairi (FACISA), in the city of Santa Cruz interior of RN. The collection was carried out by means of 04 self-administered questionnaires: “Health and Sleep”; the Munich chronotype questionnaire; the Epworth Sleepiness Scale and the Pittsburg Sleep Quality Index. Association between variables was analyzed using the Chi-square test. The variables that presented p value ≤ 0,05 in the Chi-square test were included in the intermediated modelo f Poisson regression. In the final model, all variables that remained with p ≤ 0,05 in the intermadiated model were included. However, the variables use of electronics and academic demand before bedtime during the week were also included in the final model, due to their p values considered statistical trends and because the literature presents evidence that demonstrates the influence of these factors. Most of the participating university students are female (73,2%), under the age of 25 (90,6%), who do not work (91,6%) and do not live with their family (87,2%). The prevalence of poor sleep quality and excessive daytime sleepiness was 79,2% and 51,3%, respectively. Among the intermediate determinants of health, in the final regression model, it was observed that young people who had health problems in the last month (PR = 1,184; 95% CI: 1,061 – 1,321), smoked (PR = 1,235; 95% CI: 1,123 – 1,357 ), used stimulant drinks close to bedtime (PR = 1,258; 95% CI: 1,144 – 1,384) and used electronics before bedtime during the week (PR = 1,186; 95% CI: 1,003 – 1,402) have a higher prevalence rate of poor sleep quality when compared to young people who do not have these behaviors. Regarding daytime sleepiness, in the final regression model it was observed that those who report going to sleep because of academic demand on weekdays (PR = 0,726; 95% CI: 0,539 – 0,978) and wake up at the weekend to perform academic demands (PR = 0,693; 95% CI: 0,481 – 0,913) have little daytime sleepiness compared to those who do not perform these behaviors. Among the structural determinants of health analyzed, there was no association with the quality of sleep and excessive daytime sleepiness of university students. Therefore, university students in the interior of the state of RN had a high prevalence of poor sleep quality and half of the sample had excessive daytime sleepiness. As a result of biological, environmental, social factors and most of them, behavioral factors.

6
  • MARILIA RUTE DE SOUTO MEDEIROS
  • ANALYSIS OF SOCIAL DETERMINANTS OF HEALTH FROM THE SPEAKS OF FAMILIES AND CAPS USERS

  • Líder : RAFAELA CAROLINI DE OLIVEIRA TAVORA
  • MIEMBROS DE LA BANCA :
  • LIANE ARAÚJO TEIXEIRA
  • CECILIA NOGUEIRA VALENCA
  • RAFAELA CAROLINI DE OLIVEIRA TAVORA
  • Data: 10-ago-2020


  • Resumen Espectáculo
  • INTRODUCTION: Mental health is a term used to describe the level of cognitive or emotional quality of life of a person, and the family member becomes an active agent in the treatment and provision of care for the person with mental disorder. OBJECTIVE: To analyze the layers of Social Determinants of Health (DSS) based on the statements of family members and CAPS users. METHOD: This is a research with a descriptive, exploratory qualitative approach. Data collection was performed at CAPS II Chiquita Bacana, located in the city of Santa Cruz-RN, located in the region of Trairi. The study included all individuals who came to the CAPS for assistance during the collection period, accompanied by a person he considered as a family. A semi-structured interview was used, applied at the same time with both individuals, with questions directed to the family and the DSS. RESULTS and DISCUSSION: The findings that emerged from the speeches of the participants during the interviews were analyzed and discussed in the light of the model of Social Determinants of Health proposed by Dahlgren and Whitehead (CNDSS, 2008), in addition to other appropriate literature within the scope of collective health. FINAL CONSIDERATIONS: It is considered that there is a need for practical actions that can reduce the existing gaps, between users and family members, that cause distance between the health care services, as recommended by the Psychiatric Reform, with a view to thinking about the integrality of the individual, in their freedom and autonomy.

7
  • REGIS DE SOUZA VALENTIM
  • HEALTH ASSESSMENT APPLIED TO CENTROS ESPECIALIZADOS EM REABILITAÇÃO: PROPOSITION AND VALIDATION OF A LOGICAL MODEL
  • Líder : DIEGO DE SOUSA DANTAS
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRO SILVA COURA
  • DIEGO DE SOUSA DANTAS
  • FLAVIA CHRISTIANE DE AZEVEDO MACHADO
  • Data: 11-ago-2020


  • Resumen Espectáculo
  • Introduction: Centros Especializados em Reabilitação (CER) are health services, qualified by the Ministry of Health, and responsible for specialized care for people with disabilities. They play a key role in the Care Network for People with Disabilities (RCPD) for the care of people with disabilities, as well as for granting, adapting and maintaining assistive technologies. Although they play an important social and assistance role, there are few studies aimed at evaluating this health service, which denotes the need for research based on the health evaluation aspect. Objective: Analyze the work process and the organizational issues of RECs and propose a logical model for evaluating the service. Method: Qualitative study developed in three stages: 1) Documentary study of laws and ordinances related to the health service and RCPD. 2) Conducting focus groups, with a census study of RECs in the state of Rio Grande do Norte, to assess and understand the organization of the work process in the daily service. 3) Systematization of the collected information, proposition and validation of the logical evaluation model. The information collected was categorized by thematic content analysis and analyzed from the perspective of the theoretical references of collective health and health assessment. Result: The proposed logical model was validated by the focal group representative of the services that make up the RCPD. The model encompassed five central categories of the work process and organizational issues: demands, resources (inputs, financial and workforce), processes, products and results, plus the CER's mission and values, strengths and weaknesses identified during the focus groups. The bureaucratization of the service, the inflexibility of the ordinances and the lack of assessment instruments were identified as weaknesses of the RECs; and as challenges, difficulties in agreeing goals, indicators and parameters, as well as a difficulty in dynamic articulation between other services in the network and outside the network. Conclusion: The proposed logical model was adequate for graphic representation of the work process and organizational issues of RECs . From the model, it can be seen that the process performed in the day-to-day services is aligned with the rules for its operation, however it points out practical gaps that need to be addressed in order to improve the resolvability of the service's actions and the articulation with other points in the network. The logical model can be used as an instrument of management, knowledge, information and communication, and can be used in the decision-making process in health and planning by managers and professionals, just as it can be used by researchers in the development of performance indicators that can evaluate the service.

8
  • CLARISSA LILLIBELY HONORATO VIDAL
  • ACCESS OF CAPS USERS TO ORAL HEALTH CARE IN THE LIGHT OF THE COLLECTIVE SUBJECT'S DISCOURSE

  • Líder : RAFAELA CAROLINI DE OLIVEIRA TAVORA
  • MIEMBROS DE LA BANCA :
  • TÂNIA ALTENIZA LEANDRO
  • RAFAELA CAROLINI DE OLIVEIRA TAVORA
  • WILTON RODRIGUES MEDEIROS
  • Data: 12-ago-2020


  • Resumen Espectáculo
  • INTRODUCTION: Plots of the population continue to have difficulties in accessing health care, especially oral health. Considering the vulnerability of the population with a mental disorder, the assistance offered through the access door to the health system must be considered of importance. Thus, there is much to be researched in the scope of mental health and access to health services, especially in relation to the strategic role of the Psychosocial Care Center (CAPS), the network's articulation with health services and dental services, in an attempt to provide improved access to services by the population with mental disorders. OBJECTIVE: To analyze the access of CAPS users to oral health care in the light of the Collective Subject Discourse. METHOD: This is a research with a descriptive, exploratory qualitative approach. The collection was carried out at CAPS II Chiquita Bacana, located in the city of Santa Cruz-RN, with 12 users of the service and 12, through a semi-structured interview applied at the same time with both individuals. The statements collected regarding access to oral health services were organized by extracting the Central Ideas (CI) and their corresponding Key Expressions (ECH) and the Collective Subject Discourses were formulated, with the support of DSCSoft software. RESULTS and DISCUSSION: Both users and family members have sought dental services in the public sector at some time in their lives and there has been no refusal by dentists to provide care. However, this access occurs with the presence of queues, difficulties in obtaining forms for appointment and availability of space for care and maintenance of continuity of care. This seems to directly interfere with the low frequency and discontinuity of visits to the dentist. The DSC reveals dentistry aimed at curative practices, sought because of pain resulting mainly in tooth extractions, a mutilating treatment. CONCLUSION: It is urgent to consider oral health as an integral part of the broader concept of health and to promote its integration with other health practices. There is a need for an adequate development of policy planning with a focus on prevention and actions aimed at training dental professionals, aiming at improving access and comprehensive care, without underestimating the influence of living conditions and health determinants on oral health status. It is added that odnontologists need to be more involved and willing to develop more effective dialogues with the population, with the empowerment of those involved and decision-making in the scope of inclusive oral health for users of the mental health service.
9
  • THAIS RAQUEL PIRES TAVARES
  • IN GRASP OF A SECRET THAT WAS NOT MINE: SILENCES AND SECRETS AROUND LIVING WITH HIV/AIDS IN THE BRAZILIAN NORTHEAST

  • Líder : LUCAS PEREIRA DE MELO
  • MIEMBROS DE LA BANCA :
  • ANA CLAUDIA R. DA SILVA
  • LUCAS PEREIRA DE MELO
  • MERCES DE FATIMA DOS SANTOS SILVA
  • RAQUEL LITTERIO DE BASTOS
  • Data: 19-ago-2020


  • Resumen Espectáculo
  • In the face of social processes by stigma and discrimination in relation to HIV / AIDS, people who live with this condition for a long time, find themselves facing a lack of visibility process: they enter in a universe of silence and secrets as a way to protect themselves. This research is based on the assumption that, given the specificities of the social dynamic of countryside contexts, the place of origin / habitation, as a social marker of difference, shapes the way these people live with HIV, so they engage in a series of agencies with a view to the protection of identity in a context of a tendency to blur public and private aspects of life. Therefore, the aim of this study was to understand how the experience of living with HIV / AIDS is shaped, thought, lived and signified the experience to live with HIV / AIDS between silence and secrets in the country towns of northeast in Brazil. Ethnography is the theoretical methodological framework to understand the object of study. The data collection was carried out between April and September in 2019 in a specialized service located in the country towns in Rio Grande do Norte state. During the participant observations, productions of field diaries and semi-structured interviews were used to collect information from the interlocutors in the place of study. These data were interpreted based on the socio-anthropological literature on long-term suffering and illness, silence, secrecy and social markers of difference. Two chapters were produced from the analysis of this material. The first explores the ethnographic practice and the experience of otherness at the moment the researcher lived a field encounter that costs her the possession of a secret that was not her own and from there, she began to question the silences and secrets in the country towns contexts. The second chapter dialogues with the experience lived and narrated in the previous one, when the interlocutor, protagonist of the meeting, became the narrator of the issues that involved the management of silences and secrets about been HIV positive. From the discussion undertaken, it was possible to conclude that the vulnerability of serology secrecy in the countryside contexts pervaded the social dynamics of the city that brought up the possibility of discovering the secret, making PLWHA live in the silence of its body an unspeakable identity.

10
  • TAMILA RAQUEL FERNANDES VALE
  • THE EXPERIENCE OF MATRICITION IN BASIC CARE OF SERIDÓ MUNICIPALITIES
  • Líder : TIAGO ROCHA PINTO
  • MIEMBROS DE LA BANCA :
  • ANA KALLINY DE SOUSA SEVERO
  • MARIA LUISA VICHI DE CAMPOS FARIA
  • TIAGO ROCHA PINTO
  • Data: 31-ago-2020


  • Resumen Espectáculo
  • The experiences in the Multiprofessional Residency Program in Primary Care (2016 to 2018) and in the Postgraduate Program in Collective Health (2018 to 2020) signaled the need to explore more of the universe that permeates the great theme of the health work process, more specifically about the Primary Care work process and Matrix Support between Family Health and Nasf-AB teams. As products of this dissertation, two articles were produced that will be brought in their results and discussion. Its objective is to analyze the work process of Nasf-AB and ESF teams in municipalities in Seridó / RN. Specifically, it seeks to understand and bring out the perceptions and resolution of Matrix Support in the view of RE professionals, Nasf-AB teams and managers, as well as to identify the possible impacts of current guidelines in the field of health on the work processes of the Reference Teams and Nasf-AB in primary care settings.This is a qualitative, descriptive and exploratory study, carried out in municipalities in the 4th health region of Rio Grande do Norte (Seridó). The survey that originated the first article totaled twenty-two respondents, in the categories of Community Health Agent, nurse, dental surgeon, nursing technician, Nasf-AB professionals and managers. The research that originated the second article totaled thirteen professionals from the same categories mentioned. To collect the information, semi-structured individual interviews were used through a guiding script. As a method of organizing and categorizing information, Bardin's Content Analysis was used. The studies were approved under Opinions number 2,081,260 and 3,390,975. From the content analysis of the first article Perceptions and resoluteness of Matrix Support, the categories Perceptions of ESF professionals, Nasf-AB and managers about Matrix Support and Perceptions about the resolvability of Nasf-AB Matrix Support emerged. In relation to the second article The Nasf-AB teams in a scenario of risks for Primary Care, emerged the category New financing for new directions of Primary Care: do we move forward or backward? Studies have found that the difficulties in understanding the professionals' own work impact their conceptions arising from experiences with Matrix Support and indicate a paradoxical perception with no alignment about this process. As well as the existence of some aspects, which are part of the new guise of health policies, can put the Primary Care work processes at risk, more specifically the situation of the Nasf-AB teams

11
  • LUCIANA DA SILVA PINHEIRO

  • Bioethics and feminism: considerations about abortion.

