Navegando por Assunto "COVID-19"

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Associação entre saúde mental e hábitos alimentares em indivíduos com Diabetes Tipo 1 durante o distanciamento social pela pandemia de COVID-19 no Brasil
(Universidade Federal do Pará, 2021-07-02) AINETT, Waléria do Socorro de Oliveira; GOMES, Daniela Lopes; http://lattes.cnpq.br/0014255351015569
Social distancing was considered by the World Health Organization (WHO) as the strategy to combat the COVID-19 pandemic, in order to prevent the spread of the disease, but this strategy caused a series of changes in people's social lives, including disabled persons. Type 1 Diabetes Mellitus (T1DM). Changes in mental health are often associated with diabetes, which can result in lower adherence to treatment and worse outcomes related to the management of the disease. Considering that the context experienced during social distancing can affect the mental health and eating habits of individuals with T1DM, the present study aimed to evaluate the association between mental health and eating habits of individuals with T1DM during social distancing by COVID-19 in Brazil. This was a cross-sectional study carried out in July 2020 using an online form. Sociodemographic and economic data, mental health perception through the adapted DSM-5 Level 1 Symptoms Scale - adult - were used, in addition to data on eating habits, through the consumption pattern of fruits, vegetables, sweets, ultra-processed foods, cooking habits, number of daily meals, change in food and water use. The results showed that participants who perceived moderate and severe symptoms of depression and anxiety had a positive association with increased food consumption in general, especially sweets and ultra-processed foods, such as snacks (snacks and cookies), as well as having a positive association with reduced fruit consumption and reduced cooking habits. Individuals with lower perceptions of symptoms of depression and anxiety showed a negative association with bad eating habits. It was evidenced that situations of social distancing, such as the one caused by the COVID-19 pandemic, can affect the mental health of individuals with T1DM, in this way, greater perceptions of symptoms of depression and anxiety can cause changes in consumption and food choices, affecting self-care and adherence to nutritional therapy recommended for this population.
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Associação entre sintomas de desconforto psicológico em idosos brasileiros e fatores sócio demográficos durante a pandemia da COVID-19
(Universidade Federal do Pará, 2021-08-04) GRANHEN, Yana Wanzeller; PEDROSO, Janari da Silva; http://lattes.cnpq.br/4096274367867186; http://orcid.org/0000-0001-7602-834X; MAGALHÃES, Celina Maria Colino; http://lattes.cnpq.br/1695449937472051
The context of the global pandemic of COVID-19 emerged the vulnerability of the elderly public from the psychological consequences under the analysis of the Life Span perspective, which understands the developmental trajectory in a continuous, contextual, multidimensional, and multidirectional way concerning genetic-biological and sociocultural influences. The study aimed to investigate the association between socio-demographic factors and symptoms of psychological distress in the elderly during the pandemic context of COVID-19. The research has an exploratory nature and was carried out with a sample of 289 elderly Brazilians, aged over 60 years, recruited through the snowball technique, by virtual means (social networks and e-mail). The results obtained indicated a sample mostly female, with schooling ranging from 13 to 18 years old, Christian-Catholic religion, cohabiting with adult members, family income higher than 1,200 reais and occupation of the retirement type. The most frequent symptoms of psychological discomfort were restlessness, insomnia, muscle tension, and the urge to cry in males, family income between 900 and 1.200 reais, and house size smaller than 50 m²; on the other hand, there was no significant relation between religion, family structure, and the number of persons per family. We conclude that there was a significant association between socio-demographic and psychological factors, which indicates that the elderly focus on emotional type coping strategies, being anxiety symptoms the most prominent which suggests a perception about the loss of control about the future and physical vulnerability facing a stressful context.
