Investor Presentaiton
IJMS
INTERNATIONAL JOURNAL of
MEDICAL STUDENTS
II COIMAMA
$32
Abstracts
Abstracts
Cruz
Introduction: The pharmaceutical profession has gone through many
transformations and dissatisfactions, since apothecary to which the
pharmacist was acknowledged and respected by the population,
passing by the appearing of the pharmaceutical industry, to which
it was responsible of leaving the pharmacist as just a drug seller
and no longer as a drug manipulator. Given this dissatisfaction over
the world, such as USA and Spain, appear the clinical pharmacy
movement which aims to pharmacist-patient approach striving for
improvement and patient adherence to treatment. Objectives: The
objective was to perform a pharmacotherapeutic follow-up with a
patient using several medications in order to understand, analyze
and evaluate its therapeutic life and thereby intervene if your drug
polytherapy, is affecting wrongly treatment. Methods: The method
used for pharmacotherapeutic follow-up was Dader method, which
aims to meet the patient's therapy and thus identify problems that
may be occurring, and intervene if necessary. Results: The selec-
ted patient were female with 59 year-old resident of São Luís city,
diagnosed with metabolic syndrome, and uncontrolled diabetes. It
makes use of the following medications: simvastatin 40 mg; valsar-
tan 320 mg; Glimepiride 4 mg; Metformin 500 mg and Pantropazol 20
mg (used discontinuously). After the analysis of therapy, interactions
were found that did not have clinical significance, and these inte-
ractions were between simvastatin and Pantropazol and Glimepiride
and Metformin, but the biggest problems that had meaning was
the improper storage of your medicines and their laboratory tests,
making it impossible to know what were the real values of their
glycemia and lipids profile. It was asked to interrupt the use of
pantoprazole and adopt the practice of exercises for improving joint
pain. We prepare a timetable for her to remember to go periodically
to the doctor and a folder for her to save and be able to identify
where to find their exams. Conclusion: After the pharmacotherapeu-
tic follow-up done with the patient and as all the speeches made
were very well received, we concluded that the work was of great
importance for the patient, and can improve your life.
60
Epidemiological Assessment of Visceral Leishmaniasis in
Maranhão among 2010 to 2013
Andressa Oliveira Diniz; Cláudia Tamires Sousa Leite; João Ga-
briel Dias Brasiliense Frota; Helena Maria Fonseca De Sousa;
Thiago Igor Aranha
Introduction: Visceral Leishmaniasis (VL) or kala-azar, is an infectious
disease, severe chronic disease, potentially fatal (10%). It is caused
by protozoa of the genus Leishmania, belonging to the complex Leis-
hmania donovani, transmitted by the bite of female Lutzomyia longi-
palpis. A clinical diagnostic is based on the history of fever, anemia,
diarrhea, weight loss, asthenia and hepatosplenomegaly. In addition,
the health ministry reports the occurrence of 3,100 new cases per
year in Brazil, 54% of them in children under 10-years-old. The chan-
ges in the world economy contributed to an epidemiological transi-
tion process: transfer characteristic morbidity and mortality profiles
of rural to urban areas (urbanization of the LV). Therefore, this fact
undermines efforts of health agencies for effective control of the
disease in different environments. Objectives: To describe the epide-
miological profile of patients with visceral leishmaniasis reported in
the state of Maranhão, in the period from 2010 to 2013. Methods: A
retrospective descriptive study based on the cases reported in Disea-
ses Reporting System of Compulsory Notification from 2010 to 2013.
The data were organized according to age, sex, race/color, notifica-
tion municipality and area of residence. Results: In this period, 1,493
cases of VL were reported, with 354 (23.7%) in 2010, 381 (25.5%) in
2011, 239 (16%) in 2012 and 519 (34.8%) in 2013. Moreover, in terms
of age, the most affected age groups are 1-4 years (40.7%), 20-39
years (16.5%), younger than 1 year (13.1%) and 5 9 years (11.4%).
