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  • FEELING OF REFUSAL OF A PREGNANT IN FACE OF A GESTACIONAL LOSS: EXPERIENCE REPORT

    Introduction: The Project of Interdisciplinary Actions in Maternal and Child Health proposes actions directed to the health of the mother-baby binomial, accompanying from the prenatal to the infantile development, from an interdisciplinary perspective, involving Nursing, Psychology and Social Assistance courses of Federal University of Alagoas, Campus Arapiraca. Situations of gestational loss are often accompanied in the design practices. When considering the aspects of attachment and affection already present in the mother by the child, fetal or neonatal death brings to the surface the suffering expected before the death of a loved one, mourning being a natural process of passing through loss. Considering the stages of mourning pointed out by Elizabeth Klub-Ross, one of our experiences observed the phase of negation of a mother during the situation of gestational loss. Objective: This study aims to report the performance and importance of the interdisciplinary team in the face of gestational loss. Methodology: Descriptive study of the type of experience report based on the experience of students of Nursing and Psychology, Federal University of Alagoas. The experience in question happened in September of 2018, in a maternity hospital in the city of Arapiraca-Alagoas. Results: During a prepartum visit, we were confronted with a young woman at the 33rd gestational week who had received the news that her baby during the second trimester of pregnancy diagnosed with microcephaly was anencephalic and had almost no beating auscultation. The pregnant woman was 3 centimeters dilated and was informed of the remote possibilities of her son surviving. Faced with the news that her son’s chances of being born dead were high, she presented herself by caressing her belly and resistance to dialogue, by confining herself to reporting that her pregnancy was high risk. The elusive behavior evidenced the anticipation of mourning. The members of this project, being…

  • COGNITIVE PROFILE IN ELDERLY WITH MEMORY CHANGE COMPLAINTS

    Introduction: Population aging has increased over the years and directly affecting the health system. Latin America is considered to be a region where good information about dementia is lacking. Objective: The objective of this study was to evaluate the cognitive profile of the elderly with complaints of memory impairment. Method: The study was performed with patients who were being followed up at a public hospital in Recife – PE. Data were collected through the CERAD neuropsychological battery. Results and Discussion: 42 elderly people were evaluated in the first half of 2018, of which 13 were men and 29 were women with a mean age of 74.12 years. The majority, 74.36%, did not present scores compatible with GDS depression and MMSE was normal in 69.05% of the elderly; 66.67% presented alterations in the design of the clock and the majority presented alterations in the evocations of immediate and late words and also in the recognition of words. The CDR scores for 34.15% were compatible with mild dementia and moderate dementia classified 24.39% by CDR. Conclusions: Measures to diagnose the cognitive profile in the elderly are fundamental for the elderly to have a good quality of life and qualified treatment from health professionals.

  • IDENTIFICATION AND REVELATION OF GESTACIONAL LOSS: EXPERIENCE REPORT

    Introduction: The Project for Interdisciplinary Actions in Maternal and Child Health consists of a strategy focused on maternal and child health care, as an extension project of the Federal University of Alagoas, Campus Arapiraca, with a focus on interdisciplinarity encompassing the courses: Nursing, Psychology and Social assistance. From the experiences in the project, a gestational loss situation caught the attention of the members of the same. According to the Ministry of Health fetal death is characterized as the death of the product of gestation before expulsion or complete extraction of the maternal body. The fact that, after separation, the fetus shows no sign of life indicates death. Objectives: To report the experience of a woman who suffered gestational loss accompanied by project members during action in a maternity. Methodology: Descriptive study of the type of experience report based on the experience of students of Nursing and Psychology, Federal University of Alagoas. The experience in question happened in May of 2018, in a maternity in the city of Arapiraca-Alagoas. Results: During the project actions we had contact for two consecutive days with a pregnant woman, term, primípara, accompanied by the husband and the mother. She reported pain in the lower back and lower belly. The first day was in the latency phase of labor and was advised by the nurse on call to wander to help in uterine dynamics. The next day, the parturient was in active labor, she was accompanied by her mother and the psychology student, until then everything went without complications. On this occasion the nurse asked us to listen to the fetal heartbeat, however, we could not detect them and we informed her that she was initially able to perceive fetal bradycardia and then no longer identified them. With this, the parturient was referred to the surgical…