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Avaliação da implementação dos planos de contingência para enfrentamento da COVID-19 em hospitais universitários brasileiros
(Universidade Federal do Pará, 2023-06-06) SOUSA, Michele Monteiro; ALMEIDA, Deybson Borba de; http://lattes.cnpq.br/3390707163827574; https://orcid.org/0000-0002-2311-6204; CUNHA, Carlos Leonardo Figueiredo; http://lattes.cnpq.br/9603271880856443; https://orcid.org/0000-0002-1891-4201
The aim of this study was to evaluate the implementation of contingency plans to cope with COVID-19 in Brazilian university hospitals. Comprehensive qualitative qualitative study with semi-structured interviews applied to managers and workers of 8 federal educational institutions who participated in the construction, implementation and evaluation of contingency plans to cope with COVID-19. The textual content of the interviews was submitted to the N-vivo software. Data analysis was performed using Bardin's content analysis, and as a theoretical basis Donabedian's theory evaluating the triad structure, process and result. The profile of the 17 participants of the research was mostly female (76%), 59% are nurses and 23% act as health care managers and 23% as superintendents within the EBSERH. In the structural dimension, the lack of inputs, such as PPE and medicines, directly interfered in the effectiveness of contingency plans. It evidenced the historical demands of health professionals regarding working conditions. The results found in the dimension, structure and result evidenced the weaknesses of some university hospitals to meet the potential demand generated by the COVID-19 pandemic. This study demonstrated the importance of planning, preparing and updating guiding documents for hospital institutions, such as the contingency plan, aimed at coping with a public health emergency, as well as the need for integration between management, care, teaching and research services.
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Brasil como epicentro da crise da Covid-19 na América Latina e as prováveis consequências em estratificações socioeconômicas mais vulneráveis: uma perspectiva de compreensão do papel do estado e da social democracia centrada em John Maynard Keynes
(Universidad del Zulia, 2020-12) CARVALHO, André Cutrim; CARVALHO, David Ferreira; SANTOS, Cleyson Silva dos
In 2020, the structure of capitalism and liberalism proclaimed by several coun tries, including Brazil, was badly shaken by a serious health crisis. The enemy this time is invisible: COVID-19, an infectious disease, caused by the new coro navirus, declared a pandemic by the World Health Organization (WHO). Be cause of the COVID-19 mortality rate in Brazil, the country has become the epi center of the Latin America crisis. The economy has begun to emanate typical signs of a recession with projections of a decline in the GDP of up to 6.25%. In terms of socioeconomic stratification, the pandemic has accentuated social inequality, revealing old anomalies regarding the poor distribution of income, generating a greater deepening of poverty, a significant increase in unemplo yment and, principally, a worsening of racial, cultural, age, ethnic and gender discrimination. With this prolegomena in mind, it is possible to arrive at the fundamental objective of the article: to understand the role of the State and of social democracy - inspired by the theory of John Maynard Keynes – in times of the novel coronavirus and of the liberalist, authoritarian, denialist manage – ment of the President, Jair Messias Bolsonaro. To achieve this objective, the article will make use of exploratory and qualitative research methodology. The main conclusion is that Brazil urgently needs to rescue the welfare state – defended by Keynes – within the framework of social democracy, under threat of entering a state of conflagration and suffering a major post-coronavirus econo- mic depression with negative consequences for more vulnerable socio-econo- mic stratifications.
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Caminhos de gênero nas feras de Bissau: resiliência e desafios de mulheres guineenses em contextos de vulnerabilidade diante dos impactos sociais e econômicos da COVID-19
(Universidade Federal do Pará, 2024-04-24) GOMES, Peti Mama; BELTRÃO, Jane Felipe; http://lattes.cnpq.br/6647582671406048; https://orcid.org/0000-0003-2113-043X
In Guinea Bissau, the feras - Crioulo word for “fairs” - play a significant role in the country's economic, social and cultural life. They are places of intense buying and selling of goods, encompassing issues of female emancipation, meeting and reunion points, historical narratives, experiences, and shared living. Therefore, they are configured as plural public spaces, and privileged contexts for ethnographic fieldwork, where a series of complex sociocultural relationships develop. This thesis aims to understand, through a female-centered and anthropological perspective, the socioeconomic dynamics of Guinean women, who sometimes are bideras (official fair female vendors), fassiduris di bida (women who make a living by selling), sumiaduris (women who own orchards), and bindiduris (female sellers in general) who played active roles - before, during and after the pandemics - in the three main local feras: Bande, Caracol, and Bairro Militar, all in Bissau city, capital of Guinea-Bissau. This study is the result of ethnographic research, whose methodological process combined online research and in-person fieldwork. For this, oral narratives from digital platforms were used, such as social networks, through messages and audios interchanged with di mindjeris di fera (the fair female vendors). During the research period, the main ethnographic strategies included informal conversations, transcriptions, and ethnographic data analysis. The last stages of research took place in Bissau, with a focus in the bideras and fassiduris di bida. In conclusion, the analysis focused on the problematization of gender relations and work, and how they were affected by the pandemics. The results indicate that my research interlocutors are responsible for a large part of the country's material and symbolic subsistence, which was evidenced and intensified with the emergence of the COVID-19 pandemics.
