Health literacy, a more complex concept than knowledge, is a required capacity to obtain, understand, integrate and act on health information [1], in order to enhance individual and community health, which is defined by different levels, according to the autonomy and personal capacitation in decision making [2]. Medium levels of Health literacy in an adolescent population were found in a study conducted in 2013/2014, being higher in sexual and reproductive health and lower in substance use. It was also noticed that the higher levels of health literacy were in the area adolescents refer to have receipt more health information. The health literacy competence with higher scores was communication skills, and the lower scores were in the capacity to analyze factors that influence health. Higher levels were also found in younger teenagers, but in a higher school level, confirming the importance of health education in these age and development stage. Adolescents seek more information in health professionals and parents, being friends more valued as a source information in older adolescents, which enhance the importance of peer education mainly in older adolescents [3]. As a set of competences based on knowledge, health literacy should be developed through education interventions, encompassing the cultural and social context of individuals, since the society, culture and education system where the individual is inserted can define the way the development and enforcement of the health literacy competences [4]. The valued sources of information should be taken into account, as well as needs of information in some topics referred by adolescents in an efficient health education. Schizophrenia is a serious and chronic mental illness which has a profound effect on the health and well-being related with the well-known nature of psychotic symptoms. The exercise has the potential to improve the life of people with schizophrenia improving physical health and alleviating psychiatric symptoms. However, most people with schizophrenia remains sedentary and lack of access to exercise programs are barriers to achieve health benefits. The aim of this study is to evaluate the effect of exercise on I) the type of intervention in mental health, II) in salivary levels of alpha-amylase and cortisol and serum levels of S100B and BDNF, and on III) the quality of life and selfperception of the physical domain of people with schizophrenia. The sample consisted of 31 females in long-term institutions in the Casa de Saúde Rainha Santa Isabel, with age between 25 and 63, and with diagnosis of schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR). Physical fitness was assessed by the six-minute walk distance test (6MWD). Biological variables were determined by ELISA (Enzyme-Linked Immunosorbent Assay). Psychological variables were assessed using SF-36, PSPP-SCV, RSES and SWLS tests. Walking exercise has a positive impact on physical fitness (6MWD -p = 0.001) and physical components of the psychological test...

Introduction The international Haemophilia Experiences, Results and Opportunities (HERO) study assessed the psychosocial aspects of life for people with haemophilia (PWH) and their caregivers in several countries. Brazil was not included in this initiative. Aim and methods An observational, multicentre, cross‐sectional study was performed involving PWH (moderate‐to‐severe haemophilia) and their caregivers, from November 2014 to July 2015. The primary objective was to quantify the extent of the primary psychosocial factors affecting PWH in their everyday life. Descriptive statistics and comparisons between Brazilian and global respondents are presented. Results A total of 100 adult male PWH and 100 caregivers (responding on behalf of their oldest affected child aged <18 years) completed the survey. Sixty‐eight per cent of the PWH had haemophilia A without inhibitors. Chronic pain and hepatitis C were the most common conditions related to haemophilia. On the EQ‐5D assessment, 64% of PWH reported extreme/moderate pain. Treatment for depression or anxiety was reported by 18% of PWH and by 29% of caregivers. There was a lower employment rate for PWH in Brazil, compared to the countries included in the original HERO survey (51% vs 60%); 71% of PWH stated that haemophilia has a negative impact on their work. Over the previous 5 years, 58% of PWH and 68% of caregivers did not have difficulties in obtaining the concentrated factor for treatment. Conclusions Our study presents an overview of the psychosocial aspects of life with haemophilia in Brazil, providing a basis for health policy decisions and may further improve comprehensive care for PWH.

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Background: Aneurysmatic bone cyst is a rare bone disease of unknown etiology, it is benign, locally aggressive, and hypervascularized. It is a solitary expansive lesion with cavities containing haematic material inside. Case Report: A 16-year-old male patient with progressive low back pain irradiating to the lower limbs presented at our service. Neurological examination showed bilateral paresia and paresthesia of L2 root, and bilateral patellar hyporeflexia. These alterations were more pronounced in the left lower limb. MRI of the spine showed expansive bone lesion involving the vertebral body, pedicles and posterior elements of L3. The patient was submitted to resection of the lesion, radicular decompression, open vertebroplasty with acrylic cement of L3, and fixation of segments L2 to L5. Discussion: Surgical resection is the best treatment for this pathology being able to promote local disease control. In cases of spinal instability caused by the lesion, spinal arthrodesis must be performed to prevent spinal deformity. Conclusion: At the presented case, an aneurysmatic bone cyst resection associated with open vertebroplasty and spinal arthrodesis promoted adequate spinal instability and effective pain control related to the disease. Key words: Aneurysmal bone cyst; Spine RESUMO Introdução: O cisto ósseo aneurismático é uma patologia óssea rara, benigna, de etiologia desconhecida, localmente agressiva e hipervascularizada. Trata-se de lesão de apresentação solitária e expansiva, com cavidades contendo material hemático em seu interior. Relato de Caso: Paciente do sexo masculino, 16 anos de idade, com quadro de lombalgia e dor irradiada para os membros inferiores de piora progressiva. Exame neurológico evidenciando paresia e parestesia no trajeto da raiz de L2 e hiporreflexia patelar bilateralmente, sendo pior à esquerda. RM da coluna vertebral evidenciou lesão óssea expansiva acometendo o corpo vertebral, pedículos e elementos posteriores da vértebra L3. O paciente foi submetido à ressecção cirúrgica da lesão, descompressão raquidiana, vertebroplastia aberta de L3 com cimento acrílico e fixação dos segmentos L2 a L5. Discussão: A ressecção cirúrgica é o tratamento mais indicado para esse tipo de lesão. Em casos em que há instabilidade da coluna deve-se associar a artrodese, o que promove, além do controle local da lesão, a prevenção de deformidades da coluna. Conclusão: No caso aqui apresentado, a realização da ressecção do cisto ósseo aneurismático associado à vertebroplastia aberta e artrodese da coluna permitiu adequado tratamento da instabilidade da coluna e efetivo controle da dor relacionada à doença. Palavras-chave: Cisto ósseo aneurismático; Coluna vertebralFigura 3: A e B Tomografia computadorizada da coluna lombar pós-operatória demonstrando adequada fixação L2-L5 e vertebroplastia de L3. C: Paciente no pós-operatório tardio sem déficit da força nos membros inferiores.