  • Líder : CECILIA NOGUEIRA VALENCA
  • MIEMBROS DE LA BANCA :
  • CECILIA NOGUEIRA VALENCA
  • LORETA MELO BEZERRA CAVALCANTI
  • NUBIA MARIA FREIRE VIEIRA LIMA
  • Data: 16-oct-2020


  • Resumen Espectáculo
  • Introduction: Bioethics and its correlations allow us to better understand the entire trajectory of women in relation to autonomy and the perspectives aimed at the female being in situations of abortion. Objectives: The present study aims to analyze the contributions of studies on ethics, abortion, women's health and feminism. Methods: This is an Integrative Review with a search carried out in the Scielo, Lilacs and MedLine databases. Studies that met the following criteria were included: articles published in the years 2010 to 2020, addressing the theme of study and published in Portuguese. Duplicate articles in more than one database were excluded, which did not present a correlation in the summary with the objective of the study, and which did not have the full text available. It was possible to find a sample in a total of 17 studies, which were read in full, and later included in this review. Results: From the studies analyzed, it is noticeable that abortion is still a taboo subject, that women's right to choose their own bodies is established as a delicate issue to be treated, as well as, there is a need to improve health care. women's health. Conclusion: This review concludes that there is a need for more debate on improvements in women's health care, as well as professional ethics and humanization in the face of women who come to an abortion situation. Thus, it is essential to debate all judgments about the abortion of women and professionals who provide assistance.

12
  • ALLEN SUZANE DE FRANÇA
  • HEALTH LITERACY AND ASSOCIATED FACTORS AMONG ADOLESCENTS AND YOUNG ADULTS LIVING IN THE TRAIRI REGION OF THE RIO GRANDE DO NORTE STATE

  • Líder : SAIONARA MARIA AIRES DA CAMARA
  • MIEMBROS DE LA BANCA :
  • ANA SILVIA MOCCELLIN
  • DIMITRI TAURINO GUEDES
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 29-oct-2020


  • Resumen Espectáculo
  • Introduction: Health literacy is the cognitive ability to understand and interpret the meaning of health information in written, spoken and digital form and the individual with the appropriate level of health literacy is able to make appropriate decisions regarding their health in the context of health everyday life. Low health literacy has been associated with risk behaviors, low self-care, higher hospitalization rates and higher costs with health care. Adolescent pregnancy is also related to poorer health outcomes for mother and child compared to adulthood pregnancy and low health literacy may be a contributor to these outcomes. Some studies have assessed the level of sexual and reproductive health literacy of pregnant women, however, as far as we known, there is a lack of studies that have assessed the level of general health literacy among this group, particularly among pregnant adolescents and from low-income settings. Objective: To evaluate health literacy of pregnant adolescents and young adults from rural area of northeastern Brazil and its associated factors. Methods: This is an observational and analytical cross-sectional study, which is part of a longitudinal pilot study, AMOR (Adolescence and Motherhood Research). The sample consisted of 41 pregnant adolescents (13 to 18 years old) and 45 pregnant young adults (23 to 28 years old) living in the Trairi region, located in the Rio Grande do Norte state, during the third trimester of their first pregnancy. Health literacy was assessed by the Short Assesment of Health Literacy for Portuguese-Speaking Adults (SAHLPA, score from 0-18, inadequate if <15). In addition, we collected sociodemographic data, prenatal information and social support though the Social Networks and Social Support of the International Mobility in Aging Study. The Mann Whitney test was used to compare health literacy of adolescents and adults, as well as between the groups of other sociodemographic, social support and prenatal variables. The association between adequate and inadequate literacy and other study variables was assessed by the chi-square test. Linear regression models were used to assess which variables remain associated to the SAHLPA score in the multivariate analyses. Results: Adolescents had worse SAHLPA scores than adults (p <0.001), as well as a higher percentage of inadequate literacy (95.1% versus 53.3%, p <0.001). Poorer health literacy results were also found among those who reported that their school performance was lower when compared to peers (β= 2.843, p <0.001) and reporting insufficient income for basic needs (β= 2.775, p =0.014) in multivariate analysis. Conclusion: Higher rates of inadequate health literacy were found, mainly among adolescent mothers. Policies targeting to improve health information access for young populations from rural low-income areas are needed.

13
  • MONISE GLEYCE DE ARAUJO PONTES
  • RESIST AND (RE) EXIST: THE FEMINIST COLLECTIVE AS AN INSTRUMENT FOR REFLECTION AND SOCIAL MOBILIZATION IN THE ACADEMIC CONTEXT

  • Líder : NUBIA MARIA FREIRE VIEIRA LIMA
  • MIEMBROS DE LA BANCA :
  • NUBIA MARIA FREIRE VIEIRA LIMA
  • ANA KALLINY DE SOUSA SEVERO
  • GIGLIOLA MARCOS BERNARDO DE LIMA
  • Data: 09-nov-2020


  • Resumen Espectáculo
  • INTRODUCTION: The gender perspective has been transformed over the last century and the best results, however, are still presented unevenly under different social, cultural and economic contexts in most societies. These inequities can only be canceled due to an untiring struggle of social and feminist movements in the historical process, or that has culminated in the presence of this population in academic spaces in recent decades. With a growing presence of women in the academic environment, we understand that feminist collectives founded at the university are necessary for the social development of women. OBJECTIVE: To apprehend the contributions of the Feminist Movement to the participants of a Feminist Collective within a Federal University in the interior of Rio Grande do Norte. METHODS: This is an exploratory and descriptive study with a qualitative approach, developed by the Faculty of Health Sciences of Trairi (FACISA) with undergraduate students who regularly participate in the Feminist Collective Dandara. this research carried out two steps for data collection, the first consisted of the self-application of a socioeconomic questionnaire and, subsequently, the creation and execution of focus groups, composed of up to 6 students, with an average duration of 50 minutes. For the data processing phase, this study used the Content Analysis proposed by Laurence Bardin and the categorization of the themes highlighted in the speeches of the participants. RESULTS: The results were presented through a central category entitled “Contributions of the feminist movement to the participants of a feminist collective”, from the reports obtained, we arrive at 3 categories represented below. The first category "A feminist arises" gave rise to 2 subcategories of discussion: "The discovery of being a feminist" and "Perceptions about feminism". The second category "Representations of feminism in the subjectivities of being a woman", originated the subcategories "Deconstructing the labels" and "Feminist awareness: Why (m) mourning?" Finally, the last category of discussion “The collective as an instrument of female empowerment” gave rise to the subcategory “Feminist collective: a place of speech and listening”. CONCLUSIONS: The results obtained in this study, achieved in an integral way of the objectives proposed in its construction, demonstrating as contributions of the Feminist Movement represented in the reports of participants of a Feminist Collective inserted within a Federal University of the interior of Rio Grande do Norte, indicating benefits related to the dynamic search for more harmonious relationships, in minimizing the problem that permeates social issues of the female gender in the most diverse experiential spheres.


2019
Disertaciones
1
  • STELLA CRISANTO PONTES
  • Violence in the work of teachers in basic education in Santa Cruz, Rio Grande do Norte.

  • Líder : NUBIA MARIA FREIRE VIEIRA LIMA
  • MIEMBROS DE LA BANCA :
  • ANA KALLINY DE SOUSA SEVERO
  • APARECIDA MARI IGUTI
  • DIMITRI TAURINO GUEDES
  • Eliany Nazaré Oliveira
  • NUBIA MARIA FREIRE VIEIRA LIMA
  • Data: 13-feb-2019


  • Resumen Espectáculo
  • Considered a problematic of global scope, school violence presents itself in many ways, involving different subjects, as seen in the media and in the social environment. However, it is noticed that the victimization suffered by the teacher has had little visibility in the context of the scientific literature. The general objective of this study was to investigate the phenomenon of violence in the work of teachers who work in basic education in Santa Cruz, Rio Grande do Norte. It is an exploratory-descriptive study of mixed approach, carried out in said municipality, whose data collection occurred between December 2017 and April 2018, in two phases. The first one, with a quantitative approach, included the application of the following instruments, Socio-demographic and occupational profile and the QIPVE - teacher version, resulting in a sample of 164 participants. The second, qualitative, was carried out through Focal Groups (GFs) developed in 03 institutions, totaling 27 professionals. The quantitative data were tabulated and analyzed by descriptive statistics using SPSS software version 21.0, applying the Chi-square test according to the possibilities. Already the qualitative ones, processed in Iramuteq and associated with Content Analysis. It was verified that most of the interviewees were young adults, of the female gender, married or with any form of union, had a higher educational level, had a child, taught in a school, was working in the public spheres, with a 30 hours / week and had a median teaching time of 10 years. In general, the data show that although the current violence suffered by the teacher directly did not have significant proportions in the public and private groups, it is noteworthy to be present in the work environment, regardless of which teaching network this professional is part of, evidencing that both groups present, among themselves, much more common characteristics than differences, being possible to identify some dissimilarities between them. Therefore, the following issues were observed to be significantly higher for private network workers: 78.4% reported no use of illicit drugs in schools or drug trafficking; 91.9% affirmed the absence of gangs; 80% did not witness threats among students and 73% denied having witnessed physical assaults among students. However, when it comes to the presence of name-calling and / or daily nicknames among students, it is more frequent in the group of teachers in the public network, equivalent to 79%, and it can be inferred that the school climate tends to be quieter in the private network. From the material obtained with the GFs, seven categories emerged: Teachers' conceptions about school violence; Violence against teachers: a reality ?, Confrontation, Somatization of violence, Factors related to violence suffered by the teacher; The threat in the reports of teachers and Des (motivation) in being / being a teacher, allowing greater understanding about the phenomenon. This work shows that victimization is present in the teaching profession, and can have effects on their quality of life. It is necessary to seek intervention measures that corroborate with prevention, health promotion and also assistance to teachers in situations of violence. It is hoped that the results can contribute to improvements in the perspective of providing a satisfactory working environment.

