Monografias, Dissertações e Teses
URI permanente desta comunidadehttps://repositorioacademico.universidadebrasil.edu.br/handle/123456789/1
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Item Estudo da variáveis e variabilidade da frequência cardíaca nos nascidos a termo em um hospital público de Santarém - PA(Universidade Brasil, 2022) Cardoso, Marina Chahini; Santos, Laurita dosThis study aimed to evaluate the findings of anthropometric variables and heart rate variability (HRV) in full-term newborns (NBs), correlating them with the socioeconomic factors of the parents of the NBs. Santarém, in the state of Pará. This is a descriptiveanalytical study, with a quantitative, transversal, documentary, comparative and prospective approach, using information collected from the medical records of 49 NBs, as well as the follow-up during the period of 4 months of these NBs. Data on the life habits of the parents of the participating NBs were obtained from a questionnaire applied to the mothers and the use of the Polar V800 in the NBs, to obtain information about HRV. The project was approved by the Research Ethics Committee of Universidade Brasil. The parents of the newborns in the study are adults between the ages of 20 and 29, brown, of normal weight, with a monthly income of one to two minimum wages. Most mothers had a slightly elevated BMI during pregnancy, with a tendency to normalize over the postpartum months. The dietary profile of parents is characterized by the consumption of proteins, carbohydrates, fruits and various vegetables. The evolution of anthropometric measurements: weight, length, BMI (body mass index) and HC (head circumference) of the newborns, followed what was considered normal by the WHO. The HRV metrics in the time domain, frequency domain and non-linear analyzed, showed a lower activity of the autonomic nervous system in the neonatal period in relation to the subsequent periods, within the study range, which can be attributed to the stressful events during the neonatal period. adaptation to the external environment. The HRV was used as a tool to determine a healthy evolution of the homeostatic system of NBs. Correlations of HRV variables with the parents' anthropometric and socioeconomic parameters did not show statistical significance. Even so, it was possible to demonstrate the evolutionary importance of the autonomic nervous system, relating it to linear and non-linear measures of HRV, with HRV being used as a marker of the adaptive physiological impact of NBs. As a benefit of the evaluation method, we must think that the knowledge of the HRV variables of a population of NBs should be used as a strategic marker in the promotion of health and quality of life of a population.Item Diagnóstico de alterações refracionais em crianças com microcefalia, presumidamente por síndrome congênita do Zika vírus, na região oeste do estado do Mato Grosso(Universidade Brasil, 2020) Miura, Heloisa; Almeida, Vilson Rosa de; Oliveira, Helder Cássio deRefractive errors are among the most common vision disorders in childhood. The objective of this study is to diagnose refractive errors in microcephaly’s children, presumably due to Zika virus congenital syndrome, in western Mato Grosso. Clinical, cross-sectional and observational study, approved by the research ethics committee under the opinion nº 3.825.537 CAAE: 26629819.6.0000.5494 was performed an active search for patients with microcephaly treated at the Specialized Rehabilitation Center in Cáceres city, a reference in multiprofessional microcephally care in western Mato Grosso. Ophthalmological assessments were made of 30 children with microcephaly presumably due to congenital Zika virus syndrome, 14 males and 16 females with a mean age at the time of assessment of 2 years and 4 months. The children were referred to an ophthalmologist, where anamnesis was performed, a refractive examination by retinoscope equipament and schioscopy’s rules, using cyclopentolate eye drops. After the diagnosis of refractive errors, glasses were prescribed. It was possible to diagnose refractive errors in 96,7% of the cases, the most found refractive error was astigmatism, diagnosed in 45 eyes, followed by hyperopia in 43 eyes and, finally, a myopia diagnosed in 12 eyes. Thus it is concluded that the diagnosis of refractive errors was found in all 30 children, the absence of diagnosis and treatment can negatively affect the child development of this population; thus, public policies for early and continuous ophthalmological monitoring maximizes the visual quality and, consequently, the quality of life of patients and their families.Item Transtorno bipolar na infância(Universidade Brasil, 2017) Marcondes, Ana Carolina; Tessarim, Márcia Maria de Oliveira