Atención Primaria. 3 rd World Congress of Health Research PARALLEL SESSIONS: ORAL COMMUNICATIONS. Viseu Portugal, September

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1 Publicción Oficil de l Sociedd Espñol de Medicin de Fmili y Comunitri Sociedd Espñol de Medicin de Fmili y Comunitri AT SCHOOL AUDITORIUM Lern more t titititititititititi tititi titititititi titititititi titititititititi titi titititititi ti tititititititi tititi titititititi titititititi tititititititi ti titititititi titititititi titititititititi tititititititititi tititititi titi titititititititi titititi tititititititititititititi titititititititi tititititititititititi tititi titititititi titi tititititititititi titititititi titititititititi ABSTRACTS Publiction t Mgzine Atención Primári Document downloded from dy 27/11/2017. This copy is for personl use. Any trnsmission of this document by ny medi or formt is strictly prohibited. Aten Primri. 2016;48(Espec Cong 1): Atención Primri Septiembre 2016 Vol. 48. Especil Congreso I ISSN: nd 30 SEPTEMBER Incluid en MEDLINE, EMBASE, SCOPUS, MEDES y SCIENCE CITATION INDEX EXPANDED PARALLEL SESSIONS: ORAL COMMUNICATIONS 3 rd World Congress of Helth Reserch Viseu Portugl, September ADULT HEALTH CHARACTERIZATION OF PATIENTS UNDERGOING NONINVASIVE VENTILATION ADMITTED IN UNIT INTERMEDIATE CARE Mtilde Mrtins, Ptríci Ribs b, Jon Sous c, Andrei Cunh c, Norberto Silv d, Teres Correi Helth School of Polytechnic Institute of Brgnç, Sports Sciences, Helth Sciences nd Humn Development, Portugl; b Clinic of Arrifn, Portugl; c Helth School of Polytechnic Institute of Brgnç, Portugl; d Helth School of Polytechnic Instite of Brgnç, Unit of the Northest Locl Helth Brgnç, Portugl. Contct detils: mtildemrtins@ipb.pt Introduction: Non-invsive ventiltion (NIV) is the ppliction of ventiltory support without resorting to invsive methods. Tody it s considered credible therpeutic option, with enough scientific evidence to support its ppliction in vrious situtions nd clinicl settings relted to the tretment of cute respirtory disese, s well s chronic respirtory disese. Objectives: Chrcterize ptients undergoing NIV dmitted in Unit Intermedite Cre (ICU) in the period from October 1 st 2015 to June 30 th Methods: Prospective study conducted in ICU between October 2015 nd June In this study were included ll ptients hospitlized in this unit (ICU) nd in tht time period smple of 57 prticipnts ws obtined. As dt collection instruments we used questionnire for sociodemogrphic nd clinicl dt nd the Brden scle. Results: Prticipnts were mostly mle 38 (66.7%), the verge ge 69.5 ± 11.3 yers, rnging between 43 nd 92 yers. They weighed on verge 76.6 kg (52 nd 150), with n verge body mss index of 28.5 kg/m 2 (20 to 58.5). With skin intct 28 (49.1%) with bnorml perfusion 12 (21.1%), with ltered sensitivity 11 (19.3%) nd high risk of ulcer on the scle of Brden 37 (65%). The dmission dignosis ws respirtory filure 33 (57.3%) nd hd different bckgrounds. We used reused msk 53 (93.0%), the verge time of NIV ws 7.1 dys (1-28), 4.8 dys of hospitliztion (1-18) nd n verge of 7.8 IPAP pressure. 11 (19.3%) of the prticipnts developed fce ulcer pressure. Conclusions: The NIV is used in ptients with dvnced ge, obesity, respirtory filure nd high risk of fce ulcer development. Keywords: Ptients. Noninvsive ventiltion. TELEPHONE SUPPORT LINE OF RHEUMATOLOGY DEPARTMENT: A 4.5 YEARS EXPERIENCE Edurdo Sntos, André Mrques b Associte Reserch t the Portugl Centre for Evidence-Bsed Prctice (PCEBP): Collborting Centre of the Jonn Briggs Institute - Helth Sciences Reserch Unit: Nursing (UICISA: E), Nursing School of Coimbr (ESEnfC); b Rheumtology deprtment, Centro Hospitlr e Universitário de Coimbr, EPE. Contct detils: ejf.sntos87@gmil.com Introduction: In mny helth services in developed countries, the telephone support hs been used s n innovtive pproch to providing cre nd nswering questions by nurses, developing especilly in specific res such s rheumtology (Brown et l., 2006). Objectives: To nlyze the profile of users nd the min resons of ptients tht uses the Telephone Support Line of Dy Hospitl nd erly rthritis consulttion of the CHUC Rheumtology Deprtment, EPE. Methods: This is retrospective descriptive-correltionl study with convenience smple of 448 clls. For continuous vribles we used the t-student test, for dichotomous vribles the c 2 test nd, finlly, we performed cluster nlysis by the TwoStep Cluster method through the log-likelihood distnce. Results: Users hve n verge ge of 44.8 yers being predominntly mle (58%). The cluster nlysis llowed to crete three groups whose profile shows tht the cluster 1 (n = 96/21.4%) re formed by older dults tht need to clrify minly doubts bout the results of uxiliry exmintions tests (AET)/prescriptions nd side effects/complictions; the cluster 2 (n = 232/51.8%) re formed by young dults tht cll to chnge ppointments nd minly to clrify doubts on the results of AET/prescriptions; finlly, the cluster 3 (n = 120/26.8%) re formed by middle ge dults tht wnt to clrify doubts bout mediction nd disese mngement. Conclusions: Incoming clls cover wide rnge of ges nd ll kinds of rheumtic diseses. This study llows us to identify in which groups it is necessry to mke more detiled eductionl Elsevier Espñ, S.L.U. Todos los derechos reservdos.

