Revista Contexto & Saúde

005-010

Authors: Gabriele Kauss Barbosa , Simone Zeni Strassburger , Joseila Sonego Gomes, Maria Cristina Roppa Garcia, Pâmela Fantinel Ferreira, Camila Lehnhart Vargas

Purpose: This study presents some factors that may influence the practice of breastfeeding in premature infants, observing how the alimentary transition from oral probe (VO) can intervene in the success of this practice. Methodology: Descriptive study of observational and cross - sectional documentary character. The population is composed of preterm infants of both sexes, who were hospitalized in a Neonatal Intensive Care Unit (Nicu). Twenty-eight premature infants born 37 weeks of age or younger were included. Results: The mean gestational age was 32,59 ± 2,95 weeks. On admission to the Nicu 27 (96,42%) were prescribed nothing by mouth (NPO). The routes used for nutrition were parenteral nutrition (TPN), and enteral nutrition(NE), with a median of 10 days of use. During the use of the enteral probe, oral sensory-motor stimulation was performed in 25 (92,60%) of the preterm infants, at discharge the mother was questioned if she had received guidance on breastfeeding and 23 (82,14%) confirmed it. Conclusions: The time and prevalence of NE use suggest interference in the maintenance of exclusive breastfeeding, since most of them were discharged with the use of formulas. The hospital’s human milk bank (BLH) has a positive influence on the fact that a large proportion of preterm infants have started VO in the womb. The results regarding the influence of probe time on breastfeeding were not expressive in this sample.

020-029

Authors: Rafaela Santi Dell’Osbel , Cleber Cremonese , Maria Luisa de Oliveira Gregoletto

Objective: The present study aimed to measure gestational weight gain (GWG) and to identify the associated factors in pregnant and newborns. Methods: This is an observational cross-sectional epidemiological study in a cohort of pregnant and newborn users of Basic Care in Caxias do Sul/RS. The data were collected in three different moments, being in the first and third gestational trimester and in the first month after the baby’s birth. Results: The sample consisted of 47 pregnant and newborns, of whom 28.3% had insufficient GWG, 34.8% had adequate GWG and 37% had excessive GWG. Pregnant women with schooling up to 10 years of schooling presented a higher prevalence of insufficient GWG (48.0%), while those with 11 years or more of study had a higher prevalence of adequate GWG (52.4%) (p = 0.024). Also, a significant association with length at birth (p-value 0.035) and feeding during the first week of life (p-value 0.037) was observed. Conclusions: It is concluded that pregnant women have a high prevalence of excessive GWG. Also, a significant association was identified between the poor GWG with the low level of education of the pregnant woman and the shorter length at birth. There was an association between excessive GWG and high prevalence for exclusive breastfeeding in the first week of life. Thus, the need for strategies to adjust and guide GWG, as well as to instruct healthy life habits and to reinforce the need of prenatal care for the health of the pregnant woman and the newborn, is perceived.

037-043

Authors: Cristina Henschel Matos, Franciele Aparecida de Souza da Cruz , Joyce Aparecida de Oliveira Pereira, Rosana Henn

Non-communicable chronic diseases (CDN) are today one of the main causes of death in Brazil and in the world, with poor diet being one of the determining factors Thus, the study aimed to evaluate the knowledge and tendency of consumption of industrialized foods by users with CDNT from a School Health Unit of Itajaí-SC. The population was made up of adult women with CNCDs, assisted by the Health Unit between September and December 2017. Data was collected through an interview containing questions about factors that influence the purchase and consumption of food, labeling and difficulties in interpreting packaging information. The results showed that of the 59 women most evaluated were middle-aged adults with incomplete primary education and per capita incomes below minimum wage, among the most commonly reported NCDs were Systemic Arterial Hypertension and Diabetes Mellitus. It should be emphasized that price was a preponderant factor for the acquisition of food (56%),as well as the fact that they were in promotion (54%). It was also observed that there is a tendency to buy healthier products,therefore, only 61% of women have a habit of observing the nutritional value of food, and of these, 33% presents difficulties in their interpretation. Given this context, it is possible to verify the need for food and nutritional education activities which leads to reflection about the act of eating, seeking the disassociation between industrialized food and the price of healthy food.

052-058

Authors: Sabrina Pereira Messa , Cássia Regina Nespolo , Carla Pohl Sehn , Franciane Cabral Pinheiro , Morgana Balbueno Ferreira , Giovana Magalhães Soares

Healthy eating is aim of many consumers, especially those with dietary restrictions, increasing the use of probiotics and interest in lactose-free foods. As probiotics are usually ingested in dairy foods, the objective of this study was to develop an alternative product prepared with coconut milk, probiotics addition and no added sugar. Samples were stored under refrigeration(7°C) and the pH, water activity, titratable acidity, lactic acid bacteria, total coliforms and thermotolerant, psychrotrophic and mold and yeast were evaluated. Results for pH and water activity demonstrated conditions for proliferation of undesirable microorganisms and difficulties for maintenance of probiotic bacteria. The acidity varied between 0.11 and 0.14 % of lactic acid and counts for total and thermotolerant coliforms were adequate. Mean counts of lactic acid bacteria ranged from 3.40 to 4.09 log CFU/g, and yeasts and molds were 3.38 to 9.48 log CFU/g, respectively, below and above legal standards for similar dairy products. For coconut milk food be an alternative to vegetable food containing probiotics in adequate quantity, it would be necessary to add a larger initial dose of probiotics and facilitators of multiplication of these bacteria, such as monosaccharides or disaccharides. Further studies are underway to improve the formulation of this coconut milk probiotic food.

