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Disertaciones |
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1
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LISSA DE FRANÇA LOPES
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SELF-PERCEPTION OF DENTISTRY STUDENTS IN THE MUNICIPALITY OF MOSSORÓ/RN ABOUT NON-CARIOUS CERVICAL LESIONS
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Líder : ANA CLARA SOARES PAIVA TORRES
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MIEMBROS DE LA BANCA :
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ANA CLARA SOARES PAIVA TORRES
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JULIANA CARVALHO SÁ
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PATRICIA BITTENCOURT DUTRA DOS SANTOS
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Data: 16-ene-2023
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Resumen Espectáculo
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Introduction: Non-Carious Lesions (NCL) are defined as a group of non-bacterial pathological conditions, which consist of the progressive loss of tooth structure. Non-carious Cervical Lesions (NCCL) differ from NCL because they are characterized by the loss of tooth structure specifically at the Cemento-Enamel Junction. They have a multifactorial and complex etiology, and their main types consist of erosion or biocorrosion, abrasion and abfraction. Objective: To evaluate the knowledge and self-perception of dentistry students in the city of Mossoró/RN about the presence of non-carious cervical lesions. Material and Methods: The research sample consisted of students who were enrolled in the Dentistry course at colleges in the city of Mossoró/RN. Students from 18 years old, who were between the first and fifth year of the course were included. The student who agreed to participate in the research answered a self-authored questionnaire and a validated questionnaire - OHIP-14 - with varied questions that addressed the evaluation of the profile, habits and self-knowledge about their own oral health, including the presence or absence of Non Carious Cervical Lesions. Results: The final sample consisted of 474 participants, aged between 18 and 57 years, 297 (62.65%) female and 177 (37.35%) male. The presence of oral habits had a negative impact on the quality of life of the participants, as well as influencing the self-perception of the presence of NCCLs and tooth sensitivity.Conclusion: The presence of parafunctional habits, such as teeth grinding, teeth clenching, excessive brushing, can negatively impact the quality of life related to oral health. In addition, habits of biting the cheeks, clenching the teeth and grinding the teeth were also associated with the population's self-perception of the presence of NCCLs and tooth sensitivity.
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2
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Natanias Macson da Silva
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RING NUCLEI AND FRACTAL DIMENSION AS MARKERS OF MORPHOLOGICAL CHANGES IN NEUTROPHIL NUCLEAR CHROMATIN FROM PATIENTS INFECTED BY Trypanosoma cruzi AND/OR HIV
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Líder : MICASSIO FERNANDES DE ANDRADE
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MIEMBROS DE LA BANCA :
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FLÁVIO SANTOS DA SILVA
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MICASSIO FERNANDES DE ANDRADE
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THALES ALLYRIO ARAÚJO DE MEDEIROS FERNANDES
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Data: 08-feb-2023
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Resumen Espectáculo
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Introduction: The presence of ring neutrophils (NAs) is observed in patients with chronic inflammatory conditions. Recently, Fractal Dimension (DF) was inserted in the evaluation of morphological modifications of cells in clinical scenarios, such as cancer; and applied in the evaluation of neutrophils from healthy individuals, when changes in nuclear chromatin compatible with different stages of maturation of these cells were observed. Objective: To investigate the frequency of NAs and to apply FD to detect chromatin alterations in neutrophils from peripheral blood of patients infected with Trypanosoma cruzi and/or HIV. Casuistry and Methods: This was a case-control study. Fifty-three individuals were recruited and divided into four groups: (G1) Trypanosoma cruzi infected (n=18), (G2) HIV seropositive (SPHIV) (n=14), (G3) T. cruzi-HIV coinfected (n=09) and (G4) healthy individuals (n=12). Five mL of peripheral blood were collected for total leukocyte count using a BC-3000 Plus® automated counter and production of hematological slides. A camera (16 megapixels) was attached for reading the slides in the optical microscope, and the magnification was adjusted to 1000x with 75% luminosity. A total of 100 neutrophil micrographs were recorded per individual, for a total of 5,300 fractal analyses. The images were subjected to AF by the box-counting method of the "FracLac" plugin of Image JTM software. Results: The NAs were found in all four groups, in low frequency (less than 5%), with statistical difference between the healthy and the infected groups (G1, p=0.0250; G2, p=0.0068; G3, p=0.0009). The morphological findings allowed to divide the NAs into two subtypes (for all groups): High and low segmentation NAs. In the evaluation of clinical parameters, the higher the frequency of NAs in peripheral blood: (G1) the higher the LVMI (p=0.0135) and the risk of ischemic stroke of cardioembolic nature (p=0.0371); (G2) the higher the CD4+ T lymphocyte count (p=0.0273) and CD8+ T lymphocyte count (p=0.0030); (G3) the higher CD4+ T count (p=0.0079) and the lower the LVMI (p=0.0456). The chromatin DF of neutrophils from infected individuals was lower than that found for the control group (p<0.0001). In the correlational analysis, the lower the DF, the lower the LVEF (p=0.0066) and the higher the risk of sudden death (p=0.0052) for chagasic patients (G1). On the other hand, the higher the DF, the higher CD4+ T counts (p=0.0264) in SPHIV (G2); and the higher the LVEF (0.0219) and CD4+ T counts (p=0.0271) in coinfected (G3). Conclusion: This evidence suggests that increased NAs confer a worse prognosis on chagasic patients, whereas it has a protective role in individuals in groups 2 and 3. The DF was an independent marker in detecting discrete changes in neutrophil nuclear chromatin and proved to be a prognostic tool and risk stratification for unfavorable events, survival and mortality of individuals infected with T. cruzi and/or HIV.
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3
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LUANA ADRIELLE LEAL DANTAS
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ANALYSIS OF PATIENTS WITH ACUTE KIDNEY INJURY WHO REQUIRED HEMODIALYSIS IN AN INTENSIVE CARE UNIT
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Líder : LUCIDIO CLEBESON DE OLIVEIRA
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MIEMBROS DE LA BANCA :
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ALCIVAN NUNES VIEIRA
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FABÍOLA CHAVES FONTOURA
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LUCIDIO CLEBESON DE OLIVEIRA
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Data: 10-feb-2023
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Resumen Espectáculo
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Objectives: To analyze patients who had acute kidney injury and required hemodialysis during their stay in an intensive care unit. Knowing the clinical profile of patients, assessing the conditions that motivated hospitalization, comorbidities related to renal function, classifying patients who are candidates for hemodialysis in the intensive care unit according to risk criteria, injury, failure, loss, end-stage renal disease, capable of producing nedrotoxic effects. Methodology: Descriptive, cross-sectional, quantitative study, carried out in the city of Mossoró-RN. The studied population consisted of adult patients who developed acute kidney injury after admission to the intensive care unit and who required hemodialysis treatment due to acute kidney injury. Patients who had a history of chronic kidney disease using or not on hemodialysis, as well as those of acute kidney injury who were already undergoing hemodialysis before admission, were excluded. Data collection was carried out from January 2020 to June 2022, totaling a sample of 110 adults. Data were collected on a form containing information for preparing the clinical analysis of the patient: Reason for hospitalization, injuries, reasons for hospitalization in the intensive care unit, comorbidities, clinical history, laboratory tests and therapeutic interventions. Data were expressed in qualitative variables using absolute and relative frequencies, and quantitative variables using minimum, maximum, mean and standard deviation. The Kolmogorov Smirnov test was applied, the statistical chi-square test or Fisher's exact test were applied. For all statistical tests, the significance level was 5%. Approved with CAAE 83977718.6.0000.5294 and opinion number 3.202.607. Results/Discussion: The population consisted of 55.45% males (55.45%), with a prevalence of patients over 65 years of age (60.91%). The main reasons for hospitalization were cardiovascular problems (34.55%) and controlled conditions (29.09%). The main reasons for ICU admission were cardiovascular problems (39.09%), followed by infectious diseases (33.64%) and followed (10.00%). Concomitantly, the presence of controlled conditions (63.64%), cardiovascular (51.82%) and renal (22.73%) contributed to the clinical severity of the patients. A statistical metronome was observed between the reasons for ICU admission and hypertension (p=0.029) and heart disease (p < 0.001) associated with cardiovascular, infectious and controlled conditions as the main reasons for ICU admission, and diabetes mellitus (p= 0.007) with cardiovascular, infectious and inflammatory disorders. Due to the Sars-Cov-2 pandemic, part of the sample had a confirmed diagnosis for COVID-19 (18.18%). As for therapeutic interventions, the vast majority used invasive mechanical ventilation (72.73%), vasoactive drugs (83.64%) and antibiotic therapy (94.55%). As for the Risk criteria, Injury, Failure, Loss, End-stage Renal Disease were classified as Risk (6.36%), Injury (20.91%), Failure (57.27%) and Loss (15.46%), failure being the most frequent classification. As for the outcome, 67.27% of the patients died and 32.73% were discharged from the ICU. Conclusion: Knowledge of these variables can support the establishment of renal function surveillance protocols, impacting the early diagnosis of kidney injury and assisting in the patient's health care process, allowing for effective multiprofessional assistance.
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4
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DÉBORA JULIANA DE ARAÚJO LOPES
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ASSOCIATION BETWEEN HYPOMINERALIZATION OF THE SECOND DECIDUAL MOLAR AND ABNORMALITIES OF SECOND PREMOLARS
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Líder : PATRICIA BITTENCOURT DUTRA DOS SANTOS
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MIEMBROS DE LA BANCA :
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SUELEN CRISTINA DA COSTA PEREIRA
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ANA CLARA SOARES PAIVA TORRES
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PATRICIA BITTENCOURT DUTRA DOS SANTOS
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Data: 14-feb-2023
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Resumen Espectáculo
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Enamel hypomineralization is a qualitative defect that is visually recognized as an area of modification in the translucency of the enamel, which can present itself in a diffuse or demarcated manner. The lesions demarcated in the second primary molars led to the description as Hypomineralised Primary Second Molars - HPSMs. In HPSMs, these qualitative defects of systemic origin occur in at least 1 of the 4 deciduous second molars, and in some cases, other teeth can also be affected, especially the deciduous canines. Objective: To evaluate the possible association between hypomineralization of the deciduous second molar and dental anomalies of second premolars successors. Material and Methods: The sample consisted of 104 orthodontic patients documentation aged between 5 and 12 years, divided into two groups: patients with HPSMs (28) and without HPSMs (76). The HPSMs and other dental anomalies were diagnosed using panoramic radiographs and intraoral photographs. The chi-square test was used to assess intergroup comparison in terms of gender. The chi-square test and Fisher's exact test were used to compare groups in terms of the presence of dental anomalies. Odds Ratios (OR) were calculated to assess the risk of presenting dental abnormalities. Results: There was an association between HPSMs and dental anomalies. Prevalence of dental agenesis of upper second premolars (4.8%), agenesis of lower second premolars (7.7%), mesioangulation of upper second premolars (11.5%), and distoangulation of second premolars lower molars (11.5%) was significantly higher in patients with HPSMs. Individuals with the enamel defect had a chance between 7.2 and 20.6 times greater of presenting the evaluated dental anomalies. Conclusions: HSMD is associated with dental anomalies, especially with agenesis of the upper and lower second premolars.
