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1. Liver and Inflammatory Biomarkers Are Related to High Mortality in Hospitalized Patients with COVID-19 in Brazilian Amazon Region

Author

Carla Sousa da Silva, Katrini Guidolini Martinelli, Marlison Wesley Miranda Viana, Deliane dos Santos Soares, Yasmin Garcia Silva Corrêa, Lucas Lima da Silva, Vanessa Salete de Paula, Luana Lorena Silva Rodrigues, and Livia Melo Villar

Subjects
biomarkers, COVID-19, SARS-CoV-2, liver, inflammation, Science
Abstract

COVID-19 is a multisystem disease with many clinical manifestations, including liver damage and inflammation. The objective of this study is to analyze inflammation biomarkers in relation to the clinical outcome and respiratory symptoms of COVID-19. This is a retrospective cohort of patients with COVID-19 admitted to the Hospital Regional do Baixo Amazonas from 2020 to 2022. Data were collected from electronic medical records from admission to the 30th day of hospitalization and soon after hospital discharge. A total of 397 patients were included in the study. In the longitudinal follow-up of liver markers, a significant difference was found for AST on day 14, with a higher median in the death group. Among the hematological markers, lymphopenia was observed throughout the follow-up, with the death group having the most altered values. When comparing the evolution of biomarkers in the Non-Invasive Ventilation (NIV) and Invasive Mechanical Ventilation (IMV) groups, AST showed a significant difference only on day 14 and GGT on day 1, being greater in the IMV group, and indirect bilirubin on day 7 being more altered in the NIV group. In conclusion, death during hospitalization or a more severe form of COVID-19 was related to significant changes in liver and inflammatory biomarkers.

Published
2024
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2. Diversity of Anal HPV and Non-HPV Sexually Transmitted Infections and Concordance with Genital Infections in HIV-Infected and HIV-Uninfected Women in the Tapajós Region, Amazon, Brazil

Author

Luana Lorena Silva Rodrigues, José Henrique Pilotto, Katrini Guidolini Martinelli, Alcina F. Nicol, Vanessa Salete De Paula, Tarik Gheit, Nathália Silva Carlos Oliveira, Carlos Silva-de-Jesus, Vikrant V. Sahasrabuddhe, Diane M. Da Silva, W. Martin Kast, Justin Hardick, Charlotte A. Gaydos, and Mariza Gonçalves Morgado

Subjects
HPV, STI, anal and cervical infectious, immune responses, Microbiology, QR1-502
Abstract

The aim of this study was to classify the diversity of anal HPV and non-HPV sexually transmitted infections (STIs) and compare the concordance between anal and genital infections in HIV-infected and uninfected women living in the Tapajós region, Amazon, Brazil. A cross-sectional study was performed with 112 HIV-uninfected and 41 HIV-infected nonindigenous women. Anal and cervical scrapings were collected and analyzed for HPV, Chlamydia trachomatis (CT), Neisseria gonorrheae (NG), Trichomonas vaginalis (TV), Mycoplasma genitalium (MG), and Human alphaherpesvirus 2 (HSV-2). The Kappa test evaluated the concordance between anal and genital infections. The overall prevalence of anal HPV infection was 31.3% in HIV-uninfected and 97.6% in HIV-infected women. The most frequent anal high-risk HPV (hrHPV) types were HPV18 and HPV16 in HIV-uninfected women and HPV51, HPV59, HPV31, and HPV58 in HIV-infected women. Anal HPV75 Betapapillomavirus was also identified. Anal non-HPV STIs were identified in 13.0% of all participants. The concordance analysis was fair for CT, MG, and HSV-2, almost perfect agreement for NG, moderate for HPV, and variable for the most frequent anal hrHPV types. Thus, a high prevalence of anal HPV infection with moderate and fair concordance between anal and genital HPV and non-HPV STIs was observed in our study.

Published
2023
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3. Boletim COVID-PA: relatos sobre projeções baseadas em inteligência artificial no enfrentamento da pandemia de COVID-19 no estado do Pará

Author

Gilberto Nerino de Souza Jr., Marcus de Barros Braga, Luana Lorena Silva Rodrigues, Rafael da Silva Fernandes, Rommel Thiago Jucá Ramos, Adriana Ribeiro Carneiro, Silvana Rossy de Brito, Cícero Jorge Fonseca Dolácio, Ivaldo da Silva Tavares Jr., Fernando Napoleão Noronha, Raphael Rodrigues Pinheiro, Hugo Alex Carneiro Diniz, Marcel do Nascimento Botelho, Antonio Carlos Rosário Vallinoto, and Jonas Elias Castro da Rocha

Subjects
COVID-19, Inteligência Artificial, Projeção, Tomada de Decisões, Medicine, Public aspects of medicine, RA1-1270
Abstract

Resumo Objetivo: Relatar o produto de pesquisa e extensão universitária denominado Boletim COVID-PA, que apresentou projeções sobre o comportamento da pandemia no estado do Pará, Brasil. Métodos: Utilizou-se da técnica de inteligência artificial conhecida como ‘redes neurais artificiais’, para geração de 13 boletins com projeções de curto prazo baseadas nos dados históricos do sistema da Secretaria de Estado de Saúde Pública. Resultados: Após oito meses de projeções, a técnica gerou resultados confiáveis, com precisão média de 97% (147 dias observados) para casos confirmados, 96% (161 dias observados) para óbitos e 86% (72 dias observados) para ocupação de leitos de unidade de terapia intensiva. Conclusão: Esses boletins tornaram-se um instrumento útil para a tomada de decisão de gestores públicos, auxiliando na realocação de recursos hospitalares e otimização das estratégias de controle da COVID-19 nas diversas regiões do estado do Pará.

Published
2021
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4. Prevalence of High Risk HPV in HIV-Infected Women From Belém, Pará, Amazon Region of Brazil: A Cross-Sectional Study

Author

Jacqueline Cortinhas Monteiro, Ricardo Roberto de Souza Fonseca, Tuane Carolina de Sousa Ferreira, Luana Lorena Silva Rodrigues, Andreza Reis Brasil da Silva, Samara Tatielle Gomes, Rodrigo Vellasco Duarte Silvestre, Andréa Nazaré Monteiro Rangel Silva, Ilze Pamplona, Antonio Carlos Rosário Vallinoto, Ricardo Ishak, and Luiz Fernando Almeida Machado

Subjects
HPV, HIV/AIDS, sexually transmitted disease, epidemiology, amazon region, Public aspects of medicine, RA1-1270
Abstract

Human papillomavirus (HPV) is the most common sexually transmitted infection in the world. Several studies have shown a higher prevalence of HPV infection in HIV-infected women. The aim of this study was to determine the prevalence and the genotype diversity of HPV infection in HIV-infected women. From April 2010 to December 2012 cervical specimens were collected from 169 HIV-infected women who screening for cervical cancer at Reference Unit in Belém. The detection of HPV infection was performed by nested PCR and HPV type was performed using a commercial system. The prevalence of HPV infection was 63.3%. Of the 47 genotyped samples, 40.4% was found positive for high risk-HPV 16 and 12.8% for high risk-HPV 52. HPV infection was predominant in the group of women with no incidence of cytological abnormalities and more prevalent in women of reproductive age, unmarried, low education level, and who reported use condoms during sexual intercourse. It was observed an association between HPV infection and independent variables, such as condom use, multiple sexual partners, and history of sexually transmitted diseases. High-risk types of HPV infection were prevalent in our study. Infection with multiple high-risk HPV genotypes may potentiate the development of cervical cancer in HIV-infected women.

Published
2021
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5. Artificial neural networks for short-term forecasting of cases, deaths, and hospital beds occupancy in the COVID-19 pandemic at the Brazilian Amazon.

Author

Marcus de Barros Braga, Rafael da Silva Fernandes, Gilberto Nerino de Souza, Jonas Elias Castro da Rocha, Cícero Jorge Fonseca Dolácio, Ivaldo da Silva Tavares, Raphael Rodrigues Pinheiro, Fernando Napoleão Noronha, Luana Lorena Silva Rodrigues, Rommel Thiago Jucá Ramos, Adriana Ribeiro Carneiro, Silvana Rossy de Brito, Hugo Alex Carneiro Diniz, Marcel do Nascimento Botelho, and Antonio Carlos Rosário Vallinoto

Subjects
Medicine, Science
Abstract

The first case of the novel coronavirus in Brazil was notified on February 26, 2020. After 21 days, the first case was reported in the second largest State of the Brazilian Amazon. The State of Pará presented difficulties in combating the pandemic, ranging from underreporting and a low number of tests to a large territorial distance between cities with installed hospital capacity. Due to these factors, mathematical data-driven short-term forecasting models can be a promising initiative to assist government officials in more agile and reliable actions. This study presents an approach based on artificial neural networks for the daily and cumulative forecasts of cases and deaths caused by COVID-19, and the forecast of demand for hospital beds. Six scenarios with different periods were used to identify the quality of the generated forecasting and the period in which they start to deteriorate. Results indicated that the computational model adapted capably to the training period and was able to make consistent short-term forecasts, especially for the cumulative variables and for demand hospital beds.

