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ÉRICA DOMINGUES DE SOUZA
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SUICIDE, OTHER DEATHS AND HOPE AMONG ADOLESCENTS
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Leader : NADJA CRISTIANE LAPPANN BOTTI
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MEMBRES DE LA BANQUE :
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DENISE ALVES GUIMARAES
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NADJA CRISTIANE LAPPANN BOTTI
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RONALDO SANTHIAGO BONFIM DE SOUZA
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Data: 19 févr. 2021
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Afficher le Résumé
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Souza ED. Suicide, other deaths and hopelessness among adolescents [Dissertation]. Divinópolis: Programa de Pós-Graduação em Enfermagem da Universidade Federal de São João Del Rei; 2021.
ABSTRACT
Suicide is identified as a serious public health problem, resulting from the interaction of social, psychological and cultural factors. Representing the second leading cause of death among young people between 15 and 29 years old. This study aimed to understand the relationship between hopelessness levels and representations of suicide and other deaths of adolescent students from two public schools in Divinopolis - MG. This is an explanatory study, with a descriptive, cross-sectional design, with a qualitative approach. Adolescents between 15 and 19 years of age regularly enrolled in public schools participated in the research. Data collection took place through semi-structured interviews, with 40 adolescents who were subdivided into two groups: low and high hopelessness. For data analysis, Bardin Content Analysis was used. It was observed the idea of suicide that reverberates with a moral, simplistic and cause / effect judgment, and the idea of death as an enigma, something incognito and inexplicable and that is not thought out. In addition, death by suicide as unthinkable and death as a positive expectation was more found among adolescents with high hopelessness, whereas death by suicide as a negative idea, which reverberates availability of help, and death as an inevitable and life event, an ambiguous expectation was present among adolescents with low hopelessness. The participants' social representations and hopelessness can be related, as well as the life stage, personal and social experiences.
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2
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FABIANGELO DE MOURA CARLOS
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ASSOCIATION BETWEEN SEDENTARISM AND SOCIOECONOMIC LEVEL IN ADOLESCENTS FROM PUBLIC
SCHOOLS IN HIGH SCHOOL OF DIVINÓPOLIS
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Leader : MARCIA CHRISTINA CAETANO ROMANO
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MEMBRES DE LA BANQUE :
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JOSÉ VÍTOR VIEIRA SALGADO
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ALBA OTONI COLLARES
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MARCIA CHRISTINA CAETANO ROMANO
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Data: 23 févr. 2021
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Afficher le Résumé
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CARLOS, F. M.Association between physical inactivity and socioeconomic status in adolescents from public schools in high school in Divinópolis. 2021. 148 p. Dissertation (Master of Science) - Programa de Pós-graduação Mestrado Acadêmico em Enfermagem da Universidade Federal de São João del-Rei, 2021. Introduction: The term sedentary lifestyle is used to describe inactive behaviors, absence or decrease in physical activity associated with low levels of metabolic energy expenditure and comfortable situations in modern life. Evidence points to a higher probability of sedentary adolescents becoming overweight adults, developing cardiovascular diseases and diabetes mellitus. Researchers believe that socioeconomic status is one of the factors that may be related to physical inactivity, however, there is no consensus in the literature about this association and the mechanisms involved during adolescence. Objective: To analyze the association between physical inactivity and socioeconomic status in adolescents aged 15 to 19 years. Methods: This is a cross-sectional study carried out with 347 adolescents aged 15 to 19 years, of both sexes, regularly enrolled in eighteen state public high schools in the municipality of Divinópolis, located in the Central West of Minas Gerais . Sedentary lifestyle was assessed using the International Physical Activity Questionnaire and socioeconomic level using the criteria of the Brazilian Association of Research Companies. Demographic and anthropometric data were also collected. To investigate the association between the socioeconomic level and the level of physical inactivity, descriptive and analytical statistics were performed using a multivariate logistic regression model. Results: The results of the present proposal are presented through two articles, one being a systematic review and one original. Conclusion: The systematic review article aimed to identify in the literature the association between socioeconomic level and physical activity among adolescents and concluded that the highest level of physical activity was observed in adolescents with higher socioeconomic level. The study found that class B1 adolescents are less likely to be sedentary compared to socioeconomic class A and that male adolescents are more likely to be active when compared to women. Thus, the findings of our study and our systematic review did not show consensus on the association between physical inactivity and socioeconomic status. The possible association requires further research. New knowledge in the area is important to enable professionals involved in adolescent health to act effectively to combat physical inactivity.
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3
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CÁSSIA MARIA DIAS
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PROTOCOL FOR FOLLOW-UP BY PHONE OF PEOPLE WITH GASTROINTESTINAL MALIGNANT NEOPLASMS IN ANTINEOPLASTIC TREATMENT
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Leader : PATRICIA PERES DE OLIVEIRA
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MEMBRES DE LA BANQUE :
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PATRICIA PERES DE OLIVEIRA
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QUENIA CAMILLE SOARES MARTINS
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THALYTA CRISTINA MANSANO SCHLOSSER
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Data: 26 févr. 2021
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Afficher le Résumé
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DIAS, C. M. Protocol for telephone follow-up of people with gastrointestinal malignancies undergoing antineoplastic treatment. 2021. 123 p. Thesis (Master of Science) – Postgraduate Program Master's Degree in Nursing, Universidade Federal de São João del-Rei, São João del-Rei, Divinópolis, Minas Gerais, Brazil, 2018. ABSTRACT Introduction: In the oncological situation, there has been an increase in the use of outpatient treatments, which represent a different context from hospitalization. Compared to the hospital environment, outpatient antineoplastic chemotherapy (QT) results in a better quality of life and lower treatment costs for patients. However, administering outpatient QT is challenging due to high demand, time pressures and low level of control. In addition, patients may need to receive essential drugs and side effects usually occur at home. Treatment toxicities due to systemic QT are prevalent and often little recognized, resulting in high rates of uncomfortable symptoms and, consequently, avoidable visits to the emergency room, in addition to hospitalizations. Patients undergoing QT have an average of eight different symptoms and side effects. Objective: The general objective of this work was to: Build and validate construction and content evaluation of protocols for telephone follow-up in reducing side effects (inappetence, nausea and vomiting, diarrhea and constipation) associated with outpatient antineoplastic chemotherapy for people with malignant neoplasia gastrointestinal. Method: This is a methodological study, with a quantitative approach. Held in the period from September to November 2020. They were developed according to Pasquali's psychometric methodological framework. The methodological path of this study was carried out in the following stages: Stage 1 - Scoping review, in search of the level of scientific evidence; Step 2 - Construction of the protocols; Step 3 - Content and appearance validation using the Delphi technique. For content evaluation, the Delphi technique was used in two rounds (Delphi I [16 judges] and Delphi II [12 judges]) and those items with Content Validation Coefficient (CVC) greater than 0 were considered valid, 80 and a consensus of more than 80.0% on the Delphi technique. The data were analyzed using descriptive and inferential statistics (Binominal test). The study was submitted to the Research Ethics Committee of the Federal University of São João del-Rei and approved under Opinion No. 2,010,532. Results: All the requirements of the protocols reached agreement between the judges above 80.0%, as well as all items reached statistically significant levels of evaluation. At the end of Delphi II, the four protocols were expressively valid (inappetence [CVC = 0.98]; nausea and vomiting [CVC = 0.99]; diarrhea [CVC = 0.99]; and constipation [CVC = 0.98]). Conclusion: The content of the protocols demonstrated high credibility and, its adoption in health institutions, can contribute to follow-up by phone in reducing the side effects (inappetence, nausea and vomiting, diarrhea and constipation) associated with outpatient antineoplastic chemotherapy for people with gastrointestinal malignancy.