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5
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WANDECLEBSON FERREIRA JÚNIOR
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CONSTRUCTION AND VALIDATION OF A TRANSDISCIPLINARY EVOLUTION INSTRUMENT FOR SHIFT CHANGE IN THE HOSPITAL CONTEXT
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Líder : MARIA ISABEL DA CONCEIÇÃO DIAS FERNANDES
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MIEMBROS DE LA BANCA :
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ANA LUISA BRANDAO DE CARVALHO LIRA
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JÉSSICA DANTAS DE SÁ TINOCO
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MARIA ISABEL DA CONCEIÇÃO DIAS FERNANDES
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Data: 15-feb-2023
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Resumen Espectáculo
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Patient safety is an emerging issue in health. Among the goals for its implementation, effective communication stands out as the process of transmitting/receiving complete and accurate information between health professionals and appropriate areas. However, there is a weakness in the communication between these professionals, in addition to the lack of instruments that overcome the limitations of the disciplinary logic in the transfer of care. The objective is to build and validate an instrument of transdisciplinary evolution for the shift change in the hospital context. This is a methodological study, with a quali-quantitative approach, based on Pasquali's theoretical pole, developed in two stages. In the first, an integrative literature review was carried out for the construction of the instrument. The searches were carried out in the Scopus, Web of Science, MEDLINE via PubMed and the Brazilian Digital Library of Theses and Dissertations databases, using the descriptors “Patient Handoff”, “Interdisciplinary Communication”, “Patient-Centered Care” and “Hospital Records”, in English and Portuguese, allowing the inclusion of six studies. The second stage refers to semantic and content analysis. For the semantic analysis, six professionals were selected, subdivided into the categories of nursing, physiotherapy, medicine, nutrition, psychology and social work to participate in a focus group with three meetings about the instrument, verifying the impressions of the target population and refining it. Subsequently, for the content analysis, the instrument was analyzed by 27 specialists in patient safety and/or professionals with hospital experience in the aforementioned specialties. The instrument's items were assessed for clarity, understanding, pertinence and relevance using a five-point Likert scale. Data were analyzed using the Content Validity Index. This study was approved by the research ethics committee of the State University of Rio Grande do Norte under opinion number 5,374,984. In the literature, the relevant items for the transdisciplinary evolution in the transfer of hospital care are those that allow the correct identification of the patient, definition of the clinical history, its evaluation and the respective therapeutic approaches. The focus group discussed elements such as pertinence and applicability of the items, relating them to professional practice, with emphasis on the shift change. Thus, data such as name, bed, diagnosis, intercurrences, pending issues, vital signs, risks, emotional/behavioral events, social vulnerability and change in prognosis were some of those considered essential. Of the 48 items evaluated by the 27 judges, only five of them had a CVI < 0.8 due to their specificities. Thus, cohesion between the stages of the study is perceived, with most of the data collected in the literature and in the focus group being reinforced by the analysis of the judges. It is concluded that the constructed instrument is valid, considered clear, understandable, pertinent and relevant for the population for which it is intended. Therefore, it is expected that it can be used as a tool to promote more effective communication between professionals, facilitating integrated work and reducing risks to patient safety.
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6
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ANTÔNIA SUELLEN FERNANDES DANTAS
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EFFECTS OF DIETARY TREATMENT WITH SUPPLEMENTATION OF DIETARY FIBERS IN THE IMPROVEMENT OF THE NUTRITIONAL PROFILE AND THE CHRONIC CONSTIPATION IN CHRONIC CHAGASTIC PATIENTS PATIENTS WITH A CLINICAL DIGESTIVE FORM
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Líder : CLEBER DE MESQUITA ANDRADE
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MIEMBROS DE LA BANCA :
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CLEBER DE MESQUITA ANDRADE
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ELLANY GURGEL COSME DO NASCIMENTO
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LÚCIA LEITE LAIS
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PAULO MARCOS DA MATTA GUEDES
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Data: 22-feb-2023
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Resumen Espectáculo
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Introduction: Chagas disease (CD), in its digestive clinical form, is characterized by the destruction of the myenteric nerve plexuses leading to structural alterations, such as megacolon, and functional alterations; both associated with nutritional imbalances. Among the clinical findings, chronic constipation is the main symptom in this group. Recent evidence suggests that nutritional fiber supplementation may improve the clinical outcome of these patients. Objectives: To evaluate the effect of dietary treatment with dietary fiber supplementation in improving the nutritional profile and chronic constipation in chronic Chagas' patients with clinical digestive form. Methods: This is a clinical trial with case-crossover design. The research was divided into three stages: (1) clinical evaluation and nutritional diagnosis; (2) nutritional intervention; and (3) evaluation. Fifty constipated subjects were submitted to fiber treatment, 30 patients with CD and 20 patients without CD for the Control Group (CG). We assessed the anthropometric, laboratory, dietary profile and constipation severity by the Bristol Scale in the first nutritional consultation (pre-treatment). Dietary intake was assessed by the 24-h recall, while diet quality was analyzed by the Revised Dietary Quality Index (IQDR). Patients were randomly selected for treatment with 30g of fiber for 45 days. After the intervention, all variables were reassessed. Results: Prior to fiber supplementation, the diet of all constipated patients (with CD and without CD) was characterized as hypercaloric and hyperlipidic. The (IQD-R) showed that the diet quality of all patients was inadequate before the nutritional intervention (p<0.001). After fiber treatment, in both groups, significant improvement was seen in all anthropometric parameters evaluated (p<0.001): weight, BMI, waist circumference and total energy intake. In addition, there was a significant reduction in blood glucose, triglycerides, total cholesterol and fractions, and liver transaminases for both groups (p<0.001). Most of the subjects with CD were classified with severe constipation (type III); and the same was true for the CG subjects. Fiber treatment significantly improved the IQD-R (p<0.001) and Bristol Scale (p<0.001) for both groups, relocating most patients to normal bowel status. Conclusion: In the evaluation of the nutritional, anthropometric and laboratorial profile, treatment with fibers allowed significant improvement in all variables for both constipated groups (chagasic and control), but all positive outcomes were higher in individuals with CD. Fiber treatment was efficient in improving nutritional status, total or partial resolution of constipation, and adequate emptying of the colon.
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7
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RUTE FALCÃO SOARES
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CHARACTERIZATION OF SOCIAL COMMUNICATION IN CHILDREN UP TO 12 YEARS OLD WITH AUTISM SPECTRUM DISORDER IN A PSYCHOSOCIAL CARE CENTER
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Líder : MARCO AURÉLIO DE MOURA FREIRE
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MIEMBROS DE LA BANCA :
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STANLEY BITTAR DE ALMEIDA
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JOSÉ RODOLFO LOPES DE PAIVA CAVALCANTI
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MARCO AURÉLIO DE MOURA FREIRE
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MAXWELL BARBOSA DE SANTANA
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Data: 22-feb-2023
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Resumen Espectáculo
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Autism Spectrum Disorder (ASD) is characterized by qualitative impairment in the development of social communication and by the presence of restricted and repetitive behaviors. Individuals with this diagnosis have difficulties in socio-emotional reciprocity and non-verbal communicative behaviors used to initiate and regulate social interactions. A proper knowledge of these factors is necessary for the application of the correct intervention in order to maintain their language/social communication. The present study aimed to characterize social communication in children up to 12 years of age diagnosed with ASD. Prospective, cross-sectional, descriptive, exploratory research, carried out at the Child Psychosocial Care Center (CAPSi) in Mossoró/RN, under license of the Research Ethics Committee of UERN (3.932.500). Data collection was based on the application of questionnaires to parents, to characterize their socioeconomic conditions and their perception of their children; and the Language Development Assessment (LDA) instrument for children, developed to assess the acquisition and development of content (semantics) and structure (morphology and syntax) of language. The questionnaires were coded and typed for further data analysis in the Prisma 5.0 statistical software using Student’s test, with p<0.05 indicating statistical significance. Regarding parents, most respondents were female (95.9%), with an average of 37.6 years old, with a spouse (60%), with complete high school (45%) and with monthly income around one minimum wage (76.7%), with parents having positive attitudes towards their children and observing difficulties in their communication. In the application of the questionnaire with the children, 63.7% presented results in the normal range, while 3% showed a mild disorder and 33,3% a severe language disorder. Our results showed that children with ASD attending the CAPSi present language impairments at the pragmatic sublevel and more than half of the participants do not present morphosyntactic and semantic impairments.
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8
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BRUNA NOGUEIRA ALVES
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RISK FACTORS FOR BURNOUT SYNDROME IN NURSES AT A PUBLIC HOSPITAL IN MOSSORÓ/RN
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Líder : MARCO AURÉLIO DE MOURA FREIRE
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MIEMBROS DE LA BANCA :
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JOSÉ RONALDO SANTOS
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MARCO AURÉLIO DE MOURA FREIRE
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MAXWELL BARBOSA DE SANTANA
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THALES ALLYRIO ARAÚJO DE MEDEIROS FERNANDES
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Data: 23-feb-2023
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Resumen Espectáculo
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Work stress associated with the daily practice of health workers can trigger a number of problems, often resulting in damage to the health of the worker, with a direct consequence on the quality of the services provided. The sum of the symptoms arising from this condition causes the so-called burnout syndrome (BS), a debilitating state observed in people who experience chronically stressful situations, characterized by a state of emotional exhaustion, depersonalization and lack of fulfillment at work. Among the health professions, nursing is ranked as the fourth most stressful profession. The present study aims to evaluate the risk factors for BS in professional nurses at the Tarcisio de Vasconcelos Maia Regional Hospital in Mossoró/RN. Exploratory, descriptive, prospective, quantitative and cross-sectional study in 119 nurses from March to September 2022, carried out under license from the Research Ethics Committee of UERN (4,915,042). A questionnaire with socio-organizational information and the Copenhagen Burnout Inventory (CBI) containing 19 items that reflect professional burnout, in a scale categorized as low, intermediate and high burnout, were applied. Most of the interviewees were female (81%), with an average of 36.4 years old, married (70%), with specialization in the area (74%), and two jobs (59%). It was possible to identify a higher prevalence of high levels of personal burnout (44%), and intermediate levels of work-related burnout (52%), and client-related burnout (50%). A strong positive correlation between the number of employment contracts for the dimensions personal (r=0.74, p=0.03) and work-related burnout (r=0.81, p=0.02), a strong positive correlation between workload and personal burnout (r=0.68, p=0.04), and a moderate positive correlation between workload and work-related burnout (r=0.53, p=0.04) were identified. Exposure to long workload resulted in increased levels of both physical and psychic exhaustion in nurses, negatively interfering with their professional performance and personal relationships. Future studies focusing on strategies to ensure a better working condition for nurses are needed, seeking approaches aimed at providing better occupational health for workers.
