Investor Presentaiton

IJMS II COIMAMA S24 INTERNATIONAL JOURNAL of MEDICAL STUDENTS Abstracts Abstracts 31 Elementary Teachers Strategy to deal with Students who Suffer from Mental Disturber in School Lourival Vitor de Sousa; Raquilma Lourdes Dantas Dias Pa- rreão; Thaisa Negreiros de Melo; Priscilla Ingrid de Sousa Ferreira; Antoninho Barros Milhomem; Neyrian de Fátima Fernandes Introduction: Studies estimated that until the final of this decade, an incidence of 50% mental health problems worldwide in all age groups and Brazilian epidemiological studies has revealed a prevalence of psychiatric disorders from 10% to 20% in the age group between 05 and 14 years. The school is the local where kids and teenagers spend most part of the day, its environment constitute a privileged vantage point for the observation, discussion and development of strategies to adequacy and effectiveness of learning, emphasizing teachers as protagonist in the early identification of signs and symptoms and mediator of possible treatments. Objectives: Identify strategies of teachers to deal with students who suffering from mental illness. Methods: Descriptive research with qualitative approach. The sam- ple was 54 teachers who work in primary education from 6th to 9th year of municipal schools in Imperatriz-MA. The collection of data took place in April 2015 through a semi-structured questionnaire with objective and open-ended questions about teacher strategies towards mental illness, and participant information. Data were tabu- lated in the Microsoft Excel® Program, 2010 version, data presented in tables to allow a better view, in frequency and percentage. The research was approved by the Ethics Committee under the opinion of number 1.014491 in March 31, 2015. Results: When was questio- ned 32.5% of teachers said to refer the student to the direction and /or pedagogical coordination, 16.25% answered use as a strategy to refer to a psychologist or specialist service, 7.5% pointed talk to the parents or guardians and 11.25% did not answered. It is pos- sible to perceive that one significant amount of teachers does not remain inert in front of mental disorder cases, since studies show the important role of the school to know and assess the potential and realization of possibilities of formal learning when there is the presence of psychiatric disorders. Conclusion: Therefore, it is possi- ble to realize a significant participation of teachers before perception and decision-making strategies to deal with affected students with mental disorders, it may contribute to effective learning and stimu- late the permanence of the student at school. Schools are places where nurses can provide educational support in health, guiding and facilitating the best strategic decision and bridging schools settings with the mental health care network. 32 Knowledge about the Humor Bipolar Disruption by Teachers from Basic Degree Thaisa Negreiros de Lima; Raquilma Lourdes Dantas Dias Parreão; Adna Nascimento Souza; Tayanne Querioz Porcínio; Lais Gomes Silva Guajajara; Maria Neyrian de Fátima Fernan- des Introduction: The Humor Bipolar Disruption (HBD) is a derangement, despite from its distant origin, is still less discussed in the society, and the discussions are less evident when the disease undertaking the teenagers. Being the school a place which the students live most part of their lives, and the teachers as the person who is responsible about teaching and learning tasks beyond following the teenagers intellectual process, they must be aware of the difficulties, which can indicate mental problems, as the HBD. Objectives: To examine the basic degree teachers knowledge from a Maranhão county about bipolar disruption in the adolescence. Methods: Descriptive studies with quantitative approach done in the county schools at Maranhão. The studies were done in a range of 80 teacher. The inclusion criteria were: Be a teacher from 6° basic level to 9° basic level and also work daily with students from this specific group age. The exclusion criteria was: Those teachers which did not complete the question- naire. The data were collected through a questionnaire directly to the teachers. In this questionnaire there were objective questions about the HBD and also data from the participants. The research was approved by the ethic committee, through the number 1.014.491 from March 31st, 2015. The data were putten on a Microsoft