2
  • PEDRO HENRIQUE SILVA DE FARIAS
  • PARTICIPATION AND ENVIRONMENTAL FACTORS OF CHILDREN WITH MICROCONFALIA ASSOCIATED WITH ZIKA VIRUS CONGENITAL SYNDROME: FAMILY PERCEPTION


  • Líder : KLAYTON GALANTE SOUSA
  • MIEMBROS DE LA BANCA :
  • ANA KALLINY DE SOUSA SEVERO
  • ANDREA BARALDI CUNHA
  • KLAYTON GALANTE SOUSA
  • MERCES DE FATIMA DOS SANTOS SILVA
  • Data: 27-feb-2019


  • Resumen Espectáculo
  • INTRODUCTION: The ZIKV course in Brazil was a benign disease until the period when there was an increase in cases of newborns with the Zika Congenital Syndrome in the Northeast in 2015. In November of that year, with the change in the epidemiological pattern, the Ministry of Health (MS) declared a public health emergency of national importance. Three months later, MS inserted the diseases resulting from ZIKV into the compulsory notification list. And in February 2016 the World Health Organization (WHO) declared an emergency of public health and international interest. Knowing that children with SCZ may present physical, mental, intellectual and / or sensory disabilities from childhood and throughout life and that they will face various barriers, they may have their full and effective participation in the impaired society and, thus, professional practice should be guided by the International Classification of Functioning, Disability and Health (CIF) model that emerges as a relevant tool in disability management and based on human functionality, helping to classify living conditions and promote policies of social inclusion. OBJECTIVE: to know or understand? the perceptions of the parents of children with SCZ regarding the barriers and facilitators of the physical, social and attitudes environment and how these influence participation in activities. METHODS: an exploratory-descriptive study, developed from the qualitative approach, influenced by the phenomenological studies in the field of Social Sciences in health. For data collection, the technique of the focal group and semi-structured interview were used. RESULTS: From the thematic analysis of the collected narratives three categories were evident: Functions and structures of the body: "He has a lot of desire to walk, he has a lot of desire to talk"; activities and participation of children with SCZ: "I am a mother and I understand everything he wants just to look"; barriers of the social environment: "The health services of my city are a bit precarious. The narratives of this study reinforce that government policies should be based on the biopsychosocial model of the CIF, a tool based on human functionality, becoming extremely relevant in the management of disability and family-centered care, with improvements in access to specialized health care, besides guaranteeing the reduction of social barriers for the insertion and social interaction of children with SCZ. Therefore, it is legitimate to treat this set of problems as a public health emergency in connection with economic, social and cultural patterns and to get sick, since SCZ is related to the multiple vulnerabilities and complexity of this disabilty.

3
  • NATHALIA HANANY SILVA DE OLIVEIRA
  • THE OFFSHORE OUTSOURCE WORKER AND ITS CONDITIONS AND WORK RELATIONS

  • Líder : CECILIA NOGUEIRA VALENCA
  • MIEMBROS DE LA BANCA :
  • APARECIDA MARI IGUTI
  • CECILIA NOGUEIRA VALENCA
  • DIMITRI TAURINO GUEDES
  • Data: 27-feb-2019


  • Resumen Espectáculo
  • The health of the worker seeks to understand the relationship between work and the health / disease process. From this, there is a need to better understand the work and its conditions. Work in the offshore oil industry is designed by adverse conditions, namely: danger, complexity, continuous character and collective dimension. This segment of work has a large part of outsourced labor, which is characterized by multiple forms of precarious work. Given this conjuncture the present study aims to analyze the collective memories present in narratives of outsourced offshore workers on their conditions and work organizations. This is a case study with a qualitative approach, developed in Paracuru-CE. The sample consisted of 13 professionals from a maintenance outsourcing company in the offshore oil sector. For data collection, a sociodemographic questionnaire and a semi-structured interview were used. The data of the sociodemographic questionnaires were tabulated in a Microsoft Office Excel spreadsheet and analyzed using descriptive statistical analysis, the IRAMUTEQ software was used for the interviews and the analysis was based on the Bardin content analysis. The results show that, in the view of the interviewees, offshore work is governed and supervised by various norms. However, there is still a high risk for accidents which generates tension in their workers. The working conditions need to improve, even though it is an old complaint, there are still reports of a lack of material and tools, sometimes having to provide unsuitable ways to not stop production. In the work process there is the call for attendance to work demands in the rest time, because the professionals work under a regime of warning. The social on the platform is watered by relations of differentiation between the boss (effective from the state) to outsourced, not reported by all respondents, but which affects and constrains some. In free time, on the platform, it is common to watch television, some have reported practicing physical activity although there is no incentive to practice and the gym is small for demand and scrapped. At these times, there is also interaction with co-workers, with many conversations, jokes and relaxation. They note that with colleagues there is a family relationship. The relationship of offshore workers with their families who stayed on land is marked by disagreements and absence at important social moments, in addition to the difficulty of communication existing on the days embarked. What minimizes this difficulty are the social networks, for those who have access to the internet. In the period of the study not all the professionals had key of access to Internet and the sharing of this one is not allowed. There is a clear need for greater and better investments in research and policies that will intervene and promote the health of outsourced offshore professionals, in order to modify the reality posed and value them, not only because they contribute significantly to the income of billions businesses and public coffers, but for the dignity of the human person.

4
  • ROBERTA KEILE GOMES DE SOUSA MANSO
  • SLEEP PROBLEMS, ANXIETY, DEPRESSION AND SOCIAL SUPPORT IN ADOLESCENTS OF A FEDERAL INSTITUTION OF TEACHING

  • Líder : JANE CARLA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • ANA KALLINY DE SOUSA SEVERO
  • JANE CARLA DE SOUZA
  • LUISA DE MARILAC DE CASTRO LEITE
  • PAULA ROCHA DE MELO
  • Data: 27-feb-2019


  • Resumen Espectáculo
  • Adolescents present a delay in sleeping and waking hours, due to biological changes of this phase. In contrast, most schools begin classes in the morning, which makes it a temporary challenge for the student, leading to sleep deprivation, poor sleep quality and daytime sleepiness. Added to this, adolescence is a phase of discoveries, the search for autonomy over decisions, emotions and actions, which can lead to symptoms of anxiety and depression. In this context, satisfaction with social support can contribute to coping with these problems of adolescence, since the support received by friends, relatives, neighbors and social groups can build and strengthen the satisfaction of the individual and positively impact on health. Therefore, considering that adolescents present sleep problems, anxiety and depression symptoms, and that social support is related to health, the objective of this study was to analyze the relationship between the perception of satisfaction with social support, quality and sleep duration, daytime sleepiness, anxiety and depression in adolescents of a federal educational institution. A cross-sectional study of a quantitative approach, with 385 high school students from technical courses of a federal teaching institution in the municipality of São Gonçalo do Amarante and Santa Cruz/RN, carried out from October to December 2017 and May to June 2018. It was evaluated age, sex, shift of study, satisfaction with social support, sleep duration and quality, excessive daytime sleepiness, anxiety and depression. Adolescents completed the Social Support Satisfaction Scale, the Pittsburgh Sleep Quality Index, the Pediatric Day Sleepiness Scale, the Anxiety and Depression Scale, and the Health Problem Identification card. The mean age of the participants was 16.3 ± 1.0 years, of both sexes (♂ = 43.1%, ♀ = 56.9%) who study in the morning (55.3%) and afternoon shifts (44. 7%). Adolescents evaluated general social support as medium (47.6 ± 12.1), being the domain of satisfaction with friends the most favored (17.30 ± 4.74) and the domain satisfaction with social activities most impaired (7.59 ± 2.98). Poor sleep quality was observed in 71.2% of adolescents, with a mean score of 7.17 ± 2.72. The daytime sleepiness mean observed was 18.31 ± 4.90. With regard to sleep times, the adolescents presented an average of time in the bed of 6:42 ± 1:18 h and wake up time and bedtime of 6:25 ± 1:28 h and 23:06 ± 1:25 h, respectively. From the hierarchical multiple linear regression, it was possible to observe that low social support is associated with poor sleep quality, higher daytime sleepiness scores and the greater probability of the teenager with anxiety and depression. From these results, it is worth emphasizing the importance of developing strategies that can contribute to the improvement of social support, with the aim of reducing sleep problems and mental health problems in adolescents, aiming at a better quality of life.

5
  • LUMENA CRISTINA DE ASSUNÇÃO CORTEZ
  • OR I STRUGLE, OR I DIED: HIV/AIDS'S ACTIVISM AND PRODUCTION OF SUBJECTIVITY IN THE EXPERIENCE OF COLECTIVE LOKA DE EFAVIRENZ

  • Líder : LUCAS PEREIRA DE MELO
  • MIEMBROS DE LA BANCA :
  • LUCAS PEREIRA DE MELO
  • FLAVIO FERNANDES FONTES
  • MÓNICA LOURDES FRANCH GUTIÉRREZ
  • Data: 26-abr-2019


  • Resumen Espectáculo
  • Introduction: The Acquired Immunodeficiency Syndrome (aids) pandemic from human immunodeficiency virus (HIV) has broken geographic barriers in the world overwhelmingly and has raised discussions about morally sexual identities and practices as promiscuous and divergent. This condition, which is crossed by social markers of difference, has repercussions on the life experience of those living or living with HIV/aids, and on the agenda of their demands, personal engagement and collective mobilizations. In the current scenario, recent political and institutional demands have been based on the optimism of considering the advances in antiretroviral therapies as the only measure of treatment and as a definitive answer in the field of prevention, leaving aside issues such as human rights, social inequalities, among others. Objectives: To understand the relationship between HIV/aids activism in networks and social media and the production of the "person living with HIV/aids" (processes of subjectivation) from the Coletivo Loka of Efavirenz.
    Methodology: This is a research anchored in the theoretical-methodological framework of Ethnography. Data were collected through individual interviews, socioeconomic questionnaire, participant observation insiders on the social network Facebook. Fieldwork took place from March 2017 to July 2018. The interlocutors were six activists, mostly blacks and browns, from the outskirts and / or inner cities, with sexual orientations and dissident gender identities, and were university students. The analysis took place through thematic categorization. Results: The performance of the Loka de Efavirenz is decentralized and horizontal. The objectives of the interlocutors in the social network included reporting life experiences with illness, disseminating the material they produced, making it public and available, and enabling an intersectional discussion of the epidemic through claims that included local and global demands such as therapeutic management, adherence and institutional racism. The main mobilization strategies were: elaboration of virtual content, production and presentation of artistic performances, actions with posters in universities, participation in national and international events, seminars, debates, acts and public demonstrations. Through mediation between different worlds and realities, activists see the existence of two "aids": AIDS related to biomedical and epidemiological aspects, and AIDS resulting from historical oppressions, subordination and economic interests that perpetuate social inequalities, inserted under the new effects of biopolitics or of a necropolitics. In addition, participants gathered key information on HIV/aids activism, such as social achievements in health and politics, coupled with the social, biological, and political impacts of the epidemic in the 1980s and 1990s. Conclusion: The current scenario presents itself as a political and social challenge to confront the HIV/aids epidemic and to strengthen activism. Thus, the results of this research can support intersectoral professional practices based on human rights and health needs of activists and people living with HIV/aids, in addition to increasing the political visibility of the topic and those involved, reinforcing the strategic and mediation between civil society and the state in the claim and maintenance of social rights.

6
  • WALESKA DE BRITO NUNES
  • LONGITUDINAL INTEGRATED CLERKSHIP: IMPLICATIONS FOR MEDICINE STUDENTS TRAINING

  • Líder : ANA LUIZA DE OLIVEIRA E OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANA LUIZA DE OLIVEIRA E OLIVEIRA
  • CRISTIANE SPADACIO
  • LUCAS PEREIRA DE MELO
  • Data: 05-jun-2019


  • Resumen Espectáculo
  • ntroduction: The focus on the teaching model offered in the health area, especially that of the medical professional, has been pointing to insufficient training or incapacity to achieve health care that is resolvable and in harmony with the Unified Health System (SUS). In this sense, public policies in the areas of health and education have been stimulating fundamental changes. To meet this demand, higher education institutions are restructuring their pedagogical projects and curricula betting on methodological proposals and the early insertion of students in the medical practice environments of SUS. The Multicampi Medical Sciences School of the Federal University of Rio Grande do Norte (EMCM / UFRN), bases the process teaching learning in active methodologies and with the longitudinal insertion of medical students in the public health network of municipalities of the interior of the RN - Caicó, Currais Novos and Santa Cruz - through the longitudinal internship modules Integrated Community Experience (VIC). Objective: To understand students' perceptions of the 1st to 8th period of the EMCM medical course about the formative role of VIC and how this strategy can impact their future professional practice. Method: This is a descriptive, exploratory study with a qualitative approach. The data collection was done through semi-structured interviews conducted individually with 25 medical students who carry out the VIC modules in the municipality of Santa Cruz. To analyze the data, we used the Bardin Content Analysis, from which five categories emerged: i) Community Based Training in Health Care Networks as a paradigm shift; ii) The difference in learning from theory and practice in reality; (iii) interprofessional work in medical training; and iv) The pursuit of specialty as sequels of a biomedical culture? Results: It was mentioned that the students recognize the VIC as practical experiences that previously provide the contact with the health services, valuing the Primary Health Care in the implementation of the Family Health Strategy; experience the interprofessional work and begin to understand the sense of Network of attention to Health. It was also pointed out the recognition of the potentialities and fragilities of the SUS, and obstacles in the articulation between services, preceptors and the teaching institution. Conclusions: It was made explicit that the early insertion of the students in the SUS practice scenarios with FHP appreciation is perceived as fundamental in the formation, so that the future medical practice is consistent with the reality of the people to be assisted and with the SUS, but they persist problems inherited from the biological model of health care that are related both to the idealization of the professional practice of students and to the posture of medical preceptors who act according to the biomedical model culminating in difficulties of broad performance in the FHS. The EMCM has a transformative potential and studies on the implementation of its teaching proposal must be carried out in order to evaluate the evolutionary process of its goals.

