International Congress 2018

Introduction: The Family Health Strategy (ESF), is a model that promotes an organization of health actions with a high degree of decentralization and capillarity, at assigned territory with no intention to face and solve many problems identified. Objective: To carry out home visits with the aim of developing communication skills as well as interfacing theory and practice. Methodology: This is a descriptive study of the Experiment Report type carried out by the students of the second period of the Medical Graduation Course of the Medical School of Paraíba, during the Horizontal Module of Health Care II in September 2016 in a USF of the municipality of João Pessoa-PB. Results: This study indicated a similar level of happiness among the different urbanization areas of the city, with more people happier in the outlying districts of the city, rather than in the central neighborhoods. Conclusion: The home visit is a potential tool for the ESF teams, it can be used as a prevention or even generate hypotheses that explain possible problems and difficulties present in a given family group, considering that at any moment there may be maladjustments leading to family crises.

Introduction: The “Teddy Bear-Ursinho Hospital” campaign is an educational action that provides the children’s contact with the reality of the work of health professionals, with the intention of showing them that the hospital is an environment of care and welcome without need to be afraid. Objectives: To provide children with a more pleasant hospital environment with a differentiated professional-patient relationship. Methodology: The Bear Teddy Bear Hospital (TBHU) was made in the campaign format, with the Citizen Municipal School Herbert de Souza in the premises of the Higher School of Physical Education (ESEF) of the University of Pernambuco, the chosen place to carry out the action. Results and Discussion: The project was divided in two moments, with the initial process of involvement and preparation of the volunteers, carried out a campaign among university scholars to receive donations of plush. The second moment was the direct interaction with the children in a playful way, showing them the need and importance of the treatment in the hospital context. Conclusion: The campaign sought, in a relaxed and playful way, to reduce the insecurities of the children participating in the trip to the hospital, so often feared. In addition, it brought the particularities of the infant universe in relation to diseases and health care.

Introduction: In aging there are several physiological and biochemical changes, being recurrent pathologies, such as osteoarthrosis (OA). Objective: This study aimed to correlate levels of knee osteoarthrosis with alteration of balance and quality of life in the elderly. Methodology: It is a study observational, cross-sectional descriptive study performed at a Clinical School. The socio-demographic questionnaire, Visual Analogue Scale (EVA), Berg Balance Scale, Tinetti Test, Time Up Go Test (TUGT), Scale Somewhat functional of Lequesne, SF-36 and WHOQOL-Bref. The data were analyzed Statistically, using software R version 3.2.4, with values of significance (p

Introduction: The demographic situation in Brazil has changed with the elderly, increasing the need for caregivers to help with their daily activities. The tasks assigned to the caregiver can lead to physical and emotional exhaustion. Objective: To evaluate the quality of life of family caregivers of patients with knee osteoarthritis. Method: This is an observational, descriptive and cross-sectional study conducted at a school clinic and at the hospital outpatient clinic in Recife. Caregivers of both sexes, aged between 18 and 70 years, were included, and those with cognitive deficits were excluded. Participants signed the informed consent form. Questionnaires were then applied: Socio-clinical, SF-36 and WHOQOL-BREF. Results: Nine caregivers were evaluated, the majority female (66.7%), mean age 51.44 ± 9.88 years, 66.7% did not practice physical activity and BMI of 25.39 ± 5.79. Of these, 66.7% are children, with associated diseases and similar to high school. No SF-36 questionnaire, as well as no WHOQOL-BREF, a moderate to good quality of life. In the linear correlation of Pessoa, there was a positive association between WHOQOL-BREF and SF-36. Conclusion: it was verified that the caregivers presented moderate to very good quality of life, such as the good relationship between the couple.

