Revista de Ciências da Saúde da Amazônia

URI permanente desta comunidadehttps://ri.uea.edu.br/handle/riuea/5720

A Revista de Ciências da Saúde da Amazônia / Amazonia Health Science Journal, publicação semestral (Agosto/Fevereiro) oficial da Universidade do Estado do Amazonas (UEA), tem como objetivo divulgar artigos científicos que contribuam para o conhecimento acadêmico e profissional das áreas das ciências da saúde.

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Avaliação do consumo de suplementos alimentares ergorgênicos por praticantes de atividade física em academias de ginástica em manaus, amazonas
(Universidade do Estado do Amazonas, 2018-05-15) Vieira, Danilo Monteiro
A healthy and adequate alimentation must be understood by bodybuilders as the starting point for maximum performance and nutritional manipulations are characterized as complementary strategy. Given the widespread use among individuals who practice physical activities, regardless of regularity, of dietary supplements, need for characterization of consumption with knowledge of the main products and influences for the beginning of their use, and the establishment of the profile of these consumers in the city of Manaus, Amazonas; aiming improvement in sports performance and nutrition, with consequent orientation of this square, avoiding losses that at times may be irreversibles. It is a descriptive, quantitative study, conducted through questionnaires given to 250 individuals in two Fitness Centers located in the city of Manaus, who said they were in use of ergogenic. It identified a majority to the male gender 62% (155), with mean age of 28 years. The source of indication most cited were the instructors and teachers of physical education, followed by sales of products, friends and bootstrap. Furthermore, the main consumption targets were whey Protein (73%) and branched chain amino acids “BCAA” (79%), occasionally simultaneously use. It feature the everyday use of these supplements, mostly without the accompaniment of qualified professional, with possibility of serious health problems, warning of a current and serious problem.
Perfil de internação dos leitos da residência em clínica médica da Fundação Hospital Adriano Jorge no ano de 2007
(Universidade do Estado do Amazonas, 2018-07-12) Júnior, Edival Ferreira de Oliveira
The objective of this study is to collect and analyze data regarding FHAJ hospitalization demand in the Medical Clinic, observing the variety of diagnoses, the conduction of the cases as well as their outcomes, and to associate these data with the medical education process that takes place in this place. Such as analyzing the profile of hospitalizations in the FHAJ medical clinic teaching beds, identifying the main diagnoses, the profile of patients hospitalized at this institution, the costs generated, and the outcome of the cases. From its results, it is possible to divulge to the medical class the need to better select the cases to be sent to this teaching hospital in order to enrich the knowledge with several diagnoses, as well as to create a statistic for the hospital itself, showing the profile Of patients assisted and to draw a functional profile of this institution.
Perfil Epidemiológico e métodos diagnósticos de pacientes com nefrolitíase, atendidos no Serviço de Urologia da Fundação Hospital Adriano Jorge nos anos de 2010 a 2012, na cidade de Manaus- Amazonas
(Universidade do Estado do Amazonas, 2018-08-13) Filho, Sérgio Antônio Saldanha Rodrigues
Nephrolithiasis is considered in some studies as a public health problem. It is estimated that 5 to 15% of the world population will experience some episode of kidney stones throughout life, being among the most susceptible group of males (3: 1), Caucasian and young age group, especially among It is important to note that lithiasis has high recurrence rates. Helical computed tomography (CT) has played an important role in the diagnosis and treatment of renal lithiasis, being considered in recent years by some authors as a “watershed”, a role previously attributed to excretory urography (UE). 66 patients were analyzed, mostly men, mostly between 20 and 40 years old. In all, 82% had nephretic colic, 12% urinary tract infection and 6% incidental diagnosis. 42% underwent an abdominal x-ray in the initial evaluation, 86% underwent at least one ultrasound of the kidneys and urinary tract, 33% underwent computed tomography, 97% collected a urine sample for EAS, 48% collected a 24-hour urine , 6% underwent an excretory urography, and in 62 patients (94%) serum biochemistry was requested. The most widely used clinical therapy was dietary guidance (97%). Regarding surgical treatment, there were 25 surgeries, with 6 complications, all self-limited. Finally, regarding the evolutionary outcome of these patients: 34 (52%) had resolution of the condition, with no recurrences during the study period; 17 (26%) had recurrence of the condition, with 16 patients after exclusive clinical treatment and only one recurrence after surgical treatment (ESWL); and there was therapeutic failure in 15 patients (23%), 12 of which were referred for a first or new surgery. The present study reaffirms most indicators of other studies at national and world level for the hospitals involved.
