Investor Presentaiton
IJMS
INTERNATIONAL JOURNAL of
MEDICAL STUDENTS
II COIMAMA
Abstracts
Abstracts
Introduction: The infantile autism is a syndrome with high complexi-
ty because it involves a compromising variability in motor develop-
ment, language, social and cognitive development. To make feasible
the assistance to this population, studies point to Childhood Autism
Rating Scale (CARS) as a clear and precise instrument for making
it the classification and recognition of autism easier, as it provides
information on the child's general behaviour and defines the severity
of the symptoms presented. Objectives: Analyse the use of CARS in
the perception of nurses as a strategy that enables an approach that
encourages the active participation of nurses in the care of autistic
child. Methods: A descriptive exploratory study with a qualitative
approach and developed through action research method. Starring
4 nurses who work in Psychosocial Care Center for Children and
Adolescents (CAPSij) at Imperatriz-MA. An individual training was
held on CARS and delivered for each nurse a copy of this. They are
monitored as they made use of CARS in attendance. The data were
collected through a questionnaire with open-ended question about
the use of CARS professional practice. Names of writers diagnosed as
autistic were used to identify participants. For data analysis, it was
applied the Content Analysis of Bardin. The research was approved
by the Ethics Committee under opinion number 1.073.622. Results:
From speeches, one of the interviewees referred difficulty to analyse
and use the scale in child nursing care. However, the other nurses
assessed the instrument as a facilitator focused on nursing care for
autistic children treated at CAPSij, and left still evident its impor-
tance for development of an appropriate and effective treatment
plan for each child. None of the nurses reported some disadvantage
in scale use as a tool to be used in nursing care plan within the
CAPSij. Conclusion: Therefore, action research helped to increase the
knowledge of nurses about autism and encouraged the adoption of
a more systematic conduct in nursing care dedicated to children with
developmental disorder, enabling through the CARS a more detailed
attention to the autistic child and your family.
38
"Viva Saúde": report of Medicine students in a Project in
University City extension.
Josiel Guedes da Silva; Helaine Dias Guimarães; Camila Brito
Rodrigues; Bianca Santos Serra; Maria do Desterro Soares
Brandão Nascimento
Introduction: The project "Attendance chronic disease in the Univer-
sity City of the Federal University of Maranhão (UFMA): Viva Saúde",
developed by students of the health area of the UFMA, guide itself
in the tripod teaching-research-extension, certifying the attendance
clinic coming after Itaqui-Bacanga área especially women, having as
focus the prevention of the cancer (CA) uterine colon and of breast.
Objectives: Narrate experience of the outpatients clinic experience in
the context of the project academic extension that comprise action
of promotion and prevention health. Methods: It is about one report
developed work by academic of Medicine of the 2nd period in pro-
ject of extension with the relief professionals health and voluntary
academic. Come true Pap smear and physical exam of the mammas
for traceable of CA uterine colon and mammas besides treatment
clinic service of character generality. The voluntaries realize inside
capability in order to refine the scientific knowledge and the technic
used in the exams, what favorable the integration of the academic
apprenticeship like forms of answer social demand. Results: Noticed
an increase in the search of the rendered service in the number
voluntaries academic projects. The inhibition of some patients were
attended by academics decrease, as proper passed guarantee a ac-
ceptance humanized. Academics us remarked major confidence to
realize the anamnesis of the exams now that the project it give
certainly liberty for this if discover like professional. Besides the
scientific related areas of the knowledge. By means of "Viva Saú-
de" noticed the importance of the multidisciplinary approach of the
treatment since, by means of the voluntaries-patients relationship,
provide a vinculum of confidence that permit a line of attention carry
on and effective in whom the women realized their exams periodi-
cally, as well permit the attendance of the chronic disease prevalent
in the community. Conclusion: The project stimulate the correction
of knowledge of the graduation, like propose the establishment of
one relationship doctor-patients methodical in the respect and in
the reciprocity, observing the importance of the integration of the
treatment clinic for prevention and health advancement.
