International Congress 2018

Introdução: A falta de assistência médica, farmacêutica e a crise econômica, as populações têm buscado o uso de plantas medicinais, desenvolvendo um conhecimento empírico acerca do uso da natureza. A medicina popular Brasileira reflete o conhecimento transmitido entre as gerações que difundiram os seus conhecimentos sobre a flora medicinal, tornando as plantas medicinais instrumentos na assistência farmacêutica. O Ceará é rico em espécies medicinais endêmicas da região, utilizadas tradicionalmente pela população, mas pouco exploradas pela farmacologia. Objetivo: Avaliar as plantas utilizadas na medicina popular e as diversas formas de aplicação pelas comunidades do município de Milagres no Ceará. Metodologia: A pesquisa se realizou no município de Milagres- CE, entre novembro e dezembro de 2015, através de questionário aplicado em diversos pontos da cidade e zona rural para consumidores e raizeiros. Resultados: As plantas mais utilizadas nessa comunidade são: Capim santo, erva-doce, erva-cidreira, hortelã-verde e eucalipto. Relatos dos entrevistados demonstraram que o tratamento com plantas medicinais resultaram no melhoramento de até 100% da patologia apresentada antes do tratamento. Conclusão: A população faz uso das espécies listadas tratamento de patologias de maneira indiscriminada. É necessário um estudo e sobre o uso das plantas medicinais nessa região e a transmissão de conhecimento para a população.

Introdução: As discussões acerca da integração da espiritualidade nas práticas de cuidado em saúde vêm ganhando cada vez mais espaço na literatura internacional, bem como a influência positiva das crenças religiosas e espirituais em tratamentos de cura, reabilitação ou cuidados paliativos A anamnese espiritual é compreendida como um processo de investigação sobre a percepção das crenças e valores de um indivíduo, assim como o significado que ele atribui à fé, à vida e à espiritualidade, e como isso poderá influenciar em sua saúde e no modo de ser cuidado. Objetivo: Compreender a importância da anamnese espiritual para o paciente em cuidados paliativos. Metodologia: Trata-se de uma revisão integrativa da literatura. Utilizou-se as bases de dados LILACS e SciELO. Foram utilizados os descritores: Anamnese, espiritualidade e Cuidados paliativos. A partir disto, foram encontrados 37 artigos. Contextualizando os critérios de inclusão, que foram: texto disponível, idioma em português e ano de publicação de 2011 a 2016, 14 artigos emergiram. Com a leitura, percebeu-se que 9 destes atendiam ao objetivo da pesquisa. Resultados e discussão: Observou-se que a não utilização de um instrumento de coleta específico dificultou relacionar melhor a espiritualidade com algumas variáveis referidas, como qualidade de vida e agravo à saúde. Viu-se também que a religiosidade está relacionada significativamente com menos sintomas depressivos, melhor qualidade de vida, menos comprometimento cognitivo, além de menor percepção da dor. Conclusão: Verificou-se que seria importante utilizar instrumento de coleta da história espiritual específicos. A anamnese espiritual no cuidado em saúde é pouco utilizada. Faz-se necessário a todos os profissionais da saúde um aprofundamento na temática da anamnese espiritual, de modo a compreender melhor a necessidade de se levantar a história espiritual do paciente e intervir de modo satisfatório, visto que considerar as questões de religião e espiritualidade do paciente traz amplos benefícios para o mesmo.

Introdução: A osteoartrose é uma doença crônico-degenerativa que afeta a cartilagem articular. Seus sinais e sintomas são:rigidez matinal, dor, diminuição de amplitude de movimento na articulação afetada, limitação nas atividades funcionais, deformidade com a formação de osteófitos, tumefação e rigidez articular na movimentação. A hidroterapia é muito utilizada por conta do empuxo, imersão e diminuição da gravidade, que é o diferencial do tratamento. Objetivos: Analisar através de revisões de literatura e estudos de casos a eficácia da hidroterapia nos pacientes com osteoartrose do joelho. Metodologia: A revisão de literatura foi realizada partir de artigos disponíveis nas bases de dadosScielo, Pubmed, Lilacs, Medline em agosto de 2017, selecionando artigos publicados no período de 2012 a 2017. Resultados e Discussão: Inicialmente foram encontrados 55 estudos com a temática proposta, dentre estes, foram excluídos 47 de acordo com os critérios de exclusão. Selecionando 8 artigos, sendo 4 estudos de casos e 4 revisões de literatura. Resultados relatam que a hidroterapia ajuda auxiliando tanto no alívio dos sintomas quanto na execução das atividades da vida diária. Conclusão: Posteriormente aos dados adquiridos, pode-se concluir que o programa de hidroterapia na reabilitação de pacientes portadores de osteoartrose, foi eficaz em relação à diminuição do quadro álgico e aumento na amplitude de movimento dos joelhos. A técnica de exercícios em piscina é um excelente ambiente para reabilitação desses pacientes, devido a força de flutuação diminuira força da gravidade, por conseguinte, diminui a sobrecarga na cartilagem lesada quando imerso até o tórax, minimizando maiores alterações e tornando a execução do exercício menos dolorosa como seriam no solo e assim, mais confortável.

