DSpace Communidade:http://repositorio.ufgd.edu.br/jspui/handle/prefix/18532024-03-28T11:42:25Z2024-03-28T11:42:25ZPerfil das internações e dos desfechos clínicos em uma unidade pública de terapia intensiva neonatal: Impacto da pandemia por COVID-19Neves, Luana da Silvahttp://repositorio.ufgd.edu.br/jspui/handle/prefix/54702023-09-14T05:33:05Z2023-02-08T00:00:00ZTítulo: Perfil das internações e dos desfechos clínicos em uma unidade pública de terapia intensiva neonatal: Impacto da pandemia por COVID-19
Autor(es): Neves, Luana da Silva
Primeiro Orientador: Cury, Juliana Loprete
Abstract: Introduction: The neonatal period is characterized by great vulnerability due to biological, environmental, socioeconomic and cultural risks. The Neonatal Intensive Care Unit (NICU) is an intensive care unit for neonates who need support or whose life is at risk. There are several causes that lead to the hospitalization of the newborn (NB), which are directly related to some pre, intra or postpartum complication. With the COVID-19 pandemic, several changes and adaptations occurred in peri and neonatal care, due to the restriction measures adopted. Objective: This study aimed to characterize the hospitalization profile of NBs and their clinical outcomes in a public Neonatal Intensive Care Unit, analyzing the impact of the pandemic due to the new Coronavirus on the neonatal context. Methodology: This is an epidemiological, retrospective, descriptive cross-sectional study, carried out through data collection in the medical records of newborns admitted to the Neonatal Intensive Care Unit of the University Hospital of the Federal University of Grande Dourados. hospitalization in the NICU occurred from November 2019 to December 2021, excluding medical records of NBs of indigenous ethnicity. Data collection was carried out in November and December 2022. Results: In all, data from 476 newborns were included in the survey, with data referring to the period considered pre-pandemic (November 2019 to February 2020) and pandemic (March 2020 to December 2021) being analyzed separately. The sample referring to the pre- pandemic period consisted of data from 68 NBs, while the sample for the pandemic period was composed of 408 NBs. Differences were found between periods regarding adherence to prenatal care, route of birth, average number of hospitalizations, need for ventilatory support and clinical outcomes. Conclusion: From the data found and analyzed in this study, it can be observed that the COVID-19 pandemic had a direct impact on the adherence of pregnant women to prenatal care. In addition, the pandemic context had an indirect impact on the profile of hospitalizations and neonatal clinical outcomes of the studied population. This impact occurred mainly through the increase in the percentage of cesarean sections performed, in neonatal respiratory changes, in the need for neonatal ventilatory support and in neonatal deaths. In addition, it is clear the need for further studies to be possible to observe whether the impact of the pandemic occurred in a similar way in other parts of the country.
Editor: Universidade Federal da Grande Dourados
Tipo: Trabalho de Conclusão de Curso2023-02-08T00:00:00ZCaracterização e desfecho obstétrico das gestações de alto risco atendidas no município de Dourados - MSSimon, Barbara Camillyhttp://repositorio.ufgd.edu.br/jspui/handle/prefix/54692023-09-14T07:08:10Z2023-02-14T00:00:00ZTítulo: Caracterização e desfecho obstétrico das gestações de alto risco atendidas no município de Dourados - MS
Autor(es): Simon, Barbara Camilly
Primeiro Orientador: Pereira, Ana Carla Tamisari
Abstract: Introduction: With the development of pathologies during pregnancy, the specialized care service is necessary and extremely important for maternal-fetal health to develop properly and as healthy as possible and for the obstetric outcome to be positive. For the classification of high-risk pregnancies, the health professional needs to assess the socio-clinical-demographic conditions of each pregnant woman, so that the care is carried out in a way that meets their specificities. The obstetric outcome is directly linked to the treatment and monitoring that the pregnant woman performs, a correct treatment is a determining factor for a healthy outcome. Objective: To characterize the socio-clinical-demographic profile of pregnant women undergoing high-risk prenatal care in the city of Dourados and the macro-region and their obstetric outcome. Method: The study consists of a documentary research, with a quantitative approach, of a retrospective nature, with data collection of pregnant women registered in the polyclinic of women's care in the municipality of Dourados-MS between the months of January to June 2022 and data from the University Hospital of Grande Dourados regarding the obstetric outcome of pregnant women. Results: The survey showed that 78.9% of registered pregnant women belonged to the municipality, and 43.4% did not have their current pregnancy planned, the most recurrent pathologies were: chronic arterial hypertension, gestational diabetes mellitus, hypothyroidism, twins and habitual abortion. Related to the obstetric outcome, 78.5% were attended at the HU-UFGD, among them. 60.8% underwent cesarean section, 85.9% did not adhere to any contraceptive method. Among the pregnant women assisted, only 0.8% required admission to an intensive care unit. Conclusion: The research showed that most pregnant women who had high-risk pathologies for the development of pregnancy and who had their obstetric outcome at the HU-UFGD achieved positive results. Thus showing that the reference services for this public offered the appropriate service for the specificities of each one.