005-013

Authors: Betina Aguiar de Souza, Kathielly Kaiper Silveira Pias, Naiane Gomes Braz, Aline Sobreira Bezerra

Currently, food has been characterized by the greater use of products of easy acquisition, preparation and consumption, that is, by processed and ultra-processed foods. These foods contain added substances, called food additives, which are used by the food industry for technological or sensory use. The objective of this study was to carry out a bibliographic review on food additives, technological aspects and their impacts on human health. The search was carried out in four databases: Portal of Capes Journals, SciELO (Scientific Electronic Library Online), Academic Google, with national and international publications and Sectorial Library of the Federal University of Santa Maria – Palmeira das Missões Campus –, from 2003 to 2018, with the descriptors: “chemical additives”, “ additives and health hazards”,” additives and neoplasms “and” use of additives and diseases”. It has been observed that, when overused, food additives can cause harm to the health of the consumer, the development of diseases and / or other complications. Thus, industries should be aware of the use of these substances in food, respecting the values established by Brazilian legislation. In addition, there should be greater laboratory level control by accredited institutions for the analysis of these substances in food.

020-026

Authors: Keila Dal Pas, Taís Fátima Soder , Rúbia Garcia Deon

The objective of this study was to identify obese children attending a school and to verify the reasons that led to obesity,according to the parents. It is a cross-sectional, descriptive and analytical research. We evaluated the nutritional status of children, and through the results delivered questionnaires to parents of children who were overweight / obese. The questionnaire contained questions about the children’s weight perception. A total of 46 children participated in the study. The majority (52.2%) were boys, with a mean age of 8.83 years. The evaluation of nutritional status, performed through BMI, showed that 2 (4.0%) children presented malnutrition, 5 (11.0%) underweight, 23 (50.0%) eutrophic, 6 (13.0%) pre-obesity and 10 (22.0%) obesity. The association between nutritional status and gender (p = 0.357), between nutritional status and age (p = 0.752) and between nutritional status and age at onset of weight gain (p = 0.939) were not significant. Most parents 13 (34.0%) believe that the child is overweight, but will grow and be normal. 7 (18.0%) attributed the increase to genetic and family history factors, 6 (16%) admit that the child does not have healthy food at home, followed by other reasons. The majority of the children evaluated (50%) were eutrophic. There was little perception of the parents regarding the excess weight of the children. From this research, it is realized that it is necessary to carry out a health promotion and nutritional orientation programs, which help the parents in the change of the family life style.

033-038

Authors: Edilayne Gomes Boto , Antonia Smara Rodrigues Silva , Letícia Bandeira Mascarenhas , Francisco Valdicélio Ferreira, Mauro Vinicius Dutra Girão , Lia Albuquerque Mendes , Renata Vasconcelos Ferreira , Lélia Sales de Sousa

The enteral nutrition support reached important popularity in recent years, configuring it as a more physiological feeding when compared with parenteral nutrition, being the nutritionist professional responsible for dietary prescription and adequacy. In this perspective, it is noteworthy that the care in the home environment are configured as a challenge to this type of therapy, and the elaboration of health technologies that assist in the qualification and improvement of care under the conditions of the patient’s health are configured as an important tool to potencializara health care. In this sense, the present study aims to develop and validate a guidance manual of enteral diet for hospital discharge for the professionals in the category of Nutrition of a Teaching Hospital. The manual forward the objectives, content and relevance to the hospital area regarding images, form of presentation and content relevant to clinical care have CVI of 0.98, being classified as good, making it relevant to health and education activities for the nutritionist and user of health during hospital discharge.

046-052

Authors: Fábio Gil Ferreira , Janaina Samantha Martins de Souza , Roberta Soldatelli Pagno Paim

The aim of this study is to verify the use and prevalence of self-medication among Nursing students. This is an exploratory quantitative research. Forty-five students from a Higher Education Institution located in the city of Caxias do Sul, state of Rio Grande do Sul, participated in the study. The information was collected through a questionnaire with closed questions that was submitted to content analysis. Data collection started after the authorization of the institution, scope of the study and the approval of the Ethics Committee for Research of the Nossa Senhora de Fátima Cultural and Scientific Association. It was verified that 100% of students take or have already taken medicines without doctor’s prescription. Academic students rely on self-knowledge as well as on advice from professionals who work in pharmacies to self-administer medication. According to the research, headache was the most common symptom for the practice of self-medication and paracetamol the most consumed drug. The rate of self-medication had less than fifty percent reduction after the beginning of the graduation, therefore we perceived that knowledge on the subject did not significantly influence the results. Work overload, stress and the challenges of multi-tasking make the practice of drug self-administration easy and convenient. The results found reinforce the need of raising Nursing students’ awareness about the rational use of medicines, so that they inform others about the risks of self-medication.

059-064

Authors: Caroline Santos Radmann

The posture of the human body is directly related to its health, where a bad posture occurs when there is imbalance and muscular compensations, being able to bring musculoskeletal complications, pains and even respiratory problems. One way to prevent and treat postural misalignment occurs through the Pilates method. This article aimed to analyze the effects of Pilates exercises on body posture through the systematic analysis of scientific articles. This study is a systematic review of the literature conducted in August and september 2018 in the databases SciELO, Lilacs, Medline/Pubmed and PEDro. Six articles were selected to participate in the study among all those who were submitted to the inclusion and exclusion criteria and to the Pedro scale evaluation. Of the six articles evaluated, only two did not find positive results to improve postural alignment after performing Pilates exercises. When analyzing the other articles, it was observed that, besides finding satisfactory results for the postural alignment, they presented information that confirmed the hypotheses of improvement and that complemented the information of each other, which facilitated the interpretation of the results found.