Published
2021
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6. Diversity of Anal HPV and Non-HPV Sexually Transmitted Infections and Concordance with Genital Infections in HIV-Infected and HIV-Uninfected Women in the Tapajós Region, Amazon, Brazil

Author

Morgado, Luana Lorena Silva Rodrigues, José Henrique Pilotto, Katrini Guidolini Martinelli, Alcina F. Nicol, Vanessa Salete De Paula, Tarik Gheit, Nathália Silva Carlos Oliveira, Carlos Silva-de-Jesus, Vikrant V. Sahasrabuddhe, Diane M. Da Silva, W. Martin Kast, Justin Hardick, Charlotte A. Gaydos, and Mariza Gonçalves

Subjects
HPV, STI, anal and cervical infectious, immune responses
Abstract

The aim of this study was to classify the diversity of anal HPV and non-HPV sexually transmitted infections (STIs) and compare the concordance between anal and genital infections in HIV-infected and uninfected women living in the Tapajós region, Amazon, Brazil. A cross-sectional study was performed with 112 HIV-uninfected and 41 HIV-infected nonindigenous women. Anal and cervical scrapings were collected and analyzed for HPV, Chlamydia trachomatis (CT), Neisseria gonorrheae (NG), Trichomonas vaginalis (TV), Mycoplasma genitalium (MG), and Human alphaherpesvirus 2 (HSV-2). The Kappa test evaluated the concordance between anal and genital infections. The overall prevalence of anal HPV infection was 31.3% in HIV-uninfected and 97.6% in HIV-infected women. The most frequent anal high-risk HPV (hrHPV) types were HPV18 and HPV16 in HIV-uninfected women and HPV51, HPV59, HPV31, and HPV58 in HIV-infected women. Anal HPV75 Betapapillomavirus was also identified. Anal non-HPV STIs were identified in 13.0% of all participants. The concordance analysis was fair for CT, MG, and HSV-2, almost perfect agreement for NG, moderate for HPV, and variable for the most frequent anal hrHPV types. Thus, a high prevalence of anal HPV infection with moderate and fair concordance between anal and genital HPV and non-HPV STIs was observed in our study.

Published
2023
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7. III Congresso Internacional de Estudantes e Profissionais da Saúde

