Dissertation/Thèse

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

  • Leader : NUBIA MARIA FREIRE VIEIRA LIMA
  • MEMBRES DE LA BANQUE :
  • ANA KALLINY DE SOUSA SEVERO
  • APARECIDA MARI IGUTI
  • DIMITRI TAURINO GUEDES
  • Eliany Nazaré Oliveira
  • NUBIA MARIA FREIRE VIEIRA LIMA
  • Data: 13 févr. 2019


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  • 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


  • Leader : KLAYTON GALANTE SOUSA
  • MEMBRES DE LA BANQUE :
  • ANA KALLINY DE SOUSA SEVERO
  • ANDREA BARALDI CUNHA
  • KLAYTON GALANTE SOUSA
  • MERCES DE FATIMA DOS SANTOS SILVA
  • Data: 27 févr. 2019


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  • 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

  • Leader : CECILIA NOGUEIRA VALENCA
  • MEMBRES DE LA BANQUE :
  • APARECIDA MARI IGUTI
  • CECILIA NOGUEIRA VALENCA
  • DIMITRI TAURINO GUEDES
  • Data: 27 févr. 2019


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  • 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

  • Leader : JANE CARLA DE SOUZA
  • MEMBRES DE LA BANQUE :
  • ANA KALLINY DE SOUSA SEVERO
  • JANE CARLA DE SOUZA
  • LUISA DE MARILAC DE CASTRO SILVA
  • PAULA ROCHA DE MELO
  • Data: 27 févr. 2019


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  • 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

  • Leader : LUCAS PEREIRA DE MELO
  • MEMBRES DE LA BANQUE :
  • LUCAS PEREIRA DE MELO
  • FLAVIO FERNANDES FONTES
  • MÓNICA LOURDES FRANCH GUTIÉRREZ
  • Data: 26 avr. 2019


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  • 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

  • Leader : ANA LUIZA DE OLIVEIRA E OLIVEIRA
  • MEMBRES DE LA BANQUE :
  • ANA LUIZA DE OLIVEIRA E OLIVEIRA
  • CRISTIANE SPADACIO
  • LUCAS PEREIRA DE MELO
  • Data: 5 juin 2019


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  • 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

  • Leader : DIEGO DE SOUSA DANTAS
  • MEMBRES DE LA BANQUE :
  • DIEGO DE SOUSA DANTAS
  • INGRID GUERRA AZEVEDO
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 27 juin 2019


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  • 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

  • Leader : ANNA CECILIA QUEIROZ DE MEDEIROS
  • MEMBRES DE LA BANQUE :
  • ANNA CECILIA QUEIROZ DE MEDEIROS
  • MARIA IRANY KNACKFUSS
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 15 juil. 2019


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  • 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

  • Leader : SAIONARA MARIA AIRES DA CAMARA
  • MEMBRES DE LA BANQUE :
  • CECILIA NOGUEIRA VALENCA
  • MARLOS RODRIGUES DOMINGUES
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 29 juil. 2019


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  • 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


  • Leader : ANNA CECILIA QUEIROZ DE MEDEIROS
  • MEMBRES DE LA BANQUE :
  • PRISCILIA GIACOMO FASSINI
  • ANNA CECILIA QUEIROZ DE MEDEIROS
  • JANE CARLA DE SOUZA
  • Data: 31 juil. 2019


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  • 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.  

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

  • Leader : LUCAS PEREIRA DE MELO
  • MEMBRES DE LA BANQUE :
  • LUCAS PEREIRA DE MELO
  • MERCES DE FATIMA DOS SANTOS SILVA
  • TIAGO ROCHA PINTO
  • LUZIANA MARQUES DA FONSECA SILVA
  • MÓNICA LOURDES FRANCH GUTIÉRREZ
  • Data: 19 févr. 2018


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  • 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
  • Leader : NUBIA MARIA FREIRE VIEIRA LIMA
  • MEMBRES DE LA BANQUE :
  • 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 févr. 2018


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  • 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
  • Leader : CECILIA NOGUEIRA VALENCA
  • MEMBRES DE LA BANQUE :
  • CECILIA NOGUEIRA VALENCA
  • CRISTYANNE SAMARA MIRANDA DE HOLANDA DA NÓBREGA
  • RAFAELA CAROLINI DE OLIVEIRA TAVORA
  • Data: 26 févr. 2018


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  • 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

  • Leader : EGMAR LONGO HULL
  • MEMBRES DE LA BANQUE :
  • EGMAR LONGO HULL
  • KLAYTON GALANTE SOUSA
  • SILVANA ALVES PEREIRA
  • VERÓNICA SCHIARITI
  • Data: 26 févr. 2018


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  • 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 ASSUNÇÃO CORTEZ CORRÊA
  • URINARY INCONTINENCE IS ASSOCIATED WITH PHYSICAL PERFORMANCE DECLINE IN COMMUNITY-DWELLING OLDER WOMEN – RESULTS FROM THE INTERNATIONAL MOBILITY IN AGING STUDY (IMIAS)

  • Leader : SAIONARA MARIA AIRES DA CAMARA
  • MEMBRES DE LA BANQUE :
  • ALINE DO NASCIMENTO FALCAO FREIRE MONTE
  • DIEGO DE SOUSA DANTAS
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 26 févr. 2018


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

  • Leader : SAIONARA MARIA AIRES DA CAMARA
  • MEMBRES DE LA BANQUE :
  • ALINE DO NASCIMENTO FALCAO FREIRE MONTE
  • DIEGO DE SOUSA DANTAS
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 26 févr. 2018


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  • 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.

