MAIN FINDINGS OF HIGH DIGESTIVE ENDOSCOPY IN PATIENTS LARYNGOPHARYNGEAL REFLUX: RETROSPECTIVE STUDY OF 133 CASES

WITH

EDUARDA RAQUEL PRZYGODA ALVES - FURB; BEATRIZ BRITTES KAMIENSKY - FURB; HADELLE HABITZREUTER HASSMANN - FURB; JAN ALESSANDRO SOCHER - FURB

Introduction: Laryngopharyngeal reflux (LPR) is considered an extraesophageal manifestation which may or may not be associated with gastroesophageal reflux disease (GERD) and there are two suggestions for theories to their causes and symptoms: theory of direct damage and theory of vagal reflex. Objective: Raise the main findings of upper endoscopy (EGD) in patients with a diagnosis of laryngopharyngeal reflux. Methods: Retrospective analysis of results from EGD and urease test of 133 patients treated between January 2011 and December 2011 selected with a previous diagnosis of LPR through video faringolaringoscopia. In suspected cases also underwent biopsy when necessary. Results: The main findings were gastritis (77%), distal esophagitis (59%), hypofunction of the cardia (40%) and hiatal hernia (32%). In 9% of patients were identified Barrett's esophagus and neoplasia in 2.2% of patients. In two cases was identified fungal esophagitis. Only 12% of patients have normal EGD. In 30% of patients were identified H. pylori positive. Conclusion: EGD proved to be an important test in the diagnosis of additional comorbidities that can follow laryngopharyngeal reflux interfering in the therapeutic setting.

EVALUATION OF THE EFFICACY AND TEMPORAL PATTERN OF DRY NEEDLING IN THE TREATMENT OF MYOFASCIAL PAIN SYNDROME
JULIANA TAKIGUTI TOMA - UNIFESP; MARCUS YU BIN PAI - FCMSCSP; IRINA RAICHER - HC-FMUSP; HELENA HIDEKO SEGUCHI KAZIYAMA - HC-FMUSP; RICARDO GALHARDONI - HC-FMUSP; MANOEL JACOBSEN TEIXEIRA - HC-FMUSP; DANIEL CIAMPI DE ANDRADE - HC-FMUSP

Introduction: Myofascial Pain Syndrome (MPS) is a regional muscle pain disorder accompanied by trigger points. Trigger point dry needling is one of the most effective treatments available. It relies on mechanical disruption of trigger points, also inhibiting nociception. In this study, we evaluated in a prospective, shamcontrolled study the pattern of analgesic efficacy of trigger point dry needling in Myofascial Pain Syndrome (MPS) patients. Materials and Methods: We evaluated patients with shoulder pain due to excess of nociception associated with chronic MPS in asymmetrical or unilateral trapezius muscle trigger points (VAS more painful side less painful side > 40mm). Patients were randomly assigned to two treatment arms: Active (A) (n=20) and Sham (S) (n=21). Group A received actual treatment with trigger point dry needling. Group S received a sham treatment, with the needle inserted superficially in the skin, without reaching the muscle underneath it. The duration (sec) and pain (VAS) elicited during active and sham dry needling were controlled for. Patients were evaluated one week before needling (D-7), on the day of dry needling (D0) and seven days after the procedure (D+7). Patients filled out the Brazilian version of the Douleur Neuropathique 4, Beck Depression Inventory, Brief Pain Inventory (BPI), McGill Pain Questionnaire-SF (SFMPQ), Hospital Anxiety and Depression Scale and Global Impression of Change, and also filled out a 14-day pain diary with the first part of the BPI. Results: 41 patients were included in the trial. Mean VAS was 69.717.1 upon enrollment. The reduction in pain intensity after treatment was significant for the active group (VAS before=5419 vs VAS after= 2920, p<0.05). Changes were not significant for the sham group (VAS before=57.121.4 vs. VAS after= 48.529.5, p=0.333). The total score of pain intensity in the SFMPQ was significantly improved in Group A (before=51.528.7 vs. after= 3031.6, p<0.05) but not in the sham group (before=57.132.8 vs. 44.326.9; p=0.104). The mean pain interference in life activities did not differe between groups. The worst pain, and average 24h pain score of BPI decreased in the active group only. There were no correlations between more intense pain during needling and immediate or long-term pain relief, which was maximal on the 7th day after needling. Conclusions: Dry needling MPS trigger points relieve pain when compared with a sham procedure of the same duration and pain intensity. The analgesic effect built up on the following days after stimulation and was higher on the 7th day after the procedure, which argues for long-lasting local effects that go beyond the mechanical effect of the procedure. Needling may serve as a complementary therapeutic option in these patients.

BRAZILIAN PORTUGUESE TRANSLATION, CROSS-CULTURAL ADAPTATION AND VALIDATION OF THE HEART CONTINUITY OF CARE QUESTIONNAIRE
DBORA COSTA RACHID LACERDA - UNIVERSIDADE FEDERAL DE JUIZ DE FORA (UFJF); LUCAS MENDES NASCIMENTO - UNIVERSIDADE FEDERAL DE JUIZ DE FORA (UFJF); CARLA MALAGUTI - UNIVERSIDADE FEDERAL DE JUIZ DE FORA (UFJF)

Introduction: To measure the continuity of care of such patients, a questionnaire was developed to reflect the patients perspective in several respects. For this purpose, Hadjistavropoulos et al. developed the "Heart Continuity of Care Questionnaire" (HCCQ), a specific questionnaire originally written in English containing 33 questions. It addresses information about the patient's condition, medication, precautions related to diet and exercise, plans to release the patient from the hospital and follow-up care. There are also questions about the evaluation of communication and coordination of the health professionals. The translation and adaptation of this questionnaire into Portuguese, as well as its validation will allow it to be used in scientific and clinical fields in Brazil. As the Brazilian Ministry of Health emphasizes, cardiovascular diseases are the leading cause of death in the country, which increases the relevance of this study. Materials and Methods: The sample is composed of patients with clinical and laboratory diagnosis of cardiovascular diseases, such as hypertension and chronic heart failure, aged over 20 years and of both sexes. The pilot test was performed with 20 patients. Furthermore, it is important to note that patients with cognitive disorders, suspicion of psychiatric disorders, lung disease and severe neuromuscular complications were excluded because this could affect the results. The methodological study involved the following steps: translation, synthesis, backtranslation, review by an expert committee and pretest of the final version. Results: After application of the pilot test, an analysis was made considering the difference of understanding between the synthesis version into Portuguese and the original version. In this discussion, we noticed that in Brazil some terms are not commonly known by the population as they are in other cultures. Thus, a cultural adaptation was crucial. The expression "health care providers" was the most problematic; therefore, there was a need to change it to "health team". The word "contact" also caused misunderstandings in item 22. Another problem was the translation of item 17, because this item had many repetitions of the expression "care providers" and of the word "care". Therefore, the structure of the sentence was changed. Another important point was that most patients understand "pharmacist" as a person who works in drugstores and not the person graduated in Pharmacy. It is important to mention that these data are preliminary and were collected in the pilot test. The study of the total sample (100 patients) is still being conducted. Conclusions: It is pertinent to note that in a questionnaire containing 33 questions, few problems were found and very little was changed, which means that the unified translated version into Portuguese is very consistent with the original version.

MYOCARDIAL REVASCULARIZATION IN END-STAGE RENAL DISEASE PATIENTS

MATHEUS MIRANDA; NLSON AMRICO HOSSNE JR.; LUS ROBERTO GEROLA; JOS OSMAR DE ABREU MEDINA PESTANA; JOS HONRIO DE ALMEIDA PALMA DA FONSECA; ENIO BUFFOLO

Introduction : Cardiovascular diseases are the leading cause of mortality in endstage renal disease (ESRD) patients. The impaired renal function has been a factor adverse in cardiac surgery, causing increased morbidity and mortality, being the group of dialysis patients the most affected. Objective: To analyze outcomes after coronary artery bypass grafting (CABG) in ESRD, as well as complications in the immediate phase, trying to identify the causes and conduct during the perioperative period. Materials and methods: We analyzed the medical records of 43 consecutive patients, not selected in a retrospective study underwent CABG at a tertiary public university hospital complex from January 2002 to December 2011. The mean age was 56.5 10.2 years and 77.4% were male. We studied the demographic and clinical characteristics, perioperative data and complications during the hospitalization of these patients. Result: The number of anastomosis per patient was 2.1 0.8. The use of cardiopulmonary bypass (CPB) was necessary in sixteen (37.2%) patients, the mean CPB time 82.1 31.2 minutes. The period of ICU stay was 6.8 9.2 days and the hospitalization was 12.0 10.0 days. The hospital mortality was 11.6% and morbidity of 35.1%, and the main complications was atrial fibrillation (23.2%) and infection (16.3%). Conclusion (Conclusion): The IRC presents itself as a risk factor for increased morbidity and mortality. The exacerbated inflammatory response in this group of patients, with consequent increase in the overall atherosclerotic process, can be responsible for this increase. CABG mortality in ESRD have high hospital mortality and should be considered metabolic aspects of this special group of patients for intraoperative guidance of conduct.

THE TREATMENT OF VENOUS ULCERS IS EFFECTIVE RESOLUTION IN SUS?

CYRO DE CAMPOS ARANHA PEREIRA NETO - UNICID; ANDR FREITAS CAVALLINI DA SILVA - UNICID; TALITA MACHADO BOULHOSA - UNICID; ANA CAROLINA MATIELI - UNICID

Introduction: venous stasis ulcer (UEV) represents about 70% to 90% of cases of leg ulcers and features as the main cause chronic venous insufficiency. This unsuitability of the venous system is common in the elderly population, the frequency being greater than 4% among the elderly over 65 years of age. The high number of recurrences of ulcers (66%) is one of the most important problems in the care of patients with venous insufficiency. Patient education, in this situation, it is a priority in nursing care. It is estimated that the cost for the treatment of venous ulcers is 1 billion U.S. dollars. Objective: To determine the characteristics of patients with UEV and identify the types of treatment used and the evolution with treatment. Methodology: This is a descriptive, exploratory cross-sectional. 25 records have been identified in Mairipor Polyclinic. However, it was necessary to follow the routine of dressing room and interview 16 patients due to lack of data. These were grouped into categories: profile of patients with UEV, gender, form of expression, location, sensitivity, time of the wound, presence of associated diseases limitations; treatments; evolution with treatment category of the professional who performs it. Results: Evaluation UEV is not systematic, there is concern on the part of the team to describe the evolution of the wound, but only reported by printing the patients and the nursing assistant. Among the 16 respondents with UEV: 43.75% are males and 56.25% were females, average age 62 female and 56 year old average male, 40% and 60% spontaneous demonstration by trauma, 100% LL -1 / 3 distal leg, 66.66% have some kind of pain, time interval UEV less than 12 months to 19 years, 35.71% have UEV and do not take even one type of medication for chronic venous insufficiency and 64.29% have other associated diseases - diabetes mellitus and hypertension, 100% reported limitation - 40% retired for invalides; healing in the clinic: Povidone-iodine (PVP), 0.9% saline solution, bandages, gauze, silver sulfadiazine cream, Vaseline, xylocaine, 56.25% of the dressings at the Polyclinic only at home on weekends, while 43.75% home and twice / week only in the clinic, the first 77.77% reported improvement with the dressing, the second 85.71% reports stagnation; dressings performed by nursing assistants. Conclusion: Pointing to the need to do a better report in the medical records of patients (to develop a protocol): there is no specific description about the existence of the injury, manifestation, progression, treatment and prognosis. The literature indicates that the cleaning of the wound must be done with warm 0.9% saline solution to facilitate cell division in the human body, with physiological temperature of 37 C, however, this does not occur due to lack of local structure to adequately fulfill the criteria for treatment and all patients make the dressing at home, without supervision by the health professional.

THE SOCIAL IMPACT IN PATIENTS WHO HAD HEMORRHAGIC STROKES, AT THE UNIDADE BSICA DE SADE JARDIM CUMBICA I
ANDR FREITAS CAVALLINI DA SILVA - UNICID; CYRO DE CAMPOS ARANHA PEREIRA NETO - UNICID; TALITA MACHADO BOULHOSA - UNICID; ANA CAROLINA MATIELI - UNICID

Introduction: The term Cerebrovascular Accident (CVA) is currently employed to describe a group of diseases that present an abrupt start and provoke neurological damages due to disturbance in the blood supply to the brain. They are the second cause of death worldwide and the most devastating when it comes to atherosclerosis complications. Risk factors include: high blood pressure, age, ethnicity, gender, Mellitus diabetes, alcohol consumption, birth control pills usage, smoking, obesity and stress. Objective: Following a bedridden patient, due to a Hemorrhagic Cerebrovascular Accident, at the Unidade Bsica de Sade Jardim Cumbica I in order to observe and study its neurological sequelae, as well as the impact on his social insertion. Methods: After the analysis of all the data concerning the neurological patients at the UBS Jardim Cumbica I, from August to September 2010, a case was selected due to the clinical picture it presented and the chronological proximity of the neurological accident that would enable a more accurate short term sequelae study. The patient was then visited at his residency where the group proceeded with a neurological anamnesis and throughout physical and neurological examinations to insure all the necessary data for the case study. It was then presented at Universidade Cidade de So Paulo, in November 2010, for a board of professors, including Neurologist PhD Ana Claudia Picollo. The patient is currently in a wheelchair, with hemiparesis of the right limbs, using captropil 25 mg/day and Dexalgem IM every five days. In the physical examination, the main alterations found were: slow and impaired speech, bitemporal hemianopsy, absence of the photomotor and the consensual reflexes for the left eye, rightward deviation of the face and a diminishing in the trophism and muscular tone of the affected side. Considerations and Intervention Proposals: During the preparation of the case study presentation, several articles on the subjects were reviewed. Based on them, we can say that 15% of the patients that survive NCA present no sort of incapacity. However, that leaves us 85% of them that do. 37% of the patients that surve NCA present discrete incapacity -they are unable to continue performing their professional activities but do not require help with their daily activites; 16%, moderate incapacity requiring some kind of help with simple chores - and 32%, slightly intense or severe incapacity - being bedridden or in a wheelchair, usually in need of constant care. Therefore, a considerate amount of these patients depend physically, emotionally and financially on their care takers. Thus, we concluded the case study pointing out the importance of regular visitations to these patients by a team of different professionals (nutritionist, physiotherapist, psychologist, nurses and doctors among others) in order to prepare the care taker, minimize the impact of the

REGIONAL INFLUENCES PARTIALLY EXPLAIN THE HIGH BREAST CANCER RISK OF BRCA1/2 CARRIERS IN THE NORTHERN NETHERLANDS
JANET R. VOS - DEPARTMENT OF EPIDEMIOLOGY, UNIVERSITY OF GRONINGEN, UNIVERSITY MEDICAL CENTER GRONINGEN; DORINA M. VAN DER KOLK - DEPARTMENT OF GENETICS, UNIVERSITY OF GRONINGEN, UNIVERSITY MEDICAL CENTER GRONINGEN; MARIAN J.E. MOURITS - DEPARTMENT OF GYNAECOLOGY, UNIVERSITY OF GRONINGEN, UNIVERSITY MEDICAL CENTER GRONINGEN; NATALIA TEIXEIRA - DEPARTMENT OF GYNAECOLOGY, UNIVERSITY OF GRONINGEN, UNIVERSITY MEDICAL CENTER GRONINGEN; LIESBETH JANSEN - DEPARTMENT OF SURGICAL ONCOLOGY, UNIVERSITY OF GRONINGEN, UNIVERSITY MEDICAL CENTER GRONINGEN; JAN C. OOSTERWIJK - DEPARTMENT OF GENETICS, UNIVERSITY OF GRONINGEN, UNIVERSITY MEDICAL CENTER GRONINGEN; GEERTRUIDA H. DE BOCK - DEPARTMENT OF EPIDEMIOLOGY, UNIVERSITY OF GRONINGEN, UNIVERSITY MEDICAL CENTER GRONINGEN

Introduction: The breast cancer risk of female BRCA1 and BRCA2 mutation carriers by age 70 varies between 35-85% worldwide, and between 60-80% in the Netherlands. In the Northern Netherlands these risks are relatively high at 71.4% and 87.5% respectively. So far this higher risk cannot be explained. One of the hypotheses is that the high risk among female carriers in the Northern Netherlands is due to their geographical location. Therefore we studied the regional influences on breast cancer risk using updated breast cancer penetrance rates in this region. Methods: A consecutive prospective cohort study was conducted at our Family Cancer Clinic, including all female BRCA1/2 carriers (N=1052) and first-degree relatives (FDR) of carriers. Kaplan Meier analyses were used to estimate the breast cancer risks. Censoring was applied at the age of prophylactic mastectomy (N=188), the age at risk-reducing salphingo-oophorectomy (when performed before the age of 50) (N=242), at the last follow-up or at death. Odds ratios were used to compare the breast cancer incidences of mutation carriers nd of women in the general population in the Northern Netherland with those from the rest of the Netherlands, using data from a previous study of a population of carriers including the Netherlands and data from the national Comprehensive Cancer Centre respectively. R Results: 670 women developed breast cancer: 481 (72%) in BRCA carriers and 172 (26%) in not-tested FDRs. The cumulative incidence of breast cancer by age 70 for BRCA1 and BRCA2 carriers was 73.9% (95%CI 69.4-79.6%) and 77.7% (95%CI 70.3-85.1%), respectively. BRCA carriers in the Northern Netherlands were more likely to develop breast cancer than BRCA carriers in the rest of the Netherlands, OR=1.93 (95%CI 1.67-2.24). Females in the general population in this region had a small increased risk to develop breast cancer, OR=1.07 (95%CI 1.01-1.13). Conclusion: BRCA1/2 mutation carriers in the Northern Netherlands are at a higher risk to develop breast cancer and this cannot sufficiently be explained by regional differences in background breast cancer incidence. Further research should aim to elicit other factors such as founder mutations, population specific modifiers or lifestyle factors.

COLORECTAL CANCER SCREENING BY HUMAN DNA STOOL QUANTIFICATION

YOLANDA MAROTO TEIXEIRA - UNIFESP; JACQUELINE MIRANDA DE LIMA - UNIFESP; NORA MANOUKIAN FORONES - UNIFESP

Background: The colorectal cancer (CRC) tends to increase with population aging reaching currently 1 million cases with 500.000 deaths around the world. In Brazil, the estimation for this year is 30.140 new cases with 12.471 deaths that make this neoplasia the fourth cause of death in the country. Colonoscopy and fecal occult blood (FOBT) test are largely used for colorectal cancer screening. However, the FOBT had a low sensibility and the colonoscopy is expensive and brings great inconvenience to the subjects. New methods involving the DNA of the stools are being studied to increase the diagnosis of cancer with a noninvasive method. Aim: Quantification of the human DNA of the stools of patients with colorectal cancer. Methods: We analyzed 97 stool samples of patients, divided in two groups: 51 individuals without CRC that form the control group and 46 patients with colorectal cancer, which form the case group. All the patients from the control group had been submitted to colonoscopy. PCR Real Time was utilized, through the quantification method by amplification of specific sequences of DNA (Quantifier Human Standard Applied Systems) and by comparison between these groups. Also to compare the quantification by amplification, we used the fluorescent spectrophotometry. The total DNA of the stools had also been quantified. Results: The mean total DNA from the stools of the CRC patients was 91.1ng/L (SD=57.8) and of the control group was 109.7ng/L (SD=95.3), (p>0.05). The mean human DNA quantification of the case group was 15.03ng/L (SD=30.7) and for the control group 0.47ng/L (SD=1.02). This difference between both groups was significant (p<0.0001). Patients with colorectal cancer localized on the descendent, sigmoid and rectum had a higher mean concentration of human DNA (18.32ng/L) when compared to the CRC localized in the ascendant or transverse (1.10ng/L) (p=0.0027). In the analysis of tumor invasion, we did not find differences in the quantification of DNA of T1, T2 and T3 tumors compared to T4 tumors (p=0.86). There were no correlation between the total quantification of DNA and the human DNA quantification in the stools in both groups case and control by the Spearmans rank correlation test (p=0.16 and p=0.21, respectively). Conclusions: Patients with colorectal cancer had significant more quantities of human DNA compared to patients without cancer. Higher quantities of human DNA were found in patients with distal CRC.

OPERATIVE VERSUS NONOPERATIVE PROCEDURE IN THE TREATMENT OF PENETRATING ABDOMINAL TRAUMA

ANDR FREITAS CAVALLINI DA SILVA - UNICID; CYRO DE CAMPOS ARANHA PEREIRA NETO - UNICID; TALITA MACHADO BOULHOSA - UNICID

Introduction: Penetrating abdominal trauma is the main cause of trauma admission in the US. Patients with stabbing injuries are thrice more common than by firearm, albeit a lower mortality rate4; 82% are male; 18%, female and they are, in average, 32.8 years. By the mid 1960s, laparotomy was the standard procedure for these injuries but advances in diagnostic and image procedures have contributed to the adoption of new ones1. OBJECTIVE Compare operative and nonoperative management treatment of penetrating abdominal trauma; establish a necessary management algorithm. Methodology: This literature review was conducted between February and June 11, based on articles published between 06 and 11; selected at the PubMed and Bireme databases using terminology registered in the Health Sciences Descriptors: laparoscopy, laparotomy, penetrating abdominal trauma. Studies related to the therapeutic approach of laparotomy and (or) laparoscopy in penetrating abdominal trauma and comparative ones were included; those that demonstrated its use in children were excluded. Results: There are three main procedures related to penetrating trauma of the abdomen (anterior and posterior): immediate surgical management, extended surgical procedure and nonoperative. The immediate surgical is recommended for patients who shows signs of shock, hemodynamic instability, evisceration, and peritonitis. 50-75% of penetrating trauma in the anterior abdomen caused by weapons cross the peritoneal cavity, and of this 50-75% require surgical repair. The liver (73%), the kidney (30.3%) and the spleen (30.3%) are the most affected organs. Velmahos et al (2011) showed that out of 1405 patients with gunshot wounds in the anterior abdomen, 484 had non-operative management (34%); 65 were submitted to extended laparotomy (13.4%) after developing signs and symptoms and 17 underwent non-therapeutic laparotomy. Penetrating trauma to the posterior abdomen is less likely to present significant injury but they complicate the evaluation of the retroperitoneal organs through physical examinations and FAST. In stable patients, CT is a safe choice4. Peritoneal integrity can be evaluated clinically, through CT, FAST, diagnostic peritoneal lavage or laparoscopy. Such methods reduce the use of explorative laparotomy, immediate and extended, leading to an increase in non-surgical intervention3. Thus, when the rate of exploratory laparotomy decreases, so does the immediate, the extended and the negative laparatomies, as well as mortality, complications, length of stay and hospital costs. Conclusion: This review concluded that less invasive methods are safe and effective in treating penetrating trauma to the abdomen. Although there are few long-term studies, the literature indicates an association of the decrease in the rate of surgical interventions and of negative laparotomy and of potential surgery related complications, hospital costs and length of stay of patients.

TEACHING AND LEARNING BIOPSY AND SUTURE SKILLS DURING MEDICAL GRADUATION BY INSTRUCTOR-DIRECTED TRAINING ON BENCH MODEL: A RANDOMIZED CONTROLLED STUDY COMPARING LOW AND HIGH FIDELITY BENCH MODELS Rafael Denadai, Lucas Denadai, Marie Oshiiwa, Rogrio Saad-Hossne 1 MD, Fellow of Surgery, Division of Coloproctology, Department of Surgery, Botucatu Medical School, UNESP, Botucatu-SP; Fellow of Research, Institute of Plastic and Craniofacial Surgery, Hospital SOBRAPAR, Campinas-SP; and Resident, Department of Surgery, Hospital Municipal Dr. Mrio Gatti, Campinas-SP, Brazil 2 Graduate student, Faculty of Medical Sciences, UNIFESP EPM. So Paulo, Brazil 3 PhD, Associate Professor, Department of Statistics, FATEC, Marilia-SP, Brazil 4 MD, PhD, Associate Professor, Division of Coloproctology, Department of Surgery, Botucatu Medical School, UNESP, Botucatu-SP, Brazil
Introduction: As the training of basic surgical skills training on live patients (traditional apprenticeship model) may violate ethical and medico-legal aspects, learning technical skills on inanimate bench models is becoming widely used during medical education. These inanimate simulators vary widely regarding their level of fidelity to living human patients. High-fidelity simulators (e.g., pig, rat, and chicken skins) are limited by high costs, low availability, potential for transmission of infectious disease, and ethical concerns and lower-fidelity synthetic simulators such as ethylene-vinyl acetate (EVA) plates and polyurethane foam sacrifice "realism" for portability, lower costs, and potential for repetitive use. Despite the intuitive belief that "the more realistic is the better" within surgical simulation this cannot be based only on subjectivity. Therefore, the purpose of this study was to assess objectively if the fidelity of bench models interferes with the acquisition of cutaneous surgical skills (biopsy and suture) by novice medical students. Materials and Methods: The design was a randomized controlled study with blinding of expert examiners, including a session of verbal teaching based on instructional video, a pretest, a 2-hour practice phase, and a post-test. The pre- and post tests were identical and consisted of the manufacture of 5 simple interrupted sutures (bidimensional) and 1 running subcuticular suture (tridimensional) for the closure of two elliptical incisions measuring 8x2 cm each on ox tongue and an elliptical excision (marking of safety margins forming an ellipse, incision and excision of the "tissue") for the "diagnosis and treatment" of a "non-melanoma skin cancer" measuring 1cm in diameter simulated on ox tongue. Each student was tested individually. No verbal feedback was provided during both pre- and post-tests. Thirty six medical students with no surgical skills background (novices) were randomized to 3 groups (n=12): didactic training alone (control); low-fidelity cutaneous surgical training (plates of 4mm of EVA); or high-fidelity cutaneous surgical training (pig feet skin). All students trained biopsy and sutures in a repetitive and deliberative manner directly supervised by an experienced faculty surgeon (one instructor for each four students). Objective evaluation based on Global Rating Scale with blinded assessment and self-perceived confidence based on Likert scale were used to assess all performances in pre- and post-training. Values were considered significant for a confidence interval of 95% (p<0.05). Effect sizes were also calculated in order to identify the magnitude of the intervention effect regardless of the sample size; effect sizes exceeding 0.80 were considered large.

Results: The post-training analysis showed that the students that practiced on bench models (hands-on training) presented better (all p<0.0000) performance in the Global Rating Scale evaluation, compared with the control, regardless of the model fidelity; there was no significant difference (all p>0.05) between the groups that trained on bench models. The magnitude of the effect (training) was considered large (>0.80) in all measurements. Students felt more confident (all p<0.0000) to perform both procedures after training. Conclusion: The acquisition of biopsy and bi- and-tridimensional suture skills after the instructor-directed training on low-fidelity bench models was similar to the training on high-fidelity bench models, and there was a more substantial increase in the performances of students that received bench model training compared to the learning on didactic materials.

IS IT SAFE AND EFFECTIVE TO TREAT COMPLEX RENAL CYSTS BY THE LAPAROSCOPIC APPROACH?
REBECCA SUBIRA MEDINA - ESCOLA PAULISTA DE MEDICINA - UNIFESP; CASSIO ANDREONI - ESCOLA PAULISTA DE MEDICINA - UNIFESP; VALDEMAR ORTIZ - ESCOLA PAULISTA DE MEDICINA - UNIFESP; THOME PINHEIRO JR. - ESCOLA PAULISTA DE MEDICINA - UNIFESP; RICARDO NATALIN - ESCOLA PAULISTA DE MEDICINA - UNIFESP; FABIO SEPULVEDA - ESCOLA PAULISTA DE MEDICINA - UNIFESP

Background and Purpose: Bosniak III and IV renal cysts have low mortality potential, and little is reported regarding the feasibility and safety of managing such tumors by laparoscopy and its comparison with open surgery. We report on the experience with 37 complex renal cysts managed in the era of laparoscopy. Patients and Methods: A retrospective analysis of a prospective database from all patients with renal tumors who were operated on at our institution was evaluated after Institutional Review Board approval. The database comprises information for demographic, clinical, imaging, preoperative, intraoperative, histologic, and followup data. A comparison among all performed approaches was done for demographic, American Society of Anesthesiologists classification, operative time, estimated blood loss, ischemia time, hospital stay, oncologic and survival rate. The cysts removed by laparoscopic partial nephrectomy were compared with the solid tumors removed by the same approach at the same period. Results: The database included 407 patients with renal tumors who were operated on from 2000 to 2009 at our institution. In 36 patients of the total cohort, there were 37 complex renal cysts. No patients with preoperative Bosniak type I or II underwent surgery. Of the cysts, 60% were Bosniak IV, and 86% were confirmed as malignant; 40% were Bosniak III, and 44% were confirmed as malignant. Laparoscopic partial nephrectomy was performed in 67.5%. The tumor size and hospital stay were significantly different in the laparoscopic group. No cyst spillage occurred either by laparoscopy or by the open approach, and no tumor recurrence was found in a mean follow-up of 43.7 months with overall survival of 100%. Conclusion: Laparoscopic surgery for complex cysts is safe, feasible, and effective. Nevertheless, regardless of surgical approach, patients with complex renal cysts have excellent overall survival with short-term follow-up.

END-STAGE CARDIOMYOPATHY AND SECONDARY MITRAL INSUFFICIENCY SURGICAL ALTERNATIVE WITH PROSTHESIS IMPLANT AND LEFT VENTRICULAR RESTORATION
ALINE COUTO CARNEIRO - ESCOLA PAULISTA DE MEDICINA, UNIVERSIDADE FEDERAL DE SO PAULO; JOO NELSON RODRIGUES BRANCO - ESCOLA PAULISTA DE MEDICINA, UNIVERSIDADE FEDERAL DE SO PAULO; JOSE HONRIO DE ALMEIDA PALMA FONSECA - ESCOLA PAULISTA DE MEDICINA, UNIVERSIDADE FEDERAL DE SO PAULO; JOO ROBERTO BREDA - FACULDADE DE MEDICINA, UNIVERSIDADE FEDERAL DO ABC; ROBERTO CATANI - ESCOLA PAULISTA DE MEDICINA, UNIVERSIDADE FEDERAL DE SO PAULO; ENIO BUFFOLO - ESCOLA PAULISTA DE MEDICINA, UNIVERSIDADE FEDERAL DE SO PAULO

Background: Secondary mitral insufficiency is a strong risk factor for death in endstage cardiomyopathy. The possible correction of mitral regurgitation has now been accepted as an alternative to cardiac transplantation in a special subset of patients. We propose a new surgical approach that consists of implantation of a mitral prosthesis that is smaller than the annulus, and preservation and traction of the papillary muscles to reduce sphericity of the left ventricle. Methods: Between December 1995 and October 2011, 155 patients with dilated cardiomyopathy underwent this procedure, with the following etiologic factors: ischemic (98), idiopathic (54), Chagas disease (1), viral (1), and postpartum (1). The patients were analyzed according to clinical criteria, echocardiographic findings, and morphology of left ventricle. Results: All patients were in an end-stage phase, requiring hospital admissions over the past 6 months, despite receiving full medication. Furthermore, seven were in intensive care unit receiving intravenous drugs or intra-aortic balloon counterpulsation, and one was in cardiogenic shock. Hospital mortality was 16.1% (25/155), yet midterm follow-up showed a relatively flat late survival curve, with evidence of improved clinical status, better echocardiographic parameters, and reduction in ventricular sphericity. Conclusions: The high early mortality rate related to other clinical conditions at the time of surgery. However, the resultant flat survival after this early interval offers a promising long-term therapeutic alternative for the treatment of patients in refractory heart failure with cardiomyopathy that is associated with moderate or severe secondary mitral regurgitation.

SEVERE EPISTAXIS: DIAGNOSIS TREATMENT IN 59 PATIENTS

PROTOCOL

AND

ENDOSCOPIC

SURGERY

BEATRIZ BRITTES KAMIENSKY - FURB; EDUARDA RAQUEL PRZYGODA ALVES - FURB; HADELLE HABITZREUTER HASSMANN - FURB; JAN ALESSANDRO SOCHER - FURB

Introduction: The severe epistaxis is considered one of the most common emergencies it the otorhinolaryngologist (ENT) practice and common cause of hospital internment, including risk of life. The conventional treatment is nasal splints, but it causes pain, nasal obstruction and significant morbidity. Therefore the endoscopic techniques become the diagnosis more accurate and the treatment more effective. Objective: To describe and discuss emergency care protocol for topographic diagnosis and endoscopic surgical treatment performed on patients with severe epistaxis. Material and methods: During the period between March 2004 and February 2012, 59 patients who sought specialized service with severe epistaxis were treated endoscopically. The patients had undergone an endoscopic exam for topographic diagnosis and then set the point to cauterization of the bleeding or ligation of the sphenopalatine artery and/or anterior ethmoid. In suspected cases the diagnostic workup was performed using computed tomography. All patients were operated with endoscopic optics 30 and 45 degrees and suitable material for dissection and ligation. Results: A total of 36 cases of epistaxis were associated with nasosinusal postoperative complication, 20 spontaneous cases and 3 cases of posterior epistaxis related to nasosinusal tumors. In 49.1% of cases were identified posterior epistaxis and required ligation of the sphenopalatine artery and its branches in 29 patients. In 17% of cases were identified superior epistaxis and was required ligation of the anterior ethmoid artery in 10 patients. In 22% of cases did not identify precisely the focus of epistaxis and thus it was necessary ligation of sphenopalatine and anterior ethmoidal arteries in 13 patients. In 8.4% of cases was founded bleeding point at tail or body of the inferior turbinate requiring cauterization in 5 patients. In 3.3% of cases identified in the posterior septum bleeding requiring cauterization of the same in two patients. No patient had a new episode of epistaxis postoperatively and was discharged generally between 8 to 48 hours. Conclusion: The use of the endoscope has proved to be a useful tool to aid in the topographic diagnosis and endoscopic surgical techniques were safe and effective in the treatment of severe epistaxis.

PAIN PROFILE IN TRAUMATIC BRACHIAL PLEXUS INJURY PATIENTS IN TWO BRAZILIAN PAIN CENTERS
MATHEUS GOMES SILVA PAZ - FEDERAL UNIVERSITY OF BAHIA; MAURO TUPINIQUIM BINA - FEDERAL UNIVERSITY OF BAHIA; SCHEILA NOGUEIRA SANTOS - FEDERAL UNIVERSITY OF BAHIA; ABRAH FONTES BAPTISTA - FEDERAL UNIVERSITY OF BAHIA

Introduction: Traumatic brachial plexus injuries (TBPI) may occur by compression or traction (95% of cases), being more frequent in the supraclavicular region (70 to 75% of cases). Pain is a common symptom in TBPI, which manifests itself as complaints of burning, shooting sensation, painful sensation or tightness. This study intended to determine pain profile and characterization in patients with traumatic brachial plexus injury in three brazilian pain centers. Materials and Methods: This was a cross-sectional study with consecutive patients who suffered non-obstetric traumatic brachial plexus (TBPI) recruited from the Upper Limb Injuries Clinic of the University Hospital Prof. Edgard Santos, UFBA, and Nerve Clinic of the Institute of Psychiatry, FMUSP, from August 2011 to January 2013. Pain was the dependent variable and the independent variables were sociodemographic data and health information related to the TBPI, anxiety/depression and quality of life. Muscle strength and range of motion were also assessed and pain pressure threshold evaluations were done based on Quantitative Sensorial Testing. Possible confounding factors were excluded (neurological comorbidities and history of neurological diseases). The chronological and clinical-surgical aspects were used as stratification parameters. Results: From August 2011 up to January 2012, 12 patients were recruited (81,71% were men). Patients aged 30,2110,23, had 5,071,94 years of study and the mean BMI was 26,835,68. Half of the patients were from C1 social class and most were married/living together (57,14%); 78,57% were removed from their jobs and 71,42% received some kind of social benefit. All were injured in a traffic accident, involving a car accident (1) or motorcycle accident (11). The mean time of assessment was 51,1727,89 weeks after injury, but the mean time of medical assistance was 47,2929,49 weeks. Just 3 patients were not undergoing physiotherapy sessions and 9 patients had to use some auxiliary device for treatment. Although pain was moderate (VAS: 51,6733,85), disability was the most important bothering factor for 66,66% of patients. Eight patients felt pain every day and the most common pain location was the hand ipsilateral to the lesion, 50%., and the mean time of pain was 46,5831,70 weeks until the assessment. Five patients used a combination of medicines for the treatment and three used none. Conclusion: Patients with traumatic brachial plexus injury are usually young men, with low educational and socioeconomic level and married. In most of&nbsp;the cases the lesion impeded their work activities. The most prevalent cause of lesion was motorcycle accident. Although pain was moderate to intense, the most troublesome for the patients are the functional impairments. Pain is usually treated by a combination of medications and physiotherapy.

VISUAL FUNCTION AMONG THE BRAZILIAN OLYMPIC JUDO TEAM

PRISCILA RODRIGUES LEITE OYAMA - UNIFESP - ESCOLA PAULISTA DE MEDICINA; BERNARDO KAPLAN MOSCOVICI - UNIFESP - ESCOLA PAULISTA DE MEDICINA; PAULO SCHOR - UNIFESP - ESCOLA PAULISTA DE MEDICINA

Introduction: Medical evaluation of high performance athletes aim to identify general and specific findings of each sport. Sportive ophthalmology analyzes the visual function and the impact on the performance in the sports practice. The visual function is basically measured quantitatively by visual acuity(VA)and qualitatively by aberrometry, measuring the high order aberrations in RMS(HOA).There are plenty of others exams to contribute to evaluate the visual function, like: Visual field(VF-which indicates if the athlete has peripheral vision); Titmus (which indicates if they have binocular vision and sense of depth)and Spheric Equivalent(SEequal to the algebraic sum of the value of the sphere and half the cylindrical value of the ametropy of the patient).Judo is a sport with physical contact and depends on the speed, reflexes, strength and technique. The quality and quantity of vision could influence on this sport. We also believe that the peripheral vision and sense of depth could have influence on the success of the athletes, improving the ability of judo fighters. The high SE indicates that the athlete might have problems achieving a good vision without glasses. Materials and Methods: All exams made with the Brazilian Olympic judo team were performed by the residents and technologists of the depertment of ophthalmology of UNIFESP sequentially,in the same day and location. It has been evaluated the VA, with and without correction,refraction,titmus,aberrometry and visual field of thirteen judo athletes. All of them were man,except for one female judoka,with age 26,2 years(ranged from 22 to 34 years). Ladarvision Wavefront was used to measure aberrometry and only the high order aberrations RMS was considered.Values above 0.5 were considered abnormal. For the visual fiels it was used the Humphrey perimeter under the 750I strategy and the Anderson criteria to classify into normal and abnormal exams. The titmus exam was performed by the same examiner on the same illumination conditions and normal values considered until 60. Results: All visual field exams were normal. The HOA ranged between 0,15 1.32,being altered only in one patient with keratoconus diagnosis. Nine patients had titmus of 40(maximum),two 50 and one 60, only one patient had titmus of 200(same patient with keratoconus).The keratoconus patient had poor distance vision(20/60 in the right eye,20/25 in the left eye),even with correction, and SE higher than 4 diopters in the right eye. Beside this patient only one patient had SE higher than 1 diopter(1.125),but had normal vision. Conclusions: Only one patient,with suspect keratoconus, showed altered values in the exams and more prominent in only one eye, nevertheless he had altered titmus values, which means he might had problems in sense of depth. All other patients presented normal exams and most of them with good HOA. The ophthalmologic exam in athletes is important to identify factors that could influence in their performance and help to solve them.

