International Congress 2018

Introduction: Diabetes Mellitus (DM) is considered one of the most frequent diseases. Diabetic patients are very concerned about general health changes and early or late complications that this chronic disease can bring. Health education, associated with health promotion strategies, contribute to social development and promote quality of life, an important tool to reduce the complications and mortality of diabetics. The active participation of the patient in the management of changes in habits and behaviors will lead to progress in reducing the risks related to the disease. Objective: Describe health education and self-care strategies for patients with primary care Diabetes and early detection for penile cancer. Methodology: Narrative bibliographic review using electronic database Science Direct, with the keywords: self-care + “diabetes mellitus” + “healtheducation”. The original articles published in the last five years were evaluated. Results and Discussion: DM is an asymptomatic disease, which mainly affects people older than 40 years, systemic, and can damage several organs, causing complications including: kidney failure, blindness, stroke, amputation of limbs, among others. Lack of information promotes neglect of health education, in accordance with the self-control of blood glucose levels, physical activity and diet, contributes to the improvement of the quality of life. Acceptance of the situation, understanding of the disease and discipline to follow the multidisciplinary treatment are fundamental for the early diagnosis and control of DM. Conclusion: It is important to make routine medical appointments for the early diagnosis and control of DM, coupled with a healthy lifestyle and issues related to self-care so that the complications associated with this disease develop.

Introduction:Fungal infections have become more frequent in recent years, and are more prevalent in patients with underlying diseases that compromise the immune system and predispose to other risk factors, such as invasive devices and the use of antibacterials. The etiological agents of these mycoses are dermatophyte filamentous fungi, non-dermatophyte filamentous fungi (FFND) and yeasts. Objectives: To demonstrate the importance of observing the clinical aspects of lesions suggestive of mycosis, as well as the direct mycological examination in the presumptive diagnosis of superficial mycoses in patients in the Intensive Care Unit (ICU), Hospital University (HU) located in Petrolina- PE. Methods: Patients who were admitted to the UHU from March to May 2016, after ethical procedures, were analyzed for suspicion of superficial mycoses and the respective clinical samples were collected and processed for direct examination through clarification with 30% potassium hydroxide (KOH). Results and Discussion: The mean age of the patients was 39.4, ranging from 24 to 68 years and an average length of hospital stay of 15.1 days. None of the patients were on antifungal use. Of 23 patients, 10 presented lesions characteristic of nail mycoses, 4 presented lesions characteristic of tinea corporis. Of the 10 nail mycosis suspicions, 4 cases were confirmed. The toenails went to the most affected areas. The use of closed shoes and even vascular impairment in the lower limb are considered as the primary factors predisposing to the development of such an infection. Conclusion: The simple observation of the clinical aspects and the direct mycological examination in lesions suspected of fungal infections are important to identify possible outbreaks of systemic infections, as well as being a quick and low cost diagnostic method, making it possible to handle patients quickly with a nail disorder.

Introduction:The Extended Alternative Communication ¬ (EAC) brings together other forms of communication, as well as oral language, such as use of gestures, sign language, facial expressions, use of alphabet boards or pictographic symbols, to the use of more sophisticated systems such as recorded or synthesized voice communicators and computers. The causes that make communication of elderly patients impossible through speech are the most diverse. This difficulty in oral language expression can compromise the relationship between the patient and the staff such as the patient and its family, resulting in frustrated, nervous, anxious, agitated and depressed patients. Objetives: Report the Alternative Extended Communication method and their contributions to the process of internalization of elderly patients unable to communicate through speech. Methodology: For this study, the database Pub Med was consulted such as selected review articles from the entrance of the terms: extended alternative communication, speech therapy, critical elderly patients. Results and Discussion: It was found that, patients admitted to the ICU experience a big potential traumatic experience and many develop serious emotional problems. These experiences come with a psychological suffering and which has a harmful effect on the overall rehabilitation of the patient. EAC is a clinical and educational practice where the speech therapist tries to compensate and to facilitate for losses and disabilities of the individuals with severe disturbances of expressive communication and / or comprehension disorders. It provides a significant gain for the team and the family with the understanding of what happens in terms of communication and consequently the reduction of anxiety and s¬tress, avoiding frustrating situations for the patient. Conclusion: The theoretical aspects presented in this work, lead us to conclude that it is of utmost importance to the implementation of a larger communication system and alternative critical elderly patients hospitalized, noting that long-term treatment would be…