Introdução: O Diabetes Mellitus tipo 2 (DM2) é a forma verificada em 90 a 95% dos casos e caracteriza-se por defeitos na ação e secreção da insulina e na regulação da produção hepática de glicose. A resistência à insulina e o defeito na função das células beta estão presentes precocemente na fase pré-clínica da doença. Objetivo: Aplicar a Sistematização da Assistência de Enfermagem a um paciente com DM2. Metodologia: Realizado em visita domiciliar, com a Equipe Estratégia de Saúde da família do município de Timbaúba – PE, no mês de agosto de 2017. Utilizou-se dados do prontuário, exame físico, revisão de literatura e entrevista. Resultados e Discussão: NANDA – Integridade da pele prejudicada relacionado a ferimento em membro inferior esquerdo evidenciado por dor e perda de continuidade da pele após desbridamento. NOC – Terá cicatrização no tempo oportuno da ferida sem complicações. NIC – Verificar se há debilidade geral, associadas á doença crônica. NANDA – Risco de Quedas relacionado à déficit visual e dificuldade para deambular. NOC – Verbalizará que compreende os fatores de risco pessoais que contribuem para o risco de sofrer quedas. NIC – Avaliar o estado de saúde geral do indivíduo, atentando para fatores que possam comprometer a segurança, inclusive os distúrbios crônicos. Conclusão: Após esse estudo assegurou-se ainda mais que o uso da SAE atrelada ao processo de enfermagem pode ser aplicada nas diversas áreas de atuação do enfermeiro. Assim, concretizando o cuidado de enfermagem, através de bases científicas e dando mais credibilidade e autonomia ao profissional, além de desenvolver um trabalho mais criterioso a diversas patologias e em especial nessa pesquisa a DM2.

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.

Introduction: Metabolic Syndrome (MS) is a complex disorder represented by a set of cardiovascular risk factors that are directly related to the patient’s eating style and physical activity, and has long been associated with insulin resistance. All proposed diagnostic criteria for the Metabolic Syndrome (MS) take into account abdominal obesity. Several guidelines to define SM have been proposed over the years, the most accepted ones currently being the WHO and NCEP. Objective: To describe the laboratory parameters used to determine the Metabolic Syndrome (MS). Methodology: The present work consists of a literature review, with articles extracted from the electronic data bases Scielo, Pubmed and Lilacs, where only articles published between 2012 and 2017 were accepted. Results and discussion: The diagnosis of MS occurs when three of the five required criteria are present: large amounts of abdominal fat (men with waist measuring more than 102cm and women over 88cm); low HDL (men below 40mg / dl and in women below 50mg / dl); high triglycerides (150mg / dl or higher, for both men and women); high blood pressure (135/85 mmHg or higher or if you are using any medicine to reduce pressure); (100mg / dl or higher for both sexes). Some additional metabolic criteria may be: atherogenic dyslipidemia, insulin resistance, prothrombotic state, among others. Conclusion: The diagnosis of the Metabolic Syndrome takes into account the clinical characteristics and laboratory data which provide an accurate assessment of the physiological state of the patient. However, it is necessary to establish new parameters more specific for its diagnosis, since some of these already existent, such as triglycerides, can affect others in the case of LDL-c, causing a misdiagnosis.

Introduction: The Progressive Spinal Amyotrophy is an autosomal recessive hereditary disease characterized by the spinal cord motoneurons degeneration, as the type I the most severe. PURPOSE: To describe a physical therapy treatment in a child with type I Progressive Spinal Amyotrophy. Methodology: Descriptive study of a case report of a patient with Progressive Spinal Amyotrophy in physical treatment at the Hospital Santo Antônio Maria Zaccaria in Bragança, Pará. The data was collected from the medical records and the by caregiver. Results and Discussion: M.C.O.P, 6 years old girl, presents Progressive Spinal Amyotrophy type I, excellent cognition, wheelchair user, presents quadriparesis with little trunk control, degree of muscle strength between 1 and 2 at the Oxford scale, ligament laxity, contractures, thoracolumbar kyphoscoliosis, reduction of range of motion in lower limbs, ineffective cough and Forced Vital Spirometry of 800ml (54%). The child receives multiprofessional treatment with an Orthopedist; Pneumologist; Cardiologist; Child Neurologist and Physical Therapist since she was 2 years old. Her actual physical therapy treatment protocol consists of: active-assisted kinesiotherapy for the limbs, cervical spine and abdomen (2 sets of 10 repetitions), trunk stabilization exercises (2 sets of 1 minute), and pulmonary re-expansion with Infant Voldyne (3 sets of 5 repetitions), 3 times a week. Studies demonstrate the importance of a multidisciplinary treatment in children with muscular atrophy, highlighting the physical therapy in the disease delay, quality of life and survival. As is observed in the present study, the multidisciplinary treatment has increased the lifetime of the child, because children with this disease normally have as 2 ou 3 years, instead of the patient, that are 6 years old. Conclusion: The physical therapy treatment goal in patients with Progressive Spinal Amyotrophy is to avoid early complications through prophylactic management of disfunctions, therefore increasing lifetime and quality of life in the patients.