7
  • AMANDA ALMEIDA GOMES DANTAS
  • CONSTIPATIONS AND FUNCTIONING IN ADULTS WOMEN IN NORTHEASTERN  BRAZIL

  • Líder : DIEGO DE SOUSA DANTAS
  • MIEMBROS DE LA BANCA :
  • DIEGO DE SOUSA DANTAS
  • INGRID GUERRA AZEVEDO
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 27-jun-2019


  • Resumen Espectáculo
  • Introduction: Intestinal constipation (IC) is characterized by problems related to evacuation, and presents high prevalence in the female gender. This condition has demonstrated negative effects on the development of daily activities, causing damage to the physical and emotional well-being of individuals who are diagnosed with it. Objective: Verify the prevalence of intestinal constipation (IC) and the factors that are associated, as well as the implication of this condition in the functioning in adult women living in a municipality in the interior of the Brazilian Northeast. Methodology: This is a cross-sectional study carried out in the municipality of Santa Cruz-RN with women of reproductive age. Social conditions, habits and lifestyle, clinical aspects and obstetric history were investigated. Constipation was diagnosed through the criteria of Rome III and the functioning World Health Organization Disability Assessment Schedule 2.0 (WHODAS). Data were analyzed by descriptive and inferential statistics. The inferential analysis involved chi-square, Mann-Whitney U test, size of the effect determined through the square eta (η2), Multiple Linear Regression and Poisson Regression. For statistical significance the 95% Confidence Interval was calculated and the value of p≤0.05. The survey was approved under the CAAE number: 49237315.9.0000.5568. Results: A total of 195 women participated in the study, most of them between the ages of 25 and 39 and income up to 1 minimum wage. The prevalence of IC was 35.4%. The factors that were associated with constipation were the clinical aspects hemorrhoids, pain and burning when evacuating and sexual dysfunction. The WHODAS scores showed that women with constipation present lower functioning, mild to moderate effect size, in the domains cognition (p = 0.001), mobility (p = 0.002), self-care (p = 0.001) and participation (p = 0.001), in addition to the total score (p = 0.001). CI increases the WHODAS total score by nine points (p = 0.001). Conclusion: The present study verified a considerable prevalence of intestinal constipation among adult women and is associated with functional impairment, presenting greater difficulty in performing cognitive activities, mobility, self-care and participation.Clinical factors such as hemorrhoids, pain and burning in bowel movements, and sexual dysfunction were associated with a higher prevalence of this condition.

8
  • JESSICA ISABELLE DOS SANTOS DUTRA
  • Chronicity´s impact of chikunguhya fever on quality of life and funcionality

  • Líder : ANNA CECILIA QUEIROZ DE MEDEIROS
  • MIEMBROS DE LA BANCA :
  • ANNA CECILIA QUEIROZ DE MEDEIROS
  • MARIA IRANY KNACKFUSS
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 15-jul-2019


  • Resumen Espectáculo
  • Introduction: In 2016 it was recorded a significant increase in illness by chikungunya fever in Brazil, especially in the Northeast, one of the highlights of the state of Rio Grande do Norte, with incidence rate almost six times higher than the national and 37 confirmed deaths. In this sense, one of the greatest challenges in the treatment of Chikungunya fever is the possibility of chronification, not yet being well understood all the impacts and characteristics of this disease.  Objective: To evaluate the impact of chronicity of chikungunya fever in the quality of life and functionality. Materials and Methods: This is a cross-sectional descriptive comparative study with a quantitative approach was undertaken in two stages, the first being a cross-sectional descriptive study of 103 cases confirmed to FChik Natal-RN subsequently screened with at least one year after the disease to conduct a telephone survey to collect aspects of chronic phase. The second step was a cross-sectional study, which compared the FChik group consisting of chronic patients FChik 25 (traced in step 1) and the healthy group (SG) consisted of 25 healthy subjects matched for age and sex. The two groups responded to the HAQ and SF-12.Results: In the first stage, the most prominent joint symptoms in the acute phase were arthralgia and back pain; already in the chronic phase were joint pain and periarticular edema. 65.2% reported damage to the work by illness and absenteeism time mostly between 7 and 30 days. Comparing the FChik and GS,  losses were found in functional capacity and quality of life in FChik (p <0.05) group. The most affected aspects were HAQ Walk category, and Bodily Pain domain of the SF-12, the GChik also showed increased risk for developing depression. Conclusions: Even elapsed over a year of illness, patients who were still in the chronic phase of FChik presented impairments in functionality and quality of life, with losses to carry out daily activities.

9
  • RAÍSA BARBOSA DE ANDRADE
  • Analysis of the pregnant woman's prenatal cards completion of adolescents and adults and compliance with recommendations of the Ministry of Health

  • Líder : SAIONARA MARIA AIRES DA CAMARA
  • MIEMBROS DE LA BANCA :
  • CECILIA NOGUEIRA VALENCA
  • MARLOS RODRIGUES DOMINGUES
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 29-jul-2019


  • Resumen Espectáculo
  • Introduction: The pregnant woman’s prenatal card is an important tool that should be always with the pregnant woman. All health care to the pregnant woman must be recorded in the pregnant woman’s prenatal card, since this record and its quality reflect the clinical practice and serve as parameters to guide future decisions. Through these records, it is also possible to follow the compliance with prenatal care guidelines and identify policy needs that improve the quality of care. This is particularly important when pregnancy is associated with greater risks for the pregnant woman and the child, as during adolescence. Objective: To compare the quality of prenatal care by evaluating the record of information in the pregnant woman’s prenatal cards of first-time pregnant adolescents and adults who underwent prenatal care in the Sistema Único de Saúde (SUS) in municipalities from the Trairi Region of the Rio Grande do Norte state. Methodology: This is a cross-sectional analysis of a longitudinal study called AMOR (Adolescence and Motherhood Research) project, carried out in the municipalities of Santa Cruz, Lajes Pintadas, Tangará, Campo Redondo and São Bento do Trairi, located in the Trairi region of the Rio Grande do Norte state. The sample consisted of 76 women, 38 adolescents (13-18 years) and 38 adults (23-28 years) whose prenatal cards were evaluated between 4 to 6 weeks postpartum. The data collection followed a standardized protocol, in which sociodemographic data were collected. We also evaluated the record of information in the pregnant woman’s prenatal cards and the proportion of compliance with the Ministry of Health recommendations described in Rede Cegonha, such as a minimum of 6 consultations and participation in educational meetings, ultrasound (USG) exam and laboratory tests (ABO and Rh factor, uroculture, cervical-vaginal cytopathology, HBsAg, toxoplasmosis, glycaemia, VDRL, Hemoglobin/Hematocrit and Anti-HIV). The percentages of record of the items in the prenatal cards and compliance with the recommendations among adolescents and adults were compared using the Chi-square test. Both groups were compared in relation to the medians of record percentages for each item using the Mann-Whitney test. Results: None of the 11 categories analyzed were completely recorded for both groups. The groups were statistically different in relation to "information about USG", with a lower percentage of completion among adolescents (p=0,021). Of the 13 items analyzed regarding the compliance with Rede Cegonha, the adult group presented a greater proportion of record in 12 of them when compared to the adolescents, being statistically significant in relation to glycaemia (p=0,004), VDRL (p=0,040) and hemoglobin/hematocrit (p<0,001). Conclusion: A lower proportion of adolescent mothers presents record of compliance with the recommendations of the Ministry of Health, which shows the need for health policies aiming to improve prenatal care for this population.

10
  • HEVERTON ARAÚJO DE OLIVEIRA FIGUEIRÊDO
  • EFFECTS OF TRANSCRANIAL DIRECT CURRENT STIMULATION (tDCS) IN ADULT WOMEN WITH EXCESSIVE WEIGHT


  • Líder : ANNA CECILIA QUEIROZ DE MEDEIROS
  • MIEMBROS DE LA BANCA :
  • PRISCILIA GIACOMO FASSINI
  • ANNA CECILIA QUEIROZ DE MEDEIROS
  • JANE CARLA DE SOUZA
  • Data: 31-jul-2019


  • Resumen Espectáculo
  • Introduction: Neuromodulation by transcranial direct current stimulation (tDCS) has been investigated as a therapeutic possibility for obesity. It is believed that tDCS can act in cognitive areas related to typical excessive food intake behaviors. Objective: To evaluate effect of the anode tDCS on the prefrontal cortex right lateral dorsum (dlPFC) in overweight or obese women. Methodology: This was a randomized clinical trial, in which 50 volunteers, divided into two groups (Active [n = 25] and Sham / Control [n = 25]), participated in 10 sessions of the tDCS with a follow-up of 60 days. The anode (excitatory) electrode was placed over the right dlPFC and the cathode (inhibitory) was placed over the left, corresponding to F4 and F3 positions of EEG system 10-20, respectively. Treatment effects were evaluated on: food behavior (food cravings, emotional eating, uncontrolled eating and cognitive restriction); food intake (calories and macronutrients); emotional profile (anxiety, depression and stress); anthropometric and body composition variables (weight, body mass index, conicity index, waist circumference, waist-height ratio and body fat percentage. Results: Statistical analysis indicated no difference between groups, in sociodemographic and clinical characteristics, at baseline. Two factor mixed design ANOVA analysis showed no significant interaction between time versus group, in any variables investigated. The tDCS treatment was well tolerated, with no adverse effects in participants who completed the procol.  Conclusion: In the present study, no tDCS effect was observed in women with excessive weight, regarding food behavior and intake, emotional profile or anthropometric variables and body composition. Our findings point to the need for further research, including evaluating other possible brain areas to be modulated in overweight patients.  

11
  • MURIELLY PRISCILLY DE MEDEIROS MAIA
  • PRODUCTION AND VALIDATION OF THE Psychosocial Attention Supply INDICATOR IN BRAZIL

  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • DIMITRI TAURINO GUEDES
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • MAURA VANESSA SILVA SOBREIRA
  • Data: 09-sep-2019


  • Resumen Espectáculo
  • INTRODUCTION: The Psychosocial Attention Network (RAPS) is intended for the care from severe and persistent mental suffering, or abusive use of alcohol and other drugs, and is the main strategy to confront the Manicomial / Asylum Model, principles of inclusion, psychosocial rehabilitation and freedom. OBJECTIVE: To produce and validate the Indicator of Supply of Psychosocial Care  in Brazil. METHODS: An ecological study was carried out in which 37 variables were analyzed that reflect the structure and human resources of the RAPS by Immediate Regions of Urban Articulation, for which descriptive and spatial analysis were performed using the Moran Global and Local techniques. For the production and validation of the indicator, the exploratory and confirmatory Factorial Analysis technique was applied, through the criterion and construct validations. RESULTS: Spatial distribution of UBS variables, General Hospital, Family Physicians, Psychiatrist, Psychologist, ACS and Occupational Therapists presented spatial autocorrelation (I> 0.4, p <0.05), with concentration of areas with high rates in the Midwest, southeast and part of the south. The Bartlett sphericity test obtained p <0.05, the KMO was 0.732, the commonalities had a load higher than 0.06. Seven factors were extracted: Factor 1 (RAPS Basic Attention Profile); Factor 2 (Profile of the RAPS Support Team); Factor 3 (Profile of Psychiatric Attention of RAPS); Factor 4 (Profile of the RAPS Residential Regime); Factor 5 (Profile of CAPS); Factor 6 (Profile of Therapeutic Residences in RAPS) and Factor 7 (Profile of High Complexity in RAPS), explaining jointly 70.5% of Total Variance. The spatial distribution of the indicator shows that the supply of Psychosocial Care is Very Precarious in the North Region; from Precarious to Regular in the Northeast Region; and Good or Very Good in the Central-West, Southeast and South Regions. The validation of the construct was achieved with 60% of the sample, for which the same factors that explained 70.8% of the total variance were formed, and the criterion validation showed that the Satisfactory and Very Satisfactory categories were related to the best socioeconomic indicators. CONCLUSIONS: There is an inequality in the distribution of Psychosocial Care in Brazil, with better levels of supply in the more developed regions.

