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Introduction: Healthy aging is considered a process of adaptation to the changes that occur throughout life, which allows the elderly to maintain their physical, mental and social well-being, being strongly related to the maintenance of a good old age. Based on healthy aging, integrative and complementary practices seek to stimulate natural mechanisms of disease prevention and health promotion, with emphasis on welcoming listening, developing the therapeutic link and integrating the human being with the environment and society. Objectives: To analyze cognitive complaints in the elderly attended at the Center for Integrative and Complementary Practices of João Pessoa municipality and their respective rehabilitation methods. Methodology: This is a field research, with a quantitative approach. Data collection was carried out at the Center for Integrative and Complementary Practices Equilibrium of Being. The sample was composed of 14 therapists, who answered a questionnaire containing 7 questions related to the topic. The research was developed after approval of the Ethics Committee in Research of the University Center of João Pessoa (UNIPÊ), approval nº 1.876.467. Results and Discussion: With regard to the prevalence of cognitive complaints found in the elderly already attended by the therapists, the following symptoms were highlighted: Difficulty of concentration 100% (n=14), Alteration of memory 72% (n=10) and Difficulty when speaking 43% (n=6). For the treatment of the 3 mentioned complaints, the practices of Floral Therapy 78%, Acupuncture 57%, Yoga 43% and Tai Chi Chuan 22% were applied. With an increase in the elderly population and the search for a healthy life, we can observe that the alternative methods are presented as a very promising practice and that is gaining strength among the adepts of complementary therapies. Conclusion: Working in a comprehensive way, the practices seek the balance of health, contributing to the patient’s well-being in a natural way.

Introduction: Aging is a physiological process that brings changes in several aspects, which reflects both physical changes and changes in the cognitive aspects related to attention, concentration and memory, being common the presence of deviations in communication skills due to the implications of senescence. The growth of the elderly population has been occurring in a significant way in several countries, a fact that should foment the development of strategies to promote greater autonomy, independence and social participation, providing the guarantee of an active and healthy aging. Objectives: To maximize the performance of mnemonic functions in the elderly with a focus on the speech-language approach aimed at promoting an adequate linguistic performance, aiming in a holistic way to favor a better quality of life for the elderly. Methods: This study describes activities developed in memory workshops for groups of elderly people belonging to the communities that receive the support of trainees in the public health service of the municipality of João Pessoa-PB. The methodology started from activities that included capacities of concentration, attention, memory and reasoning. The dynamics were: surprise box to stimulate the narration associated with the object name; colors in circles for logical sequence; game play music; sequence of motor and sensorial memory. Results: All the elderly actively participated in the proposals, showing interest during the dynamics and good interaction with the group, highlighting their individual differences that come from factors such as health condition, life history and socioeconomic and cultural structures. Conclusion: It is noteworthy the importance of strategies aimed at such population, as they favor a better performance in the daily, in the individual and social activities, allowing the active and healthy result of the physiological process of aging. It is worth highlighting the relevance of the speech-language pathology in this phase, since it provides the conformity…

Introduction: Huntington’s disease (DH) is characterized by being triggered by genetic alterations in chromosome 4, being hereditary and autosomal dominant, having as characteristic involuntary movements, intellectual deterioration, change in behavior, difficulty in feeding due to dysphagia, and psychiatric disorders, these are caused by the progressive death of neurological cells. This disease presents difficulties in the nutrition process, causing weight loss and worsening of health, with the development of pneumonia due to bronchoaspiration, resulting from diversions of liquids and other foods to the lungs and frequent suffocations. The role of the dietitian is to help the sufferer achieve the recommended daily intake of vitamins and minerals by providing the necessary dietary planning for DH patients with a view to the rehabilitation of body weight through the adequate intake of all nutrients, which may improve the spasms, the state of attention and interest of the patient, using auxiliary way nutritional supplements. Objective: To demonstrate the importance of the nutritionist and its functions in the multidisciplinary team responsible for monitoring, rehabilitation and quality of life control of patients with Huntington’s disease. Methodology: Qualitative research, through a bibliographic review subsidized in databases such as: Scielo, ABH (Associação Huntington Brasil), scientific journals, case studies and Bireme. Results and Discussion: The study evidenced the need to integrate the nutritionist professional to the multidisciplinary team in Huntington’s disease, seeking to improve the nutritional status of the patient, improving and increasing their energy intake, offering a hyperproteic and hypercaloric diet, using nutritional supplementation, food thickeners will facilitate swallowing and prevent bronchoaspirations. Conclusion: This research had its foundations based on the importance of the integration of the nutritionist in the multidisciplinary team for an assisted nutrient supply, and that the data presented here are of great relevance to the scientific community and subsidize future academic work.