THROMBOEMBOLIC EVENTS AFTER KIDNEY TRANSPLANTATION

RENATO DEMARCHI FORESTO - FEDERAL UNIVERSITY OF SO PAULO; MAURCIO ISAAC PANICIO FEDERAL UNIVERSITY OF SO PAULO; MILA SALENAVE - FEDERAL UNIVERSITY OF SO PAULO; TAIN SANDES FREITAS - FEDERAL UNIVERSITY OF SO PAULO; HLIO TEDESCO JR - FEDERAL UNIVERSITY OF SO PAULO; JOS MEDINA PESTANA - FEDERAL UNIVERSITY OF SO PAULO

INTRODUTION: Venous Thrombosis (VT) and Pulmonary Embolism (PE) are important causes of morbidity and mortality in hospitalized patients. Studies show that patients undergoing kidney transplantation have increased risk to develop thromboembolic events, however, there are a few data in literature about incidence, risk factors and recurrence rate of VT/PE in these patients. The objectives were to assess the profile of patients with thromboembolic events and to identify possible risk factors and recurrence rate of VT/PE. MATERIALS AND METHODS: We conducted a retrospective records analysis of renal transplant patients who presented an episode of VT/PE until the sixth month after transplantation. We analyzed historical medical records of Hospital do Rim e Hipertenso from January/1998 to December/2010. Data were analyzed by descriptive statistics, with results expressed as proportions for categorical variables and means for numerical variables. RESULTS: From January/1998 to December/2010, 7,147 renal transplants were performed in our hospital, of which 65 were related with VT/PE events until the sixth month of transplantation (deceased donor: 34 / living donor: 31). We observed a peak incidence in the second month of transplantation, and 7 patients presented a second thromboembolic event on average 23 months after the first event (2-108 months). The mean age of patients was 49 years (28-68 years), with male predominance (2:1), 55% hypertensive, 15% diabetic, 10% obese, 6% smokers, 6% had a previous thromboembolic event, 4% had previous diagnosis of heart failure, and 4% had erythrocytosis at diagnosis. All patients were taking calcineurin inhibitor in immunosuppressive regimen (17% Cyclosporine, 83% Tacrolimus), associated with antiproliferative (40% Azathioprine 40% Mycophenolate Mofetil) or m-TOR inhibitor (20%). The fatality rate for PE was 47%. CONCLUSION: We observed that all of our patients presented at least one risk factor to thromboembolic event. Most thromboembolic events occurred in the first 2 months after transplantation suggesting a risk assigned by the surgery itself. The recurrence rate in this study was lower than that reported in literature, however, high rate of mortality due to PE points to a need for further studies to define the real incidence of VT/PE in this population and to identify the patients most at risk to thromboembolic events.

ADRESSING CELL PROLIFERATION IN THE SUBEPENDYMAL ZONE IN THE EXPERIMENTAL AUTOIMMUNE ENCEPHALOMYELITIS MURINE MODEL OF MULTIPLE SCLEROSIS Alberto Silva, Ana M. Falcao, Sandro Mesquita, Joana A. Palha, Fernanda Marques, Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho Aim: To address whether current treatment for multiple sclerosis, namely with natalizumab, influences cell proliferation in the subependymal zone (SEZ), in the experimental autoimmune encephalomyelitis murine model of multiple sclerosis (EAE). Background: The subependymal zone (SEZ) is one of the major sites of neurogenesis in the adult brain. While these cells usually migrate through the rostral migratory stream towards the olfactory bulb, they can also be mobilized to other brain regions and differentiate into various cell types. Such seems to be the case in EAE where cells originating from the SEZ have been shown to originate oligodendrocytes that may regenerate damaged neurons. Methods: EAE was induced in female SJL mice All mice were weighed and scored daily for the appearance and severity of the symptoms. Treatment was at the onset phase of the disease, with natalizumab (5mg/Kg), a humanized monoclonal antibody used as therapeutic approach to MS, that blocks the passage of T and B cells from the immune system to the brain parenchyma because this antibody is against integrin 4. A group of mice received control rat IgG (control for the treatment). Control animals were not treated with natalizumab because they do not show any symptoms. Animals were sacrificed when symptoms were reverted in the treatment group, brains frozen and cut in 20 m slices for immunohistochemistry against Ki67, a cellular proliferation marker. Sterological analysis is ongoing to determine SEZ proliferation and ectopic migration. Results: Present data show that natalizumab successfully reverted the EAE phenotype. Preliminary data suggest that treatment control group, which was only induced with EAE and not treated with natalizumab, decreased the number of Ki67+ cells in the SEZ but increased its number in SEZ vicinity. Treatment with natalizumab leads to an increase in the proliferation rate of the SEZ and a decrease in the number of cells in proliferation in the vicinity of the SEZ. Discussion/Conclusions: CNS lesions, as MS, modulate cell proliferation in the SEZ. This modulation in relapse/remising model seems to be different from the EAE chronic models. In the EAE model of relapse and remission an increase in cell proliferation in the vicinity of SEZ is observed and a decrease of cells Ki67+ in SEZ, which may occur in order to repair the damaged foci. Natalizumab seems to increase cell proliferation in SEZ but slightly decreases in the vicinity.

EFFECT OF DIETARY LIPIDS ON PROTEIN-ANATOMICAL AND HISTOPATHOLOGICAL PARAMETERS OF THE ORGANS OF RATS AT BIRTH, END OF LACTATION AND ADULTS.
ANA CRISTHINA RIBEIRO NOVAES - UNIVERSIDADE DE UBERABA; MORGANNA FERREIRA IDLIO SILVA UNIVERSIDADE DE UBERABA; TIAGO CANEU ROSSI - UNIVERSIDADE DE UBERABA; RICARDO HENRIQUE ALMEIDA BARBOSA - UNIVERSIDADE DE UBERABA; KAMILA BOTELHO FERNANDES DE SOUZA UNIVERSIDADE DE UBERABA; GERALDO THEDEI JNIOR - UNIVERSIDADE DE UBERABA

Introduction: Excess weight is a global problem that affects about 50% of the adult Brazilian population. Diets high in protein and low in fats and carbohydrates are used for the purpose of weight reduction. However, these diets can cause damage to metabolism. Studies have shown that they may predispose the formation of atherosclerosis, type 2 diabetes and hepatic steatosis. Recent experimental studies have demonstrated effects caused by dietary lipids, protein consumed during pregnancy and lactation and their effect on litter. Aim: to determine the effect of a diet low in protein, lipids carbohydrates consumed during pregnancy and / or lactation on anatomical and histopathological parameters of the spleen, brain, heart, kidneys and testes of young Wistar rats, comparing with a balanced diet. Materials and Methods: For this purpose, 32 pregnant rats and their pups were fed a diet balanced to control rats (C) or experimental diet (E, consisting of 5% CHO, 45% and 45% TAG PTN) ad libitum during pregnancy and / or lactation forming thus, four groups: DC, EC, EC, EE. After weaning, the animals received only C diet until adulthood (12 weeks old). They were euthanized, and organs were removed, fixed in formaldehyde and a sample subjected to routine histopathological analysis, with staining by hematoxylin-eosin (HE). The statistical analysis of the results was performed in 14.4 software STSS by the Chi - square test with p &lt;0.05. Results: Histopathological analysis of pups at the end of lactation showed hyperplasia of white pulp (p &lt;0.05) in the spleens of animals from groups EE and CE. In the hearts showed the occurrence of inflammation with a significant percentage in subgroups CE and EE (p &lt;0.05). In both the comparison was compared to the CC group. Anatomopathological analysis of the puppies at the end of the lactation period demonstrated a significant reduction of weight, in group EC (weight 1.29 g + / - 0.03) when compared with the CC group (weight 1.47 g + / 0.12) p &lt;0.05. Weight reduction was also present in the EC group (weight 1.90 g + / - 0.11), the young adults when compared to CC group (2.12 g + / - 0.08), with p &lt;0.05 .The anatomo-histopathological analysis of kidneys and testes no showed significant changes. Conclusion: It is concluded that consumption of dietary lipids protein in different life cycle phases (gestation / lactation), can significantly affect the development and structure of spleens, brains and hearts of puppies at the end of lactation and adults can cause future consequences.

OXIDATIVE EFFECTS ON PULMONARY INFLAMMATORY RESPONSE IN MICE EXPOSED TO CIGARETTE SMOKE

EVANDRO GUEDES GONALVES - UNIVERSIDADE FEDERAL DE OURO PRETO; VITOR ALVES DOURADO UNIVERSIDADE FEDERAL DE OURO PRETO; FRANK SILVA BEZERRA - UNIVERSIDADE FEDERAL DE OURO PRETO

Introcuction: This study aimed to analyze and compare the influx of inflammatory cells into the lung parenchyma in animals exposed to cigarette smoke, as well as investigate the oxidative damage in the form of lipid peroxidation in lung extracts and the activity of antioxidant enzymes: Superoxide dismutase (SOD), glutathione peroxidase (GPx) and catalase (CAT). Materials and Methods: We used 36 C57BL / 6 mice, 8 weeks, divided into groups of six animals exposed to cigarette smoke for 1 (GF1D), 2 (GF2D), 3 (GF3D), 4 (GF4D) and 5 (GF5D) days respectively, 3 times a day and the control group (CG) was exposed to air. Each cigarette was attached to a plastic syringe of 60 ml, which is inflated after the smoke was expelled in the inhalation chamber 40 cm long, 30 cm wide and 25 cm high. Each cigarette produces about 1 liter of smoke diluted with 30 liters of ambient air present in the chamber, the final concentration of 3%. After euthanasia by cervical dislocation, were collected bronchoalveolar lavage fluid (BALF) through the tracheostomy, the peripheral blood by cardiac puncture and lung tissue removed through an incision in the anterior chest wall for analysis of thiobarbituric acid reactive substances (TBARS ) and activity of SOD, GPx and CAT. Results: There was an increase in total leukocytes in GF2D groups (1.35 0.53x105 cels/ml) GF3D (2.33 0.33x105 cels/ml) GF4D (3.05 0.29x105 cels/ml) and GF5D (3.4 0.39x105 cels/ml) compared to control (0.31 0.09x105 cels/ml) (p &lt;0.0001), and neutrophils in peripheral blood GF3D groups (3.8 0.3x104 cels/ml) GF4D (7.2 0.23x104 cels/ml) and GF5D (9.3 0.883x104 cels/ml) compared to the control group (2.6 0.43x104cels/ml) (p &lt;0.0001). Oxidative damage in GF2D groups (1,017 0.08545 U / mL / mg.prot) GF3D (1,037 0.04204 U / mL / mg.prot) GF4D (1,050 0.07565 U / mL / mg.prot) GF5D (1,206 0.02734 U / mL / mg.prot) compared to the control group (0.8708 0.05635 U / mL / mg.prot) (p &lt;0.0001) were increased. The enzymatic activity of SOD in groups GF3D (0.4767 0.05207 U / mg. protein), GF5D (0.6000 0.03606 U / mg.protein) compared with control group (1.197 0.07688 U / mg. protein) (P &lt;0.05) was decreased, however the enzymatic activity of GPx GF1D groups [163.7 12.88 (mM / min / mg ptn-1) x 10-5], GF2D [182.3 14.25 (mM / min / mg ptn-1) x 10-5] compared to the control group [115.0 4.509 (mM / min / mg ptn-1) x 10-5] (p=0,0001) was increased. well as the increased activity of catalase in GF3D groups (24.71 5.923 U / mg ptn) GF4D (23.96 3.524 U / mg ptn) compared to GC (12.31 3.125 U / mg ptn) (p = 0.0001). Conclusion:There was a growing influx of inflammatory cells in bronchoalveolar lavage, blood periferies as well as oxidative damage and an increased activity of antioxidant enzymes in animals exposed to cigarette smoke. Further studies are necessary to assess the cellular profile of this experimental model.

HISTIOCYTIC SARCOMA: HISTOLOGIC AND IMMUNOHISTOCHEMICAL ANALYSIS AND STUDY OF APOPTOSIS

RAFAEL BISPO PASCHOALINI - SO PAULO STATE UNIVERSITY; RODRIGO MATTOS DOS SANTOS - SO PAULO STATE UNIVERSITY; FABOLA ENCINAS ROSA - SO PAULO STATE UNIVERSITY; MARIA APARECIDA CUSTDIO DOMINGUES - SO PAULO STATE UNIVERSITY

Introduction: Histiocytic Sarcoma (HS) is a malignant neoplasia characterized by proliferation of cells with morphological and immunophenotipical features similar to tissue mature histiocyte. Its a rare hematopoetic malignancy, comprising less than 1% non-Hodgkin lymphomas. The morphological heterogeneity, which overlaps with other malignancies, both lymphoid and non-lymphoid is accompanied by various clinical and epidemiological aspects, giving this entity a difficult diagnosis. We theorize that in the pathogenesis of HS apoptotic pathways may be compromised, what induces neoplasic histiocytes mortality, which despite well differentiated presents with wide morphological aspect. This theory would complement studies that determine morphological criteria and immunophenotypical markers. The pathogenesis definition, associated to more frequent morphological pattern and specific immunomarkers would assure appropriate anatomopathological diagnosis, efficient treatment and better prognostic. Materials and Methods We conducted an analytical study involving morphological and immunohistochemical features that are described for the diagnosis of HS. We evaluated three confirmed cases from our service, which entered between 1998 and 2009. To configure the immunohistochemical panel of the test, 19 markers were used, including those more relevant according to current literature. The morphological study was performed with cell descriptors commonly used in literature. Results: It was found the relevance of 12 morphological criteria present simultaneously in the three HS cases, which showed little variability when taken together with others: medium to large cell size, vacuolized chromatin, irregular cell membrane, intranuclear inclusion, vacuolar eosinofilic cytoplasm, bizarre cells presence, cohesivity, epithelioid aspect, phagocytosis, stroma with inflammatory infiltrate, apoptosis and hemosiderin. Setting the 19 immunohistochemical markers panel, 5 of them showed similar results in the three cases: CD163, CD68, vimentin and lysozime with diffuse distribution and focal S-100. The markers CD45 and CD30 were positive strictly in the skin sample. With regards to markers for disease pathogeny, two of them showed positive results for three cases: Fas-ligand and caspase-3. The Bax marker was negative for the evaluated cases. Conclusion: Fas-ligand marker is an extrinsic factor in the apoptotic pathway and presented positive for all cases. Studies show the extrinsic Fas pathway is sufficient to induce apoptosis in some cell types. Literature reports the ligant expression in some tumors may be an evidence of pro-inflammatory response. Microenvironment alterations due to inflammatory processes may promote tumor growth and its immune response evasion. Thus, our results suggest the existence of an external factor that may lead to tumor induction, related to microenvironment, such as an infection.

METALOPROTEINASE'S ROLE IN HEPARIN HEMORRHAGIC ACTIVITY

CLARA CORREA FERNANDES - UNIFESP; CAMILA DE MELO ACCARDO - UNIFESP; ANA CAROLINA GOMES TRINDADE - UNIFESP; HELENA BONCIANI NADER - UNIFESP; IVARNE LUIS DOS SANTOS TERSARIOL UNIFESP

Background: Heparin is a well-known anticoagulant drug widely used in Medicine. However, the major clinical complication of heparin anticoagulant therapy is bleeding. It has been suggested that heparin can produce intracranial hemorrhage dependent of MMP-9 activity. Methods: Bleeding time and bleeding flow - Briefly, a scarification is made with a razor blade in the terminal part of a rat tail which is then immersed in a small test tube containing 1 ml of a buffered isotonic solution to be tested held at 37C. The bleeding from the vessels is observed with a dissecting microscope. The blood flow was expressed as the ratio of mg of blood protein/minute oozed from the wound treated with the compound and the amount of mg of blood protein/minute oozed from the controls. Results: Heparin (10-100 M) was able to disrupt the normal vascular hemostatic mechanism promoting hemorrhage. In order to establish that the heparin was producing the bleeding by excessive activation of MMPs we have studied the reversal of the antihemostatic effect of heparin by minocycline a potent inhibitor of MMPs activity. Minocycline (10-100 M) significantly reduced heparin-induced hemorrhage in the scarified rat tail. Conclusion: Our data strongly suggest that the hemorrhagic activity of heparin is related to the excessive activation of MMPs in vascular system. The finding that minocycline can neutralize the antihemostatic activity of heparin, make it a good candidate as a therapeutic agent for the control of eventual hemorrhagic episodes of patients under heparin treatment.

IMPAIRED B-ADRENERGIC RESPONSE TO ISOPROTERENOL IN CIRRHOTIC WISTAR RATS EDUARDO KAISER URURAHY NUNES FONSECA (ESCOLA PAULISTA DE MEDICINA - UNIFESP - BRASIL)/AUTOR PRINCIPAL /APRESENTADOR ELAINE DOS SANTOS DAMSIO (ESCOLA PAULISTA DE MEDICINA - UNIFESP BRASIL); HEDER FRANK GIANOTTO ESTRELA (ESCOLA PAULISTA DE MEDICINA - UNIFESP BRASIL); CSSIA DE TOLEDO BERGAMASCHI (ESCOLA PAULISTA DE MEDICINA - UNIFESP BRASIL); RUY RIBEIRO DE CAMPOS JR (ESCOLA PAULISTA DE MEDICINA - UNIFESP - BRASIL) The development of the hepatic cirrhosis leads to many pathologic chances in the majority of the organic systems, including the cardiac system. These changes are grouped together and named as Cirrhotic Cardiomiopathy, that includes a global elevation in the basal cardiac output, which is not sustained in physical exercises nor other activities that demand a physiological answer of increase in the cardiac output that would be expected in non-pathological conditions. We aimed to understand if the capacity of the cirrhotic cardiac muscle to respond, in vivo, to the adrenergic stimuli is impaired by the cirrhosis, what was evaluated by the administration of Isoproterenol, a potent agonist to receptors. We used the cirrhotic model by common bile duct ligation (CBDL) in Wistar rats (200g) to these experiments. In the fourth week after the CBDL, with the cirrhosis well-established, the animals were submitted to a catheterism of the femoral artery and vein, to direct registration of blood pressure, heart rate and drugs infusion, respectively. In the vein, we administrated 3 doses of the Isoproterenol, in the following doses (0,001g/kg; 0,01 g/kg e 1g/kg), with the animals waken. After statistical analysis of the data, we noticed that the cirrhotic animals, in basal conditions, had an lower blood pressure (control (CO):1082 and cirrhotic(CR):952mmHg, n=6) and a higher heart rate (CO:35210 and CR:39613bpm, n=9) as well as an increase in the hepatic enzymes TGO (CO: 197.5 23.45 and CR: 566.3 96.76 U/L, n=4) and TGP (CO: 59.48 5.570 and CR: 209.6 43.92 U/L n=4). After the drug infusion, there were also a statistically significant difference in the response between the cirrhotic and the control to all the three doses of Isoproterenol: the increase of the heart rate in CR was 2,4 times smaller that the CO in the smaller dose (0,001g/kg) ; was 3,6 times smaller for the intermediated dose (0,01g/kg) ; and was 3 times smaller for the higher dose (0,1g/kg). We concluded that there is an important impairment in the &#946;-adrenergic sensibility in the heart of the cirrhotic rats in the fourth week past the cirrhosis induction surgery. Such finding can be seen as a possible explanation to the heart failure that appear in cirrhotic man when they undergo physical exercises or other conditions that require a bigger cardiac demand to increase and sustain the cardiac output, explaining one of the most important clinical impairments of the Cirrhotic Cardiomiopathy.

THE BEHAVIOR STUDY OF SERUM LEVELS OF SOLUBLE-FAS, ERYTHROPOIETIN, INFLAMMATORY CYTOKINES AND ANEMIA IN CRITICALLY ILL PATIENTS WITH ACUTE KIDNEY INJURY.
ILANA LEVY KORKES - ESCOLA PAULISTA DE MEDICINA

Background: Anemia is a problem that usually complicates critically ill patients. Serum soluble-Fas (sFas) levels are associated with anemia in chronic kidney disease (CKD) patients. Therefore, it is possible that sFas levels are also associated with anemia in acute kidney injury (AKI) patients under inflammatory effects during hemodiafiltration. Objectives: To compare hemoglobin (Hgb) concentration and serum levels of sFas, erythropoietin (Epo), IL-6, TNF-&#61537; and IL-10 among critically ill patients with and without AKI, CKD- hemodialysis patients and healthy volunteers. Investigate the relationship between hemoglobin concentration, serum levels of sFas, Epo and inflammatory cytokines in AKI patients in hemodiaflitration during 24hours. Methodology: We studied critically ill patients with AKI in continuous venovenous hemodiafiltration (AKI group; n=39), critically ill patients without AKI (non-AKI group; n=17), CKD-hemodialysis patients (CKD group; n=20) and healthy volunteers (Healthy group; n=18). Hematocrit and Hgb concentrations, iron status and serum levels of sFas, Epo, TNF-a, IL-6 and IL-10 were analyzed in all groups at baseline. We also investigated the correlation between these variables in AKI group after 24 hours of hemodiafiltration. Results: We observed that Hgb concentrations were lower in AKI group (p&lt;0,001). We also saw that AKI patients had serum levels of IL-6, TNF-a, creatinine and ferritin higher than non-AKI and Healthy groups (p&lt;0,001). Serum levels of sFas were higher in AKI and CKD groups than in the other groups at baseline (p&lt;0,001).We found that critically ill patients (AKI and non-AKI groups) had higher IL-10 serum levels than the other groups and higher serum levels of Epo compared to Healthy group at baseline (p&lt;0,001). After 24 hours of hemodiaflitration in AKI group, we observed that serum levels of TNF-&#61537;&#61472;and Hgb concentration were lower and serum levels of Epo, sFas and IL-6 were higher than before. Also, Hgb concentrations had negative correlation with serum levels of sFas(r=-0.34; p= 0.01), TNF-a(r= -0.28; p=0.04) and IL6(r= -0.43; p=0.001). In multivariate analysis, after adjusting for markers of inflammation, only serum sFas levels (p=0.02) correlated negatively with Hgb concentration in the AKI group. Conclusions: Our study shows that serum levels of Epo are higher in critically ill patients and in CKD patients. At the same time, critically ill patients with AKI have lower Hgb concentrations than the other studied groups and serum sFas levels, as well as in CKD group, higher. These information show a possible inadequate response of Epo. The negative independent correlation between serum sFas levels and Hgb concentrations suggests that there is an association between serum sFas levels and anemia in critically ill patients with AKI. In these cases, sFas could either be a cause factor or a secondary marker of anemia.

EFFECTS OF PAPAVERINE ON CONTEXTUAL FEAR CONDITIONING DEFICIT PRESENTED BY AN ANIMAL MODEL OF SCHIZOPHRENIA: THE SPONTANEOUSLY HYPERTENSIVE RATS
BIANCA AVANSI CAMERINI - UNIVERSIDADE FEDERAL DE SAO PAULO; NATALIA CRISTINA ZANTA UNIVERSIDADE FEDERAL DE SAO PAULO; FILIPE M HUNGRIA - UNIVERSIDADE FEDERAL DE SAO PAULO; CLAUDIO FONTES SOUZA - UNIVERSIDADE FEDERAL DE SAO PAULO; RODRIGO A BRESSAN UNIVERSIDADE FEDERAL DE SAO PAULO; VANESSA C ABILIO - UNIVERSIDADE FEDERAL DE SAO PAULO; MARIANA BENDLIN CALZAVARA - UNIVERSIDADE FEDERAL DE SAO PAULO

Introduction: Typical antipsychotics are widely used to treat schizophrenia. These drugs act by blocking dopaminergic D2 receptors in the striatum, therefore increasing the cAMP level. Papaverine is known to inhibit phospodiesterase 10A enzyme (PDE10A), which hydrolizes cAMP in the striatum. Hence, the inhibition of PDE10A is involved with the increase of cAMP level, suggesting that papaverine may produce antipsychotic effects. Recently, the Spontaneously Hypertensive Rats (SHR) strain has been suggested as an animal model of schizophrenia. This strain presents several behavioral characteristics of schizophrenia, including deficit in contextual fear conditioning, deficit in social interaction and impaired prepulse inhibition of startle (PPI). All of these deficits could be reversed by the administration of antipsychotics. Considering the behavioral characteristics of SHR, their adequate response to typical and atypical antipsychotics and the papaverine molecular effects in the striatum, this pilot study aimed to investigate potential antipsychotic effects of the papaverine on contextual fear conditioning deficit presented by SHR strain. Materials and methods: On the training session, the rats were individually placed in a dark chamber with a grid floor. After 150 seconds, 0,4-mA foot shocks lasting 5 seconds were applied every 30 seconds for the subsequent 150 seconds. The test session was performed 24 hours after training. Each animal was placed in the same dark chamber, without receiving foot shocks. The freezing duration was quantified during 5 minutes. The rats of different strains (i.e., Wistar and SHR, n=8 to 15 per group) were treated during training session with saline as vehicle controls, 10mg/kg papaverine, 30mg/kg papaverine or 60mg/Kg papaverine. The session was performed 30 minutes after the administration of the drug. Results: Two-way ANOVA revealed a significant strain effect and treatment effect on contextual fear conditioning. The SHR strain presented deficit on fear conditioning. Papaverine increased the time of freezing on both strains. Conclusion: This preliminary study showed that papaverine did improve the deficit in emotional processing observed in SHR, suggesting its antipsychotical profile.

EFFECTS OF PAPAVERINE ON SOCIAL BEHAVIORS IN AN ANIMAL MODEL OF SCHIZOPHRENIA: THE SPONTANEOUSLY HYPERTENSIVE RATS
NATLIA CRISTINA ZANTA - FEDERAL UNIVERSITY OF SAO PAULO; BIANCA AVANSI CAMERINI - FEDERAL UNIVERSITY OF SAO PAULO; FILIPE M HUNGRIA - FEDERAL UNIVERSITY OF SAO PAULO; CLAUDIO FONTES SOUZA - FEDERAL UNIVERSITY OF SAO PAULO; VANESSA C ABILIO - FEDERAL UNIVERSITY OF SAO PAULO; RODRIGO A BRESSAN - FEDERAL UNIVERSITY OF SAO PAULO; MARIANA BENDLIN CALZAVARA - FEDERAL UNIVERSITY OF SAO PAULO

Introduction: Typical antipsychotics are widely used to treat schizophrenia. These drugs act by blocking dopaminergic D2 receptors in the striatum, therefore increasing the cAMP level. Papaverine is known to inhibit phospodiesterase 10A enzyme (PDE10A), which hydrolizes cAMP in the striatum. Hence, the inhibition of PDE10A is involved with the increase of cAMP level, suggesting that papaverine may produce antipsychotic effects. Recently, the Spontaneously Hypertensive Rats (SHR) strain has been suggested as an animal model of schizophrenia. This strain presents several behavioral characteristics of schizophrenia, including deficit in contextual fear conditioning, deficit in social interaction and impaired prepulse inhibition of startle (PPI). All of these deficits could be reversed by the administration of antipsychotics. Considering the behavioral characteristics of SHR, their adequate response to typical and atypical antipsychotics and the papaverine molecular effects in the striatum, this study aimed to investigate potential antipsychotic effects of the papaverine on the social interaction deficit presented by SHR strain. Materials and methods: Rats of different strains (i.e., Wistar and SHR, n=6-8 per group) were treated with saline as vehicle controls, 10mg/kg papaverine or 30mg/kg papaverine 30 min prior to experimentation. Unfamiliar rats of the same strain were paired and placed in an open-field for 10 min. During this time, social behaviors, locomotion and rearing frequencies were scored. The social interaction (SI) test was performed in an open-field (97cm in diameter and 32.5cm high, with an open top and a floor divided into 19 similar parts) in a light room (25W).During the test were scored parameters as locomotion, rearing frequency (the number of times each animal stood on its hind legs) and passive social behaviors. This experiment quantified for each rat the time spent engaged in active and social behaviors. Results: The SHR treated with saline presented impaired social interaction, hyperlocomotion and increased rearing when compared to Wistar rats. The SHR treated with 30mg/kg papaverine exhibited improvement on the social interaction, attenuated hyperlocomotion and diminished rearing. Conclusion: Our results demonstrated that papaverine is effective on the treatment of positive (hyperlocomotion) and negative (social interaction deficit and increased rearing) symptoms of schizophrenia observed in SHR. These results suggest that papaverine present an atypical antipsychotic profile.

CHALLENGES IN SCREENING AND DEALING WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER ON CHILDREN IN PUBLIC SCHOOLS AT DISTRITO FEDERAL
RAFAELA FERNANDES DANTAS - ESCOLA SUPERIOR DE CIENCIAS DA SAUDE; JULIANA NOGUEIRA GARCIA - ESCOLA SUPERIOR DE CIENCIAS DA SAUDE; THATIANE DE SOUZA LEAO - ESCOLA SUPERIOR DE CIENCIAS DA SAUDE; ANA LIDIA DE MELO ALCANTARA SILVA - ESCOLA SUPERIOR DE CIENCIAS DA SAUDE; ATENA OLIVEIRA BENICIO - ESCOLA SUPERIOR DE CIENCIAS DA SAUDE; CLEIDIANE GOMES VASCONCELOS - ESCOLA SUPERIOR DE CIENCIAS DA SAUDE; DIEGO SOCRATES MROZINSKI - ESCOLA SUPERIOR DE CIENCIAS DA SAUDE; ANDRE FERREIRA AGUIAR - ESCOLA SUPERIOR DE CIENCIAS DA SAUDE; RICARDO LUIZ RAMOS FILHO - ESCOLA SUPERIOR DE CIENCIAS DA SAUDE

Introduction: The Attention Deficit Hyperactivity Disorder (ADHD) is the most common childhood neurodevelopmental disorder. Its clinical presentation has three different categories: inattention, hyperactivity and impulsiveness that are manifested in at least in two different environments and cause functional compromise. Considering that it is important to integrate health care services with schools, a group of ten second year medical students from Escola Superior de Cincias da Sade visited two public schools in order to identify how much teachers know about learning difficulties and to verify whether or not teachers are prepared to deal and screen children with learning disorders. Materials and Methods: Its a qualitative study based on the methodology of problematizing using the Arch of Maguerez we developed this study making semistructured interviews with teachers from two public schools in Sobradinho II at Distrito Federal in 2011. We used self made questionnaires that aimed to discover how much teachers, educators and educational psychologists knew about child learning disorders. The project was approved by the Ethics Committee of the Secretaria de Sade do Distrito Federal. Results: Although half of the teachers said they knew what ADHD is, less than half of them were formally trained to deal with children who suffer from ADHD. 85% of them have at least one student diagnosed with ADHD. And 56,75 % believe its appropriate to change the curriculum for these kids. Conclusion: We noticed a low level of knowledge about learning disorders, mainly ADHD, among the teachers even though most of them have at least one student who suffers from this disorder and some others who suffer from different learning difficulties. These teachers didnt go through training to deal with learning disorders during graduation nor after it. &nbsp;Considering teachers needs, we prepared a handbook about the most common learning disorders describing what really is ADHD, ways to deal with diagnosed children and presenting some differential diagnosis of ADHD.

SIMULATORS IN OBSTETRIC AND GINECOLOGIC PRACTICE: A COST-EFFECTIVE AND REALISTIC MODEL FOR THE AMNIOCENTESIS TEACHING
KARL RICHARD BUSSE FILHO - UNIFESP; ANTNIO FERNANDES MORON - UNIFESP

Introduction: It is well know that maternal age is directly linked with fetal malformations and with increase in chromosome abnormalities incidence. The older the mother, the higher are the chances of congenital disturbances. The most common way to get a fetal cell sample is by amniocentesis. Amniocentesis is a diagnostic procedure that consists in the percutaneous trans abdominal puncture of the uterus during pregnancy to obtain amniotic fluid. It is commonly used for fetal karyotype determination in order to diagnose abnormal fetal conditions. It is a very efficient technique, but it is also invasive, and is also linked to a significative number of complications. Depending on the case, amniocentesis can be very tricky to perform, especially in the oligohydramnios affected patients. The technique requires intense training and great ability, and these are neither easy to teach or to learn. Some training models have been elaborated. They provide an environment without risks, where errors are welcome, considered a part of the learn curve. Our objective was to develop a simple and low-cost simulator, but at same time realistic and capable of withstanding multiple procedures. As part of the task, we analysed existing models proposed by other authors and developed our own model, which incorporates their positive characters and brings creative solutions for their problems. Materials and Methods: The technique consists in three stages: (1) manufacturing of the plaster molds; (2) manufacturing of the latex belly; and (3) setting the belly on its support. We developed this technique by trial and error, and did many tests to get it to its current format. Results: In our tests the simulator worked perfectly as a amniocentesis training device and for other ultrasonography procedures, such as the tridimensional study of the fetus. We used water filled condoms as targets. The image was clear and much better than expected. 4. Conclusion This device had a very low cost when compared with other commercial simulators. The materials were chosen based on their cost, easiness to be found, handled and based on their durability. Our simulator was designed to withstand multiple punctures while maintaining its integrity and realism. All this factors make maintenance extremely cheap and easy. Another positive point is the possibility of using various belly sizes.

HUMANIZED CHILDBIRTH: A DIFFERENT FOCUS ON OBSTETRIC MEDICAL AREA LVIA AMORIM - UNESP; LAURA NUNES LOPES - UNESP Introduction: The central idea of Humanized Birth is to respect the pregnant autonomy despite of the world tendency of mechanized and interventionist medicine. The woman is called the birth owner, the obstetric is only a helper and the birth is seen like a physiologic process which requires medical intervention in only some restrict situations. This doctrine is based on scientific evidences and has gained importance and visibility on the medical academic. The project is part of an annual project between de Botucatu Medicine College (Faculdade de Medicina de Botucatu- UNESP) and the Brazilian Health Ministry. The main objective is to search how much the health professionals (doctors and nurses) in the basic attention know about and apply this new obstetric doctrine on their assistance. This study gives a parameter of the professionals actualization levels and shows how the future mothers are been taken cared in the local health system. Materials and Methods: The project involved a group [two tutors (Obstetrics and Gynecology University teachers), thirteen medicine students and four preceptors] that met fortnightly in the respective Department at the Medicine College. The study duration expected to be one year, starting in April 2011. The group started studying many articles and discussing about the theme. Then, a questionnaire with two descriptive asks was elaborated to be applied to the health professionals. The questions covered the knowledge about pregnant rights and the previous idea of humanized childbirth. After the interviews, the group divided itself and organized four meetings with those professionals to discuss the theme Humanized Childbirth based on their answers at the questionnaire. Results: The project initial hypothesis was confirmed: most of the interviewed professionals have a superficial knowledge about the studied theme. These results can undertake the attempt to improve the medical assistance for the pregnant and show how much the government still has to invest on the professionals capacity and on the society attention about this new obstetric tendency. The good new is that the professionals who participated of the meeting really approved and seemed to be interest to learn more about it. Conclusion: The Humanized Childbirth focus is on the pregnant and her son, never on the obstetric doctor. The doctor is only an adjuvant on the birth process. So the relevance of this project is to show the professionals the necessity of a medical care quality, especially on this mother's moment, and to promote much capacity as possible. The next step is to extend these meetings for the others health professionals, besides doctors and nurses, like the tutors were asked.

COMPARISON BETWEEN 2D-SONOGRAPHY AND MAGNETIC RESONANCE IMAGING IN ASSESSMENT OF BRAIN AND SPINE PARAMETERS OF FETUSES WITH NEURAL TUBE DEFECTS
MAYRA SATIKO LEMOS NAKANO - UNIFESP; EDWARD ARAUJO JUNIOR - UNIFESP

Objective: Compare the two dimension ultrasonography (2DUS) and magnetic resonance imaging (MRI) in assesing the parameteres of the brain and spine of fetuses with neural tube defects. Methods: We conducted a prospective cohort study of 14 fetuses carrying neural tube defects (4 raquisquisis and 10 meningomyelocele). We assessed the size of the atrium of the lateral ventricle, the shortening of the cerebellum, the involvement of the first vertebrae and the total number of vertabrae affected by the herniation. 2DUS exams and MRI were performed within a maximum of 7 days. For comparison and correlation parameters of the two techniques, we used the paired t student test and correlation coefficient (ICC), respectively. We also evaluated the correlation between measurements by Pearson correlation test. Results: There was no significant difference in any of the parameters evaluated by means of the two techniques (p&lt;0.05), reliability, for example, between 2DUS and MRI seems to be satisfactory for the lateral ventricle atrium widht and the level of the first vertebra involved (ICC = 0.88 and 0.75, respectively). Measurements obtained did not prove that there is a correlation between atrial width, level of injury and fractional shortening of the cerebellum. Conclusions: In this study we noticed that both 2DUS and MRI have no statistically significant differences in measures to evaluate fetuses with neural tube defects. We also assess that there is no correlation between atrial width, level of injury and fractional shortening of the cerebellum in both 2DUS and MRI.

PREVALENCE OF PREGNANT ADOLESCENTS WOMEN ATTENDED AT UBS JARDIM CUMBICA I - GUARULHOS BETWEEN OCTOBER 2009 AND 2010 AND THEIR BIOPSYCHOSOCIAL IMPLICATIONS.
ANDR FREITAS CAVALLINI DA SILVA - UNICID; CYRO DE CAMPOS ARANHA PEREIRA NETO - UNICID; TALITA MACHADO BOULHOSA - UNICID

Introduction: According to the World Health Organization, adolescence is the period of biopsychosocial development between 10 and 19 years. The increasing proportion of sexually active adolescents is a public health problem because it implies increasing the pregnancy rate in this age group and brings repercussions for the mother and the condition of newborn infants. Among others, is associated with increased incidence of cesarean sections, prematurity, intrauterine growth restricted fetal distress and low birth weight. Objective: Conducting an epidemiological study to determine the prevalence of pregnant adolescents attended at Basic Health Unit (BHU) Guarulhos-SP and reflect on their biopsychosocial implications. Methods: We analyzed medical records of 91 pregnant women in BHU Jardim Cumbica I - Guarulhos with the first prenatal visit between October 2009 and October 2010. Data were entered and evaluated in an Excel spreadsheet. Developed, then a descriptive analysis of the object. Results: Of the 91 analyzed records, 29 were adolescents (32%), in agreement with the literature and putting several issues about biopsychosocial implications. Conclusion: Conclude by the importance of preventive and focused accompanying to decrease risk of pregnancy among adolescents (especially in the poorest social classes) and their fetuses. Accordingly, it is configured as a public health problem and a relevant topic to be discussed by managers, health professionals and researchers.

TIME TO DIAGNOSIS AND TREATMENT OF BREAST NEOPLASM IN SO PAULO Tnia Topis UNIFESP; Luiz Henrique Gebrim - UNIFESP Introduction: Breast cancer is a public health problem in Brazil and worldwide. In Brazil, breast neoplasm is the type that causes more deaths among women according to data from Health Ministry. The aim of this study is to quantify the time to diagnose and treat patients with breast cancer at the Hospital Prola Byington in So Paulo - SP - Brazil, the second largest Center of Reference for breast cancer, which serves about 1000 new cases/year exclusively on public health, identifying the stages of the process that are contributing to this fact. Methods: This is a retrospective study. One hundred and eighty women who were diagnosed with breast cancer were interviewed and their medical records were consulted from September 2011 to April 2012 at Hospital Prola Byington. We evaluated the elapsed time in each of the actions as: Waiting time to look for health service after symptoms appearance (Time A); waiting time for the first medical care at UBS(B), time between the first consultation from the General Practioner and mammography(C); time between the completion and outcome of mammography(D); time between the scheduling of the ultrasound and its completion(E); interval between the ultrasound and its outcome(F); time between scheduling another subsidiary test and its completion(G); time between the completion of the subsidiary test and its result(H), time to make an appointment at the Reference Hospital(I); time between first consultation at reference hospital until the scheduling of the biopsy(J); and the interval between the biopsy and its outcome(K);time between biopsy outcome until start therapy (surgery or chemotherapy)(L). Results: Mean waiting time of symptomatic patients was 280,73 days, and median was 188,5 days; Mean waiting time of asymptomatic patients (time between a suspicious mammography result and the treatment) was 122 days, and median was 107 days; and, the largest contributor to this was "Time L". We can cite as good result the median of "Time I" in both groups was 2 days, and, of "Time J" in symptomatic patients was 1 day, and in asymptomatic patients was 0 days. Conclusion: Average time to reach the Hospital Reference was excessive. We must act so that the municipalities, responsible for primary care, enable physicians and nursing staff to triage patients, care of patients with medium complexity because 80% of referrals are benign pathology. The time for diagnosis in the Hospital of Reference was shorter than the average of three months of others Reference Public Hospitals. "Time J" (1 day) is within international guidelines for biopsy (1-7 days), but the end result of the test has an average of 30 days because of the necessity of immunohistochemical technique. "Time L" had an average of 60 days (gold standard of 15 to 30 days), because of difficulties in preoperative assessment, patients with co-morbidities and the need to wait for the immunohistochemical technique to start appropriate chemotherapy. The prospect for continuation of this project is to increase the number of patients analyzed, thus achieving more reliable data.