12
  • MARLLON SOUSA LINHARES
  • PERCEPTION OF FAMILY HEALTH TEAM PROFESSIONALS ABOUT THE ELEMENTS OF THEIR WORK PROCESS

  • Líder : RAFAELA CAROLINI DE OLIVEIRA TAVORA
  • MIEMBROS DE LA BANCA :
  • RAFAELA CAROLINI DE OLIVEIRA TAVORA
  • DIMITRI TAURINO GUEDES
  • CAMILLA ARAÚJO LOPES VIEIRA
  • Data: 25-nov-2019


  • Resumen Espectáculo
  • Assuming that the work process is formed by objectives or purposes, object, means and conditions, agent or subject, this project aims to analyze the perception of professionals of the Family Health teams of Santa Cruz-RN about of the elements of your work process. This is a qualitative, descriptive and exploratory research, with 12 participants, half of the urban area and the others of the rural area. Given the elements presented and the discussions conducted with a view to elucidating the proposed objectives, it was noticed that the year of training of professionals covered the 2000 and 2010, most of professionals perform their work activities only in ABS, with the regime 40 hours per week, bound by public tender. From the transcriptions and analysis from the interviews four categories emerged: misunderstanding between objects, instruments and purposes; miscellaneous goals; everyday tensions; quality of the work process. These statements were analyzed following the guidelines of Critical Discourse Analysis. It was observed that many professionals did not know how to differentiate objects, instruments and objectives in their work process, as well as having different purposes, such as the restoration of oral health, including those that prevent disease and promote health. The lack of instruments, inadequate structure, poor communication and the link, or lack thereof, with users were presented as tensions in the daily practice of health practices. These may be elements that compromise the work process of teams. This research built spaces of speech in which the members of the health teams could reflect on their work process from their own perceptions, which may have caused discomfort to the subjects, and also contributed to the deconstruction of forms of work found.

13
  • ANA RAFAELLA ARAÚJO COSTA
  • Assessment of the effect of adapted insoles  in flip flop sandals on pain related to plantar fasciopathy: 
    a study with potiguar semiarid residents.

     
  • Líder : MARCELO CARDOSO DE SOUZA
  • MIEMBROS DE LA BANCA :
  • MARCELO CARDOSO DE SOUZA
  • MATHEUS FIGUEIREDO NOGUEIRA
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 29-nov-2019


  • Resumen Espectáculo
  • Introduction: Plantar fasciopathy (PF) is a painful condition of the feet, being one of the main causes of hindfoot pain that leads to work abstention and reflects the great demand for treatment in orthopedic offices. Conservative treatments account for 90% of hindfoot pain resolutions and are associated with therapies including joint mobilization, stretching, insoles, shockwave therapy, and laser therapy. However, the use of insoles is restricted to use in closed shoes such as shoes and sneakers, and this can be an obstacle to treatment in cities with hot weather. Objectives: To evaluate the effectiveness of slippers adapted to pain and function in individuals with persistent PF. Method: A double-blind, controlled, randomized clinical study of 66 male and female patients with persistent hindfoot pain, randomized into two groups: customized group (CG) (n = 34) received a custom-made slipper with foot pieces and plain beige faux leather cover. The placebo group (PL) (n = 34) received a strip slipper covered with smooth beige synthetic leather, identical to the one used by the intervention group, but without the foot pieces. Patients were instructed to wear the slipper at least 4 hours a day for 12 weeks. Two evaluations were performed: one before the intervention protocol (T0) and the second after the 12 weeks of intervention (T12). The primary outcome measure was pain that was assessed using the Visual Analog Scale (VAS). Secondary outcomes were: foot function by the Foot Function Index (FFI) questionnaire; foot and ankle functionality by the Foot and Ankle Ability Measure (FAAM) questionnaire; functional capacity by 6-minute walk test (6MWT); patient expectation and satisfaction with treatment by the likert scale; the blinding questionnaire to ensure participants were blinded and the use diary to note the hours they wore the slipper daily. Results: The CG group significantly improved morning pain through the morning VAS variable (mean difference-1.82; 95% CI -3.3 to -0.3; p = 0.016); no differences between groups for end-of-day VAS, 6MWT and FAAM. Significant improvement in foot function (FFI) was also observed in the CG group compared to the PL group, where the CG group showed significant results (mean difference -0.10; 95% -0.19 to -0.01; p = 0.023). Conclusion: The use of flip-flop insoles for 12 weeks was effective in improving pain and foot function in individuals with persistent PF.



14
  • LIZAILMA SILVA CUNHA
  • Relationship of indicators of social inequality in the spatial distribution of Zika Virus cases

  • Líder : SILVANA ALVES PEREIRA
  • MIEMBROS DE LA BANCA :
  • CRISTIANE APARECIDA MORAN
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • SAIONARA MARIA AIRES DA CAMARA
  • SILVANA ALVES PEREIRA
  • WILTON RODRIGUES MEDEIROS
  • Data: 02-dic-2019


  • Resumen Espectáculo
  • Aim: to analyze the possible relation of social indicators on the spatial distribution of ZIKV cases in a state of Northeast Brazil during 2015-2016 biennium. Methods: an ecological study with data from ZIKV case reports and sociodemographic indicators from Rio Grande do Norte’s state (RN), calculated from Public Health Departament of RN and DATASUS. The data were analyzed in Terraview version 4.2.2, GeoDa version 1.12 and IBM SPSS Statistics 21. Results: Both, the Mean Incidence Rate (MIR) of ZIKV cases in the 2015-2016 biennium (Moran = 0.239, p = 0.02), mean household income (Moran = 0.344, p = 0.01) and unemployment rate (Moran = 0.231, p = 0.01) obeyed a geographical pattern of spatial distribution. In the multiple linear regression analysis, the MIR variables of violence in 2014 and the average household income in 2010 explained 55% of the MIR variation of ZIKV in the 2015-2016 biennium (adjusted R2 = 0.55). Conclusion: Municipalities with more reports of violence and favorable average income, such as the capital, hold higher MIR of ZYKV cases, a phenomenon possibly mediated by more sensitive health services notification.

2018
Disertaciones
1
  • RAUL ELTON ARAUJO BORGES
  • KNOWLEDGE AND EXPERIENCES OF LIVING WITH HIV / AIDS IN A BRAZILIAN BLOG

  • Líder : LUCAS PEREIRA DE MELO
  • MIEMBROS DE LA BANCA :
  • LUCAS PEREIRA DE MELO
  • MERCES DE FATIMA DOS SANTOS SILVA
  • TIAGO ROCHA PINTO
  • LUZIANA MARQUES DA FONSECA SILVA
  • MÓNICA LOURDES FRANCH GUTIÉRREZ
  • Data: 19-feb-2018


  • Resumen Espectáculo
  • Blogs produced by people living with chronic diseases can provide rich descriptions of practices, customs, and social perceptions of the health-disease process. In this way, this virtual space is configured as a new scenario of health promotion, sharing of information and experiences of living with the disease. Therefore, the objective of the study was to analyze the knowledge and experiences shared virtually in a Brazilian blog about HIV / AIDS. It is a socio-anthropological study of a qualitative nature, carried out through virtual ethnography and documentary analysis. 253 posts made by the blog author from March 2011 to July 2016, distributed in the "News", "Diaries" and "Articles" sessions, were used as data sources. The data were analyzed using the thematic coding technique and included the texts produced by the blogger and the comments of the visitors of the page. In the "Articles" and "News" sessions, knowledge and information on the biological and clinical aspects of the virus, treatment and prevention of HIV / AIDS are disseminated. In the "Diaries" session are shared daily experiences of bloggers and followers with HIV. In this sense, comments on the blogger's posts produce a space for sharing knowledge and experiences with the virus. In addition, the discussions in this virtual space seem to bring comfort and ease the difficulties in living with HIV / AIDS in the totality of daily life. The social medicalization present in the speeches of the blogger and the visitors of the page, emphasized, strongly directed to the adherence to the treatment and the safe sex. However, the blog plays an important role for its followers as it enables the sharing of HIV experiences, encourages adherence to treatment and provides scientific information. Anonymity is also emphasized as facilitator of virtual interactions and the formation of support networks. However, the medicalization of discourses may be inclusive for some, but exclusive to others.

2
  • LUÍZA DE MARILAC ALVES DA FONSÊCA
  • TRANSLATION, CULTURAL ADAPTATION AND PSYCHOMETRIC PROPERTIES OF THE HURT INSULT THREATENED SCREAM FOR SCREENING DOMESTIC VIOLENCE AGAINST ELDERLY IN BRAZIL
  • Líder : NUBIA MARIA FREIRE VIEIRA LIMA
  • MIEMBROS DE LA BANCA :
  • NUBIA MARIA FREIRE VIEIRA LIMA
  • MERCES DE FATIMA DOS SANTOS SILVA
  • SAIONARA MARIA AIRES DA CAMARA
  • GERALDO EDUARDO GUEDES DE BRITO
  • LEANDRO DE ARAUJO PERNAMBUCO
  • Data: 23-feb-2018


  • Resumen Espectáculo
  • INTRODUCTION: The scientific literature has shown limitations in the production of screening instruments for violence against the elderly in the Brazilian context. Currently, this type of study has been little approached in the Brazilian context, regarding the cross-cultural adaptation of instruments for the elderly population. HITS- Brazil is a brief screening tool for domestic violence against the elderly, which can be used in clinical and domicile contexts, aiming at establishing the risk of violence. This study, because it deals with the translation and adaptation and validation of an instrument that does not originate nor Brazilian validation, followed rigorous methodological criteria in order to guarantee wide reliability and later be applied and used by other researchers for screening of RV against the elderly. OBJECTIVE: This study aimed to translate, adapt and evaluate the psychometric properties (validity and reliability) of the Hurt Insult Threatened Scream (HITS) instrument for the screening of domestic violence against the elderly. METHOD: Study of translation, adaptation and validation. A total of 30 elderly people were recruited for the operational equivalence phase and 48 elderly people aged 65 to 80 years or more of both sexes were recruited, mean age for the two stages was 70.8 years taking into account the two groups. Data on sociodemographic variables, cognitive ability and HITS application were collected. For the analysis of the results we used the descriptive and inferential statistics, for the operational equivalence stage, the equivalence of the items that happened in five stages that evaluated the semantic, idiomatic, experimental and conceptual equivalences for the Brazilian context was evaluated. After this process the measurement equivalence stage was started, which sought to evaluate the validity and reliability of the 48 elderly subjects. RESULTS: The study complied with the five stages of HITS transcultural translation and adaptation process: translations, back translations, synthesis of translations, semantic, idiomatic, experiential and conceptual equivalence analysis by a committee of experts and pre-test in 30 elderly people, which was followed by adjustments of language and concepts, reaching the final form of the instrument, named HITSBrazil. The values obtained through Cronbach's alpha coefficient showed acceptable results for all items (item 1: 0.80, item 2: 0, 75, item 3: 0,80 and item 4: 0,68). In the analysis of inter-examiner agreement we had good agreement for items 1 and 2 and low agreement for items 3 and 4 of the scale. We considered that the low agreement in items 3 and 4 would not negatively imply the overall coxtext of the scale, since we have a high reliability by the cronbach alpha. CONCLUSION: In its final version, HITS-Brazil obtained a high reliability index for the four items when its internal consistency was evaluated, indicating that the results are satisfactory.

