Repositório FACIMED
Not a member yet
92 research outputs found
Sort by
Avaliação dos índices anêmicos e terapia de reposição em pacientes hemodialíticos do centro de diálise de Cacoal - RO
Get PDFA insuficiência renal crônica representa um grave problema de saúde pública, causando a
perda das funções renais de forma irreversível. A hemodiálise é uma terapia renal alternativa
que para muitos é uma esperança de vida, mesmo com todos os transtornos enfrentados por
este paciente em seu cotidiano. Portanto, esta pesquisa teve como objetivo avaliar os índices
anêmicos e a eficiência do tratamento nos pacientes portadores de Insuficiência Renal Crônica
(IRC) dializados, identificar os fatores agravantes dos quadros de anemia e analisar as
consequências da anemia crônica junto à qualidade de vida desses. Trata-se de uma pesquisa
de campo de caráter descritivo e quali-quantitativo. Participaram deste estudo 54 pacientes
que realizam hemodiálise no Centro de Diálise de Cacoal-RO. Constatou-se que 57,41% eram
do sexo masculino e 42,59% do sexo feminino. As idades variaram de 21 anos a 70 anos. A
maior parte dos pacientes (35,19%) realizou diálise de 1 a 2 anos. Os pacientes que realizaram
diálise entre 03 e 04 anos totalizam 25,93%. Dentre as causas da insuficiência renal as mais
comuns foram a Hipertensão e o Diabetes mellitus. Para verificar o índice anêmico foram
registrados os valores de hemoglobina (Hb) mensal de cada paciente durante o período do
estudo. Assim podemos identificar que 3,70% dos pacientes não conseguiram em nenhum dos
meses atingir o nível de hemoglobina desejável e que apenas 1,85% dos pacientes ficaram
durante os nove meses dentro do valor de referência. Houve predominância do uso de
eritropoetina associada Noripurum® (Sacarato de Hidroxido Férrico), farmacoterapia
utilizada em 51,85% dos pacientes. Observou-se ainda que apesar das oscilações nos níveis de
hemoglobina somente um pequeno percentil dos pacientes avaliados, ou seja 3,70% ficaram
sem atingir o nível alvo durante os nove meses, e que os quadros anêmicos apresentados por
tais pacientes interferem na qualidade de vida deforma moderada, pois os sintomas
apresentados pelos mesmos variam da anemia aos normalmente apresentados pela própria
complicação da doença e que mesmo com a normalização do quadro anêmico os pacientes
permanecem sentindo os sintomas indesejáveis, porém em menor intensidade sendo que a
utilização de eritropoetina é de extrema importância, caso necessário em associação com
suplementação de erro para manter os níveis desejáveis de hemoglobina de modo que os
sintomas não se intensifiquem e não ocorra complicações de outros sistemas, como por
exemplo, o sistema cardiovascular e o sistema nervoso nervoso pela hipóxia
Níveis séricos de sódio e potássio em pacientes com Málaria causada pelo Plasmodium vivax em uma unidade de referência para diagnóstico e tratamento da doença
Get PDFA malária continua sendo, uma das principais doenças infecciosas em todo o mundo. O Plasmodium
vivax é a principal espécie causadora de malária no Brasil. O objetivo do presente estudo foi investigar
os níveis séricos dos eletrólitos sódio e potássio em pacientes com infecção pelo Plasmodium vivax,
bem como sua relação com parâmetros clínicos e laboratoriais de potencial gravidade da doença.