Variação linguística: aspectos de variação social encontrados em dois grupos tabatinguenses.
(Universidade do Estado do Amazonas, 2019-01-08) Santos, Geane Martins dos; Barros, Marcinere Souza
The present research has as its theme the aspects of social variation found in two tabatinguenses groups, with ages ranging from 15 to 20 and 50 to 70 years, in order to analyze the language of these two groups. Thus, it is of great relevance, because it will analyze the differentiation of the tabatinguenses, focusing on the social variation, since it was not found in the bibliographical collections on this subject, for this reason will be an unpublished research for the municipality and thus will open new avenues for other surveys. The methodological approach is based on William Labov, Louis-Jean Calvet, Stella Maris Bortini-Ricardo.
Estudo placebo-controlado para a avaliação de emagrecimento e compulsão alimentar com fórmula comercialmente disponível de florais de Bach.
(Universidade do Estado do Amazonas, 2019-01-18) Tavares, Allan Rafael dos Santos; Maduro, Isolda Prado de Negreiros Nogueira
The objective of this study was to evaluate the potential use of a commercially available “floral for weight loss”, by reducing impulsiveness and binge eating in a group of obese patients. 28 patients were recruited to this prospective, randomized double blind study. They received standardized food plan with 1500 kcal with a replacement list, collected anthropometric data (weight, height, BMI), applied the test for binge eating - Binge Eating Scale (BES), with cutting score ≥17 points to binge eating disorder. They were randomized into 3 groups: a double blind group (floral or placebo) and two tests groups - control (floral and water) receiving respectively "Floral for weight loss" (floral group, n = 7) and vehicle (placebo Group, n = 7); and "Floral for weight loss" (floral test group, n = 7) and water (water control group, n = 7). All groups were treated for 60 days, were excluded patients under 18 years or using drugs to lose weight or to control mood or anxiety. Anthropometric data and BES were repeated at the end of the study. There was significant weight reduction in placebo group (initial weight 94.2 kg ± 9.29 vs final weight 91.2 kg ± 8.9 p = 0.025), but not in the other groups: floral-double-blind (88.1 kg ± 8.3 ± 8.1 vs 87.7 kg, s), floral test (97.4 kg vs. 95.7 kg ± 18.5 ± 95.7 ± 17.7 kg) and water control (85.2 kg ± 7.6 vs 84.3 ± 84.3 kg ± 7.8 kg, ns). The data suggest no association between floral commercially available for weight loss (double-blind / controls) and slimming, although they have not been detected behaviors of binge eating by this instrument. Key words: Obesity; Binge Eating; Bach Flowers; Complement Medicine
Histiocitoses de células de Langerhans no Paciente Pediátrico: apresentação de um caso clínico
(Universidade do Estado do Amazonas, 2019-01-18) Rocha Júnior, Mario Tércio; Dias, Nayara Alencar; Reis, Monique Freire dos; Maia, Maiko Ramos; Ferreira, Luiz Carlos de Lima; Taveira, Adriana Távora de Albuquerque
In the pediatric group histiocytoses are rare diseases with diverse and severe staff in its clinical presentation. To describe a case of Langerhans cell histiocytosis in childhood, more specifically syndromic Letterer-Siwe disease. Case report: Infant, 7 months, male, blotches frame erythematous and pruritic, febrile periods, bulging region BTE bilaterally fibroelastic consistency, fetid otorrhea left, nail lesions and ulcers in ophthalmic mucosa, hepatosplenomegaly, skin jaundice and sclera, tumor increase retroauricular bilaterally evluindo with pnmeumonia worsening hepatic framework cuminando with death. CT chest bilateral sparse pulmonary cysts accompanied by multiple lymph node enlargement mediastinal coalescing. A CT scan of the abdomen hepatomegaly with multiple nodules. Magnetic Resonance Cholangiopancreatography suggestive of congenital hepatic fibrosis associated with fibrocystic changes, saccular dilation. Immunohistochemical evaluation of cervical biopsy was positive for anti-CD68 antibodies, CD1a and S100, and negative for CD30, concluding diagnosis of Langerhans cell histiocytosis, Letterer-Siwe disease. There was no Langerhans cells to liver biopsy. The diagnosis of LCH is a challenge to the pediatrician that requires precision and speed to initiation of therapy, and should be remembered as a differential diagnosis, despite its rare incidence. Keywords: Histiocytosis; Letterer-Siwe Disease; Hepatosplenomegaly; Salivary Gland; Pediatrics.