2 Document downloded from dy 27/11/2017. This copy is for personl use. Any trnsmission of this document by ny medi or formt is strictly prohibited rd World Congress of Helth Reserch intervention relted to mediction, disese mngement nd secondry effects/complictions. Keywords: Hotlines. Nursing. Eduction. Rheumtology. THE IMPORTANCE OF VIDEODEFECOGRAPHY IN DEFECATORY DISORDERS IN ORDER TO IMPROVE THE QUALITY OF LIFE OF PATIENTS Cristin Ferreir, Mnuel Gonçlo, Pedro Oliveir, José Ilhrco, Mri Edurd Ferreir b Hospitl Centre nd University of Coimbr, Deprtment of Imgiology; b Polytechnic Institute of Gurd Reserch Unit for Inlnd Development. Contct detils: cris.rcf@gmil.com Introduction: Defectory disorders re group of high-prevlence diseses, involving mjor morbidity with strong impct on the life of ptients. It is emphsized the importnce of effective dignosis. Objectives: To ssess simple technique tht cn be extremely helpful in the dignosis of defectory disorders, s well s if there ws ny medico-surgicl follow-up bsed on this exm. Methods: This ws retrospective study (from July 2014 to June 2015) from Portuguese University Hospitl s Imgiology Deprtment. It included review of ptients who mde this exm in this period nd nlysed the medico-surgicl follow-up vilble in the hospitl digitl system. Results: Videodefecogrphy is dynmic contrst study, which uses brium pste introduced into the rectum with subsequent evcution in sitting position. It is simple technique, pinless nd with gret cost-effectiveness, tht llows the ssessment of morphologicl nd functionl disorders of the norectl re nd pelvic floor. We found tht in one-yer period, 149 videodefecogrphies were mde by conventionl rdiogrphy, which resulted in 26% of the ptients hving medicl-surgicl tretment on this context, 38% of them did not present ny disorders on theirs exms nd were excluded from this study, nd we did not hd clinicl ccess to the records of the remining ptients. Conclusions: The results demonstrte tht mny ptients were treted bsed on the findings of this exmintion, reinforcing the importnce of videodefecogrphy in the study of defectory disorders. In fct, correct dignosis is crucil for n effective medicosurgicl pproch. Keywords: videodefecogrphy. Defectory disorders. THE INTERVENTION OF REHABILITATION NURSES IN ELDERLY PATIENTS WITH PROXIMAL FEMUR FRACTURE Andre Fernndes, Crmind Moris, Rui Piment, Fernndo Cost Escol Superior de Tecnologi de Súde do Instituto Politécnico do Porto, Portugl. Contct detils: ndrejon_81@hotmil.com Introduction: The rehbilittion nurse plys key role in promoting nd mintining the helth of the elderly, guided by direct ssistnce t vrious levels of complexity, complexity, where the elderly/fmily/community hs its role preserved, nd the min gol is tht the elderly regin their functionl independence s erly s possible. Objectives: The im of this study is to evlute the functionl independence of the elderly with proximl femur frcture with the intervention of rehbilittion nurse. Methods: The study crried out is of the Qusi experimentl tking quntittive pproch ws mde. For this study we used the Brthel Index, complemented with sociodemogrphic questionnire. Dt collection took plce between My nd July Results: The study smple consisted of 80 prticipnts with proximl femur frcture, of which 40 hd intervention of rehbilit- tion nurse nd 40 hd no intervention of rehbilittion nurse. The results of the study showed tht the intervention of rehbilittion nurse contributed to greter functionl independence (p = 0.001) s well s in power dimensions (p = 0.022), body cre (p = 0.041), use the bthroom (p = 0.001), climb stirs (p = 0.001), trnsfer chir/bed (p = 0.001) nd mbultion (p = 0.001) for the elderly without the intervention of rehbilittion nurse. Conclusions: In the group of elderly people with femorl neck frcture, which ws trgeted for intervention specilist nurses/ specilized in rehbilittion, there ws n increse in functionl independence it helps thus for effective mngement of cre nd services provided to these people. Keywords: Proximl femur frcture. Nurse rehbilittion. Functionl independence. Brthel index. EFFECTIVENESS OF COMPRESSION THERAPY OF SHORT TRACTION ON VENOUS LEG ULCERS TREATMENT Edurdo Sntos Portugl Centre for Evidence-Bsed Prctice (PCEBP): Collborting Centre of the Jonn Briggs Institute - Helth Sciences Reserch Unit: Nursing (UICISA: E); Centro Hospitlr e Universitário de Coimbr (CHUC). Contct detils: ejf.sntos87@gmil.com Introduction: Leg ulcers re mjor helth problem tht ffects the users qulity of life. Despite being consensus in the literture tht the use of compression therpy is the best tretment there is still discussion bout the efficcy of different types of compression (O Mer, Cullum, & Nelson, 2009). Objectives: To describe the effectiveness of compression therpy of short trction on venous leg ulcers tretment. Methods: We perform retrospective descriptive correltionl study from non-probbilistic convenience smple (with strict inclusion criteri) with 30 users of primry cre clinic nd the medicl records were collected from Jnury 2013 to My A locl tretment protocol to the wound ws estblished nd pplied sociodemogrphic nd clinicl questionnire, the Pressure Ulcer Scle for Heling (PUSH) nd the Visul Anlogue Scle (VAS) of pin. Descriptive nd inferentil sttistics were performed with SPSS Results: Users hd men ge of 73.7 ± 10.6 yers, 56.7% were femle nd 43.3% mle. It ws found tht prior to tretment only 40% of users hd been treted with compression therpy nd 50% with the principles of wet environment. After inititing compression therpy the 6 weeks heling rtes re 56.7% nd t 12 weeks 86.7%. It ws lso found tht there is highly significnt reduction in pin fter 4 weeks of tretment with compression therpy (MR = 65.50; z = -2.55; p = 0.01); nd tht only occurred 7 recurrences (23.3%). Conclusions: Compression therpy is ssumed s the gold stndrd tretment of venous leg ulcers, reducing the heling time, recurrence rtes nd pin. Some of the indictors found re worrying becuse they indicte reduced ppliction of compression therpy nd of the bsic principles of wound tretment. Keywords: Leg ulcer. Compression bndges. COMMUNITY ACQUIRED PNEUMONIA IN A HEALTH CARE CENTER IN VISEU - CASUISTRY OF 3 YEARS Jon Silv, Ptríci Sous, Sofi Frg,Tâni Cost Unidde de Súde Fmilir Alves Mrtins. Contct detils: jonsilv11@hotmil.com Introduction: Community Acquired Pneumoni (CAP) is mjor cuse of morbidity, mortlity nd resource consumption worldwide. Its erly detection cn prevent potentilly ftl outcome.

