Recent Articles

Introduction: Cancer are more than 100 diseases that have in common the disordered growth of cells, with varied causes. In Brazil in 2016, in relation to colorectal cancer, an estimated 34,280 new cases were reported, of which 16,660 were male, and 17,620 were female. In the Northeast the estimate is 1,940 cases of cancer for men, whereas the women is 2,530 cases. Colorectal cancer comprises tumors that affect a segment of the large intestine (the colon) and the rectum. There are several causes for intestinal ostomy. Malignant neoplasms (particularly colorectal and bladder), inflammatory bowel diseases (Crohn’s disease and non-specific ulcerative colitis), external traumas or causes (traffic accidents, impalement, white or firearm injury, anal incontinence and infections acute myocardial infarction, acute diverticulitis, familial adenomatous polyposis, megacolon, traumatic colorectal cancer, colorectal cancer, incontinence, as may be employed in derivation of intestinal transit due to pressure wounds. Objective: To reflect on a psychoeducational work in a group with ostomized patients by cancer, allowing to welcome and promote a humanized psychological assistance, as well as to use educational strategy aimed at awareness and psychosocial care, in the prevention and promotion of health. Method: Integrative review study through bibliographic research, published and indexed in primary databases SCIELO, PEPSIC, article analysis, books on the subject; and elaboration of psychological group intervention for ostomy patients. Discussion: Psychoeducation is a set of systematic, structured and didactic practices that combine information on the disease and treatment with emotional support, aiming to provide the patient, his family and his companion to understand and deal with the consequences of the illness. Conclusion: Through the group and educational strategy, the psychologist can make possible the awareness of psychosocial care, prevention, health promotion and psychoeducation as a facilitating resource between patient and health team.

Introduction: The chronic kidney failure is considered a public health problem, since it has high morbidity and mortality rates. This shortcoming is the result of the impairment of renal function, which can lead to the substitutive therapies to the kidneys. Among them, it is noteworthy that the hemodialysis patient demands adjustments to physical, social, psychological, and points to possibilities of contribution of the psychologist in this scenario, and offering psychological support to minimize suffering, fears and fantasies, favoring the positive adaptation and well-being of the patients. Objective: to reflect on the challenges in the actions of the psychologist in the context of chronic renal disease in hemodialysis, from report of the internship experience in service of renal substitutive therapy. Methodology: an experience report. Results and Discussion: the curricular internship has experience in the sector of dialysis, lets you know the characterization of chronic kidney disease and its possible repercussions on the life of the biopsychosocial subject, which are quite specific, requiring psychology trainee personalize care for patients in hemodialysis. That happens because the experience of each patient is unique and it is to be attentive to this subject that falls ill and not the disease of the subject itself. Therefore, the practice of psychology in this reality behind various challenges to professionals, some of them are: need to individualize the care, respect the biopsychosocial difficulties, help the subject in the understanding of yourself, establish a therapeutic alliance, stimulate the patient’s capacity to adapt and contribute to the rescue of the meaning of life. Conclusion: Is highlighted the contribution of psychology in the context of chronic renal disease. Is observed that the psychological care in this clinical condition enables the psychic reorganization, understanding of the diagnosis, the greater adherence to treatment, stimulating the emergence of coping strategies, encourage the autonomy and…

Introduction: In the world, it is estimated that, approximately 500,000 new cases of heumatic fever occur per year. In Latin America 21,000 cases of acute rheumatic fever. In Brazil 18,000 new cases of rheumatic fever / year, approximately 50% with significant cardiac lesions, representing the main cause of acquired heart disease Streptococcus by the airways. It is manifested about 7 to 15 days after an infectious episode of pharyngitis (inflammatory and infectious disease involving the pharynx) with fever, reaching generally children from 5 to 15 years old who present changes in the immune system by genetic inheritance. It is a chronic disease and the main cause of acquired childhood heart disease. Objective: To analyze the role of the psychologist as facilitator of the process of awareness of care, prevention and health propagation through an educational tool for caregivers of children about rheumatic fever. Method: Integrative review study carried out through bibliographic research, published and indexed in databases, SCIELO, PEPSIC and research in guidelines composed by members of the Brazilian Society of Cardiology, Brazilian Society of Pediatrics and Brazilian Society of Rheumatology. Discussion: Rheumatic heart disease is a chronic disease, with high direct and indirect costs, and may cause great social impact on the individual’s life in a growth and development phase, causing losses in school life and insertion in the labor market. Through the informative tool and action of the Hospital Psychologist, it will facilitate clarification of repeated hospitalizations, complex cardiovascular and cardiovascular surgery interventions difficult to manage. Conclusion: Through an educational proposal, the psychologist can perform a psychoeducational work in addition to making a clinical hospital, which enables the understanding, clarification of caregivers and health professionals about the pathology.