  • AMENIZING FEAR: INTERVENTION PROPOSAL FOR PRE-SURGICAL PREPARATION IN CHILDREN THROUGH SKINNER’S MODELING

    Introduction: The child’s hospitalization can be perceived as a threatening experience, favoring the emergence of a situation of suffering during hospitalization, as well as the moment before a surgical procedure that often involves a state of fear. Objective: To propose psychological intervention for pre-surgical children of a hospital of high complexity in the city of Recife-PE. Methodology: Use of modeling as a form of pre-surgical preparation of children, aged between 6 and 12 years, based on the theoretical basis of Behavioral Approach Theory. The intervention will happen by modifying the behavior by means of successive approximations, similar responses with the target response, divided into five stages. Play materials will be used, such as patient doll, kit dodói, surgical instruments, infirmary kit, surgical room design, among others. Results: It is known that there is usually a deficiency related to the qualification of the health team regarding the emotional assistance of the preoperative patient, which can lead to doubts, fears, anxiety and fantasies about the surgical procedure. Therefore, pre-surgical preparation is a tool that can be used in pediatric wards because it is understood that it is necessary to provide the child with resources that facilitate his perception of the reality of the surgery and its purpose. Conclusion: To mitigate the fear of the child in a pre-surgical preparation is necessary and is possible through several expressive resources, besides the modeling. It is suggested that this care in pre-surgical preparation be routine in the hospital, strengthening and contributing to improve the discomforts of pediatric patients.

  • EVALUATION OF ANTIFUNGAL POTENTIAL OF OIL OF THE SPECIES Caryocar coriaceum FRONT OF CANDIDA SPECIES ISOLATED IN THE ORAL CAVITY OF ONCOLOGICAL PEDIATRIC PATIENTS IN ANTINEOPLASTIC TREATMENT

    Introduction: The fungi of the genus Candida belong to the individual’s normal microbiota, that is, they coexist in a harmonious way with the organism, but in some cases this equilibrium is broken, triggering the candidiasis. Oral candidiasis is a type of candidiasis characterized by the appearance of whitish plaques that may be isolated or in a group causing pain and discomfort to the individual and due to the emergence and growth of conventional drug resistant strains, new possibilities of treatment have been sought. Objectives: To evaluate the antifungal potential of the oil of the species Caryocar coriaceum, in front of four species of Candida, Candida albicans; Candida glabrata; Candida krusei and Candida tropicalis isolated from pediatric patients undergoing antineoplastic treatment. Methodology: To perform the antifungal test, the strains were divided into four distinct groups, positive control, negative control, sterility control and test group, and then the minimum inhibitory concentration Results: The oil of the species Caryocar coriaceum failed to inhibit the growth of the strains tested. Conclusion: Although the oil of the species Caryocar coriaceum has not demonstrated antifungal activity, more tests should be performed, but under new extraction conditions, for a full proof if there is any component that has activity against Candida.

  • STORYTELLING AS A RESOURCE FOR HUMANIZATION AND COPING WITH PAIN

    Background: Child hospitalization is potentially a traumatic situation for the child, causing a break in his daily routine, habits of hygiene, sleep and food. In Pediatrics, you can not wear your clothes, you do not feed as you want and at the time you are accustomed, you experience impersonal treatment of the team and invasive treatment that can make adherence difficult. Conditions such as these can lead to the appearance of psychological reactions such as anxiety, fear and anguish, social repercussions such as difficulties of interaction and isolation. Humanizing the hospital environment in pediatric care may be an interesting solution to help cope with the adverse effects of hospitalization. Storytelling is a playful resource that favors coping with hospitalization and minimizing pain. Objective: To report the experience of using the history contact as a resource for humanization in the hospital context and coping with pain. Methodology: report of experience. Results and discussion: Storytelling can be fun and enjoyable for the child and his / her family, making him travel in the stories told in a few minutes, and draw attention away from discomfort, pain and suffering. It facilitated a social interaction that facilitates the mutual growth and exchanges of emotions, humanizing the hospital environment. It affects the children, their families and even the health team. In addition, it allowed to re-signify the patient’s own history from the fantasy present in the plot that is told. For storytelling, one can use the book as support or not to interact and actively insert the child into what is being narrated. Conclusion: The experience of storytelling by relaxing the child, taking the focus off the pain, allowed a playful experience and reflection on reality, reinventing what is happening in the hospital and itself, as well as the rescue of the right of the…