3 Document downloded from dy 27/11/2017. This copy is for personl use. Any trnsmission of this document by ny medi or formt is strictly prohibited. 3 rd World Congress of Helth Reserch 27 Objectives: Identify nd chrcterize the popultion of Helth Cre Center (HCC) dignosed with Pneumoni in the lst 3 yers. Methods: Observtionl, descriptive nd retrospective study. Trget popultion: users enrolled in HCC with Pneumoni between 01/2013 nd 12/2015. Dt collection: clinicl process. Study vribles: gender, ge, comorbidities, smoking, nti-pneumococcl vccintion, dte of dignosis, symptoms durtion, physicl exmintion, rdiologicl control, plce nd type of tretment, recurrence. Dt collected through SClínico nd PDS nd processed in Excel. Results: 131 ptients were studied, of which 51.1% were femle (men ge 58.3 yers). 50.4% hd comorbidities. Most were nonsmokers (84.7%) nd hd no pneumococcl vccintion (88.5%). Jnury ws the most frequent month of dignosis (19.1%) nd the mjority of dignoses occurred in 2015 (37.4%). 55.7% (n = 73) of ptients resorted first to fmily physicin (FP); of these, 72.6% hd productive cough nd the men time of evolution ws 9.6 dys. 95.9% hd ltered usculttion. Chest rdiogrph ws ordered to 16.4%. 38.4% received outptient tretment, with moxicillin/clvulnic cid being the most prescribed therpy (46.4%). 61.6% were sent to emergency deprtment. 4.1% of ptients returned to FP. Conclusions: Once estblished the dignosis, n initil ssessment is required to determine the best tretment plce. The FP is in prime position to optimize the initil pproch nd follow-up of ptients. The focus on the identifiction of risk fctors nd improving dherence to vccintion could ply crucil role. Keywords: Community cquired pneumoni. Dignosis. Tretment. COMBATING PROBLEMS RELATED TO ALCOHOL: INTEGRATED INTERVENTION PROJECT IN THE PAREDES DE COURA COUNTY Pedro Cost,b, Crmind Moris b,c ULSAM, E.P.E Unidde Locl de Súde do Alto Minho, Portugl; b ESS-IPVC - Escol Superior de Súde do Instituto Politécnico de Vin do Cstelo, Portugl; c CEISUC - Centro de Estudos e Investigção em Súde d Universidde de Coimbr, Portugl. Contct detils: crmindmoris2@gmil.com Introduction: According to the WHO, in 2013, lcohol ws mjor fctor in non-trnsmissible diseses, with n impressive impct on people s helth. Portugl rnks second plce in Europen countries with high levels of consumption. Despite the lck of recent dt, indirect indictors (heptic ilments nd the following up of fmilies in risk) mke this problem priority in the Alto Minho region. It is importnt to ct erly on nd in n integrted wy, severncing tretment nd collterl dmge pproches. Objectives: To implement n integrted intervention project nd fight problems relted to lcohol in the Predes de Cour County, Vin do Cstelo. Methods: All phses of the project re co-developed by City Hll, Schools, Helth Center, Socil Solidrity Institutions nd IDT. The intervention will tke plce in five xis: Cre giving (Fmily Helth nd reliztion of AUDIT, Implementtion of the progrm Me & Others with the neighborhood School); Mngement of the Cre (USF/UCC Circuit, preprtion of Mnuls nd Procedures); Suitbleness of the informtion systems, Formtion nd Communiction nd Reveltion. Results: Min results: Formtion for techers to implement the progrm Me & Others nd for helth professionls concerning brief interventions; Working tem to combt problems relted to lcohol; defined indictors. The contrct negotition for indictors is pending. Conclusions: An integrted pproch to the problems relted to lcohol hs begun, structured in slutogenic prdigm nd in bottom-up logic. Therefore, conditions to monitor this sset in public helth hs been lunched. Keywords: Problems relted to lcohol. Integrted intervention model. NONSTEROIDAL ANTI-INFLAMMATORY DRUGS: USE IN HIGHER EDUCATION STUDENTS Olívi Pereir, Crolin Oliveir, Cínti Pinho, João Gomes, Lis Eugénio, Xvier Cost Deprtment of Dignostic nd Therpeutic Technologies, School of Helth Sciences, Polytechnique Institute of Brgnç. Contct detils: olivipereir@ipb.pt Introduction: Nonsteroidl nti-inflmmtory drugs (NSAIDs) re one of the most consumed drugs worldwide, by different ge groups. Objectives: The present study imed to chrcterize the NSAIDs consumption in students of Polytechnic Institute of Brgnç (IPB). Methods: A descriptive nd cross-sectionl study ws performed from September 2014 to June 2015, through ppliction of questionnire to 563 students of IPB. The smple ws composed by 67% femle students nd 33% mle students with ges of 21,9 ± 4.1 yers nd 62.3% consider their helth s good. Results: This study showed n high prevlence of NSAIDS consumption in students of IPB (93.3%). The drug most reported ws ibuprofen (95.8%), following by cetylslicylic cid (39.0%), diclofenc nd nimesulide (36.4 e 16.8%, respectively). Pin nd inflmmtion were min resons for its consumption (76.4% nd 55.8%, respectively) nd the orl dministrtion, the most used route of dministrtion (99.4%). A high proportion of students ssumes correct use of NSAIDs, tking the drugs during or fter mel (89.0%) nd during period of time between one to five dys (86.3%). It ws reported low rte of dverse events mong students (95.0%) nd the mjority hs considered the consumption of NSAID beneficil to helth (59.6%). Conclusions: The present study contributes to knowledge of the profile of use of this group of drugs in young dults. Keywords: NSAIDs. Use. Higher Eduction students. PROBIOTICS AND SYMBIOTIC: WHAT IS THE PRESENT EVIDENCE AND APPLICABILITY? Rui Loureiro, Jon Gonçlves, Teres Cmurç Unidde de Súde Fmilir Viseu-Cidde (ACES Dão Lfões), Viseu, Portugl. Contct detils: rpcloureiro@gmil.com Introduction: The intestine contins extensive flor tht includes severl species of bcteri. The min intention of using probiotic nd symbiotic is to help this intestinl flor in unblnced situtions or disese. Objectives: To review the evidence ssocited with the use of probiotics nd symbiotics. Methods: A literture reserch ws crried out in the pproprite dtbses of rndomized, controlled clinicl trils, systemtic reviews nd guidelines, published in the lst decde, both in English nd Portuguese. Results: The benefits of probiotics my be divided into: nutritionl; brrier, restortion nd ntidirrhel effect; cholesterol reducer; stimultion of the immune system; reducing inflmmtory/llergic rections; nticrcinogenic effect. Studies hve documented this effect in rnge of gstrointestinl nd extrintestinl disorders, including: inflmmtory bowel disese, irritble bowel syndrome, vginl infections; s n immune booster; prt of the tretment for dysbiosis ssocited with ntibiotics; potentil nti-inflmmtory; moderte viscerl fferent hypersensitivity relieving intestinl symptoms; increse survivl of preterm