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4
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LEILIANE RODRIGUES MAGALHÃES
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REFRATARITY OF SCHIZOPHRENIA AND THE OCCURRENCE OF GENETIC POLYMORPHISMS IN THE GENE 5HT2A
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Leader : RICHARDSON MIRANDA MACHADO
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MEMBRES DE LA BANQUE :
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CAMILA SOUZA DE ALMEIDA
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RICARDO BEZERRA CAVALCANTE
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RICHARDSON MIRANDA MACHADO
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Data: 26 févr. 2021
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Afficher le Résumé
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Magalhães, L. R. Refractory of Schizophrenia and the Occurrence of Genetic Polymorphisms in the 2HT2A Gene [Dissertation]. Divinópolis: Graduation Program in academic másters in nursing, Universidade Federal de São João Del rei, 2021. ABSTRACT Introduction: Schizophrenia is considered a major public health problem. When the patient does not respond to two or more antipsychotic classes, he is considered “resistant” to treatment or “refractory.” Refractory schizophrenia (ER) affects 8 million people worldwide. Its etiology is believed to be multifactorial, including environmental and genetic factors. The study aimed to estimate the prevalence of rs6305, rs6314, and rs6311 genetic polymorphisms and associations with the occurrence of schizophrenia. Methodology: This is a case-control genetic-molecular study. The 216 participants were divided into 3 groups, which are: cases I- patients with a medical diagnosis of refractory schizophrenia, cases II- patients with other types of schizophrenia, and a control group - composed of people who do not analyze any diagnosis of mental disorder. A structured questionnaire was collected for the collection of sociodemographic data and, subsequently, the collection of biological material for genetic analysis was carried out. For genetic analysis, DNA extraction techniques, Polymerase Chain Reaction (PCR), Restriction Fragment Length Polymorphism (RFLP), and real-time PCR were performed. Statistical analyzes such as discarding or confirming the association between the onset of refractory schizophrenia and genetic exposure, using Pearson's Chi-Square statistical test (x2) and thus comparing the allele and genotypic frequencies between the case I groups, cases II, and controls through simple logistic regression (Odds Ratio value not adjusted). Subsequently, a model of dominance and recessivity was performed between the groups of patients with refractory schizophrenia and that of controls to verify the occurrence of the effect between them. For all tests, a significance level of 5% (p <0.05) was used. Results: There was no association between rs6305 and rs6314 polymorphisms with the occurrence of refractory schizophrenia. However, a statistically significant difference in genotypes was observed for the rs6311 polymorphism compared with the group of patients with refractory schizophrenia with the control group (p-value = 0.027). It was also noticed an association in the dominant model A (p-value = 0.042) and the heterosis model (p-value = 0.008) between the control groups and ER patients. Conclusion: Although this study found an association of the rs6311 polymorphism with schizophrenia, new studies must happen with larger samples for a better understanding of schizophrenia genetics embracing the Brazilian population.
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5
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GLADSON HENRIQUE SILVA
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BARIATRIC SURGERY: PERCEPTIVE ACCURACY, BODY SATISFACTION AND QUALITY OF LIFE
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Leader : RICHARDSON MIRANDA MACHADO
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MEMBRES DE LA BANQUE :
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RICARDO BEZERRA CAVALCANTE
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RICHARDSON MIRANDA MACHADO
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SANDRA VELENZUELA SUAZO
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Data: 26 févr. 2021
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Afficher le Résumé
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SILVA, G. H. Bariatric surgery: perceptual accuracy, body satisfaction and quality of life. [Thesis]. Divinópolis: Nursing Graduate Program - Academic Master's Degree of the Universidade Federal de São João Del-Rei - 2020. ABSTRACT Introduction: Obesity has increased significantly worldwide, data showing that its prevalence has doubled since 1980, currently being 5% in children and 12% in adults (ZHANG et al, 2020). Obesity is considered when the Body Mass Index (BMI) is above 30 kg / m². Its severity being classified as grade I (moderate excess weight), when the BMI is between 30 and 34.9 kg / m2, grade II (mild or moderate obesity) with a BMI between 35 and 39.9 kg / m2 and, finally, grade III obesity (morbid obesity) in which BMI exceeds 40 kg / m2 (FLEGAL et al, 2014; WHO, 2015). Conventional treatment for grade III obesity (morbid obesity) has produced unsatisfactory results, with 95% of patients regaining their initial weight in up to two years. The indication for bariatric surgery has thus become more frequent in these cases, due to the low resolution of the conventional clinical approach. This research thus proposes to evaluate the perceptual accuracy / inaccuracy, body satisfaction / dissatisfaction and the quality of life of patients who underwent bariatric surgery taking into account the postoperative time to elucidate possible behavioral and perceptual changes involved in this process. Objective: To evaluate the perceptual accuracy, body satisfaction and quality of life of patients undergoing bariatric surgery. Methods: cross-sectional study carried out with 305 patients from a medium-sized reference clinic in the execution of bariatric surgeries in the Midwest region of Minas Gerais. One scale was used to assess perceptual accuracy and body satisfaction and another to assess quality of life. Descriptive analysis of the data was performed. Results: Statistically, the interquatile distance between patients (305) did not show any influence on the variables quality of life, body satisfaction and perceptual accuracy. Conclusion: The time of bariatric surgery does not influence the quality of life considered good, the distortion of body image and the dissatisfaction that patients presented in the respective study over a period of 13 years after the procedure.
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6
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PATRÍCIA FARIA OLIVEIRA
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Construction and Validation of an Instrument for Nursing Home Consultation for Oncology Patients.
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Leader : PATRICIA PERES DE OLIVEIRA
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MEMBRES DE LA BANQUE :
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PATRICIA PERES DE OLIVEIRA
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QUENIA CAMILLE SOARES MARTINS
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THALYTA CRISTINA MANSANO SCHLOSSER
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Data: 30 juin 2021
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Afficher le Résumé
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OLIVEIRA, P. F. Construction and Validation of an Instrument for Nursing Home
Consultation for Oncology Patients. 2021. 108 p. Thesis (Master of Science) –
Postgraduate Program Master's Degree in Nursing, Universidade Federal de São João
del-Rei, São João del-Rei, Divinópolis, Minas Gerais, Brazil, 2018.
ABSTRACT
Introduction: The growing incidence of cancer in recent years shows the need for
preventive and control actions, which currently become public health challenges. The
treatment of this disease is complex, multidisciplinary and depends essentially on the
clinical staging, the pathological characteristics of the tumor and predictive and
prognostic factors. Thus, the provision of nursing care is essential, which requires the
nurse's mastery of specific theoretical information and sensitivity to deal with this
clientele. Objective: This work has as general objective: To develop an instrument for
home nursing consultation for cancer patients. And as specific objectives: a) Carry out
a scoping review on nursing consultation during home care for cancer patients; b) Build
an instrument directing the nursing consultation during home visits to cancer patients
undergoing cancer treatment and c) Validate the instrument for nursing consultations
with cancer patients. Method: methodological study, with a quantitative approach, for
the construction and validation of the content of a data collection instrument during the
nursing consultation with people with malignant neoplasm undergoing treatment in the
home context. The methodological course of this study was carried out in the following
stages: Step 1 - Scoping review, in search of the level of scientific evidence; Step 2 -
Construction of the Instrument, based on Callista Roy's theoretical framework; Step 3
- Content and appearance validation using the Delphi technique in two rounds (Delphi
I [12 judges] and Delphi II [09 judges]) and those items with Content Validation
Coefficient (CVC) were considered valid greater than 0.80 and consensus of more than
80.0% in the Delphi technique. Data were analyzed using descriptive and inferential
statistics (Binominal test). The study was submitted to the Research Ethics Committee
of the Federal University of São João del-Rei and approved under Opinion nº
2.010.532. Results: All items registered in the instrument reached agreement between
judges above 80.0%, as well as all items reached statistically significant levels of
assessment. At the end of Delphi II, the instrument was expressively valid conteudo
(CVC=1,0) e aparência (CVC=0,99). Conclusion: The instrument constructed, based
on scientific evidence, represents a guide for the nursing process, contributing to the
Systematization of Nursing Care and excellence in the care provided to cancer patients
at home, having a positive impact on their treatment.