3
  • RENATA FONSÊCA SOUSA DE OLIVEIRA
  • IMPROVING ACCESS AND QUALITY OF PRIMARY HEALTH CARE: BETWEEN VOICES AND LOOKS
  • Líder : CECILIA NOGUEIRA VALENCA
  • MIEMBROS DE LA BANCA :
  • CECILIA NOGUEIRA VALENCA
  • CRISTYANNE SAMARA MIRANDA DE HOLANDA DA NÓBREGA
  • RAFAELA CAROLINI DE OLIVEIRA TAVORA
  • Data: 26-feb-2018


  • Resumen Espectáculo
  • INTRODUCTION: In order to strengthen the National Primary Care Policy, in 2011 the National Program for Improving Access and Quality of Primary Care (PMAQ / AB) was established with the aim of mobilizing local actors, qualifying management practices, access and induce changes in the conditions of operation of health services. OBJECTIVE: To analyze the perception of municipal health managers and primary care workers about the National Program for Improving Access and Quality of Basic Care. METHODOLOGY: This is a descriptive and exploratory study, with a qualitative approach. Included in the study were managers or members of the municipal health management responsible for conducting the PMAQ in the municipalities investigated, as well as higher-level PHC workers from the FHS who participated in the 2nd cycle of the PMAQ in 2014. Participants in the study total of 43 subjects, of whom 6 were managers and / or representatives of the management and 36 professionals of the Basic Attention. Two techniques were used to collect information: the focus group and the semi-structured interview. Thus, during the analysis, three thematic nuclei emerged: "Voices and looks about the PMAQ"; "Impacts produced in the health services from the experience in the PMAQ: interlacing multiple glances" and "PMAQ's Fragilities: The journey forward". The study was approved by the Research Ethics Committee of the Faculty of Health Sciences / FACISA, with the number of Opinion 1,707,601. RESULT AND DISCUSSION: PMAQ is a guiding tool for health actions and services, favoring the orientation, improvement and introducing changes in the work process. Some challenges presented were dissatisfaction in the allocation of the financial incentives from the program, increase of tasks and discontinuity of the actions practiced. Conclusion: The PMAQ allowed to subsidize the co-production of new arrangements and redirects to strengthen the programs belonging to Primary Health Care.

4
  • HARYELLE NARYMA CONFESSOR FERREIRA
  • Profile of functioning and disability of children with microcephaly associated with congenital Zika virus in Brazil

  • Líder : EGMAR LONGO HULL
  • MIEMBROS DE LA BANCA :
  • EGMAR LONGO HULL
  • KLAYTON GALANTE SOUSA
  • SILVANA ALVES PEREIRA
  • VERÓNICA SCHIARITI
  • Data: 26-feb-2018


  • Resumen Espectáculo
  • Introduction: The increase number of cases of microcephaly in Brazil and its association with the Zika virus (ZIKV) constitutes a public health problem of international concern. The International Classification of Functioning, Disability and Health (ICF) guides comprehensive assessments incorporating the important role of contextual factors.  Objective: The objective of this study was to describe the functioning of children with microcephaly caused by ZIKV in states of the Northeast in Brazil. Methods: This is a cross-sectional descriptive study. Demographics characteristics, head circumference and other data were collected from clinical charts, physical examinations, tests, and interviews with children and their parents. The Brazilian Portuguese version of the brief ICF core set for cerebral palsy (CP) was used. Each ICF category received a qualifier, which ranged from 0 to 4 (no problem, slight problem, moderate problem, serious problem, complete problem). For environmental factors, 0 represents no barrier and -4, a total barrier; +0, no facilitator and +4, a complete facilitator. Evaluators in each setting were trained  on how to use the brief ICF core set categories for CP in 20- hour courses. Results: Thirty-four children with microcephaly caused by ZIKV (18 girls and 16 boys) were enrolled in four rehabilitation services in Rio Grande do Norte and Paraíba, Brazil. The mean age of participants was 21 months, head circumference Z scores ranged from 0.92 to -5.51. The profile of functioning revealed complete problem in the majority of the body functions categories. Areas of activities and participation were highly impacted, in particular those covered by mobility related categories. Immediate family support was the main facilitator influencing functioning in this population. Regarding environmental factors, the majority of the sample reported complete facilitator for immediate family, friends and for health services, systems and policies. Conclusion: This is the first study describing the profile of functioning of congenital ZIKV using an ICF-based tool in Brazil.  Our findings reinforce the need to maximize health care and access to information - based on the ICF-  for the multi professional teams, administrators, family members and children. Service provision for children with ZIKV-related microcephaly should be family-centered, considering modifiable contextual factors and highlighting functional goals. to ensure optimal levels of participation in household, school and community-based activities in our region.

     

5
  • LUANA CAROLINE DE ASSUNCAO CORTEZ CORREA
  • URINARY INCONTINENCE IS ASSOCIATED WITH PHYSICAL PERFORMANCE DECLINE IN COMMUNITY-DWELLING OLDER WOMEN – RESULTS FROM THE INTERNATIONAL MOBILITY IN AGING STUDY (IMIAS)

  • Líder : SAIONARA MARIA AIRES DA CAMARA
  • MIEMBROS DE LA BANCA :
  • ALINE DO NASCIMENTO FALCAO FREIRE MONTE
  • DIEGO DE SOUSA DANTAS
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 26-feb-2018


  • Resumen Espectáculo
  • Introduction: With aging, women present worse physical performance when compared to men of similar ages, suggesting that there are factors related to sex or gender, such as variables of reproductive history that may explain these differences. High parity and early maternal age are related to the occurrence of urogynecologic changes, such as Urinary Incontinence (UI), and it is also known that women who had many children and / or were mothers in adolescence have worse health conditions in old ages, including worse physical performance. Hypothesize that women who report UI have worse physical performance and a more pronounced reduction of UI over the years. However, there is a gap in the literature to prove these hypotheses. Objectives: To evaluate if there is a relationship between urinary incontinence and physical performance in older women from five sites with different socioeconomic conditions and to evaluate the influence of urinary incontinence on the change in physical performance over a two-year period. Methodology: This is a longitudinal observational study derived from the International Mobility in Aging Study (IMIAS), conducted in Saint-Hyacinthe (Quebec, Canada), Kingston (Ontario, Canada), Manizales (Colombia), Tirana (Albania) and Natal (Brazil). In this study, approximately 200 older women (65 and 74 years old) from each locality, residents on community, were evaluated in the years of 2012, 2014 and 2016. The present study presents data collected in 2014 and 2016. For the evaluation, socioeconomic data, anthropometric measures and reproductive history were collected. Physical performance was assessed using the Short Physical Performance Battery (SPPB) following a standardized protocol that measures balance, gait and lower limbs strength. The SPPB final score is a sum of the points of each test, ranging from 0 to 12 points (4 points for each test). Urinary incontinence was assessed by self-report of episodes of involuntary loss of urine in the last week, classified as "none in the past 7 days" and "some in the last 7 days". The cross-sectional relationship between UI and SPPB was assessed by multiple linear regression analysis. The evaluation of the longitudinal effect of UI on the SPPB score over 2 years was evaluated by analysis of mixed linear models. In both analyzes, covariables were considered: age, study site, education, income sufficiency, and parity. Results: The sample was composed by 915 women with mean age of 71.2 (± 2.88). The prevalence of urinary incontinence ranged from 11.4% (Natal) and 30.7% (Kingston). The women who reported some loss of urine presented a significantly lower SPPB mean than the others, even in the fully adjusted models (β = 0.469, p = 0.009). In addition, they show a significantly greater reduction in SPPB scores over two years than women who did not report UI. Conclusion: UI is associated with worse results in SPPB and negatively influences physical performance over two years, since women with UI have a more pronounced decline in physical performance in this period. These findings serve as the basis for the planning and implementation of early interventions to improve the aging profile of women and the quality of life of this population.

6
  • ADILLA CONCEICAO BRITO DE AZEVEDO
  • Evaluation of the Work Context, Sleep Quality and Daytime Sleepiness of High School Teachers of Public School in the Interior of the Rio Grande do Norte

  • Líder : JANE CARLA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • ALINE SILVA BELISIO
  • JANE CARLA DE SOUZA
  • RAFAELA CAROLINI DE OLIVEIRA TAVORA
  • Data: 28-feb-2018


  • Resumen Espectáculo
  • The work in the social and financial context goes beyond of subsistence. Teachers have a responsibility to contribute to make pupils citizens capable of recognizing and to be aware of their own role in society. However, teaching profession is related to work overload, inadequate work conditions and violence context in the school, among other problems characteristic of this profession. In addition, the presence of health problems, including those related to sleep, is increasingly common. Therefore, the aim of this study was to evaluate the work context, the sleep schedules and quality, and daytime sleepiness of high school teachers of public school in the Trairi region of Rio Grande do Norte. Besides, the second aim was evaluate the relationship between the work context and the sleep quality and daytime sleepiness of these teachers. For this, it was aplied an identification questionaire; the Work Context Avaliation Scale (EACT), based on factors, work condition (F1), work organization (F2) and socio-professional relations (F3); the Pittsburgh Sleep Quality Index (IQSP) and Epworth Sleepiness Scale (ESE) for 61 teachers of both sexes, aged 39.7 ± 9.2 years. The factors "working conditions" and "work organization" were classified as critical/severe by the majority of the teachers, while "socio-professional relations" were considered satisfactory by half of the study population. Most items related to these factors were evaluated as critical/serious, such as poor working conditions, uncomfortable physical environment, work rhythm, tasks fulfilled under pressure, non-existent autonomy and poor communication between subordinate and leadership. In addition, 69% of teachers had poor sleep quality and 49% had excessive daytime sleepiness. With regard to sleep quality according to the assessment of the work context, it was observed that teachers who evaluated socio-professional relations as critical / severe (mean rank 36.11) are more likely to have poor sleep quality to those that evaluated as satisfactory (mean rank 26.94 - U = 321, p < 0.05). In relation to sex, poor sleep quality is present in 69% of both sexes (X² = 0.00, p > 0.05), while excessive daytime sleepiness is more frequent in women (55%) than in to men (44% - X² = 4.88, p < 0.05). Teachers' bedtime was on average at 11:26 ± 1:25 p.m., the waking time at 6:06 ± 1:16 p.m., and sleep duration was 6:10 ± 1:07 p.m. The Mann-Whitney test shows that teachers with poorer sleep quality (mean rank 26.56) sleep 36 minutes less (5:58 ± 1: 06h) than teachers with good sleep quality (6:34 ± 1: 04h; mean rank 35.53 - U = 256.00, p < 0.05). These results have great importance in the knowledge of the work context of the teacher, reinforcing the need to create spaces for discussion and possible proposals for the elaboration of policies aimed at this professional, which help in the supply of needs listed by the worker himself. In addition, it is necessary to carry out further studies that try to clarify which factors related to the work context may be contributing to poor sleep quality and daytime sleepiness present in these professionals.

     

7
  • JANAINA GOMES DE PAIVA AMORIM
  • INTRA-ORAL FINDINGS IN CHILDREN WITH MICROCEPHALY DUE TO INFECTION BY ZIKA VIRUS: OBSERVATIONAL CROSS-SECTIONAL STUDY

  • Líder : KLAYTON GALANTE SOUSA
  • MIEMBROS DE LA BANCA :
  • DENISE HELEN IMACULADA PEREIRA DE OLIVEIRA
  • ISABELITA DUARTE AZEVEDO
  • KLAYTON GALANTE SOUSA
  • Data: 29-may-2018


  • Resumen Espectáculo
  • Microcephaly is defined as a developmental anomaly characterized by the reduction of the cephalic perimeter, with anatomic-functional alterations, of complex and mulifactorial etiology. Scientific evidence points to the possible association between the outbreak of microcephaly in newborns with Zika Virus infection (ZIKV). Methodology: the present study is cross-sectional, observational, aiming to evaluate oral structures in children with diagnosis of microcephaly due to congenital infection by ZIKV. Dental clinical eXams were performed in tow groups, one composed of eight children with microcephaly by ZIKV infection and the other with twenty-four chIldren who did not have congenital infections, all of them living in the V (Fifth?) Health Region of Rio Grande do Norte. The clinical and socioeconomic data were annotated in standardized charts and treated by non-parametric statistical tests from the Odds ratio in the bivariate analysis in the Fisher's Exact Test. Results: Children in group 1 presented lower cephalic perimeter, higher frequency of mixed type breathing, bruxism and had previous dental experience when compared to group 2. Conclusion: The findings present dental and socioeconomic characteristics that reinforce the need to plan and promote health actions in the care network oF children with microcephaly by ZIKV infection

8
  • THAÍS LORENA BARBOSA DE FRANÇA
  • Growth and development of children with microcephaly associated with congenital Zika virus in Brazil

  • Líder : KLAYTON GALANTE SOUSA
  • MIEMBROS DE LA BANCA :
  • KLAYTON GALANTE SOUSA
  • EGMAR LONGO HULL
  • WILTON RODRIGUES MEDEIROS
  • ANDREA BARALDI CUNHA
  • Data: 18-jun-2018


  • Resumen Espectáculo
  • The infection caused by Zika virus (ZIKV) is usually described with a mild clinical picture. However, during the ZIKV outbreak in Latin America in the period 2015-2016, a sudden increase in the number of severe manifestations and cases of congenital abnormalities in newborns have been reported. This is the first study that evaluated and compared the growth and cognitive and motor development of children with Zinc Congenital Syndrome (SCZ) microcephaly in relation to typical children. An observational, analytical, cross-sectional study with 24 children from a region of northeastern Brazil. Children with SCZ presented a mean low in global motor and cognitive performance and growth deviation in head circumference and body weight measurements. Considering the mean values, typical children presented good global and cognitive motor performance and adequate anthropometric measures. Therefore, children with SCZ are at risk for growth retardation and development compared to typical children.