4 Document downloded from dy 27/11/2017. This copy is for personl use. Any trnsmission of this document by ny medi or formt is strictly prohibited rd World Congress of Helth Reserch infnts; be relted to topic eczem nd liver cirrhosis complictions. Conclusions: The role of intestinl bcteril flor remins subject of debte. There is lredy evidence tht this imblnce cn hve multiple mnifesttions. The exct probiotic mechnism of ction hs not been fully understood, but experts ssume tht these gents ct s competitive inhibitors of pthogenic strins, replcing them. In generl, there is strong clinicl evidence tht their use cn benefit the helth of the intestine nd stimulte immune function. Keywords: Probiotic. Symbiotic. Gut. Immunity. SCREENING PROGRAM OF COLORECTAL CARCINOMA: A PRACTICE REPORT OF A HEALTH UNIT FAMILY Rui Loureiro, Jon Gonçlves, Teres Cmurç Unidde de Súde Fmilir Viseu-Cidde (ACES Dão Lfões), Viseu, Portugl. Contct detils: rpcloureiro@gmil.com Introduction: According to the World Helth Orgniztion (WHO), colorectl crcinom (CRC) is the 3 rd cuse of deth from cncer worldwide, followed by lung nd stomch cncer. In Portugl, the CRC is the cncer with greter impct in mortlity nd morbidity. The knowledge of its nturl history, combined with the existence of curtive tretment nd erly dignosis increses overll survivl which revels the importnce of screening progrms in trget popultions. Objectives: To show the prctice nd relevnce of n economic progrm of the CRC screening. Methods: The Screening Progrm of CRC in the centrl region of Portugl, consists in the ppliction of the fecl occult blood test (FOBT), bi-nnully, to ptients between 50 nd 70 yers, with referrl of ptients whose test is positive to colonoscopy. Secreterit selects the ptients nd mke the ppointment. On the dy of consulttion, the nurse meets with ptients nd teches them bout the methods to correctly collect the stool nd how they should et during those dys. The fmily doctor explins the purpose of screening nd performs questionnire through SiiMA computer progrm. In the end, FOBT kit (Hemoccult Kit) is delivered. Results: This progrm in 2015 llowed 51.7% of the ptients to be screened. For the yer 2016, it ws contrcted to 65% of the indictor. All positive results of screening hve been referred for colonoscopy. Conclusions: After cervicl cncer, the CRC is potentilly the cncer more susceptible of prevention. The growing prticiption of ptients to screening, in prt by the convenience of tht procedure, my be reflected in decrese in the incidence nd mortlity of CRC in the trget group covered by screening. Keywords: Secondry prevention. Colorectl crcinom. EMOTIONS OF NURSES WITH THE CHILD END OF LIFE Césr Pereir, Fernnd Lopes b ULS-Gurd, Portugl; b IPG; Escol Superior de Súde, Portugl. Contct detils: cesrcrlosp@hotmil.com Introduction: The process of deth nd dying hs lwys been the subject of much specultion nd interest for the mn since it involves feelings nd emotions. However, it is in the hospitl, nd especilly to the nurse who works with children, tht this issue becomes more chllenging s these professionls my hve to fce children t the end of their lives, in their everydy work. Cost nd Lim (2005), recommended the subject of deth in children to be included in the curricul nd tht hospitls use permnent eduction s strtegy for promoting nd chnging ttitudes nd behviors of professionls. Objectives: Identify the fctors tht influence the nurse emotions when deling with the child t the end of life. Identify wht kind of emotions nd emotionl support nurses nd cregivers hve nd require in the child s end of life process. Methods: Descriptive study, quntittive nd cross. A questionnire to four hospitls in the inner edge nurses ws pplied in services tht hd direct contct with children (Peditrics, Peditric Emergency, Outptient nd Neontology). Results: The study reveled tht nurses experience vried discomforting emotions more thn comforting emotions. Conclusions: Gender, ge, religion, professionl prctice time, professionl prctice time in the field of peditrics, professionl ctegory, the service which perform functions nd the type of support, contrry to wht we predicted, re not fctors influencing the emotions of nurses deling with the child t the end of life. As fr s the support they need, they emphsize psychologicl support. We identified five dimensions of emotions clled lck of hope; internl conflict; empthy; ffections; mood. Keywords: Emotions. Deth. Peditrics Nurse. CORRELATION BETWEEN ANTIDIABETIC MEDICATION ADHERENCE AND TYPE 2 DIABETES CONTROL IN AMBULATORY PATIENTS An Rit Cbrl, Mrgrid Cstel-Brnco,b, Helen Grngei, Rit Alves, Fernndo Fernndez-Llimos c, Isbel Figueiredo,b Fculty of Phrmcy; University of Coimbr, Portugl; b Institute for Biomedicl Imging nd life Sciences (IBILI); University of Coimbr, Portugl; c Fculty of Phrmcy; University of Lisbon, Institute for Medicines Reserch; University of Lisbon, Portugl. Contct detils: nritcbrl93@gmil.com Introduction: Ptients suffering dibetes mellitus hve to mediction to control their disese. Thus, ptients mediction dherence cn influence dibetes control. Objectives: To determine the ssocition between ntidibetic mediction dherence nd type 2 dibetes control in mbultory ptients, mesured with self-reported instrument. Methods: A 3-month cross-sectionl study ws crried out in 10 urbn phrmcies of Coimbr district. Ptients older thn 18 yers, treted with non-insulin ntidibetic mediction nd dignosed with type 2 dibetes for more thn 12 months were invited to prticipte. Mediction dherence ws mesured by using the 8-item Morisky Mediction Adherence Scle (MMAS-8), estblishing three levels of dherence: low (score < 6), medium (6 score < 8), nd high (score = 8). The glycted hemoglobin (HbA1c) ws mesured with COBAS B 101, estblishing the therpeutic trget in 7%. Person correltions were performed between HbA1c vlues nd MMAS-8 scores. HbA1c vlues obtined mong the three dherence levels were compred by ANOVA with Bonferroni posthoc test. Results: The 154 ptients included were 70.9 ± 9.74 yers old nd 54.5% were femle. The men HbA1c vlue ws 6.6% (95%CI ). A significnt correltion (p = 0.008) ws found between HbA1c vlues nd MMAS-8 scores (Person r = ). There were significnt differences mong ptients HbA1c vlues within the three dherence levels (p = 0.021), with HbA1c vlues of 6.9% (95%CI ) for low dherence, 6.9% (95%CI ) for medium dherence, nd 6.4% (95%CI ) for highly dherent. Conclusions: Antidibetic mediction dherence evluted by MMAS-8 is predictor vrible of therpeutic success in type 2 dibetic ptients.