Introduction: Research on the relationship between spirituality and health seeks to understand how religious beliefs and behaviors relate to or interfere with health. Spirituality as a coping strategy promotes meaning and ordering of life and suffering. Religious activity is an effective element, both to help maintain healthy stress and to improve the quality of life. The exercise of faith and the practice of religiosity are strategies, often used by mothers of hospitalized babies, as a way of dealing with a long period of hospitalization and feelings of guilt, anger, anxiety, fear, sadness and impotence. Objectives: Looking for new ways of thinking about the practice of caring for humanization, in a more integrated vision of the human being, group activities were carried out aiming at the expression and elaboration of feelings with the objective of stimulating faith and spirituality as a strategy of enfretamento in the hospital context. Methodology: Weekly conversation with mothers, caregivers and relatives of infants admitted to the Neonatal ICU and the Kangaroo Intermediate Care Unit were conducted. We used dynamics, musicality, reading of texts for reflection and prayer. Results: From January 2015 to October 2017, 125 wheels took place, in which topics such as peace, friendship, trust, joy, gratitude, fear, hope, forgiveness and perseverance were addressed. The talk wheels were attended by several professionals, including psychologists, physiotherapists, speech therapists, occupational therapists, nursing staff and hygienists. On average, five professionals and 15 mothers and / or accompanying persons participated per wheel. Conclusion: It was noticed that this activity promoted the strengthening of the participants’ faith, improved interpersonal relationships between the mothers and the mothers with the team, as well as facilitated the resolution of conflicts and promoted the capacity for empathy and mutual help.

Introduction:At the present time, a pathological profile is identified in the work environment, characterized by the prevalence of health problems marked by chronic diseases, which are added to mental and physical stress-related impairments. In the hospital context, the Intensive Care Unit is perceived by the team that acts as one of the most aggressive, tense and traumatizing environments. In the Maternity School Januário Cicco (MSJC), the Neonatal Intensive Care Unit (NICU) is the sector with the highest sickness absenteeism due to illness, which results in the reduction of the team and, consequently, overloading of tasks. Nursing technicians are exposed to the intensive emergency, to the sound of the sterilizers, besides the demands and collections of the patients, relatives and doctors. The physical and mental exhaustion that affects these workers demanded of the institution strategies that could promote health and quality of life at work. Objectives: The activities aim to improve the level of motivation of nursing technicians, promote the integration of the multiprofessional team, provide a space for listening and acceptance of feelings, improve the communication channels of the sector and the organizational climate, reduce absenteeism, as well as contribute quality of life at work. Methodology: Since June of this year, group activities have been held monthly for 2 hours, conducted by the multiprofessional team of the MSJC (psychologist, social worker, occupational therapist, nurses, pediatrician and physical education professional) using musicalization, work gymnastics, dynamics, relaxation techniques, acupuncture and dramatization. Results: At each meeting, an average of 30 nursing technicians participated. There was an improvement in motivation and organizational climate, reduction of sick leave, greater interaction among the team, as well as improvement of communication channels in the sector. Conclusion: The activities developed have made it possible to improve the quality of life in the work of NICU nursing technicians.

