Mestrado em Assistência Farmacêutica

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    Desenvolvimento e avaliação da efetividade do jogo Bakterion no conhecimento de estudantes da área da saúde sobre o uso de antimicrobianos
    (Universidade Federal do Espírito Santo, 2025-03-14) Campos, Ludmila Rosario; Santos, Kênia Valéria dos; https://orcid.org/0000-0001-6871-3128; http://lattes.cnpq.br/9074173162086323; Araújo, Dyego Carlos Souza Anacleto de; https://orcid.org/0000-0001-6631-465X; http://lattes.cnpq.br/5120426619544250; https://orcid.org/0009-0000-0385-5408; http://lattes.cnpq.br/8416301286546972; Ferreira, Mariana Abou Mourad; https://orcid.org/0000-0001-6797-6583; http://lattes.cnpq.br/9311453343076533; Lima, Rodrigo Fonseca; https://orcid.org/0000-0001-8173-4425; http://lattes.cnpq.br/5375500536905450; Araújo, Dyego Carlos Souza Anacleto de; https://orcid.org/0000-0001-6631-465X; http://lattes.cnpq.br/5120426619544250; Rocha, Kérilin Stancine Santos; https://orcid.org/0000-0002-2313-2140; http://lattes.cnpq.br/4216594263272412
    Introduction: Serious games have been widely used to develop knowledge and skills in the healthcare field; however, games specifically focused on microbiology remain scarce. This study evaluated the effectiveness of the serious card game Bakterion as an educational tool for teaching microbiology and antimicrobial agents. Methods: The game development followed three stages: i) Empathy: The selection of microbiology as the central theme was based on its relevance to health-related courses and global challenges such as antimicrobial resistance and the COVID-19 pandemic. Bacteriology was prioritized due to the impact of inappropriate antimicrobial use. ii) Ideation: The chosen content—bacterial identification, antimicrobial use, and good laboratory practices—was structured to guide the game's design, inspired by Munchkin®. A card-based format was selected for its suitability for educational purposes. iii) Implementation: An initial prototype was developed, tested by the research team, and refined based on received feedback, resulting in the final version. The game’s effectiveness was evaluated through an experimental design with two groups: control (traditional lecture) and experimental (Bakterion-based lesson). Student knowledge was assessed using a questionnaire with six multiple-choice and six open-ended questions (total score: 0 to 12 points). A post-test comparison between groups was conducted using the Student’s t-test for independent samples, considering p-values ≤ 0.05 statistically significant. Students' perceptions were assessed using a 16-item questionnaire with a 5-point Likert scale. Results: Bakterion consists of 54 score markers and two decks totaling 200 cards, categorized into bacterial species, antibiograms, culture media, specialists, personal protective equipment (PPE), and antimicrobials. The game includes a detailed manual, and its card design facilitates element association, even for players without prior knowledge. The comparison between groups revealed a statistically significant difference in performance (t = 3.549; p = 0.002), with higher scores in the experimental group (Control: 6.22 ± 1.64 vs. Experimental: 9.44 ± 2.25). Additionally, 90.5% of participants found the game's visual elements appealing, 81% considered its mechanics engaging, and 66.7% stated that the game helped consolidate their knowledge. However, only 57.1% reported improved ability to apply concepts to more complex clinical scenarios. Conclusion: The findings indicate that Bakterion is a promising tool for teaching microbiology and antimicrobial agents, complementing traditional methods in a dynamic and accessible manner. Furthermore, the game shows potential to expand interest in the subject among new audiences, such as high school students, fostering learning about antimicrobial resistance and preventive measures
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    Perspectivas dos profissionais de saúde quanto aos cuidados da população transgênero na Atenção Primária à Saúde: uma revisão de escopo
    (Universidade Federal do Espírito Santo, 2025-03-20) Souza, Jayne Menezes de; Detoni, Kirla Barbosa; https://orcid.org/0000-0003-0651-3547 ; http://lattes.cnpq.br/4658617742317519; Rocha, Kérilin Stancine Santos; https://orcid.org/0000-0002-2313-2140 ; http://lattes.cnpq.br/4216594263272412; https://orcid.org/0009-0002-6619-6977; http://lattes.cnpq.br/0195480308196211; Brito, Giselle de Carvalho; https://orcid.org/0000-0002-3982-2138; http://lattes.cnpq.br/0432751118102432; Jesus, Náila Neves de; https://orcid.org/0000-0003-3370-0639; http://lattes.cnpq.br/6566671970631957; Santos Júnior, Genival Araújo dos; https://orcid.org/0000-0002-5618-1846; http://lattes.cnpq.br/5917097187533724; Araújo, Dyego Carlos Souza Anacleto de; https://orcid.org/0000-0001-6631-465X; http://lattes.cnpq.br/5120426619544250; Santos, Sabrina Cerqueira ; https://orcid.org/0000-0001-6748-727X; http://lattes.cnpq.br/8757541282986479