Observing gender, 906 cases (60.7%) are male and 587 (39.3%) fema-
le. Considering the race/color, the most affected are mixed (72.9%),
white (12.7%) and black (9.8%). Furthermore, the cities with most
cases are São Luis (7.8%), Imperatriz (6.6%) and Caxias (6.3%). And
also the area of residence whose it is concentrated theses cases are
urban areas (65.2%). Conclusion: It was evidenced between 2010 and
2011, an increase in the number of cases of VL in Maranhão, which
was not detected in 2012. In general, it was identified a predomi-
nance of cases in the age group 1-4 years in brown race and male. It
was observed that São Luis remains the leader in number of reported
cases of VL. However, it is observed that the distribution of cases by
municipalities is constant with no significant differences. The same
are not factual in relation to the area of residence, where it is obser-
ved striking predominance of cases in urban areas.
61
The Practice of Physical Activity in the Improvement of Noci-
ceptive Symptoms in Elderly Patients
Jessica Da Silva Prates; Thalyta Batista De Sousa; Cintia
Moura Carvalho; Evellyn Batista Da Silva Flizikowski; Joycce
Huanna De Souza Silva; Joana Elisabeth De Sousa Martins
Freitas
Introduction: In elderly patients, pain is the most frequent com-
plaint. The current trend of the elderly is to present chronic medical
conditions, being able to relate to the continuous nature of pain.
In primary health care it is vital to measure these aspects, assess
needs and monitor progress for a better quality of life. Objectives: To
describe the social profile, health perception to the practiced physi-
cal activities and how long are made by elderly in an institution on
primary health care. Knowing the functional performance of elderly
who practice physical activity and evaluate the degree of pain of
the elderly. Methods: Research approved by the Research Ethics
Committee of the Faculty FACID according to Resolution 466/2012
of the National Health Council, prospective, quantitative approach,
a sample of 43 elderly, between August and September 2013, ran-
domly chosen, physical activity practitioners in Institution of Pri-
mary Care for the Elderly in Teresina-PI. Questionnaires to survey
data on age, gender, color, education, health perception, physical
activity and practice time; Basic instruments Activity of Daily Living
(ADL), Instrumental Activities of Daily Living (IADL) and Geriatric Pain
Measurement (GPM). Data analyzed using descriptive statistics, the
Student t test and analysis Pearson and Spearman. Results: Of the
total elderly, 60-75 years (76.7%), older than 75 years (10%); 95.3%
female; black color (46.5%), brown (37.2%), white (16.3%); without
studies (20.9%), elementary school (60.5%), secondary education
(9.3%), higher education (2.3%); 79.1% had a self-perception of good
health and 20.9% to regulate the bad; 58% practiced capoterapia,
23% and 19% dance tai chi chuan; term average physical activity
of 47.14 months. To carry out the ADL, IADL in independent and
100% independence in activities such as cooking (95.3%), shopping
(95.3%) and travel (95.3%). The score of the Geriatric Pain Meansu-
rement (GPM) was quite satisfactory showing that the pain in this
population is below grade. Conclusion: The survey confirms the view
that the exercise interventions produce significant improvements in
algesics symptoms elderly, thus improving the quality of life. Care
must physical activity for good health and promoting an active and
healthy aging process.