Trata-se de um estudo epidemiológico descritivo, sendo avaliadas as concentrações séricas dos
eletrólitos sódio e potássio. Foram incluídos 153 pacientes de junho de 2010 a junho de 2016. Neste
estudo, a redução dos níveis da concentração média de sódio foi observada no grupo de pacientes que
apresentava febre no dia da consulta e temperatura axilar acima de 37.5 °C.No entanto, o mesmo não
foi observado em relação ao potássio. Dessa forma, podemos concluir que na malária vivax a
concentração sérica de sódio é menor nos pacientes que relatam ter tido febre no dia da consulta e
naqueles que apresentam temperatura axilar maior que 37.5 °C. Os níveis séricos de potássio não são
diferentes entre os pacientes que apresentaram febre. Sendo assim, o presente estudo ressalta a
necessidade do monitoramento dos níveis de sódio nos pacientes com malária aguda causada pelo
Plasmodium vivax
Correlação entre equilíbrio e cognição em idosos institucionalizados
Get PDFEntre as consequências do envelhecimento podemos observar o declínio cognitivo e o déficit de
equilíbrio, que podem levar a perda da autonomia, deixando o idoso mais fragilizado e propenso a
quedas, especialmente aqueles que se encontram institucionalizados. Dessa forma, identificar a relação
entre envelhecimento, nível de equilíbrio, nível de cognição, é um fator importante para que
estratégias de atendimento possam ser desenvolvidas. Essa pesquisa teve como objetivo verificar a
existência de correlação entre equilíbrio e cognição em idosos institucionalizados nos municípios de
Cacoal/RO e Espigão do Oeste/RO. O projeto foi submetido ao CEP e aprovado de acordo com o
protocolo de número CAAE: 67713717.1.0000.5298, sendo um estudo transversal descritivo
qualitativo e quantitativo, realizado nas instituições asilares São Camilo de Lélis e São Vicente de
Paula, com 16 idosos. Os instrumentos utilizados foram a Escala de Equilíbrio de Berg (EEB), o Mini
Exame do Estado Mental (MEEM), e um questionário sociodemográfico. Observou-se através da EEB
que 81% dos idosos apresentaram pontuação preditiva para risco de quedas, e de acordo com o
MEEM, que todos os idosos possuíam algum nível de comprometimento cognitivo. Constataram-se
também que o gênero feminino apresentou menor média de pontuação em ambas as escalas. A
pesquisa apresentou nível de significância de p<0,05% e a correlação entre os resultados obtidos na
EEB e no MEEM foi de 0,042, o que indica uma correlação baixa entre equilíbrio e cognição
encontrada na presente amostra
Leprosy: evaluation of social participation in the post-discharge condition in the hyperendemic region of Amazonia, Brazil
Get PDFLeprosy is a chronic neglected condition with specificity for
the involvement of nerves and skin, with a high potential for
generating physical, psychosocial and emotional disabilities.
The objective was to characterize the social participation of
patients affected by leprosy according to sociodemographic
factors, in the municipality of Cacoal from 2001 to 2012. This
is a descriptive cross-sectional study analyzed from the SINAN
leprosy database referring to reported cases From 2001 to 2012,
using a scale that measures the degree of social participation in
people affected by leprosy, disabilities or other stigmatizing
conditions. The female gender predominated frequently
(58.16%) of these (29.8%) had some restriction on social par-
ticipation, followed by the age group from 40 to 59 years old,
(53.61%), non-literate individuals (12, 36%) in relation to the
current working context of the individuals, the inactive ones
resulted in (47.67%) that presented some degree of restriction
of social participation were (27.1%). Regarding the operational
classification of people affected in the city, (46.67%) were
classified as Paucibacilar (PB) and (53.33%) as Multibacillary
(MB), and the clinical form, Dimorfa represented (42.38%),
Sample. Data inconsistency was detected at the SINAN bank.
The restriction to social participation was verified in all clinical
forms of the disease, especially in the more serious ones with
late diagnosis, but it was not possible to measure the extent to
which leprosy and its factors have an impact on people's lives.
From the perspective of integrality, it reinforces the need for an
expanded approach to the disease, in addition to biological
aspects
Epidemiological profile of American Tegumentary Leishmaniasis in Cacoal-RO from year 2007 to 2015
Get PDFThe American Cutaneous Leishmaniasis (ACL) is an infectious parasitic disease, non
contagious, caused by a protozoaofthe genus Leishmania. This zoonosis is transmitted to
humans by the bite of sand flies mosquitoes, and it can present different clinical forms. The
objective of this study is to describe the socio demographic profile of the patients, the clinica lforms and types of treatment used from 2007 to 2015 in the city of Cacoal - RO. The study
included all cases of ACL registered in the National System of Notifiable Diseases in a crosssectional study. 448 cases of ACL were reported, and 2007, 2008, 2013 and 2014 had higher
incidences. The cutaneous form was the most frequent, with 382 cases, followed by mucosal
form, with 66 cases. There was a predominance of males, with 89.29% of the cases. The most
widely used drug for the treatment was meglumine antimoniate (95.09%). 57.14% of the
patients were from urban areas, and 42.63% were from the country side. 93.53% of the cases
were cured, and the dropout rate was 2.68%. 97.32% were confirmed through laboratory tests,
wherein 91.96% ofthepatientswith positive parasitologicalexam, resulting in 87.72% positive.
