Introduction: A good quality antenatal care assures the safety of pregancy and labor, promoting preventive and educational activities. Objective:To evaluate the prenatal records performed in the FHS teams in a townin the countryside of the State of Rio de Janeiro.Materialand Methods:Medical records and pregnancy cards have been analyzed through a specific file developed by the authors. The eligible pregnants were subscribed in the antenatal care program of six Family Health Strategies from january to december2017. The data were registered and analiyzed on Spss statistics 23. Results:35%out of 60 records analized had registered the minimum of appointments. Among the pregnants that began the antenatal care in the first trimester only 29,72% attended at least two appointments, on the second trimester, the percentage was 53.65% and of 72,41% for the pregnants accompanied in the third trimester. In 13% of the documents analyzed, the data ofthehealth professionals were missing.Concerning minimum actions, DUM, DPP and supplementation were in 70% ofthe registers and only 68% had clinical history, being the vaccination research the most absent. The solicitation of complementary tests on the first and third trimesters was incomplete in 27% and 23% of the registrations, respectively. Conclusion:Low-risk antenatal caredocumentation is still performedin a inappropriately or incomplete way.

Introduction: High levels of plasma homocysteine (Hc) have been associated with an increased cardiovascular mortality rate independent of traditional risk factors. Objective:The objective of this systematic review was to gather results from clinical research that examined the relationship between hyperhomocysteinemia (Hcy) and the risk of Cardiovascular diseases (CVD) in adults. Materials and Methods: An electronic search was performed on the following databases: MEDLINE, LILACS and PubMed. The following search descriptors were used: "homocysteine" (or its synonym "2-amino-4-mercaptobutyric") combined with "marker" "Biomarker"), "cardiac" (or "cardiovascular") and "risk". Inclusion criteria were original articles published between 2006 and 2016 in English, Spanish and Portuguese languages. We identified 41 articles in the initial search process. The previous analysis was carried out by reading the abstracts.Results: Of the 41 articles identified, 32 were discarded because they did not meet the inclusion criteria. We selected 9 studies, which were obtained in their entirety and, after reading them, were all included in the final sample of this article. It was found that the articles analyzed showed a positive correlation between plasma levels of He and the incidence of CVD. It was not possible to state that the association between elevated levels of He and CVD is causal. Conclusion: The results of this review suggest that further studies are undertaken to clarify whether Hcy is a cause or consequence of cardiovascular disease. In addition, further research is needed on the problem proposed in Brazil, since the country has high rates of cardiovascular morbidity and mortality.

Objective: This study seeks to analyzethe determinants for thebeginning of breast cancertreatment,aimingtounderstand thefactors associated with the delayin the public health system.Materialsand Methods-Retrospective descriptive studywith data collected in DATASUS, available onPANEL-oncology. The population was composed of womenwith diagnosisof breast cancerin the period from2016to 2020, and selected the variables: state of residence, detailed diagnosis C50-malignat breast neoplasm, age range, therapeutic modality,stage,andtreatment time. Results-Inthe sample of 161.586 women with breast cancer, 43,6 % of the cases had delay in the beginning of the oncological treatment, withtime interval bigger than 60 days.Among the analyzed determinants, noticeddelay to begin the treatment in 80% ofthe cases treated by radiotherapy, 64% of the casesof stage 1 breast cancer, 56% of the cases in the state of Rio de Janeiro, and 46% of the cases with age range above60 years.Conclusion-The study showed that a significant portion of patients beginbreast cancer treatmentwith delay. Therefore, it must be inspected and reorganized line of care to patients withbreast cancer, since the diagnosis, so the mortality of the disease be reduced.

Objective: The study aims to define the profile of health professionals, whomacquired tuberculosis from 2015 to 2019, allowing to establish prevalences and to suggest hypothesis. Materials and Methods–This article is a result of a longitudinal and retrospective descriptivestudy, elaborated through aquali-quantitative analysis of the total number of notified cases of tuberculosis among health professionals to SINAN (Brazilian Information System for Notificable Disease), in Brazil, and updated to Brazilian Ministry of Health web page. The research considered five factors to determinate the profile of the studied population: gender, age range, diabetes, alcoholism, tabagism. Results–In Brazil, anamount of 5447 cases of tuberculosis in health professionals were notified to SINAN, from 2015 to 2019. The female gender had 3434 notified cases, against 2012 cases in men. The most prevalent age range was between 30 to 39 years among the studied period,followed by 40 to 49or 20 to29 years. Among the analyzed risk factors, tabagism had an average of 10,2% each year, followed by diabetes, with8,6%, and alcoholism, with 5,8%.Conclusion–The study defined the most distinguishing profile as: inhabitantsof Southwest region of the country, women, from 30 to 39 years old, and that 8,2%had any additionalrisk factor, standingout the tabagism.

