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Introduction: From May 2016 to May 2018, was developed in the city of Arapiraca/Alagoas, the Education Program at Work for Health GraduaSUS, through the interinstitutional partnership between the Federal University of Alagoas Arapiraca campus and the Municipal Health Secretariat of Arapiraca/Alagoas. The extension project encourages active interaction between their involved (preceptors, students, users and tutors) in such a way that community links were built beyond the physical space of the classroom, and the Basic Health Unit, broadening the learning scenarios and health care, based in interpersonal relationships, where mutual learning was valued. Exercising this reasoning, was organized a Fair of Professions in high school one of the territories of operation of the project. Because the typical curiosity that permeates the adolescent phase, we discussed about health care in dynamic context, conducting the assimilation of this knowledge with guidance on the professional choice. Objectives: Promoting health education; create opportunities to teens, decision-making processes more aware about possible professional choice. Methods: This is a case studies, where the courses members (Nursing, Physical Education, Biological Sciences and Social Service) organized exhibition tents at the gym of the school, in order to exchange experiences, bringing the daily experience of students applications practices of University know ledge, in addition to the possibilities of professional performance of different of different areas. The Nursing group with use of posters built the history of nursing, until the clarification regarding the care carried out in each phase of life (childhood, adolescence, adulthood and old age), and the practical demonstrations: measurement of vital signs, first aid, and cardiopulmonary resuscitation. Results: Teenagers expressed more doubts than expected, probably because they are in the school environment. The use of active learning methodology and use of accessible language to by the group at the time of the exchange of experience, made it possible…

Introduction: the consumption of illicit drugs is a public health problem. Objective: the aim of this study is to identify the profile of street drug users in the city of Arapiraca. Methodology: users were recruited in welcoming communities and at the Special Reference Center for Population in Street Situation (POP Center). A sociodemographic questionnaire was used to provide access to the users profile. All the participants signed the Informed Consent Term (TCLE). Statistical analysis was performed using the Stastistics Package for Social Science (SSPS) version 21. Results: a total of 12 users participated in the study, the age group most affected was between 36 and 45 years. The majority of users were male. Regarding ethnicity, marital status and schooling, 50% declared themselves mixed race, 83.3% were single and 50% had incomplete elementary education. Conclusions: some studies have shown that street users are predominantly male and that this predominance may be related to cultural issues. Further studies with this theme are necessary to better assess the profile of users of psychoactive substances nationwide.

Introduction: Currently drug use is as a major problem of global public health, given the diversity of aspects involved in drug abuse, psychoactive substances exert impacts on users, families and community, contributing to damage to the physical and mental health, as well as the socio-economic vulnerability and legal problems. Objective: Analyze the degree of cocaine / crack users behavior in Cozy Communities and the Reference Center for Population Homeless (POP Center) located in Arapiraca city in Alagoas. Methodology: This is a research with a quantitative approach, performed in Cozy Communities and POP Center, which are distributed in the city of Arapiraca. The instrument used for the production of data was made by means of structured interviews conducted in the period May to July 2018, in its physical space of the institutions, listing the sociodemographic profile and Impulsiveness Scale – BIS 11. For impulsive behavior grade analysis was used to impulsiveness scale – 11 BIS, based on “Ernst Barratt model, which is considered as one of the most important in impulsive behavior explanation”. Results: The results obtained, the overall score obtained an average of 2.38 were found for each partial average score of the three subdomains impulsiveness, the resulting average motor impulsivity: 2.24 to attentional impulsivity: 2.51 and impulsivity not planning: 2.34. Conclusion: This study shows the importance of impulsivity associated with the pattern of use of psychoactive substances.

Amebiasis affects around 500 million people in the world. Clinical manifestations of intestinal amebiasis can overlap with symptoms of the inflammatory bowel disease (IBD). Many studies evaluated the relationship of IBD patients during exacerbation periods and amoebic colitis as it is important to rule out the infection before starting steroids and/or immunosuppressive treatment. This mini-review focused on the best strategy to diagnose the infection in this specific population, using classical stool analysis for ova and parasites, serology, investigations by PCR and colonoscopy according to the degree of clinical suspicion. It also suggested an algorithm for management approach where patients were divided into asymptomatic carriers vs. symptomatic patients under 5 ASA or immunosuppressive therapy having either a vegetative or cystic form of the infection. All these patients were treated accordingly by intraluminal agents, and nitroimidazole was added in the vegetative form. 5-ASA was not a contraindication for treatment, while immunosuppression is forbidden until after eradiation of EH. Amoebic infection should always be ruled out before starting treatment with steroid or immunosuppressive medications, in order to minimize its deleterious outcomes on IBD patients.

Based on the global value chain perspective, this study carried out a comprehensive analysis of foreign trade industry in Jiangsu province from four dimensions, including contribution rate of foreign trade industry to GDP, value chain division, value chain dependency and value chain links. Research showed that the four types of industry upgrades (processes, products, functions, chains) could be realized by integrating “Internet +” from the perspective of value chain. Therefore, we planned three proposals to promote the upgrading of Jiangsu foreign trade industry: Integrate and promote the value chain, merge the internet technology; extend the value chain, build Internet platform; reconstruct the value chain and optimize the trade process.