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7
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LUANA FURTADO BUENO
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Medical device-related pressure injury in hemodynamically unstable patients: prospective cohort study.
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Leader : JULIANO TEIXEIRA MORAES
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MEMBRES DE LA BANQUE :
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DANIEL NOGUEIRA CORTEZ
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ELINE LIMA BORGES
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JULIANO TEIXEIRA MORAES
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Data: 12 juil. 2021
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Afficher le Résumé
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Bueno LF. Medical device-related pressure injury in hemodynamically unstable patients:
prospective cohort study. 2021. 87p. Dissertation (Master in Sciences) – Programa de Pós
Graduação em Enfermagem, Universidade Federal de São João del-Rei, Divinópolis, 2021.
ABSTRACT
Introduction: Medical device-related pressure injuries (MDRPI) is a preventable adverse
event, with higher occurrence in intensive care units (ICUs). Objective: To determine the
incidence of MDRPI in critically ill and hemodynamically unstable patients. Method:
Prospective cohort study that considered as outcome the presence of MDRPI. The study
involved 77 participants followed daily until discharge, death, transfer or lesion development.
Patients were evaluated in their sociodemographic and clinical information, risk of PI through
the Braden scale and the head-to-toe skin examination. All patients had a Therapeutic
Intervention Scoring System-28 (TISS-28) rating of III or IV. Data were tabulated in Excel and
analyzed with Statistical Package for the Social Sciences software, version 23.0. The incidence
rate was calculated. Results: This research identified that the sample was composed of 54
(70.1%) men and 23 (29.9%) women. The mean age was 59.8 years. There was a statistically
significant association between the presence of MDRPI and level of consciousness. The
association of Braden scale assessment with injury prevention was statistically positive and
assists in injury prevention. Regarding the risk factors and development of the lesions, the
presence of infection (p = 0.007) and edema (p = 0.001) were configured as significant
conditions with a higher risk of developing MDRPI. There was an association for the
development of MDRPI in enteric tubes and/or gastric tubes, nasal catheter for oxygen therapy
and laces for fixing ventilatory devices. Conclusion: The incidence rate found was higher than
in other studies. The associated risk factors were using enteric or gastric tube, nasal catheter,
laces, having infection, edema and stuporous/comatose level of consciousness.
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8
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DÉBORA FERREIRA PIO
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Prevalence of Medical Adhesive-Related Skin Injuries in Brazilian hospitals: a multicenter study
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Leader : JULIANO TEIXEIRA MORAES
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MEMBRES DE LA BANQUE :
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PAULA CRISTINA NOGUEIRA
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ALBA OTONI COLLARES
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JULIANO TEIXEIRA MORAES
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Data: 14 juil. 2021
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Afficher le Résumé
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PIO, DF. Prevalence of Medical Adhesive-Related Skin Injuries in Brazilian hospitals: a
multicenter study. 2021. 108 p. Dissertação (Mestrado em Ciências) – Programa de Pós
graduação em Enfermagem, Universidade Federal de São João del-Rei, Divinópolis, 2021.
ABSTRACT
Introduction: "Medical Adhesive-Related Skin Injuries" (MARSI) is defined as an
occurrence in which erythema and/or other manifestation of skin abnormality such as vesicle,
blister, erosion and rupture persists for more than 30 minutes after removal of the adhesive. It
is also believed that the prevalence of MARSI in Brazilian hospitals is high. Objective: To
determine the prevalence of MARSI and its associated factors in patients admitted to adult
intensive care units of Brazilian hospitals. Method: This is an observational, cross-sectional
and multicenter study involving four research centers, which are large hospitals, reference for
public and/or private care, equipped with an adult intensive care unit, distributed in three
Brazilian states . The population consisted of adults admitted to intensive care units in
hospitals. Data collection took place in a single day. The sample consisted of 108 patients.
Data were collected through an elaborate instrument, in order to enable the recording of socio
clinical information, skin inspection, and investigation of adhesives. Data were analyzed
using descriptive statistics with measures of central tendency (mean, median) and dispersion
(standard deviation), using the IBM® SPSS software, version 21.0. For the comparative
analysis, association tests were performed. A 5% significance level (p <0.05) was considered
for the statistical analysis and correlations of variables. The prevalence was determined
considering the number of MARSI observed. Results: Of the 108 patients, 33 cases of
MARSI were identified, representing a MARSI prevalence of 25.9%, in which 39.4% had a
maceration-type lesion and 24.2% had an irritative contact dermatitis lesion (dermatitis).
There is a significant association between developing MARSI and subjective assessment of
nutritional status (p = 0.032), fixation of peripheral venous access (p = 0.030) and, the greater
the number of patches used, the greater the chance of developing the lesion (p = 0.001).
Conclusion: The prevalence of MARSI was 25.9%, with a greater occurrence in the
maceration subtype and association with the subjective assessment of nutritional status and
fixation of the peripheral venous access, showing that the greater the number of adhesives
used, the greater the chance to develop the lesion. The study contributed to the knowledge of
the epidemiological behavior of the MARSI in patients hospitalized in intensive care units,
favoring improvements in the quality of care and subsidies for institutional protocols.
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9
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MATHEUS ADRIANO DIVINO PEREIRA
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Spatial analysis of vaccination coverage in children under one year of age in Minas Gerais, Brazil
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Leader : ELIETE ALBANO DE AZEVEDO GUIMARAES
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MEMBRES DE LA BANQUE :
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ELIETE ALBANO DE AZEVEDO GUIMARAES
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MARIA DEL PILAR SERRANO GALLARDO
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RAYSSA NOGUEIRA RODRIGUES MACHADO
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VALERIA CONCEICAO DE OLIVEIRA
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Data: 20 juil. 2021
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Afficher le Résumé
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PEREIRA, MAD. Spatial analysis of vaccination coverage in children under one year of
age in Minas Gerais, Brazil. 2021. 81p. Dissertação (Mestrado em Enfermagem) –
Universidade Federal de São João del-Rei, São João del-Rei, 2021.
ABSTRACT
Introduction: The decline in immunization is heterogeneous among Brazilian municipalities
and may reflect socioeconomic inequalities and inequalities in access/performance of health
services. The high abandonment of vaccines and the drop in childhood vaccination coverage
and its consequences justify investigations to better understand the factors involved, consistent
with the characteristics of the locations. Objective: To analyze immunization coverage in
children under one year of age and territories at risk in the State of Minas Gerais, Brazil, in
2018. Method: Ecological study that considered data from 853 municipalities in the State of
Minas Gerais, Brazil. The Pentavalent, Polio, Meningococcal C, Yellow Fever, Rotavirus and
Pneumococcal 10-valent conjugate vaccines applied in 2018 were considered. The spatial
analysis technique called spatial scan was used to locate clusters, identifying areas with greater
or lesser propensity to have its population vaccinated. To analyze the spatial distribution of
vaccination and the similarity between municipalities in relation to its coverage, the Moran
Global Univariate Index was performed and, to identify the correlated factors, the Moran
Bivariate analysis was conducted. These analyzes were conducted using Geoda 1.12 software.
Spatial clusters and their respective indicators were estimated using the SatScan 9.8 software.