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Caracterização da adesão ao acompanhamento nutricional por adultos com Diabetes Mellitus Tipo 1 durante a pandemia de COVID-19 no Brasil
(Universidade Federal do Pará, 2024-02-23) TOMPSON, Amanda Cristina Cunha; GOMES, Daniela Lopes; http://lattes.cnpq.br/0014255351015569
Diabetes Mellitus (DM) is a chronic disease with complex treatment, therefore, it is believed that adherence to nutritional treatment has been impaired during the Covid-19 pandemic. Maintaining nutritional care online is a strategy to improve adherence to healthy eating, which improves glycemic control and prevents clinical complications of DM. The objective of this study was to characterize adherence to nutritional monitoring of adults living with DM1 during the COVID- 19 pandemic in Brazil. This is a descriptive and analytical cross-sectional study, carried out in July 2020. An online form was used to collect sociodemographic and economic data, characteristics of nutritional monitoring and eating habits, as well as social distancing of adults diagnosed with DM1 residents in Brazil. Pearson's Chi-Square test was applied, with adjusted residual analysis, considering a statistical significance level of p<0.05. Of the 472 participants, 86.02% were female, 62.50% lived in the capital or metropolitan region and 32.42% had a family income between 3 and 5 minimum wages. When evaluating nutritional monitoring, 62.08% did not undertake and maintained non-adherence to nutritional monitoring during the pandemic, 4.66% of participants maintained nutritional monitoring online and 2.12% maintained these consultations in person. Having better education (p=0.048) and income (p=0.009) was associated with maintaining online nutritional monitoring. A positive association was found between adequate consumption of fruits (p=0.001) and vegetables (p=0.049) and maintaining online or in-person and online nutritional monitoring. There was a positive association between starting face-to-face nutritional monitoring and consuming less food via delivery (p=0.024). Maintaining or starting to follow-up in person or online was associated with adhering to carbohydrate counting (p=0.047). Adhering to telenutrition consultations is an innovative and complementary alternative to DM healthcare.
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Continuidade do cuidado por enfermeiros a pacientes covid-19 após alta hospitalar na Amazônia paraense
(Universidade Federal do Pará, 2023-11-09) SOUZA, Larissa Aline Costa Coelho de; COSTA, Maria Fernanda Baeta Neves Alonso da; http://lattes.cnpq.br/1219951595746213; https://orcid.org/0000-0002-2763-8050; PARENTE, Andressa Tavares; http://lattes.cnpq.br/2584253687792237; https://orcid.org/0000-0001-9364-4574
Objective: to understand nurses' strategies for continuing care for patients recovered from Covid-19, post-discharge, in a reference university hospital in the Amazon of Pará. Method: qualitative descriptive study, part of a multicenter project, which investigated the reality of ten institutions in Brazilian territory. Interviews were carried out with nurses who worked in clinical sectors caring for patients with Covid-19 at the João de Barros Barreto University Hospital (HUJBB), in Belém (PA), from December 2021 to May 2022. The interviews were transcribed and submitted to content analysis by Bardin, with the support of the free software IRAMUTEQ. Results: 15 nurses were interviewed (12 women and three men), with an average experience of one year and nine months in the Covid-19 patient sector. Three analyzes were carried out with IRAMUTEQ: similarity; word cloud; and descending hierarchical classification (CHD). The words that appeared most strongly were: patient and care. From the CHD, two categories emerged that guided the discussion: the first category dealt with admission and care during hospitalization of patients with Covid-19 in the hospital environment, in which the following stood out: rapid or laboratory testing for positive Covid-19; oxygen therapy; control of vital signs; dressings; among other aspects; the second, addresses hospital discharge and the continuity of care for patients recovered from Covid-19, demonstrating that the discharge process is a medical decision, and, after this process, Nursing assumes care and guidance at home, directing patients subject preferably to the institution's outpatient clinic. Conclusion: it was possible to understand that the nurse identifies the need for transition of care and the clinical conditions that require post-discharge care, but there is still no structured transition care practice in the institution.