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9
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LARISSA DE DEUS RODRIGUES
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EFFECTS OF THE PILATES METHOD WITH PELVIC FLOOR ACTIVATION AND PERINEAL EXERCISES IN THE TREATMENT OF PELVIC FLOOR DYSFUNCTIONS IN POSTPARTUM WOMEN: A RANDOMIZED CLINICAL TRIAL
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Líder : ELLANY GURGEL COSME DO NASCIMENTO
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MIEMBROS DE LA BANCA :
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ANA CAROLINA RODARTI PITANGUI DE ARAÚJO
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ELLANY GURGEL COSME DO NASCIMENTO
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MICASSIO FERNANDES DE ANDRADE
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Data: 23-feb-2023
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Resumen Espectáculo
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Introduction: During pregnancy, the female body undergoes several biopsychosocial changes, some of these changes remain even after childbirth, becoming a pathology, one of which is pelvic floor dysfunction. Perineal exercises are one of the oldest techniques for treating these disorders, while the Pilates method has recently been trying to gain ground in this area of treatment. Objective: To compare the effects of applying the Pilates method with pelvic floor activation in relation to perineal exercises in postpartum women with pelvic floor dysfunctions. Method: 39 women in the late postpartum period of up to 365 days participated in this study, randomly divided into two groups, 22 in the control group, performing home perineal exercises guided by audio, video and explanatory booklet. And 17, in the intervention group, performing exercises guided by the Pilates method with the addition of pelvic floor contraction under the supervision of a professional. 50 minutes of exercises were performed twice a week for 12 weeks. An evaluation was carried out using the Oxford scale, Perfect and the Pelvic Floor Bother Questionnaire, in 3 moments (before, during and at the end). Paired student t tests and one-way ANOVA with Bonferroni posthoc were performed, the significance level adopted was p<0.05. Results: There was a significant improvement in all outcome measures between the first and last evaluation (p<0.01), the muscle strength outcome stood out more pertinently between the first and second evaluations, while the muscle endurance outcome stood out between the second and third evaluation. Conclusion: Both perineal exercises and the Pilates method with pelvic floor activation were effective in the treatment of DAPS without significant differences between them. It is suggested that therapies be implemented within the unified health system and become a routine practice in the postpartum period.
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10
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JANAINA MACIEL DE QUEIROZ
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PATIENT SAFETY CULTURE IN MATERNITIES FROM THE PERSPECTIVES OF THE NURSING TEAM
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Líder : KALYANE KELLY DUARTE DE OLIVEIRA
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MIEMBROS DE LA BANCA :
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ALCIVAN NUNES VIEIRA
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JENNIFER DO VALE E SILVA
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KALYANE KELLY DUARTE DE OLIVEIRA
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LUCIDIO CLEBESON DE OLIVEIRA
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Data: 23-feb-2023
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Resumen Espectáculo
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To analyze how nursing professionals identify the patient safety culture in three maternity hospitals. This is a cross-sectional, descriptive, and quantitative study. Data collection was carried out using the validated instrument Hospital Survey on Patient Safety Culture, with nursing professionals from maternity hospitals in the municipalities of Apodi, Pau dos Ferros and Mossoró RN. The sample consisted of 61 professionals. As for the characterization of professionals, most are nursing technicians 57.4%; 90.2% female and 62.5% over 35 years of age. As for length of service, most were from 1 to 5 years (42.1%, 71.4% and 55.5%) and from 20 to 39 hours a week (52.6%, 78.6% and 57 ,1%). The initial hypothesis of the study was confirmed, as the general average of the patient safety culture identified by the nursing professionals at the maternity hospitals was 58.2%, less than 75%. This average is lower than the AHRQ teaching hospital database, which had an average of 63%, and the national survey of Brazilian hospitals, which was 60.2%, above the average for the State of RN, which was 54. 7%. Three dimensions were better evaluated, but only two are strong areas, with a percentage greater than 75%, they were: D1: “Teamwork within the unit” (78.2%) and D2: “Expectations and actions of the supervisor/manager to the promotion of patient safety” (77.8%), followed by D3: “Organizational learning” (68.3%); and as dimensions with weaknesses; and less than 50% had: D12: “Non-punitive responses to errors” (24.7%), D10: “Team” (48.4%) and D5: “General perception of patient safety” (46.8%) %). The question of expectation of supervision obtained an evaluation similar to those found in the AHRQ hospitals, which was 77% and the Brazilian average, which was 78.6%. Still, among the findings, there are differences between the maternity hospitals that may be related to management characteristics, structure and mainly the implementation of security centers; since maternity 3 was the best evaluated, had four strong dimensions, five with neutral areas greater than 50% and two fragile. Hospital 1, on the other hand, was the worst evaluated, as it had no area of strength and eight fragile, in hospital 2 only two positive/strong, seven neutral and three negative/fragile. Based on the findings of this study, it is concluded that the patient safety culture identified by the nursing staff in the maternity hospitals is still configured with important weaknesses, most of the dimensions are at a neutral stage, and few are areas of strength, especially in the service in which professionals have more time working in the maternity ward and in those that do not have a patient safety center implemented; and that linked to this, a punitive view of errors and the existence of a very low adherence to reporting adverse events. As a suggestion, we have the implementation of nuclei in services that it does not yet have, in addition to adapting personnel, engaging the entire multidisciplinary team, training, encouraging learning from mistakes, instead of isolated punitive and corrective actions.
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11
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GABRIELA DE OLIVEIRA VIEIRA
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EFFECTIVENESS OF THE DENTAL PROSTHESIS SERVICE PROVIDED BY SUS IN THE MUNICIPALITY OF CAICÓ/RN
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Líder : ANA CLARA SOARES PAIVA TORRES
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MIEMBROS DE LA BANCA :
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ANA CLARA SOARES PAIVA TORRES
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EUDES EULER DE SOUZA LUCENA
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JULIANA CARVALHO SÁ
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Data: 24-feb-2023
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Resumen Espectáculo
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Introduction: The smiling Brazil program, aimed at meeting the needs of the population with tooth loss in Brazil, produces complete and partial removable dentures, rehabilitating the Brazilian population and restoring function and aesthetics. However, it is known that the success of the rehabilitation treatment is based on a good adaptation and acceptance by the user, criteria that must be evaluated by the professional, after the delivery and use of the dental prostheses.Objective: The purpose of this study is to evaluate the dental prosthesis service offered by the SUS in the city of Caicó-Rn, with regard to the degree of acceptance, use and quality of life, associated with professional support in the control of these prostheses. Methodology: The population of the present study was estimated at 432 people who received two prostheses, upper and lower. The sample of users was selected from the systematic sampling method applied in the production report, obtaining a list of 140 people. A self-authored questionnaire and the OHIP/EDENT were used as a collection instrument to assess the quality of life regarding the use of dental prostheses. Descriptive and inferential analysis was performed using Pearson's chi-square test and the Mann-Whitney test, both with a significance value of p<0.05. Results: In the present study, a total of 115 questionnaires were answered, 99.9% of the population aged over 35 years. There was a predominance of females with 78.3% and 40% received complete upper and lower dentures. Users who received one or two prostheses, n=50 (43.84%) stopped using at least one of them. The adjustment consultation had a significant relationship with the upper total and partial denture and the use of prosthesis had a negative impact on quality of life. Conclusion: There is a percentage of failure with the non-use of prostheses that may be associated with little assistance in monitoring and preserving this treatment. Evaluative measures in the work process, measurement of patient satisfaction and adherence need to be observed, as patient satisfaction with the prosthesis can have a profound impact on treatment success, as dissatisfaction will lead to underuse and subsequent rehabilitation failure.
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12
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ANNE ITAMARA BENIGNA EVANGELISTA AIRES
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THE MENTAL SUFFERING OF NURSING WORKERS RELATED TO THE COVID-19 PANDEMIC IN MOSSORÓ-RN.
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Líder : DAYANE PESSOA DE ARAÚJO
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MIEMBROS DE LA BANCA :
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ALCIVAN NUNES VIEIRA
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ANDIARA ARAÚJO CUNEGUNDES DE BRITO
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DAYANE PESSOA DE ARAÚJO
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Data: 24-feb-2023
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Resumen Espectáculo
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Introduction: The pandemic changed the routine of several people and professionals, printing social isolation and/or intensification of the workload as a measure for the containment of the virus. This need contributed to the development or worsening of mental disorders in the most diverse segments of the population, especially health professionals. Nursing is at the forefront of care in the cases of Covid-19, being more susceptible to infection by the new Corona virus and triggering emotional disorders due to workload. Objectives: To evaluate the impact produced in the Mental Health of Nursing Workers, in view of the pandemic of the corona virus in the municipality of Mossoró-RN. Methodology: Exploratory and descriptive research of quantitative approach where an online questionnaire was applied to nursing professionals who worked in the care of patients with covíd-19. The sample comprised 71 nursing workers. Data analysis was performed using classical statistics, where the P < 0.05 value was established for results with significant relevance for the evaluated hypotheses. Results: 77.5% of the subjects studied were nurses and 22.5% nursing technicians. 19.7% had some emotional disorder before the pandemic, 80.3% did not. Of these, 14.1% reported previous anxiety, stress 1.4%, bulimia 1.4%. Of these, 16.9% undertook psychological follow-up before the pandemic and 83.1% did not. About the diagnosis of mental disorders during the pandemic, 67.6% did not have it, 32.4% did. About the diagnosis, 19.7% anxiety, 1.4% stress, 1.4% panic syndrome, 1.4% burnout and anxiety and 2.8% had all these mental disorders. About the use of psychotropic drugs, before the pandemic, 9.9% made use, 90.1% were not using them. During the pandemic, 23.9% made use and 76.1% did not use it. The variables: socio-demographic profile and comorbidities did not present significant relevance for the emergence of mental disorder diagnoses. Only the workload presented significant relevance for the appointment of emotional diagnoses. The analysis of the signs and symptoms characteristic of anxiety and depression, "difficult to calm", "difficulty breathing", "initiative to do things", "overreaction", "nervousness", "nothing to be desired", "agitated", "difficult to relax", "depression/without mood", "intolerant", "panic", "without enthusiasm", "emotional and sensitive" had a value of P ≤ 0.05, that is, they had significant relevance for the determination of anxiety diagnoses, depression and stress. Conclusion: The reality of the mental health panorama of nursing workers in the face of the Covid-19 pandemic in Mossoró-RN is revealed. One of the most relevant findings was the increase in the number of subjects who started to develop anxiety and, consequently, the use of psychotropic medications to combat these conditions.
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13
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MARIA JUSSARA MEDEIROS NUNES
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REPERCUSSIONS OF THE COVID-19 PANDEMIC ON NURSES' PERFORMANCE AT THE PSYCHOSOCIAL CARE CENTER FOR ALCOHOL AND DRUGS
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Líder : DAYANE PESSOA DE ARAÚJO
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MIEMBROS DE LA BANCA :
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ALCIVAN NUNES VIEIRA
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DAYANE PESSOA DE ARAÚJO
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ANDIARA ARAÚJO CUNEGUNDES DE BRITO
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Data: 24-feb-2023
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Resumen Espectáculo
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Introduction: Faced with the pandemic caused by SARS-CoV-2, the causative agent of COVID-19, mental health services have experienced losses and losses in guaranteeing comprehensive care for users, the Nursing team is present in all CAPS modalities , category is considered as the largest constituent of the most intense bond with patients. Objective: To analyze the role of nurses in the Type III Psychosocial Care Center for Alcohol and Drugs during the COVID-19 pandemic. Methodology: the descriptive and exploratory method with a qualitative approach was used. We sent the semi-structured interview, in Google Forms digital format, together with the TCLE, forwarded by email or social networks. The collection took place from July to August 2022, 05 workers who worked during the pandemic participated in the study. For data analysis, the Minayo analysis technique was used. Final considerations: The (re)adaptation of the nursing team is based on the therapeutic relationship that remained unchanged from the mental health care process. In the conduction and coordination of care based on nursing theories that corroborate the interaction with the user in a systematic and planned way, in particular Hildegard Peplau's theory, added to the proposed diagnoses and nursing interventions presented for better assistance in establishing the health.