Correlação entre força muscular respiratória e gravidade clínica em adultos com asma brônquica
(Universidade do Estado do Amazonas, 2019-01-18) Salame, Flavia Matos; Moreira, Maria Angela Fontoura; Tesser, Luciana
The measurement of respiratory muscle strength has a wide application, since it allows the diagnosis of respiratory failure due to muscle failure; early detection of respiratory muscle weakness. Objective: The objective of the present study was to evaluate the strength of contraction of the respiratory muscles in asthmatic adults by measuring maximum respiratory pressures and to verify if there is a direct / progressive correlation between worsening respiratory muscle strength and asthma severity (spirometric classification) . Methods: Cross-sectional observational study with a sample composed of outpatients aged between 18 and 60 years with previously confirmed diagnosis of asthma. Spirometric values, PImax and MEP were determined. Three reproducible measures were selected (variation <10%) and there was a decrease in muscle strength related to asthma severity. Results: 124 patients with asthma were evaluated. Separating them by gravity (spirometric classification) we have 24 normal, 42 with mild obstructive ventilatory disorder, 36 with DVOM and 22 with DVOG. There was a correlation between spirometry variables with PImax and MEP significantly in the DVOG group alone. There was an improvement in PEmax and PImax values after bronchodilator testing. Conclusions: In the present sample, the presence of asthma determined significant changes in respiratory muscle strength only in patients classified as severe. There is a very weak linear correlation between worsening respiratory muscle strength and asthma severity. keywords: asthma; respiration muscles; respirations function tests
Evolução ponderal dos recém-nascidos prematuros acompanhados na terceira etapa do método canguru na Maternidade Cidade Nova Dona Nazira Daou
(Universidade do Estado do Amazonas, 2019-01-18) Colares, Lívia Ferreira; Ferreira, Rodrigo Duarte; Melo, Afrânio Souza de; Barros, Patrícia da Silva; Vasques, Kate Sâmila Almeida; Taveira, Adriana Távora de Albuquerque
Premature newborns (PN) may present various difficulties throughout the growth and development, and the deficiency in weight gain observed in the first months of life, can cause damage to health for life. The Kangaroo method (MC) proposes to assist in helping these PN so economical, beneficial and affordable. The objective was to evaluate the weight gain of PN admitted in the third phase of the MC, on motherhood in the period April/2012 until April2014. A retrospective cross-sectional study carried out and approved by the Research Ethics Committee of the Universidade do estado do Amazonas (UEA). Participated in 86 patients, 43% men and 57% were female. The number of pregnancies, previous births, prenatal consultations, as well as gestational age and weight of PN on the admission of the MC, were similar between the groups of PN on exclusive breastfeeding (AME), compared to those who received the supplement on breastfeeding (AMC). Mothers whose PN remained in AME showed significantly lower age compared to those on AMC. However, the follow-up time was significantly less in AME. PN on AMC showed greater weight gain and greater weight on the MC when compared to the group in AME. Gestational age in high, also was statistically higher among those on AMC. As a conclusion it is observed that in the present study, weight gain appears to be greater in PN which received Add-ons on breastfeeding. However the PN receiving exclusive breastfeeding were able to complete the MC, earlier. Keywords:Weight gain, Kangaroo Method and Premature
Incidência de aleitamento materno no momento da alta da terceira etapa do método canguru da Maternidade Ana Braga
(Universidade do Estado do Amazonas, 2019-01-18) Leite, Priscyla Ferreira Pequeno; Freire, Ágatha Iara Mineiro Moura; Ribeiro, Samira Porto de Almeida; Cabral, Lineyde Nobre; Guilherme, Jefferson Pereira
Low-birth weight newborns represent a high percentage in neonatal morbimortality and their feeding process is a complex one, being the kangaroo Care Method a strategy to promote breastfeeding. To determine the incidence of breastfeeding in neonates’ discharge from hospital, following Kangaroo Care Method’s third stage. A Transversal and Retrospective Epidemiological Study conducted with data obtained from newborns’ charts examined at ambulatory care facilities in Kangaroo Care Method’s third stage, at a public maternity hospital in the municipality of Manaus from January up to December, 2015. The sample comprised 550 low-birth weight newborns; 24% of who were of very low birth weight, a high-risk group for early weaning. Differently from literature, the service has a high index of breastfeeding even amongst the very low birth weight newborns. 93.1% of low birth weight babies and 91.6% of newborns weighing less than 1500g were discharged from the ambulatory care facility at Kangaroo’s 3rd stage of exclusive breastfeeding. Although newborns of low birth weight are at increased risk of early weaning, it was found in the sample a high frequency of exclusive breastfeeding at discharge, even among VLBW infants. The Kangaroo Mother care, The Baby- Friendly -Hospital, the work of the Human Milk Bank, compliance with Brazilian Law for Food Marketing Infant Formula, the appreciation of the multidisciplinary team, including composed of international consultant in lactation, are strategies associated with clinical approach to counseling, have allowed handling the difficulties of successfully breastfeeding, reducing weaning in this group of infants. Keywords: Kangaroo mother care; Preterm; Breastfeeding; Low birth weight
