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Objective: to identify the risk factors associated with prehypertension and arterial hypertension among Munduruku indigenous people in the Brazilian Amazon. Method: a cross-sectional study carried out with 459 Munduruku indigenous people selected by means of stratified random sampling. Sociodemographic variables, habits and lifestyles, anthropometric data, fasting glucose and lipid profiles were evaluated. An automatic device calibrated and validated to measure blood pressure was used. The analyses of the data collected were carried out in the R software, version 3.5.1. For continuous variables, the Kruskall-Wallis test was used; for the categorical ones, Fischer’s Exact. The significance level was set at 5% and p-value≤0.05. Results: the prevalence of altered blood pressure levels was 10.2% for values suggestive of hypertension and 4.1% for pre-hypertension. The risk of prehypertension among indigenous people was associated with being male (OR=1.65; 95% CI=0.65-4.21) and having a substantially increased waist circumference (OR=7.82; 95% CI=1.80-34.04). Regarding the risk for arterial hypertension, it was associated with age (OR=1.09; 95% CI=1.06-1.12), with increased waist circumference (OR=3.89; 95% CI=1.43-10, 54) and with substantially increased waist circumference (OR=5.46; 95% CI=1.78-16.75). Conclusion: among Munduruku indigenous people, men were more vulnerable to developing hypertension; age and increased waist circumference proved to be strong cardiovascular risk factors. Objetivo: identificar os fatores de risco associados à préhipertensão e hipertensão arterial entre indígenas Munduruku da Amazônia brasileira. Método: estudo transversal realizado com 459 indígenas Munduruku selecionados por meio de amostragem aleatória estratificada. Foram avaliadas variáveis sociodemográficas, hábitos e estilos de vida, dados antropométricos, glicemia de jejum e perfis lipídicos. Utilizou-se aparelho automático calibrado e validado para medir a pressão arterial. As análises dos dados coletados foram realizadas pelo software R versão 3.5.1. Para as variáveis contínuas, utilizou-se o teste Kruskall-Wallis; para as categóricas, o Exato de Fischer. Considerou-se nível de significância de 5% e valor p≤0,05. Resultados: a prevalência de níveis pressóricos alterados foi de 10,2% para valores sugestivos de hipertensão e de 4,1% para pré-hipertensão. O risco de pré-hipertensão entre indígenas associou-se a ser do sexo masculino (OR=1,65; IC95% 0,65-4,21) e ter circunferência da cintura aumentada substancialmente (OR=7,82; IC95% 1,80-34,04). Quanto ao risco para hipertensão arterial, associou-se à idade (OR=1,09; IC95% 1,06-1,12), à circunferência da cintura aumentada (OR=3,89; IC95% 1,43-10,54) e à circunferência da cintura aumentada substancialmente (OR=5,46; IC95% 1,78-16,75). Conclusão: entre indígenas Munduruku, os homens estavam mais vulneráveis para desenvolver hipertensão; a idade e a circunferência da cintura aumentada mostraram-se como fortes fatores de risco cardiovascular. Objetivo: identificar los factores de riesgo asociados con la prehipertensión y la hipertensión arterial entre los indígenas Munduruku en la Amazonía brasileña. Método: estudio transversal realizado con 459 indígenas Munduruku seleccionados mediante muestreo aleatorio estratificado. Se evaluaron variables sociodemográficas, hábitos y estilos de vida, datos antropométricos, glucosa en ayunas y perfiles lipídicos. Se utilizó un dispositivo automático calibrado y validado para medir la presión arterial. Los análisis de los datos recopilados se llevaron a cabo mediante el software R versión 3.5.1. Para las variables continuas se utilizó la prueba de KruskalWallis; para las categóricas, Exacto de Fischer. El nivel de significancia se estableció en 5% y p≤0,05. Resultados: la prevalencia de niveles alterados de presión arterial fue del 10,2% para valores sugestivos de hipertensión y del 4,1% para prehipertensión. El riesgo de prehipertensión entre los indígenas se asoció al sexo masculino (OR=1,65; IC95% 0,65-4,21) y a un aumento sustancial de la circunferencia de cintura (OR=7,82; IC95% 1,80-34,04). En cuanto al riesgo de hipertensión arterial, se asoció con la edad (OR=1,09; IC95% 1,06-1,12), con un aumento de la circunferencia de la cintura (OR=3,89; IC95% 1,43-10,54) y con un aumento sustancial de la circunferencia de la cintura (OR=5,46; IC95% 1,78-16,75). Conclusión: entre los indios Munduruku, los hombres eran más vulnerables a desarrollar hipertensión, la edad y el aumento de la circunferencia de la cintura demostraron ser fuertes factores de riesgo cardiovascular.

Resumo Objetivo identificar fatores associados ao enfrentamento da pandemia da COVID-19 por pessoas idosas com e sem comorbidades. Método estudo descritivo, transversal, com pessoas idosas (n=569), entre 60 e 80 anos, com ou sem comorbidades, nas cinco regiões do Brasil. Coleta de dados com questionário virtual e análise com base na estatística descritiva e inferencial. Resultados os resultados mostram que 351, (61,68%), referem comorbidade. Houve associação significativa entre os grupos nas variáveis: faixa etária (p=0,017), realizar alguma atividade laboral (p≤0,001), pensamento da possibilidade de ser infectado pelo novo coronavírus (p≤0,001), concordar com medidas de prevenção adotadas para o distanciamento social (p≤0,001), se informar por outro meio de comunicação além da televisão (p≤0,001). Conclusão e implicações para a prática os idosos com comorbidades pensam na possibilidade de ser infectado pelo novo coronavírus, concordam mais com as medidas de distanciamento social e se informam mais. Nesse sentido, indica-se a realização de pesquisas com ênfase nos idosos sem comorbidade, para direcionar melhor os cuidados de saúde em tempos de pandemias. Resumen Objetivo identificar factores asociados al afrontamiento de la pandemia COVID-19 en adultos mayores con y sin comorbilidades. Método estudio descriptivo, transversal con personas mayores (n=569), entre 60 y 80 años, con o sin comorbilidades, en las cinco regiones de Brasil. La recolección de datos se realizó con cuestionario virtual y el análisis mediante estadística descriptiva e inferencial. Resultados los resultados muestran que 351 personas, (61,68%), refieren a comorbilidades. Hubo asociación significativa entre grupos en las variables: grupo de edad (p=0,017), realizar alguna actividad laboral (p≤0,001), pensar en la posibilidad de estar infectado por el nuevo coronavirus (p≤0,001), acuerdo con las medidas preventivas adoptadas para el distanciamiento social (p≤0.001), informarse por otros medios de comunicación además de la televisión (p≤0.001). Conclusión e implicaciones para la práctica los adultos mayores con comorbilidades piensan en la posibilidad de estar contagiados por el nuevo coronavirus, están más de acuerdo con las medidas de distanciamiento social y obtienen más información. En este sentido, se recomienda realizar una investigación con énfasis en los adultos mayores sin comorbilidades, para orientar mejor la atención sanitaria en tiempos de pandemia. Abstract Objective to identify factors associated to coping with the COVID-19 pandemic by older adults with and without comorbidities. Method a descriptive, cross-sectional study with older adults (n=569), aged between 60 and 80 years old, with or without comorbidities, in the five Brazilian regions. Data collection with virtual questionnaire and analysis based on descriptive and inferential statistics. Results the results show that 351 (61.68%) refer to comorbidity. There was a significant association between the groups in the following variables: age group (p=0.017), performing some work activity (p≤0.001), thinking about the possibility of being infected by the new coronavirus (p≤0.001), agreeing with prevention measures adopted for social distancing (p≤0.001), informing yourself by other means of communication besides television (p≤0.001). Conclusion and implications for the practice the older adults with comorbidities think about the possibility of being infected by the new coronavirus, agree more with the social distancing measures and get more information. To such an effect, it is recommended to carry out research studies with an emphasis on the older adult without comorbidity, to better target health care in pandemic times.