By analyzing the epidemiological profile of the city of Cacoal, RO it was noted the relevance of
the study to guide the measures and policies to be implemented in the city, optimizing the
planning of health services
Clinical and laboratory profile of patients with Dengue virus treated in a service of urgency and emergency in Cacoal city - RO
Get PDFThe dengue is manifested in the acute and systemic manner, ranking three distinct forms:
classical dengue, dengue hemorrhagic fever and dengue shock syndrome or dengue with
complications. The severe dengue is defined as a form of evolution that presents a critical
phase in higher intensity your with important plasma extravasation taking the shock and/or
respiratory failure. Viral isolation and Gold Standard Diagnostics paragraph, but are the
serological testes most used in medical practice. This work evaluates the clinical and
laboratory profile of patients admitted to the Hospital Emergency Department of the City of
Cacoal-RO (HEURO) infected hair dengue virus in period one year being que such
parameters were submitted to Statisticians testicles according to the interest search, described
more detail nsa methods. It is hum descriptive epidemiological cross-sectional study. It found
a leukopenia and lymphopenia occurred associated with neutropenia in patients included in
this study. Were analyzed as clinical features and laboratory of patients included in according
study with your platelet count at admission when compared patients in two groups, one with
platelet count <100.000(thousand/mm³) and DQRWKHU WKRXVDQG PPñ). Patients with
platelet count <100.000/ mm³ had less rhythm symptoms no admission and lower neutrophil
count and Total leukocytes. And it was Found a lower ratio neutrophil / lymphocyte in
pacientes que presented less than 100.000platelets thousand/mm³
Clinical epidemiological profile of snake bite occurred in Cacoal county Rondônia, Brazil, 2011 and 2015
Get PDFThe main objective of this study is to describe the clinical and epidemiological profile of
snakebite poisoning occurred in Cacoal, state of Rondonia, Brazil. Data were obtained from
the National Surveillance Disease System (SINAN) of the Brazilian Ministry of Health, in
which were found 72 notified cases of snake bites between 2011-2015. Most accidents was
caused by snakes of Both rops and Lachesis genera, accounting for 75.0% and 6.9%,
respectively. The snakebite incidence was higher in men, aged between 41 and 60 years old.
The most affected site of the bite was the feet and the most prevalent clinical manifestations
were local pain, swelling, bruise and vagal symptoms. All patients were treated with specific
anti venom serum, except those whose bite was provoked by unknown snakes, which received
the snake polyvalent anti venom. Local and/or systemic complications were not registered and
all patients were considered cured. In the analyzed documentation, there was no information
on the patient outcome. Therefore, the patients with snakebites from the Cacoal County have
the same clinical and epidemiological profile described in many localities of the Brazilian
Amazon. However, it is necessary to make the health team aware for the correct completion
of the reporting forms, as well as starting the patient’s follow-up, in order to register their
clinical outcom
Hanseníase: avaliação da limitação da atividade funcional, participação social e fatores associados, na condição de pós alta em região hiperendêmica na Amazônia, Brasil
Get PDFDissertação de Mestrado apresentada ao Instituto de Assistência Médica ao Servidor Público Estadual de São Paulo para obtenção do Título de Mestre em Ciências da Saúde pelo Programa de Pós Graduação em Ciências da Saúde. Orientador: Prof. Dr. Mario Cezar Pires. Coorientadora: Prof.ª Dr.ª Jaqueline Caracas Barbosa.Introduction Leprosy is associated with potentially physical, psychological and
social damage of different nature due to the contexts of vulnerability of those
affected, the dermatologic involvement and associated stigma. These aspects are
fundamental to the health services approach, once that high burden of this chronic
condition, which requires a specific care plan and longitudinal attention, in the
perspective of comprehensiveness. However, there are few studies aboarding these
aspects, including in hyper endemic areas. Objective: To characterize the limitation
of activity and restriction of participation in people affected by leprosy after the end of
multidrug therapy (MDT) in a hyper-endemic of Rondonia State (RO), from 2001 to
2012. Methodology: A descriptive cross-sectional study of integral based on
IntegraHans North-Northeast, a project from UFC (Federal University of Ceará) and
CNPq (National Comittee to Research). From initial survey through Notification and
Information System of the Disease were listed all reported cases of leprosy from
2001 to 2012, residents in Cacoal city, RO. The evaluation of the cases was carried
out in primary care units. SALSA scale were applied (Screening of Activity Limitation
and Safety Awareness), which measures the limitation of daily activity, besides the
scale of participation, which aims to measure restrictions on the participation of
people affected by leprosy, disability or other stigmatizing conditions. Both scales
were based on the International Classification of Functioning, Disability and Health -
ICF. Data analysis was performed using SPSS 20.0 software and Stata / SE 13.1
with description and correlation analysis using Spearman's test. The projects
approved by the Local Ethic Committee and Research Department of Community
Health, from UFC (544,962 Protocol). Results and Conclusions: By applying the
SALSA scale it was found that, from 294 people evaluated, 179 (60.9%) people have
some degree of activity limitation, ranging from 107 (36.4%) with mild limitation, 37
(12, 6%) with moderate limitation, 21 (7.1%) with great limitation and 14 (4.8%) and
with extreme limitation. From 291 people addressed using the scale of participation,
79 (27.5%) had some degree of restriction, and 38 (13.1%) had mild restriction, 19
(6.5%) moderate restriction, 14 (4, 8%) major constraint and 9 (3.1%) extreme
restriction. The Spearman test between SALSA and Participation scale shows that
there were a directly correlation statistically significant (r = 0.6435 and p <0.000)
between the scores. Conclusion: Leprosy brings significant impact to people affected
by the disease, including after treatment with MDT, in terms of activity limitation and
restriction of social participation. These findings reinforce the importance for
strengthening the network of primary attention to leprosy in a multidisciplinary
perspective and centered care longitudinally and integrity in the care of these people
and their families. The scales are applicable to the realities of Health Services and
can contribute substantially to the face of leprosy in the country and endemic areas
Study clinical-epidemic of patients with the Turner Syndrome users' to SUS in the state of Mato Grosso
Get PDFIn the feminine population with short stature with the Turner Syndrome it is a
differential obligatory diagnosis this study aims at knowing its clinical epidemic
characteristics to help in the planning of the actions of health care in this population.