Prevalência da síndrome das pernas inquietas em população de idosos universitários da cidade de Manaus (UEA-UNATI)
(Universidade do Estado do Amazonas, 2019-01-18) Almeida, Carlos Maurício Oliveira de; Oliveira, Fernanda Paz de; Farias, Stephanie Ramos de; Fernandes, Eduardo; Ribeiro, Euler Esteves; Coletta, Marcus Vinicius Della
Restless legs syndrome (RLS) is a disorder of sensor motor integration, which affects approximately 5 to 10% of the population. Studies in certain population groups, especially in healthy elderly in the north of the country, are still scarce. To determine the prevalence of RLS; to assess the severity of symptoms through the RLSRS; to check for the presence of sleepiness and sleep complaints. This was an observational, cross-sectional study. Participants were interviewed with a questionnaire created on basis of the RLSRS criteria. Analyses were performed using MINITAB version 14.1. 82 elderly people were interviewed. The mean age was 69 years (± 4.18 years), with 81.8% female and 18.2% male, with a female to male ratio of 4.5:1. The prevalence of RLS in this population was 13.4% (N=11). Among the affected, 62.3% had moderate RLS symptoms and 37.5% had mild degree. The average RLSRS score was 11.5 points (± 6.62) and none showed scores above 20 (severe/very severe). Sleep disorders (SD) were present in 50% of the participants, which were graded as Light (25%), Moderate (12.5%) and Intense (12.5%). There was no evidence of association between age and the degree of RLS (p = 0.71), nor between gender and the severity of symptoms (p = 0.37). RLS is a highly prevalent condition and still under-diagnosed and treated in the elderly population of the Amazon region. Keywords: Restless legs; elderly; Amazon; University.
Neuralgia do nervo infra-orbitário – relato de caso
(Universidade do Estado do Amazonas, 2019-01-18) Albuquerque, Gustavo; Martins, Valber Barbosa; Gonçalves, Fabiano Conrado; Nascimento, Pedro Henrique Arantes do; Oliveira, Gilcinete Souza
Neuralgia maxillofacial odontogenic neural or is a constant in the dental office, being the professional dentist to diagnose it and treat it. There is still no consensus on the best approach, whether surgical or therapeutic treatment of maxillofacial neuralgia of neural origin. The intensity, frequency and duration of pain or symptoms present and the choiceregarding the the treatment desired by the patient will determine the treatment to be used. In this study the surgical technique is described as an alternative in the treatment of neuralgias of neural origin for patients intolerant of drug therapy, or who did not achieve the expected outcome with this therapy and opted for surgical technique as the first treatment option. Key-words: Neuralgia / Infra orbital, Treatment, Surgery
Diagnóstico tardio de tetralogia de Fallot – relato de caso
(Universidade do Estado do Amazonas, 2019-01-18) Guimarães, Thayanne Louzada Ferreira; Guimarães, Wilderi Sidney Gonçalves; Alfaia, Ana Paula Bomfim de Borborema; Teles, Suely Regina da Silva
Congenital heart diseases are defects of the circulatory system present from birth, being divided into cyanotic and acyanotic. Tetralogy of Fallot is the most common cyanotic heart disease characterized by ventricular septal defect, pulmonary stenosis, biventricular origin of aortic valve and right ventricular hypertrophy. The diagnosis is usually performed in the first year of life due to early clinical manifestations in most cases. However, in some cases, the association of other cardiac defects and failures in the health system can contribute to late diagnosis, increasing the likelihood of unfavorable prognostics. Objective: To report a case of an adolescent patient with late diagnosis of tetralogy of Fallot, with systemic complications of cyanosis. It was surgically treated, evolving satisfactorily. Conclusion: Despite the scientific and technological advances in medicine, it is still possible to identify people at older age and with severe comorbidities not diagnosed, as congenital heart defects, resulting in complications or even death if not diagnosed on time. This fact corroborates the need for awareness of health teams for the early identification of suspected cases. Keywords: Tetralogy of Fallot, Heart Defects Congenital, Delayed Diagnosis, Heart Failure.