SYNCOPE DIAGNOSTIC IN CHILDHOOD AND ADOLESCENCE

FRANCISCO CAETANO SILVA JNIOR - UNIVERSIDADE JOS DO ROSRIO VELLANO - UNIFENAS BH; MARIANA PASA MORGAN - UNIVERSIDADE JOS DO ROSRIO VELLANO - UNIFENAS BH; ANA CLUDIA QUEIROZ GOMES - UNIVERSIDADE JOS DO ROSRIO VELLANO - UNIFENAS BH

Introduction: Syncope is characterized for the sudden loss of consciousness associated to the loss of tone and with fast recuperation. Even though it does not have total physiology defined, is known that could be triggered by cardiology, neurology or metabolic stimulus, knowing that the neurocardiogenic alternation represents from 50 to 80% of total cases. It is estimated that up to 15% of children will experience a syncopal episode before the end of adolescence. The diagnoses must, in the very beginning, exclude the death potential conditions that require hospitalization and treatment by a detailed anamneses and clinical exam, followed by complementary exams like electrocardiogram at rest, HOLTER, ergometric exam, electroencephalogram, tilt table testing, clinic pathologic exam, and others. Objective: Accomplish a research in literature to indentify the principal etiological factors and clinic signs in relation to syncope in children and adolescents. Methodology: Accomplished researches in bases of electronic data using key words (children syncope, syncope psychogenic and neurocardiogenic syncope) and their fellow in Spanish and English language. Among the articles achieved, were selected 12 articles and 2 books for deeper analysis. Discussion: the diagnostic of one sycope event begins with and detailed anamnese realization, addressing three determined moments: before, during and after seizure. The syncopal event is frequently jumbled with epileptically crisis, differing itself by absence of tonic-clonic seizuresThe psychogenic syncope is related to high levels of somatic symptoms, and to patients with more probability to present an syncopal event are those who are affect by psychiatric disorders or that show rich presyncopal symptoms. The cardiogenic syncope is specially related to events that change directly the operation of cardiac bomb and can cause sudden death. The principal causes are aortic stenosis, hypertrophic cardiomyopathy, coronary malformation and primary arrhythmia. The pathophysiology of neurogenic syncope is still not very known, however is known that few factors, since pain until keep yourself into orthostatism, could generate the syncope due to exaggerate response of autonomy nervous system. Occurs sympatic inhibition and parasympathetic stimulation with resulting hypotension and bradycardia leading to cerebral hypoperfusion that explain the loss of consciousness. Some authors believe that one genetic component is responsible for alterations on regular system of arterial pressure. Conclusion: verified a large number of divergences in the literature specially related to physiopathology of the three etiologic mechanisms of the syncope, proving the need of realization for deeper studies about the subject. The correct approach of syncope requires the diagnosis clarify for proper clarification of patients or family members and the treatment institution when needed.

PROFILE OF PATIENTS WITH CHRONIC KIDNEY DISEASE AT PEDIATRIC HEMODIALYSIS OF UNIFESP - ESCOLA PAULISTA DE MEDICINA
GABRIELLA MAFRA ELIA - UNIFESP

Introduction: Data regarding pediatric patients in hemodialysis is valuable to the understanding of many questions such as health, nutritional and epidemiological issues of this population and to allow the formulation of strategies to clinical approach. Since there is few epidemiological study in this field in Brazilian literature, it is very important to start research on this population, as it is the intention of the present study. Methods: This is an observational and descriptive study of the characteristics of 166 patients who have been in hemodialysis at the Pediatric Dialysis Unit at Universidade Federal de So Paulo between august 1999 and august 2010. The variables collected include: age at the beginning and at the end of treatment, sex, weight at the beginning, attendance to school and possible evasion, time in treatment, etiology of the Chronic Kidney Disease (CKD) that lead to hemodialysis, last treatment before hemodialysis, number of sessions, number of sessions with hypotension, vascular access used in the beginning and end, reason of exit, if return to hemodialysis, time until the return, death and its causes and medication with intravenous iron. Results: In the period, 166 records were analyzed, which made up 156 patients, since 10 left but came back. One hundred and six (63,86%) patients were male. The weight average was 25,54 kg (range:56,6 to 3,925 kg). Ninety one (54,8%) patients didnt attend to school. Of the 75 (45,2%) patients who attended school, 13 (17,3%) abandoned it during the treatment. The average age at the beginning of treatment and time in treatment was 108,9 months (m) (range:216,4 to 3,1m) and 12,7 m (range:71,3 to 0,1 m).The average number of sessions was 172,7 (range 932 to 3) and the average number of the percentage of hypotension was 17,9 (range:80 to 0). The most common vascular access in the entrance was Schilley's catheter with 61 (36,7%) patients and arterial-venous fistula in 41 (24,7%) patients. The major reason for the exit was renal transplantation: 96 (57,9%) patients. The most prevalent causes of CKD was congenital structural anomalies with 56 (33,7%) patients and glomerular diseases with 55 (33,1%) patients. There were 20 deaths; 5 (25%) were due to sepsis, 4 (20%) to cerebral vascular accident and 5 (25%) to unknown causes. Conclusion: In the follow up of pediatric patients with CKD, hemodialysis was an effective method and the average of hypotension found stayed bellow the one described in the literature, which is around 30% of sessions.

ENDOSCOPIC FINDINGS IN 58 PEDIATRIC PATIENTS WITH MOUTH-BREATHING

HADELLE HABITZREUTER HASSMANN - FURB; BEATRIZ BRITTES KAMIENSKY - FURB; EDUARDA RAQUEL PRZYGODA ALVES - FURB; PEDRO GEISEL SANTOS - FURB; JAN ALESSANDRO SOCHER - FURB

Introduction: Mouth-breathing is a common symptom in childhood and is characterized by alterations in craniofacial and dental arch development, frequent tiredness, daytime sleepness, adinamia, low apetite, nocturnal enuresis and even learning and attention deficits. This symptom has several causes and it is therefore necessary to clarify details about the clinical aspects according to its causes. Objective: This study aims to raise the main endoscopic findings in pediatric patients with mouth-breathing signs who were attended in an specialized Otolaryngology service. Material and methods: We surveyed medical records of 58 patients, from both sexes, between 5 to 16 years old referred for Otolaryngology service by Odontology and Orthodontic pediatric professionals for mouth-breathing evaluation. All the patients were evaluated by sinonasal and pharyngolaryngeal endoscopic exams. Results: The main findings were adenoid and/or tonsillar hypertrophy, rhinitis signs (allergic or non-allergic), septal deviation, inferior turbinate hypertrophy and high palate. Conclusion: The causes of mouth-breathing are diverse and multifactorial and the endoscopic exams are valuable on the evaluation of these cases for complementation.

FUNCTIONAL OUTCOME OF MODERATELY PRETERM AND FULLTERM BORN SMALL FOR GESTATIONAL AGE CHILDREN AT SCHOOL AGE
JOZIEN C TANIS - NEONATOLOGY, BEATRIX CHILDREN'S HOSPITAL, UNIVERSITY MEDICAL CENTER GRONINGEN; KOENRAAD NJA VAN BRAECKEL - NEONATOLOGY, BEATRIX CHILDREN'S HOSPITAL, UNIVERSITY MEDICAL CENTER GRONINGEN; JORIEN M KERSTJENS - NEONATOLOGY, BEATRIX CHILDREN'S HOSPITAL, UNIVERSITY MEDICAL CENTER GRONINGEN; INGER FA BOCCA-TJEERTES NEONATOLOGY, BEATRIX CHILDREN'S HOSPITAL, UNIVERSITY MEDICAL CENTER GRONINGEN; SIJMEN A REIJNEVELD - DEPARTMENT OF HEALTH SCIENCES, UNIVERSITY MEDICAL CENTER GRONINGEN; AREND F BOS - NEONATOLOGY, BEATRIX CHILDREN'S HOSPITAL, UNIVERSITY MEDICAL CENTER GRONINGEN

Introduction: Being born small for gestational age (SGA) is one of the leading causes of adverse perinatal outcome, i.e. high mortality and impaired short-term development. Therefore, children born SGA are considered to be at risk for adverse cognitive and motor outcomes. SGA birth can occur at all gestational ages and is mostly seen in moderately preterm (MP) and fullterm (FT) born children. As yet, their long-term functional outcome compared to appropriate for gestational age (AGA) children is unclear. Objective: To compare functional outcome at school age of moderately preterm and fullterm children born small for gestational age with appropriate for gestational age peers. Materials and Methods: In this community based prospective study, we included 248 MP born children (32-36 weeks, n[SGA]=28) and 130 FT born children (n[SGA]=11). SGA was defined as birth weight below the 10th percentile. At median 6.9 years, intelligence (IQ), verbal memory, attention, visuomotor integration (the transformation of visual information into motor action), and motor skills were assessed. Parental reports of executive functioning were collected. We determined the differences in outcome between SGA and AGA children for the total group (MP and FT), and for MP and FT children separately. Results: Median birth weight was 1700 grams (range 705-2970) in SGA children and 2630 grams (range 1330-1540) in controls, median gestational age was 35 weeks (range 32-41) in both groups. Of the SGA children, 61.5% was male versus 50.4% in controls (ns). Overall, functional outcome did not differ between SGA and AGA children. An exception was visuomotor integration, on which SGA children had significantly lower scores (P=0.046). No significant differences were found between SGA MP and FT groups separately, compared to AGA MP and FT groups. Conclusion: To our surprise, children born SGA had a comparable functional outcome at school age as their AGA peers. An exception was visuomotor integration. Our data suggest that being born SGA, whether moderately preterm or fullterm, hardly affects functional outcome at school age.

EMERGENCY MEDICINE SESSIONS : UPDATED KNOWLEDGE TO MEDICAL STUDENTS

HUMBERTO BIA LIMA FORTE - FEDERAL UNIVERSITY OF CEAR; DANIEL MACHADO AMARAL - FEDERAL UNIVERSITY OF CEAR; INGRID KELLEN SOUSA FREDERICO - FEDERAL UNIVERSITY OF CEAR; PAULO MARCELO PONTES GOMES DE MATOS - FEDERAL UNIVERSITY OF CEAR; JOO HENRIQUE DE SOUZA ANGELOTTO - FEDERAL UNIVERSITY OF CEAR; VIVIANE TEIXEIRA LOIOLA DE ALENCAR - FEDERAL UNIVERSITY OF CEAR; BRBARA XIMENES BRAZ - FEDERAL UNIVERSITY OF CEAR; CLARA MOTA RANDAL POMPEU - FEDERAL UNIVERSITY OF CEAR; CAIO MARTINS MENEZES NAVES MAYRINK FEDERAL UNIVERSITY OF CEAR; MARIANA LIMA VALE - FEDERAL UNIVERSITY OF CEAR

Introduction: The theoretical knowledge about Emergency Medicine is considered as one of the most important and most difficult subjects for most of the medical students and it is only approached in the University on classes in very advanced semesters. Most of the students have a lot of difficulty to consolidate that knowledge. Materials ad Methods: the Emergency Sessions were organized by a group of Medical Students, being offered to all the interested students, including the ones in the internship, and professionals from the health field, promoting the scattering of the latest information about the principal topics in Emergency Medicine. Three sessions were planned to be performed during the year of 2011. The sessions usually lasted one hour and a half being ministered by a Doctor known for his primacy in the topic that would be addressed. The chosen themes were: the updates in the advanced trauma life support(ATLS), acute abdomen and sepsis. Results: The average public was 83 people, including students from almost every semester in the medicine course. Beyond the recognition given to the students for the sessions, also the professors gave a great value to the project. Conclusion: the activity has assumed a very important place in the University, always presenting a great attendance of the students. The intention to help the students to overcome the difficulties of some important subjects in the graduation process was accomplished and the group intend to continue and expand the activity approaching in the year of 2012 the Internal Medicine theme.

WORKING IN THE MEDICAL STUDENT AWARENESS IN SEARCH OF A HUMANIZED CARE

FREDERICO CUNHA VALIM - UNIFENAS-BH; ANA CLUDIA QUEIROZ GOMES - UNIFENAS-BH

Introduction: The globalization process has brought with it anxiety and anguish. Magnified access and interactivity, increased information exchange, replacing the essence to exposure of the individual fear and discomfort. The new education curriculum policy is in favour of more effective and humane doctor-patient relationship . Humanization can be stimulated and academic exercises certain autonomy in its own educational direction, and interfering with their training and customizing his curriculum, based on own priorities and interests. In academic league status, one of the purposes is to form critical scholars, which is competent and focused on social issues, and to associate the practice of students with the development of new knowledge and methodologies. Objectives: To analyze the processes that occurred in academic league and their possible contributions to the humanization of medical students in the light of a reflexive analysis of the literature. Methodology: Qualitative research of interviews, experiments and expressions of medical students that were developed in the academic league, were recorded in a systematic way. Were considered movie exhibitions, organization of lectures, debates, research and extension activities, election of managers, administrative and marketing efforts, sharing of tasks, managing of relationships, resolutions of conflicts and socialization activities. Literature review about concepts and process of humanization guided the analysis. Results: The development of a humanistic individual is a complex process, consisting of experiments, individual psychological factors and social contexts that influence the construction of the "humanized" person. It was observed that the events and challenges have become a rich space of experiences. Experiences, responsibilities, anxieties and successes have been developed between students in pairs, in context, individual or collective mind. The affective relationship and commitment to the next and the group provided transformative and humanizing opportunities. Conclusion: Medical education involves a process itself, generating specific fears and anxieties. The sharing of solutions developed by students to reduce the stress of this stage of life was considered effective by themselves, reinforcing the importance of understanding the others. Humanizing experiences as collaboration, respect, mutual support and care were recognized as well. To the extent that treats and is treated by his colleagues in an assertive manner, it creates a reference to be followed into patients care in their academic and future professional life.

BUILDING STRATEGIES IN THE CARE OF DIABETES MELLITUS TYPE 2: THE USE OF NARRATIVES BY MEDICAL AND NURSING STUDENTS
LAS ALINE MAZON GUIDUGLI - FACULDADE DE MEDICINA DE BOTUCATU (FMB) - UNESP; MAYRA SOUZA BOTELHO - FACULDADE DE MEDICINA DE BOTUCATU (FMB) - UNESP; GABRIEL BERG DE ALMEIDA - FACULDADE DE MEDICINA DE BOTUCATU (FMB) - UNESP; CAMILA BUZOLLO KIMURA FACULDADE DE MEDICINA DE BOTUCATU (FMB) - UNESP; TIAGO ROCHA PINTO - FACULDADE DE MEDICINA DE BOTUCATU (FMB) - UNESP; ANTONIO DE PADUA PITHON CYRINO - FACULDADE DE MEDICINA DE BOTUCATU (FMB) - UNESP

The Diabetes Mellitus type 2 is considered an emergency in public health, which care is difficulted by the tecnicist formation that the medical students receive nowadays. The lack of bounds, the attention payed only in the symptons and the lack of communication prejudiced not only the diagnosis, but also the adhesion to the treatment. To heal part part of this problem, it was developed the project Building strategies in the care of diabetes mellitus type 2: problematic fields and suport strategies to selfcare, which objetives include work with the student's vision about this disease. The elaboration of medical narratives or in meetings between students and patients can be valious for the humanization in medicine, the set up of this relationship and also aim to enable a better comprehension of the difficults lived by the patients and its connexion in their daily life an life story. Thus, the student has an integrated vision of the patient not as a biological disease, but as a whole being with essence. This is a report of our experience in the form of narratives made by medical and nursing students that realized home visits for eight months in this project. In a first moment, it was used a qustionary structured to identify the obstacles for the selfcare of the disease composed of various problematic fields, and, from this, the home visits were made to know better the person behind the illness, which impacts there were in their life,the reaction of relatives and the confrontation strategies for this. Is was possible extract from the narratives which problematic fields were the more relevants, with a hight difficult and that caused more emocional suffering fot the patients. For the students, it was an exercise of humanization in which the importance of the social conditions of health and disease, the previous story of the person, the family's attitude in relation to the changes demanded by the disease and his aid net. They could understand that the pacient is not only a disease and, many times, this is not even his main worry before the troubles they face everyday.

EXTENSO MDICA ACADMICA: HUMANIZATION EXTENSION PROJECT OF MEDICAL SCHOOL OF UNIVERSITY OF SO PAULO
REGINA SAYURI YAMASHIRO SHIOTUKI - FACULDADE DE MEDICINA DA UNIVERSIDADE DE SO PAULO; LENDRO RYUICHI IUAMOTO - FACULDADE DE MEDICINA DA UNIVERSIDADE DE SO PAULO; MAURO SHIGUEHARU OIDE JUNIOR - FACULDADE DE MEDICINA DA UNIVERSIDADE DE SO PAULO; RENATO KUREBAYASHI - FACULDADE DE MEDICINA DA UNIVERSIDADE DE SO PAULO; JSSICA TIOMA NAKAYAMA - FACULDADE DE MEDICINA DA UNIVERSIDADE DE SO PAULO; JULIANA MIKA KATO FACULDADE DE MEDICINA DA UNIVERSIDADE DE SO PAULO; DANILO HENRIQUE DA SILVA SUZUKI FACULDADE DE MEDICINA DA UNIVERSIDADE DE SO PAULO; BRUNO FIGUEIREDO PEREIRA FACULDADE DE MEDICINA DA UNIVERSIDADE DE SO PAULO; VICTOR ISHII - FACULDADE DE MEDICINA DA UNIVERSIDADE DE SO PAULO; CHRISTIAN VALLE MORINAGA - FACULDADE DE MEDICINA DA UNIVERSIDADE DE SO PAULO

Introduction: The scientific and technological development in health practices of recent decades is certainly noticeable. However, this technology is having limitations to meet the complex needs of individuals and societies. The need for community-based education and training of physicians who value the clinical examination, the patient contact and human relationship has been increasingly important. Project Brief: Extenso Mdica Acadmica (EMA) was founded in 1998. Its an university extension project organized and conducted by medical, physical therapy and nutrition students from University of So Paulo. EMA is sustained by three pillars: assistance, education and research, thus constituting an alternative to community-based education and assistance with a focus on humanization. The project is carried in two places in the city of So Paulo - Jardim So Lus and Penha on Saturdays, and aims to offer these needy populations a free ambulatory care with quality, focused on health care as well as humanization of the doctor-patient relationship, EMA also conducts activities to promote health and prevention, such as the annual Papanicolaous campaign, and health education through lectures on relevant topics to the local people. Clinical cases are presented to other students in weekly meetings at the university and students assist in the clinical discussion, collaborating with the establishment and deepening of the concepts in health. This teaching model complements studies in the classroom: through the presentation of problems, students develop skills usually little explored during the traditional graduation. Many graduates continue to participate and become teaching doctors of EMA, committed on passing the knowledge they acquired during graduation. The patient is a complex human being, surrounded by a social context that determines their well-being. EMA seeks to encourage their students to realize the importance and value of the doctor-patient relationship since the first year of graduation. The project brings together people willing to work, to help patients, to learn more about health and to teach other students. EMA relies on the assistance of the Fundao Faculdade de Medicina and the Centro Acadmico Oswaldo Cruz, which offer technical and financial support to sustain EMA. In recognition of the philosophy and role of the project, EMA has been ranked among the top 10 projects in II Prmio Sade Brasil and V Prmio Sade Brasil. Conclusion. Given the increasing demand of patients, we intend to include other healthcare areas to expand our relation with public health and to spread our project idea. Although we experience difficulties related to the integration of those future members of EMA, the exchange of information and the multidisciplinary approach is an advantage to graduate and patient and it should be solved with more compatible meetings considering the time availability between the students in different areas of healthcare.

ACTIVITIES REALIZED BY NURSING UNIVERSITY STUDENTS TO DIABETIC PATIENTS: EDUCATION ON SELF-CARE

VIRGINIA WAIRIMU WAINAINA - FACULDADE DE MEDICINA-UNESP; PATRCIA HELENA CORRA ALEGRE - FACULDADE DE MEDICINA-UNESP; BARBARA CRISTINA CASEMIRO DA ROCHA - FACULDADE DE MEDICINA-UNESP; LARISSA SANTI FERNANDES - FACULDADE DE MEDICINA-UNESP; SANDRA REGINA LEITE ROSA OLBRICH - FACULDADE DE MEDICINA-UNESP; MARIA JOS TREVIZANI NITSCHE FACULDADE DE MEDICINA-UNESP

Efforts have been directed so that there is a greater integration of the multidisciplinary team, for the benefit of patients with diabetes, in order to identify strategies that motivate self-care. Good metabolic control reduces the incidence of acute and chronic complications, also reducing the speed of progression of already existing problems. From the past year, approximately 432 diabetic patients and their families participated in the group meetings held on Wednesdays at the Diabetes Clinic belonging to the Clinical Hospital of the Faculty of Medicine in Botucatu UNESP by nursing university students. The group meetings address on issues related to self-care and glycemic control and clarify doubts about their illness. In addition, booklets with guidelines about the disease are distributed to patients and their families. The main objective of the project is to provide a better quality of life for diabetic patients and their families offering educational guidelines regarding treatment, monitoring and evaluation of the disease. The challenges experienced at the clinic are related to education on self care, which is not easy as it does not only depend on the professional interest on helping the patient but also on the willingness of the patient to improve the quality of life and thus improve glycemic control and decrease the incidence of complications and adhere to treatment, as it demands a certain discipline on their side, but with a lot of insistence on the importance of self-care we are able to identify greater control of co-morbidities and a decrease of blood glucose levels in patients, we also pass through little bias from patients when they get to know that we are students who at times ask if we are qualified to offer this kind of information but after every meeting many of them thank us for the information offered. Group activities are important moments of exchange of knowledge and sharing experiences, and which presents useful information to improve the quality of life of patients, we also learn from them about their disease and co-morbidities.

TEP (TEP - TUTORIAL EDUCATION PROGRAM) GOES TO DAYCARE: AN EXPERIENCE OF INTEGRATION, FHU (FAMILY HEALTH UNIT) AND COMMUNITY
FLAVIA CARDOSO FRANCA - UNIVERSIDADE FEDERAL DA BAHIA; JLIA DE CARVALHO LOPES UNIVERSIDADE FEDERAL DA BAHIA; THAMIRYS REGINA MARINHO SOUSA - UNIVERSIDADE FEDERAL DA BAHIA; KAMILA DA MATA FUCHS - UNIVERSIDADE FEDERAL DA BAHIA; DIANE DE JESUS NUNES UNIVERSIDADE FEDERAL DA BAHIA; VICTOR PORFRIO DOS SANTOS ALMEIDA - UNIVERSIDADE FEDERAL DA BAHIA; ITALLO OLIVEIRA SANTOS - UNIVERSIDADE FEDERAL DA BAHIA; FRANCISCO REGO BASTOS FILHO - UNIVERSIDADE FEDERAL DA BAHIA; HUGO COSTA CARNEIRO - UNIVERSIDADE FEDERAL DA BAHIA; ANA SOUZA MARQUES - UNIVERSIDADE FEDERAL DA BAHIA

Project brief: With several visits to a community associated with another program conducted in the same area, the Tutorial Education Program - Medicine TEP identified the difficulty of the health care of the residents in that area. In order to receive health care, they need to relocate to other regions and municipalities often quite distant. This difficulty becomes even more severe when considering children. The Brazilian Health Ministry understands that childhood is an important developing period for the potential of the individuals, therefore the appearance of frequent disturbances at this time are responsible for serious consequences for individuals and communities. For this reason, there's a need for child health monitoring. And from this perspective, Medicine TEP drafted a screening of 90 children from a Daycare in the area of a Quilombo community to afterwards direct them to a particular FHU, referenced by the University. The project was conducted in a Quilombo Daycare. The Daycare has 90 children in an age group that ranges from 2 to 13 years. They remain full-time under care, so their parents can to work, especially with fishing activities. The first step, a meeting was held with Daycare leaders, to collect the basic information such as total number of children, age range, demand for health education and major health problems of children. Afterwards, we contacted pediatricians attending FHU referenced by the University, so they could be able to take care of children with greater needs. To perform the screening, TEP Medical students received training in the pediatric area, and on the day of screening, interns and residents in pediatrics were guests on duty. Thereby, the children were treated and the most important cases were directed to the FHU. After the screening, many children were sent to FHU, most of them suspected with intestinal infection by parasites, with need to conduct further tests for a complete diagnosis. Also in evidence, it was a high demand of respiratory disorders in need of more effective monitoring. In addition to the direction of children to the FHU, educational dialogues were also carried out with parents and children, with concerns, especially for the immunization and hygiene. Conclusions: Through the performed activity, it was possible to observe how the difficulties on medical care have implications on the health of children of that community. Furthermore, it was evident the need for health education activities (already provided by TEP) for children. The next step, indeed, is trying to integrate with other TEPs (dentistry and nutrition, for example) so that the health of those children can be provided in integral manner. In addition, the project was an important experience in a practical scenario for medical students, other than health posts and hospitals.

QUILOMBO COMMUNITY OF WATERRMEN AS A PLACE TO DEVELOP ACTIVITIES OF TEACHING, RESEARCH AND EXTENSION
FLAVIA CARDOSO FRANCA - UNIVERSIDADE FEDERAL DA BAHIA; JLIA DE CARVALHO LOPES UNIVERSIDADE FEDERAL DA BAHIA; THAMIRYS REGINA MARINHO SOUSA - UNIVERSIDADE FEDERAL DA BAHIA; MURILO DE JESUS MARTINS - UNIVERSIDADE FEDERAL DA BAHIA; FRANCISCO REGO BASTOS FILHO - UNIVERSIDADE FEDERAL DA BAHIA; ANA SOUZA MARQUES - UNIVERSIDADE FEDERAL DA BAHIA; MARYANA DIAS NOVAES - UNIVERSIDADE FEDERAL DA BAHIA; DEIVISSON FREITAS DA SILVA UNIVERSIDADE FEDERAL DA BAHIA; KAMILA DA MATA FUCHS - UNIVERSIDADE FEDERAL DA BAHIA; DIANE DE JESUS NUNES - UNIVERSIDADE FEDERAL DA BAHIA

Introduction: the integration of teaching, research and extension is a learning strategy adopted at medical education that provides knowledge from fields of practical outside the university, therefore approaches the student the community. The quilombo community of waterman is a ideal field to this kind of activity because they need some aid and they are available for interventions in health. They also can make possible the interaction of knowledge once it allows the student to learn by the exchange of experiences. They wont act only as teachers but also as learner of different realities. Besides, there is little literature published about this king of community. Objective: to evaluate the risks and the incidence of the most frequent pathologies in watermen and to carry out activities that focus on integrity of health and decrease of risk factors. Methods: Development of a questionnaire based on a literature review about musculoskeletal diseases related to their job and discussion of important concepts of epidemiology within the working group. Application of the questionnaire for cross-sectional study aiming to identify occupational risks. Performing presentations to population to show the results of the research and workshop and lectures with topics chosen by the community. Results: the questionnaire was made and applied in 28 families of the community, which data was typed and has been analyzed. The activities were well accepted by the members of the families and it was possible to notice the lack of knowledge about prevention and the consequences of a poor public health system in the region. Based on the information of this first contact, an workshop was elaborated about child health and the subjects were breastfeeding, growth and development and nutrition of children and adolescents. Conclusion: It is understood that student participation in activities of research and extension will mean a civic education of future professionals. Besides, the insertion of the medical student in the reality of the users of the public health system makes them in touch with their necessities. It's important and really effective to consolidate the knowledge about the most common pathologies of the Brazilian population and it allows to develop skills and familiarity with the doctor-patient relationship.

RONDONS PROJECT IN NIOAQUE MS BRASIL: EXPERIENCE REPORT

NATLIA SOUZA AONO - UNIVERSIDADE ANHANGUERA-UNIDERP; LEANDRO ALMEIDA ASSUNO UNIVERSIDADE ANHANGUERA-UNIDERP; JOVINO NOGUEIRA DA SILVA MENEZES - UNIVERSIDADE ANHANGUERA-UNIDERP; FERNANDA RAYLLER PEREIRA - UNIVERSIDADE ANHANGUERA-UNIDERP

Project Brief: The Rondons Project was founded in July eleventh 1967, with the goal of take social care to poor and marginalized people in upstates cities by university students of different, but related areas. At first, the activities occurred just on vacations period, but at present time have permanently centers acting, advanced campus and especial and regional operations. This project demonstrates the importance of excurricular activities, by giving a certain idea of citizenship commitment. In Nioaque city, the activities occurred in nine days, 150 persons were assisted by teachers and college students of medicine, nursing, nutrition, veterinary medicine, biology, physical education, environmental management from Anhanguera-Uniderp and UFGD Universities. The action was developedin 5 steps: 1 step: do daily timetable activities with some local governmental promps and some elaborated by the team of teachers and students; 2 step: divide groups for domiciliary visits; 3 step: contact local leaders for permission to do the activities; 4 step: make strategic plan to solve detected problems; 5 step: develop a educative action about the local problems. The healthy problems most identificated were: alcohol abuse; tabaco abuse; diabetes mellitus; systemic arterial hypertension; intestinal parasitic infections; obesity; varicose ulcer; vaginosis; sexually transmitted diseases; obstructive lung disease; upper airway infectious disease; heart failure; leishmaniasis; bad hygienic cares. Were done proposals about programs of continuated education in the basic assistance to promote health and serial enablement with university teachers with the goal of develop public political actions of promotion of health. Conclusion This project touched us students and teachers, after all we had a new saw of the human being and your particularities, besides add news academic knowledges.

EXTENSION PROJECT "PAIN: PROPAEDEUTIC AND THERAPY" IN THE CONTEXT OF SECONDARY CARE TO HEALTH AND COMPLEMENTARY CURRICULUM
THIAGO ROBIS DE OLIVEIRA - UFMG

Introduction: To study pain and its concepts is of paramount importance for understanding the patient as a biopsychosocial being. For over twenty years, the Pain Clinic, Hospital das Clinicas, UFMG has been doing fundamental work in the reception and treatment of inpatients and outpatients from other specialties of the institution. Objectives: This project is founded on three fundamental paradigms: Teaching, by expanding the knowledge and integration of graduate students in the diagnosis and treatment of pain, often minimized or even forgotten in the face of other diseases, with great damage to the quality of life patients; Research, through scientific meetings and researchs conducted locally; Community through specialized quality care to the population. Methodology: This project allows graduate students of medicine, from the 4th year for two semesters to undergo twice-weekly outpatient, supervised by specialists in pain. Additionally, students participate in interconsultations requested by other clinics in the hospital, and participate in invasive therapy when indicated. In addition to outpatient care, the students organized and supervised one-semester course on pain, with weekly meetings of two hours duration, with average audience of 150-200 participants, open to health professionals and students, and scientific events of short duration throughout the year, with specific themes update in the context of attention to pain. Alongside these activities, research activities are developed in conjunction with partner institutions, ensuring that scientific update and reverts into benefits for the population served. Results: The project achieves about 80 to 140 outpatient visits, hospital visits 15-30 and 10-25 therapeutic invasive procedures weekly. Provides a scientific production growing, presenting works developed in-place in international and national congresses in recent years. Conclusion The "Pain: Propaedeutic and Therapeutics" is mature, contributing in a concrete way to train doctors and health professionals over the past 20 years. It also plays an important role in treatament in Unique System of Health (SUS) of Minas Gerais, and the only reference for pain relief in the state, available in SUS. However, some practical limitations, such as availability of more professionals, and infrastructure have limited the growth potential of the project. The demand for services has risen, but the offer does not increase in equal proportion. Various measures are being taken to resolve the situation, offering a greater number of visits and increasing the number of students participating in the project. In a next approach, we intend to expand the course of pain, through telemedicine for healthcare professionals in the state of Minas Gerais.

UNIVERSITY EXTENSION PROJECT IDEA TRANSPLANTATION LECTURES TO FOSTERING ORGAN DONATION IN THE CITY OF SO PAULO
RENATO DEMARCHI FORESTO - FEDERAL UNIVERSITY OF SO PAULO; MAURCIO ISAAC PANICIO FEDERAL UNIVERSITY OF SO PAULO; GUILHERME FEREZINI - FEDERAL UNIVERSITY OF SO PAULO; JOS MEDINA PESTANA - FEDERAL UNIVERSITY OF SO PAULO

Project brief: Few medical procedures benefit so many people for so long time as transplant. A single donor can provide organs or tissues for 9 people and provide around 56 years of life between the receptors. Worldwide, administrative and scientific advances have contributed to increase the number of transplants, although still insufficient, because the enormous organ request caused by ageing and increased prevalence of chronic diseases. In Brazil, the rate obtained is 9.6 donors/million people, much lower than Spanish rate of 36. Organ donation is a gracious concession made in life by donor or, after his death, by his legal representative. People are predisposed to donate, but the lack of information, the sensationalist news about organ trafficking and the reduced number of ongoing programs aimed at public awareness about the issue contribute to feed doubts, myths and prejudices. Perhaps for these reasons, there is insufficient number of donors, prolonging the suffering of patients. The easiest way to reduce these denials is providing information. Thus, some medical students of Federal University of So Paulo gathered data about organ donation and build a didactic presentation to be held with students up 13 years at schools of So Paulo. A questionnaire, based on the Theory of Reasoned Action (TRA), was applied before and after the lectures in order to measure the impact of lectures in the opinion of adolescents. The TRA is used to plan health education programs, based on possibility of building an action aimed at the causes of a behavior. In addition, the project hopes to address the target audience in a different way from that done by mass media (television, journal, internet), because its information are vague, inappropriate to answer questions and unable to modify negative behaviors related to donation. In contrast, individual-based information (lectures and meetings) promotes a greater change in behavior. The well-informed person is able to promote discussion with friends and family, which is itself a mechanism to promote donation. Conclusion: Our goals are to reduce family refusal and, thus, the waiting list for organ transplantation. In the beginning of project, we intended to teach one lecture by week, goal achieved by the time with more than 200 spectators (211). We noted that all students had already heard about organ donation, but only 3% had already talked about donation with relatives. Through lectures, we could change around 50% of negative opinion about donation. The main difficulty found was the intensive lecture training to answer all questions. To face this problem, we wrote a manual with the most frequent questions asked to study before lectures. To the future, we expect to create a didactic model of lecture that can be presented by anyone, health professional or not and spread this project to other cities.

COURSES TO IMPROVE MEDICAL EDUCATION

ANDRE RUAN RUIZ - UEL

The Medical School of the State University of Londrina (Universidade Estadual de Londrina), which is known by the acronym UEL, located in the Brazilian state of Paran, hosts IFMSA-Brazil, a non-governmental organization member of the International Federation of Medical Students Association (IFMSA), the largest organization of medical students in the world. The Standing Committee on Medical Education (SCOME), one of the committees of IFMSA-Brazil, is responsible for the medical education issues. Objecting to improve the education of medical students, UELs SCOME prepares courses based on the academic needs of these students. The three courses offered by the SCOME present these subjects: Urgency and Emergency, Physiology and Pharmacology. The Urgency and Emergency course was took place for the first time in 2011, being its main goal to teach basic procedures in first aid that should be followed after events that put a persons health under risk and that need immediate attention. Lectures are given by teachers and residents, which work at the first aid station of the Teaching Hospital of UEL or at the emergency service (Servio de Atendimento Mvel a Urgncias SAMU). The Physiology Course takes place since 2010 and follows the same organization style of the latter, but in this case the invited lecturers are specialized doctors and/or professors of the Department of Physiology of UEL. The courses last three days and the lectures do not cover the entire human physiology, due to the impossibility of giving this enormous amount of information in 3 days, but rather covers specific subjects according to the lecturers choice. This ensures that the subject if thoroughly explained and that the speaker talks about his/her area of expertise. If the lecturer is a doctor, clinical cases are presented to the students, which combine theoretical knowledge and daily clinical practice of a healthcare professional. Enrollment by people from other courses within UEL is allowed but most of the public are grad students from the healthcare area. Last year the course encompassed lung, kidney and heart physiology. The Pharmacology Course, which happens since 2011, is directed mainly towards students that are more familiarized with clinical practice, but it is also sought after by first- and second-year medical students, because it also covers simples concepts on Pharmacology, a subject which is not directly offered by the University, but which is inevitably mentioned in discussions. The money received for the registration fees is used to pay for the coffee break and certificate emission. Conclusion: In 2012 UELs SCOME will continue on the organization of these three courses, will add a practical class to the Emergency and Urgency Course and also created a new course on Neuroanatomy.

SCOME YOURSELF!
ANNA MARIA GARCIA CARDOSO - UFPEL

The Medical School of the Federal University of Pelotas (Universidade Federal de Pelotas UFPel) is located in southernmost Brazil and is host of the Standing Committee in Medical Education (SCOME), a committee of IFMSA-Brazil, a nongovernmental organization member of the International Federation of Medical Students Association (IFMSA), the largest organization of medical students in the world. Knowing that medical education influences not only the ability of future doctors but also the quality of healthcare, UFPels SCOME began its activities in early 2011, organizing two projects: the Academic Newspaper Sinapse (JAS) and Cinema Paradiso (CiP). JAS was founded in April by 7 members. The first and second editions were sponsored by local businesses and published in April and November, 1000 copies per edition, which were distributed for free to its main audience: grad students and professors of UFPel and other Universities in Brazil. The name Sinapse (synapse) arose from the concept of the word and the goal of the journal. A synapse is the communication spot between neurons, through which the neural impulse is transmitted, being the newspaper also a communication spot where information is exchanged between medical students and knowledge is transmitted. Each edition counted with: a cover, an editorial, an Academic Leagues work description, a scientific article, clinical cases, an article about the history of Medicine, book, video and film suggestions, a chronicle, comic strips and crosswords. On top of that, each page presented, on its top, an aphorism of a philosopher, thinker or scientist. CiP was organized together with the Mental Health Department of the Medical School of UFPel. The goal of this activity is to merge the art of cinema with medical analysis, creating an environment of intellectual growth and dialogue about certain subjects shown in the movies by the later discussion about them by professors, residents and grad students. The audience of this project is about 50 people. This particular project was founded in 2010, but the partnership with SCOME only was officialized in early 2011. Since then, grad students became more and more akin of the project. Seven editions of CiP took place, each one with a different host. They took place on every second Thursday of a given month at 6.30pm, and on the last 4 editions, a survey was given for the attendants to fill in order to evaluate the project. The movies that were screened and discussed were: The King's Speech , Black Swan, Something the Lord made, Little Miss Sunshine, The Hours, O Liberdade (a Brazilian movie shot in Pelotas) and The Reader. Conclusion: In 2012, the activities carried out by UFPels SCOME will continue, each project now with its own logo. Two issues of JAS will be printed and there will be a selective process for new members and new sections. CiP will continue to be a way of integrating professors, residents and grad students in debates that add know.

A PREPARATORY COURSE FOR LOW INCOME PEOPLE

JOSE LUIZ DE LIMA NETO - FMB-UNESP; LAS ALINE MAZON GUIDUGLI - FMB-UNESP; NATALIA DE CAMARGO BOTECHIA - FMB-UNESP; PAULO HENRIQUE PEROSO DE LIMA - FMB-UNESP; CSSIA LOPES DANTAS - FMB-UNESP; JOO FRANCISCO LINDENBERG SCHOUERI - FMB-UNESP; DANILO MARTINS FMB-UNESP; RODRIGO DOS REIS CADIOLI - FMB-UNESP; DANIELE CATANEO - FMB-UNESP

Cursinho Desafio is a free preparatory course to universities admission exam that targets people with low income, is a project created in the year of 2000, developed by students from the Faculdade de Medicina de Botucatu (Unesp). Its aim is to give these people the opportunity of social inclusion by preparing them for admission exams to universities and government jobs, and also to improve their knowledge of the world. Besides, the project help the teachers(most of them students at the medicine school) to develop new concepts of citizenship that are very important in human formation, specially in the medical class. It also allows the students a unique experience in personal learning, particularly in the ability of public presentations and dealing with different social and economic realities. It works at nighttime on weekdays, from 6 to 10:30PM, and in daytime, from 9AM to 13PM on some weekends. Simulations of the university admission exams are applied monthly on Sundays, from 2 to 6:30PM, and in the period between 8:30 and 9PM during the weekdays there are an equip of teachers available just for helping to solve the students doubts about the exercises. The material is given to the students for free. As the project does not have its own building, it utilizes the space lent by a municipal school. The project offers two types of preparatory courses: one from feebruary to november which accept 140 students that subscribes on january, and another from August to November, that accept 70 students that subscribes on june. It counts with burocratic assistance from the Faculdade de Medicina de Botucatu(Unesp)s direction, financial assistance from Sao Paulos government (through Proex), and human resourcers captation through CAPS(Centro Acadmico Piraj da Silva). As results, in 2011 we had 47 students approved in college, 21 in public institutions. Conclusion: As discussed, we can say in resume that Cursinho Desafio is a project which reach the proposed objectives, and work in a way to improve the accessibility in public universities while the classes raise the students chance to get a good grade in the admissions exams. Differently from the reserved places in universities that are discussed in Brazilian scenery with a lot of diverse opinions, this project is highly approved with no contradictions. Furthermore its clearly noticed that this activity build between students and teachers( that are also students) a way of friendship, that grown every class and reflects in the love of the students with the school. This kind of feeling is easily seen in Cursinho Desafio, students and teachers wear the t-shirts with the project name during the class not because they are asked for but because they like to do it. Finally its said that this extension project can be looked in two ways, the way of the students that are learning and getting better chances in life and the way of teachers that are improving their ability to deal with people and with

PREPARATORY COURSE JEANNINE ABOULAFIA: PROJECTING A DIFFERENTE FUTURE Dbora Neves Costa Joi; Douglas Albuquerque Gouva; Mariella Bodemeier Loayza Careaga; Nathlia Amato Khaled Universidade Federal de So Paulo, So Paulo SP Brasil Cursinho Pr-vestibular Jeannine Aboulafia (CUJA) is a community preparatory course, provided by the Federal University of So Paulo. It was founded in the year 2001 by academics of the university itself.CUJA has as its main guideline a new relationship between teacher and student, based in a high respect and in a deep pedagogical monitoring. The classes include high school contents required in the main college entrance exams of the country. We also teach complementary subjects through thematic classes, interdisciplinary lessons and review sessions. The teachers themselves prepare the material - composed of 9 textbooks - that will be used by the students.Every year, we offer 175 spots for the people in the community and divide the newcomers into two classrooms: one with 75 students and the other with 100.