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14
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EMMILY CRUZ CIRILO DA SILVA
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KNOWLEDGE OF UNDERGRADUATE STUDENTS AND DENTAL SURGEONS FROM RIO GRANDE DO NORTE ON DIAGNOSIS AND TREATMENT OF INJURIES NON-CARIOUS CERVICALS
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Líder : ANA CLARA SOARES PAIVA TORRES
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MIEMBROS DE LA BANCA :
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ANA LUÍSA DE BARROS PASCOAL
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ANA CLARA SOARES PAIVA TORRES
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DAYANNE MONIELLE DUARTE MOURA
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Data: 27-feb-2023
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Resumen Espectáculo
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INTRODUCTION: Non-carious cervical lesions (NCCL) are among the most frequent situations that affect dental structures. The definition of etiological factors is necessary before selecting treatment strategies for NCCL and also for other conditions that may be associated, such as cervical dentin hypersensitivity. OBJECTIVE: To assess the knowledge of undergraduate students and dentists about diagnosis and treatment for NCCLs, as well as their conduct during the clinical approach to these lesions. METHODOLOGY: This research is descriptive, cross-sectional, exploratory and quantitative in nature. The population of the present study is composed of dental surgeons, aged over 18 years, working in Rio Grande do Norte. It is being carried out in a virtual environment. In this sense, a link with the research questionnaire and its respective informed consent form (TCLE) were sent by email and published on social networks and in message groups in order to reach the desired population. The questionnaire is divided into two parts, the socio-educational part and the second part with information on the level of knowledge about LCNC. The results obtained were organized in a computerized database with the aid of the statistical program SPSS (Statistical Package for the Social Sciences) in version 20.0, and submitted to a descriptive and inferential analysis, with a significance level of 5%. To date, a total of 177 forms have been answered. All answered by dentists, with 47% (84) of the interviewees trained in federal universities, 27% (48) in private colleges and 25% (45) in state colleges. Of the total, 65% (105) of the participants reported being satisfied with their level of knowledge about the diagnosis of LCNC, but that they need to update themselves on the subject. Regarding the clinical routine, 51%(91) of the participants reported that 4 to 6 patients out of 10 have at least one cervical lesion. Regarding the restorative material that the participants deem to be the most suitable for the treatment of CNCL, Composite resin was chosen by 77% (137). FINAL CONSIDERATIONS: So far, with partial data, it is possible to perceive a gap in the knowledge of this population regarding cervical injuries. In addition, he also noted that, due to the prevalence of these injuries, especially in premolars, it is necessary to invest in more prevention strategies and improvement of treatments.
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15
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JOSE EDNARDO SOARES PEREIRA DA SILVA
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QUALITY OF CARE FOR PATIENTS WITH COVID-19: the reality of public hospitals of regional reference
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Líder : JANIEIRY LIMA DE ARAÚJO
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MIEMBROS DE LA BANCA :
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MARCELLE MIRANDA DA SILVA
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ELLANY GURGEL COSME DO NASCIMENTO
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JANIEIRY LIMA DE ARAÚJO
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Data: 27-feb-2023
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Resumen Espectáculo
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Introduction: The pandemic has become a major challenge, forcing hospitals to organize themselves to meet growing and alarming demands; this research aims to evaluate the quality of care for these patients and also how the experience of organizing the Covid-19 Reference Units took place. Objectives: to analyze the quality of care provided to patients affected by Covid-19 in reference public hospitals in Rio Grande do Norte/Brazil, from the perspective of managers and health professionals. Specific objectives: Describe the sociodemographic and professional profile of the management team and health professionals; to analyze the quality of care provided to patients with Covid-19 in the Covid-19 Reference Units of regional hospitals in RN, taking as reference aspects of the Donabedian Triad - structure, process and result; identify challenges and potential to improve care for patients with Covid-19 in Reference Units. Method: normative, descriptive, observational, cross-sectional evaluation study with a quantitative and qualitative approach in the light of Donabedian's Triad (Structure-Process-Outcome). Data collection took place through documentary research, conducting 20 interviews with managers, applying a Survey with health professionals (nA= 168) working on the front line and research in DataSUS. The analysis of the documentary research took place in the documents received from the units. The qualitative data analysis was performed using the Content Analysis technique proposed by Bardin with the help of the MAXQDA 2022 software. Quantitative data were tabulated using Microsoft Excel, organized using SPSS and RStudio was used to plot graphs of Likert scales. The research project was submitted to the Ethics and Research Committee (CEP) of the State University of Rio Grande do Norte (UERN) and obtained authorization. Results: The qualitative data brought us three categories, namely: 1 - Analysis of the Hospital Structure in reference units for the treatment of Covid-19, which addressed the dimensioning of personnel, material and human resources and infrastructure; 2 - Work Processes for the care of patients with Covid-19, which described protocols, care management instruments, team rotation, material and people flows, intersectoral collaboration and equipment management; 3 - Challenges, Feelings and Potentialities in the process of organizing hospitals and the quality of care provided, which brought the main challenges being the lack of infrastructure, “the speed with which things happened”, the difficulties of collaboration between sectors and within the care network, problems with flows and obstacles in decision-making, in addition to dealing with the fear of the unknown and death. As potentialities are the gain of material resources, improvement in infrastructure and assistance, strengthening of processes, the support received by SESAP and the acquisition of experiences and feelings of gratitude, solidarity and union. Quantitative data showed that both health regions had mortality rates below the national, regional and state averages. The team had low psychological exhaustion, low role conflict, that they perceive the threat of Covid-19, but are not afraid of getting infected, that they do not believe that the pandemic has worsened their quality of life and that there was high social support from the family, colleagues, supervisors and managers. Conclusions: It is concluded, therefore, the need to strengthen the positive points and urgently correct the negative points to avoid care insecurity, as well as improving the amount of HR and infrastructure, acquisition of inputs, strengthening of permanent education, the culture of collaboration interprofessional and regionalization.
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16
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JOÃO CARLOS LEAL DE ARAÚJO
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ANTHROPOMETRIC INDICATORS AND MOVEMENT BEHAVIOR OF 24 HOURS IN SCHOOLS
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Líder : MARIA IRANY KNACKFUSS
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MIEMBROS DE LA BANCA :
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RODRIGO GOMES DE SOUZA VALE
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ADALBERTO VERONESE DA COSTA
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MARIA IRANY KNACKFUSS
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Data: 27-feb-2023
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Resumen Espectáculo
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Movement behaviors coincide and reflect in parallel in the health and well-being of schoolchildren. In the descriptive study of epidemiological profile, this study aimed to analyze the relationship between 24-hour movement behavior and anthropometric indicators of 526 students of both sexes aged between 11 and 17 years enrolled in the public school system of the city of Mossoró/RN. As a data collection instrument, the adapted Build Your Best Day Questionnaire (physical activity and sedentary behavior, hours of sleep) and the Xiaomi Mi Band 5 accelerometer were® used to measure physical activity level and sleep time and Sanny adipometer (skinfolds). It was observed that from the questionnaire that only 11.98% of the students met the recommendations of PA completely (moderate/vigorous and mild), 33.84% did not attend MVPA and 85.36% did not meet the AFL, only 11.03% attend ed if they attended sedentary behavior and 68.44% did not attend sleep hours, and only 12.61% of the students met the PA recommendation and 80.18% did not meet the hours of sleep, it is evident that most boys reached the guidelines of movement behavior. Among girls, lower results were observed in all variables, especially in the levels of physical activity In relation to the percentage of body fat, 54.18% of the students were above the limit recommended by Lohman, where 60.39% of the boys presented a percentage of fat considered an optimal level= and 48.34% of the female group presented adequate fat percentage. The results indicate that although the male group presented a higher level of physical activity than girls, most of the students evaluated did not meet health recommendations, regarding the level of physical activity, sleep duration and sedentary behavior.
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17
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GABRIEL VICTOR TEODORO DE MEDEIROS MARCOS
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CYTOARCHITECTURAL AND MORPHOMETRIC ANALYSIS OF IMMUNEREACTIVE CELLS AND CALCIUM-BINDING PROTEINS FROM THE GLOBE PALIDUS OF THE MARMOSET (Callithrix jacchus)
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Líder : JOSÉ RODOLFO LOPES DE PAIVA CAVALCANTI
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MIEMBROS DE LA BANCA :
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EUDES EULER DE SOUZA LUCENA
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JOSÉ RODOLFO LOPES DE PAIVA CAVALCANTI
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PAULO LEONARDO ARAÚJO DE GÓIS MORAIS
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Data: 28-feb-2023
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Resumen Espectáculo
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Introduction: The external Globus Pallidus (GPe) is a structure of fundamental importance for the execution of motor activities. The marmoset (Callithrix jacchus) is a new world primate, an animal model of interest for studies in several areas, including neuroscience. The existence of several parallels between marmosets and other mammals points to a demand for investigations involving the cytoarchitecture of the GPe and its relations with the other nuclear structures of the CNS. Objective: To analyze the laminar distribution and morphology of neurons with calcium-binding proteins (calbidin and parvalbumin) in the GPe of marmosets. Methodology: This study will use microscope slides already processed from six young adult male animals will be used. The slides used in the present study were obtained according to the procedures described in the literature, with perfusion, brain extraction, microtomy and Nissl staining and immunohistochemistry for Calbidin (CB) and Parvalbumin (PV). The sections corresponding to the GPe region will be examined by microscopy. Data will be described according to indirect observation and use of descriptive statistics and inferential analysis techniques. Results: IR-CB didn’t revealed cells of any nature in the body of the GPe in both cerebral hemispheres. The parts that presented CB-reactive neurons were confined to the fibers of the middle medullary lamina (MML) and lateral medullary lamina (LML). It was find out that the markings of the GPe and GPi presents more intense colors when these structures are submitted to IR-CB, and the origin of this fact and its implications for the functioning of the GPe it wasn’t yet documented in the literature. Both neurons and fibers containing PV appeared to be distributed along the entire length of the GPe. The PV-immunoreactive neurons have varying size, being multipolar or fusiform, with a thick and well-distributed dendritic structure. Conclusion: The present study evidences the presence of a high number of neurons that show immunoreactivity to PV in the body of the GPe. The distribution of dendritic ramifications marked by the PV also suggests that the neurons documented in this study receive signals from collateral cells containing PV. This study indicates that the neurons that present PV organize themselves to compose a population of GABAergic neurons.
