Investor Presentaiton

IJMS INTERNATIONAL JOURNAL of MEDICAL STUDENTS II COIMAMA S34 Abstracts Abstracts of age, the incidence is highest between 20 and 39 years. The inci- dence of neurological complications associated with Zika virus was 115 cases. Of these, 53 were confirmed as Guillain-Barré syndrome, 24 dropped and 32 are under investigation for classification of neu- rological manifestation and etiology. Among the confirmed, 49 (92%) are potentially related to a history of infection ZIKA and 02 (6.9%) related to dengue, with positive serology). Conclusion: Datasus still does not provide data notified of Zica. Through epidemiological study and knowing that numerous cases were underreported, there is the need for greater monitoring, and more effective and efficient control measures and transmitter vector fight to prevent the spread of this disease as well as reduce the complication rates. 67 Case Report of Tumor Mass Removal in Spinal Cord at Lum- bar Level in Patient of 4 years old Leonardo Silva de Melo; Thalisson Paulo Sousa Madeira; Rayanne Layla Morgado Fonseca; Tárcia Heliny Nojoza Men- donça; Mônica da Cunha Machado Resende; Maria de Jesus Torres Pacheco Introduction: Tumor masses can compress the spinal cord and can be associated with paresis, paresthesias of members, causing brain and local pain, in order to depress the neurological status of the pa- tient, and there may be temporary effects, and perhaps permanent. This paper aims to discuss a case report of a 4 years old admitted patient in the Neurosurgery Ward of the Hospital Universitário Ma- terno Infantil da Universidade Federal do Maranhão - HUMI - UFMA to perform a treatment involving a tumor mass in the spinal cord at lumbar level, at levels of T12 to L2. The Case: Boy, 4 years, residing in São Luis - MA, admitted on 05/25/2015, from the UPA Vinhais. He was taken by his mother to Hospital Universitário Presidente Dutra presenting pelvic pain, paresthesia of the lower limbs and difficulty in walking. After three days in hospital, the Computer Tomography scan found a solid mass with heterogeneous contrast uptake, lobed, measuring about 4.0 x 2.6 x 2,4 cm, located between T11-L2, with apparent epicenter in posterior soft tissue at the spinal canal, but with extension to it, which determines loss of cleavage plane with the marrow, with even paresis of the lower limbs (not wandering and not sitting a month ago), and develops with reduced appetite and loss of sensitivity to evacuation. Physical examination showed acyanosis, anicteric, feverless, normal skin color, without edema, active, reactive to handling and agreed, vesicular murmurs present without adventitious noises, without signs of respiratory distress, RF: 38irpm, RCR, 2T, BNF, at the moment without blowings, periphe- ral pulses present, CF: 110bpm, semi-globular, flaccid and painless abdomen, non palpo Visceromegaly, RHA+, awake, active and re- active to the examination, without equivalent seizure at the time, photoreactiveand isochoricpupils, reducing of the movements in the lower limbs. Conclusion: After mass excision in column, the patient was admitted to the pediatric ICU bed - HUMI on 06/02/2015, being treated with cefazolin, morphine 0.1 mg/kg/day and dexamethasone 0.6mg/kg/day. A priori, the motion picture of the lower limbs of the patient did not get better with surgery, your disability occurred, pro- bably due to the compression of the spinal cord at lumbosacral level, also featuring priapism, in good general condition, accepting food, feverless, active and reactive to examination and eupneic. 68 Progressive Tetraparesis by Arteriovenous Malformation with Cervical Fistula in Patient in São Luís University Hospital Leonardo Silva de Melo; Thalisson Paulo Sousa Madeira; Talyta Garcia da Silva; Héron Máximo da Cunha Gonçalves; Tárcia Heliny Nojoza Mendonça; Maria de Jesus Torres Pache- CO Introduction: Vascular anomalous development of the fetal circu- lation with persistent of primitive arteries and lack of capillaries may cause arteriovenous malformations, and symptoms usually in adulthood, through fistulas. The mortality rate is 10% to 29% after the bleeding. The Case: Female patient, 51, residing in São Luis - MA, admitted in 08/04/2015, reporting loss of muscle strength at first on 07/25/2015, with clinical picture of tetraparesis, tactile sensitivity changed in LLLL/UULL and could not walk. Normal skull tomography on 07/24/2015; Normal Computed Tomography of the Cervical Spine on 07/25/2015 and normal Magnetic Resonance Imaging of Dorsal Column on 07/27/2015; Cerebral angiography, on 08/04/2015, showed the presence of cervical spinal cord arteriovenous malformation with fistulous pattern irrigated preferably by cervical branch arising from the right vertebral artery with a lesser grade participation of thyrocervical trunk. It was noted the presence of small aneurysm in arterial component of AVM possibly from anterior medullar artery. After hospitalization, presented sepsis in urinary focus, urine cultu- re on 08/04/2015 showed Escherichia coli sensible to ciprofloxacin, starting using of cepefepime on 08/07 and subsequent modification to ciprofloxacin on 08/12. On 08/12/2015, patient evaluated alert on the bed, normal colored, hydrated, cardiovascular auscultation in regular pace in two clicks, normophonetic sounds, frequency of 76 heartbeats per minute, large and symmetric peripheral pulses. Res- piratory auscultation with vesicular murmurs without adventitious noises, eupneic. Soft abdomen, painless with presence of hydro-ae- real noises. At neurological examination, photoreactives and isocho- ric pupils, with tetraparesis. Patient featured feverless, diuresis by catheter. It was being awaited treatment of infection and laboratory reassessment to schedule surgery. Conclusion: The progressive tetra- paresis ran from the dilation of the anterior medullar artery, resulting from AVM, compressing the cord at the cervical level causing the clinical picture of progressive tetraparesis. 