The objective is to analyze the daily lives of elderly people during the pandemic. Exploratory-descriptive, qualitative study with 574 participants. Data collected by digital form. The categories emerged from the inductive analysis: what you did during your time "at home", the help you need in your daily life, the multiple meanings of care: of yourself and the other. It is concluded that the daily life was marked by the interruption and intensification of activities and that the elderly people were protagonists in the care of themselves and the other. El objetivo es analizar la vida cotidiana de las personas mayores durante la pandemia. Estudio exploratorio-descriptivo, cualitativo con 574 participantes. Datos recopilados por forma digital. Del análisis inductivo surgieron las categorías: lo que hiciste durante el tiempo “en casa”; La ayuda necesaria a diario; Los múltiples significados del cuidado: uno mismo y el otro. Se concluye que la vida diaria estuvo marcada por la interrupción e intensificación de actividades y que las personas mayores fueron protagonistas en el cuidado de sí mismos y del otro. Objetiva-se analisar o dia a dia de pessoas idosas durante a pandemia. Estudo exploratório-descritivo, qualitativo, com 574 participantes. Dados coletados por formulário digital. Da análise indutiva, emergiram as categorias: O que fez durante o tempo “em casa”; A ajuda necessária no dia a dia; Os múltiplos sentidos do cuidado: de si e do outro. Conclui-se que o dia a dia foi marcado pela interrupção e intensificação de atividades e que as pessoas idosas foram protagonistas do cuidado de si e do outro.

Intimate partner violence (IPV) is configured as any form of violent behavior committed both at home and in any intimate relationship of affection, regardless of cohabitation, which can impact the psychological health of people who are affected. Therefore, this study sought to evaluate the evidence on the prevalence of depression in people who experienced violence by intimate partners through a systematic review with meta-analysis. Searches were carried out in the PubMed, LILACS, SciELO and Virtual Health Library databases. Fifteen articles were included and it was possible to identify that the prevalences were varied, with minimum rates of 5.7% up to a maximum of 79.4%. It was concluded that according to the added value, there is a positive correlation so that the occurrence of violence by intimate partners can generate the occurrence of depression. The review therefore indicates the need for preventive and health promotion actions, especially with regard to mental health. La violencia de pareja íntima (IPV) se configura como cualquier forma de comportamiento violento cometido tanto en el hogar como en cualquier relación íntima de afecto, independientemente de la convivencia, que puede afectar la salud psicológica de las personas afectadas. Por lo tanto, este estudio buscó evaluar la evidencia sobre la prevalencia de depresión en personas que experimentaron violencia por parte de sus parejas íntimas a través de una revisión sistemática con metanálisis. Se realizaron búsquedas en las bases de datos PubMed, LILACS, SciELO y Virtual Health Library. Se incluyeron quince artículos y fue posible identificar que las prevalencias fueron variadas, con tasas mínimas de 5.7% hasta un máximo de 79.4%. Se concluyó que, de acuerdo con el valor agregado, existe una correlación positiva para que la ocurrencia de violencia por parte de parejas íntimas pueda generar la ocurrencia de depresión. Por lo tanto, la revisión indica la necesidad de acciones preventivas y de promoción de la salud, especialmente con respecto a la salud mental. A violência por parceiro íntimo (VPI) se configura enquanto qualquer forma de comportamento violento cometido tanto no espaço doméstico, como em qualquer relação íntima de afeto,independentemente de coabitação, e que pode trazer impacto na saúde psicológica das pessoas que são acometidas.Portanto, este estudo buscou avaliar as evidências sobre a prevalência de depressão em pessoas que vivenciaram violência por parceiros íntimos por meio de uma revisão sistemática com meta-análise. Realizou-se buscas nas bases de dados PubMed, LILACS, SciELO e Biblioteca Virtual em Saúde.Foram incluídos quinze artigos e foi possível identificar que as prevalências foram variadas, com índices mínimos de 5,7% até o máximo de 79,4%.Concluiu-se que de acordo com o valor agregado, aponta-se correlação positiva para que a ocorrência da violência por parceiros íntimos possa gerar ocorrência de depressão. A revisão indica, portanto, a necessidade de ações de prevenção e promoção de saúde, especialmente no que se refere à saúde mental.

Made available in DSpace on 2015-04-11T14:06:35Z (GMT). No. of bitstreams: 1 Zilmar Augusto.pdf: 4619100 bytes, checksum: 3ed6d1b4860a0d8c1efd582bfa9f0b3e (MD5) Previous issue date: 2012-12-11 The Cerebral Vascular Accident (CVA) is one of the death causes in Brazil. Individuals who survive CVA may remain with some degree of injury become dependent on their family to perform some sort of activity of daily living. This study aimed to investigate at home the experience of families living with a stroke sequel person. It is an exploratory and descriptive study with a qualitative approach, conducted by Calgary Family Assessment Model (CAFM). The instruments used were semi-structured interview, the genogram, the ecomap and direct observation. The research subjects were five families who lived with one of their stroke sequel relative, residents in the area covered by a Basic Health Unit in Manaus city. Data collection was conducted from January to February 2012, after approval by the Ethics Committee of the Universidade Federal do Amazonas. The families were evaluated in three thematic categories of CAFM: structural, assessment development and functional evaluation. In structural evaluation, we found that among the sequel people (59 to 85 years), two had total dependence on family and three had partial dependence. In families, all with more than five members, the care provided was led by women. The dependence of being on the family extrapolated the limits of the internal structure, having need for a social support network, consisting of the extended family, social groups and institutions. In assessing the development, only one family was experiencing the last phase of their life cycle. The other lived more than one life cycle with overlapping tasks. In the functional assessment, the families performed daily activities both technical care like medication, tracheal suction and curative in pressure ulcers, as home care such as food, personal care (bathing), dressing, cleaning and organizing clothes and utensils, and others. This study allowed us to understand the experience of families dealing with a stroke sequel relative contributing to better understanding by the nursing staff of the role of the family in suffering situations due to a chronic disabling O Acidente Vascular Cerebral (AVC) ?? uma das principais causas de morte no Brasil. Os indiv??duos que sobrevivem ao AVC podem permanecer com algum grau de les??o tornando-se dependentes de sua fam??lia para realizar algum tipo de atividade de vida di??ria. Este estudo teve como objetivo investigar, em domic??lio, a experi??ncia das fam??lias que convivem com um sequelado de AVC. Trata-se de um estudo de car??ter explorat??rio e descritivo, com abordagem qualitativa, conduzido pelo Modelo Calgary de Avalia????o da Fam??lia (MCAF). Os instrumentos utilizados foram a entrevista semi-estruturada, o genograma, o ecomapa e a observa????o direta. Os sujeitos da pesquisa foram cinco fam??lias que convivem com um de seus entes sequelados pelo AVC, residentes na ??rea de abrang??ncia de uma Unidade B??sica de Sa??de da cidade de Manaus. A coleta de dados foi realizada no per??odo de janeiro a fevereiro de 2012, ap??s aprova????o pelo Comit?? de ??tica em Pesquisa da Universidade Federal do Amazonas. As fam??lias foram avaliadas nas tr??s categorias tem??ticas do MCAF: avalia????o estrutural, avalia????o de desenvolvimento e avalia????o funcional. Na avalia????o estrutural, verificamos que entre os sequelados (59 a 85 anos), dois apresentaram depend??ncia total da fam??lia e tr??s, depend??ncia parcial. Nas fam??lias, todas com mais de cinco membros, a presta????o dos cuidados era liderada pelas mulheres. A depend??ncia do ente em rela????o ?? fam??lia extrapolava os limites da estrutura interna, havendo necessidade de contar com a rede social de apoio, composta pela fam??lia extensa, por grupos sociais e por institui????es. Avalia????o do desenvolvimento, apenas uma fam??lia vivenciava a fase ??ltima do ciclo vital. As demais viviam mais de um ciclo vital com superposi????o de tarefas. Avalia????o funcional, as fam??lias executavam atividades di??rias tanto de cuidados t??cnicos como medica????o, aspira????o traqueal e curativo em ??lcera por press??o, quanto de cuidados dom??sticos como alimenta????o, higiene pessoal (banho), ato de vestir, limpeza e organiza????o de roupas e utens??lios, entre outros