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18
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GABRIEL VICTOR TEODORO DE MEDEIROS MARCOS
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CYTOARCHITECTURAL AND MORPHOMETRIC ANALYSIS OF IMMUNEREACTIVE CELLS AND CALCIUM-BINDING PROTEINS FROM THE GLOBE PALIDUS OF THE MARMOSET (Callithrix jacchus)
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Líder : JOSÉ RODOLFO LOPES DE PAIVA CAVALCANTI
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MIEMBROS DE LA BANCA :
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EUDES EULER DE SOUZA LUCENA
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JOSÉ RODOLFO LOPES DE PAIVA CAVALCANTI
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PAULO LEONARDO ARAÚJO DE GÓIS MORAIS
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Data: 28-feb-2023
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Resumen Espectáculo
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Introduction: The external Globus Pallidus (GPe) is a structure of fundamental importance for the execution of motor activities. The marmoset (Callithrix jacchus) is a new world primate, an animal model of interest for studies in several areas, including neuroscience. The existence of several parallels between marmosets and other mammals points to a demand for investigations involving the cytoarchitecture of the GPe and its relations with the other nuclear structures of the CNS. Objective: To analyze the laminar distribution and morphology of neurons with calcium-binding proteins (calbidin and parvalbumin) in the GPe of marmosets. Methodology: This study will use microscope slides already processed from six young adult male animals will be used. The slides used in the present study were obtained according to the procedures described in the literature, with perfusion, brain extraction, microtomy and Nissl staining and immunohistochemistry for Calbidin (CB) and Parvalbumin (PV). The sections corresponding to the GPe region will be examined by microscopy. Data will be described according to indirect observation and use of descriptive statistics and inferential analysis techniques. Results: IR-CB didn’t revealed cells of any nature in the body of the GPe in both cerebral hemispheres. The parts that presented CB-reactive neurons were confined to the fibers of the middle medullary lamina (MML) and lateral medullary lamina (LML). It was find out that the markings of the GPe and GPi presents more intense colors when these structures are submitted to IR-CB, and the origin of this fact and its implications for the functioning of the GPe it wasn’t yet documented in the literature. Both neurons and fibers containing PV appeared to be distributed along the entire length of the GPe. The PV-immunoreactive neurons have varying size, being multipolar or fusiform, with a thick and well-distributed dendritic structure. Conclusion: The present study evidences the presence of a high number of neurons that show immunoreactivity to PV in the body of the GPe. The distribution of dendritic ramifications marked by the PV also suggests that the neurons documented in this study receive signals from collateral cells containing PV. This study indicates that the neurons that present PV organize themselves to compose a population of GABAergic neurons.
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19
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LUAN MARTINS DE SOUZA
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ORGANIZATIONAL CULTURE AND WELL-BEING AT THE WORK OF UNIVERSITY TEACHERS
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Líder : RODRIGO JACOB MOREIRA DE FREITAS
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MIEMBROS DE LA BANCA :
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JANIEIRY LIMA DE ARAÚJO
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RODRIGO JACOB MOREIRA DE FREITAS
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THAIS AUGUSTA CUNHA DE OLIVEIRA MAXIMO
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Data: 28-feb-2023
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Resumen Espectáculo
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Objective: this research aimed to investigate the relationship between values and organizational practices of Organizational Culture and well-being at work of university professors. Material and Methods: this research is descriptive, cross-sectional and quantitative, carried out with 120 professors from 14 educational institutions in Rio Grande do Norte, who have been working for at least six months in the organization. A sociodemographic questionnaire was used, the Brazilian Inventory of Valación da Cultura Organizacional – IBACO, proposed by Ferreira et al. (2002) and the Wellbeing at Work Inventory – IBET-13, proposed by Siqueira (2014), sent via Google Form. Data underwent descriptive statistical analysis of frequency, mean and brown deviation, Spearman correlation and Kruskal-Wallis and Mann-Whitney test, comparing sociodemographic variables and well-being indices. Results: the data received moderately positive between cooperative values, interpersonal relationship practices, external integration, compuncia and training with well-being at work, and modified negative moderately between values of rigid hierarchical structure and well-being at work. Finally, the comparative tests show that professors who assume leadership positions, such as course coordination, teaching, research and extension coordination, or internship, have a higher level of well-being at work than professors who have not created activities. Final Considerations: The following study confirms a hypothesis that there is a relationship between the values and practice of Organizational Culture and well-being in the work of teachers. This study pointed out rented gaps that can be improved in other future studies, as working with a larger and more representative sample showed the importance of adapting and validating instruments for educational contexts, as they were used here and were designed for a more corporate and business context . It is also hoped that this research can be transformed into actions for the implementation of new practices and dissemination of values that encourage well-being in the work of teachers.
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20
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IVANA CONCEIÇÃO PORTO MORAES MARQUES
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HOME (IN)FOOD SAFETY, INDICATORS SOCIOECONOMIC AND DEMOGRAPHIC, ANTHROPOMETRIC AND O SCHOOL FOOD CONSUMPTION
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Líder : MARIA IRANY KNACKFUSS
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MIEMBROS DE LA BANCA :
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LAURA CAMILA PEREIRA LIBERALINO
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MARIA IRANY KNACKFUSS
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MARIA ISABEL DA CONCEIÇÃO DIAS FERNANDES
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Data: 28-feb-2023
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Resumen Espectáculo
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Food Insecurity is characterized by the feeling of concern and/or anguish in the face of the uncertainty of daily food availability, living with hunger or eating a diet of low nutritional quality, monotonous and insufficient to meet the basic needs of the individual. The objective of this study was to verify the association between household food insecurity and socioeconomic, demographic, anthropometric variables and food consumption in elementary school students from the public school system in Mossoró-RN. This is a descriptive study with a cross-sectional epidemiological design with 267 schoolchildren (municipal schools n=145; state schools n=122), aged 6 to 12 years, of both sexes, and their families. As research instruments, a socioeconomic questionnaire, the Brazilian Food Insecurity Scale, the Food Consumption Marker form from the Ministry of Health, an Onhom scale and a portable stadiometer from Avanutri were used. Multinomial logistic regression was used to calculate the odds ratio (OR) and its 95% confidence intervals (CI) for the categories of security (baseline) and food insecurity (mild and moderate to severe). The prevalence of food insecurity was 77.5% (mild: 46.4% (95% CI 40.4; 52.8) and moderate/severe: 31.1% (95% CI 25.5; 37.1 It was observed that families with per capita income of up to ½ minimum wage and up to 1 minimum wage are more likely to have mild food insecurity (RC = 2.80, 95% CI 1.24; 6.33; and RC = 3 .27, 95% CI 1.54; 6.94) and moderate to severe food insecurity (OR = 15.63, 95% CI 5.22; 46.79; and OR = 12.14, 95% CI 4, 14; 35.56) compared families with per capita income greater than 1 minimum wage. In addition, being a girl and the head of the family being a woman, as well as being responsible for the child having completed elementary/secondary education, presenting conditions of poverty and the child not consuming the three main meals of the day were associated with moderate to severe food insecurity. emphasis on gender issue.
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21
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LÍGIA FERNANDA DE ARAÚJO
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ANXIOUS AND DEPRESSIVE SYMPTOMS AMONG HEALTH STUDENTS IN THE CONTEXT OF EMERGENCY REMOTE EDUCATION
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Líder : RODRIGO JACOB MOREIRA DE FREITAS
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MIEMBROS DE LA BANCA :
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ANA PAULA NUNES DE LIMA FERNANDES
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JANIEIRY LIMA DE ARAÚJO
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RODRIGO JACOB MOREIRA DE FREITAS
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Data: 28-feb-2023
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Resumen Espectáculo
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The objective was to analyze the prevalence of anxious and depressive symptoms among health students in the context of emergency remote teaching. Cross-sectional, observational and descriptive study with a quantitative approach, data were collected through a virtual questionnaire, self-completed through Google Forms®, which includes informed consent and sociodemographic and occupational variables, aspects related to emergency remote teaching and health variables, GAD-7, an instrument for assessing, diagnosing and monitoring anxiety, and the PHQ-9, an instrument for assessing, diagnosing and monitoring depressive disorders. Data were analyzed using the SPSS IBM 25® statistical data package. The sample obtained consisted of 105 students, and the research showed a prevalence of 62,8% of anxious symptoms and 40,9% of depressive symptoms. These are much higher rates than the standards proposed in the literature. Relationship with self-reported symptoms of anxiety and depression, that is, there is not an isolated factor associated with positive symptoms of anxiety, but a plurality of factors. There is a correlation of course type variables, with emphasis on Nursing and medicine, aspects of Remote Learning, such as quality of internet access, environment with adequate infrastructure and acoustics for the study, having a previous diagnosis of mental disorder and having reported psychological change during the pandemic period are variables that significantly correlate p < 0.05 with anxiety and depressive symptoms. The research points to the need for IES to return strategies that can measure the mental health of students, as well as encourage access to meet their mental health demands in order to improve professional training and, consequently, the level of quality and excellence in the world. Of work in the health field.
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22
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ANDRÉ GUSTAVO DE MEDEIROS MATOS
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COVID-19: physical fitness and quality of life of individuals undergoing a exercise-based physical rehabilitation program
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Líder : MARIA IRANY KNACKFUSS
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MIEMBROS DE LA BANCA :
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PAULO MOREIRA SILVA DANTAS
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MARIA IRANY KNACKFUSS
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THEMIS CRISTINA MESQUITA SOARES
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Data: 28-feb-2023
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Resumen Espectáculo
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Sars-Cov 2 evolved into a pandemic from March 2020, through the WHO Decree and, since then, it has become an increasing problem, with several containment measures being carried out. Even so, many people were hospitalized due to the disease and its secondary factors, making it necessary to create a rehabilitation program for survivors who had sequelae. This is a descriptive study with a crosssectional cohort that aimed to analyze the physical fitness and quality of life of individuals infected with Covid-19, submitted to an exercise-based physical rehabilitation program. The sample included 28 individuals of both sexes, over 18 years old; with hospital discharge; with previous clinical history of two negative rt- PCR; hospitalized for more than 15 days; admitted to the ICU and submitted to mechanical ventilation, who were submitted to a rehabilitation program where the progression of the aerobic exercise intensities was adjusted according to the patients' effort tolerance and the resistance exercises lasted from 10 to 15 minutes and were composed by exercises that use body weight or with the aid of external loads (washers, dumbbells or elastic bands) . The following measurement instruments were used: 6MWT, TUG , Hand Grip Test , 60-second Sitting and Standing Test, IPAQ and SF-36. The patients had pre-existing comorbidities, in which a significant improvement was identified in markers related to cardiorespiratory physical of 6MWT Distance (p<0,00), and in the heart rate achieved in the same test (p=0.018), improvement in TUG (p <0,00), in the sit and stand test with an increase of 9 executions (p<0), in the upper limb strength test (p<0,00), in the quality of life aspects of Functional Capacity, Pain, General Health Status and social aspects did not show significant differences, but in the aspects of quality of life related to Limitations due to Physical Aspects (p=0.005), Vitality (p=0.001), Limitations due to Emotional Aspects (p=0.012) and Mental Health (p=0.014) a significant improvement was identified, although the domain of functional capacity did not show a significant difference (p=0.362), any improvement in this aspect can be considered a clinically significant improvement. Finally, it is concluded that the physical rehabilitation program promoted improvements in physical fitness and quality of life of hospitalized patients.