CHANGES IN THE BRAZILIAN AGE PYRAMID AND POSSIBLE INTERVENTION ON FAMILY HEALTH STRATEGY
MIRLA FIUZA DINIZ - UNIVERSIDADE FEDERAL DE OURO PRETO; MARA LOPES XAVIER - UNIVERSIDADE FEDERAL DE OURO PRETO; BRBARA ALVES SALGADO COSTA - UNIVERSIDADE FEDERAL DE OURO PRETO; NCOLAS SANTOS DE OLIVEIRA - UNIVERSIDADE FEDERAL DE OURO PRETO; CAMILA BIAZUSSI DAMASCENO - UNIVERSIDADE FEDERAL DE OURO PRETO; ELIANA BRAGA - UNIVERSIDADE FEDERAL DE OURO PRETO; ADRIANA MARIA DE FIGUEIREDO - UNIVERSIDADE FEDERAL DE OURO PRETO; KSSIA CORREA CASTRO - UNIVERSIDADE FEDERAL DE OURO PRETO

Due to the changing demographic pattern of the Brazilian, the elderly population has increased. There are approximately 17.6 million elderly people in Brazil. The area covered by the Family Health Strategy-1 (ESF-1) located in Mariana, MG, Brazil, illustrates the demographic population aging trend, since it has a relatively large number of elderly and it doesnt offer leisure options or educational activities in the context of health in this age group. This project was developed to improve the quality of life of seniors, promote rapprochement between the members of the group and the Basic Unit Health through recreational and educational activities. Subjects were divided into two groups, approximately 20 members and a questionnaire was designed to be applied at the first meeting. After first contact, the data were used to plan the subsequent activities. The operative groups were brought together approximately twice a month and featured educational and recreational activities previously developed by the staff of PET-Health. At the end of the project, the effectiveness of the workshops was assessed by questionnaire and activities. The themes presented were chosen through a questionnaire made with each participant, and the 32 participants interviewed, 18 were women and 14 were men. The subjects of most interest to lecture were: diabetes (81%), osteoporosis (81%), hypertension (78%), Food (78%) and stress (68%) and leisure activities were the most interesting: Walks ( 87%), to assist film (50%), Crafts (43%) and Painting (40%). In the final questionnaire preference activities were evaluated and 70% chosen physical activity, 60% selected play and 60% chosen presentations about topics related to seniors. Regarding the interest to continue participating in the group was unanimous answers yes and when they were asked about the practice of physical activity, frequency and duration of it, 50% of respondents are doing regular physical activity, such as: walking, dancing e therapeutic gymnastics, often ranging from once a week up to six times a week. It was also questioned as to the scope of the project and its impact, if he promoted a change or not, and 80% said yes and 20% respondents did not, acting mainly on encouraging the practice of exercises, improving mood, providing friendships and changes in eating habits. The popularity of the activities undertaken by the staff of the Health-PET between the elderly demonstrates that there is a need to develop programs targeted to care for this age group, to improve the quality of life of this growing population. After analyzing the responses, it was realized that the project had a really positive impact on the lives of participants, especially in regard the integration among members of the group.

THE RED REFLEX TEST UNIVERSITY EXTENSION BRINGING KNOWLEDGE AND TECHNOLOGY TO THE PUBLIC HEALTH SYSTEM
BRBARA XIMENES BRAZ - UNIVERSIDADE FEDERAL DO CEAR; DANIEL MACHADO AMARAL UNIVERSIDADE FEDERAL DO CEAR; INGRID KELLEN SOUSA FREDERICO - UNIVERSIDADE FEDERAL DO CEAR; JOO HENRIQUE DE SOUZA ANGELOTTO - UNIVERSIDADE FEDERAL DO CEAR; PAULO MARCELO PONTES GOMES DE MATOS - UNIVERSIDADE FEDERAL DO CEAR; VIVIANE TEIXEIRA LOIOLA DE ALENCAR - UNIVERSIDADE FEDERAL DO CEAR; FERNANDO KLEIN LEITO - UNIVERSIDADE FEDERAL DO CEAR; DIEGO ANDR HORTNCIO ORTEGA DOS SANTOS - UNIVERSIDADE FEDERAL DO CEAR; CAIO MARTINS MENEZES NAVES MAYRINK - UNIVERSIDADE FEDERAL DO CEAR; MARIANA LIMA VALE - UNIVERSIDADE FEDERAL DO CEAR

The Red Reflex Test is simple, quick and painless, and should be applied to newborn children during the first hours of life. The testing is vital for early detection of diseases that threaten vision and life, such as cataracts, glaucoma, retinoblastoma, retinal abnormalities, systemic diseases with ocular manifestations, and high refractive error. Any factor that blocks the optical pathway of the ophthalmoscope will result in a difference on the red reflex. Statistical data shows that about 3% of children worldwide present visual alterations, information that reassures the importance of the test for the prevention of ophthalmologic diseases of child development. Based on this knowledge, a group of Medicine students, in partnership with an ophthalmology center in Fortaleza, developed the Red Reflex Test Project, which consisted on three phases: training, divulgation in major medical schools and visiting of the multiplier teams to major hospitals of the state of Cear, with donation of one ophthalmoscope for each visited hospital. The project was conducted in 24 cities and, although it reached its ending, the initiative remains through the divulgation on its website. It was through the online domain that the city of Brejo Santo, in Cear, through the Health Department, contacted the group and invited us to enable health professionals to perform the Red Reflex Test. The project aimed to establish a channel of university extension, to promote the expansion of knowledge on the public health institutions in the state of Cear and to increase the early screening of visual disorders. The methodology consisted on a lecture about the procedure of the test, its relevance and the diseases that may be found during the exam, followed by practice with members of the group during hospital care. A total of 35 health professionals, including doctors and nurses of the Basics Health Units and the hospitals, participated of the project in Brejo Santo. At the event, 26 children were evaluated, none of which, fortunately, presented abnormal ophthalmologic conditions. In all cities, two children received the diagnosis of retinoblastoma and were conducted to surgery. Conclusion: The activity reached the expected objectives and the enabled health professionals demonstrated technical domain of the execution of the exam. A channel of university extension and a breakthrough for the health system in the city of Brejo Santo and in the other 23 cities were established, with regard to screening of ophthalmologic disorders detectable by the test. The Red Reflex Test Project received the national award of Encouragement in Technology for SUS, the public health care system, and a law project was drawn in order to make the test mandatory in general and maternity hospitals.

HUMANIZATION OF ASSISTANCE THROUGH THE ARTS

DIOGO MILIOLI FERREIRA - UNIVERSIDADE FEDERAL DE OURO PRETO; MIRLA FIUZA DINIZ UNIVERSIDADE FEDERAL DE OURO PRETO; BRUNO DE OLIVEIRA ROCHA - UNIVERSIDADE FEDERAL DE OURO PRETO; FELIPE MOREIRA DIAS - UNIVERSIDADE FEDERAL DE OURO PRETO; MARCOS VINICIUS RASMUSSEN LOURES - UNIVERSIDADE FEDERAL DE OURO PRETO

The hospital environment often represents a universe of strangeness and threat where technical rules overlap the spontaneous behavior of life, which can interfere with the healing process. Intervention projects in health facilities based on recreational activities seek to make easier the difficult reality of patients and companions. It is in this context that appears the proposal of the HAART group (Humanization of assistance through the Arts), which was created in April 2009 by medical students. The project took place at adult and pediatric wards of the Santa Casa de Ouro Preto, Minas Gerais. The group is divided in two, so that every Saturday morning the students go to the local hospital, dressed like clowns, and act for approximately 2 hours. Furthermore, every 15 days, they meet to have classes about body expression, vocal abilities and to learn jokes that they can use in the hospital. To evaluate the work done so far, was made a poll with 45 individuals who received or witnessed at least one intervention of the HAART group. Were applied objective questions about the utility, scope and effectiveness of the project. Forty five people were asked to answer the poll, 20 hospital staff, 11 companions and 14 patients, aged between 20 and 72 years old (mean: 39 years old). 28 people had been assisted by the group only once, and 10 had received the interventions more than three times. 39 people (86,7%) believe that group interventions are important both for patients, companions and hospital staff. Everybody considered the patients as the most benefited. 42 people (93,3%) believe the project is good and should continue with no change; 1 person (2,2%), said that the project is good but has brought some inconvenience to hospital; and 2 (4,4%) think its not so good and needs to be modified. 91,1% of respondents reported that the visits help in the recovery of patients, 95.6% say it improves the mood of patients, 84,4% consider that it improves the mood of companions, 80% say the project improves the mood of professionals and 82,2% consider that the interventions improve the interaction between patients and health professionals and 82,2% think that it modifies the hospital environment. 93.3% believe that activities such as the proposals are important for the academic formation of medical students. Based on the interventions and results obtained through the survey, one can infer that projects like this entail benefits for all inserted in the hospital environment, including members of HAART. Despite positive results, the project still has several limitations, either as available funds or as free time between the regular classes in the medical course. However, the experiences of life during interventions end up providing a more humane medical training and a greater comfort to patients.

EXTENSION, ART AND HEALTH: THE ENCANTARTE PROJECT

FABIO MITSUHIRO SATAKE - UNIVERSIDADE FEDERAL DE MINAS GERAIS; GUSTAVO MAFRA GOMES UNIVERSIDADE FEDERAL DE MINAS GERAIS; GABRIEL RIBEIRO BARREIROS - UNIVERSIDADE FEDERAL DE MINAS GERAIS; BENEDITO SCARANCI FERNANDES - UNIVERSIDADE FEDERAL DE MINAS GERAIS; CLEO GONALVES TRINDADE RIBEIRO - UNIVERSIDADE FEDERAL DE MINAS GERAIS; CAMILA YURI NAKAYA UNIVERSIDADE FEDERAL DE MINAS GERAIS; GABRIELA PRATES PAULINELLI - UNIVERSIDADE FEDERAL DE MINAS GERAIS; GABRIEL MARTIN LAUAR - UNIVERSIDADE FEDERAL DE MINAS GERAIS; ALINE CARVALHO RIBEIRO - UNIVERSIDADE FEDERAL DE MINAS GERAIS; ANA PAULA DE MELO CAMPOS UNIVERSIDADE FEDERAL DE MINAS GERAIS

The project Encantarte has been idealized by graduation students from Faculdade de Medicina of Universidade Federal de Minas Gerais (FM/UFMG) in late 2010 in order to work jointly with the Hospital das Clnicas (HC/UFMG) pediatrics staff on the development and implementation of playful interventions in the hospital environment and also to complement the students graduation, aiming at formation of humanized professionals. In addition, it is expected to mitigate the negative impacts emerging from hospitalization, especially in childhood and adolescence. The term "clown therapy" refers to the use of artistic language of the Clown in the hospital environment in order to bring benefits to user and health staff. The HumanizaSUS national policy initiated in 2003, fostered the spread of playful activities in many hospitals around the country. In this context, the Encantarte project found the opportunity to get into the UFMG university hospital and join its humanization program. With the help from Extension Center of FM/UFMG, students wrote the text of what would be the current Encantarte Project, which was approved on 06/04/11. At the moment, in the group there are 30 volunteer students and a fellowship support. Training workshops in the art of clown guided by professional in performing arts were held since the beginning. Interventions occur weekly in the HC/UFMG pediatric wards using the clown therapy method to interact to children, caregivers and staff. Furthermore thematic workshops were carried out in cooperation with Pediatrics/HC when occured interaction to children in a playful way aiming to relieve the tension generated by the hospital internment. The Project released its first selective process in September 2011 in order to gather new volunteers. A total of 140 candidates&nbsp;submitted their names to the process and passed through a writing test. Afterwards 20 selected ones were submitted to a group dynamic, 10 being elected to integrate the Project. We participated in the college event Festival Centenrio da FM/UFMG and organized a lecture about clown therapy at Congresso Brasileiro de Educao Mdica (COBEM) 2011. In this year, we also presented 3 posters at COBEM, UFMG Conhecimento e Cultura and Congresso Brasileiro de Sade. The acquired experience during the creation process of Encantarte allowed the founders to have an opportunity to improve the relationship between students and pediatrics staff. Furthermore it was possible for the members to be integrated into the nurserys routine and it became a rare and valuable experience, especially for freshmen who doesnt have the opportunity to deal with patients until the third year of graduation. It was observed after lectures, classes and meetings, that there is a necessity to enlarge knowledge in this area, since we deal with a subjective experience. In conclusion, our future goals are to raise researches in humanization and to make possible a deeper interaction among the community.

MEDICAL FORMATION MORE QUALIFIED, EXPERIENCED AND HUMANIZED BY ACHIEVEMENTS OF THE THEORETICAL AND PRACTICAL CLINICAL SKILLS COURSES
SHERLON ELVIS PINTO RAIOL - CENTRO UNIVERSITRIO DO PAR; GABRIELA AMODO BEZERRA CENTRO UNIVERSITRIO DO PAR; FAEDY FERNANDES PINHEIRO - CENTRO UNIVERSITRIO DO PAR; CARLA PATRCIA DIAS MENDES - CENTRO UNIVERSITRIO DO PAR; LAS DE AQUINO ALMEIDA CENTRO UNIVERSITRIO DO PAR; LUISA RIBEIRO COSTI - CENTRO UNIVERSITRIO DO PAR; ANA CAROLINA ALVES MARQUES DE SOUZA - CENTRO UNIVERSITRIO DO PAR

Project Brief: The Theoretical and Practical Clinical Skills Course aims to improve the clinical reasoning, stimulating students to think and act before an event, improving the senses often used in medical practice and introducing the ordinary circumstances of day-to-day to the academic and professionals in medicine. So we seek to stimulate the clinical reasoning for obtaining more accurate diagnoses based on signs and symptoms most commonly encountered in clinical medicine and thereby, contribute to a better medical formation with more capable and resolute professionals, and provide a long-term improvement in the services provided by professionals in clinical practice. The course operation is based on the union of an Active Learning Methodology (PBL - Problem Based Learning) with Traditional Teaching Methods. So will be taught theoretical and practical lessons that will cover the eight basic systems: Cardiovascular, Respiratory, Neurological, Locomotive, Digestive, Endocrine, Urogenital and Skin and Attachments. The theoretical and practical knowledge of all systems are passed on by administrators, monitors and medical teachers (which are guiding the course), through the methods already explained to all students, as well as supervision and assistance for each student in class practices. Finishing this process the students enter into situations of simulation to put into practice the acquired knowledge in lectures and practices, will be exposed in the offices clinical cases previously developed and validated in the PBL methodology that put the medical students in the ordinary circumstances of day-to-day and training how they should act, giving them more experience. The development began in January of this year and its still under planning. It will have the support of the Centro Universitrio do Par (University Center of Par), which will give the physical space and materials needed to carry out the activities. Conclusion: The project aims to provide benefits for the Medical Community, Academic Community and Society, as provided in its objectives, taking a more adequate training in clinical practice, since the doctor-patient relationship to the most commonly used maneuvers for each system, always the primary objective of forming more qualified professionals, experienced and humane. The Theoretical and Practical Clinical Skills Course project, administered by the Academic Group of the University Center of Par, aims to constantly improve it to reaches all academics of medicine from the State of Par and perhaps all medical students in Brazil promoting a better medical training. Besides it will always act in medical education through an unlimited duration of its execution by constant classes renewal and achievements of students allowing other editions of Theoretical and Practical Clinical Skills Course.

H BRAOS PROJECT AIMS TO MAKE THE FUTURE MEDICAL CARE OF THE STUDENTS MORE HUMANE BY VISITING PATIENTS IN THE HOSPITAL SO PAULO, IMPROVING THEIR LIFE QUALITY DURING THE HOSPITALIZATION AND BY DISCUSSING WITH EACH OTHER VARIOUS TOPICS, SUCH AS THE EMOTIONS INVOLVED IN CARE, SPIRITUALITY, THE FACING OF THE DEATH PROCESS, AMONG OTHERS. Letcia Sant'Ana Cardoso da Silva; Rafaela de Moraes Souza; Marina Cassone Buozo; Ellen Rodrigues Cavagis; Jessica Hae Lim Lee; Yolanda Maroto Teixeira; Roxana Pasquier Haquin; Silvane Ramos dos Santos Vasconcelos; Afonso Carlos Neves Objectives: The project H Braos is coordinated by the Extension of CAPB (Student Union Pereira Barretto) and was formed by Medicine students from UNIFESP, which was looking for humanization in the relationship between physician and other team members. Especially between physician and patient, overcoming common tendency of dehumanize this relationship in medical care. Thus, it gives an opportunity for the student to see patients as human beings and not as a pathology, and also provides patients a better quality of life during hospitalization. The name: The project name is something to pay attention to. In Portuguese, hugs and there are arms can be said with the same phonetic, symbolizing the humanization and the availability to embrace. The Idea: Hospital So Paulo (HSP) is a reference for Brazil in treatment of rare and complex diseases. Because it is a teaching hospital, very often, the staff forget that patients are human beings and that, due to the hospitalization, they are more fragile and in need of assistance and companion to talk about other things than the illness. Methodology: The project is based in two learning methods: visiting patients and meetings to talk about the experiences and discuss humanization topics. Visits: They occur to patients of Cardiology and Rheumatology wards at HSP. These wards were chosen because chronic patients suffered more with the dehumanization process that a university hospital can create by treating patients as pathology. These visits enable the improvement of the approach to patients, as well as allow a rapprochement between those who want to listen and learn and those who needs attention and affection. The visits are always moments of sharing: experiences, fears, wishes. Its a trade, in which both sides gain. Undergraduates learns the extension of the patient as a biopsychosocial being and the patient posture towards the treatment can change, turning them more into an optimistic, positive, strong and confident person. Meetings: They occur once a week, when each pair may share their feelings about the visit or discuss about a proposed text or movie, and then reflect collectively. At some meetings, a professional is invited to teach/ advise. Conclusion: The project emerged from an initiative of undergraduates of Medicine and each year has aggregated new members willing to learn how to become better doctors and individuals through the practice of verbal and non-verbal communication, to develop the respect and sensibility towards the other. Besides, is expected from the project, being a complementary experience to undergraduates, promoting an individual transformation at the students, patients, staff, also promotes a collective change at the way the medical care, the welcome and the sickening is conceived.

FRESHMEN RECEPTION: A HUMANIZED, SOCIALLY ENGAGED, ALTERNATIVE.

HUGO COSTA CARNEIRO - FACULDADE DE MEDICINA DA BAHIA - UFBA; MARYANA DIAS NOVAES FACULDADE DE MEDICINA DA BAHIA - UFBA; DEIVISSON FREITAS DA SILVA - FACULDADE DE MEDICINA DA BAHIA - UFBA; ITALLO OLIVEIRA SANTOS - FACULDADE DE MEDICINA DA BAHIA - UFBA; THAMIRYS REGINA MARINHO SOUSA - FACULDADE DE MEDICINA DA BAHIA - UFBA; DIANE DE JESUS NUNES FACULDADE DE MEDICINA DA BAHIA - UFBA; FLAVIA CARDOSO FRANCA - FACULDADE DE MEDICINA DA BAHIA - UFBA; VICTOR PORFRIO DOS SANTOS ALMEIDA - FACULDADE DE MEDICINA DA BAHIA - UFBA; KAMILA DA MATA FUCHS - FACULDADE DE MEDICINA DA BAHIA - UFBA; ANA SOUZA MARQUES FACULDADE DE MEDICINA DA BAHIA - UFBA

Project Brief: Cases of violent receptions to the graduation students (freshmen) are frequently broadcasted by the media around the globe. These students are put under humiliating and aggressive situations (usually against their will), a reality that is unacceptable, especially in an academic environment. As usual, at the beginning of each semester, new faces are seen around the Medical School, all of them excited about the onset of a new stage in life. However, they are traditionally welcomed by their fellow colleagues with derogatory hoaxes and submitted to embarrassing situations. Since 2009, as an opposing alternative to this situation, the Tutorial Education Program (PET Medicina) along with the Medical Students Directory (DAMED), created the Sympathetic freshmen reception, in order to provide a proper welcoming, and at the same time, put together activities aiming the students integration and the development of a feeling of social responsibility, indispensable in a medical doctor formation. In order to facilitate the freshmen access to important academic information, these are assigned in groups sponsored by a more experienced student, member of the PET group, which should be available during the first semester to help with possible doubts. A written guideline, which contains diverse useful information on the students routine, is distributed, smoothing the freshmen adaptation to the new environment. During the first week of class, the academics attend to a special schedule, in which they participate in activities such as: body expression and holistic medicine workshops; discussions on the humanization of healthcare, brazilian public health policies and the social role of university; trip to the states center of blood products for volunteer blood donation and register in the bone marrow donors database, tour around the School facilities; emergency birth delivery class; biosafety lectures; exhibition and discussion on the Michael Moores movie Sicko, as well as a playful chat about the extended concept of health. In spite of being a week of non-obligatory extra-curricular activities, the average attendance is usually 75% of the total number of students (eighty). Conclusions: Every semester this initiative proves to be highly successful, fostering a reflection on all forms of violence and the necessity of the humanization of all social relationships, including in healthcare and education. A greater interaction between older and younger students is also achieved, which is very useful along the six graduation years. In conclusion: this experience not only collaborates to the freshmen adaptation to their new reality and benefits all community, but most importantly, corroborates for the construction of each individuals perception of their role in society as future doctors.

EDUCATION ON SEXUAL AND REPRODUCTIVE HEALTH: FORMATION OF YOUNG LEADERS MULTIPLIERS

JOSE LUIZ DE LIMA NETO - FMB-UNESP; BARBARA CRISTINA CASEMIRO DA ROCHA - FMB-UNESP; BIANCA TOFOLI - FMB-UNESP; LVIA AMORIM - FMB-UNESP; LIVIA MENDONA FERREIRA - FMB-UNESP; CLARITA TERRA RODRIGUES - FMB-UNESP; LAS ALINE MAZON GUIDUGLI - FMB-UNESP; MARLI TERESINHA CASSAMASSIMO DUARTE - FMB-UNESP; ELEN ROSE LODEIRO DA CASTANHEIRA - FMBUNESP

Project Brief: Holding discussion groups, workshops and classes has been an additional area of training focused on multidisciplinary education in health and community interaction. Medicine and Nursing students, together in the Sexual Health and Reproductive League- SASERE of the Faculty of Medicine in Botucatu UNESP, has being operating since the beginning of 2011 in partnership with the Military Police in Botucatu working towards the formation of leaders among adolescents and young people, through qualified educative actions. The Project has an objective of preventing STD/AIDS, unwanted pregnancies and health education, especially among groups of higher vulnerability, with special attention to young people and adolescents. The work is directed to pupils of two public schools in Botucatu and the main aim is to discuss topics related to sexual health, explaining myths and truths and answering existing questions, through dynamic education. The participating young people belong to a group chosen by the Military Police for the formation of young citizen leaders and other pupils interested and are authorized to participate in the activities. It is expected that through this the university students have an opportunity to a better multidisciplinary formation focused on health education, interaction with the community and health services. And through the project the pupils in the public schools will benefit with the classes, improving their knowledge and becoming leader multipliers in the community. The main challenges encountered during the project were: the creation of affinity with the students to the point of them getting comfortable and opening up to talk about personal issues and propound their thoughts and questions about this topic; finding a common time among the medicine and nursing students and the pupils from the public schools. However, with practice and effort from the academics such difficulties were remedied and the project has increasingly improved. As a result, SASERE identified a great interest from the participants, especially the ones who would come at their own will. The group of pupils was very heterogeneous, formed by people of different ages and with that the questions were many, showing a great understanding of the topics, which was more visible at each encounter, from which we could ask questions too. We believe that, this way the project went beyond the idea of just forming leader multipliers, as we attracted more students than expected, understanding that we can intercede in the community in an enjoyable and effective manner, as we learned together with the pupils, who brought us questions and constructive experiences. Therefore, our goal has certainly been achieved, although there is a lot to be done in these and other schools in Botucatu.

LEAGUE OF KIDNEY AND HYPERTENSION: THE EXPERIENCE OF SUSTAINABILITY IN AN ACADEMIC LEAGUE

JULIANA AKITA - FACULDADE DE MEDICINA DE BOTUCATU (UNESP); PAMELLA AJEJ BONANI FACULDADE DE MEDICINA DE BOTUCATU (UNESP); JOYCE GODOY FARAT - FACULDADE DE MEDICINA DE BOTUCATU (UNESP); ANA CLARA FUZISSIMA - FACULDADE DE MEDICINA DE BOTUCATU (UNESP); JACQUELINE TEIXEIRA CARAMORI - FACULDADE DE MEDICINA DE BOTUCATU (UNESP); PATRICIA PEROLA DANTAS - FACULDADE DE MEDICINA DE BOTUCATU (UNESP); REGIANE ALVES DE SOUZA FACULDADE DE MEDICINA DE BOTUCATU (UNESP); EDWA MARIA BUCUVIC - FACULDADE DE MEDICINA DE BOTUCATU (UNESP)

The League of Kidney and Arterial Hypertension(LIRHA) founded in 2009 by medical students of Botucatu Medical School(UNESP), linked to Nephrology Department of Internal Medicine, consists of medical, nursing and nutrition students, totalizing 35 in 2011. The supervision of activities is done by nephrologists, nurses and nutritionists. This Project Brief shows LIRHAs strategies for the sustainable development and its proposal, those involves four pillars: extension, teaching, research and fundraising. In extension, LIRHA conducts health promotion and prevention of chronic kidney disease(CKD) by promoting the training of professionals in primary health care and public campaigns, in which alert population about risk factors for CKD and identify individuals at risk of developing renal complications by measuring blood pressure, blood glucose, serum creatinine and proteinuria test. It has the holder of Municipality and Botucatuense Association of Hypertension Support. The sustaining strategy to host individuals screened in campaigns was the creation in 2010 of an own ambulatory, at School Health Center, a satellite unit of the university. In it, the league members have the opportunity to promote health, participate in individual and group sessions, applying the knowledge acquired at university. It is holding 40 outpatient visits per semester, with reference and counter reference practice. In Teaching, professors teach basic themes about management of renal patients and prevalent diseases in Nephrology. Its sustain strategy has been the diversity of themes and teachers and suggestions of students. In research, preventive and capacitating actions generate a database which allows the development of epidemiological knowledge about hypertension, diabetes, CKD, obesity, and others; and the identification of effective tools for screening risk factors for CKD. LIHRAs results were presented on scientific events such as Expo-Extenso(UNESP), congresses(four studies) and, at XXV Brazilian Congress of Nephrology, has won the first place at the II Prize Leagues without Frontiers, granted by Brazilian Society of Nephrology. LIRHA promotes institutional events like the Course of Scientific Initiation, with a public of around 200 people and the Advance Cardiologic Life Support course for the members. Outside the university organized the First Meeting of Leagues of Nephrology, at XVI Paulista Congress of Nephrology-2011. The fundraising has been achieved by the inclusion of LIRHAs activities in university extension projects(Proex-UNESP) that supports with annual aid and scholarships, and by enrollment in scientific events. Conclusion: LIRHA seeks to diversify its activities and expand them in the community. It aims to achieve population samples unaffected in conventional campaigns and promote training courses for general physicians. Thus, actions with their own ambulatory and headquarters, teaching, research, fundraising and site, LIRHA strengthens its pillars.

IMPROVING CLINICAL REASONING THROUGH CASE BASED DISCUSSIONS A CLINICAL MEDICINE IMMERSION BY MEMBERS OF THE ACADEMIC LEAGUE OF CLINICAL MEDICINE OF BAHIA (LACLIM BA)
MARINA CAMPOS SIMES CABRAL - FACULDADE DE MEDICINA DA BAHIA - UFBA; LENNO ANJOS FACULDADE DE MEDICINA DA BAHIA - UFBA; LILIAN MARTA DO AMPARO SOBRINHO - FACULDADE DE MEDICINA DA BAHIA - UFBA; RAFAELA ARAUJO LIMA - FACULDADE DE MEDICINA DA BAHIA - UFBA; REN DE ARAJO GLEIZER - FACULDADE DE MEDICINA DA BAHIA - UFBA; RANNY GREICE CARDOSO PEREIRA - FACULDADE DE MEDICINA DA BAHIA - UFBA; RODRIGO ANDRADE DA SILVA - FACULDADE DE MEDICINA DA BAHIA - UFBA; IZABELLA MORAES DE MOURA - FACULDADE DE MEDICINA DA BAHIA UFBA; SABRINA RODRIGUES DE FIGUEIREDO - FACULDADE DE MEDICINA DA BAHIA - UFBA; MARIANNA PINHEIRO MORAES DE MORAES - FACULDADE DE MEDICINA DA BAHIA - UFBA

Project Brief: The Academic League of Clinical Medicine of Bahia (Liga Acadmica de Clnica Mdica da Bahia - LACLIM-BA), a nonprofit institution, was founded in 2007 by medical students of the Federal University of Bahia with the purpose to offer a distinct learning environment by discussion of topics on clinical medicine. The discussions are always focused on general aspects of medicine, with emphasis on clinical reasoning. By the first years of its activities, LACLIMs meetings were constituted of expositive classes about relevant themes for the generalist clinician. In 2010, a new proposal arose aiming a comprehensive approach to improve clinical reasoning skills through clinical case discussions. Initially, each league member is assigned a specific sign or symptom considered to be relevant in medical practice. One member is responsible for bringing a case report related to the assigned theme. A medical professor is then invited to join the league meeting with the purpose to guide the students along the discussion. During the meeting, which is opened for all academic community, the responsible member presents the case in details, focusing on semiologic aspects and may answer questions. After the list of problems exposition, the participants are divided in groups to discuss the case and the differential diagnosis. The clinical reasoning process is stimulated to follow 3 steps: first, the syndromic diagnosis (which syndromes are present); then, the physiopathological/topographic diagnosis (which processes could be occurring to explain the situation); and, at last, the etiological diagnosis (possible etiologies to justify the case). After that, the groups expose their discussion's results and which complementary exams could be asked to elucidate the diagnosis. The professor may comment the student's reasoning, talk about possible divergences and use his experience to answer any. The session finishes with the exposition of the complementary tests results and the final diagnosis. After the change of methodology applied at the meetings, it was noticed a better interaction between students of different stages of the medical course during the discussions. It was also observed the disinhibition of some students to expose their opinions, improving the dynamics of the meetings. The students who have a regular participation on the activities report that they are having best performances at other case discussions and that they are more motivated to improve clinical reasoning skills. Conclusion: This method of learning approaches the current tendency of health education, in which knowledge is offered in a participative way, respecting the previous know-how of each student in their respective stages. Therefore, LACLIMBA will go on with this new methodology believing that the constant exercise of clinical reasoning centered in the patient and not in the disease contributes for a better learning process, preparing medical students to be better clinicians.

TIQUINHO DE ALEGRIA: HUMANIZING THE CARE OF HOSPITALIZED CHILDREN

ALANA OLIVEIRA ABRANTES - UFPB; INGRID LACERDA PESSOA - UFPB; ALYSSON ARANHA DOS SANTOS - UFPB; ROBERTA ISMAEL LACERDA MACHADO - UFPB; MARIA YVONE CARLOS FORMIGA DE QUEIROZ UFPB; &#8206;ALUIZIANE RHAZIA BORGES GOMES - UFPB; ARTUR BARBOSA LIMA - UFPB; MAIZE CORDEIRO DE MELO - UFPB; IAPONIRA CORTEZ COSTA DE OLIVEIRA - UFPB

Project Brief: Tiquinho de Alegria is a university extension project that is based on clown therapy, one of the best known modalities of hospital humanization. The project was created by two Medicines academics from Universidade Federal da Paraba (UFPB) in 2010 and has been working since 2011 until this year. Currently, the project involves nine medical students and three director teachers. Before starting the project activities, the students have participated of a 50 hours training course for the therapeutic clowns formation. The project aims to promote recreational activities seeking to alleviate the fear and anxiety faced by children during their hospital stay, offering a more pleasant and cheerful environment. The main area of practice is the Infectious Diseases sector of the Hospital Universitrio Lauro Wanderley (HULW). Interventions are carried out weekly, with an average duration of 15 minutes in each ward, where the project's volunteers have characterized themselves as clowns, bringing toys that are part of play, dynamic conversations and singing with children and family members. The project also operates in the hospitals Pediatric sector and promote educational activities in other sectors, mainly in especial holidays. During interventions, it is clear that the insertion of the clown in the hospital softens the hostile environment, brings joy, motivation and confidence, helping them to deal with traumatic experiences in the hospitalization process. Besides, it improves the acceptance of the treatment, which demonstrates the importance of this "therapy". The project received the title of Honorable Mention as one of the three best papers presented at the V Encontro Paraibano de Arteterapia, Arte Terapia: territrios intercomunicantes, held on August 25, 2011, at UFPB, in Joo Pessoa. Besides being recognized by the superintendent of HULW as of great importance to the community, the project was also highlighted on local newspaper and TV news. Conclusion The activities performed by the group "Tiquinho de Alegria" favor the humanization of care, allowing the psycho-social attention during the difficult separation from everyday life, providing a more pleasant environment for children who are hospitalized. Due to the significant contribution to the hospital humanization and professional growth of everyone involved in the project, the aim is to enlarge the field for the sector of Servio de Assistncia Especializada ao portador de HIV/AIDS (SAE). However, it has not been achieved because of the incompatible schedules between the sector operation and the students classes. Another difficult is the financial issue, because the project requires the constantly replacement of materials. To solve these problems, the group plans to enter new members and intensify the project dissemination by looking for partnerships that enable the continuation of social actions.

EXPERIENCES OF EXTENSION IN TIMBO PROJECT: HUMANE EDUCATION FOR HEALTH PROFESSIONALS

GABRIELA ALBUQUERQUE BATISTA DE ARAJO - UNIVERSIDADE FEDERAL DA PARABA; GILVANDRA DE FTIMA OLIVEIRA AZEVEDO - UNIVERSIDADE FEDERAL DA PARABA; POLLYANA CLARA GOMES SILVA UNIVERSIDADE FEDERAL DA PARABA; RODRIGO FLIX GURGEL - UNIVERSIDADE FEDERAL DA PARABA; RENATA VASCONCELOS GUEDES - UNIVERSIDADE FEDERAL DA PARABA; CAROLINA CAMPOS BRITO UNIVERSIDADE FEDERAL DA PARABA; DILLA RAMALHO MARQUES GALVO - UNIVERSIDADE FEDERAL DA PARABA; JULIANA DELGADO BRILHANTE - UNIVERSIDADE FEDERAL DA PARABA; NICHOLAS DE VILA LINS QUEIROZ - UNIVERSIDADE FEDERAL DA PARABA; EMDIO JOS ARAJO ROCHA UNIVERSIDADE FEDERAL DA PARABA

Project Brief: Timbo Project: Humane Training of Health Professionals was developed in the community Timbo II, in the city of Joo Pessoa, Paraiba, Brazil, in the period from May to December 2011. Through interaction with professionals in the Family Health Team (FHT) and community, the project enabled the experience of health graduates with the reality of the health-disease process. The first part of the project consisted of visits to Family Health Unit (FHU), as well as to the territory, in order to understand its functioning, with the professionals. We followed the work of health workers, the work of the nurses, dentists and doctors. Furthermore, activities in "Waiting Rooms" were carried out in order to inform relevant health issues and, at the same time, distract users while they are waiting for care. Despite having little structure and resources, we could observe a great commitment and efficiency of the FHT in the construction of health care. In the second part, several works were made, based on the experience in the Support Homes, slots granted by community members to carry out educational activities to promote health. The objective of this step was to extract, through discussions, people's knowledge about health, trying to build, along with them, new relevant concepts, in a true exchange of knowledge and values.Were discussed themes like: STDs, alcohol, food, women's health, hypertension and diabetes, among others, all suggested by participants. More over, in this step, events were held with the community. At the beginning of July, there was the "Elderlys Party", held in a local ballroom. Several elderly people were present, constituting a time of fellowship and fun, with music, traditional foods and raffle of food baskets, given the importance of social life for the elderly. In October, there was the "Children's Day", which featured the massive presence of community children from 6 to 12 years old. Consisted of an afternoon of great joy, educational games, candies and one play. In December, there was a closure, with all members of the Support Homes, confirming the link established during this time of work. Conclusion: Thus, we find that the Timbo Project was very helpful for both students and the community. It is so because, for the students, future professionals, was a way to get into health practice, experiencing the reality of the poor people and helping them. That way, the humanized side of the academics could be developed. In contrast, residents of Timbo II had the opportunity to learn from the discussions and questions raised. Therefore, the activities promoted a link between the FHT, extension workers and the community.

I BELIEVE
PAULA MENDES TEIXEIRA - UNIVERSIDADE DE UBERABA

Project Brief: For a long time the curing process was based only in hospitalization, medication and tests. In this perspective, hospitals were devised only uncomfortable environments, that instead of providing welfare for the patients, who were increasingly frightened. Over time this view has been changed and we understand that health encompasses much more than just caring for the body itself, the healing process, especially in children, can be much more efficient when we understand the need for a more pleasant environment. With this vision in 2005 medical students at the University of Uberaba, created the Circus of Health League, where we dress as clowns. Weekly we meet at Children's Hospital in Uberaba-MG, Brazil. This project aims to bring a welfare not only for hospitalized children but also for their parents and caregivers, to improve the quality of life and become, as painful as this time is, less uncomfortable. We believe we can bring joy to places that long ago it is lacking, we can make difference for our training and, become better human beings and health care professionals. As a result we observed a significant improvement in the healing process, we have reports of patients, who had not yet closed diagnosis, have improved just by our presence. The hospital was once disgusted by the children, they now wait anxiously for the presence of clowns. And every day we see our and childrens dreams come true in the league, we are now 43 members and the demand is still very large. Over seven years we managed to overcome all our expectations and overcame prejudice suffered initially by being clowns in a medical school. As future projects, we are always organizing workshops for the purpose of improving our techniques and learning. For example, magic workshops, body language, jokes, and psychological support from other groups in monthly discussions. For the future, we also give priority for the demand of candidates who apply for admission tests, which take place annually after the symposium and an introductory course. Conclusion: This job is extremely rewarding because it shows results all the time. Those moments when a child smiles with pain and retributes a joke, a hug, parents who see their children come back to be children only for a moment and cry. And for all these reasons we are sure we make the difference and thats why we believe in clown.