Submitted by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2022-04-15T02:28:26Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) ITEM INDISPON??VEL - Solicite c??pia.pdf: 84143 bytes, checksum: bec574cfc2dc76cf8ba0e289d73276b9 (MD5) Approved for entry into archive by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2022-04-19T16:59:57Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) ITEM INDISPON??VEL - Solicite c??pia.pdf: 84143 bytes, checksum: bec574cfc2dc76cf8ba0e289d73276b9 (MD5) Made available in DSpace on 2022-04-19T16:59:57Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) ITEM INDISPON??VEL - Solicite c??pia.pdf: 84143 bytes, checksum: bec574cfc2dc76cf8ba0e289d73276b9 (MD5) Previous issue date: 2022-02-16 FAPEAM - Funda????o de Amparo ?? Pesquisa do Estado do Amazonas Introduction: The World Health Organization (WHO) and The Transplantation Society (TTS) understand as a possible organ and tissue donor that individual with physical injury and who needs mechanical ventilation, starting to be considered donors when there is an opening of the brain death protocol. Also considered the eligible donor, the one with confirmation of brain death and without previous contraindications to the donation. The effective donor is the one in which the operation for the removal of organs and tissues begins. Objective: to evaluate if there is a relationship between the sociodemographic and clinical profile of potential organ/tissue donors and the effectiveness of the donation for the recipient patients. Method: cross-sectional, descriptive study, carried out from secondary sources of medical records of the Medical Archives and Statistics Service with a time cut from the years 2016 to 2020. The independent variables used in this study were sociodemographic information, clinical characteristics, hospitalization events, and comorbidities. The dependent variable considered was effective donation, with at least one organ harvested. Data were analyzed based on descriptive and inferential statistics, using Yates' corrected chi square test and Fisher's exact test to identify association between variables. Results: In the period studied, 512 notifications of potential organ donors were made, of these, 316 composed the study sample. Most were men (61.7%), mean age 38.4 years (SD??18.2), catholic (34.5%), with up to 11 years of schooling (25%), without partners (61.7%) and born in the interior of the state (54.7%). Regarding the clinical aspects and events during hospitalization of the patients reported, about 19.3% (n=61) required hemotherapy, 34.5% (n=109) had cardiac arrest during hospitalization, 2.8% (n=9) had some type of shock, The prevalence of infection in these patients was 27.5% (n=87), 63.9% (n=202) used antibiotics, 93.4% (n=295) were using some type of vasoactive drug, and the most used was noradrenaline in 92.1% (n=291) of the cases. The mean time elapsed between the first clinical examination and the closing of the complementary examination was 2.15 days (dp??2.18), as well as the mean time between hospitalization and the closing of the protocol was 9.3 days (dp??10.3).64 effective donations were counted, representing 20.3% of the notifications. No associations were identified between the sociodemographic characteristics and the effectiveness of the donations. The occurrence of cardiac arrest was associated with the effectiveness of the donations (p=0.04). Conclusion: In the studied population, the sociodemographic and clinical characteristics did not influence the effectiveness of the donation. It is emphasized that there is a need for knowledge about the organ donation process among the population and the professionals involved in the assistance, as one of the key points for the completeness of the process and a higher uptake of organs available for transplant. A Organiza????o Mundial de Sa??de (OMS) e a The Transplantation Society (TTS) consideram como o poss??vel doador de ??rg??os e tecidos aquele indiv??duo com les??o encef??lica e que necessita de ventila????o mec??nica, passando a ser considerados potenciais doadores quando h?? a abertura do protocolo de morte encef??lica. Consideram ainda o doador eleg??vel, aquele com confirma????o de morte encef??lica e n??o apresenta contraindica????es pr??vias da doa????o. O doador efetivo ?? aquele em que se inicia a opera????o para a retirada dos ??rg??os e tecidos. Objetivo: avaliar o perfil sociodemogr??fico e cl??nico dos potenciais doadores de ??rg??os/tecidos e sua influ??ncia na doa????o efetiva. M??todo: estudo transversal, descritivo, realizado a partir de fontes secund??rias de prontu??rios do Servi??o de Arquivo M??dico e Estat??stica com recorte temporal dos anos de 2016 a 2020. As vari??veis independentes utilizadas neste estudo foram informa????es sociodemogr??ficas, caracter??sticas cl??nicas, eventos de interna????o e comorbidades. Como vari??vel dependente foi considerada a doa????o efetiva (doador efetivo), com capta????o de pelo menos um ??rg??o. Os dados foram analisados com base na estat??stica descritiva e inferencial, utilizando o teste do qui quadrado corrigido de Yates e exato de Fisher para identificar associa????o entre as vari??veis. Resultados: No per??odo estudado, foram realizadas 512 notifica????es de potenciais doadores de ??rg??os, destes, 316 compuseram a amostra do estudo. Em sua maioria eram homens (61,7%), com m??dia de idade de 38,4 anos (dp??18,2), cat??licos (34,5%), possu??am at?? 11 anos de estudo (25%), sem companheiros (61,7%) e nascidos no interior do estado (54,7%). Quanto aos aspectos cl??nicos e eventos da interna????o dos pacientes notificados, cerca de 19,3% (n=61) necessitaram de hemoterapia, 34,5% (n=109) tiveram parada card??aca durante a interna????o no servi??o hospitalar, 2,8% (n=9) apresentaram algum tipo de choque, a preval??ncia de infec????o nestes pacientes foi de 27,5% (n=87), 63,9% (n=202) usaram antibioticoterapia, 93,4% (n=295) estavam utilizando algum tipo de droga vasoativa e, a mais usada foi a noradrenalina, em 92,1% (n=291) dos casos. O tempo m??dio decorrido entre a realiza????o do 1o exame cl??nico e o fechamento do exame complementar foi de 2,15 dias (dp??2,18), bem como, o tempo m??dio entre a interna????o e o fechamento do protocolo foi de 9,3 dias (dp??10,3).Foram contabilizadas 64 doa????es efetivas, representando 20,3% das notifica????es. N??o foram identificadas associa????es entre as caracter??sticas sociodemogr??ficas e a efetividade das doa????es. A ocorr??ncia de parada cardiorrespirat??ria esteve associada a efetividade das doa????es (p=0,04). Conclus??o: Na popula????o estudada, as caracter??sticas sociodemogr??ficas e cl??nicas n??o influenciaram na efetiva????o da doa????o. Salienta-se que h?? necessidade de conhecimento acerca do processo de doa????o de ??rg??os por parte da popula????o e os profissionais envolvidos na assist??ncia, sendo um dos pontos primordiais para a completude do processo e maior capta????o de ??rg??os dispon??veis para transplante.