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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/0000-0002-9364-3990
Objective: 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.
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Fandantologia: autoetnografia migrante de uma percussionista de pés
(Universidade Federal do Pará, 2023-02-08) MARTÍNEZ, Alba Olinka Huerta; CAMARGO, Giselle Guilhon Antunes; http://lattes.cnpq.br/2551648142775344
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Funcionalidade após hospitalização por COVID-19 não crítico: implicações à curto e médio prazo na independência funcional, atividades de vida diária, capacidade funcional e dessaturação ao exercício
(Universidade Federal do Pará, 2021-11-03) CRUZ, Soany de Jesus Valente; NEVES, Laura Maria Tomazi; http://lattes.cnpq.br/4235603520707156; https://orcid.org/0000-0002-3115-2571
Coronavirus 2019 disease (COVID-19) is a highly infectious disease that can lead to hospitalization. The disease can compromise the musculoskeletal, cardiopulmonary and vascular systems, which can result in impacts on mobility and functional capacity. Objective: To assess functionality after hospitalization for non-critical COVID-19: short- and medium-term implications for functional independence, activities of daily living, functional capacity and exercise desaturation. Methods: This is a cross-sectional, analytical and descriptive study. Individuals over 18 years of age, diagnosed with non-critical COVID-19, who were hospitalized for at least 24 hours and who were discharged from the hospital, in the state of Pará, were included. Functionality and activities of daily living (ADLs) were assessed. with application of electronic forms from 30 to 180 days after hospital discharge (Barthel Index and London Chest Activity of Daily Scale (LCADL) – Article 1), and assessment of functional capacity and exercise desaturation from 90 to 180 days after hospitalization (Test 6-minute walk (6MWT) – Article 2). Results: 216 individuals were recruited, 58 individuals were included in article 1 and 46 individuals in article 2. In article 1, there was a significant difference in the Barthel Index between 1 and 6 months after hospitalization (p=0.042). No significant difference was observed in the LCADL scale. Physically active people are more likely to score higher on the Barthel Index (OR 7.32, p=0.025). In article 2, individuals after 3 months of hospital discharge walked 420m in the 6MWT, with 28% presenting a >=4% drop in SpO2. After 6 months, the distance covered was 442m, with 19.05% showing desaturation. There was no difference between groups. Conclusion: Reduced functionality, dependence to perform ADLs, reduced functional capacity and exercise desaturation were observed in post-COVID-19 non-critical patients in the short and medium term after hospital discharge.
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Impacto da pandemia da COVID-19 no rastreamento, diagnóstico e tratamento do câncer de mama em mulheres a partir de 50 anos, no estado do Pará
(Universidade Federal do Pará, 2023-08-10) DIAS, Paula Danniele dos Santos; SANTANA, Mary Elizabeth de; http://lattes.cnpq.br/6616236152960399; https://orcid.org/0000-0002-3629-8932
Breast cancer is the second most common in the world and the most common among women. Early diagnosis and treatment estimate a good prognosis for the disease. After the pandemic was declared by the World Health Organization (WHO), States had to adopt restrictive measures to contain the spread of the disease. Brazil was one of the four countries with the highest number of confirmed Covid-19 infections, with high transmissibility rates causing a collapse in health services. As a result, the maintenance and regular treatment of several diseases, including breast cancer, were affected. Objective: to analyze whether the Covid-19 pandemic affected the screening, diagnosis and treatment of breast cancer, in women aged 50 and over, in the State of Pará. Method: The study was retrospective, cross-sectional, with a quantitative approach, using secondary data obtained from the Information Technology Department of the Unified Health System (DATASUS). An analysis was carried out of the number of exams carried out in the post-pandemic (2018-2019) and pandemic (2020-2021) period based on the percentage variation, and application of the chi-square test and G test for the time taken to perform exams and time to start treatment. Results: During the pandemic period, a greater number of screening mammograms (+3.68%), cytological (+23.68%), histological (+10.7%) and a lower number of diagnostic mammograms (-38.7%) were observed %). The time interval for carrying out the exams was up to 30 days for screening and diagnostic exams during the pandemic period. The observed time to start treatment was greater than 60 days, with a greater number of cases treated during the pandemic period. Conclusion: the study points out that statistically the Covid-19 pandemic did not interfere with the screening, diagnosis and treatment of breast cancer, in women over 50 years old, in the State of Pará. The effects of Covid-19 will only possibly be observed at long-term, therefore, studies should be carried out that permeate the development of strategies that prepare health services for a future state of health emergency, to mitigate greater impacts on the health of the population.
