University Of Fortaleza Research Articles

Frequency and Risk Factors Associated with Prematurity: A Cohort Study in a Neonatal Intensive Care Unit.

Background/Objectives: Prematurity rates remain high and represent a challenge for the public health systems of any country, with a high impact on neonatal mortality. This study aimed to evaluate the frequency and environmental and maternal-fetal risk factors for premature birth in a cohort of parturient women, with their newborns monitored in a neonatal intensive care unit at a private reference hospital. Methods: A cohort was carried out between 2013 and 2018 among parturient women living in a capital city in the Northeast of Brazil whose newborns were admitted to the neonatal intensive care unit. This study was approved by the Research Ethics Committee of the University of Fortaleza. The information collected comprised data from both medical records and hydrosanitary data from maternal homes. Results: The prevalence of prematurity among live births (n = 9778) between 2013 and 2018 at this hospital was 23%. The frequency of prematurity among those eligible (n = 480) was 76.9%, and the frequency of eligible premature babies (n = 369) in relation to the total number of births in this period was 3.8%. In the multivariate analysis, the significant risk factors for prematurity were primigravida (RR = 1.104, 95%CI: 1.004-1.213) and hypertensive syndromes during pregnancy (RR = 1.262, 95%CI: 1.161-1.371), and the significant protective factor was the highest number of prenatal consultations (RR = 0.924, 95%CI: 0.901-0.947). Conclusions: This study contributes to providing greater visibility to prenatal care and the understanding of complications during pregnancy and childbirth care. These results indicate the need to implement public policies that promote improvements in the population's living conditions and care for pregnant women to reduce premature births and, consequently, neonatal and infant mortality.

Uso de substâncias psicoativas em alunos de um curso de Odontologia do estado do Ceará - instrumento DUSI-R

Analyzing the pattern of psychoactive substance use by dentistry students at the University of Fortaleza, as well as its relation to family and social aspects and its repercussions on academic performance. The research was conducted at the University of Fortaleza, targeting students regularly enrolled in the current year's dentistry course. The survey was carried out in April and May of 2016, covering all students from the first to the last semester of the course, with a total of 257 participating students. Data collection was conducted using the DUSI-R instrument, applied via Google Drive and remotely. Consumption of nearly all psychoactive substances was observed, although some only in small percentages. The most widespread drugs among the university students were non-prescription painkillers, at 68.3%, and alcohol at 61.4%, followed by marijuana at 7.5%, tobacco at 7.4%, and non-prescription tranquilizers at 6.7%. It was noted that, regarding alcohol consumption, 35.4% reported enjoying games that involve drinking when at parties. In terms of family relationships, 17.3% of the participants reported that their parents/guardians often argue with each other. Concerning academic performance, 18.8% of the participants reported having grades below average. The pattern of illicit drug use was present in the studied sample with direct repercussions on the academic process and possibly related to the family context.

Elaboração de um checklist da CIF para avaliação funcional da disfunção temporomandibular

Abstract Introduction Temporomandibular dysfunction (TMD) affects health and quality of life. Although the Research Diagnostic Criteria for Temporomandibular Disorders (RDC) assesses the condition, it does not address dis-ability. Thus, the International Classification of Functio-ning (ICF) becomes essential for the assessment of dis-ability, requiring its brevity through specific checklists for TMD. Objective To develop an ICF-based checklist and evaluate the functionality of individuals with TMD. Methods: This is a cross-sectional pilot study carried out at the University of Fortaleza in 2016, with patients aged 20 to 50 years with TMD. The checklist integrated the clinical aspects of the RDC with the ICF categories. A committee of judges, composed of dentistry, physio-therapy and speech therapy professionals familiar with the ICF, was selected by the Delphi method. Statistical analyses included the Mann-Whitney test for comparisons between groups and the Wilcoxon test for intragroup comparisons, adopting a significance level of 5%. Results Thirty-four components of function, eight of body structure, 36 of activity and participation, and 15 of environmental aspects were selected. After expert analysis, 31, 8, 28, and 15 components remained, re-spectively. Nineteen patients participated, mainly women (89.5%; n = 17) with prevalence of myofascial pain according to the RDC/TMD. The instrument revealed mild to moderate impairments in body functions and difficulties in social and work activities. Environmental factors in the facilitating construct included medications and professional support, and lack of family support in the barrier construct. Conclusion The ICF-based checklist provides detailed information on the functions and structures affected by TMD, as well as on the activities and participation interfered with and the barriers and facilitators that patients have due to their condition.

