International Congress 2018

Introduction: Parkinson’s disease is a neurodegenerative disease characterized clinically by the onset of tremor, stiffness, bradykinesia and postural instability. In addition to motor symptoms, some non-motor signals may be observed, such as olfactory dysfunction, sleep disturbance, constipation, depression, irritable bowel syndrome, hearing loss, cataract, and others. Some non-motor symptoms may precede the onset of motor symptoms that characterize Parkinson’s disease. Herpes zoster infection, as a potential predecessor for the disease, was recently reported. Objective: In this study, we report the case of a patient, attended at the University Hospital of Sergipe (HU), with initial symptoms of herpes zoster infection who developed Parkinson’s disease in a subsequent year. Methodology: A chart analysis was performed, where information such as age, sex, occupation, residence, previous pathological history and clinical evolution were collected. Results and Discussion: A 70-year-old male patient was admitted to the Neurology outpatient clinic, HU, in 2007. He reported being a former smoker and having cancer of the axillary region in 2003. Physical examination showed bilateral tremor, accentuated in upper left and left cog wheel. The patient was attended until 2015 in the hospital, followed with use of Prolopa, symptomatic treatment and motor physiotherapy. He did not evolve with psychiatric alterations. The symptoms of Parkinson’s disease began approximately one year after herpes zoster infection in the chest region, where the patient started a tremor in the fingers of one hand, which evolved throughout the arm, leading the patient to his first care in the HU in 2007. Conclusion: Herpes zoster infection may possibly confer a slightly increased risk of developing Parkinson’s disease when compared to patients without shingles.

Introduction: Parkinson’s disease is a progressive, neurodegenerative pathology characterized by motor disorders. The patient with this condition and their families face important changes in lifestyle. Nursing should ensure support to these patients and the faily through the home visit. In this context, the Calgary Model is useful for the recognition of strengths and weaknesses in the family nucleus. Objective: to evaluate the family of a patient with Parkinson’s Disease from the Calgary Family Assessment Model (CFAM). Methodology: This is a case study with one patient with Parkinson’s and four relatives. The collection took place from March to April 2015, during the activities of Educational Practices in the Community, through the analysis of medical records, interview, direct observation and physical examination. Four home visits were performed and the CFAM was applied. Results and Discussion: The genogram and eco-map, used in this study, allowed the identification of internal and external conflicts relations to the family. In addition to perceiving the distancing of the family in relation to health service. In the evaluation of development. problems were observed in the Lifeline of Medalie of the index case. Regarding the functional category evaluated, through family APGAR, it was shown that the family of the study is moderately functional Conclusion: The family assessment process by the Calgary Model is useful for evaluating the Nurse in the Family Health Strategy, since it allows the family of patients with Parkinson’s Disease to be assisted and to propose improvements in the family nucleus.

Introduction:The Chikungunya Fever is a febrile, non-contagious infectious disease caused by the Chikungunya virus (CHIKV), transmitted by Aedes aegypti and, more rarely, by Aedes albopictus. It presents a picture similar to dengue. The first confirmed case in Brazil was in 2014. The signs and symptoms can last for months, and the treatment is symptomatological. Objective: To describe the most common signs and symptoms presented by children infected by CHIKV in Brazil. Methodology: It was used in this project the PubMed base data, with the following search terms: Chikungunya in children in Brazil, Relatos de casos de Chikungunya em crianças no Brazil. It was obtained a total of 20 articles, of which 17 were excluded and 3 analyzed. Inclusion criteria: case report of chikungunya in childs in Brazil, from January 2014 to July 2017. Results and Discussion: Was observed on the related cases: sudden onset fever not explained by other conditions, and may progress to convulsion or not, macular rash with onset of lower limbs and chest, irritability, hypoactivity, vomiting, arthralgia/arthritis, and anemia. Besides that, it was reported signs of ocular and central nervous system disorders in neonates due to CHIKV virus contamination via birth canal. Conclusion: Based on the work observed, it is evident that there are few case reports in children affected by CHIKV. It is necessary to expand research and notifications in this age group as well as in the more frequent clinical occurrences. We emphasize the importance of early care and diagnosis in pediatrics in countries affected by outbreaks of this virus with the aim of reducing clinical and possibly neurological consequences. Remembering that prevention in vector control should be maintained since arboviruses have seasonal outbreaks: surveillance is one of the paramount importance to avoid complications.