9
  • JOSÉ LENARTE DA SILVA
  • THE FAMILY'S PERCEPTION OF PREGNANCY

  • Líder : RAFAELA CAROLINI DE OLIVEIRA TAVORA
  • MIEMBROS DE LA BANCA :
  • CECILIA NOGUEIRA VALENCA
  • HERLA MARIA FURTADO JORGE
  • RAFAELA CAROLINI DE OLIVEIRA TAVORA
  • Data: 06-jul-2018


  • Resumen Espectáculo
  • Introduction: The gestational period involves changes in different aspects, demonstrating that antenatal care must go beyond the unilateral dimension focused only on biological aspects. Objective: to identify the family's perception about gestation. Method: will be a descriptive, exploratory, qualitative study, to be carried out with pregnant women and their social network in a Basic Health Unit, in the municipality of santa Cruz / RN. The sample will be defined by the saturation method, through focus groups and interviews. Three meetings will be held in the focus groups, applying the techniques of the genogram and ecomap to understand the interpersonal relationships between the pregnant women and their family and other individuals outside the family. The focus groups will be developed after the prenatal consultations in the Basic Health Unit in order to allow a better adherence to the study, with approximately 8 to 12 people and a minimum duration of 30 (thirty) minutes and a maximum of 2 (two) hours. The semi-structured interview will be carried out through a questionnaire, subdivided into two parts - sociodemographic, obstetric factors and the perception of pregnancy for the family, the latter consisting of two guiding questions: "How did you know about pregnancy for you?" And "How Did you go to the news of pregnancy for the people you consider as family? "For discourse analysis will be used to dialectical hermeneutics, a technique that makes the synthesis of the processes understanding and critical. The dialectical method and the hermeneutic method, the first starting from the opposition and the second from the mediation, are necessary moments in the production of rationality and in this way operate indissolubly as elements of a unit. The research will be submitted to the Research Ethics Committee of the Federal University of Rio Grande do Norte (CEP / UFRN), to evaluate the aspects of the research. After approval, Resolution No. 466/2012 of the National Health Council, which governs respect for the ethical aspects of human research and secondary data, will be legally fulfilled. The data obtained during the research will be archived on CD - ROM by means of audios and will remain on researchers' possession for five years.

10
  • MOAN JÉFTER FERNANDES COSTA
  • Assessment of self-perceived and clinical oral health and temporomandibular disorders of institutionalized elderly and residents in urban and rural communities in the interior of Paraíba

  • Líder : MARCELO CARDOSO DE SOUZA
  • MIEMBROS DE LA BANCA :
  • DIMITRI TAURINO GUEDES
  • GYMENNA MARIA TENÓRIO GUÊNES
  • MARCELO CARDOSO DE SOUZA
  • Data: 02-ago-2018


  • Resumen Espectáculo
  • Objective: To evaluate the self-perception of oral health in the physical, psychosocial and pain / discomfort dimensions linked to the clinical conditions and orofacial pain of institutionalized elderly people, living in the urban area and rural area of Paraíba. Method: Observational, cross-sectional study, quantitative approach, population base and non-probabilistic sampling for convenience among 81 elderly: 27 residents in a long-stay institution and the other males by age and gender between urban (n = 27) and rural (n = 27). The GOHAI was used to evaluate the self-perception of oral health in quality of life, the QST / DTM (Questionnaire For Screening Of Patients With Temporomandibular Disorders) for the influences of orofacial pains and the indices of biofilm in tooth by Silness and Loe and in prosthetics by Ambjornesen. Results: Predominance of the female sex (74.1%), 77.8% of whom were born in the city of Cuité-PB and had a higher frequency (32.1%), pointing to the age range of 60-65 years. The frequency of GOHAI related to high perception obtained a higher frequency between urban area (77.8%) and lower frequency (66.7) in the rural area, with a p-value of 0.004, showing a statistical difference between dwelling places. In the QST / DTM, all frequencies indicated the majority of individuals as non-carriers, but with a statistical relation related to gender (p = 0.007) and income (p = 0.002). The highest frequencies for the biofilm analysis were related to the presence of this in teeth or prosthesis, more frequently linked to the inhabitants of the rural area, 84.6%. Conclusion: There was a difference between the samples related to self-perception and the place of residence, showing the elderly with excellent oral health, not consistent with the clinical condition found, showing the secondaryarization of oral health problems

11
  • LOUISE PASSOS VIGOLVINO MACÊDO
  • BEHAVIOR OF MUSCULOSCHELETIC PAIN OF ELDERLY IN THREE DIFFERENT SCENARIOS: RURAL AREA, URBAN AREA AND LONG STAY INSTITUTION THROUGH THE COMMUNITY ORIENTED PROGRAM FOR CONTROL OF RHEUMATIC DISEASES (COPCORD).

  • Líder : MARCELO CARDOSO DE SOUZA
  • MIEMBROS DE LA BANCA :
  • MARCELLO BARBOSA OTONI GONCALVES GUEDES
  • MARCELO CARDOSO DE SOUZA
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 06-dic-2018


  • Resumen Espectáculo
  • Introduction: The growth of the elderly population is a worldwide phenomenon. These changes in body composition associated with aging, such as reduction of muscle mass and increase of body fat are worrisome in this population, because with the reduction of muscle mass, the decrease in the capacity of production of added force other factors inherent to aging cause imbalances in the structure musculoskeletal, and may cause or aggravate the degenerative processes of the same. Objective: To evaluate the musculoskeletal pain of the elderly in three different scenarios: urban area, rural area and Institution of Long Stay for the Elderly. Methods: A cross - sectional, observational, quantitative, population - based study conducted in the city of Cuité - PB. The sample was non-probabilistic, for convenience, of 27 elderly people living in a PLWI, 27 elderly residents in the urban area and 27 elderly residents in the rural area. Data were collected through Phase 1 of the Community Program for the Control of Rheumatic Diseases (COPCORD), and were analyzed by the SPSS statistical software version 21. Results: Among the 81 elderly people evaluated in the study had a predominance of females 60 ( 74.1%) and higher prevalence of age among the elderly of 60-65 years (32.1%). With respect to pain, both at 7 days and in the past, all percentages for all dwelling places had a majority related to absence of pain, with no statistically significant association found. Conclusion: There is a need to produce a more far-reaching study to generate generalizations regarding musculoskeletal pain in the elderly, as well as to guide the evaluation of the prevalence of rheumatic diseases

12
  • NAAMA SAMAI COSTA OLIVEIRA
  • CORE SET OF THE INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY AND HEALTH (CIF) AS AN INSTRUMENT OF EVALUATION OF THE PHYSICAL HEALTH OF COMMUNITY-DWELLING OLDER ADULTS

  • Líder : SAIONARA MARIA AIRES DA CAMARA
  • MIEMBROS DE LA BANCA :
  • DIEGO DE SOUSA DANTAS
  • JOAO AFONSO RUARO
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 11-dic-2018


  • Resumen Espectáculo
  • Introduction: With aging, there are changes in the morbidity and mortality of the population, with an increase in physical health impairment. This is commonly evaluated in clinical practice and research by self-reported health, which is a comprehensive and reliable health measure involving physical and emotional factors and is predictive of functional decline and mortality, regardless of objective health measures. The International Classification of Functioning, Disability and Health (ICF) is an important multidimensional assessment strategy, where it is possible to identify the domains that are related to the functional state that the person presents. Because it is an extensive tool, Core Sets have gained space today because they are formed by ICF categories considered essential for the evaluation of a certain health condition. In this perspective, Ruaro (2014) developed a Core Set of ICF to evaluate the physical health of the older persons and this study aims to assess its construct validity in evaluating the physical health of the community-dwelling older adults. Methods: This is a cross-sectional study in which community-dwelling older adults were evaluated in relation to socio-demographic data, comorbidities, self-reported health, depressive symptoms and the ICF Core Set for the physical health of the older persons, which is composed of 30 categories of ICF, being 14 related to body functions, 4 to body structures, 9 to activities and participation, and 3 to environmental factors. The relationship between the domains and the socioeconomic and health variables was performed by comparing means of the injury / problem indexes by the categories of the variables using Student's t test or ANOVA with Tukey post-hoc. Multiple linear regression was used to analyze the relationship between the ICF Core set and self-adjusted health adjusted for confounding factors (age, income sufficiency, and schooling). A p <0.05 and 95% CI were considered at all stages. Results: 101 older persons participated in the study. Those with 3 or more chronic diseases and with depressive symptoms had higher indexes of injury / problem in Body Function (p <0.001), Body Structures (p <0.001), and Activity and Participation (p <0.01) domains. The older persons who reported very good or good health had a lower index of injury / problem in the domains of ICF than those who reported reasonable health, which in turn had a lower index than those reporting health as poor or very poor. The relationship between a self-rated health and the Core set was maintained even after the adjustment for confounders, with older adults with higher injury / problems reporting their health as poor or very poor in Body Structures ( (p <0,001), Body Function (p <0,01) and Activity and Participation: capacity (p = 0,02) and Performance (p = 0,01). Conclusion: The results suggest that the ICF Core Set for assessing the physical health of the older persons is related to self-reported health, even after adjusting for confounding variables. It is considered a valid instrument and can be used in clinical practice and scientific research, since it allows to identify modifiable aspects, both contextual and clinical, that may be the target of interventions.

13
  • FÁBIA CHEYENNE GOMES DE MORAIS FERNANDES
  • INCIDENCE AND MORTALITY FOR MALIGNANT TIREOID NEOPLASM IN LATIN AMERICA

  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • DIEGO DE SOUSA DANTAS
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • JAVIER JEREZ ROIG
  • Data: 17-dic-2018


  • Resumen Espectáculo
  • Introduction: Thyroid neoplasm accounts for approximately 2% of all cancers in the world; although rare, is the most common endocrine neoplasm, presenting a rapid rise in incidence in the last decades. Objective: To analyze the trend and projections of incidence and mortality from thyroid cancer (C73) in Latin American countries. Methods: Ecological study of time series. For the countries of Latin America, incidence data were extracted from the International Agency for Research on Cancer (IARC) in the period 1990-2007; mortality data were obtained from the World Health Organization (WHO) for the period 1995-2013; for Brazil, mortality data were collected from the Mortality Information System (SIM) for the period 2001-2015. The incidence and mortality trends were analyzed by the Joinpoint regression, and Nordpred, in the R program, was used to calculate the mortality projections in Brazil. The mean annual percentage change (APC and AAPC) and the 95% confidence interval (95% CI) were calculated for incidence and mortality. Results: The mean incidence rate for thyroid cancer was higher in Quito (Ecuador), in the age group above 60 years; the rates were 30.8 and 10.3 deaths per 100,000 inhabitants for women and men, respectively. Increased incidence trends were detected for women and trend for stability were verified in Cali, Goiania and Quito for men, in the age group of 60 years. Mortality rates were higher among women; the majority of countries showed a trend towards stability for mortality. The trend of increase occurred in three countries for women: Ecuador (APC = 3.28 CI 95% 1.36, 5.24), Guatemala (CI = 6.14 CI 95% 2.81, 9.58) and Mexico (APC = 0.67, 95% CI 0.16, 1.18). In Brazil, ASW was recorded as 0.48 deaths / 100,000 inhabitants for women and 0.27 deaths / 100,000 inhabitants for men, with a tendency to decrease for women (APC = -1.6 95% -2.5; 0.6) and stability for males (APC = -0.5 CI95% -1.5; 0.5). Mortality rates for females in Brazil will decrease by 2030. For males, this same characteristic will be observed, but the Northeast and North Regions will show higher rates, and these numbers will be explained mainly by the variation in demographic structure Brazilian. Conclusions: Thyroid cancer presented a heterogeneous incidence among genders, with a marked increase for women in Cali (Colombia), Costa Rica, Goiania (Brazil) and Quito (Ecuador). The trend of stability in mortality has been verified for most Latin American countries and may be related to limited access to diagnosis and new therapies that have an impact on the most aggressive and highly lethal subtypes. In Brazil, mortality due to thyroid cancer presented a reduction, being more pronounced for females.