Author

Aarão Filipe Ataídes Lima, Adalberto Socorro da Silva, Adão Francisco Leal Lima, Adelson da Costa Fernando, Adriana da Silva dos Reis, Adriana Machado Lima, Adriana Sousa Carvalho de Aguiar, Adriano Matos Cunha, Adriele Sousa Gomes, Adrieli Raissa Lira Ribeiro, Adrielson Souza Gomes, Ágata Maria Xavier de Araújo, Agnes Oliveira Costa e Silva, Ailla Maria Sousa Moreira, Airton Carlos Pereira de Sousa Junior, Aírton Mendes Conde Júnior, Alaine Veras Vieira, Alana Aguiar Albuquerque, Alana Paulina de Moura Sousa, Alana Rocha Tomaz de Souza, Alana Silva do Desterro, Alane de Sousa Nascimento Almeida, Alberto Pereira Madeiro, Alcimaria Silva dos Santos, Aldeídia Pereira de Oliveira, Aldenora Maria Ximenes Rodrigues, Alefe Albuquerque Cunha, Alessandra Carvalho Nóbrega Duarte, Alessandra de Araújo Costa, Alessandro Cavalcante Chaves, Alessandro Pereira Martins, Alex Rodrigues Barão Vieira, Alexandra De Siqueira Cajado Liarte, Alexsandra da Silva Amorim, Alexsandra Vitório de Sousa, Alice Maria Costa Martins, Alice Marques Moreira Lima, Alice Rosa Soares, Aline Bianca do Nascimento Pereira, Aline de Sousa Falcão, Aline de Sousa Justino, Aline Keuly Araújo dos Santos, Aline Miranda Abreu, Aline Miranda de Abreu, Aline Paiva Mendes, Aline Raquel de Sousa Ibiapina, Aline Tavares Gomes, Alinne Marília Moraes Carneiro, Álison Machado Santos, Allana Rhamayana Bonifácio Fontenele, Alyce Irene da Silva Gomes, Alyne Alves de Sousa, Alyne Luz Almeida, Alysson Santos Alves, Amanda Aguiar Costa, Amanda Alves de Alencar Ribeiro, Amanda Christina Sousa Gonçalves, Amanda Cristine Ferreira dos Santos, Amanda de Andrade Alencar Ramalho, Amanda de Araújo Bezerra, Amanda Jamyle Gomes Mesquita, Amanda Silva do Nascimento, Amanda Souza Rodrigues, Amanda Victória Ferreira de Araújo, Amanda Vieira Lima, Amanda Vieira Sarmento, Amanda Vitório Veras de Medeiros, Ana Beatriz Nogueira Nascimento, Ana Beatriz Norberto Nunes Bezerra, Ana Beatriz Novaga Moretão, Ana Carolina de Oliveira Carvalho, Ana Carolina Dias Vila, Ana Carolina Medeiros de Oliveira, Ana Caroline de Sousa Araújo, Ana Caroline Maia Santos, Ana Clara Coelho da Costa, Ana Clara dos Santos Nascimento, Ana Clara Tavares Dantas Nogueira, Ana Cléa Silva da Rocha, Ana Cristina de Araújo, Ana Cristina Vasconcelos Fialho, Ana Cristina Vieira da Costa, Ana Elisa Ramos, Ana Flávia Aragão de Sousa, Ana Gabriela Carvalho Bandeira Santos, Ana Gabriela Pereira da Silva, Ana Heloísa Moraes Melo, Ana Júlia dos Santos Monteiro, Ana Júlia Gomes Magalhães, Ana Karine Carneiro de Albuquerque, Ana Karine Cavalcante Maciel, Ana Kariny Galvão Martins, Ana Karolina da Silva Carvalho, Ana Keyla da Silva Palhares, Ana Larisse Santos Barbosa, Ana Laura Matias da Silva, Ana Leilania Freitas Vasconcelos, Ana Letícia de Carvalho, Ana Letícia Ferreira Santos, Ana Ligia Barros Marques, Ana Lívia Castelo Branco de Oliveira, Ana Lívia Paulino de Oliveira, Ana Lívia Silva de Sousa, Ana Lorena Marques de Vasconcelos, Ana Lourdes dos Reis Silva, Ana Patrícia de Oliveira, Ana Patrícia dos Santos Araújo, Ana Paula Guilherme Alcantara, Ana Paula Lima Menezes dos Santos, Ana Paula Silva Pereira, Ana Raphaele Meneses Honorato, Ana Raquel Fernandes Picanço, Ana Waléria Martins de Farias, Anabi Caroline da Silva, Ananda Priscila de Sena Santos, Anderson Almeida da Silva, André Alelaf, André Jhonathan Dantas, André Luis Fernandes Lopes, André Pessoa Silva de Bastos, André Rodrigues Carvalho, André Sousa Rocha, Andréa Carvalho Araújo Moreira, Andrea Nunes Mendes de Brito, Andréia Luíza da Silva Souza, Andréia Santos de Carvalho Pinheiro, Andressa Alves Franco Bravin, Andressa Duarte Pereira, Andressa Maria De Sousa Magalhães, Andressa Oliveira das Chagas Morais, Andressa Ponte Sabino, Andressa Trindade da Silva, Andreza Gomes Sobral, Andreza Ketly da Silva Araújo, Andrezza Garcia Bandeira Ribeiro, Ane Caroline de Carvalho Barbosa, Ane Kássia de Carvalho Barbosa, Angela Maria Aguiar Albuquerque Rodrigues, Angela Vitório de Sousa, Anna Julia Barbosa Silva Penha, Anna Júlia Santos Araújo, Anna Nayanna Escorcio de Aguiar Portela, Antonia Arlene Lima, Antônia Carla Cardoso Rodrigues, Antônia Cristiane Ferreira Torres, Antônia Daniela Campos de Sousa, Antonia Gerlane Silva, Antônia Ingrid Freitas Martins Timbó, Antonia Janaina Lira dos Santos, Antonia Jessica de Oliveira Fontenele, Antônia Laires da Silva Santos, Antonia Larissa de Araújo, Antônia Larissa de Miranda Cardoso, Antônia Liandra da Silva, Antônia Maria das Graças Lopes Citó, Antônia Marília Magalhães Martins, Antônia Natália da Silva Oliveira, Antônia Sabrina de Matos Pereira, Antônia Sílvia Souza Carvalho, Antônia Vitória Elayne Carneiro Araújo, Antonielle Janara do Nascimento Sousa, Antonielson Nascimento Carneiro, Antônio Alberto Ibiapina Costa Filho, Antonio Alencar dos Santos Viegas, Antonio Carlos Pereira de Oliveira, Antônio Costa, Antonio Emanuel Passos de Sousa Oliveira, Antonio Francisco Machado Pereira, Antonio Guilherme Martins, Antonio Lopes de Carvalho Neto, Antônio Marcos Santos Amorim, Antonio Policarpo dos Santos Neto, Antonio Rodrigues Ferreira Júnior, Antônio Tiago da Silva Souza, Antônio Vinicius Vieira Araujo, Antônio Vitor Barbosa Macêdo, Antônio Wilson de Sousa, Any Carolinne Rodrigues Moura, Apolônia Stephany da Costa Nobre, Ardilles Juan Carlos Alves dos Santos, Arícia Gomes Miranda, Ariédna da Hora Ferreira, Ariela Karollyny Santos Silva, Arlete Elleyn Paulino Nogueira, Arquimedes Cavalcante Cardoso, Artur Barbosa Gomes, Artur de Sousa Lima, Aryane Araújo Silva, Aucilene Maria Costa de Sousa, Augusto Cardoso Alves, Aurilene Soares de Souza, Ayana Rocha Pôrto Mousinho, Ayane Araújo Rodrigues, Aylton Figueira Junior, Aymée Medeiros da Rocha, Ayrton Geroncio Silva, Bárbara Costa de Souza, Bárbara Rebeca de Macedo Pinheiro, Beatriz Barros de Vasconcelos, Beatriz Cardoso da Silva, Beatriz Costa de Sousa, Beatriz de Carvalho Oliveira, Beatriz Pereira Costa, Beatriz Veras Rodrigues, Belisa Maria Da Silva Melo Fonsêca, Belize Rodrigues Leite, Benedita Meire Souza Martins, Betânia de Jesus e Silva de Almendra Freitas, Bethania Luciana dos Santos Holanda Canedo, Bianca Sabino Gomes Silva, Bianca Sáilan Ricardo Custódio Ferreira, Bianca Santos de Sousa, Bianca Soares de Oliveira, Bianca Vasconcelos Andrade, Brena Letícia da Silva Bacelar, Brenda Amanda Reinaldo de Souza, Brenda Silva de Souza, Brenda Tavares Falcão, Brenno Carvalho Sousa, Bruna Alcântara Lima, Bruna Araújo Madeira, Bruna Caroline Ribeiro Beltrão, Bruna de Jesus Lopes, Bruna Fontenele de Menezes, Bruna Lopes Bezerra, Bruna Rayelle Freitas Lira, Bruna Ribeiro Duque, Bruna Yasmim Severo, Brunna Verna Castro Gondinho, Bruno Abílio as Silva Machado, Bruno Bezerra Maciel, Bruno da Silva Gomes, Caio San Rodrigues, Camila da Silva Lopes Nunes, Camila Emanuelle da Silva Ferreira, Camila Gomes de Sousa Silva, Camila Lima Moraes dos Santos, Camila Martins de Oliveira, Camila Milenna dos Santos Vieira, Camila Rocha de Moraes, Camila Santos Marreiros, Camila Siqueira Cronemberger Freitas, Camilla Almeida Moura Sales Gonçalves, Camilla de Oliveira Castelo Branco, Cândida Josélia de Sousa, Carine Cristina Oliveira Viana, Carla Maria de Carvalho Leite, Carla Sousa da Silva, Carla Vasconcelos Freitas, Carlos Davi Ponte dos Santos, Carlos Eduardo Bezerra Pontes, Carlos Eduardo da Silva, Carlos Eduardo Rodrigues Castelo Branco, Carlos Henrique Ribeiro Lima, Carlos Vinícius Vale de Andrade Costa, Carolina Costa Parente, Caroline Rodrigues Saraiva, Carulina Cardoso Batista, Cassandra Mirtes de Andrade Rêgo Barros, Cecília Sousa Costa, Cecílio Soares Rodrigues Braga, Ceres Maria de Sousa Irene, Chistiane Mendes Feitosa, Chris Rejane da Cunha Costa, Cinara Maria Feitosa Beleza, Cíntia Maria de Melo Mendes, Cintya Lopes Barroso Andrade, Cirliane de Araújo Morais, Clara Cecilia Saboia de Oliveira, Clara Luzia Cezario Albuquerque, Clarisse Maria Barbosa Fonseca, Claudia Raissa da Silva Santos, Claudia Raissa Santos da Silva, Cláudio Fernando Gomes Gonçalves, Cleber de Sousa Silva, Cleia Araújo Sampaio, Cléssia Aparecida Alves de Matos, Conceição de Maria Alves Pereira, Crislane Carlos Carvalho, Cristiana Moura da Ponte, Cristina dos Santos Carmo, Crys Fernanda Carneiro Nogueira, Cynthia Cardozo Lima, Cyntia Meneses de Sá Sousa, Dafne Lopes Salles, Dalila Augusto Peres, Dalila Natiele de Jesus dos Santos, Dalma Matias Maia, Daniel Rodrigues de Farias, Daniel Victor Silva Soares, Daniela Delgado da Silva, Daniela Farias de Carvalho, Daniela França de Barros, Daniela Lígia Ribeiro Barros, Daniele Alexandre, Daniele Moreira Alves, Danielle Souza Silva Varela, Danielly Xavier Rios, Danyele Laiane Ribeiro da Silva, Darilena Silva Costa, Darley Feitosa Rodrigues, Darley Rodrigues Feitosa, Davi Araújo Aragão, Davi de Aguiar Portela, Davi Leonardo Soares Ximenes, Davi Silva Brito, David Cortez Barros, David Germano Gonçalves Schwarz, David Gomes Araújo Júnior, Dayane Michelly Oliveira de Moraes, Dayse Rodrigues Ponte Gomes, Débora Bruna Machado Ferreira, Debora Denyse Rodrigues Pereira Cruz, Débora Gonçalves de Oliveira, Débora Joyce Nascimento Freitas, Débora Linhares Militao Vasconcelos, Débora Lorena Melo Pereira, Debora Regina Leitão Almeida, Débora Veras Pereira, Deborah da Silva Jardilino, Deisyele Maria Souza Moura, Dejayne Oliveira de Sousa, Delciane de Sousa Costa, Deliane Dos Santos Soares, Denise Evelyn Machado de Almeida, Denise Hélen Imaculada Pereira de Oliveira, Denise Marques Costa Pereira da Silva, Deyvid Augusto da Silva Moreira, Dhouglas Lucena Araújo, Diana Damasceno de Brito, Diego Agripino Chagas Silva, Diego da Silva Menezes, Diego dos Santos Silva, Diellison Layson dos Santos Lima, Diógenes Farias Gomes, Disraeli Reis da Rocha Filho, Dorothy Emanuelly Acácio Vasconcellos Meira, Duani Maria Gaspar da Cruz, Eclesia Kauana dos Santos Silva, Edla Camila da Conceição Cavalcante, Edmar José Fortes Júnior, Edna Lara Vasconcelos da Silva Gomes, Eduana Maria da Silva Ferreira, Eduarda Cardoso e Silva, Eduardo Odonete Marques, Eduardo Virgílio Medeiros de Sousa, Edvânia Lopes Vasconcelos, Elaine de Sales Tupinambá, Elanna Batista Barbosa dos Santos, Elem Juliana Santana, Elem Juliana Silva Santana, Elen Conceição Leal Andrade, Eliab Vasconcelos Rocha, Eliany Nazaré Oliveira, Eliete Oliveira de Sousa, Eliúde Melo de Aguiar Rodrigues, Elizete da Rocha da Silva, Ellen Karem Rodrigues da Silva, Eloah Costa de Sant Anna Ribeiro, Emanuel Paula Magalhães, Emanuela Oliveira Pereira, Emanuelle Gomes Azevedo, Emerson Diógenes de Medeiros, Emídio Marques de Matos Neto, Emília do Nascimento Silva, Emily Queiroz Lima, Enna Mara Oliveira Pinheiro, Erica Raquel Sampaio Rodrigues, Erick Michell Bezerra Oliveira, Érika Aguiar Mouta, Ernesto Barros Amorim Costa, Estélio Silva Barbosa, Ester Miranda Pereira, Eucario Azevedo Silva, Euclides Carvalho Meneses de Almeida, Eudilene da Silva Mesquita, Eudilene Ponte dos Santos, Evaldo Sales Leal, Evandra Marielly Leite Nogueira Freitas Galvão, Evellyn Caroline Rodrigues Fernandes, Evellyn Nizeth Batista Santos Sousa, Evelyn Victória Gomes Marques, Even Herlany Pereira Alves, Fabiana Jéssica Lages dos Santos, Fabiana Nayra Dantas Osternes, Fábio Dias Nogueira, Fábio Solon Tajra, Fabíola Teles de Azevedo Farias, Fabrício da Silva, Fabrício Galvão Monteiro, Felipe Andrade de Oliveira, Felipe Melo Braga, Felipe Noronha Gomes Bezerra, Felype Hanns Alves