Investor Presentaiton

IJMS INTERNATIONAL JOURNAL of MEDICAL STUDENTS II COIMAMA Abstracts Abstracts Health Center Djalma Marques, Turu, São Luís, Brazil. Bárbara Lima Ribeiro; Lianna Paula Guterres Corrêa; Acácia Pinto Morais; Iolanda Margarete De Araújo Rego Introduction: Systemic hypertension (SH) is a multifactorial clinical condition, characterized by high and sustained levels of blood pres- sure (BP). Hypertension has a high prevalence and low rates of con- trol, it is considered one of the main risk factors (RF) modifiable and one of the most important public health problems. Mortality from cardiovascular disease (CVD) increases progressively with increased BP 115/75 mmHg from linear, continuous and independent. CVD are still responsible for high frequency of hospitalizations, resulting in high medical and socioeconomic costs. Objectives: Analyze and de- monstrate the epidemiological profile of patients with hypertension accompanied by the Family Health Strategy (FHS) at the Health Cen- tre Djalma Marques, Turu, São Luís, Brazil in relation to gender, age and current medications, and were taken into account only those provided by the Unified Health System (SUS). Methods: It is a health profile, descriptive and quantitative approach. The survey was con- ducted through the Records Book of Hypertensive the Basic Health Unit (BHU) in question by means of master data Installation and Ope- rating Manual - HIPERDIA in period April 2013 to July 2015. Results: It was observed that 386 of the patients analyzed, 50% were between 61 and 80 years; 28.92% between 41-60 years; 17.5% between 81 and 100 years; 6.25% below 40 years and 6.25% over 100 years. As to gender, 65.9% were female. As for medication, 55.95% use Captopril; 50% of Hydrochlorothiazide; 19.43% of Enalapril and 18.39% of Pro- pranolol. Conclusion: The epidemiological profile of the stroke study shows most female patients. The predominant age group is between 61-80 years. The medication predominant in use is Captopril. This research demonstrates the importance of the FHS program and the free distribution of anti-hypertensive drugs to patients as a way to better adherence to treatment and improved quality of life. It is noteworthy, too, the need for constant improvement to preventive actions, thereby reducing hospitalizations, and therefore preventable public expenditure, enabling the use of these resources in other areas of health. 09 Syphilis and Pregnancy: Evaluation of Risk Factors of Preg- nant Women Attending the Mother and Maternal Child Hospital Nossa Senhora das Mercês of the Municipality of Pinheiro-MA Ana Beatriz Barbosa Lima; Andreia Aline Santana Guida; Hyanka Maria Bastos Padre; Gabriel Mendes Costa; Antonio Joatan De Barros Filho Introduction: Syphilis is a contagious infectious disease, sexually transmitted and also transmitted vertically during pregnancy, which can cause serious health problems and consequences to the fetus. Knowledge of the main risk factors involved in disease infection pro- cess enables better approach to diagnosis and treatment. Objecti- ves: To determine the risk factors for syphilis infection in pregnant women from January 2010 to June 2015, the Maternal Child Hospi- tal Nossa Senhora das Mercês of the municipality of Pinheiro-MA. Methods: The study included 100 women who had their birth in this hospital. All pregnant women with non treponemal test (VDRL) positive, with any title and at any time during pregnancy was consi- dered to be carrying the infection. The positive VDRL was correlated through a questionnaire answered by pregnant women, with age and marital status of the mother, the mother's level of education, the frequency of prenatal care, and the occurrence of neonatal death. Results: There was a statistically significant relationship between positive VDRL and the degree of maternal education, as well as the frequency of application of prenatal care. Conclusion: The low educa- tion level of the mother, prematurity the start of sexual activity and quality of prenatal care are the main risk factors for syphilis infection during pregnancy. 10 Peripheral Primitive Neuroectodermal Tumors of the Chest Wall (Askin's Tumor): Case Report Layanna Bezerra Maciel Pereira; Rodrigo Torres da Costa; Maria Iracenny Moura Pessoa Lima; Elaine Pires Ferreira de Ferreira; Antônia Darlene dos Santos Medeiros; Evandro Mag- no Firmeza Mendes Introduction: Askin's tumor is a type of malignant cancer of small round cells in the toracic-pulmonar region. It is considered member of the peripheral primitive neuroectodermal tumors family (pPNET) and typically are developed from the periosteum, soft tissues and extrapulmonary tissue of the chest wall. It is uncommon, accounting for 4-17% of the soft tissue tumors in children. They originate from totipotent cells from the neural crest due to a reciprocal transloca- tion t (11.22) (q24 q12) similar to that existing in Ewing's tumors, for which are included in the same family. The main goal of this study was to describe the clinical features, imaging features and evolution of a Ewing's sarcoma/PNET of the chest wall (Askin's tu- mor). The Case: Female child, four months old was born with myelo- meningocele and hydrocephalus still detected prenatally. Surgery to WMPS, male, 17 years old, caucasian, presented with asthenia from 6 months ago, referring NSAID use with no improvement of symptoms. About 2 months ago he had an episode of fever that was ceased after the use of antipyretic, aside the recurrent asthenia. A week later, he developed a fever and tiredness seeking medical attention. The physical examination showed a mucocutaneous pallor, dyspnea and absence of breath sounds in the left hemithorax (HTL). It was performed a chest X-ray from PA and profile views which revealed opacification of the 1/3 lower HTL, obliterated costophrenic