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Interações com nanotubos de carbono e pontos quânticos de óxido de grafeno com estruturas externas do Sars-cov-2 via simulações de dinâmica e docagem molecular
(Universidade Federal do Pará, 2023-06-02) LOBATO, Júlio César Mendes; OLIVEIRA, Mozaniel Santana de; http://lattes.cnpq.br/0810227136654245; https://orcid.org/0000-0002-4076-2443; CHAVES NETO, Antonio Maia de Jesus; Lattes: 3507474637884699
The interaction between nanoparticles and SARS-CoV-2 virus proteins was evaluated using ligands such as single-walled carbon nanotubes (NTCPUs) and receptors including envelope protein (E-pro), major protease (M-pro) and Spike glycoprotein (Sgly). Molecular docking modeling and molecular dynamics techniques were applied. Molecular dynamics revealed root mean square shift of atomic positions ranging from 0.5Å to 3.0Å. The results indicated that the zigzag nanotube showed better affinity energy, with binding free energy values of -9.48, -9.98 and -10.08 kcal/mol for E-pro, M-pro and S-gly, respectively. Furthermore, the mean square deviation of the atomic positions remained more stable for this type of nanotube, indicating a high probability of binding to the active sites of the macromolecules. Molecular couplings and binding free energy showed strong interaction between NTCPUs and residues of the S-gly active site, with values of -112.73, -94.38 and -80.49 kcal/mol for zigzag, chiral and armchair ligands, respectively. In a second step, five graphene oxide (GO) quantum dots smaller than 20 nm were used as ligands, interacting only with the spike receptors of three different strains: S-GLY-OMICRON, S-GLY-KAPPA and S-GLY-DELTA. Comparing the two ligands, it was observed that the S-GLY-OMICRON/OG-E interaction showed better affinity with Gibbs free energy of 172.2510 KJ/mol, compared to the better affinity of carbon nanotubes, S-gly/zig-zag, with ΔG of -112.73 KJ/mol. The eight proposed ligands have a high probability of binding to the active sites of the macrostructures. In conclusion, both carbon nanotubes and OG showed promise for application in SARS-CoV-2 inhibitor products, such as the development of materials for the manufacture of personal protective equipment, sprays and waterproofing solutions in general.
