Investor Presentaiton
IJMS
INTERNATIONAL JOURNAL of
MEDICAL STUDENTS
II COIMAMA
S36
Abstracts
Abstracts
patient is comprised of four drugs: losartan potassium 50 mg, met-
formin hydrochloride 850 mg, gliclazide 30mg and timolol maleate
0.5%. Did not match any drug interactions of clinical significance.
As for laboratory tests, LDH rate appeared low. To improve it and
improve some bad eating habits, a balanced diet was formulated.
The glycated hemoglobin showed up very high (10.50%). According
to Brazilian Society of Diabetes levels greater than 7% characterize
poorly controlled diabetes with high risk of chronic complications.
Due to reporting episodes of problems regarding the use of drugs,
occurring exchanges between them, we prepared a medication or-
ganizer as intervention. Conclusion: The studied patient showed a
clinical status stabilized with a few altered levels. He accepted all
the pharmacist interventions that have been proposed to improve
their quality of life.
74
Voluntary Participation in Blood Donation: The Role of Educa-
tion In Health
Laís dos Santos Pimentel; Manuela dos Santos Pereira;
Leonardo Silva de Melo Aretuza Andrade Ferrante; Claudia
Regina de Andrade Arrais Rosa; Antonia Iracilda e Silva Viana
Introduction: Encouraged in Brazil since 1940, voluntary blood do-
nation is spontaneous when motivated to keep the blood supply
without regard to the receiver, and of replacement when it arises to
answer the need of a patient, replenishing the inventory. However,
the difficulty of blood banks to maintain the blood supply to meet
the needs still exists, since there is no substitute for whole blood
tissue. This includes to extricate itself from old molds, in which the
donor is invited to donate only when a family member need transfu-
sion. Objectives: To discuss the role of education in health to sensi-
tize volunteering; To analyze the amount of replacement and spon-
taneous donations in the 2013-2014 period. Methods: This study has
used as methodology the documentary research, which was held in
the Hemonucleo of Imperatriz-MA, and was based on the database
for donors of 2013 and 2014 years. The collected information refers
to the types of donors found: spontaneous (first time and sporadic)
and replacement. Later, the data were tabulated and analyzed to
enable a comparison between donors' types as well as the relation-
ship with the national average and to the literature, linking the need
to encourage donations. Results: In 2014, the Brazilian population of
donors was 1.8%, whereas there commended by the World Health
Organization would be 3% to 5% in order to maintain regular stocks.
In 2013, the total of donors among the citizens of Imperatriz was
13303, and in 2014 it was 13510; an unimportant increase of 1,5%.
From this sum, 48% are replacement donors in 2013 and 45% in 2014,
and in Brazil, in 2012, it was 35,5%. In addition to the importance
of increasing the number of spontaneous donors, the data point to
the need to sensitize the replacement donor to become a sponta-
neous donor. Education in health is essential to attract volunteering,
especially with programs that aim to warn about the importance
of voluntary donation, ensuring the rise of quality stand, from the
collection to the transfusion. Conclusion: It is fundamental the dedi-
cation in breaking the difficulties for increasing volunteer in gable to
solidify a job with greater excellence, exercising citizenship, gaining
membership and loyalty of donors and promoting a link between
donor and service.
75
Nutrition Management in Larynx Cancer: Case report
Ingrid Roberta De Azevedo Carvalho; Elivânia De Jesus Sodré
Rocha; Raidênia Barbosa De Oliveira; Valéria Bogéa Dutra;
Marcos Roberto Campos De Macêdo; Alexsandro Ferreira Dos
Santos
Introduction: The larynx is an organ pyramid-shaped composed of
cartilage, muscles and membranes. It is located in the throat area,
between the trachea and the base of the tongue. Laryngeal cancer
is a tissue neoformation are malignant laryngeal mucosa, which in-
vades and destroys other tissues. One of the most frequent to reach
the head and neck, accounting for about 25% of malignant tumors
that affect this area. Approximately 2/3 of these tumors appear in
the glottis and 1/3 involve the supraglottic larynx. The Case: JRM,
74, male, retired, was admitted with complaints of pain, diarrhea,
difficulty in feeding and weight loss. He was diagnosed with laryn-
geal cancer. The nutrition team reported power via oral rejected.
The procedure was carried out for a tracheostomy was observed
rejection of enteral nutrition with complaints of pain, discomfort,
asthenia, weight loss, secretions, and edema. Result of Subjective
Global Assessment: Severely malnourished (SGA C). Physical exami-
nation: dehydrated and skin pallor, pale and smooth mucous consu-
med muscle tissue (temples, clavicles, shoulder, scapula, quadriceps
and gastrocnemius), this edema on the right and left ankle. The
patient made use of drugs ranitidine, Plasil, Tramal, dipyrone and
captopril. Nutritional diagnosis: moderate malnutrition with loss of
fat and muscle, physical capacity and functional diminished. The
clinical conditions had unfavorable representing nutritional risk, in-
cluding weight loss, caloric intake or lower protein that 75% of the
recommendations or moderate or severe malnutrition. Conclusion:
The patient presented initially state of moderate malnutrition, wor-
sening the overall picture because the patient refused to accept the
diet complaining of pain and discomfort. Thus, with caloric intake
not reached, attending to severe malnutrition. We noticed the need
of a persistent nutritional counseling followed with Peptamen Prebio
diet in order to prevent malnutrition, the loss of nitrogen and other
nutrients. It can be through the use of a nasogastric tube or even
parenteral nutrition since the patient refuses the first option. The
patient was shaken, which could be a cause of food refusal VO and
have influenced the patient's recovery. Anyway, with the worsening
of the picture, his death occurred.
