ResumoO presente trabalho teve por objetivo descrever recortes de um caso clínico de um adolescente com diagnóstico de transtorno de conduta, atendido no Centro de Referência de um Instituto de Hebiatria de uma faculdade de medicina. Tratou-se de um adolescente de 12 anos de idade, atendido por uma equipe multidisciplinar. Entendeu-se nesse estudo a importância do diagnóstico, pois nos casos de transtornos de conduta é sempre necessária uma análise mais aprofundada do adolescente e de seu meio social, uma vez que sempre haverá diferenças entre os sujeitos e, consequentemente, a intervenção psicológica deverá ser individualizada para cada paciente para que se possa ajudá-lo. Grazielle ribeiro Novais et al. AbstractThe aim of the present study was to describe the cut -offs of a clinical case of an adolescent with a diagnosis of conduct disorder, attended at the Reference Center of an Institute of Hebiatrics of a medical school. It was a 12-year-old adolescent, assisted by a multidisciplinary team. The importance of diagnosis is evident, because in the cases of conduct disorders a more in-depth analysis of the adolescent and his social environment is always necessary, since there will always be differences between the subjects and, consequently, the psychological intervention should be specific for each patient so that they can be helped.

As doenças respiratórias crônicas são alterações presentes tanto nas vias aéreas superiores como nas inferiores, como principais estão: Asma e Doença Pulmonar Obstrutiva Crônica (DPOC). Uma das alternativas de tratamento é o Programa de Reabilitação Pulmonar (PRP), que gera benefícios aos pacientes, observando melhoras nos aspectos funcionais, sociais e psicológicos.Uma alternativa viável e eficaz aos atendimentos presenciais é o PRP não supervisionado (RPNS), que tem como objetivo principal exercitar pacientes sob supervisão indireta. Os indivíduos são encorajados a utilizarem estratégias que aprenderam no Programa de Reabilitação Pulmonar Supervisionada (RPS) e realizarem os exercícios físicos nos seus domicílios. A mais recente ameaça à saúde global tem sido o surto em curso da doença infecciosa causada por um Coronavírus recém descoberto. Este novo Coronavírus denominado SARS-Cov-2, causador da doença COVID-19. Os objetivos desta pesquisa são avaliar o impacto do isolamento pela quarentena do COVID -19 na qualidade de vida, na capacidade funcional e nos aspectos psicológicos recorrentes em pacientes com doenças respiratórias crônicas e observar estes aspectos associados ao RPNS.

Introduction: Trauma can be understood as a stressful experience or continuous exposure to an event that can cause harm to the healthy development of adolescents. Situations of physical, psychological, and sexual violence interrupt the natural flow of biopsychosocial development, presenting psychopathologies that often prevent adolescents from adapting to society. Objective: To investigate how psychological interventions, through an individual psychotherapeutic process, using resources such as Sandplay therapy along with meetings with parents, may allow improvement of traumatic symptoms in adolescents and therefore be better conducted by psychology specialists. Methods: Descriptive research with a qualitative and exploratory approach, based on the pre-experimental method, including 10 adolescents who were victims of trauma. The Posttraumatic Stress Symptom Screening Instrument (PSSSI), the Perception Inventory of Family Support (PIFS), weekly psychotherapeutic follow-up with Sandplay Therapy, and meetings with parents of the adolescents were used. Results: In the comparison of PIFS before and after treatment, the results showed significant improvement (p 0.05). In the comparison of the trauma scale (PSSSI) before and after treatment, although all variables showed improvement, only avoidance was statistically significant. After the meetings, parents and caregivers subjected to a sensitization approach could become more receptive and welcoming. Conclusions: The combination of individual and family interventions could trigger significant changes in the re-signification of the trauma, providing not only the adolescent but also his/her family with magnification and fortification of a healthier development, causing those involved to reposition themselves to the experienced contexts.

Introduction: The main task of adolescence is the search for an adult identity, which highlights insertion in a higher education course, the gateway to professional qualification. During the preparation, disorders that compromise the mental health and quality of life of adolescents and young people can develop. The study evaluated the levels of anxiety, depression and quality of life in young people in a pre-university course, correlating them with social, demographic and academic factors. Methods: A crosssectional observational study with pre-college students who took one or more tests of the College entrance exam -2021. An online questionnaire was applied to collect sociodemographic data and measured levels of anxiety and depression (HAD scale) and quality of life (SF -36). Results submitted to statistical analysis. Project approved by CEP -opinion 5,107,639. Result: The sample consisted of 62 students, of which 67.77% were between 17-18 years old, predominantly female (79.03%), mostly belonging to classes D and E (82.26%). The majority (83.87%) had completed high school and came from a public school (83.87%). 72.58% were attending the first year of the prep course and 25.81% indicated they wanted to enroll in the Medicine course. Scores below the average for age were observed in all SF-36 domains when compared to the Brazilian population, with emphasis on emotional aspects, with Median equal to zero. There was a moderate negative correlation between levels of anxiety, depression and quality of life in terms of social and mental health. A positive correlation was found between female gender (p=0.0148 / p=0.0411), lower family income (p=0.0420 / p=0.0256) and anxiety and depression levels, as well as between public school students and anxiety levels (p=0.0063). The correlation observed in the study reveals the impact of these disorders on the quality of life of these adolescents, directed towards the domains of mental health, social and emotional aspects and vitality. Conclusion: Adolescent preuniversity college students have lower levels of quality of life. Anxiety and depression negatively influence the quality of life of this population. The highest levels of anxiety and depression were positively correlated with female gender, lower family income and public school background.

Objetivo: Comparar o desempenho dos pacientes com DPOC no Teste de Caminhada de 6’, com a utilização do concentrador Portátil (pulsado/ contínuo) e Cilindro. Métodos: Trata-se de um estudo piloto observacional, foram recrutados 20 pacientes com DPOC, participantes do Ambulatório de Reabilitação Pulmonar do Centro Universitário FMABC. Os participantes foram submetidos à avaliação, realizaram o Questionário COPD Assessment Test  e o teste de caminhada de seis minutos com uso do cilindro de oxigênio e com concentrador portátil Concentrador De Oxigênio Portátil SimplyGo - Philips Respironics®  em modo contínuo (CPC) e concentrador portátil de modo pulsado (CPP). Foram verificadas a saturação de oxigênio (SpO2) e a frequência cardíaca (FC) por meio de um oxímetro portátil.  Os parâmetros aferidos antes e depois do teste foram os seguintes: (I) Pressão Arterial (PA), (II) FC, (III) SpO2 e (IV) Escala de Borg. Resultados: Quando comparadas as variáveis (SatO2, FC, Borg dispneia e MMII) em todos os momentos dos TC6’ nas diferentes formas de fornecimento, não houve diferença significativa, o que sugere que as fontes de O2 têm equiparidade no uso em pacientes com DPOC. Conclusões: o presente estudo sugere que os diferentes dispositivos de oxigênio CPC, CPP, C utilizados no TC6’, se mostraram equivalentes no desempenho e na performance física dos pacientes com DPOC.