Introduction: The breast cancer is a multifactorial pathology, which strikes especially women, usually after 35 years old, considered a global health problem. In Brazil, it is the second cancer with the most incidence in the feminine population. It is responsible for the death of a great number of women in the country. The treatments for this neoplasm vary from mastectomy, chemotherapy, radiotherapy to hormonotherapy. Objectives: To clarify the nursing and physiotherapy assistance in the breast cancer treatment. Methodology: It is a literature review that uses the data from SciELO, LILACS. To select the articles there were used these inclusion criteria: Portuguese language, published between 2007 and 2017, with free access and being result of the use of keywords (DECS-BIREME): Breast Neoplasm, Nursing, Physiotherapy, being found seven articles. Results and Discussion: Regarding the psychological, physical and social repercussions that this disease causes to the patient’s life, it is evident that a bigger involvement of the health professionals is necessary. The aimed physiotherapy in treating patients previously affected by this neoplasia is the onco-functional one, acting before and after surgeries, which seeks to prevent, preserve and restore the kinetic-functional capacity of the patients; on the other hand, the nursing, will be involved during the whole therapeutic process in which the patient will undergo, the action measures ranging from first, second, third-level and postmortem, focusing on the educational and caregiving nature of the profession. The palliative cares that will be given from both professions require a holistic and humanized assistance, considering all the patient’s dimensions. Conclusion: Thus, the multiprofessional team reaches a multidisciplinary assistance that has a direct impact in the care of the patient, proving to be essential to the improvement of the care and treatment given.

Introduction: Age-related macular degeneration (AMD) is an increasingly common pathology due to the general aging of the population, and has assumed the dimension of a true public health problem. Currently, the applications of cellular therapies are viable in the repair of the corneous tissue. Angiogenesis inhibitors, however, are a class of drugs most commonly used to block the proliferation of new blood vessels. Advances in the study with stem cells and antiangiogenic have provided expectations in the scientific community, as to its use in regeneration of tissues damaged by degenerative diseases. Objective: To relate the advances in research on AMD with the use stem cells and antiangiogenic as an effective treatment for this pathology. Methodology: Electronic data platforms (MEDLINE, PubMed, Scopus) were consulted from 2011 to 2016, using descriptors: “stem cells”, “macular degeneration”, “AMD” and “antiangiogenic”. Results and Discussion: Clinical studies in adult rats showed that stem cells derived from bone marrow applied to the ocular tissue, activated neurological cells called astrocytes, contributed to the regeneration of this tissue due to trauma. The results correlating antiangiogenic as Bevacizumab were included by ANVISA (Agência Nacional de Vigilância Sanitária) in 2011. Therefore, due to its inhibitory effect of angiogenesis, it has been used in ophthalmologic degenerative diseases such as AMD. The regeneration of ocular tissues, through therapy with stem cells presents problems to be solved, by the different types of embryonic tissues. This differentiation should establish criteria for the best choice of the origin of stem cells. Bevacizumab has been used in the treatment of this disease by intravitreal injections directly into the eye, but repeated intraocular injections can cause serious complications. Conclusion: Despite the need for further studies, the use of these therapies for regeneration and repair of injured ocular tissues has presented excellent advances in the field of ophthalmology.

Introduction: Leprosy is a chronic infectious disease caused by Mycobacterium leprae. It has eminent persistence in Brazil, which occupies the second place in the ranking with the highest number of new cases in the world. The upper airways are the main entrance and exit port for the bacillus, and the transmission occurs in close and prolonged contact with the carrier. Objective: To describe the prevalence data in new cases of leprosy in the years 2013 to 2015 by sample of municipalities of the State of Pernambuco with more than 100 new cases. Methodology: It is a study in secondary databases, through the Basic Data indicators of Brazil, a tool integral to the health information system, using quantitative analysis of variables. Results: Jaboatão dos Guararapes and Petrolina are municipalities that presented a significant increase in the number of new cases, contrasting the values from 2013 to 2015, with 256 and 283 respectively. On the other hand, Olinda and Recife in the same period, presented an expressive decrease, in which Olinda in 2013 obtained 225 new cases; in 2015, the number of new cases was 207. Recife was the municipality that presented the most expressive results of reduction of cases: from 603 new cases in 2013 to 484 new cases in 2015. Discussion: Although some municipalities present a reduction in new cases, in general it can be said that there were significant increases in the number of new cases when all counties. Conclusion: The analysis of these data show the need to reorganize on the deficiencies present in the programs and policies related to leprosy, as disregard the growing increases in new cases over the years is to allow the spread of a disease that can lead the individual to severe disability.