69 Analysis of characteristics of incidence of hospitalization for injuries due to external causes in the city of Pinheiro-MA, in the period of 2010-2014 Larissa Chaves De Carvalho; Bárbara De Miranda Domingues Tranm; Antonio Joatan De Barros Filho; Mariana Castro Ba- rros; Lorena Natali Cardoso Fernandes Introduction: Among the injuries from external causes (IEC), are: accidents (unintentional) and violence (intentional). As accidental causes, has health problems due to work, to falls, transit, poiso- ning, drowning, among others. Among the violent are aggression and self-harm. These diseases are considered a public health problem because it affects the individual and collective health and requi- res the development of specific policies in order to achieve their prevention and treatment. Since 1998, these diseases are among the largest cause of mortality in the SUS. In Brazil, predominated the mortality rate for unintentional injuries (homicides), followed by transportation accidents. To minimize this problem was created in Brazil in 2001, the National Politic for Reduction of Morbidity and Mortality from Accidents and Violence which brings in your guideli- nes the consolidation and expansion of pre-hospital care, and care aimed at recovery and rehabilitation, and support development of studies and research. Objectives: To analyze the characteristics of the incidence of hospitalizations for injuries from external causes in Pinheiro-MA, in the period of 2010-2014. Methods: Cross-sectional study, with secondary data for the years 2010-2014, from the NHS Information System, DATASUS on the city of Pinheiro-MA. The data was statistically analyzed through the ANOVA and Friedman tests, to analyze the variables. Results: There is a high incidence of hospitali- zations for IEC, the incidence was increasing until 2013 and showed a slight decline in 2014, the age group with the highest incidence of hospitalizations was 20-29 years, the most affected sex was male, with statistical significance p <0.01. The race with the highest in- cidence was mestizo, with strong correlation to injuries, p <0.001. There were also statistical significance between hospitalization rate and mortality rate; between automobile and motorcycle accidents as well as accidents occurring during the provision of surgical services in relation to the total and the sequelae in relation to the total, all with p <0.05. Conclusion: The findings suggest high incidence of hos- pitalizations for ACE, with high rates of traffic accidents and high rate of sequels and accidents resulting from surgical procedures. Thus it is necessary to invest in the prevention of accidents and improving the medical and surgical care of the municipality. 70 Care of injuries from external causes in an emergency de- partment of a large public hospital in São Luis-MA: Experien- ce Report Larissa Chaves De Carvalho; Bárbara De Miranda Domingues Tranm; Vandilson Pinheiro Rodrigues; Maria Aparecida Costa; Judith Rafaelle Oliveira Pinheiro; Consuelo Penha Castro Mar- ques Introduction: Currently, external causes (injuries, falls, agression) are considered a public health problem, and are responsible for the second largest SUS mortality rate in Brazil. To the World Health Orga- nization (WHO) is fundamental as much as possible knowledge and data collection in order to determine its magnitude, consequences and characteristics. However, data from external causes at emergen- cy services are still poorly studied worldwide, and often the emer- gency services are sought for other reasons, not the actual need for emergency care, leading to overcrowding of services. This experien- ce report, search, then bring more information regarding service by external causes injuries in the emergency room of a large public hospital in São Luis-MA. The Experience: In June and July 2015, we held medical care accompaniments in a setor of minor surgery, in a referral hospital in the city of São Luis MA. Most of the patients treated were victims of TBI (traumatic brain injury) low intensity without alarm signs: vomiting, unconsciousness or epistaxis. On exa- mination: air way unobstructed, eupneic, normal skin color, glasgow 15, motor skills, reactive pupils and excoriation. They had the most common causes a fall from height for children and the elderly, and car accidents for adults. As conduct were prescribed suture and an antiseptic dressing, and asked diagnostic test in most cases. We also saw great demand due to foreign body in the oropharynx (as fish bone and chicken bone), skin lesions with knives, diabetic foot and biting dogs. When needed additional tests such as computed tomo- graphy (CT), we observe that in the exam application forms, were fi- lled only the spaces about the name, medical record and exam type, not being specified indications and other patient data. Conclusion: Lack of correct completion of the medical records makes it difficult to chart future research. Many cases could be treated at basic health units and do not require emergency care. Many patients are released early due to overcrowding. The correct sorting of emergency could improve the overcrowding. 