072-078

Authors: Leandro Farias Rodrigues , Marcos Aurélio Matos Lemões , Liamara Denise Ubessi , Celmira Lange , Daniele Luersen

Objective: To discuss the construction of Basic Attention protocols for the defense of the right to health. Method: This is a qualitative and descriptive study, a kind of experience report with participant observation in workshops carried out by the Department of Basic Attention of the Ministry of Health. Results: It was observed some questioning about the use of protocols in the Unified Health System (Brazilian SUS), their function, content, construction methods and priority issues from the perspective of extended clinic, matrix support and continuing education in health. Highlighted as a care technology that can contribute to sustaining practices in Primary Care, safeguarding the risk of making them inflexible, reorganizing the work process, fostering teamwork, health production under the prism of integrality and contributing to the guarantee of feasibility of the right to health. Final considerations: The power of the protocols in strengthening of Basic Care and guaranteeing the right to health will depend on how they will be used in the daily practices of SUS.

091-099

Authors: José Carlos Costa dos Santos Júnior , Tasciano dos Santos Santa Izabel

The oral cavity presents a great diversity of microorganisms. The oral microbiota is normally in harmony with the host, but in abnormal conditions it has the potential to generate serious oral and systemic infections. The present study aimed to verify the importance of oral microbiota in the health-disease process. A review of the literature was carried out by searching the databases: Lilacs, BBO, Scientific Electronic Library Online (Scielo) and Virtual Health Library (VHL). The criteria for inclusion were: scientific articles dealing with the subject, published between 2000 and 2018 in Portuguese, English and Spanish. The results showed that the oral microbiota is influenced by temperature, pH, presence of oxygen, availability of nutrients and defense mechanisms of the host. When deregulations of these parameters occur the microbiota is altered, which triggers colonization by pathogens. Correlated systemic infections (cardiopathies and respiratory infections) present direct and bidirectional relationships, where the outcome is almost always death. However, there is a need for more detailed research to clarify this real influence.

107-113

Authors: Tainara Fátima da Silva , Josiane Woutheres Bortolotto , Regis Augusto Norbert Deuschle, Thiago de Souza Claudino , Viviane Cecilia Kessler Nunes Deuschle

The skin is the largest organ of the human body and is in direct contact with environmental factors, and, in this way, must be continuously protected. This work aimed to the development of antiaging emulsions containing pomegranate oil and vitamin E and to determine the stability of these formulations. Three formulations were prepared: formulation 1: containing 3% pomegranate oil; formulation 2: 2% vitamin E; Formulation 3: 3% pomegranate oil and 2% vitamin E. For ninety days the samples were submitted to different temperature conditions (low, ambient and high) and the following parameters were analyzed: organoleptic characteristics, pH and viscosity. It was observed that the sample containing only vitamin E remained stable for all tests carried out during the ninety day period. In all samples kept at room temperature there were no reductions in viscosity. The other formulations presented small changes in relation to the organoleptic characteristics. It was concluded that the formulation containing only vitamin E showed greater stability in relation to the others

120-126

Authors: Samuel Barros, Helena Marinho, Anabela Pereira, Ana Ribeiro, Isabel Souto, Luis Sancho

Music Performance Anxiety (MPA) is described as a persistent apprehension that compromises performative skills, both in solo or group performances. In addition to physiological symptoms, such as increased heart rate, hyperventilation, sweating or nausea, MPA is associated with psychological and cognitive symptoms of performance negative impact. The present work intends to study the effectiveness of biofeedback training in the context of chamber music performance, applying a quasi-experimental. 2 quartets of trombonists were selected, quartet (1) being the experimental group and quartet (2) the control group. Both made public presentations, before and after the intervention. Quartet (1) underwent a program of 8 biweekly sessions of biofeedback training, in order to verify if it contributed to diminish the effects of MPA. The questionnaires State Trait Anxiety Inventory (STAI), Kenny Music Performance Anxiety Inventory (K-MPAI) and Kessler Psychological Distress Scale were used to evaluate the intervention efficacy. The results suggest that this type of intervention is favorable with regard to the decrease of APM levels in the context of chamber music. Some implications of this study are mentioned for the reduction of performance anxiety in training and teaching contexts, as well in professional musical practice.

001-007

Authors: Marcela Silva Menezes, Ruth Bernardes de Lima Pereira, Danyela Martins Cerqueira, Davyd Christian de Menezes Ferreira Leal

Nowadays non-communicable chronic diseases are the leading cause of death worldwide. Based on the high level of mortality caused by these comorbidities and cardiovascular diseases, in addition the lack of policies that prioritizes prevention and health promotion, this study objectified to build an epidemiological profile of cardiovascular risk using the Framingham Risk Score of residents assisted by a Family Health Care Team in the city of Palmas, Tocantins. Opted for an epidemiological, cross-sectional and descriptive study with a quantitative approach. The study was conducted in the city of Palmas-Tocantins from November 2016 to February 2017. The data was gathered from users of the Unified Health System and residents of a block in the central area of Palmas. A number of 98 users participated in the study; the average absolute risk was 6%, a low risk according to the Framingham Risk Score. About 70% of users were overweight. From the users classified with low cardiovascular risk, 65% were overweight or obese. The cardiovascular risk profile of the studied population was satisfactory by the Framingham Risk Score. However, evidences presented other associated risk factors that in the long term may lead those users to the illness. It is relevant to point out the importance of an overall and continuous care with the low risk individuals by the Framingham Risk Score towards other factors that also influence the rise of chronic non-communicable diseases and cardiovascular diseases

013-018

Authors: Magliani Reis Fiorin Martel , Gabrieli Della Flora , Ezequiel Vitório Lini

With increasing longevity, it is possible to observe that a larger proportion of elderly people often present deficits in physical, mental and cognitive capacity. As a result of this phenomenon, Long Term Care Institutions for the Elderly (Ilpis) were created, designed to care for the elderly, for those who need greater care and those who have a good functional independence. Objective: To evaluate the functional capacity degree of institutionalized elderly, identifying their main limitations in the cognitive and motor domain. Methods: A cross sectional, quantitative, descriptive and analytical study was performed with 12 elderly Ilpi residents in a city in the Northwest of Rio Grande do Sul State. A sociodemographic questionnaire and the measure of functional independence were used as guiding instruments. Results: The institutionalized elderly presented complete functional independence with a total functional independence score of 116.42 ± 14.0, but the item of cognitive domain corresponded to social cognition, presented a score of 16.92 ± 3.73. Conclusion: The institutionalized elderly presented complete independence as final result, but the social cognition scores, more specifically problem solving, performed worse.