Comparison by Gender of Muscle Power of Knee Extensors and Flexors of Athletics Athletes from the National Training and Athletics Center of the University of Fortaleza, Ceará, Brazil

The objective of this study was to compare the muscular power of the extensors and flexors of track and field athletes from the National Training and Athletics Center of the University of Fortaleza by male and female gender and not by event. Ten women and six men were evaluated, totaling 16 athletes, using the Cybex® brand isokinetic. The isokinetic evaluation has been used in many studies to evaluate the potency among other valences.

Fine arts for medical students: driving transformative debates

Introduction: Debating arts during graduation can be a creative way to develop new perceptions and perspectives for medical students. To promote activities that aim to create moments involving humanistic themes, simultaneously to technical medical knowledge, such as arts and physical activities in a playful setting, remains a challenge. A extracurricular Global Improvement Programme of Medical Students (GIPMS) of the University of Fortaleza was created on this context, and included meetings involving various artistic stimuli. Purpose: The objective of this paper is to evaluate if the contact with art during graduation in the context of GIPMS can generate perceptions, feelings and reflections to provide important debates. Methods: A prospective qualitative study was conducted including a total of 42 focal group sessions, which were recorded and fully transcribed. Each group was conducted by 2 mentors, and all 6 focal groups used standardized qualitative questionnaires each session, which were performed every 45 days. A thematic analysis of the transcripts was performed, confirmed with the QSR NVIVO software (version 11). Results: A total of 40 students (15 men and 25 women) participated in this one-year study. The categories found were: Artistic stimuli were able to make participants think (124 quotes), feel (78, 65 about positive feelings and 13 about negative ones) and remember (41). The following stood out: the influence of the time load of studies in the time dedicated to the arts and the reflections. (61); relationship between the arts and life and academic productivity (75); changes in attitudes provided by the proposed artistic stimuli (38 citations). Conclusions: The program was able to generate, in an innovative way, new perceptions of feelings, sensations and reflections, as well as to evoke memories that provided important debates, which, according to the students themselves, served as inspiration to change perspectives and attitudes and provided subjective benefits in academic life.

O uso da ventosaterapia como proposta de promoção í saúde para funcionários de uma universidade privada em Fortaleza – CE

Objetivo: Avaliar os efeitos da ventosaterapia como forma de promoção da saúde em colaboradores de uma Universidade privada de Fortaleza-CE. Metodologia: O estudo foi realizado por meio de uma pesquisa intervencionista e de caráter longitudinal nos laboratórios do Curso de Estética e Cosmética da Universidade de Fortaleza, em Fortaleza- CE. O perí­odo da coleta foi de agosto a outubro de 2019, duas vezes por semana com 08 funcionários que estão alocados na Universidade, que foram convidados mediante e-mails, e pela técnica do laboratório na própria Universidade. Resultados: Verificou-se que com a terapia abordada houve uma melhora na qualidade de vida, qualidade do sono, melhora do humor, redução do uso de medicamentos para dormir e redução das dores, sintomas relatados pelos voluntários. Conclusão: O uso da ventosaterapia obteve diversos benefí­cios para a saúde dos voluntários presentes neste estudo. Entre eles, podemos destacar a melhora na qualidade do sono e consequentemente o aumento da disposição e melhora do humor, proporcionando maior qualidade de vida.

Radiofrequência associada í drenagem linfática manual no rejuvenescimento facial

Objetivo: Verificar a efetividade da radiofrequência associada a drenagem linfática manual no rejuvenescimento facial. Métodos: Tratou-se de um estudo do tipo longitudinal e de caráter intervencionista na Universidade de Fortaleza (UNIFOR) no perí­odo de agosto í outubro de 2019. As participantes foram recrutadas de um banco de dados, totalizando uma amostra de 2 voluntárias e 8 sessões. Os dados foram coletados através de ficha de avaliação, fotos comparativas a fim de verificar os resultados obtidos com o tratamento. A pesquisa foi aprovada pelo Comitê de Ética da UNIFOR sob número de parecer 3.570.017. Resultados: Notou-se melhora nos aspectos da pele como, melhora do contorno facial, hidratação, preenchimento de sulcos, linhas e redução de edema facial. Conclusão: O uso da radiofrequência associada a drenagem linfática mostrou-se benéfico no envelhecimento cutâneo. Sugere-se que um maior número de voluntários e sessões sejam realizadas a fim de obter resultados ainda mais significativos.