Excel Program, version 2010 for statistic analysis and warning. Results: From the surveyed teachers 72,50% has superficial knowledge about the HBD problem. About the TBD seriousness, 67,50% know that this is a serious pathology. Were asked if they - the teachers, have any student with this kind of desease, 48,75% answered they did not know, 33,75% answered that they did not have any, and only 17,50% affirmed they have some students carrier HBD. About the HBD symptoms the major part of the teachers (61,25%) mentioned the turmoil, the physical and mental unease. The attention deficit were also highlited (60%) and restlessness and irritability (60%). Conclu- sion: The teachers knowledge about the HBD disruption is so much on this side of ideal. It is necessary an empowerment to develop the teacher ability to realize the first symptoms as the HBD symptoms. In this manner the nurses could elaborate educational instruments to be executed in the schools offering training about the adolescence mental health to the teachers, fortifying the school link with the county mental health net. 33 Teachers Perception about Humor Bipolar Disruption in Tee- nagers Thaisa Negreiros de Melo; Raquilma Lourdes Dantas Dias Parreão; Adna Nascimento Souza; Tayanne Queiroz Porcínio; Laís Gomes Silva Guajajara; Maria Neyrian de Fátima Fernan- des Introduction: Some studies has lead to the emergence possibility of the humor disruption bipolar in any people from the teenager ages, evidencing a bigger incidence in this age group. So, as a school is a rich scenario to follow the teenager psychosocial development, and the teacher is the major observer, the knowledge about this theme is important to establish the dialogue about humor disruption bipo- lar (HBD) in adolescence in a school range. Objectives: To spot the teachers vision about the (HBD) symptoms in teenagers. Methods: Quantitative survey of descriptive approach, including 80 teachers from junior school, from the 6ć to the 9ć degree, from the cast cou- nty schools in Imperatriz - MA. The data were collected in April 2015 through questionnaire of objective and subjective questions about (HBD) and strategies to face the (HBD), further participants data. The data were putten on Microsoft Excel program, 2010 version, so it can be better visualized and shown in index form. The research was approved by the ethic committee, through the number 1.014.491 from March 31st 2015. Results: From the surveyed participants about the HBD characteristics symptoms, 57,5% marked feel too restless or excessively slow. 56,25% answered they were feeling excessively lively, hearty, elated, excessive happiness. The major part (58,75%) designated contradiction alternatives in HBD adolescence. It is wo- rrying because this characteristic is including in the normal adoles- cence syndrome proposal by Knobell. About the strategy to treat the students which are HBD carrier 36,25% answered that there has to be major understanding, patience, and (or) individual tasks. On the other side adding those who did not answer, they do not know how to deal with, they do not use any differential strategy are the number of 40%. Conclusion: Tlt was evident the necessity to perform educa- tional actions which enable the teachers to observe the students in a holistic manner. They must have the capacity to observe and to tell apart the attitudes and behavior from a normal adolescence apart of pathological behavior, embracing correct attitudes. Intended through this study to collaborate to the raise of the HDB debate in the ado- lescence, aiming to expedite the understanding about the disease. 34 Heterotopic pregnancy: Case study of patient attended at Hospital an Maternity Dom Orione (HMDO) from Araguaína/ TO João Victor Pereira Gomes; Tássylla Caroline Ferreira Pereira; Guilherme Nunes Skripka; Gustavo Luiz Maia Pereira; Gilson Pinto Ribeiro Introduction: Heterotopic pregnancy is a rare condition in which it is ectopic pregnancy simultaneously the intrauterine pregnancy. In the past, topical incidence of ectopic pregnancy was associated with a 1: 30,000. With the advent of assisted reproduction techniques, the frequency of this complication increased to 1: 100-500 pregnan- cies. Ectopic pregnancies may be set in different extra-uterine sites, such as cesarean section scar, abdomen, cervix and other, yet the pole most common nesting in such cases is the tubal, and the lo- cation