Introduction: Advanced airway management occupies an important place in the care of trauma patients. Its relevance is much more valued today than in the past. Maintaining a patent airway and providing adequate ventilation, when necessary, are relevant procedures in reducing brain injury as well as increasing the likelihood of a good prognosis. Objective: The objective of this research is to find evidence in the scientific literature about the maintenance of advanced airways in prehospital care. Methodology: This is an integrative review of the literature. The articles search was carried out in June 2017 in the following databases: Scielo, PubMed and Portal Capes. Articles from the last ten years were selected, and the following descriptors were used: Emergency Medical Services; Oxygen; Ventilation. Results and Discussion: 6 articles were found, 3 in Portuguese, 2 in English and 1 in Spanish. The most recent article was of 2013. In regard to the maintenance of advanced airways, there are three types of definitive airway: orotracheal tube, nasotracheal tube, and surgical airway (cricothyroididotomy or tracheostomy), the latter being used only in the in-hospital service. Endotracheal intubation is indicated for patients with lowering in the level of consciousness, presenting scores lower than 8 in the Glasgow Coma Scale. It is a technique that must be performed sterile, and most of the time in the APH this is not possible. Both techniques are safe when performed properly. Oxygen should be administered with caution and the patient monitored constantly with pulse oximetry and respiratory rate. Conclusion: The results found to date show that there are not many scientific evidence-based reports that outline how airway maintenance should be done in APH, pointing to the need for further studies in the area.

Introduction:The growing microbial resistance of the various drugs circulating in the market, stimulated by the indiscriminate and irrational use of drugs, demand the development of new therapeutic options that could derail this situation.Thus, the investigation of new bioactive compounds in medicinal plants with antimicrobial action in folk medicine, presents itself as an expressive source for the discovery of new substances that contribute to the minimization of this reality, considering the range of contributions of medicinal plants in the treatment of several inflammatory and infectious diseases in traditional medicine throughout the generations in the communities that hold this knowledge.Among the plant species for medicinal use, Hymenaea courbaril, popularly known as jatobá, stands out for a variety of therapeutic uses, such as in the treatment of diarrhea, intestinal cramps, cystitis, cough, bronchitis and asthma. Objetives: Based on the above, the objective of this work was to evaluate the antibacterial activity of ethanolic extracts of Hymenaea courbaril poop on Escherichia coli isolates.To prepare the extracts, the shells of the species were immersed in ethanol solution to extract their active and rotavaporated principles. The antibacterial activity was determined by the disc diffusion method in Muller Hinton agar, evaluating the antibacterial potential by measuring in millimeters (mm) the bacterial inhibition halos formed in Petri dishes.The assays were performed in triplicate, using two concentrations of ethanolic extracts, 25 mg and 50 mg. Results and discussion: The mean inhibition halo at the concentrations evaluated were, respectively, 8 mm and 9.7 mm. The medicinal species showed good potential of antibacterial application against the species of microorganism researched, proving to be a promising candidate in the treatment of infectious diseases caused by this microorganism, being necessary, however, to carry out tests with a more expressive number of concentrations for deepening of the microorganism study.

Introduction: Intestinal parasitism is still one of the most serious public health problems in Brazil, with school age children being the most affected, becoming lethal in many cases due to secondary diseases caused by parasitism. Objectives: To evaluate the occurrence of intestinal protozoa in students of a public day-care center located in the neighborhood of Várzea in Recife City of the State of Pernambuco between the years 2015 and 2017. Methodology: The research was carried out after the authorization of parents and / or guardians of children, after signing the informed consent form with the delivery of fecal samples. Protozoan research was carried out at the Parasitology Laboratory of the Tropical Medicine Department of UFPE, using the methods of Hoffman, Kinyoun for microscopy of Cryptosporidium spp and the method of direct examination for the microscopic analysis of the other protozooses. Results and Discussion: In the years 2015 and 2017 parasitological research involved a total of 30 and 33 children, with a positivity for 20% (6/30) and 21% (7/33) protozoa, respectively. Among the protozoonoses, the highest positivity in the year 2015 was for Cryptosporidium spp, where 67% (4/6) presented a positive sample, followed by Endolimax nana, where 33% (2/6) were diagnosed positively. On the other hand, the most frequent parasites in 2017 were Giardia lamblia, where 71% (5/7) of the children showed positivity and Cryptosporidium spp with 29% (2/7) of positive samples. Conclusion: When comparing the level of contamination of children by protozoa in the years 2015 and 2017, we observed that parasitism was maintained within the school environment, possibly due to the poor hygiene conditions of the nursery and / or the way some household environment.