Avaliação dos distúrbios no metabolismo dos carboidratos em pacientes com zumbido atendidos em um serviço de referência em otorrinolaringologia no Amazonas
(Universidade do Estado do Amazonas, 2019-01-18) Delfino, Ana Carolina Guimarães; Oliveira, Viviane Saldanha; Monteiro, Mariana Raposo Alencar; Soares, Alex Wilker Alves; Rodrigues, Max Lucas Martins
Tinnitus is a sensation of sound perceived by the individual in the absence of external sound stimuli. Objective: evaluate the prevalence of changes in the metabolism of carbohydrates in tinnitus patients treated at a referral center for ENT and cervicofacial surgery in the city of Manaus. This is an observational, cross-sectional and prospective study of application and analysis of data from forms of patients with tinnitus. We evaluated 21 patients with tinnitus and 52.4% female. The patients had between 31 (minimum age) and 86 years (maximum age), with a mean of 53. The most frequent buzzing sound descriptions were wheezing (33.3%), zum (14.3%) and whistle ( 14.3%). Of assessed, 28.6% reported bilateral tinnitus with greater intensity on the left, 28.6% were suggestive of blood glucose diabetes mellitus and 9.5% had impaired glucose tolerance. It was found that 38.1% of patients showed blood glucose above the normal value, and in 28.6% values were suggestive of type 2 diabetes mellitus. Keywords: Blood glucose; glucose; tinnitus; type 2 diabetes mellitus
Achados laringoscópicos em pacientes com artrite reumatóide em um serviço de referência em otorrinolaringologia da região norte
(Universidade do Estado do Amazonas, 2019-01-18) Oliveira, Viviane Saldanha; Monteiro, Mariana Raposo Alencar; Siqueira, Gisele Maia; Mafra, Mayara; Delfino, Ana Carolina Guimarães; Soares, Alex Wilker Alves; Pryjma, Alexandre Augusto Leão
Rheumatoid arthritis (RA) is an autoimmune disease that affects small and large joints, which may also manifest in the larynx. Objective: To study the laryngeal manifestations in patients with rheumatoid arthritis treated at an otolaryngology referral service of Manaus. This is a cross-sectional prospective study with clinical assessment and laryngoscopy of patients with rheumatoid arthritis. We studied 43 patients, of whom 81.4% were female. The main complaints were laryngeal dysphonia in 76.8% and 32.6% in pharyngeal globus. The most common videolaryngoscopic finding was the posterior laryngitis found in 97.7%. Possible findings related to RA were the posterior laryngitis and vocal fold nodule. The posterior laryngitis was the main finding and may be associated with RA and / or secondary pharyngolaryngeal reflux to drug treatment for rheumatoid arthritis. Keywords: Rheumatoid arthritis; larynx; vocal cords; arytenoid.