de Medeiros, Fernanda Cláudia Miranda Amorim, Fernanda Lima e Silva, Fernanda Maciel Nogueira Martins, Fernanda Maria Magalhães Silveira, Fernanda Moreira Aragão, Fernanda Patrícia Araújo de Farias, Fernanda Rodrigues Viana, Fernanda Trajano Costa, Fernando Gabriel Batista de Moura, Fernando José de Morais Silva, Filipe Melo Silva, Filipe Nobre Chaves, Flavia Garcez Da Silva, Flávio Bruno Rodrigues de Assunção, France Keiko Nascimento Yoshioka, Francileila Lago de Sousa, Francinaldo Lima Sousa, Francisca Beatriz de Melo Sousa, Francisca Bruna Vasconcelos Albuquerque, Francisca Candidja Ribeiro de Almeida, Francisca Carmelinda Vasconcelos da Silva, Francisca Clementes de Oliveira, Francisca Edilandia Cassimiro Albuquerque, Francisca Fabiana Menezes Lira, Francisca Gabriela Pinho Rocha, Francisca Gomes Montesuma, Francisca Juliana Soares Pereira, Francisca Maria Alves dos Santos, Francisca Rosana Gonçalves Mota, Francisca Taysa de Abreu Silva, Francisco Antonio Borges de Oliveira Júnior, Francisco Antonio Carneiro Araujo, Francisco Artur Silva e Filho, Francisco das Chagas de Souza Cunha, Francisco de Assis Batista Alves Neto, Francisco dos Santos Viana, Francisco Eduardo Canuto Martins, Francisco Estevão Araújo Albuquerque, Francisco Gilberto Fernandes Pereira, Francisco Henrique Cardoso da Silva, Francisco Henrique Vale Freire, Francisco Isaque da Neves Martins, Francisco José de Araújo Filho, Francisco Noerdson Nascimento de Melo, Francisco Pereira de Miranda Júnior, Francisco Ricardo Nascimento Freitas, Francisco Timóteo Alves da Silva, Francisco Vassiliepe Sousa Arruda, Francisco Vinicius Teles Rocha, Francivaldo Sousa Lima, Fuad Ahmad Hazime, Fugita Machado de Carvalho Filho, Gable Araújo Farias, Gabriel Albuquerque Sousa, Gabriel Carneiro Magalhães, Gabriel Fernando Mota Bahia, Gabriel Luiz Ferreira, Gabriel Maia Menezes, Gabriel Martins da Silva, Gabriela Antônia Baquil Telles, Gabriela Bianchi dos Santos, Gabriela de Sousa Brasil Alves da Costa, Gabriela do Nascimento Franco, Gabriela Silva Lima, Gabriela Veiga Macedo e Araújo, Gabriella Pacheco, Gabrielle Costa Sousa, Georje de Neiva Pereira, Gessica da Silva Costa, Gessiliane Alves de Andrade, Gildeene Silva Farias, Gildenilson Oliveira Júnior, Gilmar da Costa Silva Neto, Giovana da Rocha Leal Dias, Giovanny Rebouças Pinto, Girleda Alcantara Carvalho, Giselle Porto Rezende, Giselle Rezende Porto, Giulia Santos de Sá, Giuliano Araújo Henrique, Gladiston da Rocha Duarte, Glauber Campo Vale, Glautemberg de Almeida Viana, Gleisson Ferreira Lima, Gleyde Raiane de Araújo, Glícia Arcoverde Modesto Amorim, Glória Cibele Bezerra Siqueira, Glória Stéphany Silva de Araújo, Guilherme Antônio Lopes de Oliveira, Guilherme Gomes de Oliveira, Guilherme Monteiro Cunha, Guilherme Pertinni de Morais Gouveia, Hanna Camylle de Sousa Freitas, Hedina Nunes Silva, Hélcio Silva dos Santos, Heline Alvarenga Fleury, Hellen Cristina Pimentel Andrade, Hellen de Cássia Araújo Nunes Carlos, Hellena Mireli Nascimento Paz, Hellydeth Bezerra Cordeiro Pinheiro, Hemily Azevedo de Araújo, Hemily Bruna Bezerra Oliveira, Hendrick Nobre de Sousa, Henrique Danin Araújo Rosa, Herica Emilia Félix de Carvalho, Heytor Mapurunga de Miranda, Hildnel Rodrigues Leal Silva, Hinaira Brunna Cavalcante, Hoberdânia Araújo Queiroz, Ialana Tereza Mendes Medeiros, Ian Lucas de Lima Melo, Iane Maria Martins, Iane Rikaelle Coelho Lopes, Iara Martins Melo, Iara Melo Martins, Ideljane de Sena Rosa, Iellen Dantas Campos Verdes Rodrigues, Igho Leonardo do Nascimento Carvalho, Ilaini Bruna Melo de Carvalho, Ilana Maria Maia dos Santos, Ilana Maria Maia Santos, Ilka Kassandra Pereira Belfort, Illana Maria Lages Silva, Inara Viviane de Oliveira Sena, Ingrid Castro de Souza, Ingrid dos Santos Macedo, Ingrid Farias, Ingrid Fátima Damasceno Pessoa Silva, Ingrid Kelly Morais Oliveira, Ingrid Moura de Abreu, Ingrid Tajra, Irineu de Sousa Junior, Irlana de Oliveira Castelo Branco, Isaac Gonçalves Silva, Isabel Cristina de Lira Martins, Isabel Fontenele Dias Lima, Isabel Oliveira Aires, Isabele Alves de Sousa, Isabeli Tâmara do Nascimento Diniz Rodrigues, Isadora Sousa Aguiar, Isaura Danielli Borges de Sousa, Italo Everton Bezerra Barbosa, Italo Macedo Pires, Italo Nunes Arrais de Sousa, Iure Leone Ribeiro Souza, Ivã Sales Magalhães, Ivila Rodrigues Celestino e Silva, Ivone Venâncio de Melo, Izabel Herika Gomes Matias Cronemberger, Jackeline Vieira Amaral, Jade Maria Albuquerque de Oliveira, Jade Oliveira Vieira, Jadilson Rodrigues Mendes, Jahaira Ribeiro Reis, Jaiana Nascimento Albuquerque, Jaime Conrado Aragão Neto, Jaira Porta Variolo, Jakedna Azevedo do Nascimento Rodrigues, Jamária Costa de Aguiar, James de Araújo Silva, Jamila Davi Mendes, Jamile Magalhães Ferreira, Jamille Rodrigues da Silva, Janaína Silva dos Santos, Jand Venes Rolim Medeiros, Jardeliny Correa da Penha, Jeane Teixeira Araujo, Jefferson da Silva Rodrigues, Jefferson Dantas da Costa, Jefferson Torres Nunes, Jessé Soares Martins Ribeiro, Jéssica Costa Brito Pacheco Moura, Jessica Cunha Brandão, Jéssica de Lima Rego Ferreira, Jéssica de Oliveira Gomes Silva, Jessica dos Santos Lima, Jéssica Freitas Rodrigues, Jéssica Maria Chaves Abreu, Jéssica Mayra Silva Abreu, Jéssica Sabrina Rebelo Lourido, Jéssika Lorena Parente Linhares, Jevanildo Paulino Aguiar, Jevanildo Paulino de Aguiar, Joaciara Nogueira Sales, Joana Germana Abreu da Silva, Joana Nágila Ribeiro Figueira, João Caio Silva Castro Ferreira, João Lucas Peres dos Santos, João Lucas Pinto, João Manoel dos Santos Silva, João Marques Ferreira Neto, João Paulo dos Santos Pereira, João Sales Ramos Junior, João Victhor Sousa Chagas, João Victor de Araújo Silva, João Victor Silva Araújo, João Victor Taumaturgo Mota, João Vitor das Chagas Evaristo, Joaquim Guerra de Oliveira Neto, Jocsam Henrique Gomes de Sousa, Joelma de Cássia Pestana dos Remédios, Joerlison Rodrigues de Sousa, John Arlley Sousa Pinho de Lira, John Washington Cavalcante, Joilson Ramos Jesus, Jolie Elias Tajra, Jonnatas Ferreira do Nascimento, Jordana Fonseca Reis, Jordânia Chaves de Siqueira, Jordanna Moreira de Morais, Jorddam Almondes Martins, Jorge Hiago da Silva Oliveira, José Amauri da Silva Junior, José Augusto da Cunha Gomes, José Carlos Teixeira dos Santos, José Francisco Cordeiro Silva, José Henrique Moreira Albuquerque, José Janailson Hipólito, José João Dias Neto, José Leandro do Nascimento, José Lucas Fechine Mesquita, José Nazareno Pearce Oliveira Brito, José Nicollas Carvalho Costa, José Pereira de Miranda Neto, José Rúbem Mota de Sousa, José Samuel Teixeira de Sousa, José Simião da Cruz Júnior, Josiane dos Santos Carmo, Josiane Fonteles de Maria, Josiane Santos Silva, Josikelly Rodrigues Lopes, Josinyra Alyne Albuquerque, Joyce Kelly de Oliveira e Silva, Joyce Mazza Nunes Aragão, Joyce Pires Barros da Cunha, Jucelia Lima Sousa, Júlia de Santis Manganeli, Julia Sousa da Silva, Juliana de Carvalho Pires, Juliana de Castro Vilanova, Juliana de Meneses Dantas, Juliana do Nascimento da Cruz, Juliana Leal Pinheiro Machado, Julianna Sampaio de Araújo, Júlio Cesar de Castro e Silva Filho, Jullya Alves Lourenço, Kaliane Lima do Bonfim Silva, Kaline Lorrany Mendes da Silva, Karen Evelyne Albano Costa, Karen Kauana Gramosa Viana, Karina de Kássia Silva e Silva, Karine Brito Beck da Silva, Karine da Silva Oliveira, Karinna Alves de Amorim de Sousa, Kárita Monielly da Silva, Karla Lima Aragão, Katharyna Khauane Brandão Ripardo, Katriane Carvalho da Silva, Katrini Guidolini Martinelli, Kauan Gustavo de Carvalho, Kayron Rodrigo Ferreira Cunha, Keila Cristiane Batista Bezerra, Keila Maria de Azevedo Ponte Marques, Keilane da Silva Hipólito, Kellen Miranda Sá, Kelly Pereira Rodrigues dos Santos, Kelly Sivocy Sampaio Teixeira, Kellyane Folha Gois Moreira, Kelvyn Wendel Silva Brígido, Kerolayne de Castro Fontenele, Késia de Moraes Dias da Silva, Kevin Bruno Alves Ribeiro, Kharlyanny Mendes Silva, Khauam Rodrigues Mesquita, Kleberson Brito Alves, Kleyton Wesley Ferreira de Amorim, Klicia Rufino Ramos Madeira Campos, Kyvia Naysis de Araujo Santos, Laécio de Lima Araújo, Laiane de Abreu Santos, Laiane Fernandes Pereira, Lairton Batista de Oliveira, Laís Sousa Santos de Almeida, Laisa Graziely Araújo Magalhães, Laisa Maria dos Santos Ribeiro, Laisa Silva Lopes, Laiza Karone Alves Leocadio, Lara Fernanda Carlos Lima, Lara Maria da Silva, Lara Nicolle de Paula Frota Moura, Larissa Cecy Lustosa do Rêgo Monteiro, Larissa Colares de Almeida Barbosa, Larissa de Sousa Miranda, Larissa Helen Portela Martins, Larissa Ivna da Costa Torres, Larissa Tainara Santos Barros, Larisse da Silva Gomes, Larisse Damasceno Pontes, Larisse Kelly Silva Barros, Larissi Ellen Sousa da Silva, Larruama Soares Figueiredo de Araújo, Latipha Lauanny Pereira Damaceno, Laura Raquel Costa Ferreira da Silva, Lauro César Soares Feitosa, Layane Santos de Carvalho, Lays Fernanda Sousa Pires, Laysla Araújo Costa, Laysla de Araújo Costa, Laysla Grazieli Lopes da Silva, Ledayellen de Andrade Montes, Leilah Monte Coelho, Lennara Antônia de Alencar Carnib, Leonardo Emmanuel de Medeiros Lima, Leonel Marques Rodrigues, Leones Fernandes Evangelista, Letícia Alves Rodrigues Silva, Letícia de Sousa Chaves, Letícia Emilly Mesquita de Sousa, Letícia Graziela Lopes França Sousa, Letícia Hélida Santos Nascimento, Letícia Mara Cavalcante Lima, Letícia Michelly da Silva Nunes Oliveira, Letícia Moreira Ramos, Leticia Muniz Chaves Mota, Letícia Pereira da Silva, Letícia Teixeira Santos, Leticya Sousa Teixeira, Leyla Gerlane de Oliveira Adriano, Liana Dantas da Costa e Silva Barbosa, Lidia Lopes Nobre, Lielma Carla Chagas da Silva, Lígia Maria dos Santos Avelino, Lilian Machado Vilarinho de Moraes, Lilian Melo de Miranda Fortaleza, Liliane Maria da Costa Rabelo Marques, Liridy Bruna Rodrigues da Silva, Lívia Reverdosa Castro Serra, Livya Monte Costa, Lizandra Melo de Araújo, Lizandra Mesquita Ramos, Lorena Uchôa Portela Veloso Brasil, Lorrane Pinto de Mesquita, Lourival Veras de Oliveira, Luan de Sousa Oliveira, Luan Gomes Teixeira, Luan Kelves Miranda de Souza, Luana Antunes da Silva, Luana Araújo Guedelho, Luana Azevedo Farias, Luana Bezerra Silva, Luana de Souza Marques, Luana Gabrielle de França Ferreira, Luana Lorena Silva Rodrigues, Luana Nayra Coutinho de Meneses, Luana Paula Rodrigues, Luana Raphaelle Rodrigues do Nascimento, Luana Tayna de Oliveira Monteiro, Luanda Carla Oliveira Belém, Luann Victor Rabêlo Araújo, Luanna Larissa Silva Santos, Luanna Martins Ramos, Lucas Antônio de Oliveira Cantanhede, Lucas Antonio Duarte Nicolau, Lucas Carreira Franco, Lucas de Oliveira Martins, Lucas de Sá Carvalho, Lucas Manoel Oliveira Costa, Lucas Pereira dos Santos, Lucas Sabino Oliveira, Lúcia Sergina Brito, Luciana Camila dos Santos Brandão, Luciana Fujiwara Aguiar Ribeiro, Luciana Sousa Arruda, Lucília da Costa Silva, Lucineide Carvalho de Araújo, Luis Eduardo Valente Amorim Fonseca, Luís Henrique Maciel Nogueira Mascarenhas, Luís Paulo Teixeira da Silva, Luis Portela Pires, Luís Ricardo Salazar Júnior, Luiz Allan de Lima Araújo, Luiz Augusto de Oliveira, Luiz Fernando Lopes Soares Teixeira, Luiz Gomes da Silva Neto, Luiz Guilherme de Sousa Cunha, Luiz Henrique Lola Pereira, Luiza Mota Barros Costa, Luiza Nascimento Soares Linhares, Luzia Helena Silva Chaves Viana, Luziana da Silva Maciel, Lyanna Rodrigues Ribeiro, Lyvia Maria Paiva de Souza, Mac Dionys Rodrigues da