Introduction: Cryptosporidiosis mainly affects immunocompromised individuals, and co-infection with other associated parasites is frequent. Infection can cause severe diarrhea in children. Transmission occurs through interpersonal contact, zoonotic transmission, ingestion of contaminated water and food. Objectives: Analyzing the occurrence of enteroparasites in children of a school in the city of Recife in the State of Pernambuco, nutritional status by children and feces consistency. Methodology: Data and fecal samples were collected between May 2015 and January 2016. Nutritional analysis was performed according to SISVAN guidelines. Coproparasitological analysis employed the modified Lutz and Kinyoun methods. Results and Discussion: Our data showed that from 152 analyzed children, 32/152 (21%) had positivity for Cryptosporidium spp. By them, 10/32 (31.3%) presented polyparasitism, being 40% 4/10) positive for Endolimax nana, 20% (2/10) for Entamoeba histolytica / Entamoeba dispar, 20% (2/10) for Giardia lamblia, 20% (2/10) for Entamoeba coli and 20% 10) for Ascaris lumbricoides (with up to three associated parasites). Nascimento et. al., 2009 verified a positivity of 32.4% for Cryptosporidium spp, confirming that there was no reduction of the cases in the northeastern region of Brazil. Cryptosporidium spp contamination was observed in 22/32 (68.8%) diarrheal stools and 10/32 (31.2%) in the solid consistency stools assuming that there is intense elimination of oocysts in the diarrheal stools. Among children positive for cryptosporidiosis, 12/32 (37.5%) had some kind of nutritional disorders, being 6.3% underweight and 31.2% overweight, implying a possible association between this infection and cases of malnutrition child. Conclusion: Our study showed that school-aged children are highly susceptible to enteroparasites, requiring greater attention in relation to their nutrition to avoid nutritional disorders, as well as observing fecal consistency. Measures of basic sanitation and sanitary education would be efficient tools suggestive in the fight against the parasitoses.

Introduction:The fair is considered one of the most traditional food and retail marketing sites. Among the products marketed with the greatest consumption are the cheeses that can be produced both artisan and industrial. Cheese is considered to be a frequent vehicle of foodborne pathogens and, in particular, fresh cottage cheese because they are mostly made from raw milk and are not matured. Objective: To analyze the bacteriological quality of artisanal cheeses marketed in the free trade fairs of the city of Caruaru-PE. Methodology: The samples were collected in polyethylene plastic bags and after collection, the samples were transported in an isothermal container and sent to the laboratories of Food Technology and Food Microbiology of the Centro Universitário Tabosa de Almeida. The research of total coliforms, thermotolerant and Pseudomonas aeruginosa was performed by the multiple tubes technique and the counting of heterotrophic bacteria was by the technique of pour plate both as recommended by the Standard Methods for the Examination of Water and Wastewater (APHA). Results and Discussion: All collected samples had total coliforms, thermotolerant and Pseudomonas aeruginosa, with heterotrophic bacteria counting above 105 CFU / ml. The presence of contamination indicating bacteria in the samples analyzed may be related to contamination during processing and post processing, storage, temperature fluctuation, contaminated packaging and equipment contamination. Conclusion: Since the production and inadequate marketing of cheeses can have serious consequences for the population, it is concluded that the high index of contamination by feces (coliforms), organic matter (Pseudomonas aeruginosa) and contamination index (heterotrophic bacteria) may be related to the presence of pathogens above the values established by current legislation. Thus becoming a product of poor conditions for human consumption, requiring a greater supervision.