Submitted by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2022-03-03T19:24:44Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) ITEM INDISPON??VEL - Solicite c??pia.pdf: 84143 bytes, checksum: bec574cfc2dc76cf8ba0e289d73276b9 (MD5) Approved for entry into archive by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2022-03-03T19:52:42Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) ITEM INDISPON??VEL - Solicite c??pia.pdf: 84143 bytes, checksum: bec574cfc2dc76cf8ba0e289d73276b9 (MD5) Made available in DSpace on 2022-03-03T19:52:42Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) ITEM INDISPON??VEL - Solicite c??pia.pdf: 84143 bytes, checksum: bec574cfc2dc76cf8ba0e289d73276b9 (MD5) Previous issue date: 2021-12-21 Objective: to build a nursing protocol that supports nurses' practices in the care of elderly hypertensive individuals within the Amazon context. Method: methodological study with a qualitative approach. The methodological course of this project will consist of 3 stages: in the first stage, the theoretical-scientific basis will be built from the development of an integrative literature review on nursing practices at aimed elderly hypertensive patients in the context of specialized care; in the second stage, systematic observation will be carried out through interviews with professional nurses who work in the specialized care network for the elderly in the city of Manaus, Amazonas; in the third stage, the construction and production of the nursing protocol will be carried out based on the first and second stages. Results: Manuscript presenting theoretical and scientific references, in addition to the contribution of professionals determining the domains as a basis for building the prototype of the protocol. These stages subsidized the technological product to contribute and assist in the professional practice of nurses within the specialized service, helping them to improve the quality of nursing care and decision-making with a view to resolving the provision of care in specialized care. Discussion: It is confirmed that the final product will contribute so that Amazonian and gerontological nursing in the state of Amazonas can be recognized for their best practices, as well as for contributing to the improvement of therapeutic adherence of the elderly person assisted in Specialized Care Centers In Manaus. Conclusion: The technological product is merged as a health assessment instrument and allowed a plurality of information considered essential within the Amazon context, enabling the visualization of actions employed in practices as priorities, which will guide-making and intervention of nursing. The need to deepen this theme is considered, as there are few published works relating to specialized nursing consultations within this context. Objetivo: Elaborar um protocolo de enfermagem como proposta de cuidado para a pessoa idosa com hipertens??o na aten????o especializada no contexto amaz??nico. M??todo: Estudo metodol??gico, que utilizou dados qualitativos, sendo desenvolvida em 3 etapas. Na 1 etapa: foi realizado estudo de revis??o integrativa com o objetivo de sintetizar o conhecimento, referente ??s produ????es cient??ficas sobre os protocolos de enfermagem para a assist??ncia e cuidado na aten????o especializada. Na 2 etapa: foi realizado uma pesquisa descrita, por interm??dio de uma entrevista semiestrurturada com os enfermeiros dos CAIMI???s. Cabe ressaltar que a an??lise dos dados ocorreu por processo de produ????o e an??lise dos dados com o uso IRAMUTEQ que possibilitou uma an??lise lexical para o tratamento do conte??do fornecido pelos participantes, o Corpus passou a ser composto por 5 Classes, e para cada uma delas foi computada e atribu??da uma lista de palavras maissignificativas que astraduzem. Na etapa 3: foi realizado a confec????o do prot??tipo, pautou-se no levantamento das melhores evid??ncias. Cabe ressaltar que esta etapa foi desenvolvida tendo como suporte das etapas 1 e 2, nesta fase contamos com o suporte da designer para melhor apresenta????o do prot??tipo. Resultados: Como produto das etapas da pesquisa apresentada temos na etapa1 a elabora????o de um manuscrito. Na etapa 2, a garantia do conhecimento dos profissionais assistenciais quanto ??s etapas para serem seguidas no protocolo a partir da an??lise dos dados, onde emergiram de 312 segmentos de texto (ST 76,10%), organizadas em 04 dom??nios que balizaram e foram fundamentais para a realiza????o da etapa 3. Sendo na etapa 3 o protocolo apresentado sistematizado na ??ntegra com 61 p??ginas disposto no Ap??ndice D. Conclus??o: Pondera-se que a tecnologia elaborada possa subsidiar os enfermeiros na pr??tica, potencializando o cuidado a pessoa idosa com hipertens??o na rede especializada. Al??m de contribuir para o avan??o das melhores pr??ticas de enfermagem gerontol??gica no contexto amaz??nico.

Submitted by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2021-11-24T21:51:44Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Reprodu????o N??o Autorizada.pdf: 47716 bytes, checksum: 0353d988c60b584cfc9978721c498a11 (MD5) Approved for entry into archive by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2021-11-24T22:00:10Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Reprodu????o N??o Autorizada.pdf: 47716 bytes, checksum: 0353d988c60b584cfc9978721c498a11 (MD5) Made available in DSpace on 2021-11-24T22:00:10Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Reprodu????o N??o Autorizada.pdf: 47716 bytes, checksum: 0353d988c60b584cfc9978721c498a11 (MD5) Previous issue date: 2021-08-20 FAPEAM - Funda????o de Amparo ?? pesquisa do Estado do Amazonas Introduction: medications and medicinal plants are used worldwide by man as therapeutic strategies for pain relief or inhibition. In vulnerable populations in remote areas, with unique characteristics (socioeconomic, cultural, geographical and environmental) such as riverside populations in the Brazilian Amazon, the phenomenon lacks information. Objective: to evaluate pain management strategies in riverside communities in the Brazilian Amazon. Method: population-based cross-sectional study, part of the research "Health, Medications and Self-Medication in Amazon Riverside (SAMARA)", developed in 2015, in 24 riverside communities of Coari, Amazonas - Brazil (n= 492). The variables used in this study were sociodemographic, access to health services, alcohol consumption, smoking habits, selfreported diseases and medication consumption of the 246 participants who reported having carried out pain management (exclusive pain management with medications (n=180) + exclusive with medicinal plants (n=28) + mixed (n=38) with medications and plants). The dependent variable was evaluated by the use of at least one medication (exclusive with medications + mixed) or medicinal plant (exclusive with medicinal plants + mixed) consumed for pain management in the last 30 days preceding the interview. Data were analyzed based on descriptive and inferential statistics. The SAMARA research, which this study originated, is approved by the Research Ethics Committee of the School of Nursing of the University of S??o Paulo and registered with CAAE n??. 33560914.0.0000.5392. Results: Of the 246 riverside who executed pain management, the prevalence of pain management medications consumption was 88,6% (n=2019) among participants. The most consumed chemical substance was dipyrone (28,1%). Most of the medications used occurred on their own initiative (64,1%), were purchased in pharmacies (84,4%) and used to treat headache (58,5%). The variables "being literate" (OR: 2,632; CI 95%: 1,066-6,501) and "have family income above 1 minimum wage" (OR: 3,098; CI 95%: 1,303-7,368) remained independently associated with pain management practice with medications in logistic regression. The pain management with medicinal plants, it is prevailed in 26,8% (n=66) of the riverside. The most consumed medicinal plant as a home remedy for pain management was the bark of the orange tree fruit (Citrus sinensis (L.) Osbeck) (21,6%). Among all medicinal plants consumed, the use prevailed of barks (63,6%) and tea preparation (96,6%). Knowledge of the use was acquired mainly by family members (74,2%) and the pain problem that most led to pain management with medicinal plants was abdominal pain (70.5%). In logistic regression, only the variable age group between 18 and 49 years (OR: 2,154; 95% CI: 1,109-4,186) remained independently associated with pain management practice with medicinal plants. Conclusion: The riverside populations of the Amazon often use medications for pain management, evidencing the need for guidance on promoting the rational use of medications and the possibility of disease masking in the riverside context. Although the consumption of medicinal plants for pain management has occurred to a lesser extent in relation to medications, if we consider the exemption of costs, accessibility to the population, medicinal plants become an important therapeutic alternative in the communities of riverside, needing more research on its use and analgesic potential. Introdu????o: medicamentos e plantas medicinais s??o mundialmente utilizados pelo homem como estrat??gias terap??uticas para o al??vio ou inibi????o da dor. Em popula????es vulner??veis em ??reas remotas, com caracter??sticas singulares (socioecon??micas, culturais, geogr??ficas e ambientais) como popula????es ribeirinhas da