Introduction: The HIV / AIDS epidemic is a worldwide reality. Vertical transmission and risky sexual practices in adolescents represent the main factors related to transmission. In Brazil, 2,972 cases were registered between 10 and 14 years of age, and 14,526, between 15 and 19 years of age in 2014. In this scenario, health education presents as an essential method to prevent these occurrences, making nurses a transformative agent in epidemiological characteristics presented. Objective: to characterize health education as a nursing tool in the prevention of HIV / AIDS from an integral perspective. Method: integrative literature review. We include studies with integral text in Portuguese, English and Spanish published in the period of 10 years, indexed in the databases: Lilacs, Medline, BDENF related to the thematic axis according to the optics of the authors. It carried out the research in the bases through the VHL using the intersection of the Descriptors in Health Sciences (DECS) adapted the URSI form in the construction of the results. The articles were organized by year of publication and classified by levels of evidence between VI, analyzed by 2 different evaluators, achieving agreement in the classification and I. Results and discussion: After the analysis and synthesis of the data, the selected articles were separated into thematic categories, arranged in tables. The repercussions on the health of adolescents resulting from HIV infection are caused by some biological and psychosocial aspects, and prevention becomes the effective method of changing this process. Conclusion: Health education is an instrument of nursing care capable of contributing to the prevention of HIV infection in adolescents, reducing the consequences generated by the virus in biopsychosocial development.

Introduction: The microcephaly epidemic in Brazil, decreed as a National Public Health Emergency, was confirmed as a result of the congenital infection by ZIKA Virus (ZIKV). From November 2015 to April 2017 there are already 2,653 confirmed cases throughout the country and despite presenting characteristics similar to known microcephaly, the severe anomalies caused by ZIKV are unique and have been termed ZIKV Congenital Syndrome (SCZV), whose complete spectrum is still not well defined. Objective: To identify and describe the main clinical findings of children with SCZV, aged between 12 and 15 months. Methodology: Cross-sectional descriptive study, realized at the Centro de Reabilitação e Medicina Física Prof. Ruy Neves Baptista of Instituto de Medicina Integral Prof. Fernando Figueira (IMIP) in Recife – PE. The study included children who were followed up at the Centro de Reabilitação do IMIP and diagnosed with microcephaly by ZIKV, and the children’s data were collected, including imaging tests, followed by a clinical evaluation of the characteristic findings of SCZV. Results and Discussion: A total of 38 children, 65.8% female, with a mean head circumference (HC) of 28.6 cm, were evaluated. All the children presented abnormalities in the findings of cranial tomography, calcifications were found throughout the sample, and ventriculomegaly in almost 90% of them, constituting the most important alterations. The main clinical findings were: hypertonia in 34 children, visual deficit in 30, occurrence of spasms in 25, and dysphagia in almost half of the sample. In addition to microcephaly, the children presented several other findings and symptoms that varied widely between them, some already well described in the literature, others such as auditory deficit and hydrocephalus as yet little discussed. Conclusion: The large phenotype resulting from this new syndrome has generated serious and distinct repercussions in children. In addition to new researches, the multiprofessional follow –…

Introduction: Violence can be defined as the intentional use of physical force or real or threatening power against itself, against another person, or against a group or a community, resulting in or likely to result in injury, death, psychological damage, developmental disability or deprivation. Objective: To provide subsidies to child health professionals in order to map care services to children victims of violence in a Health Region in the Northern Zone of the state of Pernambuco. Methodology: This is a cross-sectional descriptive study, in which a survey of services was carried out in the municipalities of the Regional Health XII that are currently working in the modality of reception and / or care for children victims of violence. Results and Discussion: Based on the study and survey carried out, it was possible to discriminate the various types of violence and the knowledge of the services in several sectors that work with the subject. Thus, the construction of a map indicating the specific services for the reception and / or care of children victims of each type of violence was carried out in each municipality, so that the services that are most present in the municipalities are the Basic Health Units, and, on the other hand, the services that are still non-existent in the ten municipalities are the Centers for Child Psychosocial Care (CAPSi). Conclusion: Through this work it was possible to conclude that the network of care and care services for child victims of violence in the Regional XII is still incipient, so that the sectors involved still do not demonstrate a well defined flow and a connection between them. Therefore, it is important to emphasize the importance of integrating and strengthening the actors / sectors involved in a joint and organized manner, in order to provide a qualified and…

Introduction: Among the food intolerances frequently found in pediatrics is lactose intolerance, which is incapable of digesting lactose due to the deficiency of lactase, an enzyme responsible for the hydrolysis of lactose into glucose and galactose. This pathology is a risk for the development of malnutrition. Objective: To evaluate the prevalence of lactose intolerant children, their nutritional status and their correlation with family history. Methodology: Descriptive study, of a quantitative and transverse nature. Primary and secondary data were used with appreciation of the Ethics and Research Committee. Results and Discussion: Of the 623 medical records examined by children between 0 and 10 years old, 8 were diagnosed with Intolerance to lactose, most of which presented adequate nutritional status and 75% of them had a history of lactose intolerance in the family. In childhood, the lactase deficiency may present physical and nutritional complications due to the presence of its signs and symptoms. There is evidence that initial bacterial selection within the gastrointestinal tract is partly genetically determined. Most of the mothers presented deregulate intestinal function and reported a history of lactose intolerance in the family, which can be correlated to the fact that the maternal intestinal microbiota and genetic factors interfere in the initial bacterial selection of the child. Conclusion: In view of the health problems that can be generated in children with lactose intolerance and the influence of their symptoms on child development and growth, the study corroborates as subsidies for health professionals in this city and new studies related to this pathology.

