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Introduction: According to the National Cancer Institute (INCA) 2017, Brazil shows high prevalence rates in malignant neoplasms with primary localization in the oral cavity, since oral cancer affects the lips and oral cavity. It is a multifactorial disease, derived from genetic, environmental or infectious factors (viruses) isolated or in association, causing cytogenetic changes that proceed through a somatic mutation sequence, resulting in uncontrolled cell proliferation. Objective: To study the detection of human papillomavirus (HPV) in the oral mucosa, making it possible to trace possible risk factors associated with its development. Methods: This is a descriptive cross-sectional study of the bibliographic review on the subject, monographs, dissertations, theses and books, comparatively analyzing the information from these research sources, making a discussion about the results of this survey. Results and Discussion: There are more than 100 types of papillomavirus identified, 24 of these related to the oral cavity. Transmission of papillomavirus to oral mucosa occurs by self-inoculation and through the practice of oral sex. Papillomavirus infection begins when the virus contacts the basal epithelial cells by a slow process of endocytosis, from the binding to a specific receptor on the surface of basal cells. Viral tropism is caused in part by the binding of specific viral surface proteins to certain host cell surface receptor proteins. Studies to detect the presence of papillomavirus in the oral mucosa reveal that this virus appears to persistently or frequently infect the mouth, including in children and adolescents. Conclusion: Detection rates vary mainly according to the population studied and the sensitivity of the methods used, with the main types of papillomavirus being found, Papillomavirus 16 and 18.

Introduction: The infection of acquired immunodeficiency syndrome is a global phenomenon which incidence depends on political, economical, social and cultural factors; being an huge challenge of health. The adolescence is characterized by intense changes. The teenager starts to consolidate values and concepts, being influenced by culture, media and the society. The HIV vulnerability covers coletive and individual aspects, favoring the transmission of the virus by several ways. Objective: Describe the teenagers vulnerability to HIV/AIDS. Method: It is an integrative revision, of descriptive type. The data was collected from the scientific works in the databases: LILACS BDENF and MEDLINE. The used descriptors were: Vulnerability, HIV, AIDS, Teenagers. The inclusion criteria used were: papers published in portuguese, english and spanish, with full availability, in the original paper format, and published in the period of 2007-2016. To develop the research was defined the guiding question: Which are the vulnerabilities of teenagers to HIV/AIDS? Results: With the use of the descriptores 151 articles were found, after the use of the filters 21 articles remained, however 15 were excluded due duplicity, due to not attend to the research objective, remaining 6 articles to using in the development of the research. Discussion: The articles showed that the vulnerabilities to HIV of the teenagers are due: insufficient knowledge, ambivalence in the understanding of the disease, precocious starting of the sex life, use of drugs, the HIV symptoms arise belatedly, the precarious use of the condom due to stable relationships, immaturity, using of contraceptive pill, and presuming that is not susceptible to the virus. Final considerations: The higher vulnerability of the teenagers occurs because no condom use and knowledge lack about the means of the transmission of HIV. The health professional should contribute holistically in the preventive steps implementation and promote educative actions along the health services.

Introduction: Palliative care is an approach to improve the quality of life of patients and their families facing a life-threatening illness.1 To achieve this goal, the interdisciplinary team needs to work in the process of mourning, prevention and relief of suffering, impeccable treatment of pain and other symptoms, be they physical, psychosocial and spiritual. It is a complex approach and needs a strengthened health care team that provides holistic care without value judgments, respecting the diverse beliefs and ways of coping with illness. Objective: To describe the experience of a resident nurse within the multidisciplinary team in the care of a patient in palliative care. Methodology: This is an experience report of a resident nurse during the assistance to palliative care in the inpatient unit of a university hospital in northeastern Brazil. The nurse worked with a multiprofessional team, in the first year of residence, consisting of psychologist, physiotherapist, speech therapist, nutritionist, pharmacist, social worker and dentist. Results and Discussion: There were several challenges encountered during the care, noting: The non-existence of a specialized team in palliative care or guidelines of the institution to conduct the case; Insecurity and inexperience of the professionals who make up the team, newly graduated for the most part and in the first year of residence; Inefficient communication between the interdisciplinary team, making it extremely difficult to make decisions regarding the establishment of palliative care and specific procedures for the case; and finally, difficulty empower the family for decision-making. Conclusion: It is necessary, in this way, to promote discussions and / or training on the subject, to make the population aware of palliative care, to establish guidelines and protocols for conducting cases, and especially to improve communication among medical, multidisciplinary and family teams, so that decisions are made in a shared way.