Introduction – Darier’s disease is a severe hereditary keratinization disorder that is transmitted by an autosomal dominant factor of an unusual type of genodermatosis. The age of onset of symptoms is typically at puberty and equally affects both sexes. Objectives – Cytogenetically show the behavior of the disease in individuals, its clinical and histopathological characteristics. Contribute to a better understanding of the phenotype / genotype relationship of the disease. Methodology – This literature review on the disease was carried out with information searches in Dermatology books, Oral Pathology and published scientific articles. Results – It is believed that the disease is related to a gene, ATP2A2, which is responsible for coding a calcium pump. From this, studies show that some cellular structures, such as desmosomes, are compromised (because chemical signaling depends on the intracellular calcium), with a lack of cohesion between epithelial cells. Conclusion – The phenotype / genotype relationship of this disease is not yet fully understood and the disease represents a challenge for medical genetics.

Introduction: Acupuncture is an ancient Chinese practice currently recognized by the Federal Speech and Hearing Therapy Council through Resolution No. 272/2001. It can be applied as a complement to speech therapy therapies, since it contributes to an overall improvement of the patient, promoting the balance of the individual, decreasing muscular tension, stimulating memory, reducing edema and pain, improving sleep, muscle toning and reduction of depression. Objectives: To verify in the literature the use of acupuncture as a complementary procedure in the rehabilitation of phonoaudiological complaints. Methodology: This is a systematic review through selection and analysis of publications in journals through the descriptors “Speech Therapy”, “Acupuncture”, “Complementary Therapies” and their combinations between. It was considered only the works available free online, published in the platform SciELO, LILACS and Revista Comunicação, published from 2002 to 2015. Results: We found 9 articles, 44% (n = 4) of the studies presented a case report approach and 56% (n = 5) were group studies. Concerning the areas involved in the studies, there were 80% (n = 10) studies concentrated predominantly in the area of “Orofacial Motricity” and 20% (n = 2) in the “Audiology” area. Conclusion: Acupuncture has provided good results in phonoaudiological complaints, appearing as a complementary pathway to conventional treatments.

Introduction: As drug associations without treatment of chronic diseases are very common, especially in intensive care unit (ICU) patients, however, they may cause drug interactions, such as those that are responsible for therapeutic failure, life-threatening of patients and generating high costs for the hospital. Objective: This study aimed to analyze the occurrence and profile of potential drug interactions in ICU patients at the Alcides Carneiro University Hospital. Methodology: a data collection performed from January to June 2015, based on ICU prescriptions. The data were collected through a specific form for this purpose. For the Drug-Reax system of the Micromedex® Health Series software. Results: Among the 109 prescriptions evaluated, 76 (69.72%) presented some interaction, totaling 244 potential interactions. Among the 54 (49.5%) male patients, 41 (75.92%) had a MI. A median of 6.91 prescription medications was observed. All patients who used 10 or more drugs had some type of interaction. Conclusion: It was possible to evaluate an average of prescription drugs, more prescription drugs and their interactions, based on the profile of interactive pharmacological potentials of the Alcides Carneiro University Hospital.

A internação traz um sofrimento psíquico para a criança evidenciado pelo impacto na troca da rotina diária pela do hospital, desse modo, criar o vínculo entre o profissional e a criança é de grande importância, pois, assim pode-se minimizar o choque causado pela hospitalização da mesma. Para que esse vínculo seja estabelecido é extremamente relevante à utilização de objetos lúdicos, pois dessa forma fazem com que as crianças se sintam mais confortáveis em indagar o que está incomodando-as e facilitar no procedimento médico, sendo uma assistência mais humanizada e aconchegante. Tal descontração no ambiente hospitalar pode interferir de forma positiva na recuperação de saúde das crianças, fazendo com que sua estadia no hospital se torne menos dolorosa no âmbito psicológico. Dessa forma, em 2003 foi criado o projeto Teddy Bear Hospital (TBH) na Espanha pela IFMSA (International Federation of Medical Studensts’ Associations) tendo como intuito, através da ursoterapia, a redução do medo e ansiedade em casos de internação hospitalar de crianças, ressignificação da imagem do médico, aprimoração do ensinamento médico humanizado. Para atingir esses princípios, faz-se necessária a aplicação de atividades no desenvolvimento sensório-motor e intelectual da criança, como também no processo de socialização, expansão e aperfeiçoamento da criatividade e autoconsciência, pois usa-se através do lúdico para informar a criança, fazendo-a brincar e aprender simultaneamente. O uso do Urso como acompanhante da criança é um dos instrumentos usados para propiciar às crianças um ambiente médico-hospitalar mais agradável, além de proporcionar aos estudantes a oportunidade de interação com o universo infantil, pois o brinquedo tende a deter da criança um sentimento de afetividade e através disso a criança muitas vezes passa a expressar sua singularidade através das perguntas que são direcionadas ao Urso, o que ajuda na expressão dos pensamentos e sentimentos da mesma sobre uma determinada situação.