027-033

Authors: Raiza Lima do Carmo, Tatiane Dutra Nunes, Tatiele Dutra Nunes, Karine Santos de Bona Libardoni

Objective: To evaluate the influence of self - care activities by patients with Diabetes mellitus on biochemical and anthropometric parameters. Materials and methods: Cross-sectional observational study developed with diabetic patients attended by the Unified Health System in the city of Santo Ângelo-RS. The research tool used to assess self-care was a Diabetes Self-Care Activities Questionnaire. Blood samples were collected for the determination of biochemical parameters, such as glucose, total cholesterol, high and low density lipoprotein, as well as determination of anthropometric parameters, such as Body Mass Index and abdominal and hip circumference measurements for circumference hip. For the analysis of the data, Student’s t-test was used, being considered significant values with p <0.05. Results: The sample consisted of 65 patients who had type 2 diabetes (52% were men and 48% women), with a mean age of 60 ± 11, of which 60% have incomplete elementary education. A high adherence to self-care (group 1) was observed in 78% of the patients and 22% of the patients were classified with low adherence to self-care (group 2). Group 2 presented significantly higher values in the waist circumference, hip ratio and the relationship between the two, as well as total cholesterol and triglyceride levels. Still, 39% of patients in group 1 and 57% of patients in group 2 were obese. Conclusion: Self-care can influence the biochemical and anthropometric parameters of diabetic patients, and the changes are observed according to the degree of self-care of the patients.

042-049

Authors: Raquel Missio, Tiago Bittencourt de Oliveira, Carlos Kemper

Evaluated the impact of health education groups in the quality of life of hypertensive and diabetic patients. This study consisted of hypertensive and diabetic patients from the city of Santo Angelo-RS, participants in health education groups conducted by fellows of the PET Project – Health Surveillance at the University of Santo Angelo. The production of data was qualitative-quantitative and applied to evaluated authors in the evaluation of authors and another question, a standardized questionnaire of quality of life called WHOQOL-bref, applied at the beginning of realization of the groups (up to the third meeting) and after 6 months of realization. Data were statistically analyzed using the non-parametric Wilcoxon test. They interviewed nine individuals, 66.7% were male, over the age of 51 years and schooling predominantly between the 5th-8th grade (44.4%). Approximately 55.5% were hypertensive and diabetic and used preferably SUS (77.8%) and local control their diseases. Regarding the WHOQOL-bref domains, the psychological domain had change (p = 0.041), this negative being, after the health education activities. According to the results, it was observed that health education activities did not cause significant changes, except in the psychological domain that showed a negative change, this lack of change may be due to factors such as relatively short working hours, low education and high age group. Still, it was observed that the evaluated subjects reported a positive perception as educational activities and of their quality of life.

061-068

Authors: Kalina Durigon Keller, Patrícia Viana da Rosa, Patricia da Silva Klahr, Elvio de Almeida Pereira, Luis Henrique Telles da Rosa

Objectives: analyzing the behavior, prevalence and severity of the urinary incontinence (UI) after weight loss inducted by bariatric surgery on obese women and its impact in the life quality. Subjects/Methods: This is a mixed cohort study of obese women who underwent bariatric surgery. The sample consisted of 83 obese women, aged between 18 and 59 years, who entered different moments in the study and performed bariatric surgery, being organized into two groups: Continent (GC) and Incontinent (GI). The questionnaires used were the International Consultation on Incontinence Questionnaire – Short Form (ICIQ-SF) and the Kings Health Questionnaire (KHQ) –, applied together with the body mass index (BMI) evaluation in 5 moments, from the preoperative period up to the 12-month postoperative period. Results: It was identified a prevalence of UI in obese women candidates for bariatric surgery and this was reduced over a year after surgery from 60% to 34%. Regarding the ICIQ-SF results, it was possible to identify a reduction in the severity of UI, since in the majority of those who remained incontinent, the classification that was moderate in the preoperative period became mild. Relative to KHQ, there was a significant improvement in the general perception of life quality. Conclusions: After weight loss induced by bariatric surgery, there is a behavior of a reduction in the prevalence and severity of UI over a year after surgery impacting positively on general perception of life quality

078-083

Authors: Lígia Rejane Siqueira Garcia, Caroline Sousa Cabral, Karolinny Xavier Alves, Tatiana da Costa Vicente

This study aimed to evaluate the factors related to the nutritional knowledge of puerperal women in the immediate postpartum period. This is a cross-sectional study, with a sample defined by convenience, totaling one hundred women who were interviewed using a questionnaire of open and closed questions. The knowledge in nutrition was categorized by levels, based on the number of correct answers for the 17 questions about micronutrients of importance for the gestational period (folic acid, iron and vitamin A). In the results we found that 77% received nutritional guidance. About the variable years of study, it is perceived that puerperal women who had more than ten years of studies presented a greater knowledge about folic acid and iron. Regarding the receipt of dietary guidelines, puerperal women who experienced this practice during the prenatal period presented a greater chance of knowing information about folic acid and vitamin A. The knowledge on nutrition of puerperal women accompanied by prenatal care in family health units are influenced by multiple factors, among which: the years of study, quantity of prenatal consultations, participation in educational lectures, dietary and nutritional orientations. This reinforces the need to strengthen food and nutrition education actions during prenatal care to promote maternal and child health.