The prevalence in the State of Mato Grosso is unknown and the 17 cases reported were
more than expected for a well-known frequency of 1:2000 to 1:5000. A descriptive
study of series of patients' cases was accomplished with the Turner Syndrome in using
the Growth Hormone with cariotip confirmation filled in the SUS until July 2004. Most
of them were from Cuiabá and Várzea Grande, 64,71% were born to term, 23,52% were
low weight at birth, 70,59% (n=12/17) presented short stature at the diagnosis and had
normal weight (92,31%); 94,12% (n=16/17) was diagnosed over age 6 and the
beginning of the treatment was late (7,08 and 15,50 years of age). The family was
responsible for 82.35% of the diagnosis suspicion and the confirmation was made
mainly by the Pediatrician and the Endocrinologist. In 82.35% of the patients
dysmorphical terations reported as the most frequent was the short stature (82.35%)
which was the main reason for looking for a doctor. The most frequent type of
karyotype presentation was 45X (n=7/17, 41.18%), but most of them mosaicism
(n=10/17, 58.82%), with low frequency of solicitation of markers of chromosome Y,
35.29% (n=6/17). The main reactions of the family when they knew about the disease
weres adness, a feeling of impotence and concern about the stature. When asked about
the use of the Growth Hormone, they reported that it was due to short stature or the
Turner Syndrome. 58.82 % reported mild to great difficulties in the access to SUS to get
medicine for the treatment due to bureaucratic problems. The annual expenses with the
Growth Hormone, in these patients correspond approximately to 16% of the total
expense of the State
Quality of life of patients with chronic renal insufficiency submitted to hemodialysis in Cacoal-RO
Get PDFEnd stage kidney failure is a major public health problem, with high morbidity and
mortality rates and a negative impact on quality of life. Health-related quality of life
(HRQoL) is defined as the person's perception of their health by subjective assessment
of symptoms, satisfaction, and adherence to treatment. End stage kidney failure heavily
reduces physical and occupational functioning and perception of one's health and has a
negative impact on energy and vitality levels, which can reduce or limit social
interactions and cause problems related to the individual's mental health. A descriptive
and cross-sectional study aimed at evaluating the quality of life of patients with chronic
renal failure (CKD) submitted to hemodialysis in Cacoal-RO, using SF-36, an
instrument that evaluates social and demographic characteristics of patients and quality
of life. Covering the following domains - social aspects, functional capacity, emotional
aspects, pain, general health, limitation by physical aspects, mental health and vitality.
Fifty - one patients with a diagnosis of chronic renal insufficiency attended at the
Cacoal - RO Dialysis Center were enrolled from January 14, 2016 to July 19, 2016.
The quality of life observed in such dimensions was similar in medical literature. .The
group of patients who reported evangelical religion had better scores on the social
aspects variables , Functional capacity, emotional aspects, pain, general state of health,
limitation by physical aspects, mental health, vitality when compared with those of
related Catholic religion. Patients residing in Cacoal had better scores in the general
health and social aspects domains, with no differences in the other domains. Patients
with hemodialysis time of less than 36 months had better scores in the Vitality domain.
There was no difference in genotype domains. Religion plays an expressive role in the
social life of the individual, affecting the scores in the domains studied in this research.
Additionally, the time of hemodialysis and the performance of the procedure in the
same municipality of residence were factors related to better performance in some
domains. The religiosity, accomplishment of hemodialysis in the municipality of
housing and time of hemodialysis had an influence on the quality of life in the sample
studied