Amaz??nia Brasileira, o fen??meno carece de informa????es. Objetivo: avaliar as estrat??gias de manejo da dor em comunidades ribeirinhas na Amaz??nia Brasileira. M??todo: estudo transversal de base populacional, parte da pesquisa ???Sa??de, Medicamentos e Automedica????o em Ribeirinhos do Amazonas - SAMARA???, desenvolvido no ano de 2015, em 24 comunidades ribeirinhas de Coari, Amazonas ??? Brasil (n= 492). As vari??veis utilizadas neste estudo de manejo da dor foram informa????es sociodemogr??ficas, acesso aos servi??os de sa??de, consumo de ??lcool, h??bitos tabagistas, enfermidades autorrelatadas e consumo de medicamentos dos 246 participantes que informaram ter realizado o manejo da dor (manejo da dor exclusivo com medicamentos (n=180) + exclusivo com plantas medicinais (n=28) + misto (n=38) com medicamentos e plantas). A vari??vel dependente foi avaliada pelo uso de, pelo menos, um medicamento (exclusivo com medicamentos + misto) ou planta medicinal (exclusivo com plantas medicinais + misto) consumido para o manejo da dor nos ??ltimos 30 dias antecedentes a entrevista. Os dados foram analisados com base na estat??stica descritiva e inferencial. Resultados: Dos 246 ribeirinhos que realizaram o manejo da dor, a preval??ncia de consumo de medicamentos para o manejo da dor foi de 88,6% (n=218) entre participantes. A subst??ncia qu??mica mais consumida foi a dipirona (28,1%). A maioria dos medicamentos utilizados ocorreu por iniciativa pr??pria (64,1%), foram adquiridos nas farm??cias (84,4%) e usados para trata a cefaleia (58,5%). As vari??veis ???ser alfabetizado??? (OR: 2,632; IC 95%: 1,066-6,501) e ???ter renda familiar acima de 1 sal??rio m??nimo??? (OR: 3,098; IC 95%: 1.303-7,368) permaneceram independentemente associadas a pr??tica de manejo da dor com medicamentos na regress??o log??stica. O manejo da dor com plantas medicinais, prevaleceu em 26,8% (n=66) dos ribeirinhos. A planta medicinal mais consumida como rem??dio caseiro para o manejo da dor foi a casca do fruto da laranjeira (Citrus sinensis (L.) Osbeck) (21,6%). Dentre todas as plantas medicinais consumidas, prevaleceu o uso de cascas (63,6%) e a prepara????o em ch?? (96,6%). O conhecimento do uso foi adquirido principalmente por familiares (74,2%) e o problema ??lgico que mais levou ao manejo da dor com plantas medicinais foram as dores abdominais (70,5%). Na regress??o log??stica a vari??vel faixa et??ria entre 18 a 49 anos (OR: 2,154; IC 95%: 1,109-4,186) permaneceu independentemente associada a pr??tica de manejo da dor com plantas medicinais. Conclus??o: As popula????es ribeirinhas do Amazonas costumam utilizar com frequ??ncia medicamentos para o manejo da dor, evidenciando a necessidade de orienta????es quanto a promo????o do uso racional dos medicamentos e a possibilidade de ocorr??ncia de mascaramento de doen??as no contexto ribeirinho. Embora o consumo de plantas medicinais para o manejo da dor tenha ocorrido em menor propor????o em rela????o aos medicamentos, se for considerado a isen????o de custos e acessibilidade a popula????o, as plantas medicinais tornam-se uma alternativa terap??utica importante nas comunidades ribeirinhas, necessitando de maiores investiga????es sobre seu uso e potencialidades analg??sicas.

Submitted by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2021-09-01T02:02:30Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) ITEM INDISPON??VEL - Solicite c??pia.pdf: 84143 bytes, checksum: bec574cfc2dc76cf8ba0e289d73276b9 (MD5) Approved for entry into archive by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2021-09-01T02:03:36Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) ITEM INDISPON??VEL - Solicite c??pia.pdf: 84143 bytes, checksum: bec574cfc2dc76cf8ba0e289d73276b9 (MD5) Made available in DSpace on 2021-09-01T02:03:36Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) ITEM INDISPON??VEL - Solicite c??pia.pdf: 84143 bytes, checksum: bec574cfc2dc76cf8ba0e289d73276b9 (MD5) Previous issue date: 2021-06-24 Introduction: To better meet the care demands of the sick person, nursing professionals need to constantly improve their technical skills and affective skills. The adoption of a healthy lifestyle, inside and outside the work environment, are important conditions to avoid the development of chronic diseases. General Objective: To verify the association of hypertension with lifestyle, presence of common mental disorder in nursing professionals. Methods: A descriptive, cross-sectional association study with nursing professionals who worked in two public hospitals in the city of Manaus. The data collection period was carried out from January to March 2020 in the first unit and in the second unit from January to July 2020. The sample was representative, considering the shift and professional category involved. Data collection consisted of the application of an instrument composed of sociodemographic variables and personal and family history of cardiovascular health and validated questionnaires called: "International Physical Activity Questionnaire - IPAQ" to verify the level of physical activity, "Alcohol Use Disorders Identification Test - AUDIT ??? to assess alcohol consumption; and ???Self ??? Reporting Questionnaire 20??? for common mental disorder screening. In addition, a casual measurement of systemic blood pressure was performed in order to obtain the prevalence of high blood pressure and/or self-reported hypertension, as well as its relationship with the other variables investigated in the group of professionals. Data were tabulated in the excel 2016 program and the analysis performed using descriptive and inferential statistics. A 95% confidence interval was adopted as a measure of precision to identify variables considered to be a risk or protective factor for hypertension. Results: the prevalence of hypertension among 394 nursing professionals was 22.8%. Among the variables associated with hypertension, the following stand out: age [OR=1.08 (95% CI 1.05-1.12); p

Submitted by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2021-09-09T03:09:15Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) ITEM INDISPON??VEL - Solicite c??pia.pdf: 84143 bytes, checksum: bec574cfc2dc76cf8ba0e289d73276b9 (MD5) Approved for entry into archive by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2021-09-09T03:14:41Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) ITEM INDISPON??VEL - Solicite c??pia.pdf: 84143 bytes, checksum: bec574cfc2dc76cf8ba0e289d73276b9 (MD5) Made available in DSpace on 2021-09-09T03:14:42Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) ITEM INDISPON??VEL - Solicite c??pia.pdf: 84143 bytes, checksum: bec574cfc2dc76cf8ba0e289d73276b9 (MD5) Previous issue date: 2021-05-26 Introduction: Metabolic Syndrome (MS) represents a group of cardiovascular risk factors that include abdominal obesity, combined with high blood pressure, fasting blood glucose and triglycerides, and lowering HDL-Cholesterol level. Brazil has varied prevalence in addition to attributing worsening in the quality of life of individuals and being associated with illness due to cardiovascular disease. Objective: To estimate the prevalence of metabolic syndrome and its association with cardiovascular risk factors in nursing professionals working in two specialized care units. Methods: Cross-sectional study with 394 nursing professionals from two specialized care units in Manaus, Amazonas. The data collection period was performed from January to March 2020 in the first unit and in the second unit from January to September 2020. The criteria of the National Cholesterol Education Program's Adult Treatment Panel III (NCEP-ATP III) for the diagnosis of metabolic syndrome were adopted, as presented in the I Brazilian Guideline for diagnosis and treatment of metabolic syndrome (2005). The participants were characterized in relation to socioeconomic variables related to work, lifestyle (with variables on alcohol consumption, smoking, physical activity, sleep quality, in addition to eating habits during the shift), self-assessment of health status, family history. Anthropometric parameters measured the circumferences: neck, waist, abdominal, height. The ratio of hip waist, taint index and body mass index was calculated. From bioimpedance, the percentage of body fat and visceral fat was evaluated. The measurements of blood pressure levels met the recommendations of the VII Brazilian Guidelines on Hypertension, the digital automatic arm-of-arm device was used, validated and calibrated. Three pressure measurements were performed with the adoption of the mean value of the last two measurements. Serum lipid and blood glucose levels were performed by laboratory analysis in the laboratories of the respective health units involved in the study. Participants were recommended to perform caloric fasting before blood collection of at least 8 hours and a maximum of 12 hours. This study also had five subprojects linked to the Scientific Initiation Program (PIBIC 2019/2020) of the Federal University of Amazonas (UFAM), a pilot study was also conducted with 15 nursing professionals from an emergency care unit in Manaus that allowed the evaluation of the average time of data collection for each participant and mainly to verify the understanding of the professionals to the questions contained in the data collection instrument. Data analyses were performed in the R Development Core Team (2009) program. Categorical variables were presented in tables containing absolute (n) and relative (%), and continuous variables on average and standard deviation. The continuous variables were compared by the Student's T-test and the categorical variables with Pearson's Chi-square test, the p???0.05 value was adopted. The associations of the variables with metabolic syndrome were estimated by odds ratio (OR) obtained by logistic regression with bivariate variance, with respective 95% confidence intervals. The research was approved by the Research Ethics Committee of the Federal University of Amazonas, with the number of Opinion NO 3,739,664. All the prerogatives of Resolution of the National Health Council n?? 466/2012 were respected. Results: Of the 394 professionals, there were two losses due to the non-retest of HDL-Cholesterol serum analysis, so the prevalence of metabolic syndrome in the 392 nursing professionals was 20.1%. Among the five components of MS, established by NCEP-ATP III, it was evidenced that increased triglyceride levels were prevalent in all professionals, followed by the high prevalence of low HDL-Cholesterol (92.4%), increased abdominal circumference (75.9%), changes in blood pressure levels (45.6%) and change in serum blood glucose levels (26.6%). Among the variables associated with metabolic syndrome, we highlight: age [OR=1.06 (95% CI 1.03-1.09); p

