Investor Presentaiton

IJMS INTERNATIONAL JOURNAL of MEDICAL STUDENTS II COIMAMA S22 Abstracts Abstracts companied by some common diseases, complicates the diagnosis of HIV infection, with their symptoms confused with other infections of these. Both the elderly and health professionals tend not to think of AIDS and often neglect the disease in this age group. Objectives: The primary objective of this study was to describe the characteristics of AIDS in the State of Ceará elderly in the last decade. Methods: Conducted a time series study, with data available in the Notifiable Diseases Information System (SINAN) between January 2005 and De- cember 2014. Results: 10,299 new cases were diagnosed, and 1.5% (151) in the elderly, 85.4% with heterosexual behavior and 29.3% married. Most of them, living in Fortaleza (85.6%), aged between 60 and 69 years (86.8%), males (60.9%), brown (61.6%). The proportion of cases man/woman peaked in 2005 (5.5:1) reducing from there, reaching the average value of 0.8: 1 in the period between 2008 and 2011, and increased again, reaching 3, 3:1 in 2014. The groups with less education had higher incidence rates. The high proportion of ig- nored variables reinforces the implication of the research system on the quality of information. Conclusion: AIDS in the elderly grew trend among men aged 60 to 69 years, heterosexual and married in the last decade, which justifies implementation of specific prevention campaigns for this population, aimed at fighting the disease 24 Health-Disease Process: Influence of the green roof used as construction material about temperature and its surroun- dings Antonio Joatan De Barros Filho; Belisa Souza Costa; Sueli De Souza Costa; Daniel Rocha Pereira Introduction: The health-disease process receives direct environ- mental influences and physical conditions to which we are expo- sed. The cities growth creates environmental and socioeconomic impacts directly related to the health-disease process, through the Social Determinants of Health. Conventional buildings raise the hou- ses internal temperature, causing increased power consumption to make a pleasant atmosphere. Also reduce shadows and do not allow absorption of water rain due to soil sealing and may cause floo- ding, bringing numerous diseases such as leptospirosis and dengue. Conventional roofs absorb solar radiation, bringing negative impact on air quality, affecting the public health. The higher temperature, the air acts as a catalyst, and adds atmospheric pollution, making low air quality, generating an increase in respiratory diseases. The green cover roofs are made of engineering system allows the plan- ting of a conventional slab, generating positive impacts on health. Objectives: To conduct comparative analysis of internal and external temperature of roof with a green cover and conventional tile, aimed at saving energy for cooling, less environmental impact, better popu- lation health and environment preservation. Methods: We used two identical brick houses, one next to each other in the northeastern region in hot and humid climate, differing only in terms of coverage: one green roof and one with conventional roof. They had measured their temperature and humidity for 31 days, both externally and in- ternally by temperature sensors. Results: The temperature inside the house with green roof were lower than the house with conventional roof, and were lower than external environment. The temperature inside the house roof conventional were higher than the external environment. Conclusion: The green roof helps to reduce the house internal temperature, reducing energy consumption for cooling en- vironments; improved sound insulation of the building, through the vegetation, which works by absorbing and isolating noise; improves the air around it, to reduce pollution; decreases the possibility of flooding, for better retain rainwater. With these characteristics, pu- blic health advantages to using the green roof on a large scale. 25 Mediastinal Cavernous Hemangiomas: Case Report Layanna Bezerra Maciel Pereira; Rodrigo Torres da Costa; Maria Iracenny Moura Pessoa Lima; Layanne Cavalcante de Moura; Kelwim Madson da Silva; Evandro Magno Firmeza Mendes Introduction: The mediastinal hemangioma are benign vascular tu- mors witch are rarely found in the mediastinum, nevertheless they are the most common type corresponding to approximately 0.5% of all mediastinal tumors. The anterior mediastinal compartment is the most affected and the diagnosis usually occurs in the first four de- cades of life with the peak incidence in the first decade. Cavernous hemangioma is usually diagnosed in people over 35 years old and has equal incidence in men and women. The objective of this study was to describe how to diagnose and treat the tumor. The Case: RFS, 59 years old, male, asymptomatic, referred to the clinic of thoracic surgery after a radiopaque picture was found in the chest radiogra- phy requested on clinical consultation. Patient has denied smoking, previous diseases and use of prescription drugs. Chest radiography showed an image suggestive of a mass tumor in both upper lung lobes. The CT scan showed discrete opacities like "parenchymal fros- ted glass" in a previous follow-up of the upper lobe of the right lung and a massive heterogeneous solid mass lesion with multiple calcifications, lobulated and neoplastic appearance, richly vascula- rized, showing an underling inhomogeneous by means of contrast, located at the left thoracic apex. The pacient underwent resection of mediastinal tumor in his neck extension and pulmonary hilum with full sternotomy and the opening of the left parietal pleura. Histopathological was conclusive for arterio-cavernous hemangioma. Conclusion: This study demonstrates the importance of considering the diagnosis of hemangioma in adult asymptomatic patients with mediastinal tumors because it is an extremely rare benign vascular tumorn of difficult diagnostic by imaging. Surgical excision is the procedure of choice, both for diagnosis and therapy. 