091-094

Authors: Angelo Viana Weber

Oncogenesis is a pathophysiological process due to a non-abnormal cell growth that has an activation of mechanisms that promote an inhibition of cell proliferation. Therefore, the treatment in most cases is in the combination of different techniques, such as surgeries, radiotherapy and chemotherapy. However, the treatments by radiotherapy and chemotherapy, can generate a production of reactive species of oxygen, consequently the oxidative stress. This oxidative stress would be responsible for interfering with many important cellular functions, especially where antineoplastic agents exert their toxicity, such as a cell cycle process and drug-induced apoptosis. To suppress oxidative stress, you may recommend using untreated co-adjuvants, such as teas, among them pecan nuts, Carya illinoinensis. The use of this tea by popular belief seems to have a significant adjuvant effect not treating and preventing diseases such as colorectal cancer. To do this, perform a review of the literature in the databases VHL, SciELO and Google Scholar. 94 articles were selected and 21 were selected. The remaining articles were excluded because they did not address an intended theme. Carya illinoinensis presents itself as a natural source of antioxidants, among them phenolic compounds and gallic acid. These compounds would be demonstrating in vitro studies, antiproliferative activity through its selective cytotoxic action, mainly affecting tumor cells. However, many biological and pharmacological properties of its composition need to be better elucidated, there is no sense of pain the mechanisms of actions involved and thus, confirm as their therapeutic actions.

104-110

Authors: Silviamar Camponogara , Camila Pinno ,Constância Nenê Loiola , Carla Silveira de Oliveira , Lenize Nunes Moura , Gisele Loise Dias

Objective: to get to know the perception of family members about the visibility of nurses working in neonatal and pediatric intensive care units. Methodology: This is a descriptive and exploratory study with a qualitative approach. Data was collected through a semi-structured interview with 12 relatives of patients hospitalized at the Pediatric and Neonatal Intensive Care Units, in a university hospital located in the state of RS. The analysis of the data followed the assumptions of content analysis. Results: After analyzing the interviews, the following thematic category emerged: “Visibility of the work of the nurse in a neonatal and pediatric intensive care unit”: the participants mentioned their perceptions about the intensive care unit (ICU) as well as the work of the nurse in front of the activities of care and management, in which they mention the recognition of the nurses’ performance in the direct care to the patients, as well as in the development of educative actions, based on a humanized practice. Conclusion: The work of the nurse reaches visibility in the researched sector, through the visualization of direct care and educational actions, by the family members.

001-008

Authors: Jéssica de Aquino Pereira, Eliete Maria Silva, Henrique Ceretta Oliveira, Rosa Maria Nascimento

Objective: To identify the profile of nursing students from a higher education institution that makes use of alcoholic beverages and how often it occurs and to identify the relationship between alcohol consumption and sociodemographic factors. Method: This is a descriptive and quantitative cross-sectional study conducted at a private university. The sample consisted of 239 students of the nursing course. Results and Discussion: Most students report frequent consumption of alcoholic beverages and go to university with consumption habits made since adolescence. Conclusion: In this new phase of their lives the habit of drinking alcoholic beverages remains largely due to the influence of groups.

015-019

Authors: Elisiane Damasceno Marques Nascimento, Vivian Lemes Lobo Bittencourt, Carolina Renz Pretto ,Cátia Cristiane Matte Dezordi, Sabrina Azevedo Wagner Benetti, Eniva Miladi Fernandes Stumm

Objective: Discuss therapeutic workshops with the use of music, for individuals in psychological distress, in a Psychosocial Care Center. Method: Experience report performed in by a nurse and a psychologist a Psychosocial Care Center, with 40 users participating in the music workshops, along with the professionals responsible. Results: The use of music for therapeutic purposes was effective. Users’ manifestations related to the sensation of well-being, reasoning, corporal expression, integration with the other participants and improvement of the link with the technical team. Discussion: Redefining the work object involves rethinking the means of intervention, adopting technologies that respond to the proposed project and that allow moments of intersection of subjects. These actions certainly contribute to maximize the interaction between user and worker, knowledge and representations, in a democratic and respectful way. Music exerts psychological influence on the behavior of the individual. It has the ability to rebuild identities, integrate people through their power of social insertion and reduction of anxiety, improves self-esteem, and functions as an important means of communication. Conclusions: The lived experience promoted the amplitude of the knowledge about the actions and promotion of the quality of life of the users, and of the incentive of the qualification of technical professionals to improve in the clinical practice of the process of psychic rehabilitation of the assisted users.

027-035

Authors: Cassiane Bolzan dos Passos, Bianca Almeida Gama, Camile Lorenz, Christiane de Fátima Colet

This study it is an experience report, experienced by a pharmaceutical inserted in Primary Health Care and objectives is describing the use of Situational Strategic Planning (PES) and the construction of an Operational Plan aimed at improving the infrastructure the Public Service Pharmacy Health of city of the Rio Grande do Sul State. A workshop was held with different actors, and that it corresponded to the Explanatory Time Operating Plan. Prioritized problem was the inadequate infrastructure of municipal pharmacy. It is known that the improper storage of medicines can result in serious damage to its therapeutic action and a possible gain of toxicological action, which may result in ineffective treatment, leading to an increase in health spending. Thus, we can highlight the importance of practical result, which was the construction of room for storage of medicines, which complies with current legislation, in addition to reform of the dispensing area, which gives patients a more humanized care, only performing the step of explanatory time Operating Plan, demonstrating the feasibility of using this tool.