    Introduction: Studies show that transgender individuals face significant barriers in the context of primary health care. The literature has explored the perspectives and experiences of transgender individuals regarding the care they receive; however, there is still no comprehensive view of health professionals' perspectives on this care. Objective: To map the perspectives of health professionals regarding the care of the transgender population in primary health care. Methods: A scoping review was conducted following the methodological processes proposed by the JBI Manual for Evidence Synthesis and the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). A systematic search was carried out in May 2024 in the following databases: PubMed/Medline, Embase, Web of Science, Cinahl, Scielo, Virtual Health Library, the International Journal of Transgender Health, and the gray literature. Descriptors related to "Health Personnel," "Transgender Persons," and "Primary Health Care" were used. Subsequently, two reviewers independently selected the studies through title and abstract screening, followed by full-text analysis based on eligibility criteria. Data were extracted independently by two reviewers, and the professionals' perspectives were jointly analyzed by the review team and categorized. The data were presented descriptively. Results: A total of 1,022 studies were identified in the initial search, of which 11 articles met the eligibility criteria and were included in this review. Most studies were conducted in North American countries (n = 7; 63.6%) and had a qualitative design (n = 9; 81,8%). The analysis of healthcare professionals' perspectives resulted in the following categories: "Professional Attitude," addressed in 11 studies (100%), "Healthcare Network" (n = 10; 90,9%), "Training" (n = 9; 81,9%), and "Stigma" (n = 7; 63,3%). The main professionals participating in the studies were physicians and nurses. Strategies cited by professionals for promoting transgender care in primary health care focused on the professional and/or the healthcare team. Conclusion: The perspectives of professionals on the care of the transgender population in primary health care revealed that various aspects related to the Health Care Network, Training, Stigma, and Professional Attitudes influence this care. Significant challenges were identified, which may compromise the quality of care. Strategies focused on professionals and teams can be implemented to promote inclusive care
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    Estratégias de engajamento para o paciente com hanseníase: uma revisão de escopo
    (Universidade Federal do Espírito Santo, 2025-03-11) Soza, Letícia Guedes Morais Gonzaga de; Silvestre, Carina Carvalho; https://orcid.org/0000-0002-2162-0810; http://lattes.cnpq.br/1791505264817019; Santos, Sabrina Cerqueira; https://orcid.org/0000-0001-6748-727X; http://lattes.cnpq.br/8757541282986479; Santos Júnior, Genival Araujo dos; https://orcid.org/0000-0002-5618-1846; http://lattes.cnpq.br/5917097187533724; https://orcid.org/0000-0002-5621-5129; http://lattes.cnpq.br/5013786371849477; Rover, Marina Raijche Mattozo ; https://orcid.org/0000-0002-2123-4493; http://lattes.cnpq.br/2998452751446895; Lima, Tácio de Mendonça; https://orcid.org/0000-0003-4395-2098; http://lattes.cnpq.br/9912333357187452
    Leprosy is an infectious disease that, if left untreated, can cause irreversible deformities and physical disabilities. Additionally, individuals with leprosy are prone to stigmatization, which can lead to treatment abandonment, worsened quality of life, and social exclusion. In this context, the engagement of the individual and their family in managing their health issues can promote greater understanding of the disease and its treatment, leading to positive health outcomes. Therefore, the aim of this study was to map strategies for engaging individuals with leprosy. A scoping review was conducted considering articles published up to January 2024 in the databases EMBASE, Scopus, BVS/Lilacs, Medline/PubMed, and Web of Science. The review protocol was registered in the Open Science Framework and can be accessed at https://osf.io/nxm6h/ (DOI 10.17605/OSF.IO/NXM6H). The search strategy used terms related to "leprosy" and "health behavior". Original studies were included if they described engagement strategies for individuals with leprosy, their families, and the community. The selection stages were carried out independently and in duplicate. Data were extracted, and the strategies were synthesized