Submitted by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2021-06-16T14:14:49Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Reprodu????o N??o Autorizada.pdf: 47716 bytes, checksum: 0353d988c60b584cfc9978721c498a11 (MD5) Rejected by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br), reason: on 2021-06-16T14:21:39Z (GMT) Submitted by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2021-06-16T14:24:34Z No. of bitstreams: 2 Reprodu????o N??o Autorizada.pdf: 47716 bytes, checksum: 0353d988c60b584cfc9978721c498a11 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Approved for entry into archive by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2021-06-16T14:39:49Z (GMT) No. of bitstreams: 2 Reprodu????o N??o Autorizada.pdf: 47716 bytes, checksum: 0353d988c60b584cfc9978721c498a11 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Made available in DSpace on 2021-06-16T14:39:49Z (GMT). No. of bitstreams: 2 Reprodu????o N??o Autorizada.pdf: 47716 bytes, checksum: 0353d988c60b584cfc9978721c498a11 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2021-04-16 CAPES - Coordena????o de Aperfei??oamento de Pessoal de N??vel Superior Introduction: Tuberculosis is a public health problem, Brazil is still one of the countries with a high burden of disease in the world, with Amazonas being the Brazilian state with the highest incidence of tuberculosis in the country. Objective: To analyze the spatial distribution and socioeconomic and operational context of tuberculosis in the state of Amazonas, from January 2010 to December 2018. Methods: Ecological study with a quantitative approach of data from the Disease Information System of Notification granted by the Foundation for Health Surveillance of the state of Amazonas. Having as unit of area the municipalities of the state of Amazonas. Calculations were made of the crude, empirical Bayesian and Local incidence rates (univariate and bivariate), and Microsoft Excel 2016 software was used for data storage and organization, GeoDa version 1.8.12 for spatial statistics and QGIS 3.0 for the preparation of maps themed. Results: 24,523 new cases of tuberculosis were registered in the state of Amazonas, in the period 2010-2018, with an average of 2,724 cases/year and with an incidence rate ranging from 64.76/100 thousand inhabitants (2010) to 79.06/100 thousand inhabitants (2018). Regarding the characterization of the new cases notified, most were in males (61.25%), aged between 20-39 years (43.58%), with incomplete elementary school education (34.83%) and of race/brown color (77.36%). Positive spatial autocorrelation was verified by the global and local Moran index of incidence rates, finding statistically significant values, there was a local spatial association of incidence with socioeconomic indicators of illiteracy rate, Gini index, percentage of residents per bedroom greater than three, proportion of poverty and percentage of households with inadequate sanitation were statistically significant. Regarding the operational indicators for TB control for the period, Amazonian municipalities were identified that present unsatisfactory standards in the proportion of cure, with the municipality of L??brea being the only one to reach the 85% cure target for the periods analyzed. dropout indicator showed municipalities with high rates, Anam?? with 66.7% was the municipality with the highest rate of treatment dropout, recorded in the period 2010-2012, Caapiranga had 25% dropout rate for the period 2013-2015 and Manaquiri with 43.8% for the period 2016-2018; in HIV testing only in the period 2016-2018 did the municipalities of Amatur??, Apu??, Guajar?? and Itapiranga achieve the goal of testing all new TB cases for HIV. Conclusion: TB in Amazonas is still a worrying factor, being one of the main health problems in the state, which reinforces the need for appropriate public policies for the local reality in order to suppress the current context. Introducci??n: La tuberculosis es un problema de salud p??blica, Brasil sigue siendo uno de los pa??ses con mayor carga de morbilidad en el mundo, siendo Amazonas el estado brasile??o con mayor incidencia de tuberculosis en el pa??s. Objetivo: Analizar la distribuci??n espacial y el contexto socioecon??mico y operacional de la tuberculosis en el estado de Amazonas, de enero de 2010 a diciembre de 2018. M??todos: Se trata de un estudio ecol??gico con enfoque cuantitativo de datos del Sistema de Notificaci??n de Informaci??n de Enfermedades otorgado por la Fundaci??n para la Vigilancia de la Salud del estado de Amazonas. Teniendo como unidad de ??rea los municipios del estado de Amazonas. Se calcularon las tasas de incidencia brutas, emp??ricas Bayesianas y Locales (univariadas y bivariadas), y se utiliz?? el software Microsoft Excel 2016 para el almacenamiento y organizaci??n de los datos, GeoDa versi??n 1.8.12 para las estad??sticas espaciales y QGIS 3.0 para la elaboraci??n de mapas tem??ticos. Resultados: Se registraron 24.523 nuevos casos de tuberculosis en el estado de Amazonas, en el per??odo 2010- 2018, con un promedio de 2.724 casos / a??o y con una tasa de incidencia que va desde 64,76 / 100 mil habitantes (2010) a 79,06 / 100 mil habitantes (2018). En cuanto a la caracterizaci??n de los nuevos casos notificados, la mayor??a fueron en hombres (61,25%), con edades comprendidas entre 20-39 a??os (43,58%), con educaci??n primaria incompleta (34,83%) y de raza / color marr??n (77,36%). La autocorrelaci??n espacial positiva se verific?? mediante el ??ndice de Moran global y local de tasas de incidencia, encontrando valores estad??sticamente significativos, hubo asociaci??n espacial local de incidencia con indicadores socioecon??micos de tasa de analfabetismo, ??ndice de Gini, porcentaje de residentes por dormitorio mayor a tres, proporci??n de la pobreza y el porcentaje de hogares con saneamiento inadecuado fueron estad??sticamente significativos. En cuanto a los indicadores operativos para el control de la TB para el per??odo, se identificaron municipios amaz??nicos que presentan est??ndares insatisfactorios en la proporci??n de curaci??n, siendo el municipio de L??brea el ??nico en alcanzar la meta de 85% de curaci??n para los per??odos analizados. con altas tasas altas, Anam?? con 66,7% fue el municipio con mayor tasa de abandono del tratamiento, registrado en el per??odo 2010-2012, Caapiranga tuvo 25% de abandono para el per??odo 2013-2015 y Manaquiri con 43,8% para el per??odo 2016- 2018; en la prueba del VIH solo en el per??odo 2016-2018 los municipios de Amatur??, Apu??, Guajar?? e Itapiranga lograron la meta de probar todos los nuevos casos de TB para VIH. Conclusi??n: La tuberculosis en Amazonas sigue siendo un factor preocupante, siendo uno de los principales problemas de salud en el estado, lo que refuerza la necesidad de pol??ticas p??blicas adecuadas a la realidad local para reprimir el contexto actual. Introdu????o: A tuberculose ?? um problema de sa??de p??blica, o Brasil ainda se mant??m entre um dos pa??ses com alta carga da doen??a no mundo, sendo o Amazonas o estado brasileiro com as maiores incid??ncias de tuberculose no pa??s. Objetivo: Analisar a distribui????o espacial e o contexto socioecon??mico e operacional da tuberculose no estadodo Amazonas, no per??odo janeiro de 2010 a dezembro de 2018. M??todos: Estudo ecol??gico, com abordagem quantitativa de dados provindos do Sistema de Informa????o de Agravos de Notifica????o concedidos pela Funda????o de Vigil??ncia em Sa??de do estado do Amazonas. Tendo por unidade de ??rea os munic??pios do estado do Amazonas. Foram feitos os c??lculos das taxas de incid??ncia bruta, emp??rica bayesiana e Local (univariado e bivariado), e utilizados os softwares Microsoft Excel 2016 para armazenamentos e organiza????o dos dados, GeoDa vers??o 1.8.12 para a estat??stica espaciale QGIS 3.0 para elabora????o dos mapas tem??ticos. Resultados: Foram registrados 24.523 casos novos de tuberculose no estado do Amazonas, no per??odo de 2010-2018, com m??dia de 2.724 casos/ano e com taxa de incid??ncia variando de 64,76/100 