62
Asperger Syndrome Associated With Gilles of La Tourette
Syndrome in Pediatric Patients: a Case Report
Taynara Luna de Oliveira; Caroline Carvalho de Araújo; Igor
Leonardo Vieira Caetano; Larissa Gomes Farias; Jonas Bran-
dão Pereira; Elis Raquel da Silva Araújo
Introduction: Asperger syndrome is characterized by impairments in
social interaction, in limited interests and behaviors. The Gilles de la
Tourette syndrome (TS) is presented as simple motor tics, blinks of
the eyes and vocal tics. These syndromes are often confused with
obsessive compulsive disorder or bipolar disorder. The reason for
this work is on display pathologies that are gaining space in psychia-
tric clinics and often are difficult to diagnose because they are trea-
ted as other psychiatric spectra. The Case: LZF, male, 9 years old,
student of the 4th pivotal year. He arrived at the PS with the mother
who reported irritability and aggressiveness. Laboratory tests, EEG
and MRI skull, all without changes were requested. Reports that at
5 years, presented episodes of irritability, restlessness, repetitive
behavior and motor and vocal tics. To 7 years, he received OCD diag-
nostic and ST being treated with fluoxetine, with migraine attacks
and episodes of irritability, especially at school. The medication was
exchanged for Imipramine and then associated with Valproic Acid,
without improvement. After a year, another psychiatrist medicated
with sertraline but there was worsening irritability and then teamed
up Carbamazepine without effect. On examination shows thencaring
psychomotor agitation requiring physical restraint. It was diagnosed
inacute episode of psychomotor agitation and Bipolar disorder being
treated with haloperidol and promethazine, stabilizing the frame. He
had a partial response to treatment with risperidone. Other data led
to the suspected diagnosis of Autism Spectrum Disorder. His parents
reported that L. had difficulty engaging in play with other children
and early years, ordered his toys according to size and shape. I
had repetitive behaviors, more stereotypically than compulsive; He
showed hypersensitivity to noise and difficulty in separating the real
from fantasy and to understand and accept rules. Conclusion: After
investigation, it is concluded that the patient has Asperger syndro-
me, and Tourette's Syndrome. Guidelines were given to parents and
the school and the characteristics of the disorder and strategies to
better handle your changes. The Risperidone was maintained, with
dosage of 1.5 mg / day, and its possible reduction due to improved
irritability with behavioral measures, and its possible reduction due
to improved irritability with behavioral measures.
63
Conscious Negligence: An analysis of the health related qua-
lity of life of medical students in the Federal District of Brazil
Isac César Roldão Leite; Tamirys Golenia Dos Passos; Erick
Gustavo Da Silva Neres; Ana Beatriz Neri; Rebeca Marques
Margoto; Janaína Bianca Barletta
Introduction: The graduation of a medical student requires much
dedication, focus and determination. The extremely complex curri-
culum requires a lot of effort from the student, which can decrea-
se their sleep time, leisure time, physical activity, family relations,
among other things. The student forgets that these activities are
essential for maintaining mental health and usually neglects them.
The Experience: One of the major problems the student faces is
stress; which is a state of mind that causes damage to the body's
homeostasis. This can be related to the new learning methods, the
amount of new material and subjects, the direct contact with pa-
tients, witnessing death and having to choose their residency. With
this dedication to achieve his graduation goals, the student has to
adopt a new way of life, having to adapt and even leave aside some
daily activities due to the new responsibilities. Due to the extensi-
ve workload dedicated to college, they adopt new unhealthy habits
such as: little to no physical activity, drugs and/or alcohol use as
a method of coping with the anxiety of the career, fast-food based
diet, and risky behavior arising from promiscuity, which is intensified
by a decrease in modesty and maturity. Even though the student
is learning and is aware of the risks that these behaviors bring,
he/she faces a dilemma between the knowledge and the need of
using these timesaving techniques. Therefore, when we analyzed
the medical students of a private university of Brasilia- DF in Brazil,
we noticed that the vast majority of theses students practice these
behaviors. Conclusion: In conclusion, the students suffer from con-
ditions that, in theory, should only be experience in the residency
such as: stress, burnout, anxiety, risky behavior, unhealthy eating,
among other things. All these behaviors are a strategy to deal with
the workload of the career they chose.
64
Comparison of Motor Development of o to 2 years old Chil-
dren
Ana Carolina Sá Mendonça; Eugênia Aires Pereira; Raissa
Neruza Santana Alves; Laise Neves Carvalho; Hilda Thalita
Jardim Lobo
Introduction: Studies have been showing that the differences in the
performance and motor skills between boys and girls have beco-
me the target of concerns since the induction of specific activities
for each gender can influence motor skills of children. Objectives:
To compare the motor development of 0-2 years boys and girls.