with the aid of the adapted 6W3H tool, considering the following variables: "what" (strategy identification), "why" (strategy objective), "where" (execution location), "when" (execution time), "who" (responsible parties), "for whom" (target recipients), "how many" (number of participants), "how" (execution method), "how much" (cost), and "how to measure" (evaluation). The strategies were then categorized into five levels based on the Person and Family Engagement Scale: Inform about health, Inform about engagement, Empower, Partner, and Integrate. In total, 854 studies were identified and 18 met the eligibility criteria and were included in this review. The identified strategies consisted of interventions for disability prevention (n = 3; 16.67%), mobile applications for health education and leprosy case detection (n = 2; 11.11%), self-help groups (n = 2; 11.11%), self-care group (n = 1; 5.76%), community project to improve community attitudes towards leprosy (n = 1; 5.76%), lesson plans for health education on leprosy (n = 1; 5.76%), community project to reduce stigma related to leprosy (n = 1; 5.76%), face-to-face meetings between people with leprosy and the general public (n = 1; 5.76%), text messages for monitoring the pharmacological treatment of leprosy patients (n = 1; 5.76%), self-care education program (n = 1; 5.76%), educational podcast (n = 1; 5.76%), training for healthcare professionals and community health agents (n = 2; 11.11%), and education on self-examination and fictional television works (n = 1; 5.76%). The most frequent objectives of the strategies were health education (n = 5; 27.78%) and prevention of deformities derived from leprosy (n = 6; 33.33%). Most strategies were implemented by health professionals and/or workers, such as community health agents (n = 10; 55.56%). The main target audience of the strategies was people diagnosed with leprosy (n = 12; 66.67%); however, some strategies involved health professionals (n = 3; 16.67%) and the community (n = 4; 22.22%). Regarding the cost of the strategies, four studies (22.22%) reported this information. In the “How to measure” category, 12 studies (66.67%) described ways of evaluating the proposed strategy. Regarding engagement levels, Empower was the level with the highest number of strategies (n = 8, 44.44%). Furthermore, no strategy achieved the highest levels of engagement, namely: Partner and Integrate. Based on the findings, it is observed that despite the diversity of engagement strategies aimed at people with leprosy, their families and the community, there are still gaps in strategies that promote higher levels of engagement. In this sense, it is necessary to develop new strategies, as well as to expand the application of existing strategies. Furthermore, the effectiveness of the strategies in the long term and their impact on achieving higher levels of engagement need to be further explored
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    Produção de vídeos de educação em saúde para surdos : uma revisão de escopo
    (Universidade Federal do Espírito Santo, 2024-08-01) Salomão, Sthefany Brito; Bassan, Larissa Helyne ; https://orcid.org/0000-0002-6460-7878; http://lattes.cnpq.br/8455348679035377; Araújo, Dyego Carlos Souza Anacleto de ; https://orcid.org/0000-0001-6631-465X; http://lattes.cnpq.br/5120426619544250; https://orcid.org/0009-0008-8743-8780; http://lattes.cnpq.br/5011148219460466; Nunes, Deuzilane Muniz ; https://orcid.org/0000-0002-3037-2660; http://lattes.cnpq.br/9351254036991427; Galindo Neto, Nelson Miguel ; https://orcid.org/0000-0002-7003-165X; http://lattes.cnpq.br/0593074026473891
    Introduction: deaf people face barriers to communication and access to health information. Sign Language videos are effective tools for transmitting this information. However, there is no synthesis in the literature about the production process of these videos. Objective: to summarize the steps in the process of producing health education videos for the deaf. Methods: this is a scoping review, carried out in accordance with the recommendations of the JBI Manual for Evidence Synthesis for Scoping Reviews. The searches were carried out in December 2023, in PubMed/Medline, Embase, Scopus, Lilacs, Scielo and Google Scholar, using descriptors related to “deafness” and “health education”. Two researchers independently selected studies, by analyzing titles and abstracts and then full texts. Original studies were included, whose main objective was to develop and/or evaluate health education videos for the deaf, as long as the stages of the production process were described. The following articles were extracted: authors, year of publication, country, theme and steps and guidelines for producing educational video material for the