THE APOLO PROJECT: STRATEGY TO CREATE IMPACT IN MENS HEALTH CARE IN BRAZIL.
VIVIANE TEIXEIRA LOIOLA DE ALENCAR - UNIVERSIDADE FEDERAL DO CEAR; HUMBERTO BIA LIMA FORTE - UNIVERSIDADE FEDERAL DO CEAR; FERNANDO KLEIN LEITO - UNIVERSIDADE FEDERAL DO CEAR; CLARA MOTA RANDAL POMPEU - UNIVERSIDADE FEDERAL DO CEAR; CAIO MARTINS MENEZES NAVES MAYRINK - UNIVERSIDADE FEDERAL DO CEAR; BRBARA XIMENES BRAZ UNIVERSIDADE FEDERAL DO CEAR; DIEGO ANDR HORTNCIO ORTEGA DOS SANTOS - UNIVERSIDADE FEDERAL DO CEAR; DANIEL MACHADO AMARAL - UNIVERSIDADE FEDERAL DO CEAR; INGRID KELLEN SOUSA FREDERICO - UNIVERSIDADE FEDERAL DO CEAR; MARIANA LIMA VALE - UNIVERSIDADE FEDERAL DO CEAR

The Apolo Project has the mission to change the existing social paradigm related to mens health in Brazil, today acknowledged as a public health matter and a priority to the Ministry of Health. Studies demonstrate that men are more susceptible to severe and chronic diseases than women and present lower life expectancy. Despite that, the attention to this matter by public policies is still very new. There are measures for prevention and early detection, but the pursuit of Health Care is very deficient, occurring frequently when the disease reaches a more severe stage and the prognosis is worse. Today, there arent any known efficient measures for altering this situation. The project is based upon the premise that the active participation of the individual is essential to the establishment of his good health and could be obtained by the development of consciousness and self-care. The methodology consists on the approach of groups of men in labor unions and firms with dynamic debates about relevant themes in mens health, such as diabetes, hypertension, sexuality and cancer, focusing on preventive measures and encouraging the pursuit of Health Care. Occupational health is also discussed. The target population are men with low social economic and educational status, and difficulty in accessing the public health system. Each participant receives a textbook, which functions as a long-term learning tool. Afterwards, hypertension, diabetes and metabolic syndrome tracking is performed by anthropometric, blood pressure and glycaemia measures. Those with altered results are referred to the appropriate public health center. Questionnaires are also applied in order to trace the epidemiologic profile of the approached population. The first act of the project was among bus drivers in one of the capital cities in the Northeast of Brazil. Approximately 20 people participated and one was referred to a health care center for altered results compatible to metabolic syndrome. Conclusion: The project innovates for acting in a problem not well approached in Brazil, but essential to the health promotion. The main issue to be resolved concerns the change in mens perspective about their own health. As a solution for increasing the participation of the target population, the project intends, in accordance with each company, to act during labor hours and offer a surprise gift, a health kit, for the winner of the last activity: a game concerning the discussed themes. The project intends to act in 2012 in eight different places, with an estimated public of 400 people. We expect to create a significant change in the way these men face the health issue, turning them into multipliers inside their communities. The knowledge obtained will be published and will help the development of increasingly more efficient acting strategies. Furthermore, its methodology turns the project into a viable and low cost alternative for the exposed problem, with a great potential for expansion.

SIX YEARS OF HISTORY AND ACTION OF A CLOWN-THERAPY UNIVERSITY GROUP IN PUBLIC HOSPITALS IN A CAPITAL CITY IN THE NORTHEAST OF BRAZIL
VIVIANE TEIXEIRA LOIOLA DE ALENCAR - UNIVERSIDADE FEDERAL DO CEAR; SARAH GOMES DIGENES - UNIVERSIDADE FEDERAL DO CEAR; PATRCIA PONTES AIRES - UNIVERSIDADE FEDERAL DO CEAR; HUMBERTO BIA LIMA FORTE - UNIVERSIDADE FEDERAL DO CEAR

The extension project Projeto Y de Riso, Sorriso e Sade, in its six years of acting at the University Hospital Walter Cantdio, the Cancer Institute of Cear and hospitals of Fortaleza, a capital city in the Northeast of Brazil, has given its members a practical perception, through the use of clown-therapy, of the need to humanize health care. The members of the group dress up as clown doctors, in the purpose of integrating the art and joy to the hospital environment, with the use of music, storytelling, balloons, magic and theater. The project acts on academic formation through the integration of Medical, Nursing, Psychology and Physiotherapy students, which allows a continuous exchange of values between future health care professionals. The development of the group is obtained not only with the clown-inhospital approach, but also with researches and University activities. Through six years of practice, the Project believes in recovering the main role of the health care professional in patient and family care during their stay in the hospital, and also in valuing and improving ethical e moral values in academic formation.

PROJETO XINGU: BRAZILS OLDEST UNIVERSITY EXTENSION PROJECT LEARNING, TEACHING AND WORKING WITH INDIGENOUS HEALTH Ana Bresser Pereira UNIFESP Tokeshi - UNIFESP; Ellen Rodrigues Cavagis -

Creating the Project Xingu : The Escola Paulista de Medicina of the Federal University of So Paulo (EPM UNIFESP) began working in the Paque Indgena do Xingu (PIX) in 1965 after a measle epidemic killed 20% of the indigenous population in Alto Xingy in the 1950s, therefore, immunization accompanied by registration and clinical attendance, became a priority. With this came the beginning of the Projeto Xingu, an extension program of the Preventive Medicine Department of the Federal University of So Paulo of the Escola Paulista de Medicina. It is Brazils oldest university extension project still in activity. During 46 years of work in the PIX, activities grew and changes as the epidemiological, social and cultural reality of the xinguan population changed. During this process the principles that guided and still guide the projects works are: interculturality, integrality and intersectorality. The programs created involved training and development of human resources, including Indians, and organizing a differentiated health care system, articulated with the Sistema nico de Sade (SUS). Attending to indigenous leaders and communities demands, EPM- UNIFESP became responsible for the implementation of the health care actions and the development of human resources in the PIX. It is in this context that the Project Xingu extension activities are carried with the active participation of graduate students, residents and post graduate students. The Project is consistent with the principles of university extension primarily in terms of social impact, valuing indigenous social and professional inclusion, and in terms of professional qualification in health, articulating education institutions with health services. Giving the education, research and extension are inseperable, the project objective is to consolidate its teacher-ssistance activities related to indigenous health. The fact that indigenous health involves many public policies sustains such an objective. To learn, to teach and to work, these have neen Projeto Xingus hallmarks in its activities that involve: 1. Indigenous study group mainly for graduate students. The meeting involve group discussions, presentations, lectures, researches; 2. Open seminars directed to all the universities students; 3. Fieldwork students and residents participate in immunization trips in the PIX, Indige nous Health Care Agents Training, escorting indigenous pacients being attended at the Ambulatrio do ndio, Hospital So Paulo or the CASA/SP. 4. Research activities students and residents participate in research activities that are in progress in the indigenous villages in Xingu or near So Paulo. Conclusion The experience Project Xingu has made possible deep reflection involving the development of health care professionals in intercultural contexts. Such experiences have proved that it is possible to create a health care system that contemplates the cultural elements of those who make use of the system not only with indigenous health.

THE SCHOOL EDUCATION PROJECT VOLUNTEER WORK INVOLVING TEENAGERS

CLARA MOTA RANDAL POMPEU - FACULDADE DE MEDICINA - UNIVERSIDADE FEDERAL DO CEAR; INGRID KELLEN SOUSA FREDERICO - FACULDADE DE MEDICINA - UNIVERSIDADE FEDERAL DO CEAR; JOO HENRIQUE DE SOUZA ANGELOTTO - FACULDADE DE MEDICINA - UNIVERSIDADE FEDERAL DO CEAR; PAULO MARCELO PONTES GOMES DE MATOS - FACULDADE DE MEDICINA - UNIVERSIDADE FEDERAL DO CEAR; VIVIANE TEIXEIRA LOIOLA DE ALENCAR - FACULDADE DE MEDICINA UNIVERSIDADE FEDERAL DO CEAR; FERNANDO KLEIN LEITO - FACULDADE DE MEDICINA UNIVERSIDADE FEDERAL DO CEAR; DIEGO ANDR HORTNCIO ORTEGA DOS SANTOS - FACULDADE DE MEDICINA - UNIVERSIDADE FEDERAL DO CEAR; HUMBERTO BIA LIMA FORTE - FACULDADE DE MEDICINA - UNIVERSIDADE FEDERAL DO CEAR; DANIEL MACHADO AMARAL - FACULDADE DE MEDICINA - UNIVERSIDADE FEDERAL DO CEAR; MARIANA LIMA VALE - FACULDADE DE MEDICINA UNIVERSIDADE FEDERAL DO CEAR

Project Brief: It is known that the adolescence is a peculiar period in life, during which many questions and doubts arise. Besides, during this phase, the young adults become sometimes more vulnerable to outside influences, in the, so called, search of themselves. Therefore, providing assistance and guidance is not only important, but extremely necessary, because, once the teenagers receive some information, they become more capable of going through all the changes and difficulties of this period. Aware of this fact, a group of medicine students, linked to a Program, from the city of Fortaleza Ceara Brazil, created The School Education Project, in order to establish a straighter communication path with adolescent students. The School Education Project is very consistent with the philosophy of work of the group. One of our main principles of work is to offer to the society, beyond the university level, some information, and act in order to improve quality of life. Therefore, perform such volunteer work with a group of young adults fits with our goals. A partnership was set with a public school of the city of Fortaleza Ceara Brazil. During the year of 2010, meetings were conducted every two weeks, for two months, with the same group of students, seeking to strengthen our bonds. Many different subjects were approached, emphasizing themes like sexuality, violence, eating disorders and various types of art, always stimulating the participation of the students in the activities. An emphasis to emotional issues was given as well, by encouraging them to talk about any concerns they might have, dreams, future projects, stimulating the dialogue and making them aware of the importance of communicating. Every meeting was opened with a dramatization, performed by the members of the Program, regarding the theme of the day, exposing a problem-situation used as starting point to initiate the discussions concerning each matter. After that, the group was divided into small groups of ten students, so they would feel more comfortable to expose their opinions. Then a lunch was served, followed by lectures and the exposition of videos related to the theme discussed. In each meeting, the average public was forty five students, and the themes that most caught their attention were those related with university life as a whole. The students joined the activities showing strong commitment and interest. Conclusion: The experience of acting as educators has shown that the process of education involves both the educator and the student, only achieving the best result when there is a commitment from both sides. This experience showed that it is up to students, through the aid of the academics, the reinterpretation of reality in which they live in, allowing the development of new perspectives in various fields. We wish to expand the project, by working with other schools, and also by stimulating other groups.

THE SELECTIVE COLLECTION OF GARBAGE AS A WAY TO RAISE AWARENESS, EDUCATE AND ENTERTAIN CHILDREN IN A COMMUNITY
GILVANDRA DE FTIMA OLIVEIRA AZEVEDO - UNIVERSIDADE FEDERAL DA PARABA; POLLYANA CLARA GOMES SILVA - UNIVERSIDADE FEDERAL DA PARABA; RODRIGO FLIX GURGEL - UNIVERSIDADE FEDERAL DA PARABA; RENATA VASCONCELOS GUEDES - UNIVERSIDADE FEDERAL DA PARABA; CAROLINA CAMPOS BRITO - UNIVERSIDADE FEDERAL DA PARABA; DILLA RAMALHO MARQUES GALVO - UNIVERSIDADE FEDERAL DA PARABA; JOS ITALO PINTO RODRIGUES - UNIVERSIDADE FEDERAL DA PARABA; ANA LUSA BONFIM RAFAEL - UNIVERSIDADE FEDERAL DA PARABA; MARIANNA GOMES CAVALCANTI LEITE DE LIMA - UNIVERSIDADE FEDERAL DA PARABA; GABRIELA ALBUQUERQUE BATISTA DE ARAJO - UNIVERSIDADE FEDERAL DA PARABA

Introduction: The garbage generated by humans has become a worldwide problem, affecting the quality of life. Residents of Timb, a community located in Joo Pessoa (Paraba /Brazil), many of them involved in scavenging and recycling, suffer from accumulation of trash in the community. Thus, our university extension project called "Training of Professionals in Human Health Care 2011" turned to the garbage problem and conducted a workshop titled "The Cleaning Squadron" with the children in this territory. The intent was to foster a mobilization and an education campaign about the importance of proper management of waste and its potential as a recyclable material. We were able to promote these children to develop themselves in a sustainable context and away from diseases associated with contaminated environment by waste. Materials and Methods: This is a descriptive study that reports the experience gained in educational workshop developed by the university extension project with children assisted by the Family Health Unit(FHU) Timbo II (Joo Pessoa / PB / BRA). The workshop was held with the support team of family health, extensions students and students of the educational program at work. Those responsible by childrens consented activity that was developed in Annex of the USF Timbo II on 26/06/2011. About 30 children between 4 and 12 years attached to USF Timb II participated in the "The Cleaning Squadron." Initially, the workshop instructors encouraged a reflection on the issue of garbage in the community and its correct destination. Confected containers according to the colors and symbols of recyclable materials were made so the children could understand them. Then, the children were divided into subgroups, supervised by workshop instructors, to conduct a scavenger hunt with active search aimed to collect as much recyclable material dispersed through the streets of the community. Each child received a kit of the squadron (gloves and bags) and a recommendation to not collect sharp objects or organic garbage. Results: As expected, the children collected a large amount of waste and, upon returning to the Annex, the material was separated in the right collectors. Thus, it was a remarkable learning in a dynamic and fun way. Conclusion: The proper treatment of garbage and recyclable material should be regarded not only as a necessary attitude in order to basic sanitation, but also as an alternative source of income in the community. Actions that will improve their quality of life and, consequently, their health, is welcome. In a second step, the material collected will be used for making toys, turning inappropriate materials on useful and creative ones. Therefore, it is expected that the children who participated in the "Cleaning Squadron" may continually sow the principle of recycling in the community making it cleaner and healthier.

A SPIRITUAL APPROACH TO INPATIENTS AT MARIA APARECIDA PEDROSSIAN UNIVERSITY HOSPITAL

LDIA MARIA GONALVES - UNIVERSIDADE FEDERAL DE MATO GROSSO DO SUL; LEANDRO ALMEIDA ASSUNO - UNIVERSIDADE FEDERAL DA GRANDE DOURADOS; MARCELO DE SOUZA CURY - BIDMC/ HARVARD MEDICAL SCHOOL; EDILSON DOS REIS - UNIVERSIDADE FEDERAL DE MATO GROSSO DO SUL; DECIO IANDOLI JUNIOR - UNIVERSIDADE ANHANGUERA-UNIDERP; MARCELO LOURENO MORTARI ALVES - UNIVERSIDADE FEDERAL DE MATO GROSSO DO SUL; KARINA PEREIRA HECKLER UNIVERSIDADE FEDERAL DE MATO GROSSO DO SUL

Project Brief: Science has been proving how important spiritual aspects are in the humans life. Nowadays spiritual knowledge is leaving churches and temples to take place in the best universities of Brazil, in a similar fashion as it did in other developed countries. Religious beliefs and practices are associated with better immune function, lower rates of cancer mortality, lower incidence of heart disease, lower blood pressure, and lower cholesterol levels. A study enrolled 337 patients treated at Duke University Medical Center in North Carolina. It identified that 90% of the patients consider religious belief very important during medical treatment. King &amp; Bushwick showed that 77% of patients interviewed think that physicians should address spiritual issues with their patients and 37% would like to see more discussion by the doctors of their religious beliefs. In another study, published in the Journal of General Internal Medicine, 66% of patients felt that doctors should be more mindful of the religious and spiritual beliefs of their patients. However, these aspects are not properly studied in many medical schools and other health care universities. Aim: to address with medical students the importance of spiritual approaches to their patients. Methods: All voluntary medical students who attempted this project received information about FIIA. After, they went to see inpatients and conduct a spiritual anamnesis. They might have started with FIIA and then felt free to conduct the conversation about patient feelings and beliefs. The FIIA is a questionnaire developed by Christina Puchalski, aiming at a spiritual approach: F: Faith: What is your faith? I:&nbsp; Importance: How important is faith to you? I: Church: What is your church or faith community? A: Application: How does your religious or spiritual belief applies to your health? A: Aim: How can we point to or comment on your spiritual needs? At the end, the entire group joined together and reviewed their experience. Results: All students noticed the initial difficulty of asking patients about their faith and related feelings. They reported that anamnesis became very easy after the initial minutes. The patients collaborated and seemed to feel very well at the end. The students noticed how important these simple questions were for their patients, and they planned to add this knowledge to their regular practice. Conclusion: At the end of the activity, medical students realized the necessity of focusing on spirituality in the general care of patients and for their well-being. The project will be done again, trying to catch attention on this important aspect.

COMEANDO CEDO MEDICAL PATIENT RELATIONSHIP PROJECT

DENISE FERREIRA FRANCA - UNIVERSIDADE FEDERAL DE MATO GROSSO; PAULO SILVA REIS UNIVERSIDADE FEDERAL DE MATO GROSSO; PEDRO HENRIQUE MEIRELES - UNIVERSIDADE FEDERAL DE MATO GROSSO; MIRELLE BARBOSA ROCHA - UNIVERSIDADE FEDERAL DE MATO GROSSO

Summary of Proposal: The project aims to bring love and joy to patients of Julio Muller University Hospital in Cuiaba, Mato Grosso, in addition to modifying the hospital environment, making it more enjoyable. It also aims to humanize the students of medicine, encouraging them to promote experiences that bring comfort and hope to patients. Relevant Information for Bid Evaluation: The project will bring music, theater and lots of humor to the hospital environment, which may help in gathering and prognosis of hospitalized patients. Changes in behavior of students in relation to patients may also occur making the relationship more intimate and humanized. It is intended to show how solidarity, joy and humor in a new light can bring benefits in medicine, including medical training. Reason: Currently, the hospital environment can significantly contribute to the depressed state of the patients. So hospitals can and should become a happier environment, humane and relaxed. This concept was first introduced by Patch Adams, proving that the best medicine for everything in life is simply love, joy and generosity. Finally, medical training at the College of Medicine, could have major benefits with this technique to train future professionals to assist individuals hospitalized in another way that involves solidarity and support. Theoretical Basis: The work is based on scientific logic that humor, peace of mind and hope help much in the good prognosis of the patient, and complements the training of a professional. Studies show that smiling, singing and rejoicing makes the body release endorphins responsible for the state of welfare, relaxation and stress reduction and pain of being human. So bring theater, humor, music, dance and joy to the hospital environment has been an innovative. Objectives: Bring encouragement and comfort to the hospital environment; encourage human training of health professionals; help patients to better cope with their illnesses; anticipating the encounter between academic medicine and patient; strengthen the doctor-patient relationship; integrate the student with the professional staff of the hospital. Methodology and Evaluation: Weekly changes occur in the lives of patients and they can choose songs to serenade, sing and rejoice as well. The children will have educational theater, music, magic and support the games. The satisfaction of patients, visitors and other professionals out there who suffer from the change that the project intends to implement, evaluate what is the benefit of it. Public reports written and video can prove the opinion of many. Conclusion: The Project proposes to modify the idea that a hospital environment is a serious, melancholy bureaucratic. Also want to check with our weekly activities that besides being a medical science is an art, and the course of action will show how the project contributes to the humanization and how that should be included in the training of the student.

SMOKING: SENSITIZING STUDENTS AND USERS OF PUBLIC HEALTHS SYSTEM

ANA LAURA DE MELO TEIXEIRA SPENGLER - UNIDERP-ANHANGUERA; ANA CAROLINA VIANNA ALVARENGA - UNIDERP-ANHANGUERA; ANA CAROLINE BLANCO CARREIRO - UNIDERP-ANHANGUERA; TANIA GISELA BIBERG SALUM - UNIDERP-ANHANGUERA

Project Brief During supervised training, as part of primary health care, academics and preceptor were sensitized by the smoking problem. Knowing that, in Brazil, about 200 000 people die each year due to smoking and this tabacco consumption is concentrated in major cities and reaches a population with lower education and income. The development of this work was proposed with the intent to educate the public about tobacco as well as encourage students to adopt appropriate behavior in the front of smokers. Our objectives were: Raise awareness about tobacco Motivate students to adopt appropriate behaviors in the front of smokers. The activity occurred during the ninth semester of the internship, in Campo Grande MS - Brazil, enrolled in the Healths Family Unity Iracy Coelho, and involved also the Center for Reference and Social Assistance and the Public School in the area. This scenario allows students critically understand the reality of the health system and build knowledge from the theoretical-practical articulation. In this sense, the interaction between teaching and service-community presents itself as an important strategy for effective and should be placed at the service of reflection of reality, allowing develop critical and find solutions to health problems. The action was developed with two work fronts: a constant action, with publication of posters symbolizing a result biological, social and economic development of tobacco use, disclosure date, and provided a box for disposal of cigarettes. During the visits, smokers were encouraged to make the treatment of smoking. World Without Tobaccos Day is celebrated on May 31st, in this day the activity was performed at the Healths Family Unity Iracy Coelho and was divided into stations: video presentation edited by academics; walk through the tunnel-shaped cigarette, with posters on the inside of the dangers of tobacco use and testing of the level of nicotine dependence. Conclusion: Participated in the activity 144 residents of the area, included teenagers, adults and seniors. Were referred to ambulatory of smoking cessation 25 participants. The proposed work was innovative because it mobilized the health team, raising their role as role model, and work with the community promoted cultural change in acceptance of free tobacco consumption. The people came to know the network of support for smoking cessation offered by the municipality, and had the opportunity to carry out treatment in specialized clinics, offered through the referral. Finally, our propose is that the health institutions and centers of education should include tobacco control in the curriculum of its professionals through continuing education and other training programs. Key Words Tabacco, health education, smoking

HEALTH SERVICE SCIENTIFIC PROJECT EXPEDITION (PECA)

NATLIA AMARAL CANADO - FCMSCSP; NATHALIA DE SOUZA GAMBASSI - FCMSCSP; KARLOS AUGUSTO KIAN - FCMSCSP; RAFAEL VILELA JORGE ELIAS - FCMSCSP; MANUELA HORTA MARTINS PENNA - FCMSCSP; JLIA NUNES PELLUCHI - FCMSCSP; JANYELE RGIA MAIA DE SALES - FCMSCSP; BARBARA DA CUNHA ARANTES E SILVA - FCMSCSP; JOYCE FRANCISCO - FCMSCSP; LUCAS ARAUJO MENDES - FCMSCSP

The PECA is a voluntary project promoted by the Santa Casa of Sao Paulo Medical School (FCMSCSP) which aims at providing complete health service, both preventive and remedial. This project was made possible thanks to the joint efforts of the FCMSCSP, the city hall, the health ministry and the Santa Casa of the elected city. The participants provide diverse specialties, such as medicine, nursing and speech therapy. The students and professionals in these fields are connected with the school, as well as professionals from other fields (physiotherapy, psychology, nutrition, dentistry and social service). PECA provides services in cities throughout Sao Paulo State that are deemed needy in terms of infrastructure and health service, following an epidemiological study. The city, however, must have the infrastructure to support this number of volunteers and provide places and all the necessary conditions to make the project successful. The goals of this expedition are to offer health care, to study the health conditions associated with the living conditions and local epidemiology, to make the students aware of social and cultural differences throughout the country, as well as their social responsibility, to perform scientific projects, to distribute medications, to perform laboratorial exams and surgeries and to refer the patients to the local health services. The consultation process is based on screening, medical history and case discussion. In screening, students make the identification of the patient raising some important information about the social and living conditions. After that, the students measure blood pressure, weight, height, waist circumference, serum glucose and calculate BMI. In the medical history, the patient answers questions made by the students trained to compile the history and perform physical examination, discussing the case with their advisors, so as to jointly decide on the best approach for that patient. At the end of each expedition, statistical data analysis and the results of the health service are posted, encouraging epidemiological and clinical research among the students. The supporting institutions usually are FCMSCSP, Pfizer, The Sleep Institute, The HPV Institute, the City Hall and the Santa Casa of the city elected. The cities visited and the brief results in each one are: Sandovalina: 2000 appointments; Ituverava: 2800 appointments and approximately 30 surgeries; Itapeva: 2400 appointments and 82 surgeries; Votuporanga: 1273 appointments and 22 surgeries. The necessity to broaden the reach of preventive medicine and to promote basic health support, along with a new kind of contact between social and cultural disparities brings to the participants full engagement in providing health to patients. In the expedition, the students get to know the real value of cooperation and start to comprehend the real populations social-health problems.

HEALTH ACROSS UNIVERSITY

NATLIA SOUZA AONO - UNIVERSIDADE ANHANGUERA-UNIDERP; LEANDRO ALMEIDA ASSUNO UNIVERSIDADE ANHANGUERA-UNIDERP; JOVINO NOGUEIRA DA SILVA MENEZES - UNIVERSIDADE ANHANGUERA-UNIDERP

Project Brief: The students were invited to know the socioeconomic, health, environmental and cultural reality of a upstate city, Jaraguari MS Brasil, stimulated by the methodology, problem-based-learn, at the course of medicine in the Anhanguera-Uniderp University, and our sooner contact with health services and patients, we accept, and our activities occurred in a week. A institutional agreement would be necessary to improve the people healthiness, by get better the maternal health, decrease child mortality, control chronic deseases and combat endemic deseases. Were done: folders about feeding habits, hygienic habits, contraceptive ways; a class about accidents with poisonous animals; a motivacional presentation; a ludic dynamic to promote group union; a dynamic to list positive and negative points of being a community healthcare agent. We followed the activities of the physicians, nurses, community healthcare agent, pharmacist. Activities at rural zone, Furnas do Dionsio, and were detected: obesity, systemic arterial hypertension, incorrect ways of contraception, intestinal parasitic infections; iron-deficiency anemia; sickle cell anemia. We found difficults to do all the activities, like: lackness of governmental help; nonappeareance of the physician that accorded to guide us. Conclusions: The experience was amazing because we could have close contact with the community and saw a different reality, including the politic reality, in this way we learned a lot.

RIDE WITH CHILDREN THROUGH THE DIGESTIVE SYSTEM: AN EXPERIENCE REPORT

THAIS RAINHA DE SOUSA - UNIVERSIDADE FEDERAL DO AMAZONAS

This article is a report of experience in an extension program. The project was developed for a period of three months, culminating with the "Ride through the Digestive System" mounted on the host institution- an educacional institute for children between 2-7 years old. Nine students of the Medicinal School of the Federal University of Amazonas (UFAM) were involved in the experience. The project entered in the university extension activities, promoting a link between the University and Community. The objectives of this paper are to report the experience of healthy eating habits promotion, directed to children, through nutrition education and analyze the impact over the medical development of the academics who took part of the program.

COMPLEMENTARY TESTS IN THE MEDICAL PRACTICE: A DIFFERENTIATED EDUCATIONAL APPROACH

VICTOR AUGUSTO CAMARINHA DE CASTRO-LIMA - FACULDADE DE MEDICINA DA BAHIA - UFBA; ANA SOUZA MARQUES - FACULDADE DE MEDICINA DA BAHIA - UFBA; IZABELLA MORAES DE MOURA FACULDADE DE MEDICINA DA BAHIA - UFBA; SABRINA RODRIGUES DE FIGUEIREDO - FACULDADE DE MEDICINA DA BAHIA - UFBA; SCHEILA NOGUEIRA SANTOS - FACULDADE DE MEDICINA DA BAHIA UFBA; MARINA CAMPOS SIMES CABRAL - FACULDADE DE MEDICINA DA BAHIA - UFBA; RAFAELA ARAUJO LIMA - FACULDADE DE MEDICINA DA BAHIA - UFBA; TAIN TEIXEIRA VIANA - FACULDADE DE MEDICINA DA BAHIA - UFBA; IGOR CARMO BORGES - FACULDADE DE MEDICINA DA BAHIA - UFBA

Project Brief: The Academic League of Clinical Medicine of Bahia (Liga Acadmica de Clnica Mdica da Bahia - LACLIM-BA) was founded on October 26, in 2007, by undergraduates of the medical school of the Federal University of Bahia (Faculdade de Medicina de Bahia - FMB). Since its origin, the league has established its guiding principle the appreciation and diffusion of the medical education based on improvement of clinical reasoning. Thus, based on three pillars - Education, Research and Extension several activities have been promoted in order to expand, consolidate and deepen the student's knowledge in clinical medicine. From October to November 2011, the I Course of Complementary Tests was conducted by LACLIM-BA in order to highlight the main components of these tests, their interpretation and utilities, the main diseases associated with their results and, finally, to promote the discussion about the importance of the logical reasoning when requesting them. The relevance of this course is based on the rational use of complementary tests, which have commonly been improperly and indiscriminately solicited. methodology used involved the presentation of clinical cases and its posterior discussion on FMB's classrooms. The topics discussed were: rheumatologic tests, hepatic profile tests, urine analysis and complete blood count. All themes were presented by experienced physicians with expertise in the specific areas. The members of LACLIM-BA and the participants were free to ask questions and make comments during the presentations, allowing an improvement on the teaching-learning process. In addition, a courseware containing resumes about each test was produced by the members and distributed to the participants. The course obtained great compliance by the students as the entries sold out in a few days. The principal relevance of the course was to generate discussions based on clinical cases: the focus was not the description of the complementary test, but mainly its indications, interpretation and real contribution on case solutions. It was also highlighted the actual use of a complementary test as a supplementary tool, not a substitute of a complete anamnesis and a comprehensive physical examination, which are important aspects of the medical practice of quality. Conclusion: LACLIM-BA hopes to have contributed to the academic community delivering information that can increasingly improve the future physician's reasoning and decision making. Moreover, considering the achieved results, the league will continue treading its path looking for enriching medical education through the reinforcement of topics that are poorly covered by the graduation.

MEDICAL STUDENTS EVALUATE THEIR GRADUATION EXPERIENCE: CONTRIBUTION TO THE BUILDING PROCESS OF A NEW CURRICULUM.

HUGO COSTA CARNEIRO - FACULDADE DE MEDICINA DA BAHIA - UFBA; FRANCISCO REGO BASTOS FILHO - FACULDADE DE MEDICINA DA BAHIA - UFBA; MURILO DE JESUS MARTINS - FACULDADE DE MEDICINA DA BAHIA - UFBA; ITALLO OLIVEIRA SANTOS - FACULDADE DE MEDICINA DA BAHIA - UFBA; JLIA DE CARVALHO LOPES - FACULDADE DE MEDICINA DA BAHIA - UFBA; VICTOR PORFRIO DOS SANTOS ALMEIDA - FACULDADE DE MEDICINA DA BAHIA - UFBA; DIANE DE JESUS NUNES FACULDADE DE MEDICINA DA BAHIA - UFBA; ANA SOUZA MARQUES - FACULDADE DE MEDICINA DA BAHIA - UFBA; DEIVISSON FREITAS DA SILVA - FACULDADE DE MEDICINA DA BAHIA - UFBA; MARYANA DIAS NOVAES - FACULDADE DE MEDICINA DA BAHIA - UFBA

Introduction: The recent implementation of an innovative educational project by the Faculdade de Medicina da Bahia UFBa demands the development of an assessment tool in order to, trough the active participation of the students, evaluate both its structural and academic features (facilities, technical and administrative services, faculty, curriculum). Material and methods: Students perception was quantitavely assessed trough a self-administered questionnaire, in which grades (from 0 to 10) were assigned to several items. Data were analyzed, generating an average score for each item per class (since in our school students are usually divided in groups that attend the same disciplines) as well as a general average score calculated for each class and for all the students, as a comparison parameter. The study achieved a participation of 324 of the 562 students enrolled in the first seven classes of our School at the time. Results: Forty-six courses were assessed (all components in the first 7 semesters of graduation), including their faculty. The general average scores obtained were: physical facilities (6,56); technical and administrative services (6,66); courses (7,43) and faculty (8,09). Conclusion: The importance of the present study lies in the development of a detailed profile of the graduation experience, evaluating multiple features and comparing the results of each course, allowing the detection of specific problems and pointing towards the direction on how to achieve a better performance. The information gathered should also serve as basis for interdisciplinary and interdepartmental discussion, therefore strenghtning the relationship between teachers and students, bringing together the technical-administrative and academic employees and engaging the whole school in the construction of an assessment tool capable of fully evaluating the consolidation of the curriculum implemented in 2007, ensuring the continuous improvement of the institution's educational project.

PREVIOUS STUDY OF THE PROFILE OF RESIDENTS IN OUTSKIRTS OF A PROVINCIAL CITY OF SO PAULO FOR AN APPROACH FOR HEALTH EDUCATION TO TEENAGERS
LEANDRO RAMOS SILVA - FACULDADE DE MEDICINA DE BOTUCATU/UNESP; PAOLA BORGHI FERNANDES - FACULDADE DE MEDICINA DE BOTUCATU/UNESP; ANA CAROLINA LIMA AUGUSTO FACULDADE DE MEDICINA DE BOTUCATU/UNESP; CAMILA ALBUQUERQUE MORAES - FACULDADE DE MEDICINA DE BOTUCATU/UNESP; ABRAHO BUENO GARCIA - FACULDADE DE MEDICINA DE BOTUCATU/UNESP; ANA CLARA MURARO BONINI - FACULDADE DE MEDICINA DE BOTUCATU/UNESP; RENATA LEITE ALVES DE OLIVEIRA - FACULDADE DE MEDICINA DE BOTUCATU/UNESP; MARILENE PLCIDO COSTA - FACULDADE DE MEDICINA DE BOTUCATU/UNESP; RENATA MARIA ZANARDO ROMANHOLI - FACULDADE DE MEDICINA DE BOTUCATU/UNESP; ALICE YAMASHITA PREARO FACULDADE DE MEDICINA DE BOTUCATU/UNESP

Introduction: The increasing deployment of the Family Health Strategy (FHS) has been promoting medical colleges to rethink the profile of graduating professionals. In the FHS, to know the conditions of community life of the sick person is critical to the performance of all health professionals in understanding an entire socioeconomic universe that acts strongly on a pathological situation. Thus, it was deemed necessary to perform the mapping of the profile of the inhabitants of the area covered by the Family Health Unit (FHU) in a city of State of So Paulo, in order to understand the population dynamics and demands of adolescents in relation to Health Education right of young people to correct inappropriate health behaviors and propose amendments for further educational activities in a public school in their area. Development: During a campaign of smear - examination influential in the decline in the incidence of cancer of the cervix and therefore the mortality of the carriers - held in May 2011, in the FHU of the periphery in question, 10 medicine and nursing students applied a questionnaire to 22 women, age range between 17 and 65 years in the waiting room of the Unit, directed to teenagers and mothers of teenagers on the site. The survey addressed the importance of the campaign for women and issues related to health education of their children, held by the parents and the school in which young people studied, and also asked health issues that women thought to be important in addressing the schools in the region. Results: About the women interviewed, 81.25% were married, 12.5% divorced and 6.25% single, with a mean age of 41.41 years, with only two of them teenagers (17 and 19 years). The average number of children per woman was 2.67 among all, and the average age of children 19.14 years, with only one without children. About mothers with school-age children - 25 children and adolescents total, of whom 18 were studying at the School is to be made in health education activities - all confirmed they talk about at least one of the following health issues: sexually transmitted infections, teenage pregnancy, alcohol and drugs. When asked about the issues they believed to have significant importance in the approach to education of adolescents in schools, the main responses that emerged were related to sexuality, alcohol and drugs. Conclusion: After analyzing the data, we concluded the mothers of adolescents questioned talk to their kids about at least one of the following health-related questioned (sexually transmitted diseases, teen pregnancy and alcohol / drugs). In addition, mothers suggested that the activities of health education in school should work matters as contraception, violence and disease in general. From this first approach, it was understood the dynamics of work of the Health Unit, the demand of the mothers on the health education for adolescents and began the work proposed to be held at the school.

WRITING THE BOOK: NEGLECTED ASPECTS IN CLINICAL MEDICINE

IGOR CARMO BORGES - FACULDADE DE MEDICINA DA BAHIA - UFBA; TAIN TEIXEIRA VIANA FACULDADE DE MEDICINA DA BAHIA - UFBA; CLUDIA DE ABREU CARDOSO MACHADO - FACULDADE DE MEDICINA DA BAHIA - UFBA; MARIANNA PINHEIRO MORAES DE MORAES - FACULDADE DE MEDICINA DA BAHIA - UFBA; RODRIGO ANDRADE DA SILVA - FACULDADE DE MEDICINA DA BAHIA UFBA; SCHEILA NOGUEIRA SANTOS - FACULDADE DE MEDICINA DA BAHIA - UFBA; REN DE ARAJO GLEIZER - FACULDADE DE MEDICINA DA BAHIA - UFBA; LILIAN MARTA DO AMPARO SOBRINHO FACULDADE DE MEDICINA DA BAHIA - UFBA; LENNO ANJOS - FACULDADE DE MEDICINA DA BAHIA UFBA

A plenty of diseases and situations are mismanaged by physicians because, throughout the medical teaching, there are themes which are neglected not only by the scientific community but also by the medical practice itself. Some of the neglected topics are diseases (sleep disturbances, sexual disorders and chronic pain) and others are daily life challenges such as the facing of the death and the doctor's relationship with the primary healthcare team. In order to encourage new researches and incite the study of these themes, the book "Neglected Aspects in Clinical Medicine" is being written as an extension project of the Academic League of Clinical Medicine of Bahia (Liga Acadmica de Clnica Mdica da Bahia - LACLIMBA). The book discusses the aspects listed above in addition to: intoxication by poison of venomous animals, alcoholism in vulnerable people, clinical approach of elderly patients, anemic syndromes in young patients, an approach to the patient with sickle cell disease, preventive clinical investigation, differential diagnosis of leprosy, early markers of arterial hypertension and chemotherapeutic treatment of Chagas disease. Each medical student member of LACLIM-BA is writing a chapter about one of the neglected aspects cited above supervised by one experienced physician with expertise in the specific subject. During the writing process, the authors have been having the opportunity to study the themes deeper and to realize the extension of the negligence that these aspects are submitted, despite their considerable relevance. Moreover, it constitutes the unique opportunity to compare the theory with the practice: it becomes clear that the actual reason of the mismanagement is the negligence indeed. One example can be drawn from the chapter "The relationship between the clinician, the patient and the family when facing the death", which shows that a long-term omitted topic in the medical graduation can originate an uncomfortable situation for the physician, specially the newly-graduated ones, when facing terminal patients and the death. Therefore, it is necessary to bring these subjects to the core of academic discussions, in order to improve their management in the medical practice. By now, the chapters are in the final step of writing and adjustment by the supervising physician.

UNDERGRADUATE STUDENTS PARTICIPATION IN THE PUBLICATION OF ORIGINAL ARTICLES IN A BIOMEDICAL COLOMBIAN JOURNAL BETWEEN 2005 AND 2011
LUIS ADRIAN BOLIVAR MEJIA - UNIVERSIDAD INDUSTRIAL DE SANTANDER; SANDRA LILIANA ROBERTO - UNIVERSIDAD INDUSTRIAL DE SANTANDER; LAUREN SOFIA CALVO - UNIVERSIDAD INDUSTRIAL DE SANTANDER; JENNY TATIANA QUEZADA RUEDA - UNIVERSIDAD INDUSTRIAL DE SANTANDER

Introduction: The investigations and scientific publications carried out by students, especially those published in indexed biomedical journals, are more than an essential item in the integral formation of the health professionals; they are also real indicators of their scientific productivity. The objective of the present study is to quantify the participation of undergraduate students in the publication of original articles in a colombian biomedical journal between the 2005 and 2011. Material and Methods: an observational, descriptive and cross sectional study was made. The manuscripts were searched in the Colombia Mdica journal web page, and all the original articles published between the 2005 and 2011 in English and Spanish were identified. The authors affiliation was checked, and the articles were classified according the year of publication, type of authorship (student, professional or student and professional together), academic program and origin university. The data were analyzed using Stata 11.0; the results were expressed as frequency measurements. Results: of 266 original articles identified, there was found undergraduate students participation 32(12%) of them. From this, 31 had participation of student and professional together and in 15(47%) a student was the first author. Medical, nursing and dental student participation was evidenced in 17(53%), 7(22%) and 4(13%) articles respectively. Bacteriology and nutrition programs had presence in 1 article each one; other 3 articles had participation of students from other careers. The mean of annual articles with student participation was 4.6 &nbsp;2.29 with a minimum of 1 and a maximum of 8. In the articles with student participation, the mean of students per article was 3 &nbsp;2.87 with a minimum of 1 and a maximum of 16. Conclusion: results evidenced the undergraduate student participation in original articles published in the Colombia Mdica journal between the 2005 and 2011. Even though most of the articles were elaborated with participation of students and professionals, in a high percentage the first author was a student, which highlights the students discipline and leadership and supports the importance of teachers guidance the students research process. Therefore, it is recommended to the teachers to be constantly encouraging the research initiatives from the undergraduate students, in order to consolidate and made them become highquality and impact publications.