Costa, Maiara Sales Silva, Maicon Jhones de Oliveira Marques, Maísa Ravenna Beleza Lino, Manoel Dias de Souza Filho, Manoel Victor Carvalho Coelho, Manoel Victor Coelho, Mara Cibelly da Silva Pinheiro, Maraysa Costa Vieira Cardoso, Marcela Pereira Gualter, Marcela Tavares Silva Ribeiro, Marcella Matias Torres, Marcelo Araújo de Vasconcelos, Marcelo Barbosa Ribeiro, Marcelo Brandão Duarte, Marcelo de Carvalho Filgueiras, Marcelo Franco e Souza, Márcia Astrês Fernandes, Márcia Luciane Vieira, Márcio Venício Alcantara de Moraes, Marcos Alexandre Ribeiro Sá, Marcos Carducci Guimarães, Marcos Prado Lima, Marcus Vinícius Saldanha Ribeiro, Maria Abilene Rodrigues Mendes, Maria Adelane Monteiro da Silva, Maria Andhiara Kaele Feitosa Silva, Maria Andréia da Costa Facundo, Maria Aparecida Soarigues da Silva, Maria Ariane Silva Carvalho, Maria Augusta Amorim Franco de Sá, Maria Auxiliadora Ferreira Araújo, Maria Cândida de Almeida Lopes, Maria Cecília Kosmala dos Santos, Maria Clara de Sousa Morais, Maria Clara Duarte Feitosa, Maria Clara Maciel da Silva, Maria Cláudia Pereira Learte, Maria Cristina Nunes Madeira Reis, Maria Da Conceição Cardoso da Costa, Maria da Conceição de Oliveira Carvalho, Maria da Conceição Pinto Alvarenga, Maria Daianne Lopes Fortuna, Maria das Dores Nascimento Sousa, Maria de Jesus Silva Ferreira, Maria Debora Rodrigues da Rocha, Maria do Carmo de Carvalho e Martins, Maria do Livramento Lima da Silva, Maria do Rosário Lopes Bandeira, Maria Doralice Lima Souza, Maria Edilândia Ernesto de Albuquerque, Maria Edilane Paiva da Silva, Maria Edileuza Soures Moura, Maria Eduarda Almeida Rabêlo, Maria Eduarda de Jesus Delfino, Maria Eduarda de Oliveira dos Santos, Maria Eduarda Pereira Passos da Silva, Maria Eduarda Santiago Mourão, Maria Eduarda Silva Siqueira da Luz, Maria Eliane de Paulo Albuquerque, Maria Eline dos Santos Nascimento, Maria Emanuele do Rego Santos, Maria Francisca Soares de Morais, Maria Gabriela Moreira Alves, Maria Gabriela Santos Ribeiro, Maria Gilselani Pereira da Silva, Maria Gislene Santos Silva, Maria Isabel dos Santos Carmo, Maria Isabelle Brito, Maria Ivone Mendes Benigno Guerra, Maria Izabel Félix Rocha, Maria Jeyza Lima Oliveira, Maria Júlia dos Santos Catunda, Maria Karolinne Araújo Barbosa Lages, Maria Leilah Monte Coelho Lourenço, Maria Liana Rodrigues Cavalcante, Maria Liliane Luciano Pereira, Maria Luana de Moura Sousa, Maria Luci Esteves Santiago, Maria Madalena Cardoso da Frota, Maria Rabechy Portela Cavalcante, Maria Rosiane Lopes Rego, Maria Rosiany Sousa Moreira, Maria Sara Sousa Resende, Maria Seiane Farias Barros, Maria Socorro Carneiro Linhares, Maria Socorro de Araújo Dias, Maria Vanderline Pimenta Araújo, Maria Vanessa Alves Correia, Maria Vilma Dias Adeodato, Maria Vitória de Sousa Santos, Maria Yanaelle Sobrinho Silva, Mariana Avelino dos Santos, Mariana Clara Borges da Silva, Mariana da Silva Ferreira, Mariana de Morais Soares, Mariana Lima Oliveira, Mariana Loiola Alves, Mariana Morais Mesquita, Mariana Rodrigues da Rocha, Mariana Souza Bezerra Holanda, Mariane Magalhães, Marianne dos Santos Pereira, Marília Nunes Fernandes, Marina Daniele Sousa Alves, Marina Ferreira de Sousa, Marina Rodrigues Borges, Marisa Carla Silveira Alves, Markilene Rodrigues dos Reis, Marlison Wesley Miranda Viana, Marta Maria França Fonteles, Martinilsa Rodrigues Araújo, Márvilla Pinto Martins, Mary Anne Medeiros Bandeira, Mateus Cardoso do Amaral, Mateus dos Santos da Silva, Mateus Edson da Silva, Mateus Veras Pessoa de Oliveira, Matheus Antonio Braga Bezerra, Matheus Henrique da Silva Lemos, Matheus Monteiro Costa, Matheus Pedrosa de Oliveira, Matheus Sam dos Santos Lemos, Matheus Sousa Machado, Maura Cristina Silva da Conceição, Mayane Cristina Pereira Marques, Mayara Joyce Ferreira Ribeiro Rodrigues, Mayara Karoline Diniz Araújo, Mayara Kelle Rodrigues de Carvalho, Mayara Kerly Coelho Ponte, Mayara Póvoa dos Santos Almeida, Maycon Campos de Almeida, Mayla Chaves Praça, Mayrla Karen Rodrigues Mesquita, Mayssa Jane Dias Ribeiro, Meire Maria de Sousa e Silva, Meiryellen Castelo Branco Rodrigues da Silva, Melice Barbosa Oliveira Feitosa, Mérssia Maria do Nascimento Leite, Michael Henrique Araújo Monteiro, Michelle de Sousa Cruz, Michelle Vicente Torres, Michely Laiany Vieira Moura, Miguel Victor Teles Ribeiro, Mikaella de Cerqueira Soares, Milckea Hellene de Sousa Araújo Barbosa, Mileide de Jesus Novais Nazario, Milka Borges da Silva, Mirella Costa Gomes da Silva, Mirelly Suenha de Araújo Costa Santos, Mirna Albuquerque Frota, Mirna Frota Albuquerque, Monalisa Sá Albuquerque Moita, Monalyza Pontes Carneiro, Mônica Cecília Fernandes Clemente, Mônica Leila Portela de Santana, Mykaelle Soares Lima, Mylenna Soares Silva, Myrella Evelyn Nunes Turbano, Myrlane Matias da Silva Queiroz, Naara Quaresma de Carvalho, Nádja Sileny de Sousa, Naiane dos Santos da Penha, Naiara do Nascimento Brito, Naiara Dutra Barroso Gomes, Naila Juliana Ferreira Araújo, Nájda Sileny de Sousa, Nanielle Silva Barbosa, Nara Vanessa dos Anjos Barros, Naryelly Stelyte Gomes da Silva, Natália Carvalho Cardoso, Natália Fernandes Machado, Natalia Kisha Teixeira Ribeiro, Natasha Luísa da Silva Sousa, Nathalie Carvalho dos Santos, Nayara Lourenço Rocha, Nayara Regina Silva Sousa, Nayara Rodrigues de Carvalho, Nayrana Kelly de Sousa Araújo, Neilma Oliveira de Sousa, Neíres Alves de Freitas, Nelson Jorge Carvalho Batista, Niele Duarte Ripardo, Nilsa Araújo Tajra, Nirla Rodrigues Romero, Noeli Aquino da Cruz, Noely Lorene dos Santos de Castro, Odézio Damasceno Brito, Odiomara Telésforo Sampaio, Olívia Simôa Chaves Batista, Pablo Nascimento Cruz, Paloma de Vasconcelos Rodrigues, Paloma Fernanda Borges de Brito, Paloma Ramos Meneses Rangel Farias, Pamela Souza da Silva Oliveira, Patrícia de Azevedo Lemos Cavalcanti, Patrícia Ferreira de Sousa Viana, Patricia Narguis Grun, Patricya Rayane Azevedo Alves Araújo, Paul Symon Ribeiro Rocha, Paula Daniela de Sousa Rocha, Paula Eduarda Oliveira Honorato, Paula Fontenele Brito, Paula Rivele Gomes Sousa Mendes, Paulo César Monteiro Florêncio, Paulo César Pereira de Sousa, Paulo Gregório Nascimento da Silva, Paulo Henrique Costa de Aquino, Paulo Roberto Carneiro Gomes, Paulo Roberto Pereira Borges, Paulo Victor Soares Moreira, Pedro Henrique da Costa Lima, Pedro Henrique do Nascimento Costa, Pedro Henrique Fréres Holanda, Pedro Henrique Leocádio de Sousa Santos, Pedro Henrique Sousa da Silva, Pedro Isaque Inácio dos Santos, Pedro Victor Sousa dos Santos, Pedro Vitor Oliveira Silva Furtado, Peter Richard Hall, Pétterson Danilo de Oliveira Lima Goiano, Poliana Veras Brito, Poliana Veras de Brito, Polianna Fontenele Brito, Pollyana Rocha Araújo, Polyana Cabral da Silva, Polyana Norberta Mendes, Priscila de Souza Feitosa, Priscila Maria Vieira Souto, Priscila Ruth Moita Lopes, Rafael Vinicius Lopes Cardoso, Rafaela Ferreira Vilanova, Rafaele Lohane dos Santos Sabino, Raimunda Alves da Costa de Moura, Raimundo Graças Almeida Lima Neto, Raimundo José do Nascimento Soares, Ramon Róseo Paula Pessoa Bezerra de Menezes, Raniele Cimara da Conceição Gomes, Rannatricia Sampaio Gomes, Ranyelison Silva Machado, Raphaele Maria Almeida Silva, Ravena Petra Mororó Ziesemer, Ravena Silva do Nascimento, Rayane Sousa de Brito, Rayanne Teixeira Brito, Raylla Silva Costa, Rayllany Nayra Araújo da Silva, Raylson Daniel Pimentel Coutinho, Rayslane Sabrina Avelino Batista, Rayssa Maria de Sousa Silva, Rebeca Barbosa dos Santos, Regiane Sablina Almeida Bernardes, Regisson Cauann Teixeira Barbosa, Reijane Mara Pinheiro Queiroz, Renandro de Carvalho Reis, Renandro Reis de Carvalho, Renata Batista dos Santos Pinheiro, Renata Carvalho Lopes Maia, Renata de Sousa Alves, Renata de Sousa Costa Sales, Renata Kristine Passos Fontenele, Renata Melo dos Santos, Renata Paula Lima Beltrão, Renata Sabóia Martins, Renata Sousa Costa, Renata Souza da Silva, Renato da Costa e Silva Rebelo Sampaio, Renato Feitosa dos Anjos, Renato Mendes dos Santos, Rennan Lima de Souza, Ricardo Henrique Linhares Andrade, Ricardo Neves Couto, Rinária de Quadro Figueiredo Guedes, Rita de Cássia de Sousa Vieira, Rita de Cássia Loiola Alves, Rita de Cássia Sampaio Bessa Pinto, Rita Wigna de Souza Silva, Rivalda Oliveira Rocha, Roberta de Paula Oliveira, Roberta Magda Martins Moreira, Roberta Nunes, Roberta Wanda Fernandes Chaves Carvalho, Rodrigo Avelar Reis Sá, Rodrigo Brito da Rocha, Rodrigo Fontenele Mendonça, Rodrigo Vieira do Nascimento, Romério de Oliveira Lima Filho, Rômulo de Morais Lima, Roniuza Reneuda de Araújo, Rosana Conceição Leal Ramos, Rosana Conceição Rodrigues Leal Ramos, Rosana Pereira Lima da Silva, Rosane da Silva Santana, Rose Danielle de Carvalho Batista, Ruan Pablo Marques Veras, Rubens Pinheiro Bezerra, Rui Paixão Ribeiro Silveira, Rute Sousa Rodrigues, Ruth Gorete dos Santos Carvalho, Ruth Raquel Soares de Farias, Sabrina da Silva França, Sabrina de Araujo de Sousa, Sabrina Maria Aguiar Costa, Sabrina Pereira Barros, Sabrina Soares da Silva, Sabrina Tajra Fortes, Samara de Sena Santos, Samara Eduarda Martins, Samara Marques de Oliveira, Sâmara Mércia Reis Silva, Sâmia Luiza Coêlho da Silva, Samir da Rocha Fernandes Torres, Samira Rego Martins de Deus Leal, Samuel Barbosa Sousa, Samuel Lucas de Almeida, Sandra Maria Oliveira da Silva, Sandra Vírgínia Costa Santos, Sandy Pereira de Sales, Sandy Teles Azevedo Chaves, Sara Dalene da Silva Monteiro, Sara Machado Miranda Leal Barbosa, Sara Naielly Alves Melo, Sara Sabrina Lima Medeiros, Sara Silva Soares, Sarah Beatriz Rocha Lima, Sarah Cristina Ericeira Sousa, Sarah Emanuele Pinho de Sousa, Sarah Maria Osório de Carvalho, Sarah Ravena Camilo Sobreira Rocha, Saraí de Brito Cardoso, Scarleth Alencar do Nascimento, Semíramis Jamil Hadad do Monte, Sergio Rodrigo Câmara Paiva Aragão, Shamylle Ribeiro Sousa, Sheila Elke Araújo Nunes, Sheila Raíza Araujo Medeiros, Sheyla Santos Silva, Silmara Ferreira de Oliveira, Silvestre de Sousa da Costa, Socorro Adriana de Sousa Meneses Brandão, Sofia dos Santos Albuquerque, Soraya Nunes Barbosa, Stefane Marinho Moreno, Stefhani Medeiros de Sousa, Stephanie Karoline de Oliveira Oliveira, Stephanny Ingrid Nunes Pereira, Stephannye Campelo de Araújo, Suellen Alves Lages, Sueyla Ferreira da Silva dos Santos, Susy Canuto de Oliveira Fenelon, Suyanne Soares Lima, Suzy Romere Silva de Alencar, Tainá Maria Oliveira Silva, Talita Gomes Vitorino, Talles Davi de Valença Moura Soares dos Anjos, Talysse Henna da Rocha Graciano de Almeida, Tamar Lima Gonçalves, Tâmila Yasmim Lima Ferreira, Tamirys Cavalcante Lima, Tárcilla Pinto Passos Bezerra, Tássia Farias de Sousa, Tatiana Maria Melo Guimarães, Tatiane Caroline Daboit, Tatyanne Silva Rodrigues, Taynara Laís Silva, Taynara Leticia Braga Silva, Tayrine Helen Marques do Nascimento, Tays de Oliveira Santos, Taysman Medeiros Barbosa Santos, Telma Vieira Lima, Tereza Cristina de Carvalho Souza Garcês, Tereza Maria Alcântara Neves, Thaiane Damasceno de Lima, Thainnar de Moura Lima, Thaís Anielle Ferreira Moraes, Thaís Emmanuele Passos Sousa, Thais Kessia Rodrigues Narciso, Thais Luz Oliveira, Thais Rayane da Conceição Gomes, Thalis Ferreira de Souza, Thalis Kennedy Azevedo de Araújo, Thallyta Maria Tavares Antunes, Thalya Emilia Bessa Fonsêca, Thalyta Lorrane Lopes Carneiro, Thamara Evelline de Sousa Carvalho, Thamyris Cardoso Vieira, Thanmyris da Silva Cutrim, and Thatiana Araújo Maranhão