mil habitantes (2010) para 79,06/ 100 mil habitantes (2018). Em rela????o a caracteriza????o dos casos novos notificados a maioria foram em indiv??duos do sexo masculino (61,25%), com faixa et??ria entre 20-39 anos (43,58%), tendo por escolaridade ensino fundamental incompleto (34,83%) e da ra??a/cor parda (77,36%). Foi verificado a autocorrela????o espacial positiva pelo ??ndice de Moran global e local das taxas de incid??ncias encontrando valores estatisticamente significativos, houve associa????o espacial local da incid??ncia com os indicadores socioecon??micos da taxa de analfabetismo, ??ndice de Gini, percentual de moradores por dormit??rio maior que tr??s, propor????o de pobreza e percentual de domic??lios com saneamento inadequado, foram estatisticamente significativos. Em rela????o aos indicadores operacionais para o controle da TB para o per??odo foram identificados munic??pios amazonenses que apresentam padr??es insatisfat??rios na propor????o de cura, sendo o munic??pio de L??brea o ??nico a atingir a meta de cura de 85% para os per??odos que foram analisados, o indicador de abandono mostrou munic??pios com altas taxas altas, Anam?? com 66,7% foi o munic??pio com a maior taxa de abandono de tratamento, registrado no per??odo de 2010-2012, Caapiranga teve abandono de 25% para o per??odo de 2013-2015 e Manaquiri com 43,8% para o per??odo de 2016-2018; na testagem para HIV somente no per??odo de 2016- 2018 ?? que os munic??pios de Amatur??,Apu??, Guajar?? e Itapiranga conseguiram atingir a meta de testar todos os casos novos de TB para HIV. Conclus??o: A TB no Amazonas ainda ?? um fator preocupante, sendo dos principaisagravos ?? sa??de estadual, o que refor??a a necessidade de pol??ticas p??blicas adequadas para a realidade local de modo a suprimir o contexto atual.

Submitted by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2019-12-13T19:15:28Z No. of bitstreams: 2 Reprodu????o N??o Autorizada.pdf: 47716 bytes, checksum: 0353d988c60b584cfc9978721c498a11 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Approved for entry into archive by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2019-12-13T19:21:59Z (GMT) No. of bitstreams: 2 Reprodu????o N??o Autorizada.pdf: 47716 bytes, checksum: 0353d988c60b584cfc9978721c498a11 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Made available in DSpace on 2019-12-13T19:21:59Z (GMT). No. of bitstreams: 2 Reprodu????o N??o Autorizada.pdf: 47716 bytes, checksum: 0353d988c60b584cfc9978721c498a11 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2019-08-09 The childbirth and birth care need must be humanized and qualified. Thus, it is necessary to broaden the analysis of care and promote the exchange of knowledge, developing evidence-based and culturally consistent actions and care decisions. Under this view the study had as general objective to analyze the delivery and delivery care in the municipality of Tef??-AM under the perspective of cultural care; The specific objectives:Discuss factors of the dimensions of the cultural and social structure that influence the standard of care at birth and birth in Tef??-AM; Describe knowledge and popular practice of parturient care in the process of childbirth and birth; Describe the care practices used by health professionals in the process of childbirth and birth; Articulate the exchange of popular and professional knowledge for delivery and birth care. This study was carried out at the Regional Hospital of Tef??-AM between March and April 2019. The study was attended by 37 women and 30 health professionals. The instruments used were: 1) Observation-Participation-Reflection; 2) Professional characterization questionnaire; 3) Semi-structured interview. From the analysis of the data emerged the categories: Hospital attendance in the process of birth and birth from the perspective of the health professional; Popular care from the parturient perspective. It was observed that care for childbirth and birth at each shift is performed by three midwives and structural resources are incipient. The medical professionals are experts in obstetrics and act only in intercurrences and obstetric dystocias, insertion of the postpartum intra uterine device is performed by a single medical professional. There is a quantitative deficiency of obstetric nurses. The managers emphasize the budget deficiency due to the demand of other municipalities. In addition, it was highlighted by the deponents a deficiency in permanent education, in-service education and work process norms. About women, the average age is 25 years, most of them in stable consensual union, have incomplete high school, original urban center and have evangelical religion; submerged subjects such as obstetric violence, the absence of the companion in the delivery room, the absence of non-pharmacological techniques for the relief of pain, the expectation and dissatisfaction with the care that was provided. This study allowed to know delivery assistance from the perspective of health professionals and women, as well as propose culturally coherent actions and care decisions. A partir da an??lise dos dados emergiram as categorias: A assist??ncia hospitalar no processo de parto e nascimento sob a perspectiva do profissional da sa??de; Cuidado popular sob a perspectiva da parturiente. Observou-se que a assist??ncia ao parto e nascimento a cada plant??o ?? realizada por tr??s parteiras e os recursos estruturais s??o incipientes. Os profissionais m??dicos s??o especialistas em obstetr??cia e atuam somente em intercorr??ncias e dist??cias obst??tricas. A inser????o do dispositivo intrauterino (DIU) p??s-parto ?? realizada por um ??nico profissional m??dico. Existe uma defici??ncia de quantitativo de enfermeiros obst??tricos. Os gestores ressaltaram a defici??ncia or??ament??ria devido ?? demanda de outros munic??pios. Al??m disso, foi ressaltado pelos depoentes uma defici??ncia em educa????o permanente, educa????o em servi??o e normas de processo de trabalho. Em rela????o ??s parturientes, observou-se que a idade m??dia ?? de 25 anos, a maioria est?? em uni??o consensual est??vel, tem ensino m??dio incompleto, original do centro urbano e tem religi??o evang??lica; submergiram temas como a viol??ncia obst??trica, a aus??ncia do acompanhante na sala de parto, a aus??ncia de t??cnicas n??o farmacol??gicas para o al??vio da dor, a expectativa e insatisfa????o com o cuidado que foi prestado.Este estudo permitiu conhecer a assist??ncia ao parto sob a perspectiva dos profissionais de sa??de e das mulheres que a receberam, assim como propor a????es e decis??es de cuidado culturalmente coerentes. A assist??ncia ao parto e nascimento deve ser humanizada e qualificada, para isso, ?? necess??rio ampliar a qualidade da assist??ncia e promover o interc??mbio de saberes, desenvolvendo a????es e decis??es de cuidado que sejam baseadas em evid??ncia e culturalmente congruente. Sob este olhar, o estudo teve como objetivo geral analisar a assist??ncia ao parto e nascimento no munic??pio de Tef??- AM sob a perspectiva do cuidado cultural; e como objetivos espec??ficos: Discutir fatores das dimens??es da estrutura cultura e social que influenciam no padr??o de cuidado ao parto e nascimento em Tef??-AM; Descrever conhecimento e pr??tica popular do cuidado das parturientes no que tange ao processo de parto e nascimento; Descrever as pr??ticas assistenciais, utilizadas por profissionais de sa??de no processo de parto e nascimento; Articular o interc??mbio de saberes populares e profissionais para assist??ncia ao parto e nascimento. Trata-se de um estudo de etnoenfermagem, realizado no Hospital Regional de Tef??-AM, no per??odo de mar??o a abril de 2019. Participaram do estudo 37 mulheres e 30 profissionais de sa??de. os instrumentos utilizados foram: 1) Observa????oParticipa????o-Reflex??o; 2) Question??rio de caracteriza????o profissional; 3) Entrevista semiestruturada. A partir da an??lise dos dados emergiram as categorias: A assist??ncia hospitalar no processo de parto e nascimento sob a perspectiva do profissional da sa??de; Cuidado popular sob a perspectiva da parturiente. Observou-se que a assist??ncia ao parto e nascimento a cada plant??o ?? realizada por tr??s parteiras e os recursos estruturais s??o incipientes. Os profissionais m??dicos s??o especialistas em obstetr??cia e atuam somente em intercorr??ncias e dist??cias obst??tricas. A inser????o do dispositivo intrauterino (DIU) p??s-parto ?? realizada por um ??nico profissional m??dico. Existe uma defici??ncia de quantitativo de enfermeiros obst??tricos. Os gestores ressaltaram a defici??ncia or??ament??ria devido ?? demanda de outros munic??pios. Al??m disso, foi ressaltado pelos depoentes uma defici??ncia em educa????o permanente, educa????o em servi??o e normas de processo de trabalho. Em rela????o ??s parturientes, observou-se que a idade m??dia ?? de 25 anos, a maioria est?? em uni??o consensual est??vel, tem ensino m??dio incompleto, original do centro urbano e tem religi??o evang??lica; submergiram temas como a viol??ncia obst??trica, a aus??ncia do acompanhante na sala de parto, a aus??ncia de t??cnicas n??o farmacol??gicas para o al??vio da dor, a expectativa e insatisfa????o com o cuidado que foi prestado.Este estudo permitiu conhecer a assist??ncia ao parto sob a perspectiva dos profissionais de sa??de e das mulheres que a receberam, assim como propor a????es e decis??es de cuidado culturalmente coerentes.