Editor: Universidade Federal da Grande Dourados
Tipo: Trabalho de Conclusão de Curso2023-02-14T00:00:00ZPerfil epidemiológico dos casos de sífilis gestacional e congênita da população indígena no BrasilSilva, Alisson Alexandre dahttp://repositorio.ufgd.edu.br/jspui/handle/prefix/54682023-09-14T05:33:07Z2023-01-18T00:00:00ZTítulo: Perfil epidemiológico dos casos de sífilis gestacional e congênita da população indígena no Brasil
Autor(es): Silva, Alisson Alexandre da
Primeiro Orientador: Loreti, Eduardo Henrique
Abstract: Introduction: Syphilis is a sexually transmitted infection (STI) caused by the Treponema Pallidum bacterium. Its evolution is chronic and often asymptomatic, presenting slowly and in different stages. The increase in the incidence of syphilis cases is significant worldwide and affects mainly more vulnerable populations, with an estimated 11 million new cases per year. When untreated or inadequately treated, the severity of gestational syphilis progresses in a multisystemic manner, affecting the cardiovascular and nervous systems. At any gestational period or stage of maternal disease, there is risk of vertical transmission, being responsible in the long-term for the cases of miscarriage, stillbirth, prematurity, and a wide spectrum of clinical manifestations. Objective: To describe the epidemiological characteristics of gestational and congenital syphilis cases in the indigenous population in Brazil from 2007 to 2021. Methodology: This is a descriptive and ecological study of the epidemiological profile, based on data collected from the Sistema de Informação de Agravos de Notificação (Sinan) and Sistema de Informação de Nascidos Vivos (Sinasc). The variables referring to sociodemographic, clinical and epidemiological characteristics were analyzed. Results: In the analyzed period, 2,921 cases of syphilis were reported in pregnant women, with a growth of 32.25% between the years 2007 to 2021. The largest number of reported cases occurred in the age group between 20 and 39 years (69.54%), with schooling between 1st and 4th grade (23.45%) and residents of the Centro-Oeste region (32.24%). In congenital syphilis, 784 cases were reported, with the highest occurrence in 2018 (86 cases), corresponding to an incidence rate of 3.35 cases/1,000 live births. Conclusion: The results of this study demonstrate that due to the increasing incidence rates and number of cases, gestational and congenital syphilis continues to be considered a public health problem in the maternal and child indigenous population, and is also related to associated factor such as low education, age group, region, access to prenatal care and partner treatment. The health system must prioritize strategies that strengthen the care of women and children in an individualized model so that the goal of eliminating syphilis established by the World Health Organization is achieved.
Editor: Universidade Federal da Grande Dourados
Tipo: Trabalho de Conclusão de Curso2023-01-18T00:00:00ZQualidade de vida dos profissionais de saúde dos programas de multi e uniprofissionais de um Hospital Universitário no estado do Mato Grosso do SulSabbadin, Darinehttp://repositorio.ufgd.edu.br/jspui/handle/prefix/54672023-09-14T07:08:07Z2023-02-14T00:00:00ZTítulo: Qualidade de vida dos profissionais de saúde dos programas de multi e uniprofissionais de um Hospital Universitário no estado do Mato Grosso do Sul
Autor(es): Sabbadin, Darine
Primeiro Orientador: Pereira, Ana Carla Tamisari
Abstract: Objective: to characterize the graduates of the Uni and Multiprofessional Residencies in Health at the University Hospital of the Federal University of Grande Dourados in terms of socioeconomic and demographic data, and to evaluate the impacts of the residency on the life habits and on the physical and mental health of the residents. Method: this is a descriptive, cross-sectional study with a qualitative and quantitative approach, which collected data from 90 egressed residents, from 2010 to 2022. Data collection took place between the months of May and November 2022, through from Google Forms. The collected data were entered and analyzed using the Statistical Package for the Social Sciences version 20.0 program. Results: the main sociodemographic characteristics were female, white and from the Midwest region. When analyzing the health and illness condition of the participants, those who stated that the residency had a negative impact on their health predominated, with a high percentage of illnesses characterized by illnesses that compromise mental health. The results also showed a perception of dissatisfaction with the residents' lifestyle, since there was an increase in the daily use of cigarettes and alcohol consumption, as well as a decrease in the practice of physical activity. This negative perception also reached eating habits, with a significant increase in the consumption of ultra-processed foods and body mass gain. Conclusions:systematic monitoring of the residents' quality of life in terms of physical, environmental, psychological and relational aspects is recommended to mitigate the problems presented.
Editor: Universidade Federal da Grande Dourados
Tipo: Trabalho de Conclusão de Curso2023-02-14T00:00:00Z