Abstract

A 3ª edição do Congresso Internacional de Estudantes e Profissionais da Saúde – DELTA SAÚDE, realizou-se de forma presencial no período de 04 a 06 de novembro de 2022, no Centro de Convenções do Hotel SESC Praia, Luis Correia, Piauí. O Delta Saúde 2022 trouxe como tema geral: “O pós-pandemia e os principais desafios da saúde global”; e as discussões foram norteadas pelos eixos centrais, a saber: a) Pandemia de COVID-19, b) Vigilância em Saúde, c) Saúde Pública e a Atenção Primária, d) Saúde Mental, e) Doenças Crônicas e Doenças Transmissíveis, f) Educação, Formação e Trabalho na Saúde, g) Inovação em Saúde, h) Eixos Transversais. O evento foi criado em 2017 e nesta edição alcançamos pelo menos 10 estados brasileiros em participação direta, palestrantes, convidados, além dos conferencistas internacionais on-line. Esta diversidade aliada a qualidade dos trabalhos apresentados, contribuiu de forma decisiva para o alcance dos objetivos do congresso que primam pela qualificação do ensino na saúde de acadêmicos e pósgraduandos, pelo fortalecimento das práticas profissionais nos serviços de saúde, e pelo incentivo à produção científica. A programação do evento foi composta por palestras nacionais e internacionais, mesas multidisciplinares, cursos livres, seminários, rodas de conversas, encontros e sessões de trabalhos com apresentações nas modalidades: Comunicações Orais e Pôsteres; e com publicação das pesquisas científicas nos Anais do congresso. O evento contou com 692 inscritos, e destes 42 foram palestrantes que abrilhantaram a programação do congresso. Recebemos 746 resumos para avaliação, e foram apresentados presencialmente 536 trabalhos, sendo 42 premiados com menção honrosa. O evento foi idealizado pela Sociedade Delta Científica e SBCSaúde, teve o apoio do SESC-PI e da Doity, além do apoio científico da FIOCRUZ Piauí, da Editora Pasteur, dos núcleos de pesquisa NUPCelt/UFPI, NAPsiTO/UFPI/UFDPar e NPPM/UFPI; e dos programas de residência multiprofissional RMSFC/UESPI e PRMSF/UFPI/UFDPar. O evento também contou com a parceria de empresas patrocinadoras e expositoras, que tiveram da Comissão Organizadora reciprocidade em suas demandas, a saber: Instituto UniEducacional, WM Saúde e The Nutri Store/PACCO.