5 Document downloded from dy 27/11/2017. This copy is for personl use. Any trnsmission of this document by ny medi or formt is strictly prohibited. 3 rd World Congress of Helth Reserch 29 Keywords: Glycted hemoglobin. Mediction dherence. Type 2 dibetes. CORRELATION BETWEEN BELIEFS ABOUT MEDICATION AND TYPE 2 DIABETES CONTROL IN AMBULATORY PATIENTS An Filip Jordão, Mrgrid Cstel-Brnco, Helen Grngei, Mrt Lvrdor, Fernndo Fernndez-Llimos b, Isbel Figueiredo Fculty of Phrmcy; University of Coimbr, Portugl; b Fculty of Phrmcy; University of Lisbon, Portugl. Contct detils: njordofilip@hotmil.com Introduction: Ptients with dibetes hve to tke chronic mediction to keep their disese under control. Ptients beliefs bout medicines could influence dibetes control. Objectives: To determine the ssocition between beliefs bout mediction nd control of type 2 dibetes in mbultory ptients. Methods: A 3-month cross-sectionl study ws crried out in 10 urbn phrmcies of Coimbr district. Ptients older thn 18 yers, treted with non-insulin ntidibetic mediction, nd dignosed with type 2 dibetes for more thn 12 months were invited to prticipte. Beliefs bout mediction were mesured by the Portuguese version of the Beliefs bout Medicines Questionnire (BMQ-Specific). The glycted hemoglobin (HbA1c) ws mesured with COBAS B 101. Ptients were considered controlled with HbA1c 7% or lower. Person s correltions were performed between HbA1c vlues nd the difference between BMQ Necessities nd Concerns scores (BMQ-NC), the Necessity score (BMQ- N), nd the Concern score (BMQ-C). BMQ-NC, BMQ-N nd BMQ-C scores were compred for dibetic controlled nd uncontrolled ptients (t-test). Results: The men ge of the 154 ptients included ws 70.9 ± 9.74 yers nd 54.5% were femle. The men HbA1c vlue ws 6.6% (95%CI ). The men scores were: BMQ-NC = 2.5 (95%CI ), BMQ-N = 21.6 (95%CI ) nd BMQ-C = 19.1 (95%CI ). No correltion ws found between HbA1c nd BMQ-NC (p = 0.572), neither with ny of the domins (BMQ-N p = e BMQ-C p = 0.483). No difference ws found mong controlled nd uncontrolled ptients in the BMQ-NC (p = 0.250), BMQ-N (p = 0.637) nd BMQ-C (p = 0.122) scores. Conclusions: Beliefs bout mediction were not predictors of type 2 dibetes control s mesured by HbA1c vlues. Keywords: Beliefs bout medicines. Glycted hemoglobin. Type 2 dibetes. CORRELATION BETWEEN PATIENT S KNOWLEDGE ABOUT DIABETES AND TYPE 2 DIABETES CONTROL IN AMBULATORY PATIENTS An Filip Ferreir, Mrgrid Cstel-Brnco, Mrt Lvrdor, Rit Alves, Fernndo Fernndez-Llimos b, Isbel Figueiredo,c Fculty of Phrmcy; University of Coimbr, Portugl; b Fculty of Phrmcy; University of Lisbon, Institute for Medicines Reserch; University of Lisbon, Portugl; c Institute for Biomedicl Imging nd life Sciences (IBILI), Portugl. Contct detils: _filip93@hotmil.com Introduction: The influence of ptients knowledge is frequently mentioned s predictor for disese control. Type 2 dibetes is cndidte condition to test this hypothesis. Objectives: To identify the ssocition of dibetic ptients knowledge bout their disese with type 2 dibetes control in mbultory ptients. Methods: A 3-month cross-sectionl study ws crried out in 10 urbn phrmcies of Coimbr district. Ptients older thn 18 yers, treted with non-insulin ntidibetic mediction nd dignosed with type 2 dibetes for more thn 12 months were invited to prticipte. Dibetes knowledge ws mesured with the Berbés Questionnire. The glycted hemoglobin (HbA1c) ws mesured with COBAS B101. Ptients were considered controlled if presented HbA1c not higher thn 7%. Correltions (Person s) were performed between HbA1c vlues nd either Berbés finl scores or the number of right nswers. Berbés scores were compred within controlled nd uncontrolled ptients (t-test). HbA1c mens obtined for ech of the questionnire items were nlysed by ANOVA with Bonferroni post-hoc test. Results: The 154 ptients were 70.9 ± 9.74 yers old nd 54.5% were femle. The men HbA1c vlue ws 6.6% (95%CI ). The men Berbés score ws 16.0 (95%CI ). The men number of correct nswers ws 14.3 (DP = 2.5). The men score did not show differences mong controlled nd uncontrolled ptients (p = 0.124). There ws no correltion between HbA1c nd Berbés scores (p = 0.127) nor with the number of correct nswers (p = 0.180). There ws no difference between HbA1c nd the nswers for ech of the 18 questions. Conclusions: Knowledge bout dibetes, mesured with Berbés Questionnire, ws not predictor of type 2 dibetes control. Keywords: Dibetes knowledge Berbés Questionnire. Glycted hemoglobin. Type 2 dibetes. EFFECTS OF MEDICAL TREATMENT ON CHRONIC HEPATITIS C PATIENTS Julino Cliri, Dniel Oliveir b, An Angélic Dis c, Rosely Figueiredo d Instituto Federl do Sul de Mins Geris, Brsil; b Secretri Municipl de Súde de São Crlos, São Pulo, Brsil; c Universidde Federl de São João Del Rei, Brsil; d Universidde Federl de São Crlos, Brsil. Contct detils: julinocliri@yhoo.com.br Introduction: Heptitis C is mjor cuse of chronic liver disese worldwide. Currently, it is estimted n overll prevlence between 2% to 3% of infected, representing between 123 million to 170 million people, with more thn 350,000 deths ech yer. It should consider the ssocition of infection with progression to cirrhosis nd heptocelulr crcinom. Drug tretment, nd clinicl follow-up nd the uncertin prognosis, genertes dversities tht destbilize the dily routine of ptients compromising their qulity of life. It will be importnt to understnd the impct of this phenomenon for ptients. Objectives: To comprehend chronic heptitis C ptients perceptions, menings, nd qulity-of-life effects. Methods: Qulittive reserch; interviews with 12 ptients t specilized outptient clinic from Februry to July The cohort size ws determined by theoreticl sturtion nd the interviews were nlyzed by mens of content nlysis. Results: Dt were orgnized into four ctegories: on mediction, referenced fers, impct on sexulity, nd coping with the new relity. The ctegorized dt were discussed round the following themes: Becoming sick due to tretment nd perceived spects nd Undergoing tretment nd how to cope with it. Conclusions: Ptients everydy lives nd qulity of life in generl re ffected especilly by dverse side effects of heptitis C mediction nd n ssortment of feelings nd uncertinties bout the disese prognosis. Notwithstnding, most ptients mnge to find wys to cope with the tretment nd complete it expecting stisfctory outcome. Keywords: Adherence to mediction. Nursing. Chronic heptitis C. Perceptions.