Crise tireotóxica como diagnóstico diferencial de doença psiquiátrica: relato de caso
(Universidade do Estado do Amazonas, 2019-01-18) Macedo, Viviane Alves de Carvalho França de; Hoshi, Yumi
Thyroid storm is a rare condition, which reflects an extreme physiological state within the thyrotoxicosis spectrum. This compromises various body systems, including the central nervous system. Although the changes in mood and behavior can occur due to thyrotoxicosis, severe neuropsychiatric characteristics such as psychosis, seizures or coma are rarely found. The aim of this study was to show a case report of a patient, 41 years that started with sudden agitation, tachylalia and religious delusion. It was previously healthy with no comorbidities. Clinical and laboratory findings (TSH suppressed and T4> 6) suggested Thyroid storm, scoring 55 points for the diagnostic criteria by Burch and Wartoksky (temperature: 37.7; psychosis, heart rate: 135; precipitating factor). The pathophysiology of neuropsychiatric symptoms in thyroid storm is still unclear and some theories are proposed. The neurological irreversible even with the institution of appropriate drug therapy can happen as evidenced in the patient of this case report, even though he had received drug treatment recommended by the literature, she remained with neuropsychiatric manifestations, although other signs and symptoms of thyroid storm had It has been eliminated. Key words: Thyroid Crisis; Hyperthyroidism; Mental Disorders; Psychotic Disorders
Linfoma Não-Hodgkin de células do manto, biópsia de tonsila: relato de caso clínico
(Universidade do Estado do Amazonas, 2019-01-18) Pinheiro, Mônica de Sá; Saraiva, André Cavalcante; Rocha, Marco Antônio Cruz; Pontes, Claudine Sousa; Santos, Indira Iaina Paula Prado; Carvalho, Nathalia Merini de
Introduction: Lymphomas are neoplastic transformation of normal lymphoid cells predominantly linphoides1 tissues. The subtype of non-Hodgkin's lymphoma (NHL) mentioned in this report, there is more frequent involvement of multiple peripheral nodes, dissemination noncontiguous where the Waldeyer's ring and mesenteric lymph nodes are usually involved. The Mantle cell lymphoma (CML) is a lymphoproliferative disease of mature B-cell aggressive character corresponding to approximately 6% of all LNH4. This is a neoplasm with little chance of cure, representing an average of 25% survival at five years5. Objective and case report describe an atypical case of non- Hodgkin's lymphoma Mantle cell, affecting patients under 60 years of age, presence of B symptoms, referred to the otolaryngology Hosp Foundation. Adriano Jorge, reporting from its symptoms to definitive diagnosis. Alerting for the presumptive diagnosis of this condition so that in future demonstrations, easier recognition and treatment. Conclusion: The determination of prognostic index allowed to stratify the severity of the risk of mortality. However, despite the availability of advanced diagnostic methods lymphoma represents, for physicians and pathologists, a challenge regarding diagnosis and prognosis. Keywords: Lymphoma, non-Hodgkin's lymphoma, mantle cell , cancer , tonsil .
Análise quantitativa dos antígenos de superfície do vírus da hepatite B em portadores de hepatite B em associação com vírus da hepatite D no Amazonas
(Universidade do Estado do Amazonas, 2019-01-21) Araújo, Ana Ruth Silva de; Souza, Anthony Reis Mello de; Lira, Edson da Fonseca de; Novais, Maria Auxiliadora Monteiro
This is a study to examine the HBsAg levels in patients with Hepatitis B in association with the hepatitis D virus in the Amazon Background & Aims. There are an estimated 400 million chronic carriers of hepatitis B virus in the world, and in Brazil, mostly in the amazon region with 5 to 15% prevalence of HBV infection, and 15-20 million of these individuals may be co-infected or super-infected with HDV. Studies suggest quantitative HBsAg in combination with HBV-DNA as a diagnostic tool, prognostic and a predictive marker for antiviral therapy. It is a cross-sectional study, a descriptive case series evaluating the concentrations of quantitative HBsAg in the natural history of patients with HBV infection in association with HDV. We analyzed demographic data and laboratory tests performed to determine the concentrations of ALT, viral load, HBeAg status and HBsAg quantitative of 48 patients. There was no difference between the sexes. There was a predominance of young adults. The stage of the disease had a higher incidence was low replication, and immune tolerance phase that was held the highest average quantity of HBsAg. There is statistically significant association between the HBeAg and anti-HDV. There were more among HBeAg-negative patients co-infected than in mono-infected. There was no statistically significant association between quantitative HBsAg and ALT, HBsAg quantitative and viral load and HBsAg quantitative and HBeAg status. There is a significant association between anti-HDV. and HBV viral load levels. The HBsAg quantitative is higher in the phase of immunotolerance. There is high prevalence of co-infection HBV/HDV in the state of Amazonas. This disease seems to be related to inhibition of HBV replication and the quantitative HBsAg level. Keywords: HBeAg; Quantitative HBsAg; Hepatitis Delta; Amazonas.