Published
2023

8. ALTERAÇÕES HEPÁTICAS RELACIONADAS AO SARS-COV-2: REVISÃO DE LITERATURA

Author

Carla Sousa da Silva and Luana Lorena Silva Rodrigues

Abstract

Introdução: A COVID-19 é uma doença extremamente contagiosa, as características clínicas são variadas e inespecíficas, os principais sintomas incluem a tosse, febre, cefaléia, anosmia, ageusia, e produção de secreções expectorantes; estima-se que em 20% dos casos podem levar a doença com rápida progressão para a síndrome respiratória aguda grave. A virose com afecção principalmente respiratória, agrega condições sistêmicas que afetam potencialmente múltiplos órgãos e sistemas, estudos já evidenciaram a presença de manifestações hepáticas. Objetivos: Este estudo tem o objetivo de reunir achados que descrevem a relação entre a infecção pelo SARS-CoV-2 e as alterações no perfil hepático de pacientes confirmados para a doença. Materiais e Métodos: Trata-se de um estudo exploratório, do tipo revisão de literatura, para realizá-lo, buscou-se artigos publicados no ano de 2021, nas bases de dados LILACS, PUBMED e Google Acadêmico, com os descritores: COVID-19, enzima de conversão de angiotensina 2 e hepatócitos. Foram encontradas 14 publicações, e somente 6 foram incluídas. Foram excluídos estudos que não contemplavam em seu contexto questões referentes a temática e fora do período delimitado. Após análise bibliográfica constatou-se que a presença de danos hepáticos pode ser encontrada em até 60% dos pacientes internados por COVID-19. Resultados: As alterações hepáticas mais relatadas foram a elevada presença das enzimas alanina aminotransferase (ALT) e aspartato aminotransferase (AST), acompanhadas de aumento de bilirrubina e considerada redução de albumina, além de elevada presença de enzimas hepáticas colestáticas (fosfatase alcalina [ALP] e gama-glutamil transferase [GGT]). Foi observado em casos com piores desfechos, aumento nos valores de lactato desidrogenase (LDH), tempo de atividade de protrombina (TAP) prolongado, e a ativação da coagulação e fibrinólise acompanhada por trombocitopenia. Os mecanismos subjacentes de lesão hepática sugerem, principalmente, infecção viral direta nos hepatócitos e colangiócitos, vias receptoras da enzima conversora de angiotensina (ECA2), hepatotoxicidade de agentes terapêuticos, inflamação imunomediada, comorbidades hepáticas, hipóxia, coagulação anormal e disfunção da barreira gastrointestinal. Conclusão: Diante disso, observa-se a alta influência do SARS-CoV-2 no funcionamento do fígado, porém a patogênese da doença hepática associada a COVID-19 não está totalmente compreendida, o que transmite a importância da avaliação da função hepática como fator prognóstico, e a produção de mais estudos voltados ao tema.

Published
2021

9. Self-collected versus clinician-collected samples for HSV-2 and HSV-2/HPV screening in HIV-infected and -uninfected women in the Tapajós region, Amazon, Brazil

Author

Lyana Rodrigues Pinto Lima, Mariza G. Morgado, Vanessa Salete de Paula, Charlotte A. Gaydos, Alcina F. Nicol, Katrini Guidolini Martinelli, Luana Lorena Silva Rodrigues, José Henrique Pilotto, and Justin Hardick

Subjects
Adult, medicine.medical_specialty, Adolescent, Herpesvirus 2, Human, viruses, 030231 tropical medicine, Human immunodeficiency virus (HIV), HIV Infections, Dermatology, HSL and HSV, medicine.disease_cause, Polymerase Chain Reaction, Specimen Handling, 03 medical and health sciences, 0302 clinical medicine, Predictive Value of Tests, Hiv infected, Epidemiology, medicine, Humans, Mass Screening, Pharmacology (medical), 030212 general & internal medicine, Human papillomavirus, Papillomaviridae, Coinfection, business.industry, Amazon rainforest, Papillomavirus Infections, Public Health, Environmental and Occupational Health, Reproducibility of Results, Hpv screening, Virology, Self Care, Cross-Sectional Studies, Infectious Diseases, Herpes simplex virus, Case-Control Studies, DNA, Viral, business, Brazil
Abstract

The aim of this study was to evaluate the prevalence of herpes simplex virus 2 (HSV-2) and HSV-2/human papillomavirus (HPV) co-infection by self-collected samples compared to clinician-collected samples in human immunodeficiency virus 1 (HIV-1)-infected and -uninfected women from the Tapajós region, Amazon, Brazil. A cross-sectional study was conducted with 439 anal and cervical scrapings and cervico-vaginal self-collected samples obtained from 153 eligible HIV-infected and -uninfected women. Real-time PCR for HSV-2 and nested PCR for HPV detection were performed. A multivariate analysis identified risk factors for HSV-2/HPV co-infection. The anogenital prevalence of HSV-2 was 9.2% (14/153), HPV was 67.3% (103/153) and HSV-2/HPV co-infection was 6.5% (10/153). There was a significant overall agreement (95.5%, 11/133, kappa 0.64, 95% CI 0.38–0.90, p

Published
2019

10. Prevalence high risk Human Papillomavirus (HPV) in HIV-infected women from Belém, Pará, Amazon region of Brazil: A cross-sectional study

Author

Ricardo Ishak, Tuane Carolina de Souza Ferreira, Rodrigo Vellasco Duarte Silvestre, Jacqueline Cortinhas Monteiro, Cláudia Ribeiro Menezes, Luana Lorena Silva Rodrigues, Andréa Nazaré Monteiro Rangel da Silva, Luiz Fernando Almeida Machado, Antonio Carlos Rosário Vallinoto, Ricardo Roberto de Souza Fonseca, Maria E.S. Avelino, Ilze Pamplona, Samara Tatielle Monteiro Gomes, and Andreza Reis Brasil da Silva

Subjects
Amazon rainforest, Cross-sectional study, business.industry, Environmental health, Hiv infected, virus diseases, Medicine, Human papillomavirus, business
Abstract

Background: Human papillomavirus (HPV) is the most common sexually transmitted disease in the world. Several studies have shown a higher prevalence of HPV infection in HIV-infected women. The aim of this study was to determine the prevalence and the genotype diversity of HPV infection in HIV-infected women.Methods: From April 2010 to December 2012 cervical specimens were collected from 169 HIV-infected women who screening for cervical cancer at Reference Unit in Belém. The detection of HPV infection was performed by nested PCR and HPV type was performed using the commercial kit.Results: The prevalence of HPV infection was 63,3%. Of the 47 genotyped samples, 40,4% was found positive for high risk-HPV 16 and 12.8% for high risk-HPV 52. HPV infection was predominant in the group of women with no incidence of cytological abnormalities and more prevalent in women of reproductive age, unmarried, low education level and who used condoms during sexual intercourse. It was observed an association between HPV infection and independent variables, such as condom use, multiple sexual partners and history of sexually transmitted diseases.Conclusions: High-risk types of HPV infection were prevalent in our study. Infection with multiple high-risk HPV genotypes may potentiate the development of cervical cancer in HIV-infected women.

Published
2020

11. Artificial neural networks for short-term forecasting of cases, deaths, and hospital beds occupancy in the COVID-19 pandemic at the Brazilian Amazon

Author

Antonio Carlos Rosário Vallinoto, Rommel Thiago Jucá Ramos, Raphael Rodrigues Pinheiro, Cícero Jorge Fonseca Dolácio, Adriana Ribeiro Carneiro, Jonas Elias Castro da Rocha, Rafael Fernandes, Fernando Napoleão Noronha, Silvana Rossy de Brito, Marcus de Barros Braga, Hugo Alex Carneiro Diniz, Gilberto Nerino de Souza Jr., Marcel do Nascimento Botelho, Ivaldo da Silva Tavares Jr., and Luana Lorena Silva Rodrigues

Subjects
Viral Diseases, Epidemiology, Social Sciences, Beds, Geographical locations, Mathematical and Statistical Techniques, Medical Conditions, 0302 clinical medicine, Animal Cells, Pandemic, Medicine and Health Sciences, 030212 general & internal medicine, Neurons, Neuronal Death, 0303 health sciences, Multidisciplinary, Cell Death, Geography, Artificial neural network, Amazon rainforest, Statistics, Hospitalization, Infectious Diseases, Cell Processes, Physical Sciences, Medicine, Cellular Types, Brazil, Research Article, Computer and Information Sciences, Coronavirus disease 2019 (COVID-19), Occupancy, Science, Research and Analysis Methods, Human Geography, Urban Geography, 03 medical and health sciences, Artificial Intelligence, Humans, Operations management, Statistical Methods, Cities, Pandemics, Artificial Neural Networks, 030304 developmental biology, Training period, Computational Neuroscience, Government, Models, Statistical, SARS-CoV-2, Biology and Life Sciences, Computational Biology, COVID-19, Covid 19, Cell Biology, South America, Term (time), Cellular Neuroscience, Earth Sciences, Neural Networks, Computer, People and places, Mathematics, Neuroscience, Forecasting
Abstract

The first case of the novel coronavirus in Brazil was notified on February 26, 2020. After 21 days, the first case was reported in the second largest State of the Brazilian Amazon. The State of Pará presented difficulties in combating the pandemic, ranging from underreporting and a low number of tests to a large territorial distance between cities with installed hospital capacity. Due to these factors, mathematical data-driven short-term forecasting models can be a promising initiative to assist government officials in more agile and reliable actions. This study presents an approach based on artificial neural networks for the daily and cumulative forecasts of cases and deaths caused by COVID-19, and the forecast of demand for hospital beds. Six scenarios with different periods were used to identify the quality of the generated forecasting and the period in which they start to deteriorate. Results indicated that the computational model adapted capably to the training period and was able to make consistent short-term forecasts, especially for the cumulative variables and for demand hospital beds.