MARKETING DE RELACIONAMENTO E PRESCRIÇÃO MÉDICA: UM ESTUDO NO ESTADO DO PIAUÍ

O trabalho desenvolvido pelo Propagandista Vendedor (PV) tem o objetivo de levar informações relevantes que possam influenciar o comportamento prescritivo do médico, em um mercado de produtos que possui uma marca comercial e necessita de prescrição. Pretende-se responder ao seguinte questionamento: de que forma a classe médica absorve a ferramenta de marketing utilizada pela indústria farmacêutica, na figura do PV, como estratégia de implementação da propaganda e como esse trabalho tem influenciando o seu comportamento prescritivo? Com o estabelecimento desta questão norteadora, estipulou-se como objetivo geral analisar a percepção da classe médica do Piauí e parte do Maranhão em relação ao trabalho desenvolvido pelo PV como agente influenciador das suas prescrições, a partir da Resolução da Diretoria Colegiada 24/2010, de 15 de junho de 2010, que rege as regras do marketing utilizado pela indústria farmacêutica. Realizou-se levantamento com 285 médicos de diversos municípios do estado do Piauí, assim como da cidade de Caxias, pertencente ao estado do Maranhão. À época do levantamento, o total de médicos no Estado do Piauí era de 3.737 profissionais, sendo 1.284 (34%) pertencentes às especialidades abrangidas por este estudo. Ressalte-se que todo o processo teve a anuência da empresa e do Conselho de Ética da Universidade de Fortaleza. Conseguiu-se identificar as variáveis de maior relevância - segundo as especialidades e o gênero dos profissionais - que influenciaram as suas prescrições médicas. Adicionalmente foi aplicado um procedimento fatorial exploratório, o qual permitiu conhecer alguns fatores associados às respostas apresentadas, que representaram dimensões associadas às variáveis consideradas.

O espaço da ética e bioética na graduação em medicina

Objetivo: Verificar como são ofertados os conteúdos sobre ética e bioética nos currículos de formação médica das Universidades do Ceará. Métodos: Trata-¬se de pesquisa documental, realizada em julho de 2017 abrangendo quatro Universidades que ofertam o curso de Medicina, foram elas: Universidade de Fortaleza (UNIFOR); Universidade Federal do Ceará (UFC); Universidade Estadual do Ceará (UECE) e Universidade Christus (Unichristus). A coleta dos dados se deu por meio de revisão das matrizes curriculares dos cursos, que foram obtidas através de pesquisa nos sites das universidades ou disponibilizadas pelas coordenações dos respectivos cursos. Nesses documentos, foram investigados o caráter da oferta, a carga horária e as disciplinas específicas que abordavam os conteúdos de ética e bioética, assim como se estavam presentes nos programas pedagógicos das diversas disciplinas do curso, para averiguar a transversalidade desses temas. Resultados: Após avaliação das matrizes curriculares das quatro universidades e dos projetos pedagógicos de duas instituições de ensino analisadas, observou-¬se que as temáticas ética e bioética foram citadas por todas como parte integrante da formação médica em seus currículos, ainda que de maneira não uniforme entre elas. Conclusão: Os conteúdos de ética e bioética estão presentes nas matrizes curriculares dos quatro cursos de medicina do Ceará, quer seja no formato de disciplinas específicas, quer seja abordando o tema em disciplinas específicas que, dentre outros assuntos, abordam também a temática ética e bioética.

Doença renal crônica: explorando novas estratégias de comunicação para promoção da saúde

