Programa de Pós-Graduação em Assistência Farmacêutica - PPGAF/ICS
URI Permanente desta comunidadehttps://repositorio.ufpa.br/handle/2011/15126
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Navegando Programa de Pós-Graduação em Assistência Farmacêutica - PPGAF/ICS por Autor "ALBÉRIO, Carlos Augusto Abreu"
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Item Acesso aberto (Open Access) Aplicativo web para manejo de queixas clínicas relacionadas ao tratamento da tuberculose multidrogarresistente(Universidade Federal do Pará, 2023-08-16) SOUZA, Raquel Ribeiro de; ALBÉRIO, Carlos Augusto Abreu; http://lattes.cnpq.br/2335187399740995; https://orcid.org/0000-0002-9364-3990INTRODUCTION: Tuberculosis (TB) is an infectious disease that remains a serious global public health problem, and lack of adherence to treatment contributes to the development of resistant strains. OBJECTIVE: To build a web application as a technology to assist in the management of adverse reactions related to the treatment of MDR TB in patients treated at the João de Barros Barreto University Hospital (HUJBB). METHODOLOGY: This is a cross sectional, observational, descriptive study on patients diagnosed with multidrug-resistant TB (MDR TB) in the intensive phase of treatment. In addition, methodological research into technological development was carried out, which consists of building a product that can be implemented in the care of patients with MDR TB. The web application was validated by health professionals who work at the MDR TB Outpatient Clinic and the HUJBB Outpatient Pharmacy using the form with responses on the Likert scale. RESULTS: In this study, 17 patients were evaluated, with a predominance of females (52.94%), between 50 and 59 years old (29.41%). Furthermore, regarding the lifestyle habits of the researched population, it was found that 7 claimed to be alcohol drinkers (33.33%), 5 smokers (23.81%) and 3 illicit drug users (14.29%). The most predominant clinical complaints were arthralgia, nausea, vomiting and anxiety. Regarding comorbidities, 60% reported having diabetic mellitus (DM), while the other items, such as systemic arterial hypertension (SAH), asthma, osteoporosis and neuropathy presented equal distribution with 10% each. Regarding laboratory tests, the hematimetric parameters of 47.06% of the patients presented anemia, while the biochemical parameters were observed values above the reference for: fasting glycemia, creatinine, TGO, TGP, alkaline phosphatase, GAMMA GT, amylase, lipase and in total bilirubin and fractions. Based on this information, a web application was built and, subsequently, the application was validated using a Likert scale with health professionals. Thus, a Global Content Validation Index (Global CVI) of 0.93 was obtained. To be considered valid, the Global CVI must present a value equal to or greater than 0.78. CONCLUSION: The application proved to be valid for use as a tool for managing complaints related to the treatment of MDR TB.Item Acesso aberto (Open Access) Desenvolvimento de uma ficha de admissão para pacientes hospitalizados com COVID-19 em um hospital no estado do Pará(Universidade Federal do Pará, 2022-11-18) CASTRO, Eline Fernandes Ribeiro de; RIBEIRO, Carolina Heitmann Mares Azevedo; http://lattes.cnpq.br/3848996822163999; https://orcid.org/0000-0002-9457-2733; ALBÉRIO, Carlos Augusto Abreu; http://lattes.cnpq.br/2335187399740995; https://orcid.org/0000-0002-9364-3990Objective: Develop an admission form for patients hospitalized for COVID-19 in a private hospital in the state of Pará. The application of the admission form aims at a more assertive clinical decision-making and the reduction of negative outcomes. Methodology: This is a retrospective, cross-sectional and quantitative study, carried out by collecting data from adult patients hospitalized with a diagnosis of COVID-19 from March to June 2020 at the hospital under study. Data collection was divided between patient-related information such as personal data and clinical data such as signs/symptoms on admission, comorbidities and length of stay. Records of vital signs and results of laboratory tests and imaging were also collected. The data obtained were tabulated in Microsoft Excel and statistical analysis Odds ratio and Chi-square with a significance level of 5%. Results: A total of 212 hospitalized patients were evaluated, predominantly male and aged between 60 and 80 years. The presence of comorbidities was identified in 70.8% (n 150) of the patients and, in this case, the occurrence of negative outcomes was higher. After the univariate analysis, the variables that proved to be significant in relation to the negative outcomes were: male gender, age group ≥80 years, presence of some comorbidity, palliative care, hospitalization time >20 days. Conclusion: These results create the possibility of conducting prospective studies to improve care tools for patients with COVID-19, including the development of predictive scales for severe illness. Key Words: COVID-19; SARS-Cov-2; Comorbidities; Hospitalization.