Published
2021

12. P2.02 Clinical and histological aspects of hpv-induced lesion in the oral cavity of a patient group from a private university of rio de janeiro between 1998 and 2015

Author

Luana Lorena Silva Rodrigues, Dennis Ferreira De Carvalho, Alcina Frederica Nico, Helena Lucia Barroso dos Reis, Mauro Romero Leal Passos, and Alexandre Marques Paes da Silva

Subjects
medicine.medical_specialty, Pathology, business.industry, Mucous membrane, Oral cavity, medicine.disease, Asymptomatic, Dermatology, Lesion, stomatognathic diseases, medicine.anatomical_structure, Tongue, Oral and maxillofacial pathology, medicine, medicine.symptom, Patient group, business, Verruca Vulgaris
Abstract

Introduction Bearing in mind that the diagnosis of oral lesions, particularly those induced by HPV, may influence therapeutic method choice, the goal of this study was to describe the clinical and histological characteristics of these lesions in the oral cavity. Methods A sectional laboratory research based on the reports obtained from the oral pathology laboratory of a private university of Rio de Janeiro, between 1998 to 2015 was held, with the objective of assessing the profile of 104 individuals diagnosed with HPV-induced oral lesions. Results The lesions found were oral squamous papilloma (83%), verruca vulgaris (11,3%) and condyloma acuminata (5,6%). The sites more commonly involved were the tongue (37 lesions, 33,9%), the palate (21 lesions, 19,8%) and lip mucosa (19 lesions, 17,9%). The oral squamous papilloma was diagnosed in 87 patients, with average age of 40.3 years, race-colour white (73%), being the tongue (39,8%) and the palate (22,7%) the more commonly described sites, with asymptomatic lesions of the type exophytic (15,9%) and pedunculated (13.6%) and had whitish colour, with an average size of about 0.55 cm in diameter. As for the 12 verruca vulgaris diagnosed, the individuals had an average age of 21.3 years, most of them affecting lip mucosa region with 7 lesions (to 58.3%). The condyloma acuminata lesions were found in only 5 individuals, with ages ranging from 25 to 51 years of age, with an average of 32.8 years. The site of greatest occurrence was the lip mucous membrane with 3 lesions (50%). Conclusion In this study, it was possible to observe that women had more lesions in the oral cavity, being the tongue the most common site, and the oral squamous papilloma the most diagnosed lesion. The description of the histological and molecular aspects of these injuries becomes necessary so that there is an effective contribution to the knowledge of factors that may be associated with the development of these lesions in the oral cavity in the era of the quadrivalent/nonavalent vaccine.

Published
2017

13. Sexually transmitted infections among HIV-infected and HIV-uninfected women in the Tapajós region, Amazon, Brazil: Self-collected vs. clinician-collected samples

Author

Mariza G. Morgado, Charlotte A. Gaydos, Luana Lorena Silva Rodrigues, José Henrique Pilotto, Alcina F. Nicol, Vanessa Salete de Paula, Justin Hardick, and Katrini Guidolini Martinelli

Subjects
Cross-sectional study, Chlamydia trachomatis, HIV Infections, Mycoplasma genitalium, Cervix Uteri, urologic and male genital diseases, medicine.disease_cause, Gonorrhea, 0302 clinical medicine, Mass Screening, 030212 general & internal medicine, Papillomaviridae, 0303 health sciences, Multidisciplinary, biology, Coinfection, Obstetrics, virus diseases, Middle Aged, female genital diseases and pregnancy complications, 3. Good health, Medicine, Female, Trichomonas Vaginitis, Brazil, Research Article, Adult, medicine.medical_specialty, Adolescent, Science, Specimen Handling, 03 medical and health sciences, Trichomonas vaginalis, medicine, Humans, Mycoplasma Infections, Mass screening, 030306 microbiology, business.industry, Papillomavirus Infections, Chlamydia Infections, medicine.disease, biology.organism_classification, Neisseria gonorrhoeae, Cross-Sectional Studies, HIV-1, Syphilis, business
Abstract

The anogenital prevalence of sexually transmitted infections (STIs) and the use of cervico-vaginal self-collected vs. clinician-collected samples were evaluated for the diagnosis of human immunodeficiency virus (HIV)-infected and HIV-uninfected women in the Tapajós region, Amazon, Brazil. We recruited 153 women for a cross-sectional study (112 HIV-uninfected and 41 HIV-infected) who sought health services. Anal and cervical scrapings and cervico-vaginal self-collection samples were collected. Real-time polymerase chain reaction methods were used for Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis and Mycoplasma genitalium. A syphilis test was also performed. Risk factors for STIs were identified by multivariate analysis. The overall prevalence of STIs was 30.4% (34/112) in HIV-uninfected women and 24.4% (10/41) in HIV-infected women. Anogenital Chlamydia trachomatis infection was the most prevalent in both groups of women (20.5% vs 19.5%). There was significant agreement for each STI between self-collected and clinician-collected samples: 91.7%, kappa 0.67, 95% confidence interval (CI) 0.49–0.85 for Chlamydia trachomatis; 99.2%, kappa 0.85, 95% CI 0.57–1.00 for Neisseria gonorrhoeae; 97.7%, kappa 0.39, 95% CI -0.16–0.94 for Trichomonas vaginalis; and 94.7%, kappa 0.51, 95% CI 0.20–0.82 for Mycoplasma genitalium. Women with human papillomavirus had coinfection or multiple infections with other STIs. Risk factors for STIs were being ≤ 25 years old, being employed or a student, reporting a history of STI and having a positive HPV test. A high prevalence of STIs in women in the Tapajós region was found. Cervico-vaginal self-collection is a useful tool for STI screening and can be used in prevention control programs in low-resource settings, such as in northern Brazil.

Published
2019

14. HPV vaccines: a controversial issue?

Author

Nathalia S. Oliveira, Cecilia Vianna de Andrade, Fabio Russomano, Luana Lorena Silva Rodrigues, Alcina F. Nicol, and David William Provance

Subjects
Vaccine safety, Male, medicine.medical_specialty, Medicine (General), Human papillomavirus, Physiology, QH301-705.5, Immunology, Biophysics, Alternative medicine, Reviews, Ocean Engineering, Target population, HPV vaccines, Biochemistry, 03 medical and health sciences, Papillomavirus Vaccines, 0302 clinical medicine, R5-920, Health care, medicine, Humans, 030212 general & internal medicine, General Pharmacology, Toxicology and Pharmaceutics, Biology (General), Adverse effect, lcsh:QH301-705.5, lcsh:R5-920, business.industry, General Neuroscience, Vaccination, Papillomavirus Infections, Cell Biology, General Medicine, lcsh:Biology (General), 030220 oncology & carcinogenesis, Family medicine, Adverse events, Female, lcsh:Medicine (General), business
Abstract

Controversy still exists over whether the benefits of the available HPV vaccines outweigh the risks and this has suppressed uptake of the HPV vaccines in comparison to other vaccines. Concerns about HPV vaccine safety have led some physicians, healthcare officials and parents to withhold the recommended vaccination from the target population. The most common reason for not administering the prophylactic HPV vaccines are concerns over adverse effects. The aim of this review is the assessment of peer-reviewed scientific data related to measurable outcomes from the use of HPV vaccines throughout the world with focused attention on the potential adverse effects. We found that the majority of studies continue to suggest a positive risk-benefit from vaccination against HPV, with minimal documented adverse effects, which is consistent with other vaccines. However, much of the published scientific data regarding the safety of HPV vaccines appears to originate from within the financially competitive HPV vaccine market. We advocate a more independent monitoring system for vaccine immunogenicity and adverse effects to address potential conflicts of interest with regular systematic literature reviews by qualified individuals to vigilantly assess and communicate adverse effects associated with HPV vaccination. Finally, our evaluation suggests that an expanded use of HPV vaccine into more diverse populations, particularly those living in low-resource settings, would provide numerous health and social benefits.

Published
2016

15. PREVALENCE AND GENOTYPE DIVERSITY OF ANAL HPV INFECTION AMONG HIV-INFECTED WOMEN IN BELEM, PARA, NORTH OF BRAZIL

Author

Rodrigo Vellasco Duarte Silvestre, V. N. Azevedo, Jacqueline Cortinhas Monteiro, Antonio Carlos Rosário Vallinoto, Rogério Valois Laurentino, Andreza Reis Brasil da Silva, Luana Lorena Silva Rodrigues, Luiz Fernando Almeida Machado, R. N. M. Feitosa, and Ricardo Ishak

Subjects
media_common.quotation_subject, Hiv infected, Genotype, HPV infection, medicine, Biology, medicine.disease, Virology, Diversity (politics), media_common
Published
2018

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