Introduction: The promotion of health in the school context starts from an integral and multidisciplinary view of the human being, who considers people in their family, community, social and environmental context. Thus, health promotion actions aim to develop knowledge, skills and abilities for health self-care and prevention of risk behaviors in all educational opportunities; as well as foster an analysis of the values, conduct, social conditions and lifestyles of the individuals involved. Objective: to report on experiences in the school environment aimed at health promotion and education. Methodology: This is a descriptive study of the type of experience report of activities developed with students from a municipal school located in Jaboatão dos Guararapes in the state of Pernambuco, provided by the Health extension project at the University of Pernambuco-UPE. Throughout the project, a number of activities aimed at promoting health in early childhood education were inserted, with students from the 1st, 2nd and 3rd year of primary education during the 2016 school year. The team responsible for developing the activities was composed of academics from the health courses, linked to the extension project. Results and Discussion: In the school were developed educational activities of the type scenarios, drawings, videos, jokes and lectures with different themes such as: coexistence pact, personal hygiene, food and environment. The results acquired during the project were satisfactory, taking into account the students’ learning after each of the activities, the results were recorded and computed in an evaluation worksheet. The experiences acquired throughout the project were extremely important, thus contributing to our academic and personal training. Conclusion: The experience contributed to the practical visualization of the possibilities of interventions using children’s pedagogical strategies, allowing, in a playful way, to address the importance of health education in the school environment.

Introduction: Neuralgia is a pain that stretches along the path of a nerve. As regions of the head and neck are more affected places and a trigeminal neuralgia is more common among facial neuralgias. Objective: To review the literature on the concept, diagnosis and treatment of trigeminal neuralgia. Methodology: An integrated review was carried out in the MEDLINE, LILACS and SCIELO Virtual Library databases, using the following documents: Neuragia and Trigêmeio. The results of the research were published in all cases, in Portuguese, Portuguese and Portuguese. Results and Discussion: The search resulted in 6,205 articles, these, 30 were separated by amount of subject matter, however, only Nine meeting the inclusion criteria. A trigeminal neuralgia belongs to the group of chronic pain conditions and is classified as primary and secondary. It has a predominance of females, between 50 and 70 years of age and almost always is unilateral. Pain is characterized as paroxysmal, acute, superficial, triggered by the estimation of trigger zones, most of the life born and the skin of the middle region of the face. The patient may present hyposthesia or paraesthesia of a certain area and paralysis of one or more masticatory muscles. The diagnosis is clinical, as well as complementary tests in cases of neuropathic pain. The initial treatment is done by non-invasive methods, with the use of carbamazepine medicines. It can be surgically tested, which is success in 70 and 85% of cases. Conclusion: The articles presented, of facial neuralgias, one that is a bit slower and more common. It has a variable and prolonged clinical course regarding the frequency and intensity of pain. The treatment can be medicated or surgical.

Introduction: Cervical cancer is the second most frequent neoplasm in the female population. Among its range of symptoms, pain is one of the most exceeded. Total pain is a set of physical, psychic, social, and spiritual problems that may be present at any time of illness. More precisely in cervical neoplasia in young patients, this type of pain may be present due to falling ill in the productive phase. Objective: to discuss the presence of total pain in patients with uterine cervix cancer in palliative care. Methodology: This is an integrative review of the literature. The LILACS and SciELO databases were used. The following descriptors were used: Cancer pain; Nursing care and cervical neoplasias. From this, 45 articles were found. Contextualizing the inclusion criteria, which were: available text, language in Portuguese and year of publication from 2011 to 2016, 18 articles emerged. With the reading, it was noticed that 10 of these met the objective of the research. Results and Discussion: It was verified that all articles bring the definition of pain according to the National Association for the Study of Pain, in which it is a sensitive and emotional experience, which may be associated with actual or potential tissue damage. 40% demonstrate that poor pain relief is a reality for many patients. Already 30% report that the tendency to focus only on the physical aspect of pain and to exclude the other components is a great obstacle to the management of pain in palliative care. Conclusion: Total pain in patients in palliative care is influenced by several factors, necessitating a multidimensional approach. It has been realized that it is not possible to control physical pain, nor any other symptom, without the simultaneous control of all other aspects that cause suffering to patients.

Introduction: According to the International Association for the Study of Pain (IASP), pain is an unpleasant sensation or emotional experience associated with actual or potential tissue damage.1 Furthermore, pain involves psychological and social factors, so it is a multidimensional, complex, subjective and perceptive phenomenon. Pain in chronic wounds is a concern for both the patient and the health care team. This is a complex approach and requires a multidisciplinary approach. Objective: To describe the experience of a resident nurse within the multidisciplinary team in the care of patients with chronic wounds. Methodology: This is an experience report of a resident nurse during the care of patients with impaired skin integrity at the university hospital of Aracaju. The nurse worked with a multiprofessional team, consisting of psychologist, physiotherapist, speech therapist, nutritionist, pharmacist, social worker and dentist. Results and Discussion: Several approaches were used in the treatment, to mention: adequacy of technique and coverage in dressings, intensification of decubitus changes and movement in bedridden patients, besides the execution, adequacy and orientation of basic human needs. Interventions with the medical team consisted of a crucial and difficult point for the improvement of the pharmacological management of pain. In addition, daily humanization has become a key element in the best response to the treatment and its consequences. Thinking about the patient as a biopsychosocial and spiritual being, we use specialized psychological support, interventions that encompass social issues, involvement of religious beliefs when recognized as a comfort point in the suffering process, and music therapy during multidisciplinary care. Conclusion: The developed activities promoted better results in pain management and evidenced the importance of the performance of the multiprofessional team as a determinant for this improvement. In addition to exposing the best model of approach and humanization to the patient and family.