Back ground: The aim is to study effect of sofosbuvir and daklatasivir on respiratory system. Patient and methods : A randomized study was done after all patients gave an informed consent before the start. The study population consists of 21 patients receiving treatment of HCV coming to the outpatient clinic of beni suef university hospital. Results : There is no major adverse effect of sofosbuvir and daklatasivir on respiratory system as proved by assessment of pulmonary function and Computed tomography before and after treatment.

Reform in the public sector organizations starts with reforming the accounting information system. The idea of reform boosted the attempts of certain countries to take steps toward developing the accounting systems in their managements in order to improve their efficiency and to cope with the fast political and economic changes in addition to satisfying the public opinion about getting better services. International organizations, including the International Monetary Fund (IMF) have realized the importance of improving the efficiency of the public sector to improve development rates in developing countries and to get international grants and loans. Thus, a unified way to communicate among countries was needed. This study investigates the impact and impediments of implementing International Public Sector Accounting Standards (IPSAS) in Lebanon. The researchers adopted the analytical descriptive approach utilizing an empirical study. A questionnaire was constructed and distributed among a sample of Lebanese certified public accountants. The research yielded some important findings mainly that adopting and implementing IPSAS lead to the advancement in the qualitative characteristics of financial statements in public organizations in Lebanon. It also concluded that there are some obstacles in adopting and implementing IPSAS in public organizations in Lebanon.

Back ground: There is possible etiological relation between high IgG4 in a patient with liver cirrhosis, ulcerative colitis, diabetes mellitus , prostatitis ,venous thrombosis and thyroid cancers and the use of immunosuppressive & biologic agents. Method: a study of patient with multiple organ involvement with persistently elevated IgG4. A 56 years old male with persistently elevated IgG4 over 2.5 times normal level, diabetic on insulin, ulcerative colitis on azathioprin & adalimumab developed deep skin pigmentation and liver enzymes elevation with portal hypertension and liver cirrhosis, azathioprine & adalimumab were stopped and golimumab started, after 3 infusions of golimumab papillary thyroid cancer developed .Total thyroidectomy followed by radio iodine after which severe sialo adenitis developed which responded to steroids. His ulcerative colitis was treated with vedolizumab with good response. liver cirrhosis progressed with bleeding varices and portal vein thrombosis with factor Leiden V mutation. Results and conclusions: High IgG4 can be related to many organs including pancreas,liver,thyroid ,small and large bowel,parotid glands ,in this patients all these were affected resulting in colitis,diabetes,liver cirrhosis and thyroid cancer and sialo adenitis. Awareness is needed on the associations with high IgG4. Conclusion: A patient with elevated IgG4 , liver cirrhosis , diabetes mellitus, ulcerative colitis developed skin pigmentation, and papillary thyroid cancer associated with persistently elevated IgG4.

Introduction: The Burnout Syndrome is a persistent and negative state, related to work, characterized from three dimensions: emotional exhaustion, depersonalization and personal accomplishment. Objectives: To determine the frequency of Burnout Syndrome in health professionals and to characterize the sociodemographic profile of the population. Methodology: a descriptive study was carried out of the sectional in the period from August 2016 to October 2017. They were used as instruments: scale of the Maslach Burnout Inventory and sociodemographic questionnaire. The data collection was initiated only after approval by the Committee for Ethics in Research with Human Beings. Results: The sample was composed of 87 health professionals. Of these, 63 (72.41%) were female, with a mean age equal to 34.7 years of life. As regards the degree of instruction, 51 (58.66%) of the interviewees claimed to have completed post graduate school, 39 (44.83%) professionals stated they are singles and 54 (62.07%) had up to five years in the profession. Emotional Exhaustion (7.83) and Depersonalization (21.67) were in average levels and professional achievement (33.6), low level. From that, the Burnout Syndrome can be classified. Final Considerations: Highlights the importance of conducting further studies in order that from recent evidence, programs of prevention and treatment may be imposed.

This article covers the epidemiology, pathophysiology/complications and management of diabetic gastroparesis (DGP), and more broadly diabetic gastroenteropathy, which encompasses all the gastrointestinal manifestations of diabetes mellitus (DM). Hyperglycemia, autonomic neuropathy, and enteric neuromuscular inflammation and injury are implicated in the pathogenesis of delayed gastric emptying (GE). Initial options include dietary modifications, supplemental oral nutrition, and antiemetic and prokinetic medications. Patients with more severe symptoms may require a venting gastrostomy or jejunostomy and/or gastric electrical stimulation (GES). To date, few population-based studies have estimated the true prevalence and incidence of gastroparesis. Nonetheless, its prevalence appears to be rising, as does its incidence among minority populations, documented via hospitalizations, which can impose significant economic burdens on patients.