043-052

Authors: Carliane Vanessa Souza Vasconcelos, Sabrina Delany Frota de Sousa

The subject area obeseness has been widely discussed nowadays. It is defined as a Non Contagious Chronic Disease and it is characterized by the excessive congestion of the fat content of the body, damaging the health. It is believed that health education is a preventive strategy, since education is the process by which clients are effectively assisted in selecting and implementing desirable behaviors of nutrition and lifestyle. And the performance of the nutritionist in the follow-up of pregnant women during prenatal care is a necessity. The objective of this study is to analyze the effects of educational practice on client-centered health in pregnant women to prevent childhood obesity from conception. It is a descriptive study of a qualitative approach based on an incorporated observation. The sample included pregnant women accompanied by the Family Health Center, aged 13 to 33 years. The initial meetings with the group provided us with a series of observations regarding the coexistence and acceptance of the pregnant woman in facing childhood obesity as a disease, who initially had basic knowledge about gestational feeding and baby feeding. Regarding Nutrition Counseling, most of the pregnant women had not participated in a group in which they received orientation. The research was useful to improve the participants’ level of knowledge about coping with obesity as a disease and the adoption of adequate food with focus on the gestational period and feeding of children under two years

058-068

Authors: Luana Bianchini, Ramison Santos, Renata D’Agostini Nicolini-Panisson, Maria Luisa Gregolleto, Cleber Cremonese

The research assessed the Physical Therapy major students’ unsatisfactory knowledge of the ways the HIV virus is transmitted and possible related factors. Self-administered 32-question forms were used with topics ranging from social-demographics, access to information, educational value to the possible ways of HIV transmission. The study included 296 students; mostly female respondents (86.5%), aged ≤ 21 years (54.7%). Also higher frequency were single, white, whose income is ≤ 5 minimum wages. As for education and access, most respondents went to public schools (73.3%), had access to the Internet 96.6% and students that had read ≤ 2 books in the previous year represented 53.4%. Little knowledge of HIV transmission was associated with younger, single, with <50% of their college disciplines finished and without regular reading habits. Lastly, in the adjusted analysis, those of age ≤ 21 years (PR=1.97) and those who read ≤ 2 books last year (PR=1.40) remained significantly consistent (p<0.05) with the outcome. In this scenario, lectures and encouraging reading emerge as some of the proposals to improve the technical knowledge of physical therapy students, healthcare workers and other students in general

077-082

Authors: Bruna Thaíse Lavagnini ,Ibrahim Clós Mahmud ,Rosa Carmen Sosa

Diabetes Mellitus is a group of metabolic diseases that share the phenotype of hyperglycemia, which, left to its evolution can affect various organs and systems, to be responsible for a decline in the quality of life and a significant rate of morbidity and mortality worldwide. Low adherence to treatment is the primary reason for the reduction of clinical benefit from their use, leading to complications with that physical and psychosocial health of the patient. The aim of this work is to study the prevalence of non-compliance to drug therapy in diabetic patients attending the outpatient clinic of the Hospital San Juan Bautista, private practice medical clinic and in primary health care (CIC and Maciel). The following is an observational, descriptive,cross-sectional study in which data was collected through surveys of patients diagnosed with diabetes attending the sites in question. Of the total of 37 surveys (100%) 60% did not comply with treatment and 40% met, as read by affirmative answers in the Morisky-Green. 22 People who do not comply with treatment only 9 are somehow feel not met. Females were more prevalent in the consultations leading the group meets and does not meet the treatment.

001-002

Authors: Leonardo José Gil Barcellos

Muito comumente escutam-se, no âmbito da universidade, reclamações sobre o nível de conhecimento e preparo dos nossos ingressantes na graduação. São deficiências de toda a ordem, destacando-se a incapacidade de interpretação e argumentação e o pouco empenho nos estudos. Sim, essas deficiências são de fato observadas. Mas a pergunta que devemos nos fazer é a seguinte: quem forma os professores que nos “entregam” esses alunos? Nós mesmos, universidade. Não raro, escutamos essas mesmas reclamações sobre nossos ingressantes no stricto sensu. Aí nossa responsabilidade, enquanto universidade, é ainda maior. Nós mesmos “entregamos” um estudante com sérias falhas de formação. Essas situações são parte de um mesmo problema e chamam para a reflexão sob nosso ensino superior.

017-022

Authors: Aline Henriques Perceval, Maria Luiza Bamberg, Laura Rahmeier, Emilene Araujo

Objective: To verify the prevalence of high obstructive sleep apnea in a group of night workers, and to describe their knowledge about OSA. Results: the mean body mass index of the individuals studied was 37.18 ± 4,48 Kg/m2, with the majority presenting grade II obesity. According to the Berlin questionnaire, 47.1% of the workers interviewed knew how to describe what OSA was. Discussion: it was found in our study that the extent to which age increases also increases the risk for OSA. None of the interviewees knew how to describe what OSA was and the lack of knowledge about this pathology elicited several problems related to it. Conclusion: 47.1% of the patients have high risk for OSA and all of them were older than 30 years and were included in the obese group. Of all those interviewed, no one could describe what AOS was, so little was its important.