Objective: To compare pentavalent vaccination coverage between states in the Southeast Region and describe possible factors associated with the values found. Materials and Methods:This is an epidemiological study of descriptive analysis with data obtained from TABNET, Department of Information and Informatics ofSUS (DATASUS), through the Information System of the National Immunization Program (SI-PNI), evaluating the pentavalent vaccinecoverage between 2015 and 2019. Then, we tried to demonstratehypothesesthat justified the values found. Results:The best vaccination coverage was found in 2015.Minas Gerais and Espírito Santowerethe states with the highest and lowest coverage, respectively. As of 2016, most states have failed to reach the goal of 95% for immunobiological. 2019 was considered the year with the lowest coverage. Conclusion:It is noted that the assessment of pentavalent and vaccination coverage in general is complex, since it needsto considerthe achievement of quality vaccines, system limitations, geographic and socioeconomic diversity in the region and the growth of vaccination hesitation in the country. It is necessary to elaborate studies that evaluate vaccination of the population using alternative schemes to pentavalent and address possible causes of the founded numbers invaccination coverage to guide the creation of health policies.

Objective: To evaluate the profile of hospitalizations of the pediatric population, with age range from 0 to10 years and 364 days, through the evaluation of medical records, for a period of five years. Material and methods: this is a cross-sectional, quantitative and observational, descriptive and retrospective study. The information abouthospital admissions was obtained at Hospital Escola Valença, a public reference hospital in the cityof Valença -RJ. The variables studied were: age group, sex, diagnosis and outcome of hospitalization (discharge, death or transfer). To characterize the sample, frequency distribution tables were presented according to the variables. The data were processed and analyzed using the statistical software R, version 3.2.2. Results: the age group with the highest prevalence of hospitalization was nursling, mainly male, inregard to the outcome of hospitalizations, whatpredominated was medical discharge and the main cause of hospitalization was respiratory tract diseases, focusing on pneumonia, followed by infectious diseases. Conclusion: Thus, knowledge of the causes of hospitalization by age group most commonly involved, sex and its outcome can provide to health professionals the expansion of their knowledge to treat and diagnose the most prevalent diseases in childhood and adolescence, in addition to acting more effectively in preventing these pathologies.

Introduction: In 2019, a new epidemic appeared in China, of a disease that was called SARS-Cov-2. In Brazil the first case was found in February 2020 and the number of infected and killed grew abruptly, with the country becoming one of the hardest hit. Objective:To evaluate the epidemiological profile of Covid-19 in municipalities in the state of Rio de Janeiro, aiming to assess the incidence and lethality of the city of Valença compared to 14 other cities in the state. Materials and Methods:A descriptive research was carried out, based on epidemiological bulletins from the Municipal Health Department of Valença / RJ and the State Health Department of Rio de Janeiro and the Relative Risks were calculated. Results: It was found that, in comparison with other cities, the municipality of Valença / RJ has low rates of infected with Covid-19, probably due to the early measures taken, along with the hospital and outpatient organizational policies and hygiene education for the population. . Conclusion:The lethality rates did not show a uniform pattern, which can be explained by the profile of hospital care for more severe cases and the rural population.

Introduction: Social invisibility can be characterized as a theory in which people who have Jobs that are not valued by Society, are not seen as individuals. In Brazil’s Health Care System, a lot os patients see Primary Care and its workers as unable to solve their problems, which could lead to social invisibility for the health sector.Objectives: the purposes of this study was to know if the patientes looked for the Emergency Care Unitinstead of using primary care in their área, and also to realize the factors which lead them to ignore that health plataform, using this results to make the attendence and understanding of the patients better.Materials and methods: the study included the participation of patientsthat looked for the Emergency Care Unitin the local Study Hospital, so they filled some forms that collected data to enable the knowledge about social invisibilityon Primary Care.Results: Our study showed that 46,6% of the interviewees clamed that the assistance in the Emergency Care Unitis better or faster than in Basic Health Unit. These results show that patients don’t believe that Primary Care can solve their problems.Conclusion: We conclude that both workers and Primary Care are seen as “Socially Invisible”.

Introduction: Congenital syphilis is the result of the hematogenous spread of Treponema pallidum, from an untreated or inadequately treated infected pregnant woman, via the transplacental route. It is known that vertical transmission of Treponema pallidumcan occur at any stage of pregnancy or clinical stage of maternal disease. The main factors thatdetermine the probability of vertical transmission of T. pallidum are the stage of syphilis in the mother and the duration of exposure of the fetus in the uterus. Objectives:To identify the incidence of congenital syphilis in a hospital in the municipality of Valença-RJ, in addition to pointing out the main changes detected at birth associated with Congenital Syphilis and correlating positive cases with the number of prenatal consultations performed by the mother. Materials and Methods:Retrospective study of the reading of medical records of pregnant women admitted to Hospital Escola Luiz Gioseffi Jannuzzi in the time frame of 2016-2017, with data analysis guided by a pre-structured script. Result and conclusions:there is a lack of notification and more substantial data. We also noticed a low adherence of pregnant women to prenatal care, as well as the need to implement measures to reduce the incidence rates and congenital syphilis in the municipality of Valença, working on prevention as a determining condition to prevent injuries to the newborn.