Avaliação do consumo de suplementos alimentares ergorgênicos por praticantes de atividade física em academias de ginástica em Manaus, Amazonas
(Universidade do Estado do Amazonas, 2019-01-21) Vieira, Danilo Monteiro; Martins Neta, Gladys Pedrosa; Tupinambá, Ívila Mesquita; Couceiro, Kátia do Nascimento; Silva, Marilene de Sena e; Horstmann, Henri; Maduro, Isolda Prado de Negreiros Nogueira
A healthy and adequate alimentation must be understood by bodybuilders as the starting point for maximum performance and nutritional manipulations are characterized as complementary strategy. Given the widespread use among individuals who practice physical activities, regardless of regularity, of dietary supplements, need for characterization of consumption with knowledge of the main products and influences for the beginning of their use, and the establishment of the profile of these consumers in the city of Manaus, Amazonas; aiming improvement in sports performance and nutrition, with consequent orientation of this square, avoiding losses that at times may be irreversibles. It is a descriptive, quantitative study, conducted through questionnaires given to 250 individuals in two Fitness Centers located in the city of Manaus, who said they were in use of ergogenic. It identified a majority to the male gender 62% (155), with mean age of 28 years. The source of indication most cited were the instructors and teachers of physical education, followed by sales of products, friends and bootstrap. Furthermore, the main consumption targets were whey Protein (73%) and branched chain amino acids “BCAA” (79%), occasionally simultaneously use. It feature the everyday use of these supplements, mostly without the accompaniment of qualified professional, with possibility of serious health problems, warning of a current and serious problem. Keywords: Supplementation; Physical Activity; Ergogenic; Bodybuilding; Healthy Eating.
Perfil de internação dos leitos da residência em clínica médica da Fundação Hospital Adriano Jorge no ano de 2007
(Universidade do Estado do Amazonas, 2019-01-21) Oliveira Júnior, Edival Ferreira de; Alves, Pietro Pinheiro; Carvalho, Valéria Hitotuzi de
The objective of this study is to collect and analyze data regarding FHAJ hospitalization demand in the Medical Clinic, observing the variety of diagnoses, the conduction of the cases as well as their outcomes, and to associate these data with the medical education process that takes place in this place. Such as analyzing the profile of hospitalizations in the FHAJ medical clinic teaching beds, identifying the main diagnoses, the profile of patients hospitalized at this institution, the costs generated, and the outcome of the cases. From its results, it is possible to divulge to the medical class the need to better select the cases to be sent to this teaching hospital in order to enrich the knowledge with several diagnoses, as well as to create a statistic for the hospital itself, showing the profile Of patients assisted and to draw a functional profile of this institution. Keywords: Medical clinic; Hospitalizations; Diagnoses; Patients; Clinical cases.
Saúde mental e trabalho: estresse em trabalhadores da saúde na cidade de Manaus
(Universidade do Estado do Amazonas, 2019-01-21) Cardoso, Evangeline Maria; Nina, Socorro de Fátima Moraes; Brasil, Laura Jane; Arruda, Adenilda Teixeira
Occupational stress reaches large numbers of workers with serious consequences, particularly cardiovascular diseases and mental disorders. Health professionals have as their object the life and great responsibility in caring for vulnerable people, demanding agility and decision in setting priorities in emergency situations, being subjected to stress loads. Therefore the article purpouses to analyze the prevalence of stress in public health workers in Manaus. Quantitative, cross-sectional study, based on empirical study, using the Lipp´s Stress Symptom Inventory for Adults. The sample consisted of 679 workers, mean age 40 (SD + 10.53), 74.4% women and 48.7% with high school degree. Approximately 46% had symptoms consistent with stress, and 34% in the resistance phase. Women and workers who reported no physical activity or any hobbies were more likely to develop stress-related symptoms, with significant association. The study showed the importance of increasing awareness of the issue and encourages the implementation of collective measures to reduce risks, such as physical exercise practice or hobbies, which demonstrated positive impact in the worker´s mental health. Key words: Epidemiology, Occupational Stress, Occupational Health, Health Personnel.