76
The importance of supporting to relatives in the cancer
treatment process in a supportive home: an experience re-
port from the VER-SUS experiences
Raíssa da Silva Santos; Suzanne Marcelle Martins Soares;
Mirza Ferreira Lima Barbosa; Brunna Aline Muniz; Lorena
Natali Cardoso Fernandes Caldas; Consuelo Penha Castro
Marques
Introduction: The cancer is one of chronic-degenerative disease that
generate more disorders to the sick person and his family. This is
justified in important changes in the lifestyle of the patient and
his family, since the physical realm to the emotional arising out of
discomfort caused by the pain, defacement, dependence, and loss
of self-esteem. In this process, the family is appointed as the main
source of support and the binomio patient-caregiver is considered
an attention unit, so that the cancer must be treated as problem and
familiar issue. Considering the relatives's role in this moment, it is
essential to provide social support to the binomio patient-caregiver
in the intention of settling the difficulties that they are experiencing.
The Experience: The Antonio Brunno Foundation - House to Support
Cancer Patients it is a nongovernmental, nonprofit organization that
welcomes people with cancer and caregivers residing in the country-
side of Maranhão state and are undergoing treatment in the capital.
The house provides accommodation, food and leisure to residents.
Accompanying helps around the tasks of house. During the visit, we
found the existence of a strong link between the residents. Adminis-
trators have created the institution under the influence of his son
Antonio Brunno, who died from cancer. It was found, in conversa-
tion with the residents that stay at this home provides a sense of
belonging, which helps to reduce the feeling of loss resulting from
the disease condition. Leisure activities, group chats and religious
practices are, according to residents, important coping resources.
Conclusion: The experiences in the house promote the construction
of ties after the loss of social references arising from the geographic
changes. The sharing of similar experiences approximates people
with different life stories and fulfills the supporting function. Thus,
helps the relatives to ease the distance of loved ones and the se-
paration of the routine activities. In the case of caregiver, the warm
welcome and conviviality reduces the feeling of strangeness and
increases the feeling of belonging. It appeared from that the foun-
dation offers to the residents much more than food and shelter. The
foundation constitutes a new family, where affective bonds become
motivators in the search of the cure.
77
Teaching of Social Skills in Medicine Course: Contributions to
the Doctor-Patient Relationship
Bruno Luiz Avelino Cardoso; Duane Henrique Oliveira Alves;
Guilherme Cunha Dos Santos Teles; Isac César Roldão Leite;
Janaina Bianca Barletta
Introduction: The medical care is related to a series of challenging
contingencies, among them stand out stress experiences, vulnerabi-
lity, grief and loss, in addition to technical and therapeutic manage-
ment. The formation of a competent professional should be based
on knowledge and clinical reasoning, on practical skill and on doctor-
patient relationship. This is directly linked to social skills (SK) that
include behavioral components, whether verbal of content, verbal
of form (or paralinguistic like verbal fluency) and non-verbal (such
as eye contact and gestures), the cognitive-affective components
(such as emotions, beliefs and expectations) and physiological. The
Experience: In order to improve medical care, FACIPLAC's- Gama /
DF medical students, from the third period, participate in a course
unit entitled 'Professional Skills, Attitudes and Communication' (Se-
miology), where are trained medical history, physical examination
and specific SK by a group professors: doctors and psychologists. In
the classroom are made reflective activities on interpersonal aspects
in the context of health care, role playing of attendance situations
in different contexts, film analysis and checklist development. In
health scene, as a general hospital and activities with the commu-
nity, students put into practice what has been accomplished in the
classroom, which, in turn, fed back into the classroom activities,
whereas experienced difficulties are discussed and dramatized with
behavioral assays, in order to increase the cognitive-behavioral re-
pertoire for coping with situations considered stressful. It can be said
that a number of teaching strategies are used, such as: modeling
in the real scenario, where students learn the behavioral variability
according to the practical contingencies; modeling through activities
of behavioral essays; modeling by vicarious observation, from movie
scenes, classroom representations and conduct of teachers; learning
by rules from the instructions received and reading. Conclusion: It is
understood that this course provides a psychological and technical
preparation for applying a good history guided by professionalism,
respect and ethics. It is considered that the acquisition of a skilled
social repertoire can encourage better social and professional ad-
justment.