  • INTERDISCIPLINARY PRACTICE IN CONSULTATION A NEWBORN: EXPERIENCE REPORT

    Introduction: Aiming at the well-being of the population, it is necessary for health teams to work in an effective and integrated way, especially when it comes to childhood, which is the phase of greater personal development, thus supporting not only the child but all his family. To begin to work the interdisciplinarity still in the university is very relevant for the future professional formation of the students, because it brings a new look to the same ones, causing that they are able to draw up plans of more specific and individual care directed to the particularities of each patient. Objectives: To describe the interdisciplinary experience of the consultation to a newborn, considering its family context, based on a practice of the Project of Interdisciplinary Actions in Maternal and Child Health linked to the Federal University of Alagoas, Campus Arapiraca. Methodology: A descriptive study of the experience report, based on the experiences of Nursing and Psychology students who are part of the project, during an action taken in September 2018, at a basic health unit in the municipality of Arapiraca, Alagoas. Results: The consultation was directed by the unit’s nurse, and accompanied by the students of nursing and psychology. During the consultation, it was noticed from the physical examination that the newborn was jaundiced. The parents were very distressed because they did not know what to do to minimize this alteration that even with the sun baths did not present results, in addition they presented complaint of frequent and excessive crying of the baby, which was identified as aspect generating of stress and distress for parents. Given this, nursing and psychology acted together to meet the parents’ demands, thus, guidance and emotional support were offered in order to minimize the interference of stressors that could affect the family context and impair…

  • A Rare Case of Glandular Odontogenic Cyst With a Breif Review Of Literature

    Glandular odontogenic cyst (GOC) is an extremely rare cyst of jaw bone with only 182 cases documented so far in the English literature. GOC is considered to be a locally aggressive lesion with high rate of recurrence. Anterior mandible is the most common site of involvement for GOC, involvement of the maxillary bone which is a rare occurrence. The clinical and radiographic finding of GOC are varied & often pathognomic. As clinical & radiographic findings are overlapping with those of other odontogenic cyst, a careful histopathological examination is needed to arrive at a definite diagnosis of GOC. In the present paper we reported a rare case of GOC in a 23yrs old male involving maxillary bone along with a review of literature focussing on clinical & radiological presentation and treatment outcome.

  • Research on screening performance of double layer vibrating screen for soybean harvester based on discrete element method

    In order to improve the screening effect of grain combine harvester, it is necessary to study the influence of different screening parameters on screening performance.In this paper, discrete element method was used to simulate the screening process of soybean and short stems by selecting different screening parameters, and dynamic screening efficiency and the number of short stems under screening were introduced as evaluation criteria.The results show that under certain other conditions, the vibration frequency, amplitude and direction angle have significant influence on the screening performance, while the inclination angle of the upper screen has little influence on the screening performance. With the increase of vibration frequency, amplitude and direction angle, screening efficiency increased first and then decreased, while the number of short stalks under screening increased first and then decreased. Considering the screening efficiency and the number of short stalks under the screening, it is concluded that the screening performance is better when the amplitude is 25 mm, the vibration frequency is 4 Hz, the vibration direction angle is 25 degrees and the upper screening angle is 3 degrees. The simulation results are verified by field experiments, and the simulation results meet the requirements of field experiments.

  • Idiopathic Spontaneous Pneumoperitoneum: When Not to Operate

    Pneumoperitoneum is often a surgical emergency related to gastrointestinal tract perforation. On rare occasions, free intraperitoneal air can be present without any discernible cause and is considered Idiopathic Spontaneous Pneumoperitoneum (ISP). Deciding which patients with ISP can be managed conservatively would help prevent some patients from undergoing unnecessary surgery. We describe here two cases of successful management of ISP and the review of literature of ISP management for the past 29 years. In the first case, a patient with ISP with no significant abdominal symptoms was successfully managed nonoperatively. In the second case, a patient with ISP and symptoms of small bowel obstruction was successfully treated surgically with exploratory laparotomy and small bowel resection. We recommend conservative management for the subset of ISP patients with no sign of peritonitis or sepsis.