Methods: An observational, analytical cross-sectional study conduc-
ted from April to June 2015, with 72 children attending a basic unit
of St. Louis for data collection was used a questionnaire developed
by the researchers regarding the aspect sociodemographic and child
data and the Denver II test, standardized by the Brazilian popula-
tion Drachler (2007). In the bivariate analysis was performed using
Pearson's chi square, considering significant p <0.05. This study was
based on the Resolution 466/12 of the National Health Council that
regulates researches involving human subjects and it was approved
by the Research Ethics Committee of UNICEUMA with report number
978 574. Results: The study included 72 children, being 52.8% (38)
were female and 47.2% (34) male. In comparison between genders, it
was not observed any difference in the global motor development of
both (p = 0.63). Conclusion: Given the results, it is suggested studies
aiming to identify possible differences in thin motor and thick mo-
tor development between the genders from different socio-economic
conditions as well as in older age groups.
65
Exclusive Breastfeeding Influence on Motor Development of
o to 2 years old Children
Ana Carolina Sá Mendonça; Eugênia Aires Pereira; Raissa
Neruza Santana Alves; Laise Neves Carvalho; Hilda Thalita.
Jardim Lobo
Introduction: Breastfeeding is considered a public health issue, and
its advantages are recognized around the world. Objectives: To in-
vestigate the effect of exclusive breastfeeding in the motor develo-
pment of 6 months to 2 years children. Methods: An observational,
analytical cross-delineation between April to June 2015, with 56 chil-
dren receiving care at a primary care Unit in St. Luis- MA. It used a
sociodemographic questionnaire developed by the researchers and
the analysis of motor development was used Denver II test, standar-
dized to the Brazilian populace by Drachler (2007). This study was
approved by the Research and Ethics Committee of UNICEUMA under
the report number 978 574. In the bivariate analysis, it was used
the Pearson chi square, considering as significant p <0.05. Results:
Among the 56 children studied, 57.1% (32) presented thin motor
development within normal limits (p = 0.580) and 85.7% (48) thick
motor development compatible with the presented age (p = 0.001).
Conclusion: In view of the results obtained with this research, it is
possible to conclude that exclusive breastfeeding was important for
motor development of children, it is essential that more programs
to warn pregnant women about the importance of breastfeeding,
encouraging breastfeeding and caring for the baby's health regularly.
66
Epidemiological Situation of Zika Virus in Bahia
Lorena Natali Cardoso Fernandes Caldas; Larissa Chaves
de Carvalho; Mariana Castro Barros Raissa da Silva santos;
Geovane Cardoso Fernandes; Consuelo Penha Castro Mar-
ques
Introduction: Zika virus is an emerging disease, considered as a po-
tential public health problem, transmitted through the same Aedes
aegypti mosquito, transmitter of dengue also, with high potential
for contamination and vector eliminating patent difficulty. The Zica
virus has the following symptoms: fever, headache, arthralgia, malai-
se, rash on the face, trunk and upper limbs, and severe itching.
Knowledge about this disease is still limited and the understanding
of the real epidemiological situation is still restricted, with unde-
rreporting of cases and only based on clinical diagnoses. One of
the great difficulties in diagnosis, due to the lack of commercially
available serological tests for detection of antibodies to Zika virus
in Brazil. In Bahia, first state to notify the appearance of Zika virus,
epidemiological analysis shows an improvement compared to the
other regions of Brazil. Objectives: To analyze the incidence of Zika,
viruses in Bahia State from January to July 2015. Methods: Epidemio-
logical survey, based on data obtained from epidemiological bulletin
of the Health Department of the State of Bahia and Datasus in 2015.
Results: Zika had its first cases identified in Bahia, in February 2015
were reported 34 518 suspected cases of Zika, in 199 (47.72%) mu-
nicipalities, among which are: Salvador (44.16%), Camaçari (15.90%),
Jequie (3.63%) and Seguro (3.11%) which concentrate 82.91% of ca-
ses. The epidemiological situation is increasing linear trend when as-
sessing the distribution according to epidemiological week. In terms
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