Introduction: Alimentation is fundamental for the development of a child, therefore it, is important to put in place the fundamental structures from an early age. The school environment has a huge influence on these habits and therefore it is important from an early stage to promote good structure in the formation of those habits. Objective: Explain the approach taken within the school environment to promote good eating habits. Methodology: Treat the case of the public school of Bezerros where the children range in age from 8 to 10 years and are in the 3rd class of fundamental education. The intervention happened once and lasted 3 hours. What resources did you to create dialogue, how did the conversation go using digital support, how did the exhibition of the food pyramid go. As well, fruit was introduced as part of the discussion. Results and Discussion: 60 Students participated who during the entire presentation displayed an interest and attention. It was discussed the impact of each food type on the human organism. In the end, the students participated in sampling each of the foods available. It was noted that some had doubts about some of the verbal explanations given but these doubts were clarified. This active participation by the children allows the conclusion of positive development of the children. Conclusion: The success of this trial proved the team of the school the essential need to have such programmes in the school to promote good eating habits by the students. It also showed the necessity for those in control to ensure that such activities were necessary in order to change the thinking regarding food and would result in better eating habits.

Introduction: Digital technology used to engage good habits in overweight and obese people. Objective: To analyze weight and practice of physical activities in participants of digital program for habit changes focused on the behavioral therapy. Methodology: Digital follow-up for 17 weeks of bodyweight, daily feeding and physical activity of five initially sedentary women (39-56 years) and provision of educational contents in four sequential modules: food reeducation (M1), physical activity (M2), sleep and well-being (M3) and maintenance of habits (M4). Weekly, a multiprofessional health team identified risk points and constructed interventions. These were based on food and physical activity goals, as well as reflective conversations and engagement by a health mentor via chat and/or phone call. There was no prescription of diets and/or physical exercise training. Analysis performed with paired T test (initial weight vs final) and repeated measures ANOVA (time of physical activity between modules), significance level of 5%. Results and Discussion: The initial group’s bodyweight reduced 6.84% ± 2.73 (mean ± C.I.) (F=5.58; P=0.01). The adherence to physical activity was 100%, each module with weekly mean time (mean ± S.D.) in minutes: M1 141.8 ± 32.3; M2 214.8 ± 53.3; M3 178.4 ± 34.5 and M4 158.3 ± 48.4. In M2, there was more time invested in the practice regarding M1 (P=0.01) and M4 (P=0.047). In addition to weight loss, there was a clear behavioral change with adherence to the regular practice of physical activity by all participants. The motivational character to the regular physical activity in the M2 can justify the greater adhesion in this period. Results corroborate with other studies on digital health programs and bodyweight loss in adults. Conclusion: Digital follow-up has shown to be an interesting strategy in the engagement of better habits and bodyweight reduction.

To Introduction: Nowadays, with various counter-reforms in social security, social assistance, health, among others, we see many rights guaranteed by the 1988 Constitution, taken from citizens. In this way, the awareness and information of the population is essential to create an engagement in a fight against the loss of its guarantees. Objective: to report the experience of a lecture with the theme “What is Sistema Único de Saúde (SUS)?” for residents of the 27 de novembro Community, neighborhood of Ibura, Recife – Pernambuco. Methodology: The proposal was developed on December 2, 2016 in the form of deliberation, offered by a group of medical students from the Federal University of Pernambuco, in partnership with local community health agents. The theme was worked on four axes: 1- Origin of SUS; 2. Doctrinal and organizational principles of SUS; 3- Counter-reforms in Social Security; 4- Importance of Social Control in SUS. Results: The vast majority of community residents present approved the presentation in their proposal, content and format, considering the important theme for the formation of a critical sense on the subject and when called to a community meeting in January of 2017, in order to organize sanitary and social claims, 100% of those present were interested. Discussion: It can be considered that the experience contributed significantly to the teaching and learning dyad by the articulation of medical students, health workers and community members, and in this sense, it is considered a permanent education action, an indispensable tool in the context of collective health. Conclusion: It is considered that the action was successful in enabling the understanding, the organization and the enlarged view of the residents of the community to the importance of understanding their rights and guarantees, allowing for critical reflection and social engagement.