26 Cystic Adenomatoid Lung Malformation in Newborn: Case Report Auriane de Sousa Alencar; Juliana Bandeira da Rocha Lima; Gabriela Leal de Carvalho; Stéphannie Fabiane Borges de Oliveira; Alex Jorge Medeiros Silva; Julião José de Alencar Introduction: Congenital abnormality in the lower respiratory tract dichotomy where there is excessive growth of terminal bronchioles, resulting in formation of numerous cysts and alveoli deficiency. It is a rare condition accounting for 25% of lung malformations. Presents 25% mortality rate and good performance in cases in which surgi- cal therapy is applied. The case report below, aims to document successful conduct in the treatment of the pathology and highlight the importance of prenatal diagnosis. The Case: Patient newborn 13 days old, male, born by cesarean section, was referred to Children's Hospital of reference for resection of adenomatous cystic lesion in the right lung detected by ultrasound pregnancy. On examination, it presented algic facies, ruddy, hydrated, anicteric, well perfused and flabby abdomen. Helical chest computerized tomography confirmed solid-cystic expansive formations, characterized by confluent collec- tions of partially characterized walls, lush air-fluid levels in between, occupying almost the entire right hemithorax, with pulmonary remai- ning discreet aerated arranged medially, and contralateral cardiac rejection and superior mediastinum. Thoracotomy was performed in the right hemithorax with transverse incision to the upper lobe level. It continued with separation of horizontal and oblique cracking sec- tion of the right upper lobe bronchus, right upper lobectomy, suture of the bronchial stump, hemostasis review and aerostasis, drainage and closure of the thorax. Histopathology showed that the morpholo- gic features of cystic lesions are compatible with cystic adenomatoid malformation type 1. The patient developed expansion of middle and lower lobes. Conclusion: Prenatal diagnosis coupled with proper treatment planning between obstetricians, neonatologists and pe- diatric surgeons, saves newborns of developing respiratory distress syndrome immediately after birth, which could be fatal. 27 Sacrococcygeal Teratoma: a Case Report Auriane de Sousa Alencar; Juliana Bandeira da Rocha Lima; Gabriella Leal de Carvalho; Stéphannie Fabiane Borges de Oliveira; Alex Jorge Medeiros da Silva; Adriano Pádua Reis Introduction: The germ cell tumors are derived from primordial germ cell and have benign or malignant evolution, it may occur in gonadal or extragonadal location. The most common extragonadal location is the sacrococcygeal region. Teratoma is composed of the different tissues, which vary depending on the organ or location which ori- ginate. The sacrococcygeal teratoma showed an incidence of one case per 35,000 children alive, being more frequent in females in the ratio 2-4: 1. The Case: Male patient, 10-day life, cesarean delivery without complications, pregnancy natural term of Floriano PI was referred to the children's hospital of reference presenting bulging on the right sacrococcygeal region. On physical examination, the patient was acyanotic, anicteric, afebrile, eupneic, hydrated, normal skin color, no palpable lymph nodes, and distended abdomen, pitting, painless to palpation, without masses or visceromegaly. Computeri- zed tomography highlighted lesions of expansive appearance, partly enclosed, with components with adipose attenuation, calcium, liquid and soft tissue, located in the middle intergluteal line underlying the sacrococcygeal region. Blood cell count with mild macrocytosis, rare sedimentary neutrophils and atypical lymphocytes. It was establis- hed surgical dissection treatment with the sacrococcygeal injury in- cision in inverted "V", with resection of the coccyx and preservation of the rectal muscles. Patient progressed well during the postope- rative and was discharged after three days of surgery for outpatient monitoring. Histopathological identified mature teratoma with free margins. Conclusion: The sacrococcygeal region is the most frequent location of teratoma in children. Early diagnosis and treatment are of fundamental importance to prevent their malignancy. Complete surgical resection of the tumor and of the coccyx is the main goal in the definitive treatment of teratoma. 28 Behavioral Aspects of Menopausal Women with Coronary Artery Disease in São Luis, Maranhão Débora Castro Sousa; Luciane Maria Oliveira Brito; Luciana Alencar Fialho Bringel; Marília De Oliveira Bringel; Patrícia Travassos Cutrim; Joyce Pinheiro Leal Costa Introduction: The Cardiovascular diseases are the main cause of death in the world, being the cardiac ischemic diseases - among which the Coronary Artery Disease (CAD) - the most damaging. The formation of atherosclerotic plaque starts with the aggression aga- inst vascular endothelium, due to various risk factors such as dysli- pidemia, hypertension, smoking and obesity. Several studies explain that menopausal women has a high prevalence of CAD, the theories points out that this fact is due to reduction of plasma estrogen le- vels. The literature further states that the risk factors for CAD can be prevented in various ways, especially with regular physical activity and reduction of risk factors such as smoking. Objectives: Analyze the behavioral aspects of women diagnosed with Coronary Artery Di- sease. Methods: Was conducted a case-control study with 72 women (36 cases and 36 controls), between 35 and 65 years old, they were treated at outpatient clinical research in São Luís- MA, from July 2012 to August 2015. It was applied a sociodemographic questionnaire and conducted the analysis of diagnostics tests for CAD. The ethical aspects were respected, under CEP nć 195.357. Results: The