STUDENT'S PERCEPTION OF THE CURRICULUM HUMANIZATION

THAIS DE TOLEDO FINK - ESCS; RAFAELA FERNANDES DANTAS - ESCS; MARISA PACINI COSTA - ESCS

Introduction: In Medicine undergraduate courses, the student is constantly stimulated to absorb the biomedical knowledge, taking into account the highly complex applications of biotechnology, turning the future physician into a techdependent professional. In this logic, centered in the disease, the student is not stimulated to develop integrative concepts, but to be reluctant to ascribe importance to humanization, to communication techniques and to ethical issues. The main goal of this effort is to investigate the perception of the student regarding his/her humanistic formation in a Medical School in which active methodologies of study are used. Methodology: Qualitative study. Focal groups were organized with students of the 1 and the 6 years. Interviews using a semi structured guide were made, recorded, transcribed and analyzed based on the Bardins concepts. Results: Three categories were found:(1)Initial expectations regarding the Medicine course; the (2)Role of the instructors and the (3)Influence of the methodology. In(1),both groups agree that the humanization materialization is deeply influenced by raising aspects and the environment in which the student has had he/she social development. Following the analysis, they agree that the humanization themes as an obligatory part of their curriculum early since is a differential. An issue has been brought up by the sixth-year students: in the first three years of the course, a theoretical base concerning the themes cited is given to them, but the opportunities of applying them are scarce. As the course continues the opportunities of application increases, but the number of theoretical discussions about humanization decreases. This generates a discontinuity felling as there is a gap between theory and practice. In (2), first-year students understand that perfection while dealing with patients is impossible to be reached. This way, they believe instructors are more of thinking instigators. The sixth-year students discussed the adequate selection of the instructors in a university which is up to generating an innovative curriculum. Both groups agree the instructors must have profiles aligned with the universitys principles. Also, the capacity of a given student in being sensitized and absorb the knowledge related to humanization is intimately linked to the instructor profile. Finally, in (3), the sixth-year students believe that an egress from their school acts as a problem solver. The first-year students focused on the personal acquisitions obtained while working in small groups, such as the capacity to see other students as helpers in the knowledge search process. It is recognized by the groups that the tutorial axis (PBL) shows a huge difficulty in keeping this kind of discussion as this approach is highly dependent on the capacity/sensitiveness of the instructor. Conclusion: Students believe it is necessary the obligatoriness of contents related to humanization.

PERCEPTION OF THE COMPANIONS ABOUT THE PRESENCE OF MEDICAL STUDENTS IN PEDIATRIC CONSULTATION IN PRIMARY CARE SERVICE
ANANDA MEDEIROS PEREIRA ARAJO - UNIVERSIDADE POTIGUAR; NAYARA RAISSA TOSCANO LIMA UNIVERSIDADE POTIGUAR; HERISON HARRIDER SILVA VAZ - UNIVERSIDADE POTIGUAR

Introduction: In an institution, the degree of satisfaction and perceptions of users about the provided service gives information both about the quality of health services and the quality of medical education. In pediatric consultation, the companions can influence the health of children because they bring the children, accompany the care process and puts into practice the treatments, so that's importance knowing the degree of satisfaction regarding such assistance. Methodology: Qualitative and quantitative research, using a questionnaire which was administered to 20 caregivers aged between 25 and 50 years, with patients accompanied consulted in the basic health unit in the Municipality of ParnamirimRN by pediatricians in the presence of medical students of seventh grade in the room. Results: The results were: 80% of the evaluated companions has degree of relatedness with the child as mothers , 90% were female and 40% had attended primary school. The age of the children consulted ranged from 1 month to 13 years. 60% sought service of a first consultation and demonstrated to be very satisfied with the service . 100% had their problem solved. 95% considered optimum the treatment in the presence of students and did not bother with their presence. 40% of patients came to our care by UBS itself. Conclusion: The presence of students in UBS' showed that the joint performance of students with medical professor were good seen by all respondents. The vast majority approved the partnership of public service with the institution of medical education, The vast majority approved the partnership of public service with the institution of medical education, showing that this association is beneficial because it promotes a better host, careful clinical examination and the information is passed to the patient more detailed and clear.

Caio Martins Menezes Naves Mayrink ASSESSMENT OF LEARNING THE NEUROLOGICAL EXAMINATION IN A BRAZILIAN MEDICAL SCHOOL
CAIO MARTINS MENEZES NAVES MAYRINK - UNIVERSIDADE FEDERAL DO CEARA; DIEGO ANDR HORTNCIO ORTEGA DOS SANTOS - UNIVERSIDADE FEDERAL DO CEARA; INGRID KELLEN SOUSA FREDERICO - UNIVERSIDADE FEDERAL DO CEARA; JOO HENRIQUE DE SOUZA ANGELOTTO UNIVERSIDADE FEDERAL DO CEARA; PAULO MARCELO PONTES GOMES DE MATOS - UNIVERSIDADE FEDERAL DO CEARA; CLARA MOTA RANDAL POMPEU - UNIVERSIDADE FEDERAL DO CEARA; BRBARA XIMENES BRAZ - UNIVERSIDADE FEDERAL DO CEARA; DANIEL MACHADO AMARAL - UNIVERSIDADE FEDERAL DO CEARA; FERNANDO KLEIN LEITO - UNIVERSIDADE FEDERAL DO CEARA; MARIANA LIMA VALE - UNIVERSIDADE FEDERAL DO CEARA

Introduction: Mastering the techniques of the neurological examination is essential to the medical professional. Its learning must be guaranteed and effective during the graduation. A group of medical students have done a research aiming to evaluate this learning between local medical students. It was evaluated the learning and the self confidence of the students about the practice of the neurological examination after the subjects of Semiology, during the fourth semester of graduation, and Neurology, during the eighth semester. Material and Methods: A twenty questions questionnaire was produced and it was divided into two parts. The first half had questions about the ability to do the examination and the learning disabilities during the graduation. The second half consisted of questions about the neurological examination itself. The questionnaires were applied in 2009.2 to students of the fifth and the eighth semesters. Data were analyzed using the computer program EXCEL. Results: The analysis of the graphs made with the answers of the questions showed a relevant difference between the answers of the students of the eighth semester when compared to the students of the fifth semester. When they were asked about their abilities to practice the neurological examination, only 3% of the students of the fifth semester answered that they were able to do it; 19% of the students of the eighth semester answered they were able to do the examination. Conclusion: This research has shown that, although the neurological examination is taught in two different moments of the graduation, the medical students dont feel self confident to practice it. They consider important a longer and deeper approach of the subject.

IMPACT OF ACUTE RESPIRATORY INFECTION OF PROBABLY VIRAL ETIOLOGY ON HOSPITAL WORKERS HEALTH CENTER SERVICE OF SAO PAULO HOSPITAL UNIFESP
RAFAEL AMORIM RIBEIRO - UNIFESP; PEDRO HENRIQUE BRANDES RIBEIRO - UNIFESP; LEANDRO AMORIM RIBEIRO - UVV; ARIPUANA S. A. WATANABE - UNIFESP; NANCY CRISTINA JUNQUEIRA BELLEI - UNIFESP

Background and objective: Acute respiratory infections (ARI) are the most common disease in humans and an important cause of morbidity and mortality worldwide. An adult person usually has one to three ARI each year. Health Care Workers (HCW) are at higher risk of respiratory virus infections due to their constant exposure. Impacting on patient care as source of nosocomial infection or missing work also increased the HCWs importance. The first Brazilian study conducted in HCW, to search for the etiology of respiratory infections in Brazil found that only 19.7% of the health care professionals of the Sao Paulo Hospital were immunized against influenza. Methods: From May 2009 to April 2011 medical records of HCW medical assistance service of Sao Paulo Hospital were classified by International Classification of Diseases (ICD) group. ARI was considered ICDs J00-J12, J20, J21, J40. Results: Over a 30 months period, 10862 medical records belonging to 4538 different HCW were analyzed. The most frequent reason of attendance was diseases of respiratory system, 39.3% (4276/10862) of attendances, and acute respiratory infection was 93% (3984/4276) of this group and 36.6% (3984/10862) of total attendances. The ARI attendances were 46,6% (848/1819) in the group 20-29 years, showing the higher impact on this group and ARI remains the major cause of attendances in all age groups, 41,6% (1009/2424) in the group 30-39 years and 31,1% (1937/6232) in the group 40-65 year. The young adults were the age group with higher percentage of attendances by acute respiratory infections. Daily 6.8 (3984 consultations/ 582 operation days) HCW miss work only for medical consultation due to this disease. In this study 36.6% (3984/10862) of HCW had an ARI at least once a year. Comparing the years of study, it was observed that the year 2009 had a higher percentage of attendances for ARI (33,4% - 1771/5297), a reduction of attendances in 2010 (28,5% 1602/5616) and a lower percentage of attendances in 2011. (p&lt;0.001). Conclusion: Acute respiratory infections are the disease with the highest impact on HCW from Sao Paulo Hospital Sao Paulo Federal University. This pilot surveillance study assessed the impact of ARI on emergency service from HCW and showed the relevance of this disease as cause of frequent medical demand. Observing the impact of ARI in this study is important an increase in standards of infection control besides influenza immunization among HCW is needed.

PSYCHOLOGICAL STRESS IN A MEDICAL ACTIVE LEARNING METHODOLOGY SCHOOL

RAFAELA FERNANDES DANTAS - ESCOLA SUPERIOR DE CIENCIAS DA SAUDE; THAS DE TOLEDO FINK ESCOLA SUPERIOR DE CIENCIAS DA SAUDE; MARISA PACINI COSTA - ESCOLA SUPERIOR DE CIENCIAS DA SAUDE

Medicine can be a very physically and psychologically demanding course. Society sometimes idealizes physicians as possessing a godlike power of cure.Students create expectations based on this social image and have to deal with frustration when faced the reality of the profession during the course.The aim of this research is to analyze the suffering issues in a medical school with an active learning methodology,comparing students from the first with those of the sixth year. Its a qualitative study.The information was obtained from 2 focal groups composed by first and sixth year students.The interviews were based on a semi-structured questionnaire concerning emotional issues experienced during medical school.The interviews were recorded,transcribed and submitted to Bardins content analysis.This survey was approved by Ethics Committee. Three categories were identified.The first reveals expectations with the medical course: both groups showed initial satisfaction with the course.The reasons attributed for the choice of become a physician are the desire to help people,to have scientific knowledge and the social ascension.They also showed a ideal construction of physician function,a believe that doctors life is full of abnegation and a lot of studies.They believed before entering on college that medical students had an untouchable life,dedicated only for study. The graduates reported frustration when they noticed the idea they had about physician is not true: they dont know everything.After all,they accepted the condition.The second category is about professor function.First year students consider the faculty very warm and concerned about students development, while the sixth year students, otherwise, notice the third and fourth year professors responsible for a teaching-learning process by pressure, generating suffering.The fifth and sixth year professors were said not to be involved completely,which generates demotivation.The last category shows the influence of active methodology.First year students said theyre introduced in a very rigid selfdiscipline,with loads of responsabilities, that make them decrease time with family,and have less leisure time. They also revealed an initial anguish about their own capability to learn in a new methodology.In the other hand, the graduates pointed up a contradiction in the methodology in its application. During the medical course, the students find a new methodology and it chocks at first,because theyre not aware about his capabilities to learn.They also construct an ideal view for the physician character.This perception brings frustration,and also causes a high self-exigency which is stressing.The professor function changes during college,the school methodology stops being followed as its original project,bringing an emotional discomfort on students.Its been necessary a psychological service to support the students and an efficient system of permanent education for professors.

PRESENCE OF NEUROPHOBIA IN MEDICAL STUDENTS IN A COLOMBIAN UNIVERSITY

SANDRA LILIANA ROBERTO - UNIERSIDAD INDUSTRIAL DE SANTANDER; LUIS ADRIAN BOLIVAR MEJIA UNIERSIDAD INDUSTRIAL DE SANTANDER; ANGIE KATHERINE BELLO SUAREZ - UNIERSIDAD INDUSTRIAL DE SANTANDER

Introduction: The importance of the adequate study of neurology is in the high prevalence and impact of the neurological disorder on global health. Neurophobia is the term used to refer to the fear that neurological science and neurology produce in the medical students. Therefore, this phenomenon must be investigated since it could potentially impact negatively in the diagnosis and management of this group of diseases. Materials and Methods: A cross sectional study was performed in the medical students from fifth year of the Medical School of the Universidad Industrial de Santander, Bucaramanga, Colombia. The instrument of data collection was a poll that evaluated, through a Likert scale the students, level of interest, knowledge and difficulty for seven medical specialties (cardiology, endocrinology, gastroenterology, neurology, pneumology, pediatrics and gynecology) and the reasons why they considered the neurology was difficult. The data were analyzed using Stata 11.0. Results: The response rate was 100% (92/92).The students identified the neurology as the most difficult specialty (score 3.85 &nbsp;0.999), the second one in which they have less knowledge (2.59 0.942) and the third one which they feel less interest (2.98 1.320). The difficulty level of neurology was significantly different from the observed for the other disciplines (p &lt; 0.0001). The need of knowing the basic neurosciences like neuroanatomy and neurophysiology, was identified as the risk factor that is more related with the neurology difficulty (3.10 1.291). The students showed the most interest in cardiology (3.10 1.291). Meanwhile, the endocrinology was identified as the specialty in which they have the least knowledge (2.32 0.775), and the one they have the lowest interest (2.55 1.249). Conclusion: The results of this study evidence the presence of neurophobia in our student population. The data match with previous studies in Asia, Europe, Africa and America, indicating that neurophobia is widely distributed in the medical schools over the world, being necessary to attend this phenomenon in order to determine possible solutions directed to improve the teaching of neurology and the health care quality of the patients with neurological disorders. It is necessary to find mechanisms to integrate, in the best way, the basic neurosciences with the clinical neurology and determine if they can decrease the difficulty for neurology perceived in the students, improving their knowledge and interest for this medical specialty.

SCIENTIFIC MEETINGS STRATEGY TO COMPLEMENT THE UNDERGRADUATE AND DIFFUSION OF KNOWLEDGE

CLARA MOTA RANDAL POMPEU - FACULDADE DE MEDICINA - UNIVERSIDADE FEDERAL DO CEAR; INGRID KELLEN SOUSA FREDERICO - FACULDADE DE MEDICINA - UNIVERSIDADE FEDERAL DO CEAR; JOO HENRIQUE DE SOUZA ANGELOTTO - FACULDADE DE MEDICINA - UNIVERSIDADE FEDERAL DO CEAR; PAULO MARCELO PONTES GOMES DE MATOS - FACULDADE DE MEDICINA - UNIVERSIDADE FEDERAL DO CEAR; VIVIANE TEIXEIRA LOIOLA DE ALENCAR - FACULDADE DE MEDICINA UNIVERSIDADE FEDERAL DO CEAR; BRBARA XIMENES BRAZ - FACULDADE DE MEDICINA UNIVERSIDADE FEDERAL DO CEAR; DANIEL MACHADO AMARAL - FACULDADE DE MEDICINA UNIVERSIDADE FEDERAL DO CEAR; FERNANDO KLEIN LEITO - FACULDADE DE MEDICINA UNIVERSIDADE FEDERAL DO CEAR; HUMBERTO BIA LIMA FORTE - FACULDADE DE MEDICINA UNIVERSIDADE FEDERAL DO CEAR; MARIANA LIMA VALE - FACULDADE DE MEDICINA UNIVERSIDADE FEDERAL DO CEAR

Introduction: The universe of Medicine is becoming more and more varied. Not only the vastness of subjects has increased, but also the learning techniques have diversified. Therefore, during the six years of Medicine graduation, the students are exposed to a great deal of information, which makes the learning process even a bigger challenge. The education of the future Medical professionals must always be valorized and improved to its maximum, once the society needs young doctors that had a qualified formation. Therefore the creation of strategies to complement the undergraduate is extremely necessary. Materials and Methods: Seeking to address these needs, a group of Medicine students, members of a Program, implemented weekly Scientific Meetings, according to the following methods: Clinical Cases, Diagnostics at a glance, Signs and Symptoms and Medical Conducts. These models of discussions were developed by acknowledging the main flaws in the teaching method adopted by our university. All the Scientific Meetings take place on Wednesdays, between 12:30 and 14 p.m., and the duration of each may vary. Clinical Cases and Signs and Symptoms last for one hour and a half, and Diagnostics at a glance and Medical Conducts last for forty five minutes each, both happening at the same day. All the presentations are performed by one of the twelve members of the group. Results: The activity Clinical Cases is based in the presentation of a Medical Case and the members of the Program discuss all the aspects of the case, such as history of the present illness, previous patient history, physical examination and complementary exams. The participants are encouraged to develop diagnostic hypotheses and to try to put themselves in the position of the attending doctor. This mental exercise is an excellent method to improve our skills of clinical reasoning. Diagnostics at a glance is a very interesting meeting in which many different pictures are presented, all of them showing some lesion and/or alteration that are characteristics of a disease. The stimulation of quickly relating a disease with its finding trains our clinical eye. A very effective method of diagnostics is establishing the main Syndromes that the patient presents. In order to encourage this type of reasoning, the Group planned the Signs and Symptoms activity, in which a specific syndrome is studied, seeking to emphasize possible differential diagnostics for the signs and symptoms presented. Medical Conducts presents a more practical approach, by choosing a theme and learning how to proceed in each situation. This semester, the themes chosen were related to Emergency Conducts. Conclusion: All the members of the group really value the Scientific Meetings, showing a great commitment and enthusiasm withe the activities. Not only the learning process is improved, but also the teaching abilities are enhanced. A website was developed, providing all the presentations to the public.

THE CHALLENGE OF BUILDING HUMAN ANATOMY LEARNING IN A MODEL OF INNOVATIVE MEDICAL CURRICULUM
FERNANDA ALBERNAZ VALENTE - ESCS; ADRIELL RAMALHO SANTANA - ESCS; FERNANDA ARANTES ALVES - ESCS; FLVIA JESUS PONTEL DE SOUZA - ESCS; NATHLIA RGIA VIEIRA ANDRADE - ESCS; LUCAS VALENTE - ESCS; SYLVIA BEATRIZ CAVALCANTI - ESCS

Introduction: The knowledge of anatomy permeates the entire contents of medicine and is a basic condition for the formation of a fully professional in caring for the human being. The lack of cadaveric wet anatomical parts and bodies created a new reality in the medical curriculum, creating limitations for learning this broad discipline. Imperative becomes the inclusion of educational resources that stimulate and awaken the student satisfaction of building a solid knowledge on this subject. Material and methods: Description of the experience, over ten years of activity in laboratory morphofunctional using active methods in medical school with innovative curriculum reporting the strategies adopted in the teaching-learning human anatomy, involving teachers and monitors and updated assessment by questionnaire. Results: The school develops over its ten years of existence, a continuous process of changes in methods of teaching and learning of human anatomy. The holding of elective activities with cadaveric dissections, the inclusion of agents monitors as facilitators of learning, the use of slides, films, drawings, presentation of clinical cases, all correlated with the ongoing theme of the module, are resources used in the student seeks to awaken and deepening interest in this discipline. The result of questionnaire survey revealed that 88% of students carry out studies of materials in conventional books and atlases and 27% highlighted the interest in the interaction with the monitors. Conclusion: Over those ten years, despite the inserts varied methods of approach aimed at learning human anatomy, it is evident a climate of dissatisfaction expressed by the majority of the student body, motivated by the lack of cadaveric dissection activities. This activity, traditionally in the medical curricula, represents a "rite of passage" eagerly awaited by most students of basic chairs. Another common point of criticism refers to the short time available in the curriculum for the study of anatomy. These evidences lead us to a reflection in order to better meet students' expectations in relation to this discipline.

THE PRACTICE OF A MORE HUMANIZED MEDICINE AND MEDICAL ETIQUETTE.

FRANCIMAR KETSIA SERRA ARAUJO - UNIVERSIDADE POTIGUAR; BARBARA CANDICE FERNANDES DE VASCONCELOS - UNIVERSIDADE POTIGUAR; AYRTON AYSLLEN BARRETO DA SILVA - UNIVERSIDADE POTIGUAR; PRISCILA SILVA DE CARVALHO SALGADO - UNIVERSIDADE POTIGUAR; ARTHUR CARVALHO DE MACEDO - UNIVERSIDADE POTIGUAR; RAFAELLE DE QUEIROZ AQUINO - UNIVERSIDADE POTIGUAR; FRANCISCO MATEUS AMORIM FERNANDES LIMA - UNIVERSIDADE POTIGUAR; GABRIELA LIMA NOBREGA - UNIVERSIDADE POTIGUAR; RAFAELA DINIZ CELINO - UNIVERSIDADE POTIGUAR; MARIA EUGENIA BARROS CHAGAS - UNIVERSIDADE POTIGUAR

It is routine in public and private health units, patients complain about the care of doctors towards them. The lack of humanization in this area has become a concern over the past ten years. The medical labels understood as an attitude of warmth and empathy is within the humanization practices and improve doctor-patient relationship. With this in mind, and seeking to form a generation of well-educated doctors the Potiguar University (UnP) adopted as a philosophy the search for a more human medicine. This qualitative study aims to examine what the reasons cited by medical students of UnP to dehumanization and what their perception of health care practiced by teachers. A questionnaire was administered among students of first and second year. The participants were 67 students, among them 39 females and 28 males. The results indicate that students consider it a major reason for poor doctor-patient relationship, lack of communication between doctors and patients (38.8%), lack of humanization (25.3%) and unaware of treating physicians (18%). They still believe that in order to reverse this situation, can be made, mainly, the following improvements: workshops about humanization (40.2%), encourage communication skills (12%) and wider dissemination of the benefits of humanized medical care between teachers and students (13.4%). In contrast to the results cited, 74.6% of respondents said they perceive stimuli in the classroom teachers to practice a more humane medicine. Furthermore, 67% responded that they observe in daily practice teachers serving as advocates of humanization. Finally eighteen percent of students reported noted that the practice of medicine becomes better when the humanization is present. The results show that the students surveyed perceive that UnP stimulates the emergence of a more humane medicine and, for the most part, the teachers put into practice the precepts of humanization. However, also indicate failures in communication between doctors and patients, as well as inattention on the part of physicians as factors that prevent the humanization is a reality, pointing to the need for more stimuli in the university to implement a more humane medical practice.

PROJECT OF INTERVENTION IN THE BASIC HEALTH UNIT HUMAIT (SO PAULO BRAZIL)
CAMILLA BILAC OLIARI - FCMSCSP; ANA LUISA NASSER ERTHAL - FCMSCSP; FERNANDO MARTINS GONZAGA - FCMSCSP; GABRIELA DUARTE BORDINI - FCMSCSP; NATLIA AMARAL CANADO FCMSCSP; NAYANA SAMEJIMA PETERNELLI - FCMSCSP; RENATO ZITRON - FCMSCSP; SERGIO PAOLILLO JUNIOR - FCMSCSP; THALLES PERICLES TSILOUFAS - FCMSCSP; RAFAEL GUEDES DE TOLEDO BARROS FCMSCSP

Project Brief: Health promotion is a strategy that seeks to improve the quality of life through social movements based on preventive and primary care. Analyzing the disabilities of the district of Bela Vista, in downtown So Paulo, a project has been elaborated to offer information about the health equipment and social projects found in the district. The project was centered on the Basic Health Unit Humait. To reach the population in a comprehensive and continuous way it was determined that the instructions and information were passed to community by health workers, since they maintain direct contact with the local population. Each agent of the Basic Health Unit received a free folder that contained information about the entities and projects in the region, in order to avoid the lack of information and improve the appointment of equipment for the population. The folder contained information about location, source of contact, services, possible rates and requirements for treatment on each of the following institutions: "Church N.S. da Achiropita", "Casa de Apoio Brenda Lee", "Casa da Dona Yay", "Basilica N.S. do Carmo", "Novolhar Association and Living Together Center" and "Recanto do Pedrinho". To consolidate the project and make it clear to the agents, the students gave a speech about the goal of the work and explained the work of each institution contacted, talking about their current projects. The agents then gave their opinion about the project and the folder, which was very successful. Conclusion Since the Project was completed, its most remarkable accomplishment was the spread of information about the before unknown social projects located at the neighborhood of the Health Unit. Consequently, a better use of those social projects was possible. A group of students of Faculdade de Cincias Mdicas da Santa Casa de So Paulo has developed a network based on the full integration of social projects, health agents and patients of Basic Health Unit Humait. Due to those deeds, the acceptance of the freshman to the Health Basic System was possible and evident. Despite the high complexity of the patients cases and the undeniable difficulty to embrace indiscriminately different stratums, to the student body involved, small actions can assist, though slowly and gradually, the whole Health System. The distribution of the imprinted material allied with the interest of students and health agents allows this project to be extended to the whole city in order to mend some of the difficulties of the Basic Health Unit system.

EMERGENCY MEDICINE SESSIONS : UPDATED KNOWLEDGE TO MEDICAL STUDENTS

HUMBERTO BIA LIMA FORTE - FEDERAL UNIVERSITY OF CEAR; DANIEL MACHADO AMARAL FEDERAL UNIVERSITY OF CEAR; INGRID KELLEN SOUSA FREDERICO - FEDERAL UNIVERSITY OF CEAR; PAULO MARCELO PONTES GOMES DE MATOS - FEDERAL UNIVERSITY OF CEAR; JOO HENRIQUE DE SOUZA ANGELOTTO - FEDERAL UNIVERSITY OF CEAR; VIVIANE TEIXEIRA LOIOLA DE ALENCAR FEDERAL UNIVERSITY OF CEAR; BRBARA XIMENES BRAZ - FEDERAL UNIVERSITY OF CEAR; CLARA MOTA RANDAL POMPEU - FEDERAL UNIVERSITY OF CEAR; CAIO MARTINS MENEZES NAVES MAYRINK - FEDERAL UNIVERSITY OF CEAR; MARIANA LIMA VALE - FEDERAL UNIVERSITY OF CEAR

Introduction: The theoretical knowledge about Emergency Medicine is considered as one of the most important and most difficult subjects for most of the medical students and it is only approached in the University on classes in very advanced semesters. Most of the students have a lot of difficulty to consolidate that knowledge. Materials ad Methods: the Emergency Sessions were organized by a group of Medical Students, being offered to all the interested students, including the ones in the internship, and professionals from the health field, promoting the scattering of the latest information about the principal topics in Emergency Medicine. Three sessions were planned to be performed during the year of 2011. The sessions usually lasted one hour and a half being ministered by a Doctor known for his primacy in the topic that would be addressed. The chosen themes were: the updates in the advanced trauma life support(ATLS), acute abdomen and sepsis. Results: The average public was 83 people, including students from almost every semester in the medicine course. Beyond the recognition given to the students for the sessions, also the professors gave a great value to the project. Conclusion: the activity has assumed a very important place in the University, always presenting a great attendance of the students. The intention to help the students to overcome the difficulties of some important subjects in the graduation process was accomplished and the group intend to continue and expand the activity approaching in the year of 2012 the Internal Medicine theme.

PORTFOLIO EVALUATION AS A SOURCE OF LEARNING

ANANDA MEDEIROS PEREIRA ARAJO - UNIVERSIDADE POTIGUAR; NAYARA RAISSA TOSCANO LIMA UNIVERSIDADE POTIGUAR; HERISON HARRIDER SILVA VAZ -

Introduction: The formation processes of health professionals have being changing, so new themes are emerrging. One example is the Portfolio, which use several sources of learning, especially to report cases, deepening on them, seeking information and critical analysis. This target of knowledge has useful points to complete the numerous downsides of traditional curriculum or to complete the knowledge acquired through learning based on problems. The portfolio emerges as innovative measure, serving as an aid in learning university, because there is a need to describe and deepen the themes adequately experienced. For this to occur in a meaningful and sufficient way is necessary an appropriate search on the issues, especially in realiable articles. Articles already published have shown the efficiency of having joined in the curriculum reports of the cases, especially in regard to student support in securing content, improve vision of the facts, know how to observe daily life with a more refined taking care to always search assistance from reliable sources, there is an encouragement to clinical research. However, to succeed, the student should be properly guided by tutors, therefore, it is appropriate that tutors are also trained in the same conduct, so it is essential that they, tutors and students walk together. The training of teachers in new teaching methodologies and the adoption of new attitudes should also be mandatory. It was then the main challenge to encourage new experiences, to promote a cultural change, social and educational backgrounds in medical professionals. Metodology: Cross-sectional study using a structured questionnaire applied for medical students at the fourth grade at 2009.2. Results: Were interviewed 54 students who evaluated the portfolio and its importance in the growth of medical education and as a means of constant research. Of these, 17 students (31.48%) rated the portfolio as excellent, 09 students (16.57%) as good, 11 students (20.37%) as regular, 09 students (16.67%) as poor and 08 students (14.81%) as poor. Conclusion: It was observed partial acceptance by students, showing a resistance to the method and a need for better work goals and objectives to the current medical education as a positive and constant knowledge.

TERRITORIALIZATION PROCESS OF THE COVERAGE AREA OF SACRAMENTA'S HEALTH CENTER TEAM

SHERLON ELVIS PINTO RAIOL - CENTRO UNIVERSITRIO DO PAR; ROBERTO ATAIDE PINTO UNIVERSIDADE DO ESTADO DO PAR; SIMONE CRUZ ATAIDE PINTO - UNIVERSIDADE DO ESTADO DO PAR; RODRIGO DA SILVA DIAS - UNIVERSIDADE DO ESTADO DO PAR; CAIO MENDES DIAS - CENTRO UNIVERSITRIO DO PAR; CYNTHIA MARIA SISO PINHEIRO - CENTRO UNIVERSITRIO DO PAR; CYBELLE CRISTINA PEREIRA - UNIVERSIDADE DO ESTADO DO PAR

Introduction: Brazilians public health system is based on three levels of assistance, primary (mainly focused on preventing health actions), secondary (includes specialized doctors treatment) and tertiary (Hospitals). The primary system works trough the Estrategia Sade da Familia (Familys Health Strategy program [FHSP] ESF in portuguese) in health centers that are the reference for the neighborhood on its surroundings. This health centers divide its area of performance in microareas, numbering them and giving its care to Agentes Comunitarios de Saude (Community health workers [CHW]) to facilitate their actions. Its creation (ESF) has been considered as the most successful social reform undertaken under the new democratic regime of the Sistema Unico de Sade ([SUS] Universal health system), in view of its universal and equal mold. It prioritizes the promotion, prevention, protection and restoration of health of any individual, whether its a newborn, elderly, sick or healthy, in full and continuous degree. Territorialization is an identification and recognition study method of a given area, with the purpose of identifying the biggest health needs of its community, aiming to improve preventive health actions. Objective: To characterize the local reality of the coverage area of the Sacramenta's Health Center Team I (SHC Team I). Methodology The survey was developed analytical-descriptive type, involving standard techniques of data collection, in a qualitative way (form A) and quantitative (observation of territorial micro area). All residents of the studied area who were registred in Sacramenta's Health Center were included. Results SHC Team serves 818 families, with 2,844 people in eight different micro areas. It is an area with basic sanitation, public lighting and transportation, appropriate destination for trash, a few loose animals by the pathways, however there are cases of unemployment and people working without a contract. The main types of service are: arterial hypertension (21.81%), puericulture (15.45%), prenatal care (11.56%), prevention of cervical uterine carcinoma (2.35%), and STD / AIDS (0.05%). In Form A, of SIAB, there were 1,506 women and 1,338 men, including adults and children. Among 679 patients, suffering from a disease that appears on the form, with 86 with diabetes, 243 w/ hypertension (Systemic Arterial Hypertension - SAH), 2 handicapped, 5 epileptics , 2 w/ leprosy, 2 w/ Tuberculosis, 13 pregnants , 6 anemics and 320 with other types of illness or condition. 541 of 818 families seek the SHC in the event of illness. Conclusion: It was perceived that the micro area has good conditions for housing, sewage system, electricity, water supply and its quality to go along with good education. It was also perceived a great number of patients with SAH, making this pathology the first line of intervention within the given population.

DIDACTIC VIDEOS AND E-LEARNING TECHNOLOGY: COMPLEMENTARY LEARNING TOOL FOR THE STUDY OF THE NEUROLOGICAL EXAMINATION BY MEDICAL STUDENTS IN BRAZIL
VIVIANE TEIXEIRA LOIOLA DE ALENCAR - UNIVERSIDADE FEDERAL DO CEAR; FERNANDO KLEIN LEITO - UNIVERSIDADE FEDERAL DO CEAR; HUMBERTO BIA LIMA FORTE - UNIVERSIDADE FEDERAL DO CEAR; CLARA MOTA RANDAL POMPEU - UNIVERSIDADE FEDERAL DO CEAR; CAIO MARTINS MENEZES NAVES MAYRINK - UNIVERSIDADE FEDERAL DO CEAR; DIEGO ANDR HORTNCIO ORTEGA DOS SANTOS - UNIVERSIDADE FEDERAL DO CEAR; BRBARA XIMENES BRAZ - UNIVERSIDADE FEDERAL DO CEAR; DANIEL MACHADO AMARAL - UNIVERSIDADE FEDERAL DO CEAR; JOO HENRIQUE DE SOUZA ANGELOTTO - UNIVERSIDADE FEDERAL DO CEAR; MARIANA LIMA VALE UNIVERSIDADE FEDERAL DO CEAR

The Neurological Examination is an essential part of the general clinical examination and all doctors, apart from any specialty, should be able to perform it accurately, knowing the correct approach strategies and maneuvers to be performed and what to expect from each one. However, what has been noticed is that most medical students of the University reach the last two years of their course, when initiate the supervised full-time internship at the hospital, without reliability to perform this important exam, even though it is studied during the subjects of Semiology and Neurology, in the second and fourth year respectively. Based on that perspective, it has been noticed the need of new didactic tools to assist in the study of the Neurological Examination. Nowadays, the E-learning technology, based essentially on the computer and network-enabled transfer of skills and knowledge, is already spread worldwide, as a symbol of the globalization period, and provides an easy-access, complementary learning instrument for a variety of subjects. Therefore, the solution developed was the creation of didactic videos, to be published in a proper website with free access, in which it would be shown, step by step, the correct way of performing the Neurological Examination and the regular findings of each part. The videos were recorded in a high-quality studio and the exam was performed by an experienced neurologist. This initiative was inspired by a similar project developed in an University in the United States, but it is today the first one developed in a high-quality manner in the Portuguese language, being, therefore, more appropriate for the widespread use in Brazil. Conclusion: The didactic videos project was developed as a way to fulfill a current need of a new learning device for the study of the Neurological Examination, essential to the clinical practice of all doctors. As a next step to the project, we expect the videos to be used as a way to assist the teaching and learning of the exam in the classroom by professors and students. That way, the project intends to contribute to the improvement of the graduation course and, beyond that, to become an alternative didactic tool for the learning of this important exam by medical students in the entire country.

PROFILE EPIDEMIOLOGIST OF THE PATIENTS IN THERAPY RENAL SUBSTITUTE IN THE CITY OF FERNANDPOLIS, BRAZIL.
WASHINGTON HENRIQUE CONCEIO - UNIVERSIDADE CAMILO CASTELO BRANCO - UNICASTELO; LIVIA PAULA OLIVEIRA - UNIVERSIDADE CAMILO CASTELO BRANCO - UNICASTELO; LUCIANA ESTEVAM SIMONATO - UNIVERSIDADE CAMILO CASTELO BRANCO - UNICASTELO

Introduction: The increase of the incidence of the chronic renal disease becomes it a problem of public health, a time that presents a bigger mortality in absolute numbers the cancer of cervix, prostate and breast, associate the cost around of 1, 4 billion to the year in the United State (SESSO, 2002). Objectives: To analyze the characteristic physician-epidemiologists of the patients with chronic renal disease in the city of Fernandpolis, Brazil, in such way that it assists in the creation of measures for precocious diagnosis and treatment of the insufficient kidney chronic (IKC) as well as of its co-morbidity. Method: Quantitative descriptive study with 45 patients with diagnosis of IKC in hemodialysis, through the fulfilling of a questionnaire structuralized for the authors, validated for test pilot. Results: When questioned on the cause of IRC, 46.6% had answered systemic arterial hypertension (SAH) isolated, 11.1% diabetes melitus (DM) isolated, 26.6% the association of DM and SAH, 6.6% glomerulonephritis, 2.2% systemic lupus erythematosus, 2.2% obstructive uropathy and 2.2% other causes; the high prevalence of patients with SAH and DM (26.6%) strengthens the cause and consequence between these diseases (SNYDER and PENDERGRAPH, 2005). Of the sample, 28.8% declared to smoke, 15.5% to be alcoholic and 53.3% to be sedentary. Conclusions: Concludes that prevalence of SAH added the DM answers for more than 80% of the etiology the IRC. The analysis of the etiology also demonstrates to the transition epidemiologist for which Brazil this passing, where the related disease the not transmissible injuries have increased in relation to the disease with transmissible injuries (WHO, 2003). However, a preoccupying data is the elevated prevalence the alcoholism, smoking and sedentary, what in association the IRC and SAH and DM aggravate the cardiovascular risks, favoring the sprouting of cardiovascular events, being these the main cause of morbi-mortality in the patients with IRC.

THE HIDDEN CAPACITY OF COLLEGE STUDENTS TO SAVE LIVES AN INVESTIGATION ABOUT THE MOTIVES BEHIND BLOOD DONATION AMONG HEALTH AREA STUDENTS IN UNIVERSIDADE FEDERAL FLUMINENSE
LEVY VILAS BOAS FUKUOKA - UFF; MARIA CAROLINA DA FONSECA BRANDO - UFF; CAROLINA AIRO DESTEFANI - UFF; JOO PAULO BARBETTA PIRES - UFF; GISELLE DE LIMA FERREIRA - UFF; THAMARA MOREIRA DE ALMEIDA - UFF; JUSSARA CALMON R. S. SOARES - UFF

Introduction: The Voluntary blood donation exists in Brazil for thirty years and its only through this act that the blood stocks can be renewed. In our country any commerce of human tissues is considered a crime, thus is punishable by law. Its also known that the prevalence of transmissible blood diseases is way lower among the voluntary donors than in the paid donors. But, according to the Brazilian Health Ministry, only 1% of the total population that lives in the state of Rio de Janeiro donated blood in 2008. This percentual is the minimum recommended by WHO, in a way that does not fulfill the needs of blood transfusions and production of blood derivatives. So, its important to increase the act of blood donation at the same time there should be efforts to keep up the regularity of this act, without losing the prerogative of safe blood. In this way, we conducted a research to investigate the main motives that lead the academics of the health area to donate blood or dont - and their level of information about the theme. The academic universe was chosen because we understand that college students should be stimulated to participate more actively in the social life, assuming their paper as citizens. As Cunha Dias affirm, the lack of participation of the college population contributes to blood banks chronic deficit. In this approach, we can contribute to a bigger conscientization of this public about blood donation with responsibility. Materials and Methods: We elaborated questionnaires that were applied randomly to the academics of Nursery, Pharmacy, Medicine and Odontology of Universidade Federal Fluminense (UFF). The project was submitted to the Council of Ethics and Research HUAP in March 2011, under the n 038/11, being approved in April 2011. Results: 306 college students participated of the research. The main motive that lead 82 (26,79%) of the responders to donate blood was a feeling of solidarity and to help who needs. Among the motives written by 223 (72,87%) that never donated blood, Lack of Opportunity was the main reason to dont donate. Of the 306 interviewed, 238 (77,78%) affirm that if they were called directly to a blood donation, they would say yes. Another 45 (14,71%) would go, but with some reservation. Only 21 (6,86%) would negate the direct appeal. Conclusions: To approach the college public, we created a social media web page called Corrente Sangunea (Blood Chain), giving general information and making direct calls for those interested in blood donation, since the results support that the majority of college students just need a little push to go to a blood bank and save lives. Despite the good intention of the college students towards blood donation, the opportunities to realize such act are not enough. It is imperative that blood banks create innovative ways to approach this public and establish more flexible schedules in order to absorb this demand.