and that entity developmental stage generate specific clinical signs and symptoms. Early diagnosis is difficult to perform, usually occurring only after the rupture of the ectopic pregnancy, but the diagnosis of this case was conducted after ultrasound examination performed on suspicion of incomplete abortion. The increased inci- dence of this complication, especially in front of pregnancies obtai- ned by in vitro fertilization, associated with the severity of clinical manifestation and the need to generate more information on the subject, encouraged this report is aimed at alerting obstetricians and sonographers. The Case: Patient female, born June 16, 1983, at the time had 30 years, current Araguaína-TO, black color, arrives at Hospital and Maternity Dom Orione (HMDO) with urgent context of treating heterotopic pregnancy on September 11th, 2013, after tubal ectopic pregnancy realization through ultrasound and physical examination (gynecological touch). Patient was admitted referring bleeding for about three days, with enclosed lap and twin pregnancy with topical pregnancy seven weeks and two days another ectopic left horn. The obstetric examination, it was found: fundus (FU): 36; fetal heartbeat (BCF): 140; DU: +; blood pressure (BP): 120/80 mm of mercury (mmHg). The examination of touch gynecological noted that the uterus was in anterior flexed verse (AVF) with a globular aspect and presenting minor bleeding. The patient was indicated to do laparotomy surgery for ectopic pregnancy associated with resec- tion of the left uterine tube. After performing a laparotomy, being held sapingectomia left with no complications in the act, it was initially made to the patient in the postoperative period (PO) zero diet (fasting) for 12 hours, followed by saline solution management 0.9% (1000 mL) intravenously (IV), Metoclopramide Hydrochloride 10mg/2ml intramuscularly (IM). For aftercare were treated dipyrone Sodium 500mg (IV), tenoxicam 20mg (IV) Nalbuphine hydrochloride 10mg/ml (IM), Progesterone 200mg (IV), Cephalothin Sodium (IV) and 5% glucose solution (500 mL). Indwelling catheter through the risco. Paciente surgery PO progressed well, without pain, and blood loss complaint was made, and shall have their regularized diet and making use of dipyrone Sodium 500mg intravenously (IV), Dimethi- cone 40mg (IV) and Bisacodyl 5mg (IV). Removal of urinary catheter 12 hours after surgery. Showed flaccid abdomen, little painful to superficial and deep palpation and present clear and diuresis. The patient is discharged from the hospital on September 14, 2013, as it stood at lucid, afebrile and showed improvements in their clinical condition. The patient returns to HMDO on 09/16/2013 to perform curettage diagnosed with incomplete abortion, and thus admitted. After done the surgery without complications, patient underwent zero diet for six hours after bland diet. There was the administration of dipyrone 500 mg, potassium diclofenac 50mg, 20mg omeprazole, ceftriaxone 1 g IV / IM and metronidazole 5 mg/mL - 100 mL. Patient evolves in good general condition (BEG) without complaints and with a slight vaginal bleeding and was discharged from the HMDO on 09.18.2013. Conclusion: The heterotrophic pregnancy is a rare clinical manifestation and may present a high degree of mortality, since early diagnosis is difficult. Generally, being made only occurred after the rupture of the fallopian tube, and its treatment is surgical thus having a certain risk to patient. So, being an entity that is becoming increasingly common in hospitals and prognosis is directly related to the precocity of treatment, it is necessary to the production of this report to assist in the identification and development of pathology. 35 Satisfaction Evaluation of Pregnant Women for Pre-Natal Care Attended on a Basic Unit Health of São Luís Ana Karolina Carneiro Cutrim; Ariane Braga; Carla Caroline Vieira e Silva; Lorena Arruda; Celma Barros Introduction: Pregnancy is a complex experience with different as- pects of each woman. It is necessary a pre-natal care and quali- fied and humanized puerperal with which integrates all levels of care: promotion, prevention and health care to the mother and the newborn. Objectives: To assess the satisfaction of pregnant women assisted by prenatal in a UBS of Sao Luis, MA. Methods: A descrip- tive and exploratory study with a qualitative approach. The study was carried out in Basic