6 Document downloded from dy 27/11/2017. This copy is for personl use. Any trnsmission of this document by ny medi or formt is strictly prohibited rd World Congress of Helth Reserch PSYCHOEMOTIONAL THE PREGNANCY AND PUERPERAL CYCLE ASPECTS Li Jcob,b, An Mri Pereir c, Rent Coimbr d, Herl Jorge,e, Reginldo Mfetoni, Antônio Mdeiro Universidde Estdul de Cmpins-UNICAMP, Brsil; b Anhnguer Educcionl-FAC3, Brsil; c Fculdde Terr Nordeste- FATENE. Fortlez- Cerá, Brsil; d Prefeitur Municipl de Mrcnú- Cerá, Brsil; e Universidde de Fortlez UNIFOR, Brsil. Contct detils: li_mristel@hotmil.com Introduction: Pregnncy is considered by most women drem, n chievement, however it is trnsition period tht entils mny chnges, both in the body, emotionl level, thus permeting by situtionl crisis rising from the chnge of socil role, need new dpttions, interpersonl nd intrpsychic djustments nd chnge of identity. Objectives: To identify studies in the literture tht depict the presence of psychitric disorders in pregnnt nd postprtum women. Methods: This is study of systemtic review, conducted by the intersection of the descriptors mentl disorders, pregnncy, postprtum period in SCIELO dtbses nd BIREME published in Portuguese in the period It ws found 234 rticles nd of these only eight were relted ccording to the criteri for inclusion in the survey. Dt were nlyzed using explortory reding, selective, nlyticl nd interpretive texts. Results: We observed tht the psycho-emotionl problems predominte in low schooling mothers nd poor economic conditions. There is lte or neglected psycho-emotionl chnges of dignosis. The psycho-emotionl chnges cn rnge from temporry situtions, even situtions tht my cuse serious dmge to both the mother nd child. In Brzil studies of psychitric disorders re still scrce, more common studies relted to depressive symptoms during pregnncy nd postprtum. Conclusions: Given the incidence nd severity of chnges in the mentl helth of pregnnt women in pregnncy nd childbirth, services nd helth professionls need skills for rpid dignosis nd preventive ctions in order to minimize the psychologicl suffering of these women. Keywords: Women s helth. Nurse. Psychology. WITHDRAWN ABSTRACT SURVEILLANCE OF EMPLOYEE KNOWLEDGE OF AN INSTITUTION OF HIGHER EDUCATION IN RELATION TO PROSTATE CANCER Li Jcob,b, Mikelly Moreir c, Thís Pereir, Vivine Crrsco,c, An Mri Pereir d, Antônio Mdeiro Universidde Estdul de Cmpins-UNICAMP, Brsil; b Anhnguer Educcionl-FAC3, Brsil; c Universidde do Grnde Rio- UNIGRAN- Mto Grosso do Sul, Brsil; d Fculdde Terr Nordeste-FATENE. Fortlez- Cerá, Brsil. Contct detils: li_mristel@hotmil.com Introduction: In Brzil, prostte cncer is the second most common mong men behind only non melnom skin cncer. This mens tht in bsolute terms, is the sixth most common type in the world nd the most prevlent in men, ccounting for bout 10% of ll cncers (INCA, 2013). Objectives: To the knowledge of surveillnce of employees of n institution of higher eduction bout prostte cncer. Methods: A descriptive study of quntittive nd trnsversl chrcter, it ws questionnire with 16 men who worked s gurds. Dt nlysis ws done by simple percentge. It ws kept nonymous nd the study ws pproved by Opinion No Results: Regrding the knowledge bout the digitl rectl exm dignosis of prostte cncer, 100% (15) nswered yes, s to the question tht some men my hve prostte cncer nd hve no WITHDRAWN ABSTRACT knowledge of tht, 93.3% (14) nswered yes nd 6.6% (1) nswered no. When sked if prostte cncer cn be cured if it is soon discovered erly, 100% of respondents nswered correctly so. According to most of the nswers of the prticipnts we cn see tht despite climing not hve much knowledge bout prostte cncer hit most true nd flse questions. Through the speeches ws observed tht prticipnts do not seek the helth service, s reported not hving ny symptoms nd the lck of time. Conclusions: Through the results of this reserch it ws observed tht the mle popultion must be encourged to seek public or privte service for routine cre, thus contributing to the survivl nd improving the qulity of life of ffected people by this pthology. Keywords: Eduction. Nursing. Mn. Helth. WITHDRAWN ABSTRACT COMMUNICATION SKILLS: AN IGNORED HEALTH INDICATOR IN UNIVERSITY SETTINGS? Rute Meneses, Cristin Miyzki b, José Pis-Ribeiro c FCHS/CTEC/HE-Universidde Fernndo Pesso, Portugl; b Fculdde de Medicin de São José do Rio Preto, Brsil; c FPCE-Universidde do Porto, Portugl. Contct detils: rmeneses@ufp.edu.pt Introduction: According to the World Helth Orgniztion, helth is stte of complete physicl, mentl, nd socil well-being nd not merely the bsence of disese or infirmity. Consequently, one might rgue tht communiction skills re essentil to hve helth/ be helthy, especilly if one considers the socil well-being dimension of helth. Objectives: To ssess nd compre the stisfction university techers nd students ttribute to their own communiction skils. Methods: This is quntittive descriptive study with non-probbility convenience smple of 251 university students nd 79 university techers studying/working in Portugl. The evlution protocol included sociodemogrphic questionnire nd the Importnce Scle of the QCC- Communiction Skills Questionnire (Meneses et l., 2009). Results: Sttisticlly significnt differences were found between techers nd students in 2 of the QCC 26 items, i.e., in the stisfction with their bility to sk questions (p = 0.03) nd to nswer to questions (p = 0.002). Techers men scores were higher (i.e., more stisfied) thn students scores. Nevertheless, none of the scores were very high nor very different from ech other (Mst = 7.02 vs Mt = 7.62; Mst = 7.14 vs Mt = 7.95, in scle from 0-very unstisfied to 10-very stisfied). Regrding other scores, students men vlues were sometimes higher thn techers. Conclusions: Since the bility to sk nd nswer to questions is very importnt in socil interctions, nd in helthcre settings (i.e., to dequtely interct with helthcre providers), the present results suggest communiction skills trining my be prticulrly useful wy to promote university students socil (physicl nd mentl) helth. Keywords: Communiction skills. University students. Techers. COMMUNICATION SKILLS: ARE THEY IMPORTANT FOR HIGH SCHOOLING PATIENTS OPINIONS? Rute Meneses, Cristin Miyzki b, José Pis-Ribeiro c FCHS/CTEC/HE-Universidde Fernndo Pesso, Portugl; b Fculdde de Medicin de São José do Rio Preto, Brsil; c FPCE-Universidde do Porto, Portugl. Contct detils: rmeneses@ufp.edu.pt Introduction: Currently, there is strong emphsis on promoting the helthcre tem s communiction skills. Some, however, rgue tht these skills re not very vlued by ptients. Objectives: To explore the reltionship between the opinion ptients hve regrding the lst helthcre professionl they hd