Objetivo: Descrever o desenvolvimento de novas estratégias de comunicação para promoção da saúde no âmbito da doença renal crônica (DRC). Métodos: Pesquisa de natureza aplicada, pois objetiva a produção de conhecimentos direcionados à solução de problemas específicos por meio de ferramentas práticas e da análise das hipóteses levantadas. As ferramentas foram desenvolvidas pela parceria entre o Programa de Pós-Graduação em Saúde Coletiva e o Núcleo de Aplicação em Tecnologia da Informação da Universidade de Fortaleza. O estudo intitulado “Renal Health” foi dividido em três fases consecutivas: Fase 1 - Desenvolvimento do aplicativo Renal Health; Fase 2 - Construção de conteúdos e plataformas digitais vinculadas ao aplicativo; e Fase 3 – Teste de impacto clínico e adesão ao aplicativo. No presente momento, o estudo encontra-se com a fase 1 concluída e com a fase 2 em andamento. Resultados: Foi desenvolvido o aplicativo Renal Health para uso em dispositivos móveis, em plataforma Android, com interfaces para a população geral, ou seja, pessoas que não fazem tratamento para DRC, pacientes renais crônicos em hemodiálise e transplantados renais. A fase 2 do estudo encontra-se em desenvolvimento, ocorrendo por meio de reuniões entre as equipes de pesquisadores e dos setores saúde e tecnologia para a compilação dos conteúdos e delineamento do projeto gráfico das plataformas digitais. Conclusão: A comunicação entre os profissionais de saúde e os portadores de DRC é passível de contínuo aperfeiçoamento, dada a variedade das modalidades de tratamento e suas peculiaridades. O aplicativo Renal Health e as plataformas digitais se propõem a apoiar ambos nesse processo.

Análise do uso de medicamentos psicotrópicos no sistema penitenciário do Estado do Ceará.

Objetivo: Avaliar a utilização de medicamentos psicotrópicos no sistema penitenciário. Metodologia: Os dados foram obtidos através de levantamento prospectivo, observacional, quantitativo e descritivo. Foram analisados 30 prontuários de indivíduos condenados por sentença judicial, coletados no Instituto Psiquiátrico Governador Stênio Gomes localizado no município de Itaitinga-CE no período de julho a setembro de 2012. O projeto foi aprovado pelo Comitê de Ética em Pesquisas da Universidade de Fortaleza sob parecer n° 258/2011. Resultados: o perfil demográfico aponta para pacientes do gênero masculino, solteiro, analfabetos e fumantes. O medicamento mais utilizado no tratamento dos penitenciários com transtornos mentais foi o haloperidol (27,5%). Observou-se 58 potenciais interações medicamentosas (1,7 ± 1,85 interações por pacientes). Quanto à classificação das interações, 22,4% do tipo menor, 51,7% do tipo moderada e 24,13% do tipo maior, 74,10% com início demorado, 24,13% com início rápido, de acordo com a documentação na literatura 41,36% suspeita, 3,44% estabelecida e 53,43% possível. Dos transtornos mentais diagnosticados 40,1% apresentam Esquizofrenia paranoide, residual e não específica. A prática de homicídio foi atribuída a 29,91% dos apenados esquizofrênico, na modalidade qualificada. Outros delitos envolvendo a violência apresentaram estreita relação com este transtorno mental. Conclusão: Os pacientes esquizofrênicos foram responsáveis pela prática de homicídios em taxas maiores que aqueles que possuem outro transtorno mental e a conduta agressiva dos pacientes esquizofrênicos parece ter sido uma variável importante da prática de crimes envolvendo a violência.

Robot-assisted therapy for rehabilitation of children with cerebral palsy - A complementary and alternative approach

This work proposed the development of a game with a robot, built with Lego pieces, to make the rehabilitation treatment of children with Cerebral Palsy more effective. The aim of the game is to stimulate the motor coordination, cognition, memory and attention level of children, and to complement the activities carried out by the Neuropsychomotor Rehabilitation Program of the Nucleus of Occupational Therapy of NAMI (Nucleus of Integrated Medical Attention) of UNIFOR (The University of Fortaleza, Ceará, Brazil). The interaction between the child and the robot takes place through an Android remote control app installed on a smartphone. To validate the proposed method, five children were submitted to various sessions of activities with the robot, over a two-month period. A brain wave sensor, responsible for measuring the level of attention during the activities was employed. In addition, a questionnaire was applied to the professionals and parents of the children, in order to validate the tool proposed here. After analyzing the results, it was concluded that the robot is an effective and very promising complementary tool to assist in the rehabilitation treatment of children with Cerebral Palsy.