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Interações de ftalocianinas de Co, Cu e não metálicas com estruturas externas de SARS-CoV-2 utilizando docking e dinâmica molecular
(Universidade Federal do Pará, 2021-12-22) ALENCAR, Wilson Luna Machado; CHAVES NETO, Antonio Maia de Jesus; http://lattes.cnpq.br/3507474637884699; https://orcid.org/0000-0002-9730-3512
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Literacia para a saúde do cuidador informal na pandemia de COVID-19 no contexto amazônico
(Universidade Federal do Pará, 2023-11-10) ARAÚJO, Lucianne do Socorro Nascimento de; SOUSA, Fabianne de Jesus Dias de; http://lattes.cnpq.br/9925044069366557; https://orcid.org/0000-0002-8151-3507
Introduction: It is a priority to include the health literacy of informal caregivers in public health policies, with potential benefits for the health of the caregiver and the care provided to the elderly. This study aimed to evaluate the health literacy of informal caregivers of elderly people cared for in a university hospital during the COVID-19 pandemic. Methods: Cross-sectional, observational, descriptive, correlational and quantitative approach with 37 informal caregivers of elderly people treated at the Geriatrics Service of the Hospital Universitário João de Barros Barreto. The following instruments were used: sociodemographic and European Health Literacy Survey Questionnaire. For data processing and analysis, we used the statistical programs Epi Info version 7.2.5.0 (Centers for Disease Control and Prevention, Atlanta, United States) and GraphPad Prism version 8. Regarding descriptive statistics, the following were performed: absolute and relative frequencies for all variables and, in the case of numerical variables, we calculate the mean, median, standard deviation, minimum and maximum, with their respective 95% Confidence Intervals. In inferential statistics, the non-parametric chi-square tests of adherence were applied for univariate categorical comparison and G test for bivariate categorical comparisons. Considering the numerical comparisons, ANOVA 1 criterion was used since they met the assumptions of normality (assessed by the Bartlett test). An alpha statistical significance level of 5% was considered for all analyzes carried out. Results: Of the 37 informal caregivers, they were women (91.8%) with an average age of 48 years, married (62.1%), with high school education (43.2%), living in the same house with the elderly person being cared for (45, 9%) with good health status (54.0%) self-report that the provision of care to the elderly was not affected (56.7%), they take care of one person (45.9%), their father/mother (64 .8%). As for the elderly people cared for, the majority were women (72.9%) with an average age of 78.2 (±13.2) years. The LS of informal caregivers was 21.7, proving to be inadequate. The domain with the best score was “Health Promotion” (23.6) and “Disease Prevention” (20.1), the worst. Conclusion: The results showed that the health literacy of informal caregivers is inadequate, highlighting the need for educational actions for this population with a view to improving the care provided to elderly people.
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Perfil epidemiológico e sobrevida de pacientes em tratamento hospitalar para COVID-19: um estudo de caso no interior da Amazônia
(Universidade Federal do Pará, 2022-01-27) AFONSO, Amanda de Queiroz; BARRETO, Josafá Gonçalves; http://lattes.cnpq.br/1894551542259862
Introduction: The disease caused by the novel coronavirus (SARS-CoV-2), COVID-19, has triggered until January 2022 more than 298 million cases and 5.47 million deaths worldwide. Brazil ranks 3rd in confirmed cases with more than 22.3 million infected and 2nd in number of deaths with more than 620,000 deaths. In Pará, more than 627,000 cases and 17,100 deaths were recorded, evidencing the high infectivity of this virus, whose primary route of contamination is the upper airways, with multiple systemic repercussions. Elderly people and people with chronic diseases are more likely to develop the severe form of the disease and its functional sequelae. Physiotherapeutic monitoring has been used in order to prevent losses in functionality and reduce hospitalization time. However, as it is a new disease, it is necessary to record, describe and understand the clinical-epidemiological and functional profile of patients who progress to hospitalization and to correlate these variables with the clinical outcome of patients. The objective of this research was to trace the clinical-epidemiological profile of patients hospitalized for the treatment of COVID-19 and to identify possible factors associated with survival, including the level of functionality. Methodology: An observational research was carried out where clinical and epidemiological data were collected from the medical records of patients hospitalized for treatment of COVID-19, from April 2020 to April 2021, at Hospital de Urgência e Emprego Drª Maria Laise Moreira Pereira Lima, located in the municipality of Castanhal-Pará. To assess functionality, the Modified Barthel Scale was used, which assesses the ability to perform activities of daily living. Descriptive statistics of central tendency and dispersion were used to describe the clinical-epidemiological profile, and later the Cox survival analysis, whose purpose is to study the occurrence of an event during a period of time. Statistical analyzes were performed using the SSPS software. Results: 880 patients were included according to the established criteria. The mean age was 54 years, of which 59.54% were male. The most frequently reported comorbidities were systemic arterial hypertension, diabetes and chronic kidney disease. According to a descriptive analysis, the group that did not have access to physical therapy seemed to have the worst outcomes, with 20.28% of deaths. Regarding functionality, all patients who presented some level of functional dependence required oxygen supplementation at some point. According to the survival analysis performed, the longer the hospitalization time, the greater the risk of death, and the factors that seemed to be decisive were age and number of associated comorbidities, and functional dependence, since patients with some impairment in functionality, were 2.75 times more likely to die. Conclusion: The risk of death increases in elderly patients, with two or more comorbidities and who have moderate, severe or total functional dependence. Knowing this, it is necessary to constantly monitor patients admitted to hospital units who present any of these risk factors.