7 Document downloded from dy 27/11/2017. This copy is for personl use. Any trnsmission of this document by ny medi or formt is strictly prohibited. 3 rd World Congress of Helth Reserch 31 consulttion with s professionl nd the importnce they give to communiction skills. Methods: This is quntittive descriptive study with non-probbility convenience smple of 251 university students nd 79 university techers studying/working in Portugl. The evlution protocol included sociodemogrphic questionnire, n item of the QSCS-A - Stisfction with Helth Cre Questionnire for Outptients (Meneses et l., 2010) nd the Importnce Scle of the QCC- Communiction Skills Questionnire (Meneses et l., 2009). Results: Sttisticlly significnt nd positive correltions were found between the globl opinion of ptients regrding the helthcre professionl nd 4 of the QCC 26 items, i.e., to sk for feedbck in socil reltions (p = 0.02), to give feedbck in socil reltions (p = 0.02), to mintin converstion (p = 0.03), nd to sy goodbye (p = 0.04). Conclusions: Even though in the expected direction, the number nd intensity of the sttisticlly significnt correltions question the vlue ptients with high schooling give to the communiction skills of their helthcre professionls. Keywords: Communiction skills. Helthcre. Schooling. THE PILL S EFFECT ON THE VESTIBULAR SYSTEM Mri Inês Arújo, An Fernndes Coimbr Helth School, Portugl. Contct detils: ines@estescoimbr.pt Introduction: Women go through monthly reproductive cycles, beginning t puberty nd usully occur throughout their reproductive lives, concluding in menopuse. Mny women throughout their life tke orl contrceptives without knowing the effects they cuse. Objectives: To ssess the influence tht the pill hs in the vestibulr system, through the trils: sccdic, pendulr nd cloric videonystgmogrphy of menstruting were tken. Methods: The smple consisted of 25 femle subjects, 12 in the experimentl group (women who tke orl contrceptive) nd 13 in the control group ged between 17 nd 24 yers. The dt collection took plce during the menstrul period for both groups through the videonystgmogrphy equipment, brnd Synpsys VNG Ulmer, version C4-7. Results: After nlyzing the dt, we found sttisticlly significnt differences in the reltive prepondernce of cloric test. Sccdic test nd pendulum test showed no sttisticlly significnt differences between both groups. Conclusions: Through this study it cn be concluded tht the group of women tking s n orl contrceptive the pill present in the cloric test decrese in compred reltive prepondernce with the group of women using no orl contrceptive, this indictes tht the pill my interfere with the peripherl vestibulr system of the womn, but not with the centrl vestibulr system. Keywords: Vestibulr system. Pill. Videonystgmogrphy. ERYTHEMATOSUS SYSTEMIC LUPUS IN PORTUGAL: ADHERENCE AND APPROACH TO MEDICATION THERAPY Isbel Pinto, Luís Nscimento b, Ângel Fri b, Márci Lopes b, Sílvi Afonso b Núcleo de Investigção e Intervenção no Idoso, Deprtmento de Tecnologis de Dignóstico e Terpêutic, Escol Superior de Súde do Instituto Politécnico de Brgnç, Portugl; b Deprtmento de Tecnologis de Dignóstico e Terpêutic, Escol Superior de Súde do Instituto Politécnico de Brgnç, Portugl. Contct detils: isbel.pinto@ipb.pt Introduction: Erythemtosus systemic lupus is chronic inflmmtory disese tht ffects bout hlf million Europens, more frequent in the southern countries nd fertile women. The therpy dherence in this disese is not well known, prticulrly in Portugl. Objectives: To chrcterize the mediction therpy of Lupus, estimte the prevlence of therpy dherence nd ssocited fctors in Portugl. Methods: This explortory, cross-sectionl nd correltionl study ws bsed on questionnire, with MAT scle (mesure of dherence to therpy) vlidted for the Portuguese popultion (Delgdo & Lim, 2001), pplied to 276 members of Ptients with Lupus Assocition, in Portugl. It ws used descriptive sttistics nd chisqure test, with significnce level of 5%. Results: The smple consisted mostly of femles (96.0%), with n verge ge of 41 (± 11.46) yers old. Antimlrils, ntiinflmmtory nd immunosuppressive drugs re the phrmcotherpeutic groups more used. The prevlence of therpy dherence ws 80.2%. Fctors ssocited with Lupus therpy nondherence re side effects, do not feel improvement, not cceptnce, disese in remission nd do not feel the need to tret (p < 0.05). Conclusions: This study shows considerble prevlence of Lupus therpy dherence, being severl fctors ssocited with nondherence. It is importnt the intervention of helth professionls to improve therpy dherence for disese control. Keywords: Erythemtosus systemic lupus. Therpy dherence. DIABETES MELLITUS: THERAPY ADHERENCE AND NEW THERAPEUTIC APPROACH WITH INCRETIN MIMETICS IN NORTHEAST PORTUGAL Olivi Pereir, Isbel Pinto, Dniel Sldnh, Dniel Pereir, Sndr Pires Deprtment of Dignostic nd Therpeutic Technologies, School of Helth Sciences, Polytechnique Institute of Brgnç, Portugl. Contct detils: olivipereir@ipb.pt Introduction: Dibetes mellitus is chronic disese chrcterizes by the bsence of insulin production by the body or the inbility of their effectively use. WHO estimted tht 8.5% of dults hd dibetes in 2014 nd the prevlence of the disese hs been rising. Objectives: The study imed to determine prevlence of dibetics, the frequency of glycemic control, identify chnge in eting hbits nd physicl exercise, chrcterize the phrmcologicl therpy nd verify the therpy dherence in dibetics of northest Portugl. Methods: A descriptive nd cross-sectionl study ws performed by pplying n interview to 202 dult dibetics of Trás-os-Montes region (Portugl), bsed on questionnire, with MAT scle (mesure of dherence to therpy) vlidted for the Portuguese popultion (Delgdo & Lim, 2001). Results: The results showed 73.8% nd 26.2% dibetics of type 1 nd type 2, respectively. Most of the totl dibetics (38.1%, 77) hve controlled the glycemic once dy nd 122 (60.4%) hve modified eting hbits (92.6% hve reduced the sugr consumption nd 53.3% hve reduced the crbohydrtes consumption). Additionlly, 89.7% indicte the incresed frequency of physicl ctivity. Concerning their qulity life, 44.6% consider it s moderte. The drugs more used were metformin (63) nd insulin (52) nd the use of incretin mimetics ws low (13.9%, 28), with more expression of the ssocition of metformin nd vildgliptin (21). The prevlence of dibetics dherents to therpy ws 92.6%. Conclusions: The mjority of dibetics dhered to therpy nd the use of incretin mimetics remins with low significnce. Keywords: Dibetics. Therpy dherence. Drugs Therpy.