39
Pain Intensity Compared with the Types of Thoracic Surgery
and High Abdominal
Victor Pereira Lima; Marcela Rangel Almeida; Francisco Dimi-
tre Rodrigo Pereira Santos; Lívia Maia Pascoal; Pedro Martins
Lima Neto
Introduction: The high abdominal surgery has become increasingly
routine today, highlights are two of the most common: Exploratory
Laparotomy and Cholecystectomy. The first is a surgical incision in
the abdominal wall used in exploration or therapeutic purposes, sin-
ce the second is defined as removal of the gallbladder when it is in
the inflammatory process. Pain is one of the most frequent com-
plications in the postoperative coming from the trauma of surgery.
Objectives: To compare the level of pain in the postoperative period
between Exploratory Laparotomy and Cholecystectomy. Methods:
Cross-sectional study, quantitative conducted with 30 patients di-
vided into two groups: laparotomy and cholecystectomy. Data were
collected through questionnaires that assess pain on a scale of o
to 10 in patients to the 1st day after surgery. Patient selection was
made randomly, the data were analysed by t test through Bioestat
5.0. These data are part of a research project approved by CEP-UFMA
seem to 629,315 and everyone involved in the research signed the
Informed Consent in accordance with Resolution. 466/2012 of the
National Health Council. Results: In the group related to postopera-
tive laparotomy notices a higher number of male patients (86.66%)
with a mean age of 39.502, parallel to this, in the postoperative
group Cholecystectomy have been observed the preponderance of
females (80%) and average age of 42.298. In relation to intensity of
pain, the values were averaged for 5 Exploratory laparotomy and
average 2.6 to cholecystectomy. According to the data collected were
reached one standard deviation (SD) of 30.892 p = 0.0093. Conclu-
sion: Therefore, that the level of pain is more pronounced in the
post-operative exploratory laparotomy over the laparoscopic, it was
found by the average 5 intensity pain in cases of patients subjected
to laparotomy. With this data it is possible to realize the importance
of monitoring by the health team in the postoperative period with
the constant development of care to interdisciplinary level, whether
medicated or not, aimed at relieving pain especially in patients in
the postoperative Laparotomy Exploration.
40
IMCI: Knowledge of Nurses of Primary Care of the City of
Imperatriz - MA
Victor Pereira Lima; Débora Heissa De Almeida Matos; Adna
Nascimento Souza; Giana Gislanne Da Silva De Sousa; Willian
Rodrigues Viana Silva; Maria Neyrian De Fátima Fernandes
Introduction: The strategy of Integrated Management of Childhood
Illness
IMCI has developed in order to reduce morbidity and mor-
tality in patients aged o to 5 years. Thus, the strategy has been
characterized as a simultaneous and integrated approach to child
emphasizing the set of the most prevalent diseases in this period.
Objectives: Evaluate the knowledge of primary care nurses about
the IMCI in Imperatriz - MA. Methods: Study exploratory descriptive
with quantitative approach, performed during the second fortnight
of June 2013 with nurses working in Family Health Teams Imperatriz-
MA. The sample consisted of 35 nurses over 6 months of operation
in FHT. The data collected through a multiple choice questionnai-
re were analysed by Epi Info® software version 7.0. Participants
provided written informed consent and signed, was used according
to the resolution nć 466/2012, of the National Health Council. The
research was approved by CEP- UFMA below the opinion 515.956.