A 54 year old female presented with a short history of dyspnoea on exertion and pain right hypochondrium, radiating to back. X-Ray chest showed a well-defined opaque mass in the posterior mediastinum. A computed Tomography (C T) scan chest done revealed a thick walled cystic lesion in the posterior mediastinum compressing the right lower lobe bronchus along with minimal pleural effusion on same side. Ultrasound guided aspiration was done and clear watery fluid aspirated. Standard postero-lateral thoracotomy was under taken and the whole cystic mass was excised. Postoperative period was uneventful. Histopathological examination of the cyst wall revealed it to be a cystic schwannoma.

Introduction: Descriptive study with a quantitative approach carried out between October 2015 and October 2016. Sampling was about 100 people with diabetes. Objective: To characterize the sociodemographic, clinical, therapeutic and quality of life of users of the Unified Health System with Diabetes mellitus in a Basic Health Unit (BHU) of the Rural Zone of the city of Vitória de Santo Antão. Methods: Two questionnaires, sociodemographic, clinical and therapeutic, and DQUOL-BRASIL, both validated, were used. Results and discussion: Higher prevalence of female people (75%). Of the investigators (51%) were not able to report their type of diabetes, the medication was obtained in the BHU (44%) as well as the follow-up (78%). (44%) did not receive the blood glucose strips, and (92%) did not participate in educational programs. Regarding the quality of life or impact domain, the highest mean was obtained (32.05) and the lowest for the sale of diabetes problems (6.66). Conclusion: It is concluded that the results obtained contribute to increase the knowledge about the factors studied, since knowing a population makes possible the development of effective health actions, considering the local specificities.

Introduction: Type 2 diabetes mellitus is a chronic progressive disease that can be controlled by any oral hypoglycemic, with biguanides, thiazolidinediones and sulfonylureas being the main classes of these drugs in the pharmaceutical market. Epidemiological analyzes suggest that diabetics are at higher risk of developing tumors than normoglycemics. A large number of studies have shown the link between oral antidiabetic drugs and developmental rates and mortality in cancer cases. Objective: To present clinical and preclinical results on the relationship between oral hypoglycemic agents and cancer. Methodology: A bibliographical survey was carried out of the main academic journals, with prevalence of articles from the last five years. Results and Discussion: Metformin is a biguanide that phosphorylates hepatic cyclic AMP, a mechanism also proposed as antineoplastic. Epidemiological studies associate the use of metformin with the lower incidence of hepatocellular and pancreatic cancers in diabetic patients. Other studies have shown a 21% lower mortality rate in women with breast cancer and 24% lower in men with prostate cancer who took metformin. Thiazolidinediones are receptor agonists, predominantly present in adipocytes, capable of increasing glucose uptake and improving insulin sensitivity. Randomized trials have shown that pioglitazone was associated with a significant reduction in breast cancer, however, there are concerns regarding its use related to the increase in the incidence of bladder cancer. Sulphonylureas, on the other hand, increase insulin secretion by pancreatic β cells. In an observational study, glibenclamide was associated with an increased risk of 20% to 25% in the overall incidence of cancer. Conclusion: The use of oral hypoglycemic agents may decrease the incidence and mortality of certain types of cancer. However, more studies are needed to elucidate its possible effects on the neoplastic process.

Introduction: The Diabetic foot is a neuropathy responsible for several alterations and complications, particularly in the lower limbs. The way diabetics behave and how well they know about diabetic foot care is of ultmost importance, considering prior knowledge precedes an effective preventive plan. Objective: This study aims to investigate the knowledge of diabetic pacients, who are users of the Basic Health Unit in the city of Olinda, on the diabetic foot. Methodology: This is an exploratory descriptive study of quantitative methods, with a sample of 50 diabetic patients from BHU users. After signing a Free and Informed Consent Form, a questionnaire was applied and the collected data was consolidated and presented in tables and graphs charts. Results and Discussion: In total, 42% of diabetics users of the BHU reported that they had not heard about diabetic foot, while 93% reported that they knew about the risks of foot amputation; about 88% affirmed to take care of their feet and the main precautions mentioned were: washing their feet (54 %), avoiding to walk barefoot (39 %) wipe the feet properly (32%), 81% didn´t know about risk factors and approximately 69 % reported that they received no professional guidance in the basic health unit regarding foot care. Conclusion: In light of the above, it is noticeable the importance of a greater knowledge of diabetics users on the neuropathic foot and the need for specific care. Therefore, the understanding is essential for prevention of complications, such as amputation of lower limbs, and for decreased morbimortality.