variable analysis showed that women with CAD have an increase in physical activity compared to the group of patients without CAD, however, the number of former smokers is more significant in patients with the disease (25% in case group, against 19% in control). The most prevalent comorbidities are hypertension (35%), dyslipidemia (30%) and diabetes (22%). A decrease in sexual activity in patients with CAD was observed. Conclusion: It is evident that diagnosed patients with CAD changed their habits of life, perhaps this is because of the greater medical monitoring and a high concern for health, furthermo- re, the comorbidities associated fall in risk factors for cardiovascular disease, highlighting the need for more effective prevention cam- paigns. However, more studies are needed to assess the relationship between climacteric and menopause with the risk of developing CAD. 29 Sexual Behavior among Deaf People in São Luís - MA Débora Cruz Silva; Letícia Silva Muniz; Dayanne Bevilaqua Neves; Serlyjane Penha Hermano Nunes Introduction: Sexuality is an issue considered taboo in society for a long time, but it is an issue extremely urgent and important. Most information about sexuality are directed to hearing people, leaving deaf people on the sidelines of the information or limiting their access to fragmented and insufficient information for better comprehension about these issues. Objectives: Attach the social and economic reality and access to information on Sexually Transmitted Diseases (STDs), sexuality and contraception by deaf people, identi- fying problems related to them. Methods: This is a descriptive and observational study, formed by 26 students, from two leading insti- tutions in education of deaf people in São Luís/MA. The project was approved by Research Ethics Committees from Federal University of Maranhão (report 509.115). Students answered a structured ques- tionnaire about socio-demographic characteristics, contraception and sexually transmitted diseases prevention with the researcher presence at all-time close to respondent and a LBS (Brazilian Sign Language) interpreter who accompanied them in all applications in order to resolve any doubts appeared during interviews. Results: When asked about the sexual life, 76.5% of deaf interviewed said they have initiated sexual life mainly between 17 and 19 years. Of these, 70.6% also said they have used condoms at first sexual in- tercourse and 80.4% referred to opt for condoms use in all sexual relations. Among contraceptive methods mentioned during the in- terviews, deaf interviewed demonstrated to know and know how to use mainly male condom and contraceptive pill. A discrepancy was noticed between knowing and knowing how to use the methods. They expressed confusion and doubts about the knowledge on STDs, especially in relation to modes of transmission and AIDS prevention. Most deaf people receive instructions about sexuality at school, and they ask the family whenever they have doubts. Conclusion: We noticed that most deaf interviewed still have doubts about sexuality and they mentioned need someone specific to solve these doubts. Intensification on campaigns focused specifically to this group is necessary, using printed material and through the media, as well as in schools. 30 Accessibility to Health Services among Deaf People in São Luís - MA Dayanne Bevilaqua Neves; Letícia Silva Muniz; Débora Cruz Silva; llana Mirian Almeida Felipe; Serlyjane Penha Hermano Nunes Introduction: Hearing loss can be congenital and acquired, this con- dition is defined as impairment in normal perception of sounds, the- reby, the hearing does not have complete functionality in life. Hea- ring impaired people need health services access, not only related to hearing deficiency, but also need to be assisted through preventive measures, both the ones made at population level, in political form or publicity campaigns in media, and at individual level, in consul- tation with health professionals. Objectives: Evaluate accessibility to health services among deaf people as well as their problems and obstacles to receiving service. Methods: Descriptive study with qua- litative approach formed by nine deaf adults, they were interviewed through the Brazilian Sign Language (BSL) - LIBRAS, with help of an interpreter. The project was approved by Research Ethics Committees from Federal University of Maranhão (report 509.115). Volunteers an- swered a semi-structured questionnaire with questions on issues relating to accessibility for deaf people to health services. Analyses were performed based on content analysis technique, thematic mo- dality, which four categories have emerged: communication, auto- nomy, feelings (deaf person perception on health care) and therapy comprehension. Results: Few professionals are able to communicate using BSL (LIBRAS), hindering communication between health profes- sionals and hearing impaired people, compounded by the fact they rarely find interpreters to help them. Lack of interaction between health professionals and deaf people prevent them from establish a relationship, which could make them more secure about service, and further, force them to depend on other people, to help on communi- cation process and understand about their condition, their treatment and procedures that can be performed to their improvement, hinde- ring their autonomy and making them constrained. Conclusion: Most services and health information are inaccessible to deaf people, due to the difficulty on establish an efficient communication process with health professional and the fact that society still sees deaf people as someone unable to make their own decisions about their health and therapy, keeping them dependent on other people. INTERNATIONAL JOURNAL of MEDICAL STUDENTS www.ijms.info • 2015 Vol 3 Suppl 1 www.ijms.info . 2015 Vol 3 Suppl 1 INTERNATIONAL JOURNAL of MEDICAL STUDENTS II COIMAMA S23