Results: Most of the interviewed were female (89%), with graduation
time between 5-8 years (45.71%) and time of work in primary care
from 6 months to 4 years (42.86%). The data show that 23 (66%) of
nurses were trained by the IMCI strategy, however, (8.57%) of these
preferred to use the Municipal Protocol to the strategy. Regarding
the knowledge of the IMCI strategy was evident that the sample had
the highest success rate in matters related to the Public Target of
Strategy (97%) and Pathologies Addressed by the Strategy (94%), the
lowest rate of success was to Severe Malnutrition (31%), Dehydration
(29%), Contraindications vaccines (23%) and Children Development
(6%). Conclusion: The Primary Health Care of Imperatriz -MA, has
mostly nurses trained to carry out the nursing care in full to chil-
dren based on the IMCI strategy by contrast, it was observed lack of
knowledge on the part of nurses assessed on key issues addressed
by the IMCI strategy, which brings out the importance of continuing
education at the municipal health services.
41
Risk Factors for Hypertension in Academic Nursing from a
private University in São Luis - MA
Francisca Das Chagas Gaspar Rocha; Yasmin Pascoal Perei-
ra Castro; Janice Maria Lopes De Souza; Maíra Damasceno
Cunha; Moacira Lopes Carvalho; Camila Aparecida Pinheiro
Landim Almeida
Introduction: Hypertension is a major public health problems in Bra-
zil and worldwide. It is a multi factor disease and the
situations that trigger are increasingly present day in con-
temporary life, making it extremely important early identify their
risk factors. Objectives: to know the risk factors for hypertension in
academics Nursing 1st period of a private University of São Luís - MA
and identify the socioeconomic profile data of the studied stu-
dents; list changeable risk factors and not modifiable for
hypertension in the study group and identify co morbidities in the
study subjects. Methods: The study was exploratory and descriptive,
prospective, transversal and quantitative data analysis. The
instrument for data collection was a questionnaire, applied
individually, analyzing the lifestyle of these young people, as well as
hereditary factors. In compliance with Resolution 466/12 on ethics
in research involving human subjects, the research started after the
approval of the ethics committee in research at the University CEU-
MA with the opinion No. 42836815.2.0000.5084 and formal consent
by letter, sent to the coordination of the institution's nursing course,
as well as the researcher provided a Term of Informed Consent - TIC,
for academics, with the necessary clarification of the research and
to receive authorization of same to the questionnaire, as well as for
use the information collected only for scientific purposes,
ensuring the confidentiality of data, and does not cause any finan-
cial or mental harm to participants. 52 students were interviewed.
Results: for the age group, the highest percentage was between 20-
25 years (67%), women (81%), single (73%) and white (42%).
Refer being alcoholic (58%), eating sporadically alcoholic beve-
rage (71%) and deny tobacco use (77%). They state physical exercise
(62%), often 3 to 4 times per week (33%). Fast Food ingest weekly
(48%), feed 2-3 times a week with vegetables and legumes (46%).
They have hypertensive cases in the family (77%), and the father
(40%) in most cases. Regarding comorbidities were identified hyper-
tension (3.8%), diabetic (1.9%) and obese (5.7%). Conclusion: Our
results indicate the presence of changeable risk factors and
non-changeable in the study group; Another important point
to note is the age group of respondents and the lifestyle of the same.
Therefore, these results point to a young population that
needs information and awareness of the hypertension syndrome and
its complications, and also because it is the scholars who will deal
with the commitment of health promotion.
42
Events of Domestic Accidents in Childhood in Responsive-
ness Service in São Luis / MA
Francisca Das Chagas Gaspar Rocha; Yasmin Pascoal Perei-
ra Castro; Janice Maria Lopes De Souza; Maíra Damasceno
Cunha; Moacira Lopes Carvalho; Camila Aparecida Pinheiro
Landim Almeida
Introduction: Accidents in childhood are common and constitute a
serious public health problem. They are generally considered inevi-
table and unpredictable, but often occur as a consequence of the
level of child development, family behavior, instances of facilitating
situations and lack of preventive measures. Objectives: To identi-
fy the occurrence of domestic accidents involving children, enro-
lled in a health facility in Sao Luis-MA from January 2014 to January
2015, characterize the socio demographic aspects of children and
caregiver, point out what kind of occurred accidents with the study
group and identify the evolution of cases. Methods: The study was
a descriptive, retrospective study with quantitative analysis, carried
out in an institution of responsiviness. The sample consisted of 574
medical records of children who suffered a domestic accident and
were served this institution from January 2014 to January 2015. Data
collection was conducted in May 2015 by a format established by
the author, pertinent to the purpose of the project. Analysis and
discussion of the results obtained during the investigation by the
sheet with the following composition: gender, age, type of accident
and evolution of the household accident. At the stage of drafting the
text was written in dissertation form, as grounded in the knowledge
gained from reading and analysis of data in table form for tabulation.