Introduction: Breast cancer is a malignant neoplasm due to the disordered proliferation of abnormal cells caused by environmental, physiological or exposure factors; this pathology is more frequent in women and, according to the National Cancer Institute, in 2013, 14,206 women were death due to this neoplasm. It is revealed before this index the importance of the dissemination about the preventive methods related to this disease. Objectives: To promote health education on breast cancer, its manifestations, prevention and treatment for sex workers. Methodology: Experience report on the experience lived as a student of the nursing course in a health education project in the prevention of breast cancer. A conversation wheel with illustrative poster and tactile activity of identification of breast alterations with balloons simulating the breasts was performed in a cabaret located in the city of Maceió – Alagoas on October 18, 2017, from 2:00 p.m. to 4:00 p.m., for an audience of 15 women. Results and Discussion: At the outset there was a perceived fear on the part of sex workers to participate in the conversation for fear of being judged or even exposed. In the course of the action they were approaching, sharing their experiences on the subject exposed, participating in the activities carried out. The topic of prevention, treatment and risk factors for the development of breast cancer was addressed. Conclusion: Breast cancer is a pathology that has led many women to death due to lack of knowledge and practice of prevention methods. The few women who knew about self-examination did not practice it because they did not know how serious breast cancer can be for their lives and the work they do. The only one that had previously aroused interest in preventive care was sensitized from a surgical procedure performed.

Introduction:The epidemic among young people, according to UNAIDS, the risks of HIV among adolescents and young people are greater when the age transition occurs in challenging environments, with insufficient access to food, education and housing and with high rates of violence. Perceptions of low infection risk, poor condom use and low rates of HIV testing persist among young people. UNAIDS epidemiological data from 25 countries shows that the total number of people aged 15-19 years living with HIV in these countries increased from approximately 800,000 in 2005 to 940,000 in 2015.1 Objectives: To promote health education on breast cancer, its manifestations, prevention and treatment for sex workers. Methodology: This is a participatory research, carried out by academics and professors of the Nursing undergraduate course of Uninassau and UFAL, in March 2017, at Quilombo Muquem in Joaquim Gomes, Alagoas, Nursing course, with the presence of 19 adolescents being 12 male and 7 female, between the ages of 12 and 17. Conclusion: After correlating each principle of the mandala to HEPATITES, HIV / AIDS, and showing the forms of transmission through the mandala of knowledge, there was a restlessness present in each adolescent, each wanted to expose some situation in relation to something similar to the ones hepatitis, HIV / AIDS, all knew, had a friend, relative who has or had some pathology cited. It was verified, in this experiment, the knowledge deficit of the group of quilombolas adolescents in relation to HIV AIDS Hepatitis. Many of them expressed concern about a quilombola teenager presenting some symptoms, according to them, spoke of the importance of how to correctly use the condom, wash hands and food well. We ended our health education by distributing condoms, explanatory leaflets on hepatitis, HIV AIDS.

Introduction: AIDS is a chronic communicable disease marked by strong impacts on the social, psychic and biological aspects related to the individual. In this scenario Heidegger approaches reflections on human care, which involve profound reforms in the magnitude of this action. It uses the phenomenological method to develop concepts about human existence and their relationships. On care we can highlight the relevance of the understanding of concepts addressed as dasein, Being-in-the-world, Inauthenticity, and healing promoting a humanized nursing care to the individual with AIDS. Objective: To characterize nursing care for individuals with HIV / AIDS in the light of Heideggerian theory. Method: integrative literarure review. We include studies with integral text in Portuguese, English and Spanish published in the period of 10 years, indexed in the databases: Lilacs, Medline, BDENF related to the thematic axis according to the optics of the authors. It carried out the research in the bases through the VHL using the intersection of the Descriptors in Health Sciences (DECS) adapted the URSI form in the construction of the results. The articles were organized by year of publication and classified by levels of evidence between I and VI, analyzed by 2 different evaluators, achieving agreement in the classification. Results and discussion: After the analysis and synthesis of the data, the selected articles were separated into thematic categories, arranged in tables of presentation, and graphic resources. One can observe the nursing care coupled with the perception of Heideggerian formulators of the exercises of humanized actions that seek to understand the human feelings and perceptions opening possibility of expression and adequacy of single and holistic care modifying the perspectives on the actions of caring.Conclusion: reflections on nursing care for individuals in chronic conditions in phenomenology, addressed changes capable of understanding their needs and promoting humanized care.