deaf. Results: 1809 publications were identified in the initial search, of which 16 were included in this scoping review. The articles were published between 2009 and 2023, with the United States (n=7; 43.8%) and Brazil (n=5; 31.2%) being the countries with the highest number. The educational videos were especially about breast cancer (n=3; 18.8%); Sexual and reproductive education (n=3; 18.8%) and oral hygiene (n=2; 12.5). The synthesis of the steps and guidelines identified in the studies were summarized and structured as follows: i) pre-production, which consists of planning the video; ii) production, which includes the construction and recording of videos; iii) post-production, which includes editing and organizing recorded scenes, as well as validating the material produced. Conclusion: this scoping review summarized the stages of the process of producing health education videos for the deaf available in the literature, and can be used as a starting point by health educators
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    Avaliação do impacto do acompanhamento farmacoterapêutico a pessoas com hipertensão arterial em um município sul-capixaba : ensaio clínico pragmático
    (Universidade Federal do Espírito Santo, 2024-03-15) Alencar, Taiana de; Co-orientador1; https://orcid.org/; http://lattes.cnpq.br/; Co-orientador2; https://orcid.org/; http://lattes.cnpq.br/; Santos Júnior, Genival Araujo dos ; https://orcid.org/; http://lattes.cnpq.br/; Orientador2; https://orcid.org/; http://lattes.cnpq.br/; https://orcid.org/; http://lattes.cnpq.br/; Oliveira Filho, Alfredo Dias de; dc.contributor.referee1ID; http://lattes.cnpq.br/; Severi, Juliana Aparecida; https://orcid.org/; http://lattes.cnpq.br/; Silva, Rafaella de Oliveira Santos; https://orcid.org/; http://lattes.cnpq.br/; 4º membro da banca; https://orcid.org/; http://lattes.cnpq.br/; 5º membro da banca; https://orcid.org/; http://lattes.cnpq.br/; 6º membro da banca; https://orcid.org/; http://lattes.cnpq.br/; 7º membro da banca; https://orcid.org/; http://lattes.cnpq.br/
    Introduction: Arterial hypertension (AH) is a chronic health condition that may require changes in lifestyle and the use of medication. However, this use is not without risks. In this context, the Pharmacotherapeutic Follow-up Service (FHS) has emerged as a strategy capable of improving the health outcomes of people with AH. However, there are few high-research studies on this subject. Objective: To assess the impact of FAS on the health outcomes of patients with AH in the health care network in the municipality of Alegre/ES. Method: This is an experimental single-blind randomized controlled clinical trial. People with hypertension who met the eligibility criteria (over 18 years of age, with self-reported hypertension, taking medication for hypertension for at least 6 months) were randomized in a 1:1 ratio to the intervention and control groups. They received FAS and usual care, respectively, for a period of 12 months. The study was conducted in the Health Care Network of the municipality of Alegre, Espírito Santo, Brazil, from January 2022 to November 2023. In both groups, primary outcomes (blood pressure and quality of life) and secondary outcomes (knowledge about hypertension, anthropometric profile and clinical examinations) were assessed at three points in time, six months apart. Ethical considerations were observed (CAAE registration number 13586319.6.0000.8151 | Opinion no. 4.732.878). Results: 128 patients were allocated to the intervention group (64) and the control group (64). Statistically significant differences were observed in the intra-group analysis in the intervention group, including SBP (∆ = -9.47 mmHg, p = 0.014), Total Cholesterol (∆ = -18.93 mg/dL, p = 0.001), LDL (∆ = -15.70 mg/dL, p < 0.001), non-HDL cholesterol (∆ = -19.76 mg/dL, p < 0.001) and cardiovascular risk (∆ = -1.82 points, p < 0.001). There was an increase in the score for knowledge about hypertension (∆ = 1.39 points, p < 0.001), an improvement in quality of life in the mental state subdimension (∆ = -2.76 points, p = 0.020) and somatic manifestations (∆ = -1.5 points, p = 0.012). In the control group, it was possible to observe an increase in the score for knowledge about hypertension (∆ = 1.52 points, p = 0.001) and an improvement in the VAS of the EQ5D (∆ = 10.33 points, p = 0.067). In addition, almost all the patients were satisfied or very satisfied with the service provided by the pharmacists. Conclusion: The results show a promising positive impact of FAS on clinical and humanistic parameters, as well as a reduction in cardiovascular risk for negative events over the next ten years. This study was registered with The Brazilian Clinical Trials Registry (ReBEC) under registration number: RBR-4c53f3m.