EsSEx: Revista Científica

5-12

Authors: Marina Lannes Vieira

Cancer is a highly lethal disease whose incidence has been increasing in recent years.Radiation Therapy consists in the use of ionizing radiation produced by linear accelerators or emitted by natural or artificial isotopes for therapeutic purpose and is one of the three pillars of modern cancer treatment. Intensity modulated radiation therapy (IMRT) represent one of the greatest advances in Radiotherapy history. This technique modulates beam intensity and permit that prescription dose reach the target, sparring normal tissue, leading to fewer collateral effects and in some cases better local control. Central Army Hospital, seeking to fit in this context, acquires a new linac in 29 Th June of 2016, and in June of 2017 the first patient was treated with IMRT. The objective of this work is to describe all the cases treated with IMRT until April of 2018 and make a bibliography review about this technique.

29-35

Authors: Tainá Silva Vallim Moreira

Burnout Syndrome and occupational stress have a significant impact on workers when physical, cognitive and psychological demands exceed their abilities to cope with them, which is now a public health problem due to the negative impact that health and performance of the worker. Thus, this study is presented with the purpose of investigating the presence of these disorders specifically in the professional category of the military of the Brazilian Army, through a survey of the casuistry of occupational stress in this population in the current literature, dimensioning the physical, psychic and social impact of the disease. This study intends to bring to the discussion the aspects inherent to the military profession that can be considered as risk factors or worse ning of occupational stress and Burnout Syndrome, if it is feasible to minimize these triggering factors, how it is possible to perform the early diagnosis and then offer treatment. Bringing these aspects to the discussion it is possible to propose and encourage the inclusion of protocols for the investigation of occupational disorders in the regular health inspections to which the military of the Brazilian Army are submitted

52-68

Authors: Tatiane de Souza Pinto

The military carries out various physical and mental activities with potential health risks. Exercise related myopathies are very common in sports practice, and these are mainly caused by bruises and excessive muscle forces, making it necessary and essential to know about these injuries in order to improve the muscle regeneration process and preventive measures. Objectives: To evaluate clinical, laboratory, therapeutic and preventive aspects of exercise induced myopathy. A bibliographic review of articles indexed in the electronic databases of the National Library of Medicine and the National Institutes of Health (PubMed) and the Virtual Health Library (VHL), using references from Latin American and Caribbean Literature Health (LILACS). In addition, an evaluation of the bibliographic references of the selected articles was carried out to identify other potentially relevant studies. The descriptors were obtained from the DeCS and MeSH (Descriptors in Health Sciences and Medical Subject Headings, respectively),and the selection of studies was restricted to articles in humans. The enzymes creatine kinase (CK) and lactate dehydrogenase (LDH) are useful as muscle injury markers for the evaluation of exercise intensity. In the acute phase, immediate treatment for s keletal muscle injury is known as the PRICE (Protection, Rest, Ice, Compression and Elevation) principle. The postacute treatment consists of physiotherapy and specific muscle training. The optimal nutritional intake pre and post exercise is important to assist in the repair and reconditioning of muscle damage. The decision to return to specific training after injury should be based on the ability to stretch the injured muscle as much as the contralateral healthy side, and absence of pain in the injured muscle in basic movements.

5-20

Authors: Laura Tiriba Appi, Claudinei Maciel Bueno, Marcelo Eduardo de Souza Conceição

This work deals with a bibliographical review carried out between March and October of 2018, conducted through a search of the national and international database, during which a survey of the existing scientific production was carried out and related to the incidence of infectious diseases that affected the military in the exercise of the profession, as well as the application of measures of control and tracking of these, as well as articles describing the consequences of their transmission in fulfillment of the military service / mission. Articles containing records of the patterns of these diseases and / or consequences attributed to vaccination were also analyzed. From the analysis of the data used in the present work, it is possible to verify the main risks that the infectious diseases, classified by the military as a cause of loss of combat, represent for the work in military missions and the remarkable importance of studies, planning and the correct application of measures for the prevention and cure of these diseases

32-44

Authors: Rafaela Mota Oliveira, Luiz Raphael Mota Oliveira

Dengue is present in nearly the entire country, expansion influenced by unbridled urban development associated with lack of infrastructure and climatic issues. Discuss the epidemiological situation of dengue in Brazilian territory. literature review, with selected publications from the last ten years that presented epidemiological data on dengue. The Center-West region stood out negatively in 2017. The Southeast region always had a large number of notifications, but in 2017 less than a quarter came from that region. The South region, due to climatic and social issues, always contributes with a small number of cases. The Northeast region presents great variations over the years. The North region has a small number of cases, especially in the state of Roraima, but this one has increased in the absolute number in the last years, which can be explained by the immigration issues on the border with Venezuela, an area in which the Brazilian Army has been working and contributing to the improvement of social issues and reducing the spread of infectious diseases. The incidence varies over time and the regions present peculiarities, necessitating specific public policies.

52-70

Authors: Teresa Rachel Junqueira Carbone, Pamela Goldstein Felipe

The recent explosion of dengue cases, the speed at which the virus spreads, the increase in acute and chronic cases of chikungunya including debilitating arthralgia, the increase in microcephaly and Guillan Barré Syndrome reports, call attention to its morbidity and mortality. In addition, it is difficult to make a differential diagnosis between these diseases due to the lack of symptoms. The aim of this article is to contribute to the dissemination of the knowledge of arboviral diseases by presenting their main characteristics. With the rheumatologist's vision, placing the focus to the associated arthropathy, I aim at stating the importance of the control of the vetor Aedes aegypti, when fighting involves the use of the Brazilian Army. For this purpose, the literature was reviewed in the Medline, SciELO, PubMed databases, information published in official web pages of the Ministry of Defense, the Brazilian Army, Fiocruz and electronic news portals, which supported the discussion.