Introduction: The number of Brazilians diagnosed with diabetes increased by 61.8% in the last 10 years, from 5.5% to 8.9% in 2016. The patient with diabetes has physical possibilities that reduce their immunological capacity, increasing the susceptibility of infections and, among these, countless mouthfuls. Objectives: Identify oral asbestos caused by diabetes and what the mechanisms of the body to occur and / or bypass them. Methodology: A bibliographic review was done in the virtual libraries SCIELO and PubMed, use the articles: Diabetes and Oral diseases. We used criteria for inclusion of published articles from 2013 to 2017, in the Portuguese and English languages, which relate to diabetes, dental and oral ebert. Results: The research resulted in 5,821 articles, of which 22 were separated by presenting a relation with the theme, but only four attendants to the inclusion criteria. Discussion: Diabetes is associated with loss of calcium by the body and may lead to alveolar bone decalcification. As major oral manifestations are known as glossodynia, erythema, xerostomia and taste disorders. Diabetes increases the acidity of the buccal medium, increases viscosity and reduces the flow of salivary, which are risk factors for caries. Periodontal disease, which results in a potent inflammatory response, is a common dental manifestation in poorly controlled diabetics. There are modifications of the microbiota in floating or adherent bacterial plaques at the base of the periodontal pocket, due to the high levels of glucose in the sulcular fluid. As infections lead to inflammation resulting in a stressful situation, which increases tissue resistance to insulin, making it difficult to control diabetes. It was then observed that periodontal therapy reduced the need for insulin administration by the diabetic. Conclusion: It is extremely necessary to know about a pathophysiology of diabetes to relate causes and effects and to adopt a more careful…

Introduction: Microcephaly is a condition in which the baby’s head is smaller than normal. It is a clinical sign that may or may not be related to other morphological changes. Studies show that children with microcephaly are more susceptible to changes in the oral region. Objective: To verify the problems caused in the oral health of children affected by microcephaly and to relate the embryonic development and bone formation with neurological problems caused by microcephaly. Methodology: We conducted a research on databases such as Scielo and Lilacs, and sites such as PAHO/WHO and the Ministry of Health, using the descriptors: Microcephaly, Craniofacial Malformations, Oral Health. Results and Discussion: The research resulted in 4,000 articles, of which 40 were separated because they were related to the topic, but only 20 met the inclusion criteria. Neonates with head circumference two standard deviations below the mean should be considered as having microcephaly. For this diagnosis, the measurement should be done at least 24 hours after birth and within the first week of life. Recently, Brazil has started an outbreak of microcephaly related to Zika virus and studies confirm viral neurotropism with possible persistence in brain tissue and placental impairment. Some changes may be related to the multifactorial etiology of microcephaly, which involves genetic and environmental factors. Thus, microcephaly may interfere with organs of the stomatognathic system, influence craniofacial growth, and alter its dynamics. About 1638 children with microcephaly in Brazil have oral alterations including periodontal diseases, dental caries, malocclusion, micrognathia and delayed eruption. Conclusion: It is of great importance to expand the study that relates the health and development of the stomatognathic system in children with microcephaly related to Zika virus so that, if there is a strict relation between the two, the population obtains positive results in the resolutions of their problems.

Introduction: Cancer of the cervix when diagnosed and treated early is a cause of preventable death. Because it is a neoplasm caused by human papillomavirus (HPV), the Pap test is a safe and efficient strategy for early detection in the female population. According to the Brazilian Guidelines for Cervical Cancer Screening (2016), the first two tests should be performed at annual intervals and, if both results are negative, the next ones should be performed every 3 years. Beginning at age 25 for women who have had or have had sexual activity and periodic examinations should be continued until age 64 in women without prior history of pre-invasive neoplastic disease and discontinued when women have at least two exams consecutive negatives in the last 5 years. In 2013, the Cancer Information System (Siscan) was established within SUS, integrating the Cervical Cancer Information System (Siscolo) and the Breast Cancer Information System (Sismama). In Pernambuco, 970 new cases are expected and, in Recife, 150 new cases, representing the second most frequent cancer in women in the State and in the capital. Objective: To track the number of cervical cancer screening exams conducted in the city of Recife-PE, Brazil. Methodology: The source used was the Cervical Cancer Information System (SISCOLO), in the period from 2009 to 2014, in women aged 12-64 years, residents of this city and SUS users. Results and Discussion: When comparing the number of exams performed each year, a significant quantitative decrease was observed: from 9019 exams in 2009 to 1171 in 2014, a decrease of almost 87% in the number of exams. In addition to the low incidence of cervical cancer in young women, there is evidence that screening in women younger than 25 years is less effective than in more mature women. Conclusions: Although SISCOLO is an important tool…