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23
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JOÃO LINDEMBERG BANDEIRA LIMA
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INFLUENCE OF THE ELEMENTARY PHYSICOCHEMICAL CONSTITUTION OF ORTHODONTIC WIRES ON MAGNETIC SUSCEPTIBILITY
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Líder : IVANA ALICE TEIXEIRA FONSECA
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MIEMBROS DE LA BANCA :
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FABIANNA DA CONCEIÇÃO DANTAS DE MEDEIROS
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ISABELA PINHEIRO CAVALCANTI LIMA
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IVANA ALICE TEIXEIRA FONSECA
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MICASSIO FERNANDES DE ANDRADE
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Data: 02-mar-2023
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Resumen Espectáculo
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With the greater population reach of dental treatments, the cases of interference of orthodontic appliances with imaging exams have significantly increased. In MRI, unexpected losses may be linked to the different compositions of the devices, especially the wires. Removing these devices before performing the exam, current protocol, generates financial cost, prolongation and/or abandonment of treatments, and risk due to delay in diagnosis. Objective: To identify the chemical composition, crystallographic physical structure and magnetic susceptibility of different orthodontic wires, correlating the two initial variables with the third characteristic. Materials: stainless steel (CrNi), nickel-titanium (NiTi) and nickel-titanium-copper (Cu-NiTi) orthodontic wires, round, superior and in a pre-molded arch, from four brands sold worldwide. Methods: XRD identified the alloy, the phases present, symmetry and crystallite size, which was also measured using a SEM. The FRX characterized the elemental chemical constitution and its proportions. Magnetic susceptibility (category and quantification) was presented by an AVM. Finally, the influence of the magnet of an NMR device on the arcs approaching it was tested. Results: all wires studied were susceptible enough to cause changes in an external magnetic field. Morelli CrNi and NiTi wires showed superparamagnetic behavior. Due to saturation magnetization, the reaction continues to increase up to a specific limit, thereafter it remains stable, regardless of the increase in the applied field. NiTi differs from the others, according to FRX data, because it contains a small amount of iron and cobalt, ferromagnetic elements. Unlike other paramagnetics, it was not attracted by the NMR magnet. The other wires show a small response to the AVM and a paramagnetic hysteresis curve. Conclusions: The chemical composition of the wires, especially the higher percentage of ferromagnetic and superparamagnetic elements, directly influence the magnetic susceptibility of these materials. The crystallographic physical structure, despite the scientifically recognized relationship, in the wires did not reveal a direct relationship.
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24
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MARCOS DANIEL OLIVEIRA E SILVA
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IN VITRO ANALYSIS OF MICROSSEAR RESISTANCE OF ADHESION OF COLOSTOMY POCKETS
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Líder : IVANA ALICE TEIXEIRA FONSECA
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MIEMBROS DE LA BANCA :
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FABIANNA DA CONCEIÇÃO DANTAS DE MEDEIROS
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ISABELA PINHEIRO CAVALCANTI LIMA
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IVANA ALICE TEIXEIRA FONSECA
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MICASSIO FERNANDES DE ANDRADE
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Data: 03-mar-2023
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Resumen Espectáculo
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Introduction:Adhesives play an important role in health services as they address many needs, however, adherence to the adhesive base of the colostomy bag has been reported as one of the main problems in the treatment of ostomy patients. Complications such as leaks, dermatitis, skin lesions may be related to poor adhesiveness. Based on this principle, studying the adhesion of the adhesive bases of colostomy bags from the 3 main companies in the field becomes essential for solving such problems to the health of ostomy patients. Objective: To analyze in vitro the microshear resistance of the adhesion of colostomy bags. Methodology: Descriptive and exploratory research, with a quantitative approach, where 54 specimens from different regions of the adhesive base (periphery, medial and central) were made and submitted to the microshear test, in order to quantify the adhesion force exerted until the detachment of the adhesive base. Such specimens are 0.5X0.5mm² in size and were divided into 3 groups, according to the adhesion time of the adhesive on a previously prepared silicone plate. The test performance time was 60, 120 and 240 min. The data obtained were cataloged and analyzed by IBM SPSS Statistics systems; had normality measured by the Shapiro-Wilk test and to check variables the ANOVA One-way test. Results: In this experiment, after carrying out the microshear test, it was noticed that there was no statistical significance in any of the studied variables: a) region of the adhesive base; b) mark of the colostomy bag and c) time to perform the test. Thus, the results accept the null hypothesis, in which there was no statistical difference in adhesion strength. Conclusions: The fact that they have the same membership equates the scholarships to the same level of membership. New research must be carried out, both in vitro and in vivo, to better detail the adhesive properties of colostomy bags.
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25
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MATHEUS DA SILVA REGIS
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COMPARISON OF CLINICAL PERFORMANCE OF DIRECT RESTORATIONS OF TWO COMPOSITE RESINS IN ABFRACTION LESIONS: A DOUBLE BLIND RANDOMIZED CLINICAL STUDY
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Líder : IVANA ALICE TEIXEIRA FONSECA
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MIEMBROS DE LA BANCA :
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ISAAC JORDÃO DE SOUZA ARAÚJO
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FABIANNA DA CONCEIÇÃO DANTAS DE MEDEIROS
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ISABELA PINHEIRO CAVALCANTI LIMA
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IVANA ALICE TEIXEIRA FONSECA
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Data: 07-jun-2023
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Resumen Espectáculo
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Introduction: Technological advances in Dentistry have allowed the emergence of a population with more permanence of dental elements. However, this is related to the increased prevalence and incidence of Non-Carious Cervical Lesions (NCCL), such as abfraction. This is characterized by the loss of tooth structure, with composite resin restoration as a possible treatment. Objective: Evaluate clinically and compare the effectiveness of direct restorations of two composite resins in the treatment of abfraction lesions. Methodology: This is a randomized, longitudinal and double-blind clinical study in which 26 participants were analyzed, with at least two abfractions in different premolars and, respectively, two restorations performed in the same clinical time, one of them using Zirconfill® Resin (Maquira/BM4) and the other with Opallis Flow® Resin (FGM). Subsequently, the restorations were evaluated using a modification of the USPHS model (United States Public Health Service), which includes the criteria of marginal integrity, wear, marginal discoloration, retention, secondary caries and postoperative hypersensitivity. The evaluations were carried out immediately, 01 month and 06 months after the restoration was made. Results: Both composites presented satisfactory indexes in the evaluated criteria. With Zirconfill® resin, there was a significant difference (p<0.05) in the criteria of marginal integrity and immediate postoperative hypersensitivity. While in Opallis flow ® resin there was difference in retention, immediately and after 01 month, and in operative hypersensitivity, immediately and after 06 months. Conclusions: Both showed satisfactory clinical performances. Since Zirconfill ® Resin is the one that presents the best cost-benefit ratio.
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26
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ANDRESSA PAIVA PORTO
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EFFECTS OF AN INTERVENTION BASED ON EXECUTIVE FUNCTION AND EMOTIONAL REGULATION ON THE EATING BEHAVIOR RESPONSE IN OVERWEIGHT INDIVIDUALS: A PILOT STUDY
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Líder : JOSÉ RODOLFO LOPES DE PAIVA CAVALCANTI
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MIEMBROS DE LA BANCA :
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EZEQUIEL BATISTA DO NASCIMENTO
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JOSÉ RODOLFO LOPES DE PAIVA CAVALCANTI
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PAULO LEONARDO ARAÚJO DE GÓIS MORAIS
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Data: 27-jun-2023
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Resumen Espectáculo
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Obesity and overweight are a growing public health problem, current treatments are based on nutritional approaches and behavioral changes, but weight regain rates in this population are still high. Factors such as difficulties in emotional regulation and in some executive functions influence the eating pattern adopted by this population. Given the above, this research evaluated the effectiveness of an intervention based on Cognitive Behavioral Group Therapy (CBT) in conjunction with computerized training for executive function in obese and overweight individuals. It is also intended to evaluate the correlation between emotional dysregulation, impulsivity and eating patterns. The intervention has a convenience sample, consisting of 18 participants randomly divided into a control group and an experimental group. Data collection was carried out using the following scales: Tree Factor Eating Questionnaire (TFEQ-R21), to assess eating behavior, Difficulties in Emotional Regulation Scale (DERS) to assess difficulties in emotional regulation; Impulsivity Rating Scale (ESAVI), to assess impulsivity. The results found indicated that, regardless of the group, changes occurred in the evaluated domains. A positive correlation was found in the experimental group between emotional eating and emotional dysregulation. The intervention associating CBT for emotional regulation with executive functions training did not prove to be superior to the intervention applied alone. The findings of this study support the hypotheses of the association between difficulties in eating behavior and emotional regulation and that therapeutic interventions based on behavioral change and emotional regulation can enable improvements in eating behavior.
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27
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ROQUE RIBEIRO DA SILVA JÚNIOR
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THE INFLUENCE OF PHYSICAL TRAINING ALONE OR ASSOCIATED TO A HYPER-LIPID DIET OF CASHEW NUTS OR PORK LARGER ON THE OXIDATIVE STRESS OF ADIPOSE TISSUE IN RATS
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Líder : GLEBIA ALEXA CARDOSO
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MIEMBROS DE LA BANCA :
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ADALBERTO VERONESE DA COSTA
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GLEBIA ALEXA CARDOSO
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MARCOS ANTÔNIO PEREIRA DOS SANTOS
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Data: 18-ago-2023
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Resumen Espectáculo
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PURPOSE: to analyze the effects of aerobic training alone or associated with a high-fat diet based on pork lard and cashew nuts on oxidative stress in the adipose tissues of female rats. METHODOLOGY: The sample consisted of 96 female Wistar rats randomized into groups called control (CON), cashew nut (CC) and lard (BP), 48 of these were sedentary who only administered a high-fat diet and 48 animals associated diet with physical training on a treadmill. The groups were also divided into an intervention period of 3 and 6 months. All training and euthanasia protocols were performed taking ethical care for animal research. Samples were extracted and packaged until analysis. Brown adipose tissues, puri-uterine, mesentery, abdominal cavity. Analyzes of Malondialdehyde (MDA) as an oxidizing agent and Total Antioxidant Capacity (CAOT) were carried out using the method based on the elimination of the stable free radical 1,1-diphenyl-2-picrylhydrazyl (DPPH). Anova one way test with Bofferroni's post-hoc was used to verify possible differences, considering the factors group (diet CC, BP CON), exercise (isolated exercise, exercise + CC and exercise + BP) and time (three months and six months); independent t test to verify possible differences between the initial values of weight, MDA and CAOT between groups and between tissues; Pearson's correlation was used to verify possible relationship between weight, e MDA and CAOT; The significance level adopted was p<0.05. RESULTS: The MDA of the sedentary and exercise group, both the 3 and 6 months intervention of the cashew nut groups showed a lower concentration of lipid peroxidation, respectively in the aforementioned groups and periods (CC: 0.25±0.012μM; 0.24 ±0.009μM. EXCC: 0.45±0.24μM; 0.32±0.14μM) in all tissues studied and when compared to the other groups studied. The null hypotheses were all refuted, with the alternative hypotheses prevailing. In the 3-month intervention in sedentary and exercise groups related to cashew nuts showed an increase in CAOT (CC: 35.45±7.56%; EXCC: 36.46±8.38%). In brown adipose tissue, puri-uterine and abdominal cavity. As for the intervention in the exercises, the cashew brown groups presented a CAOT (40.02±9.2%) greater than that in the brown adipose tissues. CONCLUSION: A diet based on cashew nuts, associated or not with exercise, showed a decrease in lipid peroxidation and a greater total antioxidant capacity in adipose tissue in female rats with three and six months of intervention.