Health Unit Djalma Marques, reference for the care of low-risk pregnant women in Matões-Turu district of Sao Luis, MA. The study included 17 pregnant women between 18 and 38 years. The development of the study was conducted according to the norms of Resolution 466/12 of the National Health Council / Ministry of Health (MOH) and the research project has been submitted and approved by the Research Ethics Committee (CEP) of the University Ceuma with the number CAAE 41820815.9.0000.5084. Results: When asked about the reception in prenatal care, most women reported that they feel welcomed at the Health Unit was possible to detect that this satisfaction described by pregnant women was obtained by general perceptions, taking into account both the way. as the service is performed, the amenities offered by a nearby unit their homes and evaluating the positive and negative aspects. As for the humanization of the professionals involved in prenatal care, inclu- ding in this mode all professionals who have contact with pregnant and who are included in meeting the needs of pregnant women, it can be seen that most of the women interviewed have felt heard by professionals, had the perception that professionals dispenderam attention to their complaints and concerns. Regarding the difficulties faced by pregnant women and the aspects they would like improved, the majority emphasized the lack of infrastructure and basic health unit materials as well as the lack of medicine at the pharmacy. Con- clusion: It was found that the user leading role of the health system has a direct impact on improving the relationship between him and the service. 36 Aortic dissection: Case study of patient attended at Hospital and Maternity Dom Orione (HMDO) from Araguaína / TO João Victor Pereira Gomes; Tássylla Caroline Ferreira Pereira; Vinícius Barbosa Cavalcante de Menezes Introduction: The dissecting aneurysm refers to entry of blood into the arterial wall and its distribution along the length of the blood Ivessel. Aortic dissection is a serious disease requiring prompt diag- nosis and aggressive medical therapy, and if untreated, generates death in 75-90% of the patients, 35% die within the first 15 minutes and 75% resist for a week. Therefore, dissecting aneurysms are clas- sified as the leading cause of death related to aorta. The Case: A 57 years old, bricklayer, former smoker, former alcoholic, colored man born in Carolina - MA, arrives at the Dom Orione Hospital (HMDO), he was transferred from the Araguaína Regional Hospital (HRA). He had been admitted to the local hospital in Carolina 15 days ago complaining of rest dyspnea, lower extremities edema, orthopnea and sternal pain radiated into the right arm. He was attended at HRA, which concluded by the signs and symptoms the following diagnosis: clinical condition compatible with congestive heart fai- lure, diastolic murmur aortic, systolic and mitral, inaudible blood pressure in the right upper extremity and left upper limb of 110 x 50 mmHg during the echocardiography, extensive aortic dissection type A was detected in the thoraco-abdominal direction. The patient is transferred to the HMDO on 05/03/2014. The surgery took place on 05/06/2014, correcting: acute aortic dissection (AAD), by means of aortic valve replacement, revascularization of supra aortic vessels. During the post-operative, the patient presented cardiopulmonary arrest (CPA), fibrillation atrial reversed, acute renal failure reversed, peripheral arterial disease (PAD), and venous insufficiency which was done on 05/21/14 by thrombus in the popliteal vein and significant stenosis next to the common femoral artery generating necrosis of extremities of the toes and edema of the lower members. However, the patient developed significant improvement in overall condition, showing almost complete symptoms remission. Conclusion: There- fore, the AAD is a serious case, which has as a predisposing factor of the hypertension, among others. This report exposes information about an atypical and severe case that reinforces the need to always consider this pathology for its acute and traumatic nature. 37 Scale of Autism Rating in Childhood: Under Nurses Percep- tion Tayanne Queiroz Porcinio; Andressa Arraes Silva; Thaisa Ne- greiros de Melo; Lais Gomes Silva Guajajara; Priscilla Ingrid De Sousa Ferreira; Maria Neyrian de Fátima Fernandes. 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 S25