2017
Disertaciones
1
  • FRANCISCO ASSIS VIEIRA LIMA JUNIOR
  • ZikaVirus x Congenital anomalies: from presume daudienceto real data of the temporo-spatial distribution in the state of Rio Grande do Norte

  • Líder : SILVANA ALVES PEREIRA
  • MIEMBROS DE LA BANCA :
  • CARLA ISMIRNA SANTOS ALVES
  • DAMIAO ERNANE DE SOUZA
  • SILVANA ALVES PEREIRA
  • Data: 20-nov-2017


  • Resumen Espectáculo
  • INTRODUCTION: In the middle of 2015, Brazil experienced an increase in cases of notification of infection by Zika Virus and the increase in cases of Microcephaly and Guillain-Barré Syndrome, and later confirmed the association between these clinical entities. The northeast region was the most affected and environmental, economic and social factors can negatively influence this distribution. However, it is known that congenital anomalies have always occurred throughout Brazilian territory and it is believed that there is no difference in the spatial distribution pattern of anomalies before and after ZIKV. OBJECTIVE: to evaluate the temporal-spatial distribution of congenital and ZIKV anomalies reported cases in the mesoregions of Rio Grande do Norte. METHODOLOGY: This is an ecological, retrospective study, that evaluated the reported cases of congenital anomalies in Rio Grande do Norte before and after the ZIKV epidemy through a spatial analysis, whose data were grouped in SPSS 13.0 and analyzed in TERRAVIEW version 4.2 .2. RESULTS: The rate of congenital anomalies in pre-ZIKV period was 6.2 cases / 1,000 live births and in the post ZIKV period, it increased to 13.95 cases / 1,000 live births, a result of the increase in reported cases. It was visualized in the distribution cartography that the Agreste Potiguar mesoregion is the one with the highest number of reported cases of ZIKV, as well as the region with the highest number of cases of congenital anomalies in the period studied.CONCLUSION: The present study revealed that congenital anomalies were always present in the state and no other action was raised with such importance as in the Zika period. Strategies to minimize cases of congenital anomalies through family planning actions, maternal age control, vaccination programs, control of the sale of abortive drugs, combat to drugs addiction, alcohol and tobacco use can easily be developed and gain media acceptance, which is not always perceived

2
  • ROSA SA DE OLIVEIRA NETA
  • EVALUATION OF NUTRITIONAL STATUS, FUNCTIONALITY AND MUSCULAR FORCE IN ELDERLY WITH AND NO PAIN IN THE KNEES OF THE OF SANTA CRUZ CITY / RN

  • Líder : MARCELO CARDOSO DE SOUZA
  • MIEMBROS DE LA BANCA :
  • LARISSA PRACA DE OLIVEIRA
  • MARCELO CARDOSO DE SOUZA
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 01-dic-2017


  • Resumen Espectáculo
  • Introduction: Brazil undergoes profound changes in its age structure, the proportion of individuals over 60 years has been increasing rapidly. In Santa Cruz / RN, approximately, 11.7% of the population is in this age group. However, although the elderly exhibit longer life expectancy, they are more likely to be exposed to chronic diseases, such as osteoarticular diseases. This accelerated population aging requires preparation for the social and economic consequences that arise from it and entails new social challenges and global public health in the population. Objective: To evaluate the nutritional status, functionality and muscular strength of elderly women with and without knee pain. METHODS: This is a cross-sectional study carried out with elderly women with or without pain in the knees, residents of the city of Santa Cruz / RN, attending the physical therapy clinic of the Faculty of Health Sciences of Trairi (FACISA-UFRN) . Data were collected through the application of a standardized questionnaire containing identification information, health aspects, anthropometric data and body composition (Body Mass Index, bioimpedance, folds and body circumferences). In addition, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire, which evaluates the functionality (6-minute walking test - TC6M - and Timed Up and Go -TUG) and muscular strength Palmar gripping (FPP). Statistical Package for the Social Sciences (SPSS) software version 20.0 was used to analyze the data. Results: A total of 100 elderly women, 49% with knee pain (symptomatic) and 51% asymptomatic, with a mean age of 67 (± 9.0) and 67 (± 8.0) years, p = 0.527, respectively. The mean BMI was 30.7 (± 4.37) kg / m² in the symptomatic elderly and, as in the control group, 29.3 (± 4.64) kg / m² p = 0.125, indicating excess weight. The nutritional variables that presented significant differences between the groups (p <0.05) were the waist circumference (PC) and the arm (CP) and the Waist Hip Ratio (WHR), being the highest values obtained by the group with pain in the Knees Regarding the functional variables, all showed significant differences between the groups (p <0.05), the worst results being obtained by the symptomatic group. The correlation between the variables related to the nutritional status of the symptomatic elderly and those related to the functionality was performed. The correlation between WOMAC and BMI, PC and WHR were not significant, weak and positive. When correlating the nutritional variables with the 6MWT, it is verified that between 6MWT and PC, Neck Perimeter and WHR were weak and negative. The correlation between 6MWT and BMI, lean mass and body fat% were not significant, weak and positive. The correlations between TUG and BMI, PC and WHR were not significant, weak and positive. The correlation between lean mass and right hand strength (r = 0.070, p = 0.627), and lean mass and left hand strength (r = 0.070; p = 0.627) were shown to be weak, positive, and non-significant. Conclusion: The elderly women with knee pain presented overweight and functional deficits when compared to the control group. It was found that the symptomatic elderly had a higher WOMAC score, indicating worse functionality and higher indicators of overweight (BMI, PC and WHR); the same was true in the TUG test, which indicates falls, since the longer the time to perform , The values of these nutritional variables were higher. It was also observed that the lower the waist, neck and waist-hip ratio, the greater the distance walked by the elderly in the walking test (6MWT). On the other hand, the elderly women with higher percentages of high lean mass had greater muscle strength.

3
  • ISABELLE FERREIRA DA SILVA SOUZA
  • ASSESSMENT OF ENERGY CONSUMPTION AND NUTRIENTS OF ELDERLY AND PAINFUL KNOWLEDGE IN THE COMMUNITY

  • Líder : MARCELO CARDOSO DE SOUZA
  • MIEMBROS DE LA BANCA :
  • LARISSA PRACA DE OLIVEIRA
  • MARCELO CARDOSO DE SOUZA
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 01-dic-2017


  • Resumen Espectáculo
  • Introduction: The increase in life expectancy has led to new public health challenges in the population, such as chronic diseases. Among the main chronic osteoarticular diseases, we can mention osteoarthritis (OA) of the knees, characterized mainly by pain in the knees, which limits the accomplishment of daily activities. In this context, the literature suggests that there is a positive correlation between knee OA development and obesity, in addition, overweight is one of the most significant modifiable factors in worsening symptoms. Thus, it is relevant to determine if elderly women with knee pain compared to the asymptomatic elderly, present differences in food consumption. Objective: To evaluate the habitual energy and nutrient intake of elderly women with and without pain in the knees, living in Santa Cruz/RN. Methodology: This is a cross-sectional study, with elderly (n=100) symptomatic and asymptomatic regarding knee pain. Food intake was determined by the 2-day mean of the 24-hour Reminder. The diets were analyzed in Dietbox®. The individual energy requirement was estimated using formulas and total calorie consumption was analyzed considering the range of 97 to 103% of energy expenditure. Macronutrient suitability was checked according to the Acceptable Macronutrient Distribution Ranges. The mean intake of fatty acids, cholesterol and fiber was analyzed according to the values proposed by the IV Brazilian Directive on Dyslipidemias. The micronutrient inadequacy was estimated by the Estimated Average Requirement method as the cutoff point and the water consumption was evaluated based on the recommendation of the Food Guide for the Brazilian Population. To analyze the data, the Statistical Package for the Social Sciences version 20.0 was used. For the comparison of the data distributions between the groups, Student's t-tests or the Mann-Whitney test were used according to normality, as evaluated by the Kolmogorov-Smirnov test. Results: The mean age was 67 (±8.0) years for the asymptomatic group and 67 (±9.0) years for the symptomatic group. As for the energy consumption, macronutrients, fatty acids, cholesterol, fiber and water, there were differences between the groups, which were not statistically significant. The energy intake was inadequate in 96.1% of the asymptomatic ones and in 93.9% of the symptomatic ones. There were also no statistically significant differences among the elderly women regarding the dietary intake of micronutrients, except for the usual consumption of zinc mineral (p value = 0.033), the symptomatic group had an average zinc intake lower than the asymptomatic group. In the groups, the greatest inadequacies (> 50%) were for vitamins A, D, E and folic acid and magnesium and calcium. The lowest inadequacies were for vitamin C and pyridoxine (values between 21.6% and 22.4%). Inadequate intake of vitamin D (100% of those evaluated) is highlighted. Conclusion: Among the groups, high prevalence of inadequacy for caloric intake, saturated fatty acid consumption, cholesterol, fiber, water intake, macros and micronutrients were observed. However, no statistically significant differences were observed in nutrient intake, except for the zinc mineral, since the symptomatic elderly had an average zinc intake lower than the asymptomatic group.

4
  • EMELYNNE GABRIELLY DE OLIVEIRA SANTOS
  • SPATIAL-TEMPORAL ANALYSIS OF SUICIDE MORTALITY IN RIO GRANDE DO NORTE IN THE PERIOD 2000 TO 2015
  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • WILTON RODRIGUES MEDEIROS
  • DIEGO BONFADA
  • Data: 04-dic-2017


  • Resumen Espectáculo
  • Suicide is one of the most pervasive types of violent deaths in the world, so demographic and epidemiological transitions have contributed to the overall increase in the burden of this disease. Despite the spread of suicide prevention programs in Brazil, the mortality situation in this country is worrisome, especially in some regions where there is an increase in the percentage of deaths. The objective of this study was to analyze the spatio-temporal distribution of suicide mortality in the State of Rio Grande do Norte (NR) between 2000 and 2015. This is a mixed ecological study that evaluated the deaths due to suicide registered in the RN, occurring in the period from January 1, 2000 to December 31, 2015. Death data were obtained from the Mortality Information System, and population information was obtained from the Brazilian Institute of Geography and Statistics. Spatial analysis was performed using crude rates, standardized rates and rates by Bayesian estimators. Univariate analysis was performed using the Moran Global and Local Index to evaluate the intensity and significance of spatial clusters using the Terraview 4.2 software. The spatial bivariate analysis was performed by crossing the sociodemographic variables with mortality rates standardized by suicide using GeoDa software 1.6.1. The Lost Potential Years of Life were also calculated throughout the historical series. Joinpoint regression with standardized rates (world population) was used to estimate the Annual Percentage Change (APC), the 95% confidence interval and the inflection points of the curve, in order to verify the mortality trend for suicide In the RN using the software Joinpoint 4.5.0. The classical statistical analysis was applied to evaluate the correlation between the variables of the study and for that was used the software SPSS 23.0. There were 2,266 deaths from suicide from 2000 to 2015, with the ratio between the sexes being 5: 1 in the last year. The spatial analysis showed poor spatial autocorrelation (I<0.3) for the Standardized Mortality Rates (PMT) for both sexes, with formation of spatial agglomerates in the Seridó Region, mainly for males. The bivariate analysis showed the formation of clusters in the Seridó Region with the HDI and Aging variables. Bayesian estimators showed a homogenization of mortality rates, especially in municipalities with small population groups. 6,3582.5 potential years of life were lost throughout the historical series. In addition, a trend of increased male mortality up to 2003 (APC= 15.3%, CI= 9.2-21.8) was observed, followed by a period of stability. For females, the tendency was for stability (APC= 0.4%, 95% CI= 0.9-1.7). The analysis of variance also pointed to the absence of statistically significant differences (p>0.05) between standardized rates and the size of municipalities and health regions for most of the study years. It is concluded that the mortality due to suicide in RN state is unequally distributed in the territory, being spatially associated to the areas with the best socioeconomic indicators. There is no significant trend of increase, however the differences between the regions and according to the size of the municipalities increased during the historical series.

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