To intervene directly in the construction of quality of life and progressive improvement of the disease
Introduction: Art therapy is a therapeutic modality based on the different psychological approaches that aims to treat human suffering using artistic activities, bringing with it the importance of therapeutic treatment that can be expressed in several ways such as: painting; drawing; collages; capoeira; body language; music; creation of characters without concern for aesthetics, among others. There is efficacy for complex social and health problems. Objectives: To intervene directly in the construction of quality of life and progressive improvement of the disease. Methodology: It is a descriptive study of the type of experience report, carried out a therapeutic intervention through a graphite and dramatization. The art was experienced in the art therapy discipline from August to November of 2016, with the theme on Stress and Depression, which reported through the hair of the doll Nega Maluca the reasons that cause during the day-to-day in the university. Being presented to the academics and professors of the health courses of the University of Pernambuco in the Campus Santo Amaro within the elective discipline. Results and Discussion: The presentation was made by a group, composed of nursing academics from the same faculty of different modules, using the scenic arts technique to approach the themes through an exhibition of the art model, an explanation of its meaning, a staging and, finally, graphing at the authorized location. Conclusion: Artistic activity as an instrument of mediation for the general public through graffiti and dramatization was of great importance, since it is an artistic expression with embellishment and reflective way. With the intention of emphasizing the dimension of the theme and dealing with future health professionals, since this modality acts in the evaluation, prevention, treatment and rehabilitation for health.
Main Differences Between Diabetes Mellitus Types 1 and 2 in Relation to Genetic Factors
Introduction:Diabetes mellitus type 1 (DM1) and 2 (DM2), are responsible for more than 95% of the world cases. Being autoimmune DM1, characterized by the destruction of the pancreatic beta cells through the lymphocytes of the body, multifactorial and dependent on immunological, genetic and environmental factors. On the other hand, DM2 is caused by the inability of pancreatic beta cells to raise the level of insulin in the blood, presenting environmental and genetic factors. Objective: To differentiate genetically the types 1 and 2 diabetes mellitus. Methodology: A literature review was carried out through the Scielo platform, which selected complete articles published between 2007 and 2012 in Portuguese and in the book Williams Treated of endocrinology, 11th edition. Results and Discussion: For DM1 some polymorphic risk genes are known. These are found in the Histocompatibility Complex, more precisely in the region of the Human Leukocyte Antigen (HLA) system on chromosome 6 (p21.3), which are HLA-DQ alpha, HLA-DQ Beta, HLA-DR, insulin and the PTPN22 gene. The HLA-DQ / DR loci are considered the main genetic markers in the presence of antigens in the islets of Langerhans and in the control of the immune response. Non-HLA genes also contribute to the onset of DM1, such as the polymorphism of the insulin gene on chromosome 11, and the genes for the Carrier Involved in the Presentation of Antigen (TAP). In the more rare monogenic form of DM2, mutations occur in the insulin receptor, peroxisome proliferator-activated gamma receptor (PPAR gamma), insulin and a polymorphism in the mRNA mRNA gene. In the most common polygenic forms of DM2, the most studied genes are calpain-10, PPAR gamma2 and Kir6.2. Conclusion: DM1 is complex, and is involved in gene mutations that regulate the immune system. In DM2, mutations occur in membrane proteins. There must be rapid diagnosis so that…
Analysis of the Effects of the Physical Activity in the Gait of the Bearers of Parkinson: Literature Review
Introduction:Parkinson’s disease (PD) is a progressive neuromuscular disorder, which causes a decrease in dopamine in the striatum body, occurring so the PD’s primary signs, among them, bradykinesia and postural instability are those that most interfere in the gait quality of PD patients. Physiotherapy uses physical activity as a therapeutic resource, it doesn’t lead to the disappearance of the disease, but it can help slow its progression. Objective: To analyze, through a review of literature, the effects of the physical activity in the gait of the bearers of the PD. Methodology: The study used scientific articles indexed in the bases of data LILACS, MEDLINE, PUBMED and SCIELO. For discussion, articles were included randomized what used the physical activity like resource therapeutic and when those who had not quite definite protocols and what had several wrapped techniques were excluded. Results and Discussion: In the included studies, patients were initially assessed for functional disability through the scale Hoehn & Yahr or Hoehn & Yahr modified, excluding those at a severe stage of the disease and to evaluate the effects of therapeutic interventions, UPDRS (Unified Scale for PD Assessment) was one of the scales applied before and after treatment in most studies. In view of the four different interventions investigated in the present study: treadmill exercises, resisted and balance, associated with external sensory cues and associated with music therapy, all of them proved to be directly or indirectly effective in the progression of PD patients of the research carried out. Conclusion: It was verified the beneficial effect of physical activity programs on the gait of PD patients, however, they are necessary more studies randomized and with a good quality methodological, because a great variety of techniques have been used by the physiotherapy, there being no a consensus as for the form and necessary duration…