Thematic maps containing the spatial scan findings were also constructed, with the aid of
ArcGIS 10.8 software. Results: Adequate vaccination coverage in children under one year of
age was low and diversified among the municipalities in the state's macro-regions. Clusters with
a low propensity for the vaccinated population were identified in all vaccines. In general, there
is a noticeable polarization between the clusters that are less likely to be vaccinated, which are
basically concentrated in the North, Northeast, East, Jequitinhonha and Vale do Aço macro
regions, and those that showed the greatest propensity for the vaccinated population, present in
the macro-regions North and South Triangle. Socioeconomic and service supply factors were
correlated with vaccination coverage. Conclusion: The results will be useful to design
interventions regarding the structuring of immunization services and implementation of
management actions by regional technical references, to increase vaccination coverage in
clusters that are less likely to be vaccinated.
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10
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PAULO HENRIQUE ALVES DE SOUSA
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Factors Associated with Health-Related Quality of Life in Overweight School Adolescents. 2
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Leader : MARCIA CHRISTINA CAETANO ROMANO
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MEMBRES DE LA BANQUE :
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ALBA OTONI COLLARES
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ARIENE SILVA DO CARMO
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MARCIA CHRISTINA CAETANO ROMANO
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Data: 22 juil. 2021
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Afficher le Résumé
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Introduction: Overweight in teenagers is a serious public health problem, worldwide and that
has several repercussions for this age group, ranging from physical problems, such as chronic
diseases, to social and psychological problems. International literature has investigated the
relationship between overweight in adolescents and health-related quality of life (HRQOL),
but the results are not consensual and research on the subject in Brazil is still incipient.
Objective: Consists of evaluating factors associated with health-related quality of life in
overweight adolescents. Method: This is a cross-sectional study, carried out with 87
elementary school adolescents in a city in the Midwest of Minas Gerais. Data on HRQoL,
physical activity level, socioeconomic level, food consumption and anthropometric data on
weight and height were collected. Data were tabulated in the Epidata Program and the
analysis was performed in the Statistical Package for Social Sciences (SPSS) version 21.0.
Quality of life outcomes were compared between the overweight and non-overweight groups,
between genders and between physical activity, using the Mann Whitney test, and the
comparison between socioeconomic levels was performed using the Kruskal Wallis test .
Spearman correlations were performed to relate consumption of processed and ultra
processed foods and quality of life outcome. Multivariate linear regression was performed to
assess factors associated with HRQoL. The significance level adopted in this work is 5%.
Results: The prevalence of overweight in the study population was 32.2% and 56.9% of
adolescents consumed three to five types of processed and/or ultra-processed foods daily. A
percentage of 17.2% of the participants were classified as sedentary and insufficiently active,
and participants from social class C 1 had higher medians in the body self-perception domain.
Higher medians of the emotional state domain were found in female adolescents and those
who consumed processed and ultra-processed foods. Boys had higher medians in the health
and physical activity, feelings and friends, and social support domains. Multivariate analysis
showed that increasing age and body mass index (BMI) were associated with a decrease in
global HRQoL. Conclusion: The higher the participant's BMI and age, the lower overall
HRQL scores he has. The results show the importance of improving public policies aimed at
the quality of life of adolescents, considering gender, socioeconomic status and emphasizing
measures to prevent excess weight, promote adequate nutrition and physical activity
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11
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ARIANE RODRIGUES GUIMARÃES DE OLIVEIRA
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Protective factors for adolescent obesity: a systematic review.
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Leader : ALISSON ARAUJO
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MEMBRES DE LA BANQUE :
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ALISSON ARAUJO
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NAYARA RAGI BALDONI COUTO
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PATRICIA PINTO BRAGA
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Data: 11 août 2021
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Afficher le Résumé
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OLIVEIRA, A. R. G. Protective factors for adolescent obesity: a systematic review. 2021.
55 p. Dissertation Defense (Master in Nursing) - Graduate Program in Nursing, Federal
University of São João del-Rei, Divinópolis, Minas Gerais, 2021.
ABSTRACT
Introduction: Brazil is going through a nutritional transition – from malnutrition to
overweight/obesity. Actions are needed to contain the advance of excess weight and the injuries
resulting from this chronic disease. There are few national studies on the topic of obesity
prevention in adolescents. Objective: To identify and analyze the scientific literature on
evidence on protective factors for obesity in adolescents. Method: Systematic literature review
based on the PECO and PRISMA strategy. The inclusion criteria defined were: articles with
observational cohort studies; longitudinal, transversal and case-control, which addressed a
sample aged 10 to 19 years; published in full, in English, Portuguese and Spanish, without a
chronological cut and which dealt with protective factors for obesity in adolescents. Editorial
documents, letters, authors' opinions, and qualitative studies were excluded. A search was
carried out in the following databases: Adolec, CINAHL, LILACS, MedLine/PubMed, Scopus
and Web of Science. Results: 3459 studies were identified, of which five were included. The
protective factors found include reduced screen time, behavioral changes (healthy eating
practices, meal planning, physical activity), high self-esteem, sleep quality and breastfeeding.
Conclusion: The study reinforces the importance of actions and policies aimed at adolescent
health, with a focus on healthy lifestyle and nutrition education.
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12
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LUIZA MARIA DOS SANTOS
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Construction and validation of a bundle for prevention of medical adhesive-related skin injuries in pediatric and neonatal intensive care patients
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Leader : EDILENE APARECIDA ARAUJO DA SILVEIRA
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MEMBRES DE LA BANQUE :
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EDILENE APARECIDA ARAUJO DA SILVEIRA
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JULIANO TEIXEIRA MORAES
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PATRICIA PINTO BRAGA
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RITA DE CÁSSIA DOMANSKY
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Data: 16 août 2021
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Afficher le Résumé
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SANTOS, L. M. Construction and validation of a bundle for prevention of medical
adhesive-related skin injuries in pediatric and neonatal intensive care patients. 2021.
117p. Dissertation (Master in Nursing) - Universidade Federal de São João del-Rei,
Divinópolis, Minas Gerais, Brazil, 2021.
ABSTRACT
Pediatric patients and neonates are susceptible to the development of skin lesions due to the
use of vasoactive drugs, catheters, dehydration monitors, vascular access devices, and
especially because the stratum corneum is not yet fully formed when in newborns younger
than 32 weeks of age. It is also known that the use of adhesives in intensive care is common,
and despite its importance, predisposes the patient to develop lesions caused by its handling.
This type of injury is called a medical adhesive-related skin injury, and they tend to be
painful. Therefore, identifying what care is needed to prevent medical adhesive-related skin
lesion in neonatal and pediatric patients is important for clinical practice. Thus, the objective
of this research was to perform the construction and validation of a Bundle for prevention of
medical adhesive-related skin injuries in pediatric and neonatal intensive care patients. This is
a methodological study developed in three stages. Initially a Scoping review was performed,
in accordance with the Joanna Briggs Institute and the recommendations of the international
guide PRISMA-ScR. Subsequently, care statements were constructed that composed bundle
from the information obtained. Finally, the third stage consisted of validating the content and
appearance of the Bundle using the Delphi technique. This technique counted with the
participation of 16 judges specialized in stomal therapy, pediatrics or neonatology and met the
recommendations of Pasquali (2010). For analysis, the Content Validity Index (CVI) was
considered. The results from the Scoping Review pointed out that there are no medical
adhesive-related skin injury prevention measures aimed at pediatric and neonatal patients.
From this information, 32 care statements were constructed distributed into five categories:
skin assessment (06 statements), patch selection (03 statements), patch application (08
patches), patch removal (09 statements), and general care recommendations (06 statements).