Introduction: Obesity is understood as a global epidemic due to its degree of expansion in the last decades. Early Interruption of breastfeeding, in turn, has a significant influence on the prevalence of obesity in children and adolescents, taunting a high negative impact on public health. Objective: Had as objective to make a literature review to rate the association between duration of breastfeeding, relating it to risks and comorbidities of obesity. Methodology: The applied methodology consists of a review of scientific articles indexed in the databases LILACS, PubMed/ MEDLINE, BDENF and SciELO, using the terms “breastfeeding”, “childhood obesity”, “food introduction” as the descriptor of the article and “nursing” as a word throughout the text without period from 2006 to 2016. Results and Discussion: Several articles on obesity and breastfeeding were found, the review it consisted of 9 scientific papers. Where 06 shows obesity and other metabolic detrimental effects in the child’s body due to lack of breast milk benefits and 03 discuss inadequate nutritional practices, initiated concurrently after the early interruption of breastfeeding. Conclusion: Exclusive breastfeeding up to six months of age, as well as complementary feeding practices, allows the prevention of obesity, promoting the physical and mental health of the infants and the woman who breastfeeds, being extremely important for the growth and development of the child. Therefore, the incentive to breastfeed by the nurse should be intense, so that the children have an adequate and healthy development, since Breastfeeding, included as one of the national priorities, is considered the strategy that most prevents infant morbimortality.

Introduction: Poor oral hygiene is common in ICU patients, which leads to colonization of the oral biofilm by pathogenic microorganisms, especially respiratory pathogens, which may be a source of nosocomial infection. Once the bacteria present in the mouth can be aspirated and cause aspiration pneumonia. Objective: Review of the literature regarding the importance of dental intervention in patients hospitalized in intensive care units. Methodology: An integrative review was carried out in the LILACS databases and in the SCIELO Virtual Library, using the descriptors: Dental care, Periodontal diseases and ICU. Inclusion criteria were: full-text articles available in Portuguese or English and with a temporal cut between 2013 and 2017. Results: Three articles were selected to meet the criteria for inclusion. Discussion: The oral cavity is the first portal of entry for respiratory pathogenic organisms that cause systemic infections, with pneumonia being one of them. Aspiration pneumonia is the most common type of nosocomial or hospital pneumonia and is an infection of the pulmonary parenchyma caused by different types of etiological agents including bacteria, fungi and viruses. This disease is of high cost and represents a significant cause of morbidity and mortality, diagnosed 48 hours after the patient’s hospitalization in the ICU. The absence of attention with oral hygiene and the reduction of salivary flow results in an increase in the quantity and complexity of dental plaque, which may favor bacterial interaction between native plaque bacteria and respiratory pathogens such as P. aeruginosa and enteric bacilli. Conclusion: The evaluation of the oral condition and the need for dental treatment in hospitalized patients require follow-up by a dental surgeon qualified in hospital dentistry avoiding an increase in the proliferation of fungi and bacteria and, consequently, infections and systemic diseases.