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Práticas de enfermagem no processo de trabalho na atenção primaria à saúde: desafios no contexto da pandemia da COVID-19 na região norte do Brasil
(Universidade Federal do Pará, 2023-11-01) REIS, João Paulo Monteiro dos; FERREIRA, Glenda Roberta Oliveira Naiff; http://lattes.cnpq.br/7459094802051187; https://orcid.org/0000-0002-8206-4950
Objective: To understand the challenges related to the work process and nursing practices in PHC faced by nurses during the covid-19 pandemic in the Amazon region. Methods: Observational study, with a qualitative cross-sectional design carried out in four states in the northern region: Pará, Acre, Rondônia and Roraima, located in the Brazilian Amazon. The collection instrument was a semi-structured interview where the participants were nurses who worked in care or management in primary health care units. The interview data were processed using Bardin's content analysis and the IRaMuTeQ software version 0.7 alpha 2. Results: The average age of the research participants was 40.8 years, the majority were women, 66.7% were mixed race , 30% white, 3.3% black and one nurse did not declare their color. Based on the analysis carried out by the software, the corpus was fragmented into 651 text segments, representing 84.94% of the interview content, resulting in three thematic categories and one subcategory: category 1- The impact of covid- 19 in the assistance of professional nurses; Subcategory 1: nursing care for priority groups during covid-19 category; 2- Nurse care in PHC during covid-19; Category 3- the challenges and biopsychosocial aspects of professional nurses in facing Covid-19. Conclusion: Nurses faced several challenges during the covid-19 pandemic period, such as a substantial increase in demand for healthcare, placing an intense workload on nurses who worked during this period in the Amazon region. There was a need to quickly adapt to new care protocols, including screening, testing and monitoring of patients with Covid-19. A significant transformation was triggered in the way nurses carried out their work, with the internet playing a crucial role in this new work process. There was a significant impact on the biopsychosocial health of nurses.
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Rastreamento em saúde de casos suspeitos de covid-19 realizados por farmacêuticos em uma rede de farmácias do Estado do Pará
(Universidade Federal do Pará, 2022-11-17) MELO, Renato Bruno Cavalcante de; SENA, Luann Wendel Pereira de; http://lattes.cnpq.br/6233488431016391; https://orcid.org/0000-0001-9363-5766
Introduction: Health screening can contribute to the care of the health needs of a population and is important for the prevention, early detection and treatment of diseases in asymptomatic individuals or susceptible to its development. Drugstores are seen as places of first access to the health system and this characteristic allows the pharmacist to screen and track patients suspected of being with COVID-19. Objective: To analyze health screening based on data from suspected cases of COVID-19 of patients seen by pharmacists in a pharmacy network in the state of Pará. Methodology: This is a cross-sectional descriptive study, whose purpose is to investigate the health screening, from the database, of patients who sought spontaneous demand for the care of the pharmaceutical professional to perform the test for COVID19 in the pharmacy. Results: We analyzed 121 pharmacies existing in the State of Pará and only 36 of these, offered the rapid test for COVID-19. In total, 78,849 tests were performed in 2020 and 2021 and the antigen test was the most frequent. Females and people with brown characteristics were the most prevalent. As a result, only 10,276 were positive for the antigen test and 9,706 were positive for the antibody test. The most prevalent symptoms and symptoms were cough and sore throat. Conclusion: Community pharmacies because they are considered as a place of first access and contact of the population in the health field showed their importance in offering the population pharmaceutical services and procedures that help to improve the quality of life of the individual, because they have a qualified and available professional to contribute to the better education of the population.
Acesso aberto (Open Access)
Saúde coletica e COVID-19: o aporte da comunidade científica brasileira no enfrentamento da pandemia.