Appearance and content validation took place through two rounds of evaluation with final
CVI equal to 1.0. The bundle was validated in applicability, objectivity, care, relevance,
accuracy, variety, modality, typicality, credibility, breadth, and balance.It was concluded that it
was possible to construct and validate in content and appearance the bundle of prevention ofskin lesion related to medical adhesive enabling its use by health professionals in clinical
practice
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13
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NAIARA CRISTINA SILVA SIMÕES
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Construction and validation of an educational video script for the prevention of immunization error.
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Leader : VALERIA CONCEICAO DE OLIVEIRA
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MEMBRES DE LA BANQUE :
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RAYSSA NOGUEIRA RODRIGUES MACHADO
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SAMUEL BARROS RODRIGUES
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VALERIA CONCEICAO DE OLIVEIRA
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Data: 17 août 2021
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Afficher le Résumé
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SIMÕES, Naiara Cristina Silva. Construction and validation of an educational video
script for the prevention of immunization error. 2021.86 p. Dissertação (Mestrado em
Ciências) – Programa de Pós- graduação em Enfermagem, Universidade Federal de São João
del-Rei, Divinópolis, 2021.
ABSTRACT
Introduction: Immunization errors are characterized as any preventable event that can lead to
the incorrect use of the immunobiological, which can cause harm to the patient and generate a
negative impact on the population, coverage rates and jeopardize the control of vaccine
preventable diseases. Therefore, it is necessary to adopt a professional training strategy, based
on integrative and participatory teaching-learning models, as well as educational videos for a
better use of learning. Objectives: Build and validate an orientation video based on a low
fidelity clinical simulation scenario for the prevention of immunization errors. Method: This
is a methodological study for the construction and validation of an educational video script for
the prevention of immunization errors. For the construction and development of the script and
later the video, three phases were followed: pre-production, production and post-production.
The pre-production phase was based on three steps: construction of a low-fidelity simulation
scenario; preparation of the script/storyboard for the video and validation by experts.
Validation occurs through the Delphi technique, a data analysis was performed using the
Content Validity Index, to identify the degree of agreement between expert committees.
Results: The Content Validity Index (CVI) for the items obtained in the categories:
objectives, content, construction, environment and verbal language was 97%. Conclusion:
The educational video for the prevention of immunization error was built and validated for
content by experts with a CVI of 0.97, this being a technological resource that facilitates the
teaching-learning process that can be used in the training of professionals working in
vaccination rooms.
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14
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FABRICIA MOREIRA AMORIM AMARAL
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Psychometric properties of the Brazilian Portuguese version of the ‘Latino Students Patient Safety Questionnaire (LSPSQ)’ in between nursing and medical students.
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Leader : LUCIANA REGINA FERREIRA PEREIRA DA MATA
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MEMBRES DE LA BANQUE :
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KÁTIA SANTANA FREITAS
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LUCIANA REGINA FERREIRA PEREIRA DA MATA
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ZENEWTON ANDRE DA SILVA GAMA
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Data: 18 août 2021
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Afficher le Résumé
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AMARAL, F.M.A. Psychometric properties of the Brazilian Portuguese version of the ‘Latino Students Patient Safety Questionnaire (LSPSQ)’ in between nursing and medical students. 2021. 109p. Thesis. (Master degree) – Postgraduate Program Master’s Degree in Nursing, Universidade Federal de São João del-Rei, Divinópolis, 2021
ABSTRACT
Patient safety subject, as part of the training of health professionals, is strongly recommended
and aims to qualify the care provided and strengthen safety in care. Monitoring the competences
development about patient safety is one of the strategies that aim to identify knowledge gaps
on the subject, and to contribute to guide possible adjustments in the training structure and
scope for these future professionals. For the assessment of these aspects, the use of valid and
reliable instruments is recommended, however, instruments with these characteristics have not
been identified in the Brazilian literature. Thus, the aim of the study was to carry out an
evaluation of the psychometric properties of the Brazilian version of the “Latino Students
Patient Safety Questionnaire (LSPSQ)”. As it is an instrument aimed at Latino culture, its
characteristics are expected to be close to the reality of teaching in Brazil. Originally, the
LSPSQ was developed in Spanish with the purpose of evaluating knowledge and attitudes in
patient safety among nursing and medical students involved in clinical practice activities. The
instrument was provided to 218 undergraduate nursing and medical students from eleven public
universities in Brazil, distributed among the Northeast, Southeast, Midwest and South regions.
Data were collected between April 2020 and January 2021, through an online questionnaire.
The evaluation of the validity and reliability of the Brazilian version of the LSPSQ was based
in the recommendations of the COnsensus‐based Standards for the selection of health
Measurement INstruments (COSMIN). The construct validity was evaluated based on the
confirmatory factor analysis and the discriminant validity was also verified. Reliability was
assessed using McDonald's omega, composite reliability, average variance extracted, and item
total correlation, which represent measures of internal consistency. The results of the
confirmatory factor analysis showed that the Brazilian version of the LSPSQ reproduced a five
factor structure proposed by the original instrument. It was necessary to reduce the measure by
one item. Excellent Fit Indexes were obtained, and discriminant validity was confirmed.
Reliability measures was proper in all factors, except: McDonald's omega in one factor (0.68);
and Average Variance Extracted in two factors (0.41; 0.47). Item-total correlation values were
greater than 0.50. Thus, the Brazilian version of the LSPSQ was considered a valid and reliable instrument to assess knowledge and attitudes in patient safety, between Brazilian’s nursing and
medical students.
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15
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ISABELY KAROLINE DA SILVA RIBEIRO
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Quality of life at work, stress, anxiety and depression in the primary health care nursing team.
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Leader : RENATA CRISTINA DA PENHA SILVEIRA
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MEMBRES DE LA BANQUE :
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MARIA LUCIA DO CARMO CRUZ ROBAZZI
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RENATA CRISTINA DA PENHA SILVEIRA
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SANDRA VERÓNICA VALENZUELA SUAZO
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Data: 18 août 2021
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Afficher le Résumé
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RIBEIRO, Isabely Karoline da Silva. Qualidade de vida no trabalho, estresse, ansiedade e depressão na equipe de enfermagem da atenção primária à saúde. 115p. Dissertação (Mestrado em Ciências) - Programa de Pós-graduação em Enfermagem, Universidade Federal de São João del-Rei, Divinópolis, 2021.
ABSTRACT
Introduction: Primary Health Care (PHC) is the set of comprehensive health care actions
developed both individually and collectively with the objective of producing impacts on the
people’s autonomy and health situation. Currently, health services reflect the poor working
conditions that nursing staff experiences, through unhealthy environments, repetitive work,
work overload, lack of material/human resources and low wages. These inadequate working
conditions in the PHC health units can generate dissatisfaction with the quality of life at work
(QoLW) and potentiate the onset of mental illnesses such as stress, anxiety and depression
Objective: to analyze the QoLW of nursing workers in PHC and its relationship with stress,
anxiety and depression. Method: this is an observational, cross-sectional, descriptive and
analytical study, performed between February and April 2021 with 130 nursing workers from
the PHC network in Divinópolis, Minas Gerais, Brazil. In order to respond to the general
objective of the study, a questionnaire was used for sociodemographic characterization, labor
characterization and characterization of nursing workers’ lifestyle habits, a QoLW assessment
instrument adapted from the Walton model and the Depression, Anxiety and Stress Scale
(DASS-21). Results: of 130 nursing workers, 83% (102) were female, 56.2% (73) without a
partner, 70% (91) with children, 68.5% (89) nursing technicians/assistants, 31.5% (41) nurses,
62.4% (81) worked in traditional PHCU, 37.6% (48) worked in FHS, 77.7% (101) were
permanent public servants, 47.2% (61) performed 40 hours of work per week, 47.7% (62)
worked in mixed shifts (morning and afternoon), 26.2% (34) reported having another job; and,
of these, 73.5% (25) reported that the another job is in nursing. Regarding QoLW, 67% of
nursing workers are satisfied and 33% are dissatisfied. Still regarding QoLW,
technicians/assistants differ from nurses in the dimensions of fair and adequate compensation
(QoLW 1), social integration (QoLW 5) and work and life (QoLW 7), where nurses had better
results in QoLW 1 and QoLW 5, while technicians/assistants had better results in QoLW 7.