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28
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LARA CRISTINA CARLOS DE MORAIS
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TROPHIC ANALYSIS OF CORTICAL NEURONS WITH ALZHEIMER INDUCTION IN THE PRESENCE OF PANCREATIC CONDITIONED MEDIUM WITH ADDITION OF SUNFLOWER OIL. AN IN VITRO STUDY
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Líder : FAUSTO PIERDONA GUZEN
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MIEMBROS DE LA BANCA :
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FAUSTO PIERDONA GUZEN
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GEOVAN FIGUERÊDO DE SÁ-FILHO
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PAULO LEONARDO ARAÚJO DE GÓIS MORAIS
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Data: 24-ago-2023
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Resumen Espectáculo
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OBJECTIVE: The aim of this study was to analyze the effects of sunflower oil supplementation with pancreatic cell conditioned medium on Alzheimer-induced cortical neurons. MATERIAL AND METHOD: Nerve cortical cells were collected from newborn Wistar rats, the acquisition of the pancreas was from an adult Wistar rat and the beta-amyloid peptide, which has the ability to induce alzheimer's, was diluted in double distilled water, having then been cultivated in different groups, a control (D-10) and the others with different groups (OG, βA, MCP) with cellular morphology evaluated at the end of 96 hours. Cell expansion data (area, perimeter and axonal length) at 96 hours were statistically compared using the Kruskal-Wallis test in multiple pairwise comparisons, being considered significant when p<0.05. RESULT: At the end of 96 hours it was verified that the culture of cells when cultivated in G7 (D-10, βA, OG) and G8 (MCP, βA, OG) presented morphometric alterations when compared to the other groups (G2,G3,G4,G5,G6) without joint treatment of MCP and OG, thus allowing a more evident identification of the morphology of glial and neuronal cells, resulting in the plastic effect. CONCLUSIONS: Experimental groups treated with GO alone and in combination with MCP, in the midst of βA showed more pronounced changes when compared to the control group (D-10), mainly in G7 and G8. Thus, it is shown that OG and MCP act in neuroprotection, neuroregeneration, acting in the reduction of aggregated beta-amyloid senile plaques, important for possible treatments of neurodegenerative disorders such as AD.
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29
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MARCÍLIA INGRID LIMA BARROSO NUNES
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EFFECTS OF DIFFERENT SOURCES OF FAT IN THE HYPER-LIPID DIET ASSOCIATED WITH PHYSICAL TRAINING ON OXIDATIVE STRESS IN RAT HIPPOCAMPUS
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Líder : IVANA ALICE TEIXEIRA FONSECA
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MIEMBROS DE LA BANCA :
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FRANCISCO SÉRGIO LOPES VASCONCELOS FILHO
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ADALBERTO VERONESE DA COSTA
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IVANA ALICE TEIXEIRA FONSECA
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Data: 29-ago-2023
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Resumen Espectáculo
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Introduction: The composition and control of the components of a diet are directly related to the physiological mechanisms in the modulation of the function of the molecular systems involved in the maintenance of health and, above all, in the neuronal activity. The hippocampus, commonly related to cognitive processes such as memory and learning, seems to be particularly susceptible to morphological and functional changes resulting from the consumption of a highfat diet. Physical training may be a useful therapeutic tool with the aim of combating the neurodegenerative pathophysiology arising from high-fat diet consumption and the mechanisms underlying the low-fat diet-induced decreases in learning and memory function. Objective: to analyze the effects of different types of fat sources in the high-fat diet, whether animal or vegetable, associated with physical training on oxidative stress in the hippocampus of rats. Methodology: Wistar rats (n=48) were used, with food and water provided ad libitum, submitted to physical training for 6 months. The animals were divided into 6 groups according to diet and training: group 1- standard ration and sedentary; group 2- hyperlipidic diet with lard and sedentary; group 3- hyperlipidic diet with cashew nuts and sedentary; group 4 – standard ration and exercise; group 5 – high fat diet with lard and exercise and group 6 – high fat diet with cashew nuts and exercise. Euthanasia took place during the rats’ estrous cycle. After euthanasia of the rats, the brain was removed from the braincase to separate the hippocampus areas to evaluate the hippocampal levels of MDA, SOD and free protein Values were expressed as mean ± standard deviation. Two-way ANOVA with repeated measures was used and the Bofferroni’s post hoc was defined as a function of the coefficient of variation. The significance level adopted will be α ≤ 0.05 with variables have normal and homoscedastic distribution. Results: It was verified that the high-fat diet based on pork lard caused an increase in MDA in the hippocampus of female rats when compared with the diet based on cashew nuts and control (BHP: 0.18±0.06 % vs. CNT : 0.14±0.03%; p=0.04; BHP: 0.18±0.06% vs. CSC: 0.12±0.03%; p=0.00), without significant changes in protein levels free. Physical exercise was only able to reduce the levels of free proteins in the hippocampus in the group of rats on a control diet (SDCNT: 1.00±0.23 μl vs. EXCNT: 0.73±0.08 μl; p=0.024), without changes in hippocampal levels of MDA. As for SOD, there was an increase in the sedentary group with lard diet in relation to the other sedentary groups (SDBHP: 12.64±11.05% vs. SDCNT: 3.40±1.91%; p= 0.00; (SDBHP: 12.64±11.05% vs. SDCSC: 6.04±3.83%; p=0.05). Finally, there was weight gain in all groups at the end of the experiment, with no significant difference in weight between the groups. Conclusion: After 6 months of physical training, the reduction in free protein levels in the hippocampus was only observed in the groups with control food, without alterations when other diets were used. The levels of MDA only changed in the groups with a lard-based diet, regardless of whether or not they practiced physical exercise and hippocampal levels of SOD only showed an increase in the sedentary group using lard. In addition, diet and the practice or not of physical exercise had no impact on the weight gain of the sample.
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30
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VINÍCIUS ILEY OLIVEIRA RODRIGUES
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CONHE(S)ER APP: CREATION AND VALIDATION OF A MOBILE APP TO PROMOTE MENTAL HEALTH AND HEALTH EDUCATION
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Líder : GLEBIA ALEXA CARDOSO
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MIEMBROS DE LA BANCA :
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ADALBERTO VERONESE DA COSTA
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GLEBIA ALEXA CARDOSO
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WASHINGTON SALES DO MONTE
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Data: 29-ago-2023
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Resumen Espectáculo
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Introduction: The use of mobile technology has become increasingly necessary in contemporary society, causing negative and positive effects on users, in the health area, for example, identifying, tracking and treating conditions early in individuals can be decisive for any and all. clinical condition. Objective: Create and validate a free mobile application that assesses common mental disorders and meaning of life, with educational information about these constructs, in order to meet the needs of users by promoting health and education. Methodology: The study was divided into three stages: the 1st (first) stage included the creation of the application's content, the design process and programming. In the 2nd (second) stage, the application was evaluated by specialists in the field of psychological assessment and clinical psychology, in the area of technology. In the 3rd (third) and last stage, the pilot study will take place. For the pilot study, snowball sampling was used, which is a form of non-probabilistic sampling. Due to this type of sampling, a period of time for data collection was stipulated, between April 24, 2023 and May 24, 2023. Results: ConheSer was conceived from two words: Knowing and Being, in the expectation that the subject can self-know in order to be who he is, based on a phenomenological reading. For Design, the Figma tool was used, where the user interface and the prototype were developed. With regard to programming, it was carried out from NodeJS (Backend, Api), for the Postgresql database and to index the APP from Flutter. In the programming process, the codification of the previous processes enters, to generate the application. Where I joined the design with the wireframe. The validation process of the judges, very well qualified (40% Doctors and 60% Masters), evaluated the educational material as adequate, obtaining a score of 0.88 on the CVI, as well as adequate for the public, scoring 86 on the SAM. Evaluating the application in general, the judges understood, based on the Kappa coefficient, that the application is suitable for the objectives, where it obtained a score of 90, meaning adequacy. After the validation of the judges, the pilot study took place, where it was possible to see the stability of the application, remaining stable and storing the data correctly. In addition, information was collected on how users see the usability of the application from the 52 participants, 76.9% rated it as best imaginable and 100% of these classified it between best imaginable, excellent and good, understanding from the SUS parameters that the application is usual. Conclusion: This research highlighted the creation and validation processes of a mobile application, aimed at promoting mental health and health education. It is noticeable from the evaluation of the judges that the application has the potential for what it was designed for, in all evaluations it obtained excellent scores.
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31
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KALIDYJAMAYRA OLIVEIRA REIS DE FREITAS
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INFECTIONS RELATED TO HEALTH CARE IN THE ICU OF A REGIONAL REFERENCE HOSPITAL IN THE SEMI-ARID NORTHESTINE
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Líder : THALES ALLYRIO ARAÚJO DE MEDEIROS FERNANDES
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MIEMBROS DE LA BANCA :
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JOSÉ VERÍSSIMO FERNANDES
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MARQUIONY MARQUES DOS SANTOS
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THALES ALLYRIO ARAÚJO DE MEDEIROS FERNANDES
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Data: 30-ago-2023
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Resumen Espectáculo
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Introduction: Health Care-Related Infections (HAIs) occur more frequently in Intensive Care Units (ICUs) due to greater patient exposure to invasive procedures and devices, weakened clinical status, and their handling by the care team. These practices require greater use of antibiotics, which may lead to bacterial resistance to these drugs, the consequences of which may be difficulty in treatment, prolonged hospitalization, higher risk of death and cost of treatment. Objective: To analyze HAI and its predictor factors in the ICU of a regional reference hospital in the northeastern semi-arid region in the 2017-2020 quadrennium. Methods: Retrospective, observational, cross-sectional study with a descriptive approach. The studied population consisted of 1,682 patients registered by the Hospital Infection Control Commission admitted to the general ICU of the Regional Hospital Dr. Tarcísio de Vasconcelos Maia, located in the northeastern semi-arid region, Mossoro-RN, in the four-year period 2017-2020. Data were collected from HAI notification forms and added to a specific digital database, with exclusive access to research members, whose descriptive, bivariate and multiple analysis took place using Microsoft Office Excel® software and Statistical Package for the Social Sciences. Results: The analysis reveals a prevalence of males (62%), a median age of 57 years old and the existence of comorbidities in 57.9% of cases, especially infection prior to the ICU. The length of stay in the ICU is 11.4 days and the mortality rate is 52%. As for invasive devices, the use of indwelling urinary catheter (IUC), mechanical ventilation (MV) and central venous catheter (CVC) is above 78%/1,000 devices-day. There were 790 HAIs in the ICU. The main HAI incidence densities (ID)/1000 patient-day were: ID-Urinary Tract Infection 22.3; ID-Pneumonia Associated with Mechanical Ventilation 27 and ID-Primary Bloodstream Infection 1,8. As for antibiotics, a Length of therapy (LOT) of 840.5/1000 patient-days was observed, the most prescribed being: vancomycin; meropenem, ceftriaxone, amikacin and polymyxin, whereas for Days of therapy/1000 patient-days, the most expressive are meropenem, amikacin, polymyxin, vancomycin and imipenem. The presence of non-compliance in the treatment with antibiotics was identified in about 455 patients, which mainly involve polymyxin, vancomycin, meropenem and ceftriaxone. In the regression model, risk factors associated with HAI have been identified: length of stay, previous infection in the ICU, LOT, amount of antibiotics/type used in the ICU and use of carbapenem, aminoglycoside and nitromidazole. Conclusion: HAI has a high incidence in the ICU, especially VAP and ACUTI, as well as the use of MV and IUC and a predominance of the worst outcome in the patient's prognosis, in addition to significant length of stay and infection prior to the ICU. Seven variables were identified as risk factors associated with HAI, with 71% of them involving the use of antimicrobials. The study can collaborate with HAI control and prevention strategies based on knowledge of the hospital reality, especially based on the management of antimicrobials.
