http://www.bdtd.uerj.br/handle/1/3574 2026-03-14T22:25:54Z http://www.bdtd.uerj.br/handle/1/25457 Título: Desenvolvimento de um Sistema de Registro Eletrônico de Saúde para teleconsulta no SUS Autor: Direito, Roberta Barbosa Chaves Primeiro orientador: Grisolia, Alexandra Maria Monteiro Abstract: Introduction: the COVID-19 pandemic, which began in 2020, forced the reinvention of the healthcare area, highlighting teleconsultation as an essential practice for remote guidance and care. This modality, previously not authorized by health professions councils, gained significant acceptance and culminated in the publication of Law No. 14,510/2022, allowing the practice of telehealth in Brazil. The promotion of telehealth, provided for in the Action Plan for the Digital Health Strategy 2020-2028, aims to integrate digital services into the SUS, improving care and efficiency. The spread of mobile devices and data plans makes teleconsultations possible. Studies indicate that telehealth can increase access and efficiency, reducing costs and waiting lists, as long as it is accompanied by equitable public policies. Objective: to develop an Electronic Health Record System for Teleconsultation in the SUS in accordance with current requirements. Method: applied research with an exploratory phase for the construction of evolutionary prototypes for system development based on the MVP (Minimum Viable Product) concept. Results: development of a prototype of an application for patients and a prototype of a web system for healthcare professionals. Conclusion: the results of this study highlight the technical and operational feasibility of an Electronic Health Record System for Teleconsultation in the SUS, indicating its potential to expand telehealth and digital services in the Brazilian health system. It points out that there is a limited amount of studies and tools in the scientific literature, especially with regard to solutions for the public health system. This lack of resources highlights the urgent need to develop and evaluate teleconsultation systems that are adequate to the particularities and requirements of the Unified Health System. Instituição: Universidade do Estado do Rio de Janeiro Tipo do documento: Dissertação 2024-07-15T00:00:00Z http://www.bdtd.uerj.br/handle/1/25398 Título: Agente conversacional baseado em Inteligência Artificial (IA) para orientação farmacêutica de pacientes portadoras de neoplasias malignas de mama Autor: Mendonça, Michelly Costa de Primeiro orientador: Souza , Rômulo Cristóvão de Abstract: Malignant neoplasm is a prevalent and highly lethal disease associated with population aging, smoking, exposure to carcinogenic agents, unhealthy lifestyles, and genetic predisposition. Advances in early detection and treatment have improved survival rates. Breast cancer is the most common type among females, with campaigns such as Pink October being used to raise awareness and promote screening. Oral treatments targeting hormone receptor-positive breast cancer have proven effective, but medication adherence is essential for treatment success. In this context, telepharmacy is a valuable tool for improving adherence and therapeutic outcomes. This project aims to develop an application for patients with hormone-dependent breast cancer undergoing oral treatment. The goal is to provide health education through simple and clear information about the treatment, as well as to support adherence to the prescribed therapy. Instituição: Universidade do Estado do Rio de Janeiro Tipo do documento: Dissertação 2025-03-27T00:00:00Z http://www.bdtd.uerj.br/handle/1/25362 Título: Manual digital e agente conversacional baseado em Inteligência Artificial para apoiar equipes de enfermagem no teleatendimento a pacientes renais crônicos Autor: Oliveira, Clícia Rhayanny de Souza Figueiredo Primeiro orientador: Souza, Rômulo Cristovão de Abstract: Chronic Kidney Disease (CKD) is a major public health issue that requires continuous monitoring and specialized support. In this context, digital technologies emerge as strategic tools to optimize care, particularly in telehealth settings. This study aimed to develop a digital manual and an Artificial Intelligence (AI)-based conversational agent to support nursing teams during remote care of patients with CKD. The research was conducted within the telehealth center of a nationwide private health insurance provider, involving 10 nurses with at least one year of telecare experience. The development process comprised a literature review, content selection and organization, creation of the educational manual using Canva, and its availability in a Virtual Learning Environment (VLE). In parallel, the conversational agent was built in five stages, employing the Retrieval Augmented Generation (RAG) technique. Validation was carried out using a structured questionnaire via Google Forms, assessing user satisfaction, clarity of responses, practical applicability, and motivational aspects. Findings indicated that the tools developed facilitated access to evidence-based information and supported nursing decision-making in telecare. However, the study highlighted the need for a formal validation process of the digital manual with experts, as well as further studies to deepen the evaluation of the conversational agent’s impact on care quality. In conclusion, the digital manual and conversational agent represent a significant advancement in nursing assistance for CKD patients, strengthening professional practice and contributing to the modernization of healthcare services. Continued research in this field may consolidate the use of innovative technologies as strategic tools for nursing support and for enhancing the quality of patient care. Instituição: Universidade do Estado do Rio de Janeiro Tipo do documento: Dissertação 2025-03-21T00:00:00Z http://www.bdtd.uerj.br/handle/1/25067 Título: Conscientização ergonômica e saúde do trabalhador: avaliação dos aplicativos de ergonomia e elaboração de protótipo de aplicativo ergonômico informativo Autor: Bitencourte, Adakrishna Sampaio Saraiva Primeiro orientador: Rendeiro, Márcia Maria Pereira Abstract: The accession of work ergonomic practices acts in the prevention of work-related musculoskeletal diseases (MSDs), which are among the most frequent occupational diseases in Social Security statistics. Ergonomics awareness is a way of health education at work that promotes health, prevente injuries, increases workers autonomy in their care and encourages managers to fit work situation with ergonomic risk. Objectives: assess whether ergonomic mobile apps have content suitable for use in ergonomic awareness and design a prototype ergonomic awareness app. Methods: In the exploratory phase, informative or instructive apps selected from the apps listed in the search with the keywords ergonomics and ergonomics app in Portuguese, English and Spanish, on the Operating Systems (OS) Android and iOS. It was included in this study apps in these three languages, free or paid, with ergonomics for workers information or instruction. In the assessment phase, selected apps content were compared to the items of Regulatory Standard 17 (NR 17), considered the minimum parameters for ergonomic adequacy by Labor Secretary. In the prototyping phase, an app was created based on the working conditions approached in NR 17. Results: 42 ergonomics apps were found, the majority of which were designed to carry out ergonomic evaluations. Five of these apps were selected for the comparative assessment to NR 17, as they are informative. Two apps - ILO - Verification of Ergonomic Points and ErgoOffice, have the content of general work situations and only the first is in Portuguese. The analyzes between the content of these five apps and the items approached in NR 17, ILO apps – Verification of Ergonomic Points and Agriculture Checkpoints, show greater similarity to NR 17 with 54% and 42% of related themes, respectively. Sergomater, ErgoOffice and Automotive Design apps follow, with 38%, 19% and 12% of similarity. These analyzes indicate that the ILO - Verification of Ergonomic Points app is the one that showed greater similarity with the aspects approached in NR 17, however 46% of the recommendations of NR 17 items were not addressed, in addition to the fact that this app contains other information besides the Ergonomics. Conclusions: ILO Ergonomic Points Verification app was the most appropriate informational app for ergonomic awareness in production activities, as it is in Portuguese, addressing general conditions of productive activities and presenting more similarities with the aspects covered by NR 17. The results show that there is a lack of informational or instructional apps in Ergonomics, especially when related to the NR 17 parameters. For this reason, this study developed an instructive app prototype based on NR 17. The app aims to provide information and instructions for the ergonomic awareness of workers and companies, especially those that have difficulty to access this information. Instituição: Universidade do Estado do Rio de Janeiro Tipo do documento: Dissertação 2020-08-31T00:00:00Z