Submitted by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2019-10-09T19:31:20Z No. of bitstreams: 2 Reprodu????o N??o Autorizada.pdf: 47716 bytes, checksum: 0353d988c60b584cfc9978721c498a11 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Approved for entry into archive by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2019-10-09T20:12:10Z (GMT) No. of bitstreams: 2 Reprodu????o N??o Autorizada.pdf: 47716 bytes, checksum: 0353d988c60b584cfc9978721c498a11 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Made available in DSpace on 2019-10-09T20:12:10Z (GMT). No. of bitstreams: 2 Reprodu????o N??o Autorizada.pdf: 47716 bytes, checksum: 0353d988c60b584cfc9978721c498a11 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2019-07-31 CNPq - Conselho Nacional de Desenvolvimento Cient??fico e Tecnol??gico CAPES - Coordena????o de Aperfei??oamento de Pessoal de N??vel Superior 92 99290-7681 Introduction: All cardiovascular diseases are the leading cause of death in Brazil and worldwide. The few biomedical studies performed with indigenous village groups reveal that obesity, arterial hypertension and diabetes mellitus are the main risk factors for the development of cardiovascular diseases. However, there are ethnic groups that have not yet been investigated for these risk factors. The present study is part of a universal project titled "Risk Factors for Cardiovascular Diseases in Indigenous Munduruku". Objectives: To compare the cardiovascular risk factors, with emphasis on arterial hypertension, of the Munduruku natives living in the villages of Kwat??, Fronteira, Laranjal and Mucaj??. Specific: Describe the anthropometric, metabolic and pressure variables, with emphasis on arterial hypertension; to describe the socioeconomic characteristics, lifestyle, habits, personal and family history and to identify the possible factor of association of these variables with hypertension. Methodology: Cross-sectional study of a quantitative approach, representative of the ethnic group involved. The study was conducted with 459 indigenous people, aged 18 from the Munduruku ethnic group living in Amazonas, Brazil. An interview was conducted that addressed all the variables of the research. Blood pressure was measured in three measurements and the mean of the last two measurements was used. Physical examination included the following data: weight, height, waist and neck circumference, bioimpedance and capillary measurement of glucose, triglycerides and cholesterol. The analyzes were carried out using software R 3.5.1. The variables were analyzed using a multinomial regression model, the odds ratios with the respective 95% confidence intervals and p - value were presented. The final multiple model revealed the factors associated with hypertension. Results: The prevalence of hypertension was 7.4%. After the adjusted analysis, the variables presented as risk factors were gender, age and waist circumference. The final multiple model revealed that men are 8 times more likely to have prehypertension than women; age showed that with every 1 year increase in age, there is a 10% increase in the chance of hypertension; and people with increased waist circumference are 4 times more likely to have hypertension than those with an adequate waist. Conclusion: Despite the low prevalence of hypertension in the non-indigenous population, the risk factors associated with hypertension that were presented reveal that changes in lifestyle and habits may contribute to the onset of these risk factors and increase the risk of hypertension. cardiovascular diseases among the Munduruku Indians. Therefore, health policies should be directed to indigenous peoples in a way that meets their particularities. Introdu????o: O conjunto das doen??as cardiovasculares representa a primeira causa de morte no Brasil e no mundo. Os poucos estudos biom??dicos realizados com grupos ind??genas aldeados revelam que obesidade, hipertens??o arterial e diabetes melitus s??o os principais fatores de risco para o desenvolvimento das doen??as cardiovasculares. Contudo, h?? grupos ??tnicos que ainda n??o foram investigados quanto a esses fatores de risco. O presente estudo faz parte de um projeto universal intitulado ???Fatores de Risco para Doen??as Cardiovasculares em Ind??genas Munduruku???. Objetivos: Comparar os fatores de risco cardiovascular, com ??nfase na hipertens??o arterial, dos ind??genas Munduruku que vivem nas aldeias de: Kwat??, Fronteira, Laranjal e Mucaj??. Espec??ficos: Descrever as vari??veis antropom??tricas, metab??licas e press??ricas, com ??nfase na hipertens??o arterial; descrever as caracter??sticas socioecon??micas, estilo de vida, h??bitos, antecedentes pessoais e familiares e identificar o poss??vel fator de associa????o dessas vari??veis com a hipertens??o. Metodologia: Estudo transversal de abordagem quantitativa, representativo do grupo ??tnico envolvido. O estudo foi realizado com 459 ind??genas, com idade a partir de 18 da etnia Munduruku que vivem no Amazonas, Brasil. Foi realizada uma entrevista que abordava todas as vari??veis da pesquisa. A press??o arterial foi aferida em tr??s medi????es e foi utilizada a m??dia das duas ??ltimas medi????es. O exame f??sico incluiu os seguintes dados: peso, altura, cincunfer??ncia do pesco??o e da cintura, bioimped??ncia e medi????o capilar de glicose, triglic??rides e colesterol. As an??lises foram feitas com aux??lio do software R 3.5.1. As vari??veis foram analisadas com o uso de um modelo de regress??o multinomial, foram apresentadas as raz??es de chance com os respectivos intervalos de confian??a de 95% e valor - p. O modelo m??ltiplo final revelou os fatores associados ?? hipertens??o. Resultados: A preval??ncia de hipertens??o foi de 7,4%. Ap??s a an??lise ajustada as vari??veis que se apresentaram como fator de risco foram sexo, idade e circunfer??ncia da cintura. O modelo m??ltiplo final revelou que os homens tem 8 vezes a chance de apresentar pr??-hipertens??o em rela????o ??s mulheres; a idade mostrou que a cada aumento em 1 ano na idade, h?? um aumento de 10% na chance de hipertens??o; e pessoas com circunfer??ncia da cintura aumentada tem 4 vezes a chance de hipertens??o em rela????o ??quelas com cintura adequada. Conclus??o: Apesar da preval??ncia baixa de hipertens??o em rela????o a popula????o n??o ind??gena, os fatores de risco associados ?? hipertens??o que foram apresentados revelam que as mudan??as nos h??bitos e no estilo de vida podem contribuir com o aparecimento desses fatores de risco e aumentar o risco de doen??as cardiovasculares entre os ind??genas Munduruku. Portanto, as pol??ticas de sa??de devem ser direcionadas aos povos ind??genas de forma que atenda ??s suas particularidades.