DSpace Coleção: http://repositorio.ufpa.br:8080/jspui/handle/2011/10373 2020-08-08T09:16:47Z 2020-08-08T09:16:47Z As necessidades de cuidar do filho estomizado: na perspectiva da teoria comunicativa http://repositorio.ufpa.br:8080/jspui/handle/2011/12366 2020-03-06T05:48:05Z 2018-08-13T00:00:00Z Abstract: The children can get urinary or gastrointestinal stomas for a variety of causes, right after birth or at any time in their life. The most common causes are congenital anomalies and traumas that occur during development and are mostly temporary anomalies. It is estimated that one in each 33 babies, born with congenital problems in the world. Objective: know the challenges faced by the mothers with the care of their stomized son. Method: It is a descriptive study with qualitative approach having as theoretical support the communicative action of Habermas. The scenario of the study was Serviço de Atenção à Pessoa com Estomia, localized at Unidade de Referência Especializada Presidente Vargas in Belém of Pará. It was performed the collections of data through semi-structured interviews with mothers of stomized children properly registered at the service of attention for stomized people. It was performed the data’s analysis using the Bardin content technique. Results: It was been interviewed 12 mothers, whom two mothers live in Belém count and the remaining in countryside of the state. The age group of children was between 8 months’ to 8 years old, considering congenital disease the main diagnosis for ostomy production and the ostomy type more incident was colonoscopy, in relation to gender, six are male and six female, time of ostomy ranged between one month of life to two years old. The mothers’ age ranged from 18 to 46 years old, related to level of education, two mothers had full high school, one had unfinished high school, five had full middle school and four had unfinished middle school. Discussion: The results of the study indicated that mothers are not adequately oriented regarding their child's stomized care, revealing fear and anguish as the biggest challenges to changing and handling collecting equipment. The stomized child needs specialized care by the multi-professional team, and especially the nurse who is the professional responsible for health education, with guidance on care and education for parents regarding the exchange of equipment and the necessary care with the peristomal skin to preparing them to the returns home time with minimal conditions to care your child. Final considerations: the mothers experience the flaws in care provision for your stomized child and they reveal the fear as the main challenge in provision of healthcare. It was verified as inadequate The educational actions provided by nurses for the mothers when it comes to guide the care of stomized children, causing the unpreparedness of mothers and contributing to the inability to perform the expected assistance at home. It was expected that the construction of an educational material target for the care of stomized child could contribute with both mothers and nursing professionals in order to provide assistance with the view to quality of life and rehabilitation of the stomized child. Título: As necessidades de cuidar do filho estomizado: na perspectiva da teoria comunicativa 2018-08-13T00:00:00Z Katuana da Amazônia: consumo alimentar e associação com o risco cardiovascular em população urbana http://repositorio.ufpa.br:8080/jspui/handle/2011/11463 2019-08-20T06:13:47Z 2019-03-28T00:00:00Z Abstract: Objectives: To evaluate dietary intake and its association with the risk of coronary artery disease in urban population over 30 years of age; to describe the cardiovascular risk by the Framingham score; verify the food and food groups consumed in the study population; to analyze the association between dietary intake and the high and low risk groups by the Framingham score. Methodology: A cross-sectional study was carried out involving 267 individuals per randomized random sample from the periphery of the city of Belém do Pará. Biological samples were collected for biochemical tests and measurements of weight, height and blood pressure. A questionnaire on socioeconomic characteristics at home and a food frequency questionnaire (FFQ) were used to collect information on food consumption. The consumption of food was reclassified for analysis in regular and non-regular consumption. Cardiovascular risk was calculated from clinical and biochemical data using the Framingham cardiovascular risk scale and classifying subjects into two groups: high and low cardiovascular risk. After this classification, associations were analyzed with sociodemographic, anthropometric variables and food consumption data obtained through the FFQ. Results: 22.5% of the group were at high risk for developing coronary artery disease and 77.5% were low risk, according to the Framingham score. Of the population that presented high risk, 65% were women, 91.7% referred predominantly brown or black; 68.3% belonged to classes B and C; the median per capita income was R$ 300.70; the median age was 47 years; the median number of years of study was 8 years; 65.9% had a marital relationship; 76.7% were overweight and 41.7% had increased waist circumference. Regarding the regular food consumption of the studied population, 62.9% consumed whole milk, 13.9% red meat, 50.2% margarine, 65.5% cassava flour, 8.6% soda, 10.5% skimmed milk, 38.6% beans and 15.7% consumed five daily servings of