78
Medical Education: The importance of the interdisciplinarity
in the medical curriculum to form a humanized professional
Rebeca Marques Margoto; Ana Beatriz Neri; Tamirys Golenia
Dos Passos; Erick Gustavo Da Silva Neres; Isac César Roldão
Leite; Janaína Bianca Barletta
Introduction: The medicine course has brought throughout the years
a kind of education guided in biomedical models of learning and
working. Because of this, and the fact that most teachers consist in
medical professionals, the culture of communication between me-
dicine and other areas of knowledge related to health has been lost
over the years. The Experience: With the saturation of the labor mar-
ket with dehumanized medical professionals, allied with the need
for humanization in medical care, it became necessary to create
subjects that brought the interdisciplinarity throughout the medical
course, with the focus being in the acceptance and dialogue with
other health areas. The interdisciplinarity is based on the premisse
that the knowledge is not fragmented and has as its main objective
the union of the knowledge obtained in other areas such as psycho-
logy and nursing to be used and work together with future medical
professionals. The proposal of interdisciplinarity is to provide com-
plementarity, interconnections and convergence links and, beyond
that, should contemplate learning strategies to enable the student
for life in society, aiming the integration. With the globalization era,
the teacher is no longer the only holder of the knowledge and a
bigger and faster access to knowledge has been provided to the
undergraduates. The interdisciplinarity proposes that teachers from
other areas work together with the medical students their own spe-
cialties, making classes more communicative and interactive, where
the learning is done in the triad academic-teacher-academic. Conclu-
sion: In this model, it is of vital importance that there is a deepening
of the professional formation in order to create the possibility of
team work, creating ways to integrate the health care with the users
of the public health system (SUS) and the users of the private health
system. By doing so, medical professionals combine the cognitive
articulation, affection and culture with the patient, making the hand-
ling of empathy and the understanding of the health-illness-patient
process easier.
79
Postural assessment at primary schools of São Luís-MA
Fernando César Vilhena Moreira Lima; Marcus Vinícius Viégas
Lima; Hellyne Giselle Reis Madeira
Introduction and Objectives: The purpose of this study was to eva-
luate the position of students from public and private school system
of São Luís-MA. Methods: They were randomly selected from 29
schools and 862 students with an average age of 13.2 years, height
154.90 cm. The photographic record was made at the rear and profile
views. The images were digitized and quantified through ALCimagem
version 2.1 Ⓡ software, applying the principles of computerized pho-
togrammetry. The tabulation of the data and statistical analysis were
performed using BioEstat 3.0 program. Results: There was an overall
prevalence of 16.24% of the distributed postural changes as follows:
4.2% presented alteration of espondiléia line angle (ALE), 4.5% of
the shoulder slope angle (ADO), 5, 1% of the kyphosis angle (ICA)
and 4.2% of lordosis angle (ALO). Conclusion: Thus, it emphasizes
the importance of regular postural assessments in schools, in order
to prevent postural changes that may eventually compromise their
quality of life.
80
Importance of Hospital Databases in Epidemiologic Screening
of the number of Cancer cases
Marcus Vinícius Viégas Lima; Fernando César Vilhena Morei-
ra Lima; Jorge Ricardo Fernandes De Araújo; Jorge Ricardo
Fernandes De Araújo; Hellyne Giselle Reis Madeira; Mônica
Virginia Viégas Lima De Aragão
Introduction: The cancer is a major public health problem causing
large number of morbidity and mortality worldwide. The investment
and the development of actions in improving cancer control through
records and reliable data is essential to a proper outlet of manage-
ment and care decision. Objectives: To present the epidemiology of
cancer patients, belonging to the RHC database of a São Luís county
Oncology Center - MA and report the importance of such a database
for health care management in this type of center. Methods: Re-
trospective study conducted a survey of 2,143 records, between the
months of January to July 2015. The variables used in the study were
age, gender, origin, staging of disease at diagnosis and treatment. To
collect data, we used the SiSRHC software and the descriptive analy-
sis, we used the Excel® software for the quantitative variables. For
the safety and reliability of data, password access to files, weekly
backups of spreadsheets were used in addition to the CPF patient in
order to avoid duplication. Results: A total of 2,143 medical records
analyzed, 50.3% were female, 55% were of mixed race, 92% were
from the state of Maranhão, where 47% were from the capital, the
most prevalent type of cancer in sex It is the female breast (25.83%),
while the more prevalent in males was the prostate (39.22%). The
stage IV was prevalent, accounting for 11% of the sample under
the age of 19 years and 21% of the sample aged over 19 years. The
most widely used treatment was chemotherapy (22.8% of cases).
Conclusion: This study suggested that the Hospital Cancer Registry
database plays an important role by being able to generate a set of
important information related to cancer and that through this infor-
mation, you can perform epidemiological studies to generate actions
improved management and care to this population..
81
Performance of medical students during Blue November in
Pinheiro MA: an experience report
Thamyres Ferreira Carmo Da Silva; Ana Beatriz Barbosa Lima;
Andréia Aline Santana Guida; Michelline Joana Tenorio Al-
buquerque Madruga Mesquita; Andréa Suzana Vieira Costa;
Livia Mariane Castelo Branco Reis
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