7
  • 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

  • Leader : JANE CARLA DE SOUZA
  • MEMBRES DE LA BANQUE :
  • ALINE SILVA BELISIO
  • JANE CARLA DE SOUZA
  • RAFAELA CAROLINI DE OLIVEIRA TAVORA
  • Data: 28 févr. 2018


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  • 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.

     

8
  • JANAINA GOMES DE PAIVA AMORIM
  • INTRA-ORAL FINDINGS IN CHILDREN WITH MICROCEPHALY DUE TO INFECTION BY ZIKA VIRUS: OBSERVATIONAL CROSS-SECTIONAL STUDY

  • Leader : KLAYTON GALANTE SOUSA
  • MEMBRES DE LA BANQUE :
  • DENISE HELEN IMACULADA PEREIRA DE OLIVEIRA
  • ISABELITA DUARTE AZEVEDO
  • KLAYTON GALANTE SOUSA
  • Data: 29 mai 2018


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  • 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

9
  • THAÍS LORENA BARBOSA DE FRANÇA
  • Growth and development of children with microcephaly associated with congenital Zika virus in Brazil

  • Leader : KLAYTON GALANTE SOUSA
  • MEMBRES DE LA BANQUE :
  • KLAYTON GALANTE SOUSA
  • EGMAR LONGO HULL
  • WILTON RODRIGUES MEDEIROS
  • ANDREA BARALDI CUNHA
  • Data: 18 juin 2018


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  • 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.

10
  • JOSÉ LENARTTE DA SILVA
  • THE FAMILY'S PERCEPTION OF PREGNANCY

  • Leader : RAFAELA CAROLINI DE OLIVEIRA TAVORA
  • MEMBRES DE LA BANQUE :
  • CECILIA NOGUEIRA VALENCA
  • HERLA MARIA FURTADO JORGE
  • RAFAELA CAROLINI DE OLIVEIRA TAVORA
  • Data: 6 juil. 2018


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  • 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.

11
  • 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

  • Leader : MARCELO CARDOSO DE SOUZA
  • MEMBRES DE LA BANQUE :
  • DIMITRI TAURINO GUEDES
  • GYMENNA MARIA TENÓRIO GUÊNES
  • MARCELO CARDOSO DE SOUZA
  • Data: 2 août 2018


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  • 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

12
  • 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).

  • Leader : MARCELO CARDOSO DE SOUZA
  • MEMBRES DE LA BANQUE :
  • MARCELLO BARBOSA OTONI GONCALVES GUEDES
  • MARCELO CARDOSO DE SOUZA
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 6 déc. 2018


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  • 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

13
  • 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

  • Leader : SAIONARA MARIA AIRES DA CAMARA
  • MEMBRES DE LA BANQUE :
  • DIEGO DE SOUSA DANTAS
  • JOAO AFONSO RUARO
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 11 déc. 2018


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  • 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.

14
  • FABIA CHEYENNE GOMES DE MORAIS FERNANDES
  • INCIDENCE AND MORTALITY FOR MALIGNANT TIREOID NEOPLASM IN LATIN AMERICA

  • Leader : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MEMBRES DE LA BANQUE :
  • DIEGO DE SOUSA DANTAS
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • JAVIER JEREZ ROIG
  • Data: 17 déc. 2018


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  • 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
Thèses
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

  • Leader : SILVANA ALVES PEREIRA
  • MEMBRES DE LA BANQUE :
  • CARLA ISMIRNA SANTOS ALVES
  • DAMIAO ERNANE DE SOUZA
  • SILVANA ALVES PEREIRA
  • Data: 20 nov. 2017


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  • 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

  • Leader : MARCELO CARDOSO DE SOUZA
  • MEMBRES DE LA BANQUE :
  • LARISSA PRACA DE OLIVEIRA
  • MARCELO CARDOSO DE SOUZA
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 1 déc. 2017


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  • 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

  • Leader : MARCELO CARDOSO DE SOUZA
  • MEMBRES DE LA BANQUE :
  • LARISSA PRACA DE OLIVEIRA
  • MARCELO CARDOSO DE SOUZA
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 1 déc. 2017


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  • 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
  • Leader : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MEMBRES DE LA BANQUE :
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • WILTON RODRIGUES MEDEIROS
  • DIEGO BONFADA
  • Data: 4 déc. 2017


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  • 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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