Quadro de análise da sustentabilidade para instituições de ensino superior: Aplicação em um estudo de caso

Este estudo teve como objetivo analisar as atividades sustentáveis de uma instituição de ensino superior, considerando suas dimensões econômica, social e ambiental (triple bottom line), a partir da aplicação de um novo quadro de análise. Para tanto, optou-se pela utilização da metodologia de estudo de caso, realizada em uma IES, a Universidade de Fortaleza (Unifor), selecionada como caso para esta pesquisa pelas diversas premiações recebidas nos últimos anos por suas ações e projetos voltados para a sustentabilidade. Como fontes de coleta sobre a IES foram utilizados dados documentais relacionados à universidade e entrevistas semiestruturadas, realizadas com vice-reitores, diretores e chefes de divisões da universidade, sendo tais dados organizados e analisados com o auxílio do software de análise de dados qualitativos NVivo (versão 10) e a aplicação da técnica de análise de conteúdo. Como resultados, os destaques em termos de maiores capacidades sustentáveis foram as atividades relativas às consequências econômicas das atividades, projetos de responsabilidade social e relacionamento com agentes relevantes. Em contrapartida, as atividades dentro da dimensão ambiental, de gestão ambiental e educação ambiental, foram as de menor nível de desenvolvimento de capacidades sustentáveis. Assim, a aplicação do novo quadro de análise permitiu evidenciar o atual estágio de desenvolvimento da universidade em torno de suas atividades sustentáveis, destacando tal quadro como alternativa aos quadros de análise já desenvolvidos neste âmbito.

Team-Based Learning: Successful Experience in a Public Health Graduate Program

ABSTRACT Background: In the review of curriculum matrices, the elaboration of learning strategies that combine theory and practice is extremely important, allowing the building of new concepts and learning methods by the students. Team-based learning (TBL) is growing in academic centers and refers to the pedagogic strategy grounded in constructivism. The aim of this research was to describe the application of TBL in a Public Health graduate program. Methods: TBL was applied in a class with 22 students in the discipline “Quantitative Research in Health” of the Public Health graduate program (Master degree) at the University of Fortaleza, Brazil, in 2016. The discipline was structured in 8 lessons, approaching the thematic of quantitative research. Before each class the students were required to study the contents at home, a test was done for each subject in the beginning of each class (individually and then in teams of 5 or 6 students) and then a brief review was performed by the professor, where the students could ask questions and solve any doubt. At the end of the semester an evaluation questionnaire was applied with objective questions and a qualitative survey. Results: The application of TBL was done in a class with 22 students of the Public health Master Program, aged 22 to 36 years, and 83.3% were female. The method was well received by the students. All the evaluations and discussions went on without any problem. There were some complaints about the requirement to study at home prior to the classes. Students’ evaluation of the discipline and the TBL method was satisfactory with answers’ average score of 4.7 (scale 0-5). The lowestscore was achieved by the question number 11 (4.3) about the students motivation for their study at home. The comparison with the evaluation of the previous semester (where a traditional method was applied) evidenced higher scores for the TBL method. Conclusions: The application of TBL was satisfactory and the main difficulty presented by students was the requirement for previous study at home. TBL was better evaluated than the traditional method.