(Universidade Federal do Pará, 2022-05-31) MATEUS, Isabella Maria Almeida; BERRÍO-ZAPATA, Cristian; http://lattes.cnpq.br/0976534900847907; https://orcid.org/0000-0002-7314-6487
The rapid spread of COVID-19 around the world has caused the number of research related to the disease to also increase at a rapid pace, setting up an unprecedented scientific race. The Brazilian Collective Health scientific community was also involved in this movement. To visualize Brazil's contribution in this field, this work seeks to analyze the profile and contribution of the Brazilian Collective Health scientific production in the face of the COVID-19 pandemic. This is a bibliographic study, which used domain analysis as a method and applied bibliometric and altmetric instruments, as well as content analysis. Scientific production was measured using indicators of productivity, impact, and visibility. For these purposes, articles on Collective Health and COVID-19 were searched in the Web of Science, Scopus, SciELO, and PubMed Central databases, with Brazil as the country of affiliation of one or more authors, and the publication period delimited from Jan./2020 to Dec./2021. As a result, 735 articles were selected and received 7,027 citations. The Southeast Region showed the highest number of publications (51.56%), and the University of São Paulo was the most productive institution (6.88% of articles). The area managed to articulate with researchers from 827 institutions in 71 countries. The most productive author published 18 papers. Only 25.44% of the articles mentioned a source of funding. The 100 most cited articles had 47,982 interactions on social media platforms, the majority from Twitter (54.76%) by members of the general public (92.69%). The article with the highest rate of attention on social media ranked 82nd in the most cited ranking. A total of 14 subjects were identified. “Health care in the pandemic” showed the majority of articles. However, “Epidemiology and health surveillance in the pandemic context” was the most relevant topic for the scientific community and the one that aroused greater interest in the general public. We concluded that the articles analyzed in this study reflect the Brazilian scientific production and were considered relevant, as they were cited by other authors in their studies and also attracted the attention of the lay public. Two waves of scientific production were observed, possibly following the pace of activity of Brazilian universities and institutes. Due to the low number of articles generated by the North Region, the formation of an academic staff of Collective Health in this region was seen as necessary. An article was used as an example to demonstrate that a high number of citations or mentions in social networks does not always correspond to quality. Although science is not completely impartial and depoliticized, it has mechanisms of self-criticism and self-refutation, thus showing its value. The interaction between what science produces and what is disseminated on social networks needs more attention and better regulations in order to avoid that the information generated in this area ends up being distorted. Finally, new studies are proposed to understand why some subjects attract greater interest from the lay public, but not so much from the scientific community.
Acesso aberto (Open Access)
Transição do cuidado na alta hospitalar para o domicílio de pacientes recuperados de COVID-19 no contexto amazônico
(Universidade Federal do Pará, 2022-08-01) ARRAIS, Diego João de Lima; COSTA, Maria Fernanda Baeta Neves Alonso da; http://lattes.cnpq.br/1219951595746213; https://orcid.org/0000-0002-2763-8050; SOUSA, Fabianne de Jesus Dias de; http://lattes.cnpq.br/9925044069366557; https://orcid.org/0000-0002-8151-3507
Introduction: The transition of care is characterized as the follow-up of patient care for the period of their hospitalization until the posteriority of this period, materializes the holistic care thoughts adopted by nursing and perpetuates the true meaning of "caring". Objective: To assess the transition of care for COVID-19 patients who were discharged from the hospital service to the home. Methodology: This is a quantitative, cross-sectional, descriptive and analytical study carried out with 49 patients and/or caregivers who were discharged from the Hospital Universitário João de Barros de Barreto, in Belém-PA. A random sample was used. The Care Transitions Measure-CTM-15 questionnaire validated in Brazil was applied. The collected data were tabulated in the Microsoft Office Excel® 2016 program, checked in full by another researcher to ensure the correct insertion of the answers and analyzed by the SPSS® software. Results: The mean score for care transition was 87.4 (±16.1). Factor 1 (Self-Management Training) had an average score of 82.6 (± 14.8), Factor 2 (Understanding of Medication) 86.6 (± 15.0), Factor 3 (Respected Preferences) 82.0 ( ± 16.7) and Factor 4 (Care Plan) 81.2 (± 18.2). Conclusion: The quality of the care transition perceived by the patient recovered from COVID-19, or by their caregivers, in the process of hospital discharge to home, was considered high, evidencing the involvement of the multidisciplinary team in the preparation and guidelines for the follow-up of care. at home, reducing the rates of readmissions and post-discharge complications.