Regulatory T Lymphocytes: a Powerful Regulator of the Immunological System
Introduction: The immune system works by stimulating direct action against various antigens and also by means of “immune memory”. When the organism is induced by a responder to an antigenic aggression, action of several cells occurs by modeling this response, among them they are like regulatory T cells (Tregs). These represent a sub-population of CD4 + T lymphocytes characterized by the expression of the CD25 + molecule and by the nuclear factor FOXP3. Objective: To review the mechanisms of action of Tregs cells in the containment of the immune system. Methodology: The present work consists of a literature review. A localization of the articles was performed in the electronic databases Pubmed, Scielo and Lilacs, between 2012 and 2017. Results and discussion: currently, it is postulated that there are three mechanisms used by Treg cells for their abilities. What is the control of suppressive factors, including cyclic adenosine monophosphate (cAMP), suppressive cytokines such as TGF-β, direct cytolysis or negative signaling through the CTLA-4 molecule, which will inhibit cell proliferation and differentiation. The second method, soluble suppression factors, such as IL-10 cytokines, TGF-β and IL-35, or secretion of suppressive factors from antigen-presenting cells such as adenosine. The third mechanism is based on the competition for cytokines that signal through common γ-chain receptors (IL-2, IL-4 and IL-7), leading to immune cell apoptosis by growth factor deprivation. Conclusion: Tregs cells are potent regulators of the immune system that act by decreasing an immune system’s action excessively. It is believed that with a better understanding of the mechanism of action such as cells, such as Tregs seriously manipulated with a purpose to aid in the treatment of diseases with immune dysregulation.
INTERRELATIONSHIP BETWEEN RHEUMATOID ARTHRITIS AND PERIODONTITIS
Introduction: Rheumatoid arthritis and periodontitis are two chronic inflammatory diseases where inflammatory mediators induce bone loss and destruction involving joints and supporting tooth tissues, respectively. The observance of similarities in its pathogenic mechanisms has aroused interest in research on the association between these conditions. Objectives: To verify the interrelationship between rheumatoid arthritis and periodontitis. Methodology: Literature review where articles were searched in the 2007-2017 period, available on the Internet, in the database systems: Medlars on line International Literature (Medline), Latin American and Caribbean Literature in Health Sciences (Lilacs) and Brazilian Bibliography of Dentistry (BBO) present on the website of the Virtual Health Library (BVS). Results and Discussion: The literature does not yet confirm the interrelation between rheumatoid arthritis and periodontitis. However, considering the similarity of the pathogenic processes, these chronic and destructive inflammatory diseases are still under investigation worldwide, and it is believed that the relationship between the two processes can be scientifically proven. Although several clinical trials show worse periodontal conditions and higher frequency of dental loss in patients with rheumatoid arthritis, when compared to healthy controls; yet it is not possible to point out the interrelation or degree of dependence and / or favoring the development of these processes between these two diseases. Conclusion: The interrelation between rheumatoid arthritis and periodontitis has not been completely clarified nor scientifically proven despite the similarity between pathogenic mechanisms. However, considering the severity of the same should seek the prevention, diagnosis and appropriate treatment, as early as possible.
Marker of Cardiometabolic Risk in Teenagers: the Influence in Excess of Weight
Introduction: Usually teenagers present biopsychosocial transformations being expressed between childhood and adulthood. According to the National School Health Survey, the prevalence of overweight students was 25.1%. This can lead to health problems such as diabetes, heart problems and poor skeletal formation. So, this is why excess weight associated with inactivity and inadequate diet may trigger risk factors for chronic non-communicable diseases, such as cardiovascular and metabolic diseases. Objectives: To identify the prevalence of overweight for cardio metabolic diseases in teens. Methodology: A literature search was conducted in the Scientific Electronic Library Online and MedLine databases using the following descriptors: cardiovascular diseases, metabolic diseases, teens, overweight and obesity. obesity. 89 articles were found. After applying the cut of the last 5 years (2013-2017), there were 14 articles that made up the review. Results and discussion: According to the bibliographical findings, it is verified that with the advent of technology, sedentary lifestyle at early ages is evidenced, affecting adulthood through cardio metabolic diseases. Data from Fiocruz reveals that out of the teenagers who are suffering from obesity; eight out of ten remain obese in adulthood. Thus, regular physical activity and a balanced diet contribute to the better development of adolescent metabolism. In addition, the family history of cardio metabolic diseases influences the excess weight of the adolescents, reflecting in subsequent generations. Conclusion: It was found that there is a shortage in the literature associated with the prevention and encouragement of a healthy way of eating and physical practices in this society. Thus, to achieve the efficiency of healthy aging it is necessary that preventive actions are applied from childhood.