Introduction: Population aging is now a global event, determining greater growth of the elderly population in relation to the other age groups. The hearing loss due to aging is known as presbycusis, characterized by bilaterally decreased auditory acuity, generally for high frequency sounds, due to degenerative and physiological changes in the auditory system that have arisen with increasing age. Studies have shown that chronic diseases affecting the elderly may be related to hearing disorders. Among these diseases, the most frequent are diabetes mellitus and hypertension. Objective To describe the hearing loss of elderly patients with diabetes mellitus (DM) and systemic arterial hypertension (SAH) from a bibliographic survey. Methodology: This is a bibliographic review research carried out in the SciELO database. Inclusion criteria were: complete scientific papers published in the Portuguese language, published in the period from 2011 to 2015,that present in the title some of the descriptors: elderly, diabetes mellitus, systemic arterial hypertension. Results and Discussion: We found 27 articles, of which 7 were selected for the review, since the others did not present data relevant to the research, were duplicated and did not fit the other inclusion criteria. According to the research, drastic changes were observed when comparing the elderly living with DM and SAH with those without chronic diseases, also showing an adverse effect on the cochlea, resulting in the loss of hair cells that, through mechanotransition, detect the sounds. Conclusion: It can be observed that the elderly with DM and SAH presented higher hearing loss of high frequency neurosensory when compared to groups without these chronic diseases, suggesting a synergistic effect of the medications to treat the pathologies.

Introduction: The oncology has been developing rapidly and the pharmacist’s main challenge is to be up-to-date with new studies about the subject. Palliative care is involved in the protection and responsibility for the patient’s well-being. This area requires a multidisciplinary team that cares for patients suffering from serious diseases, even if there is a possibility of cure. The purpose of pharmaceutical care is to analyze prescriptions, check drug interactions, dosages and side effects. Objetive: To identify the importance of the pharmacist in the palliative care of cancer patients. Methodology: Review of published researches from 2010 to 2017 in the Google Scholar, Scielo and Bireme databases, using the descriptors pharmaceutical care and Palliative Care. Results and Discussion: The pharmacist can intervene in therapy to reduce symptoms, as often the medications may be responsible for some of these symptoms. It can also check if the therapy can be well tolerated if it is being uncomfortable for the patient to receive a particular drug or suggest to the doctor in charge to replace a drug of unpleasant taste, for example. Pharmaceutical care in palliative care is focused on informing the health team about the availability of medicines, regarding pharmacotechnical possibilities and legal aspects, as well as patients and their families, about the correct use and storage of medicines. Conclusion: The presence of the pharmacist in palliative care is extremely important both in the patient’s medical treatment and in ensuring the necessary comfort to the patient and the promotion of health in general.

Introduction: the excess of ingestion of food that is rich in fat and/or simple sugars triggers an alteration of the nutritional state in women. Thus, nutrition can help in feminine life quality, for a balanced eating is necessary, that contains all the nutrients indispensable for the good work of the organism, associated to the regular practice of exercises. Nutritional interventions from group care aim to provide the patient an interactive and reflexive environment of learning, what makes possible the change of habits in a collective way. Objetive: it is a review of literature about the impacts of nutritional education in the improvement of women’s eating habits. Methodology: a review of literature existent in the data bases Biblioteca Virtual em Saúde (BVC) and Scientific Electronic Library Online (Scielo) and Google Acadêmico was performed. 15 publications between the years of 2010 to 2016 were selected for suiting the criteria of inclusion initially stated. Results and Discussion: the studies with obese women show good results when there is the use of eating reeducation practices, being that the loss of weight occurred with greater intensity when a hypocaloric diet and the group orientation were allied to the regular practice of physical activity. Another relevant aspect was the analysis of interviews revealing that these programs helped in changes in eating both in qualitative and quantitative aspects. However, some studies showed that women that had inadequate eating habits, after the intervention, presented an improvement in this pattern, except with respect to the consumption of fibers, which remained low. Conclusion: thus, the impact of the nutritional education activity collaborates to the improvement of women’s eating habits. Group nutritional education should, therefore, be encouraged, for it is of low cost and provides moments of discussions about difficulties, adhesion to the treatment, socialization and self-perceived improvements.