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32
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KARLA REGINA FIGUEIROA BATISTA
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EVALUATION OF ACCESS TO HEALTH SERVICES, SOCIAL SUPPORT AND IMPACT OF THE COVID-19 PANDEMIC ON PATIENTS WITH RARE GENETIC DISEASES
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Líder : THALES ALLYRIO ARAÚJO DE MEDEIROS FERNANDES
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MIEMBROS DE LA BANCA :
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ELLANY GURGEL COSME DO NASCIMENTO
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THALES ALLYRIO ARAÚJO DE MEDEIROS FERNANDES
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ELLAINE DÓRIS FERNANDES CARVALHO
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Data: 31-ago-2023
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Resumen Espectáculo
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People with rare genetic diseases (RGDs) face a series of challenges in monitoring their condition, from birth to diagnosis and treatment, the whole routine is changed and situations of great anguish and suffering plague patients and their families. Therefore, the present study aimed to investigate the impact of access to health and social support, on the population with rare genetic diseases, caused by the Covid-19 pandemic. With regard to methodology, it is a descriptive observational cross-sectional study that falls within the scope of quali-quantitative research. The fields of study will be: Hospital Regional Dr. Tarcísio Vasconcelos Maia – HRTM; Mossoroense League of Studies and Fight against Cancer – LMECC; Hemotherapy and/or Hematology Care Center of Mossoró – HEMOCENTRO; Central Unit of Therapeutic Agents – UNICAT; and DGR's Association of Rio Grande do Norte. The interest and choice of these sites was due to the fact that they represent a reference for the treatment/support of patients with DGR's. Inclusion Criteria: Having a confirmed diagnosis for any type of Rare Genetic Disease (over 18 years old), or being the legal guardian of the patient (if under 18 years old or legally incapable); A guardian must be present at the time of the interview, if minors or children. Exclusion criteria: Patients with a suspected Rare Genetic Disease, but the diagnosis is not completely closed; Cognitive inability of the interviewee (patient or caregiver) to understand the instrument's questions. To carry out the data collection, the instrument “Perception Scale of Access to Health and Social Support for people affected by Rare Diseases (Passs)”, calibrated and validated (Salviano et al., 2020), was used. The instrument comprises four domains with a total of 38 items, namely: 08 items from Health Resources, 07 items from Financial Resources, 13 items from Social Aspects and 10 items from Individual Aspects. 152 patients with DGR's were analyzed, 90 men and 62 women. Regarding the sociodemographic characteristics of the patients, individuals aged 5 to 18 years (88-57.9%), with incomplete primary education (71-46.7%) and from Natal (47- 31.9%) and region predominated. metropolitan area of Natal (47- 31.9%). The most expressive family income was 1 to 2 salaries (102-70%) (Table 1), which is understandable, since the vast majority of caregivers have a low level of education or are illiterate. The main genetic diseases found in this study were neuromuscular DGR's: Muscular Dystrophies with 46 cases, mostly Duchenne, followed by 23 cases of Spinal Muscular Amyotrophy types 1,2,3 and Mucopolysaccharidosis types 1,4,6 with 19 cases. The survey results show reasonably adequate support, health resources and social aspects are above average and financial resources were regular. However, individual aspects were compromised and, as a consequence of the Covid-19 pandemic, there were interruptions, cancellations and postponements in the treatment of patients, with teleconsultation and/or online monitoring being fundamental actions for good care. Thus, it is necessary to constantly improve strategies for valuing and improving the National Policy for Comprehensive Care for people with DGR, aiming to contribute to a more effective network of health services.
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33
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MARIA VALERIA CHAVES DE LIMA
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SITUATIONAL DIAGNOSIS OF INTEGRATIVE AND COMPLEMENTARY PRACTICESIN THE VI HEALTH REGION OF RIO GRANDE DO NORTE
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Líder : RODRIGO JACOB MOREIRA DE FREITAS
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MIEMBROS DE LA BANCA :
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ANTONIO RODRIGUES FERREIRA JÚNIOR
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JANIEIRY LIMA DE ARAÚJO
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KALYANE KELLY DUARTE DE OLIVEIRA
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RODRIGO JACOB MOREIRA DE FREITAS
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Data: 17-oct-2023
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Resumen Espectáculo
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The objective was to analyze the situational diagnosis of Integrative and Complementary Practices (PICS) performed in Primary Health Care (PHC) in the municipalities of the VI Health Region (RS) of Rio Grande do Norte. This is a descriptive and exploratory research with a qualitative approach carried out in the VI Health Region/Rio Grande do Norte (VI RS/RN), comprising 37 municipalities. The survey response rate was 97.30% (36 municipalities). Participants consisted of 31 health secretaries (Group 1); 31 PHC coordinators (Group 2); and 4 health professionals (Group 3) who perform the PICS, selected according to inclusion and exclusion criteria. Data collection took place from September 23, 2022 to March 3, 2023 in person, through a semi-structured interview with the study participants. Once the PICS experiences were identified, non-participant observation was carried out according to the guiding script with health professionals. Data were analyzed following the Content Analysis Technique (TAC) according to Laurence Bardin. Of the 36 municipalities that participated, 7 offer PICS as a routine service; 6 offered PICS at some point, but suspended the routine offer; 5 offer PICS sporadically and without standardization; 16 municipalities have never offered PICS and 2 are in the process of implementing the offer in 2023. The PICS mentioned in the routines of the municipalities were: auriculotherapy, cupping therapy and acupuncture, while in the sporadic offers it was added: shantala, medicinal plants, music therapy, aromatherapy and chromotherapy. In the proposals for future implementations, in addition to the previously mentioned PICS, 1 municipality showed interest in implementing circular dance, in addition, the plurality of municipalities links the use of PICS to the offer in specific groups and, not necessarily, the general population. Based on what was found in the analyzes, it is evident that most secretaries, coordinators and professionals in the municipalities where the research was carried out have little knowledge about the National Policy on Integrative and Complementary Practices, as well as the State Policy that guides this offer. Proportionally, the participants expect that there will be a financial incentive from one of the spheres of management and financing, state or federal, so that there is a constant and routine offer of PICS in PHC.
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34
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MARCELINO MAIA BESSA
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CROSS-CULTURAL ADAPTATION OF THE “HOLISTIC ASSESSMENT” INSTRUMENT FROM TIDAL MODEL FOR USE IN BRAZIL
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Líder : RODRIGO JACOB MOREIRA DE FREITAS
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MIEMBROS DE LA BANCA :
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ANA RUTH MACÊDO MONTEIRO
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ELLANY GURGEL COSME DO NASCIMENTO
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JUCE ALLY LOPES DE MELO
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RODRIGO JACOB MOREIRA DE FREITAS
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Data: 21-dic-2023
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Resumen Espectáculo
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This study aims to cross-culturally adapt the “Holistic Assessment” instrument from the tide model for use in Brazil. As a result of this, objectively: investigate the semantic, idiomatic, conceptual and cultural equivalences of the “Holistic Assessment” adapted for Brazil through a committee of experts and verify the evidence related to clearly in the response process of the adapted version of the “Holistic Assessment ” by users and nurses. This is a methodological study of cross-cultural adaptation, following the methodology proposed by Beaton, which consists of 6 stages, namely: Initial translation; Synthesis of translations; Retrotranslation or Back Translation; Review by a committee of experts; Pre-test and submission of the pre-final version to a Scientific Committee specialized in cultural adaptation. Translations and back-translations were carried out independently by 4 bilingual translators. The translation synthesis was carried out by the author and the advisor using standardization and adequacy criteria. The back-translation synthesis was carried out with the help of another translator, by the author and supervisor. Evidence of content validity was obtained through a committee formed by 11 specialist nurses, being verified as semantic, idiomatic, conceptual and cultural equivalences, which were analyzed using the content validity and reliability index. The semantic content analysis of the adapted instrument was carried out through pre-testing with 15 users of the Psychosocial Care Center and 15 nurses from CAPS's and the Family Health Strategy, using the survey method and application of responses through a scale I like. The translation and cultural adaptation stages allowed linguistic adjustments to be made for better understanding and practical applicability of the instrument items for use in Brazil. The content validity index of the Brazilian version was 0.99 and Cronbach's alpha was 0.82. In the pre-test, the average degree of global understanding by users was 4.7 while for nurses it was 4.8. Furthermore, 100% (n=15) of nurses stated that the instrument clearly presents the information, visualizes its practical applicability and would use it in their clinical practice. Therefore, the transcultural adaptation of the instrument was carried out, thus enabling the availability of the holistic assessment instrument to be used in nurses' clinical practice in mental health care in Brazil. The study has the potential to contribute to the advancement of scientific knowledge in the area of health and nursing, qualifying nurses' assistance in mental health care in Brazil through practices based on technical/scientific knowledge and based on knowledge specific to the profession, such as the use of nursing theories, including the Tidal Model and this Holistic Assessment instrument.
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35
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PERLA SILVA RODRIGUES
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RELATIONSHIP BETWEEN FOOD CONSUMPTION, BODY COMPOSITION AND SEDENTARY BEHAVIOR IN CHILDREN AND ADOLESCENTS WITH AUTISTIC SPECTRUM DISORDER
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Líder : GLEBIA ALEXA CARDOSO
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MIEMBROS DE LA BANCA :
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BRUNA YHANG DA COSTA SILVA
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GLEBIA ALEXA CARDOSO
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KALYANE KELLY DUARTE DE OLIVEIRA
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Data: 22-dic-2023
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Resumen Espectáculo
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Introduction: Excess weight is endemic in autistic children and adolescents, with inadequate diet and a sedentary lifestyle being some of its etiological factors. Objective: To evaluate the relationship between food consumption, sedentary behavior, anthropometric profile and body composition of children and adolescents with Autism Spectrum Disorder. Methodology: This is a quantitative, cross-sectional and descriptive study. 100 children and adolescents (8.53±2.95 years) of both sexes diagnosed with Autism Spectrum Disorder, attended by the Jaguaruana Specialized Care Center and the Specialized Educational Service, participated in the study. Forms were used to outline the participants' socioeconomic profile, screen time, level of physical activity and 24-hour dietary recalls. Body composition was assessed by measuring weight, height, waist, hip and abdominal circumferences, in addition to subscapular and triceps skinfolds. Results: It was noticed that 75% of participants spent excessive time on screens. Furthermore, 74% of children and adolescents (n=74) were classified as not active. The majority were overweight (obese 40% and overweight 27%) according to the Body Mass Index for Age. Regarding body composition, 36% of participants had a moderately high and high fat percentage. Regarding food consumption, the main source of calories identified was from natural or minimally processed foods, totaling 58.04% of the usual daily intake. However, ultra-processed foods had a caloric contribution of 35.25%. Regarding the relationship between food consumption, sedentary behaviors, screen time and body composition, there were correlations between the variables (p values). Conclusion: The main results of this research with children and adolescents with autism spectrum disorder show that as the intake of ultra-processed foods increases, body fat levels and anthropometric indicators of adiposity also increase. Furthermore, the less time is dedicated to physical activity, the higher the body fat levels. At the same time, the more time dedicated to screen activities, the higher the percentage of fat and indicators of excess body weight.
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