recess and enlarging of the same pleural sulci. In helical chest CT with contrast showed up an heterogeneous tumor mass in the 5th left rib with intense enhancement after contrast, and a large lesion in tra- toracic region and left pleural effusion. Video-assisted thoracoscopy with tumor biopsy and chest drainage confirmed the hemothorax and large lobed mass in the anterior and lateral chest wall reaching the mediastinum. The Immunohistochemical analysis of tissue was conclusive for Ewing sarcoma / PNET of the chest wall. Chemothera- py was started as the initial treatment of choice, in order to perform a surgical approach afterwards. Conclusion: This study demonstrates the complexity that characterizes the diagnosis and treatment of sarcomas. The importance is given by the rarity of peripheral primi- tive neuroectodermal tumors, especially those from the chest wall,m and the need for immunohistochemistry for diagnostic confirmation. 11 Pharmacotherapeutic Follow-Up in Patients with Metabolic Syndrome Roberta Sabrine Duarte Gondim; Nathália Torres Araújo; Ma- ria Luiza Cruz Introduction: Pharmaceutical Care is a pharmacy practice model de- veloped in the context of Pharmaceutical Care. The pharmacothera- peutic follow-up is considered a component of pharmaceutical care defined as "a process in which the pharmacist responsible for the user needs related to medicine, detecting, preventing and resolving problems related to Medicines. Objectives: The objective of this stu- dy was to provide pharmacotherapeutic monitoring service on a ran- domly selected known patient, in order to investigate the drugs that were prescribed and those used by means of self-medication and drug interactions; advise on possible problems related to drug use; advise on correct use of drugs and non-pharmacological treatment. Methods: It conducted a case study and descriptive data collection with the use of Dader method. The patient accepted the participation of the research by signing the Informed Consent and Informed - IC. Data collection was carried out during the month of June 2015, based on the forms filled in during interviews and laboratory tests to com- plement. The recordings were made in the form Pharmaco Dader method. To discuss the results out regular publications of journals used. Results: I .V.S, woman 79 years, 1,40m, 65 kg, BMI of 23.88 kg /m 2, has not completed elementary school. It is hypertensive, ma- king use of antihypertensive medication for more than 20 years, use drugs for diabetes, cholesterol and hypertension. The user reported not be alcoholic, not being a smoker, does not perform physical activities at the time and places no restrictions on food. By having arthritis, complains of joint pain, she was recommended monitoring expert and some exercises that help in treating and alleviating pain. Conclusion: There was the great importance of pharmacist interven- tion and advice on health issues, improving the quality of life of patients with chronic disease patients. In this case, according to patient reports, the monitoring was very important for the drugs to be used as needed, so that the biochemical parameters remained within normal limits and with other forms of treatment such as the use of products natural, so that the metabolic syndrome which re- mained controlled. 12 Old also Speak: Report of the Elderly in Primary Care Jaqueline Oliveira Introduction: This experience report is the result of a basic stage project of Psychology: "Buildings Speeches Women" held in a Family Health Strategy (FHS) located in the municipality of Ijuí in the state of Rio Grande do Sul (RS) in neighborhood Getulio Vargas. What will be performing is a clipping from the countless stories constructed with women. Is centralized, in the words of old people, as formerly ca- lled, elderly as currently designated. The Experience: This "listening" opened the possibility of reconstructing older stories 70-107, who are examples of those who often gets the margin of a society in which the old is discarded because it is no longer productive as well they are forgotten by their own families has "no time" for them. However, when faced with another willing to you "listen" bring very rich life stories in detail and named by them as a "novel", narratives that sometimes are hidden in the depths of thought or even fixed time ever lived, it is a chest to open. This discursive space allows these seniors can regain their symbolic and social references in this way they can get out of this alienation and anonymity that sometimes the social and scientific discourse reduces. Conclusion: We realized that the elderly / old have a knowledge, a knowledge, they can be productive, not in the sense of generating profits (capital) or produ- ce scientifically, but its construction results in benefits to the social context. They are the link in the history of each family, the "know" that when not transmitted in form of history, life version, appears as repetition and symptom in the following generations. When it opens up the possibility of speaking of these "old" as they call themselves, something new is included: the chance to look at your life differently and understand situations that previously went unnoticed, or even traumatic. This way they can transmit also has effects on children, grandchildren and later generations, allowing a family network sup- ported by symbolic references, avoiding the repetition of what is not spoken symptoms, suffering, physical and mental illnesses. 