WELCOME TO PRIMARY HEALTH CARE: THE OPINION OF PRECEPTORS ON THE HOST TO MEDICAL STUDENTS IN THIS NETWORK
RAFAEL BISPO PASCHOALINI - SO PAULO STATE UNIVERSITY; LUIS FELIPE BETTI CASAGRANDE - SO PAULO STATE UNIVERSITY; MAIRA RENATA MERLOTTO - SO PAULO STATE UNIVERSITY; ALICE YAMASHITA PREARO - SO PAULO STATE UNIVERSITY; IONE MORITA - SO PAULO STATE UNIVERSITY

Introduction: The host to medical students in primary health care brings to debate issues of medical education, assuming a work of mediation between universities and preceptors in primary care units. This brings us to the problems experienced by these professionals, in terms of human resources policies and poor conditions in the workplace. These factors take nuances of interference on the educational process. Due to several factors that interfere in medical education, it is necessary to evaluate how students are entering this dynamic network and which is the real host provided by the staff in this educational context. Based on these assumptions, we aimed to know the opinion of tutors on the degree of receptivity to the medical student in Family Health Units in the context of space of teaching in medical education. Materials and Methods: In all the Family Health Units of the city of Botucatu, So Paulo - Brazil, from September to November 2011, we conducted 16 individual audio-taped interviews with preceptors of medical students of So Paulo State University, structured in tutors identification, approaching preceptorship and various relations in the triad unit-student-tutor. We have identified a profile of the preceptor and proceeded to content analysis, using qualitative methodology, thematic analysis, grounded theory of social representations and the recurring themes found in various readings of the interviews. Results: Most preceptors (68%) had recent training (mean 5 years). The teaching model "hospital-centered" stood out in the training of respondents, indicating that this is the ideology expressed by academic staff in most educational institutions. Work overload, low bid in permanent training, low-return evaluation in the preceptorship and devaluation of the preceptorship by educational institutions, among other factors, contributed to setting the negative representation of primary care, at the expense of a good degree of receptivity, as manifested previously in the interviews. Conclusion: The host is present in teaching and learning in primary care. However, as the setting of practice, primary care must be reorganized in the overload of care, lack of space, offering training courses and extension of supervision of professors. In relation to the preceptor, the enhancement of medical education in primary care is associated with a need for continuing education, training from a biopsychosocial model, further clarification regarding the educational goals of students as well as a greater recognition about the students evaluating return, provided by the university. In relation to the student, the inclusion in primary care network should facilitate the overcoming of the negative representation that is still present throughout their training.

ACADEMIC LEAGUE FOR ETHICS IN HEALTH AS CURRICULAR SUPPLEMENT

THIAGO ROBIS DE OLIVEIRA - UFMG

Introduction: The growing number of Academic Leagues (AL) formed in universities and colleges indicate a recent phenomenon, of great importance. Though it lacks a specific definition, the AL can be considered as a group of students, guided by a tutor, which deepen the knowledge on a topic, contributing to the individual training and composing the interface between academia and community. Many of these topics are not discussed during the graduation, as the Ethics in Health. This work describes the experience of the League of Academic Ethics in Health (LAES), at Federal University of Minas Gerais. Material and Methods: The LAES began operations in 2009 by a group of medical students who wished to further deepening of the ethical issues that made up his practice. They were guided by teachers related to the subject of Ethics in Health, and as soon as they started the activity of the Academic League, they chose to include students from other areas such as nursing and speech therapy. Made up the activities of LAES: fortnightly meetings open to the academic community, where they discussed issues of health ethics, with the presence of a professional with great expertise. In addition, scientific papers were discussed, and national and international productions on the subject also are discussed. Was still bound to the members of LAES organizing a symposium, open to the Community, with local and regional guests on Ethics in Health. Results: The process to participate in an Academic League was important for the formation of its members. Through the work of LAES, it is possible to see more involvement of academics on the issues discussed. At the Federal University of Minas Gerais, there is only one course, elective, in which ethics is fundamentally discussed, and is unable to meet the demand of graduate students. The LAES arises in this context, providing, in a more dynamic, with significant participation of professionals, a broad area of discussion. An important element, when addressed, is the scientific production, which is growing and constructed so as to admit the contents of experiences associated with extensive review of literature, since this is a sometimes controversial topics. Conclusion: The benefit of the Academic League is already established. Moreover, this is an important tool for interface between the scientific community and which should be the biggest beneficiary of advances in scientific circles. The LAES showed a striking link between the University and the Community regarding the discussions of ethics, bringing even undergraduate students with a health care forum for discussion.

PROFILE EPIDEMIOLOGICAL AND CLINICAL OF HANSEN'S DISEASE CASES REPORTED IN THE PERIOD 2006-2010 IN FERNANDOPOLIS, SP
WASHINGTON HENRIQUE CONCEIO - UNIVERSIDADE CAMILO CASTELO BRANCO - UNICASTELO; NATALIA ANGLICA SEGATTI - UNIVERSIDADE CAMILO CASTELO BRANCO - UNICASTELO; VITHOR OLIVEIRA CARVALHO - UNIVERSIDADE CAMILO CASTELO BRANCO - UNICASTELO; MARCELO B. A ROMO - UNIVERSIDADE CAMILO CASTELO BRANCO - UNICASTELO; SARAH B. ROSA - UNIVERSIDADE CAMILO CASTELO BRANCO - UNICASTELO; MRCIO C.R GAGGINI - UNIVERSIDADE CAMILO CASTELO BRANCO - UNICASTELO; JSE MARTINS PINTO NETO - UNIVERSIDADE CAMILO CASTELO BRANCO UNICASTELO

Introduction: Hansens Disease is a chronic infectious process caused by the interaction between Mycobacterium hansenii and the host's immune system. It is characterized by the symptoms of the skin, nerves and nasal mucosa. It presents a high infectivity and a low pathogenic, its immunogenic power is responsible for the high potential crippling of this disease. Materials and Methods: to analyze the clinical and epidemiological profile of leprosy cases notified in Fernandpolis-SP in the period from 2006 to 2010, in order to identify the variables sex, race/color, age, occupation, marital status, clinical form and operating class, this is a retrospective and descriptive quantitative study, in which 190 patients records of both sexes were analyzed, of cases of leprosy in Fernandpolis and other towns of this region or in the period 2006 to 2010. Results: there was a predominance of disease in females (51.6), white race (66.3), the age group is between 20 and 59 years (67.4), urban workers (67.9), unmarried (64.7), whose predominant clinical form was Dimorph (61.1) that constitutes along with the virchowiana and the multibacillary forms the predominant ones in this study. Conclusion: the main findings of this research point out the importance of evaluating the epidemiological profile of the disease and from that, to develop training actions of health professionals, particularly physicians of health system for early diagnosis, as well as the whole staff, so that it enables to create health education activities for the population.

MEDICINE FROM DREAMING TO PRACTICING GRADUATION INITIATION COURSE APPROACHING THEORY AND PRACTICE IN MAJOR MEDICAL FIELDS
BRBARA XIMENES BRAZ - UNIVERSIDADE FEDERAL DO CEAR; HUMBERTO BIA LIMA FORTE UNIVERSIDADE FEDERAL DO CEAR; CAIO MARTINS MENEZES NAVES MAYRINK - UNIVERSIDADE FEDERAL DO CEAR; FERNANDO KLEIN LEITO - UNIVERSIDADE FEDERAL DO CEAR; CLARA MOTA RANDAL POMPEU - UNIVERSIDADE FEDERAL DO CEAR; DIEGO ANDR HORTNCIO ORTEGA DOS SANTOS - UNIVERSIDADE FEDERAL DO CEAR; INGRID KELLEN SOUSA FREDERICO - UNIVERSIDADE FEDERAL DO CEAR; JOO HENRIQUE DE SOUZA ANGELOTTO - UNIVERSIDADE FEDERAL DO CEAR; PAULO MARCELO PONTES GOMES DE MATOS - UNIVERSIDADE FEDERAL DO CEAR; MARIANA LIMA VALE - UNIVERSIDADE FEDERAL DO CEAR

Being in contact with the major areas of Medicine, in order to have a general knowledge of everything that is going to be experienced through college, is something really useful to the students who have just entered this new reality. Based on this thought, a group of Medicine students affiliated to a college program developed the course Medicine from Dreaming to Practicing, as a part of the graduation initiation program. Aim: the project aimed to provide an initial contact with the major medical areas to the students who have just started college. The course also pursues the objectives of promoting the exchange of experiences between the students and the professionals who work in various medical fields, allowing the clarification of doubts and curiosities. Methodology: the methodology consisted on a 20 hours course, which occurred in a period of five days. Each class, lectured by the Medicine students of the program, was about one of the major medical fields, as Clinical Medicine, Pediatrics, Community Health, Surgery and Obstetrics/Gynecology, followed by a lecture, ministered by an invited professor, about the professional practice of the considered field. On the first day of the course, there was a class about Clinical Medicine, followed by a presentation of pathognomonic images and initiation of the training of the clinical eye. The first day was finished with the class of an invited doctor. Then, on the second day, there was a theoretical class on Community Health basic concepts and a practice of blood pressure measurement, followed by the lecture of the invited doctor. The third day was initiated with notions of Pediatrics, followed by a practice of the Red Reflex Test and a discussion with a pediatrician. On the fourth day, in which we approached Obstetrics/Gynecology, was presented a theoretical class on prenatal care and a practice that counted with the presence of a pregnant woman, in order to demonstrate some simple procedures of prenatal care, occurring, then, the lecture given by a gynecologist. The fifth and last day of the course involved surgical issues and consisted on a class given by a student of the program, a practice on sutures and a discussion with a surgeon. Conclusion: the course Medicine from Dreaming to Practicing reached its goals. The students who had just started college were able to clarify doubts and curiosities about the different aspects of medical fields by asking questions to the students of the program and to the invited professionals. The practical classes and the main idea of the course were praised by the participants, through evaluation questionnaires that showed positive results.

DYNAMICS ON PRIMARY CARE ACADEMIC RESEARCH AND ANALYSIS OF DATA FROM A BASIC HEALTH UNIT IN A PERIOD OF ONE YEAR
BRBARA XIMENES BRAZ - UNIVERSIDADE FEDERAL DO CEAR; SARAH GOMES DIGENES UNIVERSIDADE FEDERAL DO CEAR; CAIO MARTINS MENEZES NAVES MAYRINK - UNIVERSIDADE FEDERAL DO CEAR; VIRNA LEAL CHAGAS FERNANDES - UNIVERSIDADE FEDERAL DO CEAR; ANNA SLVIA OLIVEIRA FAANHA - UNIVERSIDADE FEDERAL DO CEAR; LUCAS BRAGA ARANHA UNIVERSIDADE FEDERAL DO CEAR; GLAUCE MARIA GOMES DIGENES - UNIVERSIDADE FEDERAL DO CEAR

Introduction: Obtaining data in Basic Health Units is extremely relevant to the Health Department, for the community in general and the Unit itself. It is necessary to analyze properly this information, in order to monitor closely the quality of life of the population served by Primary Care. Material and Methods: During the first semester of 2011, a group of Medicine students performed visits to a Basic Family Health Attention Unit, noticing that the present data there could be studied in greater detail. Realizing the importance and the necessity of that data for future analysis and possible planning on the functioning of the Unit, the group decided to make the collection and organization of the tables relating to the period from April 2010 to April 2011, which were presented in manual format at the time. The manual copy of all data related to the same period was made, and, then, the digitalization of such content in the form of tables. After the ending of the collection of the files, in order to study better the dynamics of the Unit of Primary Care and its interrelations with the population served by it, the members of the group turned the information collected into graphs. Seizing the initiative, the same group of students made a research that not only analyzes the data collected by professionals, but also the area in which the Unit is located, including the geography of this area, sanitation and schools and kindergartens that are located in its surroundings. Results: The global analysis of the functioning of a Basic Health Unit enabled the simultaneous understanding of several variables relating to child care, pregnancy, hospitalizations and deaths, and others, while the chronological study of a wide range of data resulted in the interconnection of factors closely related to the social and cultural characteristics of the community served by the Unit. Conclusion: The completion of the process of collecting, organizing and analyzing the data brought to the group members the opportunity of a deep analysis regarding the System of Primary Care, its influences and consequences, and its network of connections with other levels of health care and with the population. The academic research proved to be an important tool for the creation of new perspectives on the dynamics of primary care.

TERRITORIALIZATION OF MICRO AREA 03 OF TENONS HEALTH CENTER

SHERLON ELVIS PINTO RAIOL - CENTRO UNIVERSITRIO DO PAR; CYBELLE CRISTINA PEREIRA CENTRO UNIVERSITRIO DO PAR; CAIO MENDES DIAS - CENTRO UNIVERSITRIO DO PAR; CYNTHIA MARIA SISO PINHEIRO - CENTRO UNIVERSITRIO DO PAR; ANA CAROLINA BECHARA ABRAO CENTRO UNIVERSITRIO DO PAR; ROBERTO ATAIDE PINTO - UNIVERSIDADE DO ESTADO DO PAR; SIMONE CRUZ ATAIDE PINTO - UNIVERSIDADE DO ESTADO DO PAR

Introduction: brazilians public health system is based on three levels of assistance, primary (mainly focused on preventing health actions), secondary (includes specialized doctors treatment) and tertiary (Hospitals). The primary system works trough the Estrategia Sade da Familia (Familys Health Strategy program) in health centers that are the reference for the neighborhood on its surroundings. This health centers divide its area of performance in micro-areas, numbering them and giving its care to Agentes Comunitarios de Saude (Community health workers [CHW]) to facilitate their actions. Territorialization is an identification and recognition study method of a given area, with the purpose of identifying the biggest health needs of its community, aiming to improve preventive health actions. Objectives: analyze the micro-area 03 (bounded by streets Alacid Nunes, 5th line, street 1 and 2) of Tenons health center (Thc), recognizing and presenting the specifics of it; Examine registration form A of the residents enrolled in Thc, recognizing the number of families and the most prevalent diseases and to assess socio economic and environmental conditions. Methodology: The survey was developed analytical-descriptive type, involving standard techniques of data collection, in a qualitative way (form A) and quantitative (observation of territorial micro area). Results: it showed poor sanitation, many animals roaming freely, inadequate number of families per CHW. The data obtained in the form A showed that there are 101 families in the micro area under study. There is a predominance of the age group 20-39 years in both sexes. It was found that 89% of children are literate, while 97% of adults are not. The most prevalent disease was hypertension. In relation to housing conditions, all the houses are brickwork, 93 have electricity, 68 have garbage collection, 70 have no treatment in water, 75 use the public network for the supply of water, 75 use cesspool as feces destination, 85% have no health insurance and in case of sickness seek Thc. The most used mean of communication is television and none of the surveyed take part in communitarian groups. Most of the surveyed population has a household income of 1-3 minimum wages and uses bus as the primary mean of transportation. Most respondents have a home with good ventilation, floor covered with tile and no animals. Conclusion: It was perceived that the micro area has good conditions for both housing and education, sinning in water treatment and the fate of feces and urine, reflecting sanitary conditions and consequently the health of the population

TEENAGERS SOCIOECONIMIC LOOK OF ITAPA HEALTH Tiago Artur Lyra Leite Universidade de Braslia; Luciana Saemi Nakanishi Universidade de Braslia; Dayana Carla de Oliveira Universidade de Braslia; Levi Bezerra Sena Universidade de Braslia; Carolina Martins Vissoci Universidade de Braslia Introduction: As a final project in the subject Health and Society, the studens have to make a research focusing in the opinion of the teenagers who live at Itapa (a deprieved community about 25 Km of Braslia) about what improves, protect and endangers de state of health and life quality of the city's citizens. The work attempted to: check the concept of health, the factors that protect or may put at risk from the teenager point of view and use the qualitative research to see, based in the teenagers report, the existance or abscence of healt promotion aspects. The results of this research could help the health professionals to adapt their approach to the young people and even, if it was possible, to create a monitoring program in the local Health Center, with a multiprofessional staff to talk and help in specific situations with this teenagers. Methods: data collection was performed during three visits, in the first the structure of the research was discussed with the professionals of the Itapa Health Center (specifically a occupational therapist and the communiy health worker, ACS), they told some valuable information about the teenagers and each group of the discipline picked up some files of families in the coverage areas of the Family Health Program (PSF). The study consisted in a exploratory, qualitative research, an a convenience sample was used. The next day, some visits were made, to invite people, collect permission of the parents and explain to the teenagers the details of the research. Two girls (13 and 14 years old) wanted to participate and were allowed by their parents, the group than, asked about health general aspects, education, security and leisure in their neighborhood. The group choosed a specific type of qualitative research, the photo voice, in wich the teenagers should take some photos of factors that protect or endanger their health in their routine. With this purpose, it was given a Digital Camera to the girls, some tests were made to be sure that they know how to use the equipament. They should meet us in a week and the photos would Be discussed. In the talk, the girls explained why each photo was taken and the aspect that they wanna highlight whit the pictures. Results: Some pictures portrayed garbish, they focused on dengue and in the importance of a good hygiene, there was also a picture of differente kinds of food, emphasizing the role of healthy eating, there was also clay filter, emphasis was placed in the role of drinking suitable amount of drinking water in a day. They also made a photo of the local Health Center, it was said that it was a place for treatment, but it was not recognized as a preventing or promoting health place. They emphasized the role of the ACS, due to proximity to the community. Conclusion: Their oppinion must be listened, there are severall differents points of view in a single community, further research is necessary. A specific suport group to this age group is a simple and viable option.

COVERAGE OF CYTOPATHOLOGICAL CERVIX EXAM IN A HEALTH CARE CENTER

BEATRIZ CRISTOFARO MANTUAN - UFCSPA; ANTONIA PARDO CHAGAS - UFCSPA; GABRIELA KASPER BRAGHINI - UFCSPA; WANESSA BORDIN - UFCSPA; LOUISE TORRES - UFCSPA

Introduction: Cervical cancer is the second most frequent type of cancer in Brazilian women. The cytopathological track has been formed as the main strategy for the disease control. When it is used, we can note a significant decline in incidence and mortality arising by this kind of tumor. This way, the objective of this project is to analyze the cytopathological cervix exam coverage in a health care center and to purpose interventions in order to increase the patients adherence to it. Material and Methods: This research has as a target group, women from 25 until 64 years old that live in the area covered by ESF (Estratgia de Sade da Famlia, which is specialized in primary health care) Santa Maria located, in the north of Porto Alegre city, from March 2011 until March 2012. The project will use a standard quiz for the collection of the information, which will be done by previously trained interviewers. The project intends to describe patients characteristics too. To compare the results, we will be using the tests QuiQuadrado, T Test and Mann-Whitney, according to the type and the variability distribution, considering 5% the level of significance. Expected Results: This study wants to purpose future interventions in order to increase the realization of the exam by the patients. Conclusion: As a project, we still dont have the conclusions.

SEXUAL HEALTH EDUCATION IN ADOLESCENCE: WHERE IS THE PROBLEM, THE CONTENT OR THE METHODOLOGY?
ANA PAULA DA SILVA PEREIRA LOPO - ESCS/FEPECS/DF; ARTHUR ATAIDE LOPES - ESCS/FEPECS/DF; PEDRO RIBEIRO BIANCHINI - ESCS/FEPECS/DF

Introduction: adolescence phase of 10 to 19 years old, covers the transition from childhood to adulthood. In it, especially after 15 years (22%), there may be their first sexual intercourse, often unprotected. Only 23% of teens use some method of contraception, resulting in thousands of pregnancies, with an impact on their health, social integration and development. Materials and Methods: based upon the methodology of Maguerez Charles, second grade students of Medicine participated in a health fair held in a school Sobradinho DF-II. Patients answered questionnaires to students and teachers, COM sexuality as a topic of much needed discussion. Results: During the activity was noted to have teenage pregnancies among students, even demonstrates knowledge about contraceptive methods. Among the possible determinants of the table are given the feeling of unattainability, transfer of care to third parties, repetition of family patterns of early pregnancy, desire for emancipation, myths about contraceptive methods and their effects and absence of life projects and family perspective. Were proposed dynamics among the students of 1st year of high school, who were divided into three groups of seven students: Contraceptive Methods, Myths and Truths on Sexuality and Contraceptive Methods, Project Life / Teenage Pregnancy. These groups worked their issues separately. At first, the activity consisted of the implementation of hangman game in which the words used were names of contraceptive methods. In the second, the dynamics was performed with balloons containing papers with affirmative vas, each student burst a balloon and opined that it was a myth or not. In the third group, we used the simulation of a trial of a pregnant teenager, in which half of the group to defend and accuse the other half. At the end, they presented what they learned to others, being the best presentation award. Conclusion: The dynamics of small groups, using innovative ways to approach, allowed for greater reflection and discussion, making students active in the learning process. Moreover, they felt freer to ask questions and tell personal experiences, which is not always possible in lectures due to the hierarchical concept with the teacher, which may inhibit them. Thus, students were more interested sanaram questions, addressed the social aspects of their environment and set the best knowledge. Reiterate the importance of applying Maguerez Arch, based on the observation of reality, identifying key issues and theory, even the application of hypotheses, efficient coordination of health knowledge and practical action with a view to improving the community.

MALE INVOLVEMENT IN PLANNING IN REPRODUCTIVE HEALTH CENTER N 03 IN SOBRADINHO II/DF.

ANA PAULA DA SILVA PEREIRA LOPO - ESCS/FEPECS/DF; ARTHUR ATAIDE LOPES - ESCS/FEPECS/DF; PEDRO RIBEIRO BIANCHINI - ESCS/FEPECS/DF; GABRIELA GOMES DE SANTANA BERIGO ESCS/FEPECS/DF

Introduction: Despite the changes that the society now, the idea that only women are responsible for family planning remains entrenched, delegating them to avoid the concern of a possible pregnancy, trying to use contraceptive methods, and also one that partner accepted. In 1983, the Ministry of Health created the Program for Comprehensive Health Care of Women, which promotes the Planning Reproductive (PR) informing and providing contraceptives to the population. In 1996, the trail becomes a law, population control is prohibited, and in 2004 to broaden its actions, including male participation. In 2009, it is implanted in the National Policy on Comprehensive Health Care Human attention to describing the PR men. Method: Based upon the methodology of Charles Maguerez, students from one grade of Medicine conducted during the period August-October 2009, a collection of data in the book of records 2004 to 2009 the meetings of Planning Reproductive Health Center No. 03 Sobradinho II. An interview with the nurse responsible for these, as well as observation of a planning meeting. Data were analyzed using EpiInfo version 3.5.1. Objectives: To study the participation and presence at meetings of men in family planning at the Center for Health Raise the number of participants and topics discussed at the meetings. Know ways of male involvement in meetings, provision of inputs, the Family Planning Policy in PAISM PAISH and the structuring of programs in the DF and the organization of Planned Parenthood Center. Results: The Ministry of Health defines family planning as a right that everyone has to information, expertise and access to resources to freely and consciously choose to have children or not. The number, spacing between them and choose the most appropriate method of contraception are factors that every woman should have the right to choose freely and through information, without discrimination, coercion or violence. In the scenario, it was found that meetings are held weekly to discuss about contraceptives, injectables, IUDs and oral (accessible after medical consultation), male and female condoms distributed in the reception room of the woman, and other methods and STDs. The average participant is 25 / meeting, 93% women and only 5% of men. Conclusion: The male participation remains low (17.78%), despite of increasing over the past five years. We believe that PNAISH may assist in the integration of man in health promotion and reproductive planning. Reiterate the importance of applying the methodology of problematization, which starts from the observation of reality, identifying key issues and theory, even the application of hypotheses, efficient coordination of health knowledge.

BREASTFEEDING IN PUBLIC PHILANTHROPIC DAY-CARE NURSERIES IN THE CITY OF SO PAULO

HELENA CRISTINA TOMINAGA GARCIA DE SOUZA - ESCOLA PAULISTA DE MEDICINA

The objective of this study was to identify the determinants of breastfeeding in children attending public philanthropic day-care nurseries in the city of So Paulo. Methods: the study was done through cross-sectional observations; seven nurseries were approached and 366 mothers of children under two years participated in the survey. Statistical analyzes were performed using the Kaplan Meier method and Coxs proportional hazards model. The total number of children was 366 with a sample loss of 26 (6,6%). Results: The average time of exclusive breastfeeding duration was 92,9 + 64,7 days and total breastfeeding was 332,5+271,1 days. In multivariate analysis, entered the final model the following variables for total breastfeeding: maternal age less than 30 years (HR=1,33; 95% CI=1.05-1,70; p-value=0,0197), use of pacifier before 3 months of age (HR=3,01; 95% CI=2,36-3,85; p-value=0.0) and per capita income lower than the minimum wage (HR=1,52; 95% CI=1,13-2,05; p-value=0,0056). For exclusive breastfeeding, the variables were identified as follows: use of pacifier before 3 months of age (HR=2,15; 95% CI=1,7-2,73; p-value=0.0), maternal age less than 30 years (HR=1,32; 95% CI=1,04-1,68; p-value=0,0226) and per capita income lower than half minimum wage (HR=1,31; 95% CI=1,027-1,68; pvalue=0,0299). Conclusion: The results show that there are many factors that can negatively influence the length of breastfeeding. They also indicate that the nursery can be a place to educate and inform mothers about the benefits of breastfeeding and about care that should be taken to avoid these risk factors.

THE NEW CHALLENGE IN HEALTH EDUCATION: PROPOSING REFLECTIONS ON HEALTH AMONG ADOLESCENTS
LEANDRO RAMOS SILVA - FACULDADE DE MEDICINA DE BOTUCATU/UNESP; JULIANA DA CUNHA DUARTE - FACULDADE DE MEDICINA DE BOTUCATU/UNESP; ISADORA SOUZA RODRIGUEZ FACULDADE DE MEDICINA DE BOTUCATU/UNESP; GIOVANA PITERI ALCANTARA - FACULDADE DE MEDICINA DE BOTUCATU/UNESP; IVANA DALCOL RODRIGUES DOS SANTOS - FACULDADE DE MEDICINA DE BOTUCATU/UNESP; FERNANDA SALAMA - FACULDADE DE MEDICINA DE BOTUCATU/UNESP; FELIPE AUGUSTO LUCENA OLIVEIRA - FACULDADE DE MEDICINA DE BOTUCATU/UNESP; MARILENE PLCIDO COSTA - FACULDADE DE MEDICINA DE BOTUCATU/UNESP; RENATA LEITE ALVES DE OLIVEIRA - FACULDADE DE MEDICINA DE BOTUCATU/UNESP; ALICE YAMASHITA PREARO - FACULDADE DE MEDICINA DE BOTUCATU/UNESP

Introduction: The small amount of research and activities aimed at teenagers propelled the project PET-Sade da Famlia to deploy the theme Vaccination of Adolescents (VA) in order to achieve something new to a group not well studied. After medicine and nursing scholarship check a high demand among young people of a public school in a city of the State of So Paulo, there was amplification of the shares, with the inclusion of discussions on the physical and mental health. Development: The project was executed in a public school on the outskirts of a provincial city of the State of So Paulo, where there were two classes at night school for the second and third years of the High School each with approximately 30 students. This is a low-income community with high rates of teenage pregnancy and violence. The work during the year was divided into two steps: the first was theoretical - in weekly meetings, the subjects studied were Health Education (HE), Family Health Strategy (FHS), Organization of the National Health System (NHS), and the Status of VA in the county. To assist the study and the learn about the Family Health Unit coverage area, the scholars participated in the Cervix Uterus Cancer Prevention Campaign, held in the Unit. The second stage was characterized by intervention in the school with students. In the beginning, scholars performed an activity to recognize school - a meeting with the principal of the public school where would be executed the intervention. Four activities were conducted, in three days: (1) Integration with students and research the main demand, (2) Sexuality, contemplating adolescent pregnancy and sexually transmitted diseases; and (3) Prejudice and (4) Professions. The activities were developed and implemented model-based discussion groups, dynamic games following the demand raised by the teenagers themselves, all based at the Paulo Freires methodology. Results: The theoretical basis has allowed scholars to better understanding of the functioning of the NHS, the FHS and the vaccination program in Brazil. Also contributed that the teenagers realized the importance of projects like this for the development and improvement of HE and its challenges. When the students are stimulated in their reflections, they contributed positively to the activities. After the opening of space for the expression of adolescent identities, the teenagers showed the heterogeneity of thoughts and historical burden, even belonging to the same classroom, neighbor and social class.

Conclusion: The scholars were able to experience the implementation of HE in a profound way, seeking and acting on these demands. They expanded their knowledge of the Adolescent Health and the public policies for the group the theory is, sometimes, very different of the practice. The students were receptive to this type of activity. Still it was clear the need for larger and more frequent interventions HE in schools, such as that developed this work.

EDUCATIONAL ACTIVITIES AS A MEAN OF PROMOTING WOMEN'S HEALTH

NAYARA RAISSA TOSCANO LIMA - UNIVERSIDADE POTIGUAR; ANANDA MEDEIROS PEREIRA ARAJO UNIVERSIDADE POTIGUAR; HERISON HARRIDER SILVA VAZ - UNIVERSIDADE POTIGUAR

Introduction: The program "Womb is life," devised by the administration of the Service of Rural Learning (SRL), located in the city of the Eloi de Souza-RN, in order to promote the reduction of factors that directly affect the health of rural women, a perspective of prevention and education, has as objective: to contribute to prevention and detection of cervical cancer in rural women, the promotion of educational events and Pap exams. Methodology: The methodology used was a descriptive retrospective of preventive screening Pap smears performed in 138 women, on November 25, 2009, aged 1478 years. We used the following variables: age, number of partners, the amount of preventive performed and cytological findings. Results: The results revealed that most women had met age ranging from 41 to 50 years, corresponding to a percentage of 26.10%. 101 women had only one partner (73.20%). The amount of Pap tests made since the beginning of their sex life were 3 for the majority of women (34.06%). The cytological diagnosis of inflammation was the thos significative in the majority of the blades with101 positive tests (73.20%). It is concluded that women with active sexual life and who had early onset of sexual activity, in addition to not using condoms, are more exposed to microorganisms offenders of the vaginal microbiota. Knowing these important data on Pap smears of women tested, the SRL programcould give women a greater exercise of health education, so that they can self-learn more and thus have a greater overall health, not only gynecology. Conclusion: Knowing these important data on Pap smears of women tested, the SRL programcould give women a greater exercise of health education, so that they can self-learn more and thus have a greater overall health, not only gynecology.

THE IMPORTANCE OF THE LEARNING PROGRAM OFFERED BY THE PRIMARY CARE MEDICAL TRAINING UNDER THE VISION OF STUDENTS OF THE UNIVERSITY POTIGUAR
ANANDA MEDEIROS PEREIRA ARAJO - UNIVERSIDADE POTIGUAR; NAYARA RAISSA TOSCANO LIMA UNIVERSIDADE POTIGUAR; HERISON HARRIDER SILVA VAZ - UNIVERSIDADE POTIGUAR

Introduction: The new Brazilian National Curriculum Guidelines for the undergraduate course in Medicine implemented several changes in the formation of a new medical professional, such as action-oriented National Health System (SUS). The medical school should form a general professional, ethical and skills developed during the course should enable him to interpret, intervene and contribute to social transformation of the population assisted. The University Potiguar - UnP, based on these knowledges proposes the Learning Programme in Primary Care (PAAB) against the backdrop of the public health service in the city of Parnamirim. Materials and Methods: This analysis was developed through a cross-sectional study - quantitative about the perception of medical students from the fourth grade through evaluative statement, which was attended by 54 students of the second semester of 2011. Results: In the sample it was observed that 70.37% (n = 38) considered that the PAAB was certainly important to his/her medical training, 24.07% (n = 13) considered that probably yes, 3.70% (n = 2) considered unlikely and 1.85% (n = 1) thought for sure that the PAAB was not important to his medical training. Regarding the evolution of learning, 46.30% (n = 25) had a good evolution; 29.63% (n = 16) had major evolution, 14.81% (n = 8) average evolution, 5.56 % (n = 3) small evolution and 3.70% (n = 2)had no evolution. CONCLUSION: The PAAB provides great experiences that are mainly recognized by medical students, contributing to personal and professional growth, mainly because of the development content, ideas, skills, attitudes, interests and behaviors that make up his/her medical training.

THE INTEGRATION OF TECHNICAL AND ARTISTIC ACTIVITIES AS A METHOD OF LEARNING FACILITATOR OF HUMAN ANATOMY
FERNANDA ALBERNAZ VALENTE - ESCS; ADRIELL RAMALHO SANTANA - ESCS; FERNANDA ARANTES ALVES - ESCS; FLVIA JESUS PONTEL DE SOUZA - ESCS; NATHLIA RGIA VIEIRA ANDRADE - ESCS; LUCAS VALENTE - ESCS; SYLVIA BEATRIZ CAVALCANTI - ESCS

Introduction: The broad knowledge of human anatomy is a prerequisite for the formation of a medical student. Anatomy is science and art. Big names of renaissance art like Michelangelo and Leonardo da Vinci, made invaluable contributions to the development of this science. In an innovative teachinglearning process that characterizes the PBL (Problem Based Learning), the use of alternative resources directed to the consolidation of this learning is valuable, especially the scarcity of biological parts moist, traditionally handled in dissection rooms. Material and methods: Qualitative evaluation of the teaching-learning strategy adopted by the faculty and monitors, using drawings and paintings in the subject of human anatomy. And application of qualitative and quantitative survey to assess the student's view on the interference of this methodology in their learning. Results: The impact on the methodology directed the construction of learning human anatomy was assessed by a questionnaire whose analysis showed an approval rating of 64%. Conclusions: The high acceptance rate of this type of technique applied to learning encourages its continuation and expansion, pointing to the improvement, with the preparation of drawings of anatomical models by the students and the creation of a laboratory selected images with didactic objectives.

THE ROLE OF DOCTOR-PATIENT COMMUNICATION AS A WAY TO ACQUIRE INFORMATION ABOUT HYPERTENSION

FLAVIA CARDOSO FRANCA - UNIVERSIDADE FEDERAL DA BAHIA; HUGO COSTA CARNEIRO UNIVERSIDADE FEDERAL DA BAHIA; MARYANA DIAS NOVAES - UNIVERSIDADE FEDERAL DA BAHIA; MURILO DE JESUS MARTINS - UNIVERSIDADE FEDERAL DA BAHIA; KAMILA DA MATA FUCHS UNIVERSIDADE FEDERAL DA BAHIA; FRANCISCO REGO BASTOS FILHO - UNIVERSIDADE FEDERAL DA BAHIA; DEIVISSON FREITAS DA SILVA - UNIVERSIDADE FEDERAL DA BAHIA; DANILO FEITOZA FRAGA UNIVERSIDADE FEDERAL DA BAHIA

Introduction: The doctor who prescribes medications and alleviate the symptoms is also an educator. A good doctor-patient relationship is essential for the encouragement, respect, motivation and success of treatment. Hypertension is an example of chronic disease in which the correct intervention of the physician influences great adhesion to treatment. The purpose is to describe the demographic profile of hypertensive patients from the service of hypertension of the Hospital Professor Edgar Santos University (C-HUPES) and evaluate their knowledge about their disease and the means to acquire this knowledge. Methods: Cross sectional study with 179 patients in the clinic, hypertension, responded to a questionnaire on sociodemographic variables, means of obtaining information about health, indicators of disease severity, comorbidities and complications of hypertension. Results: 80.7% of the sample were women, 19.3% were men, 73.8% had an average monthly income of less than or equal to two minimum wages. In terms of education, 18% defined themselves as illiterate, 50% had incomplete primary education and 1.2% university degree. 60.9% of the patients told they know about hypertension, 60.5% presented to physician as the primary means of obtaining information about the disease and 76.3% of respondents sufficient time for the doctor explanations. With regard to the presence of comorbidities, 24.1% reported having diabetes, heart failure 12.9%, 53.2% dyslipidemia, 10.6% coronary heart disease, stroke in 12.9%, 21.6% reported obesity. About complications of hypertension as a cause of visual impairment, cardiac, vascular, and stroke, 12.6%, 6%, 15% and 1.8% did not know whether there is a relation, respectively. Conclusions: Despite the presence of comorbidities or a long history of hypertension, 19.8% of patients were not satisfied with the information of high blood pressure and for 36.6% the doctor is the main provider of this information. It shows a possible failure in doctor-patient communication.

EDUCATION ON SEXUAL AND REPRODUCTIVE HEALTH

LAS ALINE MAZON GUIDUGLI - FMB/UNESP; JANAINA CAMARGO MARTINS DE OLIVEIRA FMB/UNESP; VIRGINIA WAIRIMU WAINAINA - FMB/UNESP; JOSE LUIZ DE LIMA NETO - FMB/UNESP; DANIEL CAMPOS BARBOSA CREPALDI - FMB/UNESP; MARLI TERESINHA CASSAMASSIMO DUARTE FMB/UNESP

During our academic experience, we have been observing that there is a high degree of vulnerability, especially among teenagers, whose approach may be evidenced by the rising rates of Sexually Transmitted Diseases infections. Due to this important demand, medicine and nursing students, belonging to the Sexual and Reproductive Health League (SASERE), professionals linked to the Counseling and Testing Center, The Medicine school in Botucatu-UNESP and the members of the community, have been working since 2002 through actions that, not only address the prevention of STD/AIDS, but also are directed to promoting sexual and reproductive health, with special focus on adolescents. The projects main objective is to contribute to the development of new practices aimed on the prevention of STD / AIDS, with the application of the concepts of vulnerability and sexual and reproductive health, with emphasis on a positive focus on sexuality and the rights to informed pleasant and safe sexual life. SASERE performs its activities through dynamic approaches, offers internships on guidance and counseling at the Counseling and Testing Center and continuing health education for its project members as well as other professionals in the health and education sectors, through study groups and workshops addressing the many topics that involve sexuality and STD / AIDS. The project has support to work in high schools from the Education Office in Botucatu, and partnership in pre-defined actions with the City Council and support from the academic centers "Piraja da Silva and "Doze de Maio. The projects activities are held at a state high school "Dom Lucio," selected for its location being in an area covered by the health center administered by the Faculty of Medicine in Botucatu-UNESP (CSE), a reference unit that offers guidance and counseling and any individual care. The university students go to school during school hours, i.e during the night classes, and group the students in spacious locations, such as the play courts, where we sit in circle. Classes are administered interactively with the use leaflets provided by the Municipal Health Department, condoms and models belonging to the league, we bring up a topic followed by explanations and answers to the questions that arise, giving freedom to the teens to expose their knowledge, fears and doubts. The main challenges encountered during the project are related to the school and parents who not always aware of our educational work, and sometimes fearful that we were encouraging their children to sexual or homoerotic practices. To overcome this problem, this year we scheduled meetings with parents and teachers to clarify the project objectives. Finally, the lack of a quantitative research has shown to be difficult to objectively evaluate the project, although the results have been widely perceived by league members and the school director.

CREATION OF THE NATIONAL CONGREGATION OF THE BRAZILIAN ACADEMIC LEAGUES FOR STUDIES IN PAIN(COBALP)
HERISON HARRIDER SILVA VAZ - POTIGUAR UNIVERSITY; JOO PAULO VAZ TOSTES RIBEIRO OLIVEIRA - UNIVERSITY OF SAO PAULO; MATHEUS GOMES SILVA PAZ - FEDERAL UNIVERSITY OF BAHIA; JOO PAULO MORAES RIBEIRO - POTIGUAR UNIVERSITY; FABRCIO CASTRO BORBA - FACULTY OF MEDICINE OF MARILIA; GABRIELA VILAS BOAS GOMEZ - SCHOOL OF MEDICINE AND PUBLIC HEALTH OF BAHIA; STEPHANIE NASCIMENTO CAMARA - FEDERAL UNIVERSITY OF MARANHAO; ANANDA MEDEIROS PEREIRA ARAJO - POTIGUAR UNIVERSITY; FERNANDA ALBERNAZ VALENTE - SUPERIOR SCHOOL OF HEALTH SCIENCES

Introduction: Medical Academic Clubs - or Academic Leagues - are non-profit organizations, maintained by active students under the close guidance and teaching of professionals which are experts within the knowledge field each club is related to. Such student oriented organizations have been described to have academic and social impact, considerable potential to research knowledge production and education enhancement, yet respecting ethical and humanistic principles in all activities. Academic Pain Clubs are one important segment in the realm of Brazilian Academic Leagues, and on their necessarily transdisciplinary routine students perform activities such as outpatient care (consultation and carrying out some procedures), participation in research projects, lectures and practicing of case discussions, always under the guidance of experienced professionals. Due to this rich dynamic environment Pain Leagues can play a decisive role in the medical formation, help students to be active, free to innovate, share experiences, acquire practical knowledge, intellectual potential and interpersonal relationship abilities. Methods: Appointing videoconference meetings among leadership students from each Pain League involved and organizing scientific events. Objective: The COBALP has an objective to work in the fields of teaching, research and extension, which will be highly encouraged, so that it defines the following scope of activities: national congress of the Brazilian Leagues of Pain; research and extension projects; monthly symposiums addressing specific topics, each month in a different universitiy, being the respective league responsible for organizing the event; facilitate interaction between leagues and encouraging the study of pain, its associations in the various fields of health and training professionals to be able to evaluate and care for patients suffering from chronic pain in all aspects: biological, psychological, social and spiritual. Results: Up to now, through the initial partnership among leagues, extra-curricular rotations were possible across institutions, students learned new techniques for pain management, they could improve their knowledge about outpatient care and formed research groups that are submitting articles encompassed by the field to international congresses. Conclusions: Great changes were observed in the scientific scenario of Brazilian leagues after greater interaction for the study of pain, which before was obsolete and poor in scientific research. Today, this situation is slowly changing and research in the field of pain gradually begins to be developed. The COBALP believes that the inclusion of a specialized topic of Chronic Pain in undergraduate, advanced, postgraduate courses is required; retraining people, as well as a larger number of accessible publications are necessary too.