It was performed using Excel and clothing tables for better unders-
tanding the presentation of data. This study was approved by the
Ethics Committee, through the CAAE No. 42836915.1.0000.5084 and
the head of emergency care unit in São Luis MA. To the head of
the health institution was referred searched an office, data collec-
tion being initiated only after approval. Initially, it was sent to the
Emergency Department of Health, which served as a research field,
a letter requesting authorization from the field to collect data. They
followed the ethical principles, in accordance with Resolution No.
466/12 of the National Health Council for research involving human
beings. Results: The results were: 64.7% were male and 33.7% were
aged 7-11 years old, 51% were with her mother during the occu-
rrence of domestic accidents, 34.5% suffered fall, the most affected
body region was the upper limbs (31.8%) and 85% were discharged
after treatment in the health institution. Conclusion: On above, it is
concluded that children are vulnerable to accidents and that most
cases accidents occur in their homes, so the home environment can
cause bring risks to children, requiring continuous observation of
facilitating conditions for this event.
43
VER-SUS Imperatriz: Experiences and Stages in SUS Reality
in the Indigenous Community São José (Krikati) in Montes
Altos-MA
Thyago Leite Ramos; Ronan Lacerda Barbosa; Romullo José
Costa Ataídes; Francisco Eduardo Ramos Da Silva; Agamenon
Rodrigues Sena Neto; Tiago Albuquerque Fernandes
Introduction: The project stages and experiences in the reality of
the Unified Health System (VER-SUS) is a tool that allows partici-
pants to experience a new learning space within the health facilities
and communities, expanding the scope of what health and disease
is within each community's reality, interdisciplinary, class struggle,
gender movements, minority populations, political reform and other
intrinsic aspects of SUS. The Experience: The VER-SUS Imperatriz took
place on August, 1st to 10th, 2015 with about 60 participants, in-
cluding living and facilitators. During the morning of August 10th,
2015, the VER-SUS Imperatriz team traveled towards São José Village
(Krikati) in the Montes Altos city Maranhão, home to about 770
people. The indigenous community enjoys electricity, running water,
school and have a health care facility with good physical infras-
tructure, equipment and basic pharmacy, mainly with the HIPERDIA
program drugs'. The health unit receives two multidisciplinary teams
with physicians, nurses, dentists, dental health aides and nursing
technicians and indigenous health agents, taking turns every 15 days
for services. A Striking feature observed in the relationship between
health service provided by professionals and health care offered by
the tribe's shaman is tolerance and respect. The health services do
not cancel each other, working synergistically to provide welfare to
the people who live there inhabitants, so the people started using
drugs brought by SUS, however did not abandoned their natural me-
dicinal treatments and prayers learned culturally. Conclusion: The
VER-SUS Imperatriz showed the importance of knowing the remote
communities to urban centers' reality and reflect about the process
of health and how the indigenous communities' culture can exert
influence on it. The wisdom of these people can be valued and must
walk alongside the work of the multidisciplinary team of the unit
and vise versa, and this was clearly observed in the São José Village.
This mutual respect is synonymous with well-being, tolerance, care
and, mainly, of health.
S26 INTERNATIONAL JOURNAL of MEDICAL STUDENTS
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