When analyzing DASS-21, 7,7% have mild depression, 9,2% mild anxiety and 23% mild stress.
The association of the QoLW scales with the DASS-21 scale indicated that all correlations are
negative and significant. Thus, the higher the QoLW (in all dimensions), the lower the scores
in the dimensions of the DASS-21 scale (Depression, Anxiety and Stress). Conclusion: PHC
nursing workers are satisfied with QoLW and show mild signs and symptoms of depression,
anxiety and stress. In addition, workers satisfied with QoLW showed lower scores on the
DASS-21 scale, confirming that satisfaction with QoLW is a protective factor against illness
due to work-related mental disorders.
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16
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DEBORAH AMARAL DONNINI
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Trend in the Prevalence of Immunization Errors in the State of Minas Gerais.
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Leader : VALERIA CONCEICAO DE OLIVEIRA
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MEMBRES DE LA BANQUE :
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VALERIA CONCEICAO DE OLIVEIRA
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ELIETE ALBANO DE AZEVEDO GUIMARAES
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FERNANDA PENIDO MATOZINHOS
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Data: 19 août 2021
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Afficher le Résumé
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DONNINI, DA.
Trend in the Prevalence of Immunization Errors in the State of Minas
Gerais. 2021.
78p. Dissertação (Mestrado em Ciências) – Programa de Pós
Graduação em Enfermagem, Universidade Federal de São João Del-Rei, Divinópolis, 2021.
In Brazil, the National Immunization Program (PNI) is increasingly complex, with an
increase in the availability of various immunobiologicals, which increases the opportunity for
immunization errors (EI), and, consequently, can damage the protection against vaccine
preventable diseases and generate additional costs, especially in cases where revaccination is
necessary. Objectives: To analyze the trend in the prevalence of immunization error in the
state of Minas Gerais, Brazil. Method: This is a cross-sectional study, using secondary data
from the Post-Vaccination Adverse Event Information System of the National Immunization
Program, from 2015 to 2019. The studied population comprised all individuals who received
some immunobiological, who suffered some immunization error, and had this error registered
in the System. The explanatory variables were those on the immunization error notification
form and the outcome variable was the type of immunization error. Descriptive data analysis
and calculation of the prevalence rate of immunization error by health macro-region were
performed. The trend of the prevalence of error in the State in the period from 2020 to 2025
was projected and analyzed. Results: 3829 notifications were analyzed. Females accounted
for (58.1%) of the reported cases, the age groups most affected by the error were those under
4 years of age (58.3%), with a higher proportion among those under 1 year of age (39.1%) .
The most frequent type of error was administration of vaccines outside the recommended age,
and errors without AEFI were more prevalent. The prevalence of the immunization error
showed a very heterogeneous behavior among the macro-regions of the State, despite the data
pointing to an underreporting of the error. Added to this, there was an increasing trend in
errors in all macroregions in the period from 2020 to 2025. Conclusion: This study points to
a worrying scenario of increase in immunization errors that can impact the quality of care
provided in the vaccination room. In addition to bringing up reflections on nursing practice,
on the need to adopt preventive measures against immunization errors and on research.
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17
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HELOÍSA MEIRE DE ANDRADE OTTONI
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Assessment of the prevalence of canine visceral leishmaniasis in the municipality of Estrela do Indaiá, Minas Gerais, Brazil.
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Leader : GILBERTO FONTES
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MEMBRES DE LA BANQUE :
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GILBERTO FONTES
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FERNANDA MOURA LANZA
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ELIANA MARIA MAURICIO DA ROCHA
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JULIA GATTI LADEIA COSTA
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Data: 19 août 2021
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Afficher le Résumé
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OTTONI, H.M.A. Assessment of the prevalence of canine visceral leishmaniasis in the municipality of Estrela do Indaiá, Minas Gerais, Brazil. 2021. 75 p. Dissertation (Masters in Nursing) – Postgraduate Program in Nursing, Federal University of São João del-Rei, Divinópolis, Minas Gerais, Brazil, 2021.
ABSTRACT
Introduction: Human Visceral Leishmaniasis (HVL) is a parasitic disease of vector
transmission, infectious and systemic in nature and chronic in nature, described in several
cities in all Brazilian regions. Dogs are the main domestic reservoir of Leishmania infantum
and infection in these animals precedes the occurrence of human cases. Thus, knowledge of
the transmission of Canine Visceral Leishmaniasis (CVL) is essential for the control of HVL.
The municipality of Estrela do Indaiá, in the Central-West region of Minas Gerais, considered
by the Ministry of Health (MS) as a silent area for CVL, registered the first death from HVL
in 2018 and, until then, the existence of the CVL in the city. Objectives: Determine the
existence and prevalence of CVL in the municipality of Estrela do Indaiá. Method: A canine
serological survey was carried out in the urban and rural areas of the municipality, following
the norms of the “MS Visceral Leishmaniasis Surveillance and Control Manual”. Dogs with
L. infantum infection are those seroreactive by two immunological diagnosis techniques,
Rapid Immunochromatography-TR-DPP® (screening) and Immunoenzymatic Assay-ELISA
(confirmatory). In the urban area, domiciled dogs were evaluated, with the sample size
defined based on the municipal canine census, and 50% of the households were evaluated
alternately, covering all city blocks. In the rural area, the Baú community was evaluated, and
all the domiciled dogs were analyzed. With the venous blood samples obtained from the dogs,
the DPP® tests were performed and, from the positive animals, the immunoenzymatic ELISA
tests (Kits produced by FioCruz) were performed. All “reactive” samples in the two
techniques and 10% of negative samples were reassessed for quality control at the National
Reference Laboratory for Leishmaniasis, at the Ezequiel Dias Foundation (FUNED/MG).
Results: Of 334 samples collected in the urban area, 42 (12.6%) were reagent by the DPP®
and of these, 34 (10.2%) were confirmed by the ELISA, defining the prevalence of CVL of
10.2% (95% CI = 7 .4% - 13.9%). Of 31 blood samples collected in the rural area, one (3.2%)
was reagent by the DPP®, being confirmed by the ELISA, defining the prevalence of CVL in
the rural community of Baú at 3.2% (95% CI = 0.6 -% - 16.2%). But no municipality in the
Center-West region of Minas Gerais, even those with notified human deaths, had a prevalence
of CVL higher than or equal to that verified in this study. Conclusions: Given the high
prevalence of CVL found, added to death from HVL in the city, further studies on the disease
and the implementation of control and prevention strategies are needed to prevent deaths and
expansion of HVL and CVL in Estrela do Indaiá and region.
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18
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DÉBORA CAMPOS SOARES ARAÚJO
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ACTIONS OF EDUCATIONAL ACTIVITY ABOUT SYPHILIS IN THE KNOWLEDGE OF ADOLESCENTS:
INTEGRATIVE REVIEW
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Leader : ALISSON ARAUJO
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MEMBRES DE LA BANQUE :
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ALISSON ARAUJO
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LILIANE DA CONSOLAÇÃO CAMPOS RIBEIRO
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LUCIANA DE LOURDES QUEIROGA GONTIJO NETTO MAIA
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VIRGINIA JUNQUEIRA OLIVEIRA
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Data: 19 août 2021
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Afficher le Résumé
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ARAÚJO, Débora Campos Soares. Actions of Education Activity About Syphilis in the
knowledge of adolescents: Integrativa Review. Dissertation (Master).Divinópolis, Academic
Master’s Program in Nursing, Federal University of São João del-Rei; 2021.