Introduction: Adolescence is a stage of human development marked by intense transformations, causing vulnerability to mental health issues in many adolescents. One of the risk factors for this to happen is the familiar relationship in which the adolescent is inserted. Objective: In face of this, the study aimed to study the familiar relationship of adolescents in situation of social vulnerability. Metodology: This is a descriptive, cross-sectional study, with quantitative analysis of data. 21 adolescents, from both sexes, from 10 to 16 years were part of the study. Results and Discussion: Data was collected through a socioeconomic questionnaire, the Escala de Exigência e Responsividade, known as Ecomapa. Results showed that the adolescents boys hold a strong relationship with their parents, the girls, had the opposite response, relating a greater effort from themselves to the relationship. The girls showed a higher level of exigence, while the boys showed responsiveness. Conclusion: The predominant parental model was the negligent, revealing the necessity of a greater investment from parents for their children, with dialogic approach, stimulating autonomy and interactivity.

Introduction: Nutritional status is the condition that the body assumes due to the nutrition and metabolic expenditure, representing the sum of the interaction of somatic and functional elements responsible for the absorption of nutrients and adequacy of physiological needs. The deficit in the nutritional status of athletes has a direct impact on physical performance, anthropometry and glycemia. Objective: To evaluate the nutritional status related to the physical performance of athletes, founder and marathon runners of Petrolina before and after the nutritional intervention. Methodology: The population was composed by 10 athletes and marathonists of the Petrolinense Association of Athletics. The evaluation of the nutritional status was performed through anthropometric analysis: body weight, height, body mass index (BMI), skin fold and circumferences. Results and Discussion: After nutritional intervention, athletes reduced body weight (p = 0.034) and BMI (p = 0.025). Consequently, they decreased the percentage of subcutaneous fat by the bioimpedance method (p = 0.012), and promoted an increase in muscle mass (p = 0.010). With the application and orientation of the alimentary plane, only the folds of the abdominal (p = 0.034) and the calf (p = 0.001) showed a reduction in the subcutaneous lipid content. It is possible to verify a strong relation between the energy expenditure of the race and the anthropometric measures, mainly with the corporal mass. This association is explained by the fact that athletes who reduce their weight by the loss of body fat improve the relation with the content of lean mass, therefore, increasing muscle power, with a direct impact on performance. Conclusion: The union of the evaluation of the nutritional status of the athletes and the subsequent nutritional intervention, they developed more their physical conditioning, reflecting less fatigue, better efforts during training and better results in competitions.

Introduction: Food behavior is determined by interactions between physiological, psychological, genetic and environmental factors, besides being related to the nutritional status of the individual, represented by the sum of the interaction of somatic and functional elements responsible for nutrient absorption and adequacy of the physiological needs. Objective: To evaluate the dietary intake related to the physical performance of athletes, dietitians and marathon runners of Petrolina before and after the nutritional intervention. Methodology: The population was 10 athletes of the Petrolinense Association of Athletics (APA). Food intake was performed by the Food Frequency Questionnaire (FFQ) and the 24h recall (R24h). Calories, macronutrients and micronutrients were quantified before and after nutritional intervention. The consumption analysis was performed by dietwin. Results and Discussion: The energy consumed by the athletes was lower than the recommendation (p = 0.015); the carbohydrates and lipids consumed also presented inferior to the recommendations. In addition, only the protein did not differentiate between the consumed and the recommendation (p = 0.07). No changes were observed in relation to consumption and recommended (after intervention) at calcium and sodium levels – p> 0.05. There was also no statistical difference between the intake of saturated fat (p = 0.856) and fibers (p = 0.887). The lower consumption of energy and carbohydrates by the athletes according to the physical modality practiced, can affect the yield. The lipid intake lower than the recommendations was related to the concern in reducing the weight and to combat the increase of the subcutaneous fat, altering the corporal composition. Conclusion: It was observed that the evaluation and intervention is important so that the athlete’s menus is adequate and, consequently, avoid the installation of a systematically deficient energy picture that can negatively reflect on health, affecting the athletic performance.