71 Stress Management and Social Skills in Health Professionals: an Experience Report about the Work with the Psychiatric Patients Bruno Luiz Avelino Cardoso Introduction: Service for psychiatric patients demand specific social skills for their management. The mental health professional deals directly with different contingencies in the workplace, which requires a keen sense of touch to the nuances and behaviors that are expres- sed by patients and other professionals in the healthy institution. It is known that, according to the new guidelines for the treatment of mental health, the care for psychiatric patients spread to family members and are not restricted to health units. However, the hos- pital-centered model is still connected to sociocultural incentive for its maintenance. Labor issues (work environment, salary, workload) are important factors for the onset of occupational stress and social skills can be an aid factor for the professional in your setting work, because they are the basis for generating positive social interactions. The Experience: It is a retrospective observation process carried out during research on mental health, on the management together with psychiatric patients. The psychiatric environment (institutionalizing) differs notably from non-clinical social context. Although the challen- ges of the psychiatric reform are being implemented, there is still asylums clinical models. It is clear that there have been changes in the process, however there are still objectives to be achieved in relation to the target advocated by Law 10,216. Thus, there is the weekly working hours that can bind to considerable levels of occu- pational stress result of overload. The Social Skills Training (SST) as set strategies in interpersonal relationships can help considerably in the workplace, promoting better interaction professionals performed and healthy organizational climate and behavioral models suitable to psychiatric patients on site. Conclusion: According to authors in SST theme, when professionals have a socially skilled behavior patterns, can contribute on a large scale both for the advancement of organi- zational climate and quality of interpersonal relationships within the company, as to the general public. In this regard, we emphasize the importance of SST for healthcare professionals in order to a satisfac- tory and fruitful work with the institution and users of the services. 72 The Importance of Interdisciplinary Team in Hospital Care to the Mother-And-Child Health: Experience Report at VER-SUS Maranhão Vanessa Samer Siqueira Silva; Tatiane Lopes Ericeira; Brunna Aline Muniz Silva; Jaiza Sousa Penha; Bruno Luiz Avelino Cardoso Introduction: It is understood that the mother-and-child Health, the World Health Organization (WHO), requires all professionals, qua- lification and competence to perform basic care for women and newborns. Therefore, it is essential to search for the quality of the team and the perception of the complementarity of the various work processes, thus overcoming the biomedical rationality. Due to the multiple dimensions that the health needs expressed, including the cultural, social, psychological and biological, this report presents the importance of the interdisciplinary team in assistance to maternal and child health, and aims to discuss teamwork as a strategy coping with the complexity and health needs. The Experience: The experien- ce was obtained during the VER-SUS in one of St. Louis Maternity Hospitals that perform care for pregnant women with normal risk, which is linked to the Unified Health System (SUS, in Portuguese). The home motherhood has a multidisciplinary team committed to interdisciplinary dialogue and the institution's care model is based on the universality and comprehensiveness of the actions, however, there are difficulties regarding the professional staff, as the team is still insufficient when compared to demand. Thus, in order to understand how the humanized care is, we seek to verify the con- ditions, work organization and aspects related to the characteristics of human resources. Including reports of activities, problems related to the physical site conditions, wages and employment contracts. Contrasting that, despite the problems encountered, the team per- formance is from the perspective of the biopsychosocial model in an attempt to fit the Stork Network, the Humanized Birth, and especia- lly in the dynamics of intergroup strategies. Conclusion: This report sought to identify perceptions about the practices of the multidisci- plinary team, as well as the barriers creating a design that is com- mon to the team within the SUS principles, as it is important unders- tand the role of workers as managers of their processes of work. The importance of the experience of academics with SUS reality shows up, a construction tool of a science aimed at humanizing health care team as well as the quality of care, which looks to interdisciplinary response to the health needs in the comprehensive care. 73 Pharmacotherapy Follow-Up on Systemic Arterial Hyperten- sion and Diabetes Mellitus Pacients: Case report Larissa Chaves De Carvalho; Bárbara De Miranda Domingues Tranm; Antonio Joatan De Barros Filho; Mariana Castro Ba- rros; Lorena Natali Cardoso Fernandes Introduction: Polypharmacy is required, and in many cases requires monitoring because of the risks of drug interactions and adverse outcomes associated with medication. For best results with pharma- cotherapy, it has proposed the realization of the following pharma- cotherapeutic pharmaceutically simultaneously medical monitoring. Objectives: Carry out Pharmacotherapeutic Follow-up with a chosen patient to know their health concerns and keep track of your me- dical treatment and, if necessary, propose ways to improve their quality of life. Methods: It held the following pharmacotherapeutic using the procedure described in Dader methodology obeying the following steps: provision of the service; first interview; situational analysis; study phase; the evaluation phase; intervention phase and successive interviews. Results: Male patient, 82 years, the following chart disease: hypertension, type 2 diabetes and glaucoma. It is lactose intolerant and corporal mass index of 26.74, framing in the pre-obese category according to Brazilian Guidelines on Obesity. Du- ring interviews, the patient presented the following average blood pressures: 130/90 mmHg and 130 / 75mmHg. Drug therapy of the 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 S35