Saúde vocal e mhealth: novas alternativas para antigos cenários

The world is experiencing the communication age, and health is among the areas that reap benefits from the insertion of new resources into people’s lives. In this context, Information and Communication Technologies (ICTs) hold a prominent place, being applied to information processing, storage, search and transmission in digital format, providing increased agility and reliability to information exchange(1,2). In the health area, ICTs play a progressively more important role, being present in the areas of clinical, managerial and assistance practices, as well as in support to decision-making on the part of professionals and managers.In this scenario, technology can influence and modify people’s way of living and acting, even when these issues are related to the health promotion and care context. The relevance of incorporating technologies into health care is thus reassured(3,4). With regard to vocal health, it implies a re-dimensioning of self-care, once the disorders of the vocal apparatus are part of the universe of professionals who use their voice, with emphasis on the teachers, this being a reality that requires confrontation through political and technological measures that offer resolution for such a recurrent problem as this.A study(5) carried out with 351 female teachers working at municipal elementary schools of Fortaleza, Ceara, Brazil, has shown that more than half of them presented more than six vocal symptoms and that, despite perceiving themselves exposed to more than six vocal risk factors, they had never participated in a vocal health program, which corroborates other Brazilian studies(6,7).It should be emphasized that, in addition to the shortage of educational actions in vocal health, Brazilian public policies and legislation aimed at teachers’ health are flawed and restricted(8). Therefore, attention is drawn to the importance of developing communication campaigns addressing health and the technological resources aimed at vocal health, in order to reinforce the need for continuously taking care of the voice.Given this data, it is believed that the expansion of voice knowledge and the use of novel communication strategies may favor the development of an advantageous work that contributes to the learning process and to the well-being of each voice-centered professional. With this aim, several technologies can be employed, among which mobile health technologies (mHealth) stand out.The area of mobile health research (mHealth), a branch of electronic health (eHealth) defined as “the use of computing and mobile communication technologies in health care and public health”, has been steadily expanding. Mobile health applications serve a heterogeneous public - doctors, nurses, patients, caregivers and healthy people(9) - and suit a range of purposes(10), such as information in a number of health areas, adherence to treatment(s) and disease management.In Brazil, there are a few studies addressing the topic of vocal health and technology. Nevertheless, it is possible to observe the insertion of several tools in the daily life of speech therapists, which support them and are recognized as types of technology. Booklets, softwares, informative applications and distance education platforms, all aimed at vocal health, can be cited as examples of facilitation strategies in speech therapy practices, which do not offer interactivity, though.Based on the aforementioned resources, it is believed that mHealth technology, given its dynamism and the facilitations it offers, such as the possibility to carry out actions at any time and anywhere, can contribute to the promotion of teachers’ vocal health, since their multiple assignments and lack of time often lead the teacher to overlook their problems, only seeking help after the onset of vocal change(s)(11).In view of the shortage of applications favoring vocal health care, and by means of a partnership between the Graduate Program in Public Health of the University of Fortaleza and the Laboratory of Innovation and New Businesses of the Information Technology Application Nucleus (Nucleo de Aplicacao em Tecnologia da Informacao - NATI) it was developed, at this institution, the VoiceGuard application, a tool that provides individualized support for the management of voice usage. This application presents as distinguishing features the offer of a variety of resources for extensive and comprehensive management and monitoring of vocal health, even on a real-time basis, thus favoring the teachers’ autonomy and the reduction of vocal disorders. This technology is recognized as an important tool for vocal health promotion and care, constituting a modern resource for dealing with an old problem: the vocal disorders affecting teachers.The Brazilian Journal on Health Promotion believes in the dissemination of this and other innovative technological products applied to health and well-being, given the speed of scientific interactions, in favor of the unlimited access to health.

Mathematics in the Initial Years of Fundamental Teaching in Brazil: An Experience with Teachers in Training in the Pedagogy Course

This article presents the research carried out with a focus on didactic-pedagogical experience developed on the four fundamental operations of Arithmetic with contribution in Duval’s Theory of Semiotic Representation Registers. Mackinder Box was used as didactic material and records of semiotic representation in natural, numerical and geometric languages. This is a qualitative research carried out with students of Pedagogy course, from a Public University of Fortaleza, CE, Brazil, with the purpose of analyzing the appropriation of the didactic-pedagogical use of the Mackinder Box and the semiotic representations in the operationalization of the Four operations by these students. The investigation revealed that the students learned the methodological use of the Mackinder box in the application of the fundamental operations and recognized that the methodology used allows using different strategies of resolution for the same mathematical activity. However, the research also showed that students had difficulty working with the conversion between records of semiotic representation.

Quadro de análise da sustentabilidade para instituições de ensino superior: Aplicação em um estudo de caso

Este estudo teve como objetivo analisar as atividades sustentáveis de uma instituição de ensino superior, considerando suas dimensões econômica, social e ambiental (triple bottom line), a partir da aplicação de um novo quadro de análise. Para tanto, optou-se pela utilização da metodologia de estudo de caso, realizada em uma IES, a Universidade de Fortaleza (Unifor), selecionada como caso para esta pesquisa pelas diversas premiações recebidas nos últimos anos por suas ações e projetos voltados para a sustentabilidade. Como fontes de coleta sobre a IES foram utilizados dados documentais relacionados à universidade e entrevistas semiestruturadas, realizadas com vice-reitores, diretores e chefes de divisões da universidade, sendo tais dados organizados e analisados com o auxílio do software de análise de dados qualitativos NVivo (versão 10) e a aplicação da técnica de análise de conteúdo. Como resultados, os destaques em termos de maiores capacidades sustentáveis foram as atividades relativas às consequências econômicas das atividades, projetos de responsabilidade social e relacionamento com agentes relevantes. Em contrapartida, as atividades dentro da dimensão ambiental, de gestão ambiental e educação ambiental, foram as de menor nível de desenvolvimento de capacidades sustentáveis. Assim, a aplicação do novo quadro de análise permitiu evidenciar o atual estágio de desenvolvimento da universidade em torno de suas atividades sustentáveis, destacando tal quadro como alternativa aos quadros de análise já desenvolvidos neste âmbito.