fruit vegetables. Conclusion: The present study observed that the population studied presented a fairly homogeneous diet, probably due to the similarities of purchasing power and eating habits. Thus, this study did not find statistical association between cardiovascular risk and food consumption in this population group. Título: Katuana da Amazônia: consumo alimentar e associação com o risco cardiovascular em população urbana 2019-03-28T00:00:00Z Adolescentes rurais: comportamentos de risco para doenças crônicas não transmissíveis em um município do interior do estado do Pará http://repositorio.ufpa.br:8080/jspui/handle/2011/11460 2019-08-20T06:15:13Z 2019-03-15T00:00:00Z Abstract: Recent studies have demonstrated the epidemiological transition and the increased occurrence of Noncommunicable Chronic Diseases (NCD), especially among adolescents in less developed countries, and in those who live in poor areas. Although it is recognized that these diseases are more commonly perceived in adults, their manifestations are the result of the interaction of risk factors acquired at an early age. Therefore, the objective of this research was to identify the risk factors for NCDs in adolescents from the rural area of a town in the northeast of the state of Pará, Brazil, as well as to present the risk factors for NCDs through the following variables: physical activity, tobacco use, alcohol consumption, Body Mass Index, waist circumference and blood pressure, identifying the possible associations between these variables with the socio-demographic, socioeconomic conditions and with the behavioral and alimentary markers. An observational, cross-sectional epidemiological study was carried out on a representative sample of students of both sexes, aged between 15 and 19 years, enrolled in the regular high school of six public schools in the rural area of the municipality of Ipixuna-PA. The data were obtained through a questionnaire and clinical evaluation, being analyzed by means of explanatory analysis and univariate and multiple logistic regression, considering a significance level of 5% (p < 0,05) and a 95% confidence interval (CI). The sample consisted mostly of female individuals, with an average age of 17 years, who were insufficiently active, who had already experienced alcohol and tobacco, belonging to the most socially vulnerable strata and who had a poor-fiber diet, but rich in fats and sugar. The sedentary lifestyle was significantly related to the female sex, while the risk of altered blood pressure and tobacco experimentation were significantly related to the male sex. Socioeconomic conditions have been shown to influence mainly blood pressure increase, tobacco experimentation, and waist circumference, while older age has been shown to be a protective factor for abdominal obesity. Likewise, the consumption and experimentation of alcohol and tobacco showed to have their use combined, as well as the presence of abdominal obesity and overweight. Inadequate feeding, in turn, was associated with the greater risk of the adolescent being insufficiently active. This study makes clear the need for more effective public policies aimed at raising awareness of the need for a healthier lifestyle among adolescents in rural areas. Título: Adolescentes rurais: comportamentos de risco para doenças crônicas não transmissíveis em um município do interior do estado do Pará 2019-03-15T00:00:00Z Pacientes portadores de diabetes mellitus tipo2 atendidos no Instituto de Previdência e Assistência do município de Belém IPAMB: aspectos epidemiológicos e genéticos http://repositorio.ufpa.br:8080/jspui/handle/2011/11428 2019-08-20T06:12:48Z 2019-06-18T00:00:00Z Abstract: Diabetes mellitus has been considered a 21st century epidemic and each year the number of people with the disease increases worldwide. It is a disease caused by modifiable factors such as hypercaloric diet, sedentary lifestyle, and non-modifiable factors such as genetic heritability. The objective of this study was to describe the occurrence of genetic markers associated with type 2 diabetes mellitus in the population of the city of Belém do Pará, Brazil. The specific objectives were: to validate the association between type 2 diabetes mellitus and the genes: KCNJ11 rs5219, TCF7L2 rs7901695, PPARγ rs1801282, ABCA1 rs9282541, FTO rs8050136 and rs9939609; and investigate the association between factors related to the development and evolution of type 2 diabetes mellitus such as: BMI, waist circumference, systemic arterial hypertension, sedentary lifestyle, smoking, alcoholism and metabolic syndrome. A research form was applied and blood was collected for DNA extraction. A case-control study was conducted with 147 individuals. The sample consisted of 54 women and 49 men, totaling 103 individuals with the disease, and the control group with 27 women and 17 men without type 2 diabetes mellitus, pre-diabetes or any other type of diabetes, totaling 44 individuals. The study was carried out at the Belém Municipal Institute of Welfare and Care. Regarding the genes studied, only KCNJ11 rs5219 was statistically significant in women (n = 81, p = 0.025). Considering the factors associated with type 2 diabetes mellitus, only the metabolic syndrome presented statistical significance in both genders (p = 0.01). Título: Pacientes portadores de diabetes mellitus tipo2 atendidos no Instituto de Previdência e Assistência do município de Belém IPAMB: aspectos epidemiológicos e genéticos 2019-06-18T00:00:00Z