International Congress 2018

Introduction: The Indian Shantala Technique has been recognized and employed by various groups around the world, first inspired by the doctor obstetrician Frédérick Leboyer in 1976, understands that the first essays of a child’s life are structural and formative, several authors agree that the massage method brings improvements to both mother and child, and the mother performs. This exchange provides experiences that perpetuate the importance of this unique and fundamental bond to a baby’s healthy development. (BERNSMULLER, 2012). Objectives: To demonstrate the importance of teaching and stimulating Shantala in childcare. Methodology: This study is a review of bibliographic literature of the descriptive type, enabling a systematized research on the issues addressed in the scientific field, having this as the conducting question of research: How important is the nurse to stimulate and teach Shantala in childcare? Being researched in the main data bases: Lilacs, Scielo, Bireme, BVS. As inclusion criteria were considered: articles, theses and monographs available in full format, between 2010 and 2016. Results and Discussion: Through Shantala beyond the mother / child bond be strengthened, as it is an act of love, being more than a massage, it is also possible to obtain results like calmer sleep, decrease of colic, better functioning of the intestine, among others. (MOURA et al, 2015). The body massage helps to make information about the baby perceptible, so that the baby receives answers that allow adjustments in their needs. (BÁRCIA and VERÍSSIMO, 2010). Conclusion: Through this natural and conscious physiological integration, there is an exchange that results in strengthening and increasing the mother / baby bond, as well as physical and psychic health. (BERNSMULLER, 2012).

Introduction: Language is a systematic means of communicating capable of moving a society, manifesting itself in various forms and transmitting communication. The abrupt loss of language’s force due to a brain damage, such as aphasia, can cause significant injury. Aphasia could be defined as the complete or partial loss of the condition of expressing through speech, writing or gestures, interfering even in the ability to comprehend oral and written. On the other hand, the verbotonal methodology is a technique of language re-education that can be applied to correct the communication problems. Objective: The aim of this project is to elaborate a manual with practical activities based on Verbotonal Methodology for patients with Emissive Aphasias. Method: A qualitative descriptive and theoretical research was done. First, the bibliographic data were collected to begin the development of the manual. The contents were analyzed and the elaboration of the suggested activities was begun. Results: The manual discusses the Verbotonal Methodology that consists in the techniques: audiovisual, joint, musical and corporal rhythms and individual, the objective of the techniques and, therefore, the activities. The Audiovisual technique was illustrated using story demonstrations that could be used to restructure the morphosyntax. For the Joint technique activities were developed to reorganize the syntax. In relation to the Body Rhythm Technique, the illustration of each body movement was elaborated to better visualize the movements and application within the therapeutic process. For the Ritmo Musical technique, activities were elaborated to restructure the suprasegmental aspects. And for the Individual technique, activities focus on vocal quality were explained. Conclusion: It is believed that through the use of the manual with emissive aphasic patients, it can contribute to making the therapy more functional and pleasurable, besides stimulating daily life at the time of therapy, contributing to having more effective communication and an increasingly…

Introduction: Syphilis is a sexually transmitted disease cause by Tepronema pallidum. The first cases were reported over 500 years ago, in Italy. Even though the worldwide efforts to eradicate the disease until the end of the 20th centure, the numbers of infections have increased in the last years, mostly among teenagers. In addiftion of the cronic complications that can remain if the infection is not properly treated, it subserves the HIV coinfection. The recent increase of reports shows that it is still a public health threat. The purpose of this article is to describe and discuss the increase of syphilis infection among adolescents, as well as its rick factors. Methodology: Cases reported to the Epidemiological Bulletin of the Health Department of the State of Pernambuco, between 2011 and 2015, were analyzed and compared. The range age was 10 to 49 years. Results: There was an increase in the number of reported cases of syphilis in all age groups. The highest proportional increase was found among adolescents, 6 times higher in 2015 than in 2011. There was also a prevalence in females due to asymptomatic genital infections, female recipient anatomy in the sexual act and gender inequality. The main risk factors are infrequent condom use, sexual abuse, school backwardness, the use of licit and illicit drugs, and low socioeconomic conditions. Concurrently with the outbreak of syphilis, there is a lack of benzathine penicillin, standard antimicrobial used for proper treatment. Pregnant adolescents are the second group with the highest incidence of the disease. This fact, along with the lack of penicillin, may predispose to an increase in newborns with congenital syphilis. It is important to emphasize that there can still be great underreporting. Conclusion: The number of cases has increased over the last years. Adolescents are by themselves a vulnerable group. It…

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 Hypertension and Diabetes Program (HIPERDIA), established in 2001 by the Ministry of Health, organizes the assistance to people with Hypertension and Diabetes, chronic diseases in evidence in public health. Assistance begins in primary health care, the main gateway to the Unified Health System’s attention network, which has a fundamental role in the prevention and control of diseases, as well as health promotion with multidisciplinary and interdisciplinary care, considering individuals in its completeness. Objectives: To report on the experience of residents of the Integrated Multiprofessional Residency Program in Family Health, in the inclusion of health promotion activities in the HIPERDIA group in a Family Health Unit in the city of Recife-PE. Methodology: This is an experience report, with data collected from the field diaries of activities in the HIPERDIA group, from August to October 2017. The group operates weekly, with 15 to 25 members. Initiated with health education activity, with professionals. The methods used were talk wheels and group dynamics with themes related to health promotion. Results and Discussion: Health education activities contribute through the exchange of experiences, to individuals’ autonomy in the care of their own health, directed to the expanded concept of health, that goes beyond the control of the disease, expecting the improvement of the quality of life and well-being. Conclusion: The activities contributed to an improvement in the quality of life and prevention of the factors conditioning the complications of chronic diseases. Discussions and exchange of knowledge based on the promotion of oral health, mental health, healthy eating, the importance of self-care, among others, have been built that have contributed to increase the bond with other participants of the group and with professionals, building together a care that provides greater autonomy and well-being.

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: The use of Information and Communication Technologies (ICTs) has been a tool increasingly used by health professionals strengthening the construction of knowledge, helping in the accomplishment of technical procedures and development of skills. The construction of quick consultation applications helps the individual who will use it, remove their doubts and, in the case of patients, assist them in their treatment. Objective: To build a health application to help combat smoking. Methodology: This is the construction of a health application with a focus on smoking. An integrative literature review was carried out to build the theoretical basis, using the BVS and Scielo health libraries, and the Lilacs database. For the construction of the application was used the Thunkable tool available online and for free. Discussion: Developed through the Thunkable platform, the application seeks to interactively encourage the user of the smoke to drop the addiction gradually. It allows knowing the exact time that has passed since the person made the decision to abandon the habit, how much money has saved and what are the repercussions in his body, with indicators based on the World Health Organization (WHO) on the process of health improvement. It also allows a network of users to exchange information and one helps the other by talking to each other through the chat. You are still able to indicate a nearer psychological support center if that is your need. Conclusion: With application development, users are expected to be able to find a 24-hour incentive within their reach, assisting in the smoking cessation process, as well as providing information on the benefits of the decision taken by them, control their own challenges and see their achievements.

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.