13 Between Trains of Crazy and Utopia of a Society Without Asylums: The Harm Reduction as a New Job Outlook for Mul- tiprofessional Team in Caps AD Jaqueline Oliveira Introduction: The aim of this report is to present the Harm Reduction policy and its possibilities as the reception and listening to the users in a Psychosocial Care Center for Alcohol and Other Drugs (CAPS ad). Importantly, to talk about harm reduction is necessary to contextua- lize historically, taking into account the history of Brazilian madness until the current of mental health care model, which enabled the strengthening of Psychosocial Care Centers (CAPS). The Experience: The development of this report was raised at the stage of realization in Psychology and Social Processes in CAPS ad. With so many job possibilities for professionals that service, the Harm Reduction stood out for not having focused on abstinence. From this perspective, what is at issue is the subject, his life story and not the substance that it consumes. The Harm Reduction originated in England in 1926 and arrived in Brazil in 1989, it shows in practice that there is a drug- free society, it is necessary to think about new possibilities for users of legal and illegal substances. It is therefore of paramount impor- tance to bet on these users of alcohol and other drugs as subjects responsible for their choices, entitled to have a treatment at liberty and their desire to be heard by the professionals. Conclusion: The Harm Reduction as a new model approach appears to break with this ideal of abstinence and building interventions in order to allow the choices of each user and self-care process. It is from him, his desires and choices, the multidisciplinary team will work, and not under the ideals established socially. Thus the output will happen motion new possibilities of being in the world and therefore, inclusion, and we conclude that this movement produces health. The focus of not being in pathology, the goal is not to cure the user, but rather the production of subjectivity, ie the redefinition of living, tissue along the history of the subject. It is the intervention of professionals in the CAPS ad, from the Harm Reduction, based on equal rights, res- pect for the choices and singularities of each user, it will weave together with the subject being treated a new biography, enabling its displacement that was previously submissive to the substance. 14 Carotid cavernous fistula associated with traumatic aneurysm in the left internal carotid artery supraclinoid. Mohammed Damasceno Guimarães; Mateus Carvalho Mota; Morgana Carvalho Mota; Yuri De Castro Machado; Bárbara De Morais Borba; Mário Gomes De Campos Neto. Introduction: Carotid- cavernous fistulas are abnormal communica- tions between carotid system and the cavernous sinus and may be traumatic or spontaneous etiology. The most common cause is traumatic craniofacial trauma, which can cause lacerations of the in- ternal carotid artery in its intracavernous portion due to acceleration - deceleration mechanism or because of bone spurs formed in skull base fractures. The main symptoms include proptosis, chemosis, re- tro orbital blows, diplopia and ophthalmoplegia. The differential diagnosis for this syndrome are cavernous sinus thrombosis, orbital fracture, breast aplasia sigmoid and eye cancer. The Case: WRR, 25, male, car crash victim. It was admitted on the day of the accident, at a hospital in Itauna-MG 6 in Glasgow, due to multiple trauma. It was referred to the John XXIII Hospital the next day. Since the admission it was anisocórico left. Cervical CT was performed and the skull, which showed Hsat, hemoventrículo, pneumoencephalus, fractured skull base (sphenoid and posterior ethmoid) and C3 and C4 on the right facet. It was suggested diagnosis of LAD. Developed severe rhabdomyolysis. After suspension of the vasoactive drugs, it evolved with coagulation disorder and presented a significant increase in transaminase. Subsequently submitted nystagmus, proptosis, expo- sure keratitis and chemosis. Auscultation revealed a murmur in the lateral region of the left orbit. Skull CT angiography was performed, which confirmed the diagnosis of carotid cavernous fistula. The sur- vey showed an increase in the caliber of the left ophthalmic vein and the left cavernous sinus aneurysm and left internal carotid artery supraclinoid. Proposal embolization of the fistula carotidocavernosa. Conclusion: The carotid -cavernous fistulas are relatively uncommon frames being present in 0.2% of closed head traumas. Their signals are often common to several other injuries, but diagnosis should not be discarded in the presence of frames as described, even in the presence of other injuries that could justify some symptoms, such as orbital fractures. The use of imaging tests such as CT an- giography and angiography, it is essential to make the diagnosis in cases suggestive of vascular lesions like this. Early diagnosis and treatment are needed to prevent blindness and major neurological complications. 15 Thanatophoric dysplasia: a case report. Mohammed Damasceno Guimarães; Aldo Francisco Veras Pereira; Lorena da Mata Alves; Neylon Rodrigo de Souza Amorim; Fernanda Carolina Borges Avelino; Moisés da Cunha Filho Introduction: Thanatophoric dysplasia is a congenital chondrodys- plasia with bone and neurological effects, almost always fatal. Is characterized by macrocephaly, platyspondyly (vertebral body height lowered and flattened), shortening of the limbs and hiploplásica rib cage, pelvis reduced size, increased head circumference with frontal nasal prominence and depression. It shows approximate incidence of 1/33000 to 1/55000 in the population. The patient is the third daughter of cesarean delivery of a young mother, single, white race held two consultations in prenatal care. The child was born with 3090 g with Apgar score of 4 in the 1st minute, 7 at 5 minutes and 10 minutes.Head circumference of 37, chest circumference of 31 and waist circumference of 35. Presented oligohydramnios, required res- uscitation and did Nasal CPAP use. Held Ultrasound transfontanellar S18 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 S19