Objective: To analyze the epidemiological aspects of measles cases that required hospitalization in Brazil between 2018 and 2019, allowing the subsidiarity of prevention to reduce hospitalizations for this disease. Materials and Methods:A longitudinal and retrospective descriptive study that consists of a quantitative analysis of SUS Hospital Morbidity (SIH/SUS) by location of measles admission through the DATASUS website, from the Ministry of Health,from January 2018 to December 2019.The research considered 4 factors to determine the profile of the studied population: federative region, sex, age group and color/race.Results:In Brazil, a total of 1.724 people were hospitalized for measles in the period 2018-2019. The number of hospitalizations in the Southeast Region grew by approximately 2,000% between 2018 and 2019. There is a difference of only 12,3% in the prevalence by sex, being higher in males. More than half (66%) of hospitalizations for measles occur in the age group below 4 years of age. The prevalence is higher in browns and whites respectively, together corresponding to 76,85% of the total number of hospitalizations.Conclusion:Although there has already been a 7% drop in hospitalizations, the numbers need to decrease much more. Measles prevention efforts in public health policies must be prioritized in the Southeast Region and a more important investment by the Brazilian government must be made with regard to childhood vaccination.

Introduction: Congenital syphilis is a worldwide preventable infectious disease resulting from contamination of the fetus by Treponema pallidum. It has a potential to cause systemic complications and can be classified as early / recent congenital syphilis,or late. It is adisease that can be preventedthrough adequate prenatal care, guidance to pregnant women, infectious screening and the appropriate treatment of the pregnant woman and her partner. Objective:To describe the occurrence and profile of notified cases of congenital syphilis in the state of Rio de Janeiro, Brazil, from 2010 to 2019. Materials and Methods:Descriptive study, using data from the Information System for Notifiable Diseases (Sinan). Results:The analyzedperiod presented a total of 28719 cases, with the majority of the pregnant women having received prenatal care, however with inadequate or not performed treatment, as in most cases there was no treatment of the partner. Most diagnoses were classified as recent congenital syphilis, with a high number of abortions and syphilis-related stillbirths, in addition to the death of children under one year of age. Conclusion:With this, it is concluded that prenatal care is not occurring properly,since despite the timely diagnosis of maternal infection, this pregnant woman is not treated or is treated inappropriately, providing infection of the fetus and its consequences.

Introduction: There has been a considerable increase in the occurrence of neoplasms in domestic animals, it is believed to be correlated with the increased survival of these animals, with racial predisposition, heredity and high cellturnover that can generate mutations. Considering this increase in incidences, reconstructive surgeries are increasingly associated with oncological surgeries, such as the double-advancement flap technique, also known as “H-plasty”, which is a method thatallows the excision of the tumor with surgical margins free of neoplasms and the primary closure of the lesion. Objective:to report a case of surgery for an apocrine adenocarcinoma using the "H-plasty" technique in a dog treated in the municipality of Valença / RJ. Case report:A dog, mixed breed, approximately 12 years old, attended by the Polyclinic Veterinary School of the Centro Universitário de Valença, approximately 12 years old, whose owner reported having observed a mass in the left side of the chest about a year ago. The diagnosis was confirmed by means of histopathological examination, the report was simple apocrine adenocarcinoma, well differentiated. Reconstructive surgery was performed using the "H-plasty" technique as a choice, the procedure showed satisfactory results. Conclusion:Through the double-advancement flap technique associated with postoperative care, it was possible to provide a better quality of life for the animal.

Introduction: In the current world, it is necessary to use modern strategies so that there is interest on the part of the student in the teaching-learning process. The use of gamification is considered an innovative strategy, where students are opinion makers and actively participate in this process. Objective: This article aims to report the experience of creating adidactic game for teaching oral health to be applied in the School Health Program. Experience report: This is an experiencereportofthecreationofa game that willbeappliedbyadentalsurgeonfor children from the 3rd and 4th year of a municipal public school, located in the municipality of Rio das Flores, RJ. The game was created with 15 open questions, 4 mandatory stops and a numbered number from 1 to 6. The questionsare allrelatedtooralhealth. Two teams will participate in the game, with the winner being the one who reaches the finish line first. Conclusion: The experience with the creation of the game was quite satisfactory, considering that gamification is an excellent strategy for teaching innovation and facilitates the learning process in an active and fun way. Therefore,itisexpectedthat studentscanunderstand, in an active and fun way. Therefore, it is expected that students can understand, in an easy and attractive way, the contente transmitted through the game, and that this learning has positive consequences with satisfactory results in relationto the prevention of mouthinjuries.