8 Document downloded from dy 27/11/2017. This copy is for personl use. Any trnsmission of this document by ny medi or formt is strictly prohibited rd World Congress of Helth Reserch 2. CARDIOVASCULAR HEALTH PATIENT S KNOWLEDGE LEVEL ON PACEMAKERS Din Sntos, Teres Silv, Ntáli Albuquerque, Luis Mrques Centro Hospitlr Tondel - Viseu. Contct detils: din.sntos@portuglmil.pt Introduction: The implnttion of crdic pcemkers (PM) is used to tret rhythm disorders, with the min gol of incresing life expectncy. The resulting chnges on physicl, psychologicl, socil nd qulity of life levels determine the importnce of scertining the ptient s knowledge regrding ll spects relted to the PMs. Objectives: To determine the level of knowledge tht ptients crrying PM hve bout these crdic devices. Methods: Descriptive, reltionl nd trnsversl study, crried out on smple of 90 ptients, who ttended the PM Consulttion t hospitl locted in the centrl region of the country. The dt collection ws conducted through questionnire (sociodemogrphic chrcteristics, chrcteriztion of informtion regrding PM), self-dministered to individuls ttending the consulttion t tht time. Results: Ptients were on verge of yers old, 67.8% of them live in smll villges nd the mjority hs bsic eduction level. 67.8% of the ptients were unwre of wht PM is nd 87.8% mentioned to hve been provided with informtion on the device (62.2% by doctor nd 27.8% by nurse ). It is noteworthy tht 39.2% of the ptients reported tht the qulity of the informtion given ws either resonble or very poor. Conclusions: Like in other studies, the ptients low level of knowledge regrding PMs hs been confirmed. The knowledge levels could be optimized with the estblishment of nursing consulttion thus contributing to the empowerment of the ptients in mnging their chronic condition. Keywords: Knowledge level. Pcemker. Nursing Consulttion. GENDER DIFFERENCES IN CARDIOVASCULAR RISK FACTORS IN PATIENTS WITH TYPE 2 DIABETES Romeu Mendes,b,c, António Almeid b,c, Cláudio Ros c, Mrt Freits c, Luís Pinto c, Ricrdo Mcedo c, Ctrin Abrntes b,c, Victor Mchdo Reis b,c, Nelson Sous b,c Public Helth Unit, ACES Douro I Mrão e Douro Norte, Portugl; b CIDESD, Portugl; c University of Trás-os-Montes e Alto Douro, Portugl. Contct detils: romeudurtemendes@gmil.com Introduction: In the lst decdes substntil efforts hve been mde to improve the understnding of gender differences in crdiovsculr disese nd to reduce gender disprities in reserch, prevention nd clinicl cre. Objectives: This study imed to nlyze gender differences in modifible crdiovsculr risk fctors in ptients with type 2 dibetes (T2D). Methods: Glycosylted hemoglobin (HbA1c), totl cholesterol (TC), high-density lipoprotein (HDL), low-density lipoprotein (LDL), triglycerides (TG), systolic blood pressure (SBP), distolic blood pressure (DBP) nd body mss index (BMI) were mesured in 96 individuls with T2D (48 women nd 48 men; ± 6.34 yers; ± 7.55 yers of dibetes durtion; non-smokers; polymedicted) cndidtes to Dibetes em Movimento Vil Rel, community-bsed lifestyle intervention progrm developed in Portugl (NCT ). Results: No differences were observed in ge (65.98 ± 6.41 vs ± 6.33 yers; p = 0.703) nd dibetes durtion (10.38 ± 7.60 vs ± 7.58 yers; p = 0.835) between women nd men. Significnt differences were identified in TC ( ± vs ± mg/dl; p = 0.005), HDL (55.35 ± vs ± 9.84 mg/dl; p = 0.004), LDL ( ± vs ± mg/dl; p = 0.020) nd SBP ( ± vs ± mmhg; p = 0.004) between women nd men. No differences were observed in HbA1c (7.12 ± 1.13 vs 7.05 ± 1.33%; p = 0.767), TG ( ± vs ± mg/dl; p = 0.644), DBP (85.49 ± 7.97 vs ± 9.60 mmhg; p = 0.311) nd BMI (30.39 ± 3.76 vs ± 3.76 kg/m 2 ; p = 0.424), respectively. Conclusions: Women presented worse TC nd LDL levels, nd better HDL nd SBP levels thn men. Crdiovsculr disese prevention strtegies should consider these differences. Keywords: Gender. Type 2 dibetes. Crdiovsculr risk. CHARACTERIZATION OF POTENTIAL DRUG-DRUG INTERACTIONS WITH VITAMIN K ANTAGONISTS AND ITS INFLUENCE ON BLOOD CLOTTING Tigo Peixoto, An Isbel Oliveir,b, Cláudi Pinho,b, Rit Ferrz Oliveir,b,c Escol Superior de Tecnologi d Súde do Instituto Politécnico do Porto (ESTSP/IPP), Vil Nov de Gi, Portugl; b Núcleo de Investigção e Intervenção em Frmáci (NIIF), Centro de Investigção em Súde e Ambiente (CISA), Portugl; c Secção Autónom de Ciêncis d Súde, Universidde de Aveiro, Portugl. Contct detils: tigopeixoto02@live.com.pt Introduction: Vitmin K ntgonists re orl nticogulnts used in the prevention nd tretment of thromboembolic events, but their effectiveness cn be chnged when co-dministered with other drugs. Objectives: Chrcterize potentil drug-drug interctions likely to occur with vitmin K ntgonists. Methods: This observtionl nd cross-sectionl study included smple of 67 ptients who were under blood clotting control nd therpeutic monitoring in lbortory of Oporto, between Februry nd mrch of An individul survey by questionnire, ws pplied, whose dt were nlyzed by SPSS progrm. Ech potentil drug interction ws nlyzed using Lexi-interct softwre, which fetures its clinicl relevnce clinicl, ccording to severity, in A, B, C, D nd X. Results: Ninety four potentil drug-drug interctions were detected, nd 74.6% of ptients hd t lest one. About 85.1% hd clinicl relevnce C nd D, highlighted s the most prevlent nd most severe. The predominnt phrmcotherpy clss cusing potentil drug interctions ws HMG-CoA Reductse Inhibitors, with 24.5%, ctegorized with clinicl relevnce C. The most severe (D) were Crdic Therpy, Antigout Antimicrobil Antiepileptics, Antithrombotic nd nturl products. However, there ws no sttisticlly significnt ssocition between the clinicl relevnce nd the INR vlues (p = 0.168). Conclusions: The bsence of significnt ssocition my be due to the fct tht: ptients re pthologiclly stbilized nd chronic mediction is being co-dministrted, with doses djustment of nticogulnt therpy; or non-considertion of the diet, which my hve led the Helth Professionls to wrn nd educte ptients bout the importnce of conducting regulr monitoring of blood clotting. Keywords: Cogultion. Interctions. Vit K.