ABSTRACT
Introduction: Syphilis is a curable Sexually Transmitted Infection (STI) unique to humans, which has
become the target of numerous researches today because it is considered a serious public health problem
worldwide. Its diagnosis can be made by a quick test. Acquired syphilis was included as a notifiable
disease in Brazil by the Notifiable Diseases Information System (SINAN) in 2010, and since then an
absolute growth in the number of cases has been observed, and the greatest increases occurred among
adolescents and young people from 13 to 29 years old. Adolescence is a period characterized by
vulnerability and for being a population group that requires new techniques to “promote health”, since
it is usually during adolescence that the evolution of sexuality occurs, culminating in the initiation of
sexual practice. The way adolescents express and live their sexuality is influenced by the environment
in which they live. Objective: To analyze the scientific evidence on syphilis health education
interventions in adolescents. Method: This is an integrative review performedin the VHL, PubMED,
Science Direct and Web of Science databases. Results: Initially 1,377 articles were identified, but only
nine met the eligibility criteria. The literature has shown that educational interventions such as
conversation circles, games and workshops on contraceptive methods were effective in actively
questioning the participation of adolescents, as well as an important opportunity forreflection and
discussion, expanding their field of knowledge on these topics. Educational games were the most
frequent resource found in the studies and with positive results. It is noteworthy that the schoolis a
favorable scenario in this dialogue, since, as it is the daily environment of adolescents, where they spend
most of the day, they feel safe to express their doubts, fears and feelings. Conclusion: There wasa gap
in primary studies on the subject mainly involved in teenagers. This highlights the real need for the
development and practical application of health education strategies for the prevention of syphilis in
adolescence.
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19
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MICHELE MARIANO RODRIGUES
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Hope, hopelessness and reasons for living in adolescence.
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Leader : NADJA CRISTIANE LAPPANN BOTTI
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MEMBRES DE LA BANQUE :
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AMANDA MÁRCIA DOS SANTOS REINALDO
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EDUARDO HENRIQUE DE MATOS LIMA
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NADJA CRISTIANE LAPPANN BOTTI
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Data: 19 août 2021
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Afficher le Résumé
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RODRIGUES, M.M. Hope, hopelessness and reasons for living in adolescence. [Dissertation]. Divinópolis: Postgraduate Program in Nursing at the Federal University of São João del-Rei; 2021.
ABSTRACT
Adolescence is a developmental period that presents higher vulnerability to suicidal
behavior. Suicide is one of the main causes of death among adolescents aged 15 to 19 in
both sexes. National rates have shown a gradual increase over the years, especially among
adolescents aged 16 to 17. This study sought to understand hopelessness, considered a
strong risk indicator, and the reasons for living in adolescence, an important protective
factor against suicidal behavior. It also sought to relate the reasons for living in
adolescence according to the levels of hopelessness based on the adolescents' narratives.
For this purpose, research with a qualitative approach was carried out, through semi-
structured interviews, in which the thematic content analysis, proposed by Bardin, was
used as the analysis framework. A total of forty adolescents aged 15 to 19, students from
two public schools in the central-western region of Minas Gerais, were interviewed.
Adolescents related the reasons for living to the expectations of the future and the contexts
experienced, according to the level of hopelessness. This study showed that the
strengthening of bonds in the family, school and community environment favors hope
and positive expectations for the future and minimizes the risk of suicide in adolescence.
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20
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NATALIA MARQUES RESENDE MILAGRE BREZOLINI
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DENTAL SURGEON AND SUICID BEHAVIOR
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Leader : NADJA CRISTIANE LAPPANN BOTTI
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MEMBRES DE LA BANQUE :
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JOAO LUIZ DE MIRANDA
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LUCIANA DE LOURDES QUEIROGA GONTIJO NETTO MAIA
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NADJA CRISTIANE LAPPANN BOTTI
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Data: 20 août 2021
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Afficher le Résumé
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Brezolini, N.M.R.M. The dental surgeon and suicidal behavior [Dissertation]. Divinópolis:
Programa de Pós-Graduação em Enfermagem da Universidade Federal de São João Del-Rei;
2021.
ABSTRACT
Introduction: Suicide is a complex and universal phenomenon, which can be defined as self-inflicted
violence, carried out to the end by a person with full knowledge or expectation of putting an end to
something or a situation. It is a problem for public health and consequently for primary care. The
dentist, having a bond with his patients, may be the first to witness the signs of suicidal behavior.
Objective: describe the conduct of dental surgeon in face of suicidal behavior. Methods: This is an
exploratory descriptive study with a quantitative approach. Data collection took place through a
Whatsapp group, entitled “Dentistas de Divinópolis”. This group was created on August 7, 2014 and
has 10 professionals who are group administrators and 256 professionals. The initial contact took
place through a message sent in private from each member of that group. The message had a brief
explanation about the project and then a link so they could have access to the consent form, the
sociodemographic questionnaire (composed of 15 questions in order to characterize the participants as
well as these characteristics in relation to suicidal behavior) and the Attitudes towards Suicidal
Behavior Questionnaire (QUACS). Results: 86 dentists participated in this research, but 9 (nine) did
not answer correctly/completely, thus being disregarded and the analysis was carried out considering
the answers of 77 professionals. Of the 77 who answered completely, 40 were male (51.9%), 68.8%
were married or in a stable relationship and 62 (80.5%) declared themselves white. 51 (66.2%) had
specialization, the majority 83.1% work in the private sector, 39.0% had up to 5 years of training and
74 (96.1%) had never received a course/ training on the subject. 42 (54.5%) were trained under the
perspective of the new DCN. The QUACS data reveal that a difference was found between
single/divorced and married in factor 3 -Right to suicide (p = 0.038). Singles/divorced individuals
have a higher score indicating that this group has the most moral judgment regarding this issue.
Conclusions: This work becomes relevant since the QUACS is used for the first time with dental
surgeons. Another point, that as this is an unprecedented survey at a national level related to suicide
and the dentist. Dentistry has a training that is still little focused on mental health issues, so it is
believed that this study will bring a new look to this professional training, as well as a change in the
look of the context of suicidal behavior.
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21
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TATIANA APARECIDA RODRIGUES
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Patient safety culture in three hemodialysis services: associated labor and institutional factors in the context of the covid-19 pandemic.
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Leader : LUCIANA REGINA FERREIRA PEREIRA DA MATA
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MEMBRES DE LA BANQUE :
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ALBA OTONI COLLARES
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HELEN CRISTINY TEODORO COUTO RIBEIRO
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LUCIANA REGINA FERREIRA PEREIRA DA MATA
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ZENEWTON ANDRE DA SILVA GAMA
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Data: 15 sept. 2021
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Afficher le Résumé
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Introduction: The high prevalence of adverse events (AE) in hemodialysis (HD), associated
with the complexity of the treatment, is linked to factors that may be related to care processes,
as well as to the culture of patient safety (CSP) in institutions. Among the renal replacement
therapy methods, HD is the most commonly used and, despite advances in safety and efficacy
processes, patients undergoing this treatment are subject to numerous complications responsible
for increased morbidity and mortality. Renal impairment in hospitalized patients with SARS
CoV-2 infection associated with higher hospital mortality and worse clinical outcome brings
additional concern regarding patient safety (PS) in hemodialysis services. Objective: To assess
the culture of patient safety in hemodialysis services and associated factors in the context of the
COVID-19 pandemic. Methods: The design was observational cross-sectional. 134
questionnaires were sent to professionals from three hemodialysis services of different
administrations in the state of Minas Gerais, using the Hospital Survey on Patient Safety
Culture, adapted for Brazil, which measures 12 dimensions of the safety culture. The
perceptions are described through an overall score (1 to 10) and the percentage of positive
responses to estimate strengths and weaknesses in each dimension. Results: The response rate
was 92%. Patient safety was rated as good for 55.7% of respondents. In evaluating the
dimensions of the safety culture, the public service showed one strength and five weaknesses.