032-042

Authors: Guilherme Emanuel Weiss Pinheiro, Luciane Prado Kantorski, Karine Langmantel Silveira, Priscila Borges Silveira, Ariane da Cruz Guedes, Michele Mandagará de Oliveira

Objective: identifying the activities and attributions of the therapeutic accompanying developed by nursing in a therapeutic residential service. Materials and Methods: it was performed semi-structured interviews, recorded and transcribed in full, with 12 therapeutic accompanists of nursing staff, from a therapeutic residential service of Rio Grande do Sul. The analysis of the data is based on the proposal of thematic analysis, being analyzed and systematized from the attributions and activities of the therapeutic accompanying. Results: it is observed that nursing professionals who makes up the staff of therapeutic accompanists of service have a huge caring potential and are endowed of essential characteristics to the social reinsertion of the subjects in psycho suffering. Conclusion: it is highlighted the importance of nursing as a profession, once its essence is in the care, which is fundamental to the practice in the mental health and meanly to the therapeutic accompanying.

058-065

Authors: Maria de Lourdes Custódio Duarte, Thanyze Axel Kjellin Galuschka

Mental disorders are a serious mental health problem worldwide and affect people of all ages, cultures and socioeconomic status. Among the innumerable strategies of support, insertion and encouragement of continuity of treatment for people with mental disorders, the groups in the community stand out. This study reports the experience of an academic of the Nursing course of the Federal University of Rio Grande do Sul linked to the extension project titled Extension Project ESF Pitoresca-Evolution Group, in the period of 2014 and 2015. It was evidenced that the mental disorders that Most commonly users of the group are those of anxiety, schizophrenia, depression and bipolar affective disorder. In this way, the ESF Pitoresca team together with the University understands this activity as an action that contributes to mental health care, being an activity that reinvents life in its most everyday aspect.

077-087

Authors: Anderson Zampier Ulbrich, Antônio Stabelini Neto, Rodrigo Bozza, Ricardo Amboni, Renata L. Bertin, Wagner Campos

The muscle power is reater to muscle fiber type II, glycolytic capacity and motor skills, but the anthropometric characteristics may be related to this ability. The aim of the study was to investigate the relationship between anaerobic peak power and thigh volume, as well as the association with others anthropometric variables. This study involved 28 male adolescents, practicing systematic basketball training, with a mean age of 15.16 ± 1.11 years in stages 3 and 4 of sexual maturation. Anthropometric measurements of leg and thigh, as well as the calculation of thigh volume were obtained by measuring the circumference and length following the protocol proposed by Sady. The anaerobic peak power was measured by Wingate test. Descriptive statistics (mean and standard deviation) were used to sample´s characterization. Pearson's binary correlation test was used to verify the degree of correlation between thigh volume and anaerobic peak power. A multiple linear regression analysis was performed to verify the correlation between anaerobic peak power and anthropometric variables. Significant correlations were found between the anthropometric variables and anaerobic power, and also a strong correlation between lean mass and thigh volume with relative and absolute power. By regression analysis the lean body mass determined 83% of the anaerobic power in these adolescents. The results indicates that anaerobic power is correlated to anthropometric measurements, and lean mass was crucial in anaerobic performance. Measurements of body lengths and their relation to other variables are relevant for future studies.

098-110

Authors: Geyce da Silva Sales, Fernanda Carneiro Marinho Nolêto, Tatiana Evangelista da Silva Rocha

The objective of this study was to identify the mothers' perceptions about the practice of breastfeeding and the introduction of complementary feeding. Data collection took place from November to December 2016 and a semi-structured interview was used, with mothers being followed up by the Health and Community Center in the municipality of Palmas / Tocantins, based on guiding questions previously developed by the researchers. And subsequently transcribed for analysis of the results. Of the interviewees who had prenatal consultations, 73,91% mothers reported receiving guidance on the importance of breastfeeding and complementary feeding. Regarding the practice of the guidelines received in prenatal consultations, the most commented on by the mothers was about the Breastfeeding and the importance of exclusive breastfeeding for up to 6 months. The group related exclusive breastfeeding to the protection of the child's health, as well as the nutritional benefits of human milk, and despite receiving guidance and information during prenatal and gestational periods, it is possible to observe that mothers have limited knowledge regarding exclusive breastfeeding up to six months of age. In addition, the interviewees have an empirical knowledge when analyzing the perceptions about complementary feeding. There is a gap between the information being conveyed about breastfeeding and complementary feeding, which should be explained and more clearly worked out by health professionals in order to promote breastfeeding and complementaryfeeding more effectively.

121-131

Authors: Roberta Weber da Silva, Daniéli Gerhardt, Fabíola Dresch, Cynthia de Freitas Birkheuer, Mônica Jachetti Maciel

University students spend most of their time at university and use the snack bar as the main food suppliers. Objective: The objective of this work was to evaluate the prevalence of microorganisms in different surfaces in food services in a higher education institution, as well assessment of the sanitary conditions of the sites evaluated. Methods: Two university lancherias were analyzed in six points: food production countertop, food delivery countertop, freezer puller, cutlery, box drawer puller and condiment sachets. The research included the analysis of total and thermotolerant coliforms, total count of aerobic mesophilic bacteria (CTBMA), molds and yeasts (BL), Salmonella spp., Staphylococcus coagulase positive and Bacillus cereus. The collections occurred in the months of March (28 °C) and May (17 °C) 2016. The investigation and identification of the conformities and nonconformities of the food preparation sectors in the snack shop was carried out by means of a Good Practices (GP) checklist for food services. Results and Discussion: In the hot period, Snack shop A presented microbial growth in the freezer handle (CTBMA and S. coagulase positive) and BL in the cutlery. In Snack shop B all the microbial growths (CTBMA, BL, total and thermotolerant coliforms and S. coagulase positive) occurred in the food production stand. In the cold period, in both snack shop, there was only the development of BL in the food production stand. In relation to the checklist, the general compliance results were 91.15% and 92.30% for snack shop A and B, respectively. Conclusion: The establishments presented levels of contamination higher than that of the American Public Health Association (APHA) (100 CFU/ surface), but the compliance was satisfactory. The research results reinforce the need for attitudes about improvements in the hygienic-sanitary conditions of the environment to ensure the safety of the food produced.