WIKIPETIAMDICA: A NEW ELECTRONIC TOOL IN MEDICAL EDUCATION

HUMBERTO BIA LIMA FORTE - FEDERAL UNIVERSITY OF CEAR; VIVIANE TEIXEIRA LOIOLA DE ALENCAR - FEDERAL UNIVERSITY OF CEAR; FERNANDO KLEIN LEITO - FEDERAL UNIVERSITY OF CEAR; CLARA MOTA RANDAL POMPEU - FEDERAL UNIVERSITY OF CEAR; CAIO MARTINS MENEZES NAVES MAYRINK - FEDERAL UNIVERSITY OF CEAR; DIEGO ANDR HORTNCIO ORTEGA DOS SANTOS FEDERAL UNIVERSITY OF CEAR; BRBARA XIMENES BRAZ - FEDERAL UNIVERSITY OF CEAR; DANIEL MACHADO AMARAL - FEDERAL UNIVERSITY OF CEAR; JOO HENRIQUE DE SOUZA ANGELOTTO FEDERAL UNIVERSITY OF CEAR; MARIANA LIMA VALE - FEDERAL UNIVERSITY OF CEAR

Introduction: The e-learning concept envolves all forms of learning and teaching supported by the use of eletronical technology, such as the internet. It is today a recognized tool for long-distance learning and provides an easy-access instrument for the spread of information.The WikiPETia Mdica project benefits from the elearning technology and comes as a way to provide a new complementary device for the study of Medicine in Brazil. Materials and Methods: It was created based on the curricular schedule of a brazilian federal university and consists on the development of texts with medical content from highly recognized bibliography to be used for the review of common subjects in the medical field that are published on an online platform. The platform is updated monthly with one text written by each one of the 12 students that integrates the founder group. Results: The group is trying to fulfill all the subjects that are approached in the eight first semesters of Medicine. Nowadays there are 242 texts in the site. The total number of visits so far is 617.411 since the creation of the site in 2009. One of the texts, about cutaneous mycoses, has reached the figure of 31.160 visits demonstrating the impact that the electronic platform can have. Conclusion: The platform is reaching the expected results as an educational tool. In 2012 the group intends to expand the project renewing the website layout and with the enlargement of the number of texts on the platform the group is planning a larger disclosure of the website and the propagation of confiable and relevant medical information.

APPLICATIONS FOR SMARTPHONES AND THE WEB IN MEDICAL EDUCATION: APP "ALL ABOUT SUS" JOO AGUIAR SPERANDIO CENTRO UNIVERSITRIO BARO DE MAU; MARCELO MOTTA DUTRA - CENTRO UNIVERSITRIO BARO DE MAU The applications for smartphones are a tool that can be useful for health students and professionals, encouraging also the pursuit of knowledge autonomously. The abundance of knowledge requires systematization, which can be done within the concept of portability, through teaching applications. Due to the extent that the digitization of the means of knowledge (e-books, applications, web) currently achieved, and the seduction exercised by information technology/connectivity, the hypothesis is that a web application and the web itself, are preferred forms of students to access relevant content for their formation.

PERFORMANCE EVALUATION OF BOTUCATUS DERMATOLOGICAL LEAGUE ON TEACHING SKIN SELF- EXAMINATION

JOYCE GODOY FARAT - FACULDADE DE MEDICINA DE BOTUCATU; ISIS FIORELLO DE OLIVEIRA FACULDADE DE MEDICINA DE BOTUCATU; MARIANA ALVARES PENHA - FACULDADE DE MEDICINA DE BOTUCATU; PAMELA MEDEIROS DOS SANTOS - FACULDADE DE MEDICINA DE BOTUCATU; LAURA NUNES LOPES - FACULDADE DE MEDICINA DE BOTUCATU

Introduction: Melanoma represents 4% of skin neoplasms; however, its lethality is higher than basal cell and squamous cell carcinomas. Besides, its incidence has grown in many countries in the past years, including Brazil. According to estimates of incidence of cancer in Brazil, in 2010, 2960 new cases of melanoma were reported in males and 2970 new cases in females. The efforts to revert this trend have been focused on primary prevention, through programs to orient the population, once the precociously detection of these lesions provides better prognostics. Cutaneous melanoma is located on the skin surface, and thus could be detected, or at least suspected, by physicians and lay people. The early detection of melanoma may be facilitated by the ski self-examination that can be effectuated by applying the "ABCD Rule", in which A corresponds to asymmetry; B to border irregularity; C to color variation; and D to diameter greater than 6 mm. This study aimed to assess whether individuals, after receiving explanations about the ABCD rule for skin self-examination, could differentiate benign and malignant dots, and if they had a previous knowledge about methods of preventing skin cancer. Materials and Methods: The study involved 105 individuals in the city of Botucatu, 46 men and 59 women, chosen randomly during the XI Botucatus Health Fair in 2010. Initially, medical students from LDB did a brief explanation about the ABCD Rule using a panel with illustrative photos. After that a semi-structured questionnaire was applied, which consisted of year of birthday, gender, education level and also discrimination of 4 photos that searched to classify benign and malignant spots on the knowledge gained through earlier. Moreover, individuals were inquired after the knowledge about skin cancer prevention. A simple analysis was made comparing the right discrimination of the lesions between genders and also related to the education level. The study also evaluated the most quoted preventive method for the skin cancer in this sample. Results: The questionnaires results showed that the mean score of questions was directly proportional to the education of each individual, once those with four or less years of education had - on average - 2,5 right answers and the ones with more than 11 years of study, 3,6 correct replies. Analyzing the gender, 56,5% of men had the maximum score, while 44,1% of women reached the same score. Among all the interviewers, 86.7% made right 3 or 4 questions and 88.6% reported using sunscreen as a preventative measure for skin cancer. Only 3,8% could not identify any preventative action for skin cancer. Conclusion: Given the high percentage of correct identification of lesions, it can be considered a prior knowledge on the subject or the effectiveness of performance in education and health by LDB. It is also concluded that the majority of the population has information about the use of sunscreen and its importance in skin cancer prevention.

NAME

Al a na Ol i vei ra de Abra ntes

Al berto Ma nuel Abreu da Si l va

Al i ne Couto Ca rnei ro

TITLE TIQUINHO DE ALEGRIA: HUMANIZING THE UFPB CARE OF HOSPITALIZED CHILDREN Addres s i ng cel l prol i fera ti on i n the School of s ubependyma l zone Hea l th Sci ences i n the experi menta l - Uni vers i ty of a utoi mmune Mi nho encepha l omyel i ti s muri ne model of mul ti pl e s cl eros i s END-STAGE CARDIOMYOPATHY AND SECONDARY MITRAL INSUFFICIENCY UNIFESP SURGICAL ALTERNATIVE WITH PROSTHESIS IMPLANT AND LEFT VENTRICULAR RESTORATION.

UNIVERSITY

DAY

SESSION

27

VOLUNTEER WORK AND UNIVERSITY EXTENSION VI

26

MICROBIOLOGY AND BASIC SCIENCES I

27

SURGERY, TRAUMA AND TRANSPLANTATION MEDICINE II

Ana Bres s er Perei ra Tokes hi

UNIFESP

PROJETO XINGU: BRAZIL'S OLDEST UNIVERSITY EXTENSION PROJECT 26 LEARNING, TEACHING AND WORKING WITH INDIGENOUS HEALTH EFFECT OF DIETARY LIPIDS ON PROTEINANATOMICAL AND HISTOPATHOLOGICAL PARAMETERS OF THE ORGANS OF RATS AT BIRTH, END OF LACTATION AND ADULTS. SMOKING: SENSITIZING STUDENTS AND USERS OF PUBLIC HEALTHS SYSTEM PROJECT OF INTERVENTION IN THE BASIC HEALTH UNIT HUMAIT (SO PAULO BRAZIL)

VOLUNTEER WORK AND UNIVERSITY EXTENSION VII

Ana Cri s thi na Ri bei ro Nova es

Uni vers i da de de Ubera ba

26

MICROBIOLOGY AND BASIC SCIENCES I

Ana La ura de Mel o Tei xei ra Spengl er

UNIDERP

27

VOLUNTEER WORK AND UNIVERSITY EXTENSION VIII

Ana Lui s a Na s s er Ertha l

Fa cda de de Ci enci a s Medi ca s s a Sa nta Ca s a de Sa o Pa ul o

26

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES III

Ana nda Medei ros Perei ra de Ara jo

Uni vers i da de Poti gua r

Ana nda Medei ros Perei ra de Ara jo

Uni vers i da de Poti gua r

Andr Frei ta s Ca va l l i ni da Si l va

UNICID

Andr Frei ta s Ca va l l i ni da Si l va

UNICID

Andr Frei ta s Ca va l l i ni da Si l va

UNICID

Andre Rua n Rui z

Anna Ma ri a Ga rci a Ca rdos o

Uni vers i da Es ta dua l de Londri na Uni vers i da de Federa l de Pel ota s - UFPel

PERCEPTION OF THE COMPANIONS ABOUT THE PRESENCE OF MEDICAL STUDENTS IN PEDIATRIC CONSULTATION IN PRIMARY CARE SERVICE THE IMPORTANCE OF THE LEARNING PROGRAM OFFERED BY THE PRIMARY CARE MEDICAL TRAINING UNDER THE VISION OF STUDENTS OF THE UNIVERSITY POTIGUAR THE TREATMENT OF VENOUS ULCERS IS EFFECTIVE RESOLUTION IN SUS? THE SOCIAL IMPACT IN PATIENTS WHO HAD HEMORRHAGIC STROKES, AT THE UNIDADE BSICA DE SADE JARDIM CUMBICA I OPERATIVE VERSUS NONOPERATIVE PROCEDURE IN THE TREATMENT OF PENETRATING ABDOMINAL TRAUMA. COURSES TO IMPROVE MEDICAL EDUCATION SCOME YOURSELF! THE RED REFLEX TEST UNIVERSITY EXTENSION BRINGING KNOWLEDGE AND TECHNOLOGY TO THE PUBLIC HEALTH SYSTEM MEDICINE FROM DREAMING TO PRACTICING GRADUATION INITIATION COURSE APPROACHING THEORY AND PRACTICE IN MAJOR MEDICAL FIELDS

26

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES II

27

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES VII

27

INTERNAL MEDICINE II AND ONCOLOGY

27

INTERNAL MEDICINE II AND ONCOLOGY

26

SURGERY, TRAUMA AND TRANSPLANTATION MEDICINE I

26

VOLUNTEER WORK AND UNIVERSITY EXTENSION III VOLUNTEER WORK AND UNIVERSITY EXTENSION III

26

B rba ra Xi menes Bra z

Uni vers i da de Federa l do Cea r

26

VOLUNTEER WORK AND UNIVERSITY EXTENSION IV

B rba ra Xi menes Bra z

Uni vers i da de Federa l do Cea r

27

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES V

B rba ra Xi menes Bra z

Uni vers i da de Federa l do Cea r

DYNAMICS ON PRIMARY CARE ACADEMIC RESEARCH AND ANALYSIS OF DATA FROM A BASIC HEALTH UNIT IN A PERIOD OF ONE YEAR

27

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES V

Bea tri z Bri ttes Ka mi ens ky

FURB

SEVERE EPISTAXIS: DIAGNOSIS PROTOCOL AND 27 ENDOSCOPIC SURGERY TREATMENT IN 59 PATIENTS

SURGERY, TRAUMA AND TRANSPLANTATION MEDICINE II

Uni vers i da de COVERAGE OF Federa l de CYTOPATHOLOGICAL Bea tri z Cri s tofa ro Ma ntua n Ci nci a s da CERVIX EXAM IN A Sa de de Porto HEALTH CARE CENTER Al egre Fa cul ty of Ben La mi ne Medeci ne of Tuni s EFFECTS OF PAPAVERINE ON CONTEXTUAL FEAR CONDITIONING Uni vers i da de DEFICIT PRESENTED Bi a nca Ava ns i Ca meri ni Federa l de Sa o BY AN ANIMAL Pa ul o MODEL OF SCHIZOPHRENIA: THE SPONTANEOUSLY HYPERTENSIVE RATS ASSESSMENT OF LEARNING THE Uni vers i da de Ca i o Ma rti ns Menezes Na ves NEUROLOGICAL Federa l do Ma yri nk EXAMINATION IN A Cea r BRAZILIAN MEDICAL SCHOOL WIKIPETIAMDICA: A Uni vers i da de Ca i o Ma rti ns Menezes Na ves NEW ELECTRONIC Federa l do Ma yri nk TOOL IN MEDICAL Cea r EDUCATION TERRITORIALIZATION OF MICRO AREA 03 OF Ca i o Mendes Di a s CESUPA TENONS HEALTH CENTER A PREPARATORY Ca s s i a Lopes Da nta s UNESP COURSE FOR LOW INCOME PEOPLE METALOPROTEINASE' S ROLE IN HEPARIN Cl a ra Corra Ferna ndes EPM/UNIFESP HEMORRHAGIC ACTIVITY THE SCHOOL UNIVERSIDADE EDUCATION PROJECT Cl a ra Mota Ra nda l Pompeu FEDERAL DO VOLUNTEER WORK CEAR INVOLVING TEENAGERS

27

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES VI

26

SURGERY, TRAUMA AND TRANSPLANTATION MEDICINE I

26

PSYCHIATRY II

26

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES II

27

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES V

27

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES V VOLUNTEER WORK AND UNIVERSITY EXTENSION III PHARMACOLOGY, PHYSIOLOGY AND GENETICS I

26

27

27

VOLUNTEER WORK AND UNIVERSITY EXTENSION VII

Cl a ra Mota Ra nda l Pompeu

UNIVERSIDADE FEDERAL DO CEAR

Dbora Neves Cos ta Joi

Es col a Pa ul i s ta de Medi ci na UNIFESP Uni vers i da de Federa l de Ouro Preto

Di ogo Mi l i ol i Ferrei ra

Edua rda Ra quel Przygoda Al ves

FURB

Edua rdo Ka i s er Urura hy Nunes Fons eca

Es col a Pa ul i s ta de Medi ci na Uni fes p

Eva ndro Guedes Gona l ves

Uni vers i da de Federa l de Ouro Preto

SCIENTIFIC MEETINGS STRATEGY TO COMPLEMENT THE UNDERGRADUATE AND DIFFUSION OF KNOWLEDGE Prepa ra tory Cours e Jea nni ne Aboul a fi a : Projecti ng a di fferent future HUMANIZATION OF ASSISTANCE THROUGH THE ARTS MAIN FINDINGS OF HIGH DIGESTIVE ENDOSCOPY IN PATIENTS WITH LARYNGOPHARYNGEA L REFLUX: RETROSPECTIVE STUDY OF 133 CASES IMPAIRED BADRENERGIC RESPONSE TO ISOPROTERENOL IN CIRRHOTIC WISTAR RATS OXIDATIVE EFFECTS ON PULMONARY INFLAMMATORY RESPONSE IN MICE EXPOSED TO CIGARETTE SMOKE

26

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES III

26

VOLUNTEER WORK AND UNIVERSITY EXTENSION III VOLUNTEER WORK AND UNIVERSITY EXTENSION IV

26

26

INTERNAL MEDICINE I

27

PHARMACOLOGY, PHYSIOLOGY AND GENETICS I

26

MICROBIOLOGY AND BASIC SCIENCES I

Fa bi o Mi ts uhi ro Sa ta ke

Uni vers i da de Federa l de Mi na s Gera i s

EXTENSION, ART AND HEALTH: THE 26 ENCANTARTE PROJECT MEDICAL FORMATION MORE QUALIFIED, EXPERIENCED AND HUMANIZED BY ACHIEVEMENTS OF 26 THE THEORETICAL AND PRACTICAL CLINICAL SKILLS COURSES THE CHALLENGE OF BUILDING HUMAN ANATOMY LEARNING 26 IN A MODEL OF INNOVATIVE MEDICAL CURRICULUM THE INTEGRATION OF TECHNICAL AND ARTISTIC ACTIVITIES AS A METHOD OF 27 LEARNING FACILITATOR OF HUMAN ANATOMY

VOLUNTEER WORK AND UNIVERSITY EXTENSION IV

Fa edy Ferna ndes Pi nhei ro

CESUPA

VOLUNTEER WORK AND UNIVERSITY EXTENSION IV

Ferna nda Al berna z Va l ente

ESCS

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES III

Ferna nda Al berna z Va l ente

ESCS

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES VII

Fl vi a Ca rdos o Fra nca

Uni vers i da de Federa l da Ba hi a

TEP (TEP - TUTORIAL EDUCATION PROGRAM) GOES TO DAYCARE: AN EXPERIENCE OF INTEGRATION, FHU (FAMILY HEALTH UNIT) AND COMMUNITY

26

VOLUNTEER WORK AND UNIVERSITY EXTENSION II

Fl vi a Ca rdos o Fra nca

Uni vers i da de Federa l da Ba hi a

QUILOMBO COMMUNITY OF WATERRMEN AS A PLACE TO DEVELOP 26 ACTIVITIES OF TEACHING, RESEARCH AND EXTENSION THE ROLE OF DOCTORPATIENT COMMUNICATION AS A WAY TO ACQUIRE 27 INFORMATION ABOUT HYPERTENSION THE PRACTICE OF A MORE HUMANIZED 26 MEDICINE AND MEDICAL ETIQUETTE. SYNCOPE DIAGNOSTIC IN CHILDHOOD AND 27 ADOLESCENCE WORKING IN THE MEDICAL STUDENT AWARENESS IN SEARCH OF A HUMANIZED CARE

VOLUNTEER WORK AND UNIVERSITY EXTENSION II

Fl vi a Ca rdos o Fra nca

Uni vers i da de Federa l da Ba hi a

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES VII

Fra nci ma r Kets i a Serra Ara jo

Uni vers i da de Poti gua r

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES III

Fra nci s co Ca eta no da Si l va Jni or

Uni fena s -BH

PEDIATRICS I

Frederi co Cunha Va l i m

Uni fena s -BH

26

VOLUNTEER WORK AND UNIVERSITY EXTENSION I

Ga bri el a Al buquerque Ba ti s ta de Ara jo

UFPB

THE SELECTIVE COLLECTION OF GARBAGE AS A WAY TO RAISE 27 AWARENESS, EDUCATE AND ENTERTAIN CHILDREN IN A COMMUNITY SEXUAL HEALTH EDUCATION IN ADOLESCENCE: WHERE IS THE 27 PROBLEM, THE CONTENT OR THE METHODOLOGY? MALE INVOLVEMENT IN PLANNING IN REPRODUCTIVE HEALTH CENTER 03 IN SOBRADINHO II/DF. AMYGDALECTOMY WITH LOCAL ANESTHESIA - AN ALTERNATIVE

VOLUNTEER WORK AND UNIVERSITY EXTENSION VII

Ga bri el a Gomes de Sa nta na Beri go

ESCS

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES VIII

Ga bri el a Gomes de Sa nta na Beri go

ESCS

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES VIII

Ga bri el a Gomes de Sa nta na Beri go

ESCS

DONT GONNA PRESENT HER WORK

Ga bri el l a Ma fra El i a

UNIFESP

Ha del l e Ha bi tzreuter Ha s s ma nn

FURB

Hel ena Cri s ti na Tomi na ga Ga rci a de Souza

UNIFESP

Heri s on Ha rri der Si l va Va z

Poti gua r Uni vers i ty

Hugo Cos ta Ca rnei ro

Uni vers i da de Federa l da Ba hi a

Hugo Cos ta Ca rnei ro

Uni vers i da de Federa l da Ba hi a

Humberto Bi a Li ma Forte

PROFILE OF PATIENTS WITH CHRONIC KIDNEY DISEASE AT PEDIATRIC HEMODIALYSIS OF UNIFESP - ESCOLA PAULISTA DE MEDICINA ENDOSCOPIC FINDINGS IN 58 PEDIATRIC PATIENTS WITH MOUTHBREATHING BREASTFEEDING IN PUBLIC PHILANTHROPIC DAYCARE NURSERIES IN THE CITY OF SO PAULO CREATION OF THE NATIONAL CONGREGATION OF THE BRAZILIAN ACADEMIC LEAGUES FOR STUDIES IN PAIN(COBALP) FRESHMEN RECEPTION: A HUMANIZED, SOCIALLY ENGAGED, ALTERNATIVE. MEDICAL STUDENTS EVALUATE THEIR GRADUATION EXPERIENCE: A CONTRIBUTION TO THE BUILDING PROCESS OF A NEW CURRICULUM. EMERGENCY MEDICINE SESSIONS : UPDATED KNOWLEDGE TO MEDICAL STUDENTS

27

PEDIATRICS I

27

PEDIATRICS I

27

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES VI

27

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES VIII

27

VOLUNTEER WORK AND UNIVERSITY EXTENSION V

26

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES I

26

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES III

Il a na Levy Korkes

UNIFESP

THE BEHAVIOR STUDY OF SERUM LEVELS OF SOLUBLE-FAS, ERYTHROPOIETIN, INFLAMMATORY CYTOKINES AND 27 ANEMIA IN CRITICALLY ILL PATIENTS WITH ACUTE KIDNEY INJURY. REGIONAL INFLUENCES PARTIALLY EXPLAIN THE HIGH BREAST 27 CANCER RISK OF BRCA1/2 CARRIERS IN THE NORTHERN NETHERLANDS

PHARMACOLOGY, PHYSIOLOGY AND GENETICS I

Ja ntje Rebecca Vos

Uni vers i ty of Groni ngen

INTERNAL MEDICINE II AND ONCOLOGY

Js s i ca Ha e Li m Lee

UNIFESP

H Bra os Project a i ms to ma ke the future medi ca l ca re of the s tudents more huma ne by vi s i ti ng pa ti ents i n the Hos pi ta l S o Pa ul o, i mprovi ng thei r l i fe qua l i ty duri ng the 26 hos pi ta l i za ti on a nd by di s cus s i ng wi th ea ch other va ri ous topi cs , s uch a s the emoti ons i nvol ved i n ca re, s pi ri tua l i ty, the fa ci ng of the dea th proces s , a mong others .

VOLUNTEER WORK AND UNIVERSITY EXTENSION IV

Jo o Agui a r Spera ndi o

Jos e Lui z de Li ma Neto

Joyce Godoy Fa ra t

Jozi en Ta ni s

Jul i a na Aki ta

Jul i a na Ta ki guti Toma

APPLICATIONS FOR Centro SMARTPHONES AND Uni vers i t ri o THE WEB IN MEDICAL Ba r o de Ma u EDUCATION: APP "ALL ABOUT SUS" EDUCATION ON SEXUAL AND REPRODUCTIVE UNESP HEALTH: FORMATION OF YOUNG LEADERS MULTIPLIERS PERFORMANCE EVALUATION OF BOTUCATUS UNESP DERMATOLOGICAL LEAGUE ON TEACHING SKIN SELFEXAMINATION FUNCTIONAL OUTCOME OF MODERATELY PRETERM AND Ri jks uni vers i tei FULLTERM BORN t Groni ngen SMALL FOR GESTATIONAL AGE CHILDREN AT SCHOOL AGE LEAGUE OF KIDNEY Fa cul da de de AND HYPERTENSION: Medi ci na de THE EXPERIENCE OF Botuca tu SUSTAINABILITY IN (UNESP) AN ACADEMIC LEAGUE EVALUATION OF THE EFFICACY AND TEMPORAL PATTERN UNIFESP-EPM OF DRY NEEDLING IN THE TREATMENT OF MYOFASCIAL PAIN SYNDROME

27

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES VIII

27

VOLUNTEER WORK AND UNIVERSITY EXTENSION V

27

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES VIII

27

PEDIATRICS I

27

VOLUNTEER WORK AND UNIVERSITY EXTENSION V

26

INTERNAL MEDICINE I

Ka rl Ri cha rd Bus s e Fi l ho

Uni vers i da de Federa l de S o Pa ul o

SIMULATORS IN OBSTETRIC AND GINECOLOGIC PRACTICE: A COSTEFFECTIVE AND REALISTIC MODEL FOR THE AMNIOCENTESIS TEACHING

26

OBSTETRICS AND GYNECOLOGY I

La i s Al i ne Ma zon Gui dugl i

BUILDING FACULDADE DE STRATEGIES IN THE MEDICINA DE CARE OF DIABETES BOTUCATU MELLITUS TYPE 2: THE 26 UNIVERSIDADE USE OF NARRATIVES ESTADUAL BY MEDICAL AND PAULISTA NURSING STUDENTS HUMANIZED CHILDBIRTH: A DIFFERENT FOCUS ON OBSTETRIC MEDICAL AREA THE NEW CHALLENGE IN HEALTH EDUCATION: PROPOSING REFLECTIONS ON HEALTH AMONG ADOLESCENTS PREVIOUS STUDY OF THE PROFILE OF RESIDENTS IN OUTSKIRTS OF A PROVINCIAL CITY OF SO PAULO FOR AN APPROACH FOR HEALTH EDUCATION TO TEENAGERS THE HIDDEN CAPACITY OF COLLEGE STUDENTS TO SAVE LIVES AN INVESTIGATION ABOUT THE MOTIVES BEHIND BLOOD DONATION AMONG HEALTH AREA STUDENTS IN UNIVERSIDADE FEDERAL FLUMINENSE A SPIRITUAL APPROACH TO INPATIENTS AT MARIA APARECIDA PEDROSSIAN UNIVERSITY HOSPITAL

VOLUNTEER WORK AND UNIVERSITY EXTENSION I

La ura Nunes Lopes

Unes p

26

OBSTETRICS AND GYNECOLOGY I

Lea ndro Ra mos e Si l va

FACULDADE DE MEDICINA DE BOTUCATU UNIVERSIDADE ESTADUAL PAULISTA

27

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES VI

Lea ndro Ra mos e Si l va

FACULDADE DE MEDICINA DE BOTUCATU UNIVERSIDADE ESTADUAL PAULISTA

26

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES I

Levy Vi l a s Boa s Fukuoka

Uni vers i da de Federa l Fl umi nens e

27

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES IX

Ldi a Ma ri a Gona l ves

Uni vers i da de Federa l de Ma to Gros s o do Sul

27

VOLUNTEER WORK AND UNIVERSITY EXTENSION VII

Li l i a n Ma rta do Ampa ro Sobri nho

Luca s Dena da i

Luca s Mendes Na s ci mento

Lui s Adri a n Bol i va r Meji a

Ma nuel a Horta Ma rti ns Penna

Ma ri na Ca mpos Si mes Ca bra l

Ma theus Gomes da Si l va da Pa z

WRITING THE BOOK: NEGLECTED ASPECTS IN CLINICAL MEDICINE Tea chi ng a nd l ea rni ng bi ops y a nd s uture s ki l l s duri ng medi ca l gra dua ti on by i ns tructordi rected tra i ni ng on EPM - UNIFESP bench model : a ra ndomi zed control l ed s tudy compa ri ng l ow- a nd hi gh-fi del i ty bench model s BRAZILIAN PORTUGUESE TRANSLATION, CROSSUni vers i da de CULTURAL Federa l de Jui z ADAPTATION AND de Fora - UFJF VALIDATION OF THE HEART CONTINUITY OF CARE QUESTIONNAIRE UNDERGRADUATE STUDENTS PARTICIPATION IN Uni vers i da d THE PUBLICATION OF Indus tri a l de ORIGINAL ARTICLES Sa nta nder IN A BIOMEDICAL COLOMBIAN JOURNAL BETWEEN 2005 AND 2011 Fa cul da de de Ci enci a s HEALTH SERVICE Medi ca s da SCIENTIFIC PROJECT Sa nta Ca s a de EXPEDITION (PECA) Sa o Pa ul o IMPROVING CLINICAL REASONING THROUGH CASE BASED DISCUSSIONS Uni vers i da de A CLINICAL MEDICINE Federa l da IMMERSION BY Ba hi a MEMBERS OF THE ACADEMIC LEAGUE OF CLINICAL MEDICINE OF BAHIA (LACLIM BA) PAIN PROFILE IN TRAUMATIC Uni vers i da de BRACHIAL PLEXUS Federa l da INJURY PATIENTS IN Ba hi a TWO BRAZILIAN PAIN CENTERS UNIVERSIDADE FEDERAL DA BAHIA

26

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES I

26

SURGERY, TRAUMA AND TRANSPLANTATION MEDICINE I

26

INTERNAL MEDICINE I

26

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES I

27

VOLUNTEER WORK AND UNIVERSITY EXTENSION VIII

27

VOLUNTEER WORK AND UNIVERSITY EXTENSION V

27

SURGERY, TRAUMA AND TRANSPLANTATION MEDICINE II

Ma theus Mi ra nda

Ma uro Shi gueha ru Oi de Juni or

Pa ul i s ta School MYOCARDIAL of Medi ci ne REVASCULARIZATION Federa l IN END-STAGE RENAL Uni vers i ty of DISEASE PATIENTS Sa o Pa ul o EXTENSO MDICA ACADMICA: HUMANIZATION Uni vers i da de EXTENSION PROJECT de Sa o Pa ul o OF MEDICAL SCHOOL OF UNIVERSITY OF SO PAULO

26

INTERNAL MEDICINE I

26

VOLUNTEER WORK AND UNIVERSITY EXTENSION I

Ma yra Sa ti ko Lemos Na ka no

UNIFESP

COMPARISON BETWEEN 2DSONOGRAPHY AND MAGNETIC RESONANCE IMAGING IN ASSESSMENT OF 26 BRAIN AND SPINE PARAMETERS OF FETUSES WITH NEURAL TUBE DEFECTS COMEANDO CEDO MEDICAL PATIENT RELATIONSHIP PROJECT CIGARETTE SMOKE PROMOTES MORPHOLOGICAL CHANGES IN LIVER AND SPLEEN OF MICE EXPOSED IN PRENATAL PERIOD CHANGES IN THE BRAZILIAN AGE PYRAMID AND POSSIBLE INTERVENTION ON FAMILY HEALTH STRATEGY

OBSTETRICS AND GYNECOLOGY I

Mi rel l e Ba rbos a Rocha

UFMT Uni vers i da de Federa l de Ma to Gros s o

27

VOLUNTEER WORK AND UNIVERSITY EXTENSION VII

Mi rl a Fi uza Di ni z

Uni vers i da de Federa l de Ouro Preto

27

PEDIATRICS I

Mi rl a Fi uza Di ni z

Uni vers i da de Federa l de Ouro Preto

26

VOLUNTEER WORK AND UNIVERSITY EXTENSION III

Na t l i a Cri s ti na Za nta

Federa l Uni vers i ty of S o Pa ul o

EFFECTS OF PAPAVERINE ON SOCIAL BEHAVIORS IN AN ANIMAL MODEL 26 OF SCHIZOPHRENIA: THE SPONTANEOUSLY HYPERTENSIVE RATS RONDONS PROJECT IN NIOAQUE MS BRASIL: 26 EXPERIENCE REPORT HEALTH ACROSS UNIVERSITY 27

PSYCHIATRY II

Na ta l i a Souza Aono

Uni vers i da de Anha nguera Uni derp Uni vers i da de Anha nguera Uni derp

VOLUNTEER WORK AND UNIVERSITY EXTENSION II VOLUNTEER WORK AND UNIVERSITY EXTENSION VIII

Na ta l i a Souza Aono

Na ya ra Ra i s s a Tos ca no Li ma

UnP

PORTFOLIO PREVENTIVE MEDICINE, MEDICAL EVALUATION AS A 26 EDUCATION AND BEHAVIORAL SCIENCES IV SOURCE OF LEARNING EDUCATIONAL ACTIVITIES AS A MEAN OF PROMOTING WOMEN'S HEALTH EXPERIENCES OF EXTENSION IN TIMBO PROJECT: HUMANE EDUCATION FOR HEALTH PROFESSIONALS ORAL ANTIBIOTIC INTAKE REDUCE SERUM VITAMIN B12 CONCENTRATION

Na ya ra Ra i s s a Tos ca no Li ma

UnP

27

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES VI

Ni chol a s de vi l a Li ns Quei roz

UFPB

27

VOLUNTEER WORK AND UNIVERSITY EXTENSION VI

OMAR MAHER ABUZANT

An-Na ja h Na ti ona l Uni vers i ty

27

PHARMACOLOGY, PHYSIOLOGY AND GENETICS I VOLUNTEER WORK AND UNIVERSITY EXTENSION VI SURGERY, TRAUMA AND TRANSPLANTATION MEDICINE II

Pa ul a Mendes Tei xei ra Pri s ci l a Rodri gues Lei te Oya ma

Ra fa el Amori m Ri bei ro

Ra fa el Bi s po Pa s choa l i ni

Ra fa el Bi s po Pa s choa l i ni

Ra fa el a Ferna ndes Da nta s

Uni vers i da de I BELIVE de Ubera ba Uni vers i da de VISUAL FUNCTION Federa l de S o AMONG THE Pa ul o - UNIFESP BRAZILIAN OLYMPIC - EPM JUDO TEAM IMPACT OF ACUTE RESPIRATORY INFECTION OF PROBABLY VIRAL ETIOLOGY ON UNIFESP HOSPITAL WORKERS HEALTH CENTER SERVICE OF SAO PAULO HOSPITAL UNIFESP WELCOME TO PRIMARY HEALTH CARE: THE OPINION S o Pa ul o Sta te OF PRECEPTORS ON Uni vers i ty THE HOST TO MEDICAL STUDENTS IN THIS NETWORK HISTIOCYTIC SARCOMA: S o Pa ul o Sta te HISTOLOGIC AND Uni vers i ty IMMUNOHISTOCHEMI CAL ANALYSIS AND STUDY OF APOPTOSIS CHALLENGES IN SCREENING AND DEALING WITH Es col a Superi or ATTENTION DEFICIT de Ci nci a s da HYPERACTIVITY Sa de DISORDER ON CHILDREN IN PUBLIC SCHOOLS AT DISTRITO FEDERAL

27

27

26

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES II

27

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES IX

26

MICROBIOLOGY AND BASIC SCIENCES I

27

PSYCHIATRY II

IS IT SAFE AND EFFECTIVE TO TREAT Rebecca Igna ci o Subi ra COMPLEX RENAL EPM-UNIFESP Medi na CYSTS BY THE LAPAROSCOPIC APPROACH? THROMBOEMBOLIC Federa l EVENTS AFTER Rena to Dema rchi Fores to Uni vers i ty of KIDNEY S o Pa ul o TRANSPLANTATION UNIVERSITY EXTENSION PROJECT IDEA Federa l TRANSPLANTATION Rena to Dema rchi Fores to Uni vers i ty of LECTURES TO S o Pa ul o FOSTERING ORGAN DONATION IN THE CITY OF SO PAULO PRESENCE OF Uni vers i da d NEUROPHOBIA IN Sa ndra l i l i a na Roberto Avi l n Indus tri a l de MEDICAL STUDENTS Sa nta nder IN A COLOMBIAN UNIVERSITY TERRITORIALIZATION PROCESS OF THE COVERAGE AREA OF Sherl on El vi s Pi nto Ra i ol CESUPA SACRAMENTA'S HEALTH CENTER TEAM I PREVALENCE OF PREGNANT ADOLESCENTS WOMEN ATTENDED AT UBS JARDIM CUMBICA I Ta l i ta Ma cha do Boul hos a UNICID GUARULHOS BETWEEN OCTOBER 2009 AND 2010 AND THEIR BIOPSYCHOSOCIAL IMPLICATIONS. Ti me to di a gnos i s a nd trea tment of T ni a Topi s UNIFESP-EPM brea s t neopl a s m i n S o Pa ul o STUDENT'S PERCEPTION OF THE Tha i s de Tol edo Fi nk ESCS CURRICULUM HUMANIZATION RIDE WITH CHILDREN UNIVERSIDADE THROUGH THE Tha s Ra i nha de Sous a FEDERAL DO DIGESTIVE SYSTEM: AMAZONAS AN EXPERIENCE REPORT

26

SURGERY, TRAUMA AND TRANSPLANTATION MEDICINE I

27

SURGERY, TRAUMA AND TRANSPLANTATION MEDICINE II

26

VOLUNTEER WORK AND UNIVERSITY EXTENSION II

26

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES II

26

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES IV

26

OBSTETRICS AND GYNECOLOGY I

26

OBSTETRICS AND GYNECOLOGY I

26

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES I

27

VOLUNTEER WORK AND UNIVERSITY EXTENSION VIII

Thi a go Robi s de Ol i vei ra

Uni vers i da de Federa l de Mi na s Gera i s

EXTENSION PROJECT "PAIN: PROPAEDEUTIC AND THERAPY" IN THE CONTEXT OF 26 SECONDARY CARE TO HEALTH AND COMPLEMENTARY CURRICULUM

VOLUNTEER WORK AND UNIVERSITY EXTENSION II

Thi a go Robi s de Ol i vei ra

Uni vers i da de Federa l de Mi na s Gera i s

ACADEMIC LEAGUE FOR ETHICS IN HEALTH AS CURRICULAR SUPPLEMENT

27

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES IX

Ti a go Artur Lyra Lei te

Uni vers i da de de Bra s l i a

TEENAGERS SOCIOECONIMIC LOOK 27 OF ITAPA HEALTH COMPLEMENTARY TESTS IN THE MEDICAL PRACTICE: A DIFFERENTIATED EDUCATIONAL APPROACH ACTIVITIES REALIZED BY NURSING UNIVERSITY STUDENTS TO DIABETIC PATIENTS: EDUCATION ON SELFCARE. EDUCATION ON SEXUAL AND REPRODUCTIVE HEALTH THE APOLO PROJECT: STRATEGY TO CREATE IMPACT IN MENS HEALTH CARE IN BRAZIL. SIX YEARS OF HISTORY AND ACTION OF A CLOWNTHERAPY UNIVERSITY GROUP IN PUBLIC HOSPITALS IN A CAPITAL CITY IN THE NORTHEAST OF BRAZIL DIDACTIC VIDEOS AND E-LEARNING TECHNOLOGY: COMPLEMENTARY LEARNING TOOL FOR THE STUDY OF THE NEUROLOGICAL EXAMINATION BY MEDICAL STUDENTS IN BRAZIL. PROFILE EPIDEMIOLOGIST OF THE PATIENTS IN THERAPY RENAL SUBSTITUTE IN THE CITY OF FERNANDPOLIS, BRAZIL.

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES V

Vi ctor Augus to Ca ma ri nha de Ca s tro Li ma

Ba hi a Federa l Uni vers i ty (UFBA)

27

VOLUNTEER WORK AND UNIVERSITY EXTENSION VIII

Vi rgi ni a Wa i ri mu Wa i na i na

UNESP-Botuca tu

26

VOLUNTEER WORK AND UNIVERSITY EXTENSION I

Vi rgi ni a Wa i ri mu Wa i na i na

UNESP-Botuca tu

27

OP Preventi ve Medi ci ne a nd Medi ca l Educa ti on VII

Vi vi a ne Tei xei ra Loi ol a de Al enca r

Uni vers i da de Federa l do Cea r

27

VOLUNTEER WORK AND UNIVERSITY EXTENSION VI

Vi vi a ne Tei xei ra Loi ol a de Al enca r

Uni vers i da de Federa l do Cea r

27

VOLUNTEER WORK AND UNIVERSITY EXTENSION VI

Vi vi a ne Tei xei ra Loi ol a de Al enca r

Uni vers i da de Federa l do Cea r

26

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES IV

Wa s hi ngton Henri que da Concei o

UNIVERSIDADE CAMILO CASTELO BRANCO

26

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES IV

Wa s hi ngton Henri que da Concei o

Yol a nda Ma roto Tei xei ra

PROFILE EPIDEMIOLOGICAL AND CLINICAL OF UNIVERSIDADE HANSEN'S DISEASE CAMILO CASTELO CASES REPORTED IN BRANCO THE PERIOD 20062010 IN FERNANDOPOLIS, SP COLORECTAL CANCER SCREENING BY Uni fes p HUMAN DNA STOOL QUANTIFICATION

27

PREVENTIVE MEDICINE, MEDICAL EDUCATION AND BEHAVIORAL SCIENCES IX

27

INTERNAL MEDICINE II AND ONCOLOGY