The private service has no barriers and there is only one in the philanthropic service. The latter
have five and four dimensions that are facilitators. Priority areas for improvement actions
should focus on the dimensions “Non-punitive response to errors” and “Personnel sizing”,
which had lower percentages of positive responses. At the same time, the “Organizational
Learning / Continuous Improvement” dimension should be highlighted, which received the best
evaluation. The type of management was associated with a higher percentage of positive
responses (p < 0.001). Conclusion: Although most professionals classify security as good, the
strengths in the dimensions of the security culture were noticeable in two dimensions, and were
more concentrated in the private and philanthropic service. The study allows the identification of weaknesses that should be planned for improvement interventions, especially in the public
service where there was a concentration of larger fragile areas to be worked on. Interventions
should consider the type of hospital service management that seems to interfere with the general
perception of professionals.
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22
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EDUARDO JOSE BRAGA
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Breastfeeding in the context of the covid-19 pandemic: a scope review
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Leader : MARCIA CHRISTINA CAETANO ROMANO
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MEMBRES DE LA BANQUE :
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FLÁVIO DINIZ CAPANEMA
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JOEL ALVES LAMOUNIER
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MARCIA CHRISTINA CAETANO ROMANO
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Data: 6 déc. 2021
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Afficher le Résumé
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BRAGA, E. J. Breastfeeding in the context of the covid-19 pandemic: a scope
review.
2021. 61p. Dissertation (Masters in Science) – Postgraduate Program in Nursing,
Federal
University of São João del-Rei, Divinópolis. 2021.
ABSTRACT
Introduction: breast milk is the ideal food for the child, especially exclusively, in the first six
months of life and supplemented up to two years of age or more. There are many factors
hindering the promotion of breastfeeding and, currently, a new challenge is presented: the
COVID-19 pandemic. Objective: to map the scientific production that favors the promotion
of breastfeeding in the COVID-19 pandemic. Methods: this is a scoping review with a
research protocol approved and registered by the Open Science Framework, developed based
on the international PRISMA-ScR guide and the method proposed by the Joanna Briggs
Institute. The search was conducted in August 2021 in the following databases: US National
Library of Medicine (PubMed), Latin American and Caribbean Health Sciences Literature
(LILACS), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of
Science and Scopus. Gray literature was also searched on the pages of official child health
agencies, such as the World Health Organization (WHO), the Pan American Health
Organization (PAHO), the American Pediatric Association (AAP), the Brazilian Society of
Pediatrics (SBP) and the Ministry of Health (MS). Data were collected, analyzed and
synthesized in a narrative way. Results: 2466 publications were surveyed, of which 18 were
selected. With regard to the qualification of the articles that composed this review, the impact
factor of journals according to JCR ranged between 0.75 and 11.28, with 77.8% have an
impact less than five. As for the level of evidence, 38.9% of the articles have evidence 5C,
38.9% evidence level B, being one 3B, four 4B and two 5B. Two publications were rated 3A.
As for the selected publications, 50% had samples from Europe, 27.8% from Asia and 22.2%
with participants from the USA, Australia and Brazil. The studied population was
predominantly composed of pregnant women, postpartum women and newborns. According
to study designs, 55.5% were reviews. The remaining 45.5% were divided into cross-sectional
studies, case series, cohort, laboratory experimental and clinical practice guide. The
publications point to the low possibility of vertical transmission of COVID-19 or through
breastfeeding and also demonstrate the incipient amount of scientific evidence on the subject.
Conclusion: breastfeeding, even in the context of SARS-CoV-2 infection, must be promoted
and further studies are needed to establish, with significant scientific evidence, the safety of
breastfeeding in the context of COVID-19.
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23
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Nayara Evangelista
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The behavioral intention of using the Citizen's Electronic Medical Record.
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Leader : ELIETE ALBANO DE AZEVEDO GUIMARAES
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MEMBRES DE LA BANQUE :
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DARLINTON BARBOSA FERES CARVALHO
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ELIETE ALBANO DE AZEVEDO GUIMARAES
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RICARDO BEZERRA CAVALCANTE
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TARCISIO LAERTE GONTIJO
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Data: 16 déc. 2021
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Afficher le Résumé
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Record. 2021. 101 p. Dissertation (Masters in Science) – Postgraduate Program in Nursing,
Federal University of São João del-Rei, Divinópolis. 2021.
ABSTRACT
Introduction: The PEC implemented in e-SUS APS, since 2013, allows the individualized
registration of data and assists the entire informational flow of the basic health unit. Studies in
Brazil indicate that the use of the PEC presents weaknesses and challenges to be overcome with
regard to structural and organizational issues. Therefore, it is important to identify the factors
that enhance the acceptance and use of technologies by health professionals, because these
factors may cause success or failure in its implementation. One of the models that analyze
technology use behavior is the Unified Theory of Technology Acceptance and Use (UTAUT),
which is considered the most appropriate technology acceptance model to assess behavioral
intention and actual behavior to use an information technology. Objective: To analyze the
behavioral intention to use the Electronic Citizen Record of the e-SUS APS strategy, from the
perspective of the professionals of the family health and oral health teams. Method: Cross
sectional study conducted in a Western Health Macro-region of Minas Gerais using the Unified
Theory of Acceptance and Use of Technology. Data collection involved 139 professionals
linked to 132 family health strategy teams and 103 oral health teams. To test the research model,
partial least squares structural equation modeling was applied and the average variance
extracted, composite reliability and Cronbach's alpha to validate the model. Results: The results
showed statistically significant association with the following variables: Habit with Behavioral
Intention to Use (p=0.000), Experience with Expectation of Effort (p=0.007) and Habit
(p=0.015) Age and Expectation of Performance (p=0.018) with Gender and Expectation of
Effort (p=0.000). Conclusion: The significant influence of the habitus construct on the
behavioral intention to use CSP was highlighted. Além disso, identificaram-se grandes avanços
no que diz respeito à informatização da atenção primária à saúde, porém persistem práticas que
impedem a utilização de forma qualificada do PEC.
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24
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NAYSIA ALVES FILGUEIRAS
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ACCEPTANCE OF THE CITIZEN'S ELECTRONIC HANDBOOK IN FAMILY HEALTH TEAMS
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Leader : RICARDO BEZERRA CAVALCANTE
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MEMBRES DE LA BANQUE :
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RICARDO BEZERRA CAVALCANTE
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TARCISIO LAERTE GONTIJO
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FÁBIO DA COSTA CARBOGIM
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Data: 23 déc. 2021
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Afficher le Résumé
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This research aimed to evaluate the use of the PEC by professionals of Primary Health Care
in the municipality of Virgolândia, Minas Gerais, describing its care features, through a case
study with a qualitative approach, through Skype interviews with from a semi-structured
script. With the research, it was possible to verify that, for most of the professionals
interviewed, the PEC represents a great evolution that contributed significantly to the
efficiency of the municipal health system, thanks to the improvements arising from its use
in all the sectors involved. Furthermore, the results resulting from this study present
knowledge to guide the process of using that system, in addition to identifying the gaps that
exist, allowing for possible improvements in the system.
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