146-154

Authors: Patrick Leonardo Nogueira da Silva, Fagner Alves Cerqueira, Raphael Santos Ferraz, Maria Dolores Tiago Vaz, José Ronivon Fonseca

Introduction: parasitic infections are a serious public health problem in Brazil, especially among children, due to socioeconomic and hygienic-sanitary conditions. Objective: to analyze the parasitological prevalence in fecal samples of children from a public school in the State of Minas Gerais. Method: This is a descriptive, exploratory, analytical, prospective study with a quantitative approach performed with 28 children aged 6-10 years from a public school. Feces samples were analyzed by the method of Hoffman, Pons and Janer. Results: it was observed that 78.5% (n=22) of the samples presented parasitological positivity in both sexes. There was an infectious prevalence of female children (n=18, 63.7%) in which they were six years old (n=14, 50.0%). The most prevalent species were Giardia lamblia (n=9, 31.8%), Entamoeba coli (n=6, 22.7%), Hymenolepis nana (n=6, 22.7%). Conclusion: The precarious conditions caused by the deficiency of public administrations mean that low-income families congregate in regions with little basic sanitation, making it easy to contaminate by parasites.

167-173

Authors: Maria de Lourdes Custódio Duarte, Liege Brum Porto, Danielle Celi Scholz, Odete Messa Torres

The present study aims to report on the experience of the Work Education Program (PET) Mental Health with emphasis on Crack, Alcohol and other drugs in a municipality in the South of Brazil in the year 2011. This program was attended by undergraduate students, preceptors of the Psychosocial Attention Center, tutor and collaborating professor who had the purpose of qualifying mental health care with professionals who work directly with people who use psychoactive substances. Challenges and potentialities were evidenced during the program execution period as a lack of professional qualification in the scope of chemical dependence, in addition to a restricted service network. Regarding the potentialities, projects to expand the network through partnerships between teaching and service are highlighted. It emphasizes the importance of this Program for teaching, service, management and community with a view to the global perception of the benefits and results generated in the meeting of propositional actions in the territory.

186-192

Authors: Nara Reisdorfer, Graciela Machado de Araujo, Laís Joana Nardino, Damaris Stoffel, Danusa Begnini

The aim of this study is to report the completion of a health education activity in the waiting room on the HIV issue. This is an experience report of an activity performed in a basic health unit composed of two ESF. The activity lasted about 30 minutes and took part in this, about 50 people. The educational activities in health favor the emancipation and collaborate to the user's autonomy, allowing this to be protagonist in the care of your health. Activities developed under this perspective become fundamental to achieve the principles of SUS. With the theme "Living with HIV is possible, with no prejudice", a play in the waiting room as a health education strategy was carried out. By adopting the theater as a health education strategy, the objective is knowledge sharing with the user seeking empowerment, which enables makes it active in their care process through the enhancement of their livings and knowledge. For the academic activities carried out consisted of a new experience providing opportunities for exchange of knowledge, learning and relaxing moments. The theater, as a health education strategy can be placed in care practices in primary health care as a means to make more attractive health issues.

200-214

Authors: Vanúzia Sari, Silviamar Camponogara

The current ecological crisis is a transformation of nature induced by the metaphysical, philosophical, ethical, scientific and technological conception of the world. Given the complexity of this crisis and the inexistence and/or inefficiency of strategies to combat it, including in the health area, it is important to reflect on the environmental concepts that influenced the actions of individuals involved in environmental education at hospitals. Objective: discuss the environmental conceptions for environmental educators of a hospital. Methods: Case Study qualitative, descriptive and exploratory, conducted between August 2011 and January 2012, in a large hospital group of Rio Grande do Sul (Brazil). It was based on semi-structured individual interviews involving nine people and closed by empirical saturation. The data analysis was performed using the Content Analysis. Results: 3 categories were created, considering the environmental concept. The first provides a systemic approach of environmental, including human being in a sense of global network. The second includes in environmental concept the man relationship with himself and others and with his workspace. The third consider in environmental conception the notions of reflexive modernity and risk society. Conclusions: the environmental educator has an expanded conception of environmental, but this research recommends to expand discussions on this topic, especially in nursing, in order to consider a social and environmental systemic approach, that will be able to recognize the influences of reflexive modernity.

231-242

Authors: Alana Scaravonatto, Dora de Castro Agulhon Segura

The blood transfusion is a vital and important therapy for many individuals, since the blood is a singular tissue that can´t be replaced by other substance, however the voluntary blood donation is the only source of provision. Although hemotherapy is indispensable to some clinical cases, and Brazil is considered a country of universal serological coverage, the blood recipient is subject to risk of contamination by transmissible infectious diseases via transfusion. In order to assure a higher number of blood donors and transfusion safety, besides inciting more volunteers to donate blood it is essential to reassess and improve the transfusion practices. Thus, the aim of this study was to investigate the knowledge about the relevance of the blood component donation, of the processes adopted as transfusion safety measure up to the destination of the blood to a recipient. For this purpose, 45 Physiotherapy students of sophomore year at Universidade Paranaense, Toledo – PR, participated in this survey, among them, 3 men and 42 women of an average of 20,3 years old (±3,4) years, volunteers, that answered a survey about the investigation of the knowledge about the act of the total blood donation. The results show 28,9% donors, most (38,5%) without specific frequency, 76,9% reported being aware about the action, 75% described themselves very knowledgeable, although some evidences inferred the opposite. Accordingly, it was possible to conclude that the researched issue must be discussed in further studies and that actions to clarify population about the blood donation are still necessary, assuring, this way, more safety and efficacy.