HIV and dementia: prevalence and risk factors

Objective: To determine the prevalence of patients at risk of developing HIV-associated neurocognitive disorder (HAND) and identify factors possibly associated with its occurence. Methods: Quantitative cross-sectional study conducted at the Specialized Care Service (Servico de Atendimento Especializado - SAE) for HIV/Aids of the Integrated Medical Care Center (Nucleo de Atendimento Medico Integrado - NAMI) of the University of Fortaleza (Universidade de Fortaleza - UNIFOR), Fortaleza, Ceara, Brazil. We reviewed medical records of all 249 patients that started medical follow-up at SAE/NAMI since its foundation (August/2010) until January/2014, including in the analysis those who completed the international HIV dementia scale - IHDS during routine medical visits. Epidemiological, clinical and laboratory variables were collected in addition to IHDS score and the sample was classified in two groups: patients with IHDS≥10 (Group 1) and IHDS<10 (Group 2). Chisquared test was used for categorical variables and student t test, mann whitney test and linear regression were used for numerical variables. Results: The study population consisted of 178 patients with mean IHDS score of 9.5 (+/- 1.6). HAND prevalence was 41.6% (74/178) (IHDS<10). These patients presented older mean age (37.4 years) and longer mean time from HIV diagnosis to medical follow-up than the others (10.1 months) when compared to Group 2 (31 years old and 4.6 months, respectively), suggesting that these two variables were possibly associated with HAND occurrence. Conclusion: The IHDS application showed a high prevalence of HAND in the study population. More advanced age and longer time from HIV diagnosis to medical follow-up are possibly associated with its occurence.

Novel Virtual Environment for Alternative Treatment of Children with Cerebral Palsy.

Cerebral palsy is a severe condition usually caused by decreased brain oxygenation during pregnancy, at birth or soon after birth. Conventional treatments for cerebral palsy are often tiresome and expensive, leading patients to quit treatment. In this paper, we describe a virtual environment for patients to engage in a playful therapeutic game for neuropsychomotor rehabilitation, based on the experience of the occupational therapy program of the Nucleus for Integrated Medical Assistance (NAMI) at the University of Fortaleza, Brazil. Integration between patient and virtual environment occurs through the hand motion sensor “Leap Motion,” plus the electroencephalographic sensor “MindWave,” responsible for measuring attention levels during task execution. To evaluate the virtual environment, eight clinical experts on cerebral palsy were subjected to a questionnaire regarding the potential of the experimental virtual environment to promote cognitive and motor rehabilitation, as well as the potential of the treatment to enhance risks and/or negatively influence the patient's development. Based on the very positive appraisal of the experts, we propose that the experimental virtual environment is a promising alternative tool for the rehabilitation of children with cerebral palsy.

Análise da ação antimicrobiana de cremes dentais infantis do mercado brasileiro

Objective: To evaluate the antimicrobial activity of children’s toothpastes of the Brazilian market. Methods: Experimental study conducted in a university of Fortaleza, CE, Brazil, in 2014, using 12 Petri dishes with culture media Mueller Hinton for Streptococcus mutans, and Sabouraud Agar for Candida albicans, where wells containing equal amounts of toothpaste (Tandy®, Colgate Barbie®, Oral B Stages®, Bitufo Ben 10®, Even Monica®, Boni Looney Tunes® with fluoride, Malvatrikids Baby®, Condor Tigor®, Even Baby®, Bitufo Cocorico® and Sanifil Fase 1® without fluoride) were seeded and incubated with Streptococcus mutans in anaerobic jars, both in bacteriological incubator at 37°C, for 48h. After this period, it was examined whether or not there was formation of inhibition zones, which represent the antimicrobial activity. Results: The results of fluoride and non-fluoride toothpastes showed discrete differences in inhibition zones measures compared to each other, but the ones with fluoride presented antimicrobial activity against the evaluated strains. Malvatrikids Baby®, Even Baby® and Sanifil Fase 1® showed no activity against Streptococcus mutans, and the last did not have effect against Candida either. Conclusion: All fluoride toothpastes evaluated and two of those without fluoride (Condor Tigor® e Bitufo Cocorico®) showed antimicrobial activity against the evaluated strains.