Creation of a Validation Protocol of Anatomical Handmade Models for Human Anatomy in Higher Education
Introduction: The creation of low cost anatomical pieces has been disseminated in Brazilian Universities in order to minimize the educational shortcomings of the lack of accessible didactic material. Objetive: This work aims at the creation of a validation protocol for anatomical handmade models, evaluating efficacy in teaching-learning and standardizing the anatomical models produced in the disciplines of Human Anatomy. Methodology: Initially a search of articles on models already created was done, and the methodologies of creation and practical evaluation of each model were indicated and formulated a general protocol. Results and Discussion: The protocol was divided into: 1) Initial considerations and 2) pre-test, aiming to classify the classes and identify systematic errors; 3) Testing and 4) Statistical analysis, practical test and statistical validation of the model’s efficiency for learning. Initial considerations and pre-test provide an overview of class performance. The test is a theoretical-practical exercise applied after the theoretical classes and presentation of the model. Conclusion: The protocol must be used in new models to test its efficiency for suitability in each discipline, maintaining a common trunk and logical sequence of data acquisition and validation of the handmade anatomical piece as additional tools for teaching.
Associated to the Proteinic Malnutrition on the Physical Mass and the Parameters Mices Cardiovasculares
Introduction: The proteinic malnutrition perinatal is able to promote alterations cardiovasculares and in the corporal mass of the progeny. Experimental models of motherly voluntary physical activity (AFV) in cicloergômetro before and during the gestation it seems to reduce the effects of the malnutrition. Objetive: The objective of the work valued the effects of the proteinic malnutrition and AFV during the period perinatal on the corporal mass and the parameters cardiovasculares of the progeny. Methodology: Confirmed Wistar was used (n=8) originating from mothers who before the gestation were arranged individually in cages of AFV by a period adaptativo of 30 days. After this period the rats were classified in two groups in accordance with the daily level of physical activity: Inactive or Active. Next, same they were subjected to the mating and from the first day of pregnancy they received diet normoproteica (NP, 17 % of protein) or hipoproteica (HP, 8 % of protein). In the 30th day of life of the progenies the proceeding is carried out for implant of the catheters in the artery femoral, for subsequent register of the middle blood pressure (PAM), pressure sistólica (PS), pressure diastólica (PD) and cardiac frequency (FC). The results were expressed on average ± EPM. Test ANOVA one-way was used and p < 0.05 All the proceedings were approved by the CEUA/UFPE (23076.021679/2015-87). Result and Discussion: In 30ºdia of life, while analysing the corporal weight it was possible to notice that there was no statistical difference between the groups NP and active HP (NP=66.98 and HP=70.78), on the other side in the group HP and inactive NP it was possible to observe an increase of the corporal mass of the NP likened to the HP (NP=85.81 and HP=51.34). Regarding the parameters cardiovasculares it was noticed that in this age the malnutrition and…
NURSING CARE TO AN ELDERLY VICTIM OF LEFT FEMORAL FRACTURE
Introduction: Femoral fractures are common in the geriatric population, representing the 2nd largest cause of hospitalizations in these individuals. They occur due to traumas of low intensity and present high late morbimortality. Projections indicate that by 2050, six million people will be affected. Objective: To describe the experience of nursing care to an elderly victim of left femoral fracture. Methodology: This was a descriptive study, of the case report type. The scenario was the emergence of a hospital located in Recife in January 2017. A care plan was elaborated based on the nursing diagnoses survey Proposed by the taxonomy of NANDA international. Results: The main diagnoses were: anxiety, acute pain, risk of infection, risk of impaired skin integrity, impaired sleep pattern, impaired physical mobility, impaired self-care and impaired gas exchange. Conclusion: The identification of nursing diagnoses favors nursing care, since the care becomes directed, thus promoting the reduction of the diseases and improvement of the patient.
TO ANALYZE QUALITY OF LIFE IN PATIENTS WITH KNEE OSTEOARTHRITIS
Introduction: Osteoarthritis, a predominant rheumatic disease in the elderly, is characterized by being degenerative, with the knee joint being the most affected. Such involvement leads the individual to experience severe pain, affecting physical and psychological performance, interfering with quality of life (QoL). Objective: To analyze QoL in patients with knee osteoarthritis. Methodology: Cross-sectional observational study. Including male subjects, aged 50 to 69 years, with knee arthrosis with diagnosis based radiographically. Excluding those with other associated osteomioarticular pathologies and administering drugs that could interfere with the responses given for evaluation of QoL through the SF-36 instrument. Results: Men (n = 15), 59.3 ± 6.3 years, mostly overweight (60%), reduced functional capacity (p