cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.14316918
title: Biochemistry as Basic Discpline in Medical Education: Schemes and Problems Solutions

description: Abstract: In the last 50 years the curtricula of the courses of Medicine remained basically unchanged. The maintenance of this curricular structure as well as of the teaching method representes only a manner of reaching the objectives of the professional physician’s education and training2. From a simplistic view, the students motivated by a natural anxiety are involved in na enviroment where the discipline of the basic cicle, far away from the reality of medical practice, turn into a moratorim for the students’ development1. In this contexto, the basic disciplines are detached from those of the specialization cycle in a way capable of intefering with the motivations not only of the new students but also of the professor of the basic cycle. The purpose of this paper is to evaluate the degree of importance given by students to a discipline of the basic cycle of the course of Medicine and the level of learning and undestanding, knowing that this discipline is offered soon after the first semestre of Biochemestry in the course of Medicine at the “Fundação Universidade Regional de Blumenau” (FURB).
DOI: 10.6084/m9.figshare.14316918.v1
title: Biochemistry as Basic Discpline in Medical Education: Schemes and Problems Solutions

description: Abstract: In the last 50 years the curtricula of the courses of Medicine remained basically unchanged. The maintenance of this curricular structure as well as of the teaching method representes only a manner of reaching the objectives of the professional physician’s education and training2. From a simplistic view, the students motivated by a natural anxiety are involved in na enviroment where the discipline of the basic cicle, far away from the reality of medical practice, turn into a moratorim for the students’ development1. In this contexto, the basic disciplines are detached from those of the specialization cycle in a way capable of intefering with the motivations not only of the new students but also of the professor of the basic cycle. The purpose of this paper is to evaluate the degree of importance given by students to a discipline of the basic cycle of the course of Medicine and the level of learning and undestanding, knowing that this discipline is offered soon after the first semestre of Biochemestry in the course of Medicine at the “Fundação Universidade Regional de Blumenau” (FURB).
DOI: 10.6084/m9.figshare.14316919
title: Physicia ns' Motivations for Specialization in Homeopathy

description: Abstract: Homeopathy is a medical practice that has groen steadily in our country, both in the public and private sectors of health assistance. Neverthless, the knowledge about the profile of the homeopathic professional and the characteristics of its practice is very scarce. In 1998 the Homeopathic Doctors Profile Project was started with the purpose of providing information about this issue. Yhis paper presentes part of the results obtained form this Project, whose main goals were: to understand the reasons that lead a physician to look for homeopathic specialization to identify the aspects of the physician’s professional practice that changed after he concluded his homeopathic specialization to describe the professional relationship between homeopathic and non homeopathic physicians. The investigation was conducted in two differebt phases. In the first phase, 110 homeopathic physicians graduated between 1988 and 1998, selected at random from diferente states of the Union and who had participated in the Brazilian Congresso n Homeopathy in 1998, were submitted to a semi-structured questionnaire. In the second phase, a similar questionnaire was distributed by five diferente homeopathic educational institutions among all of their graduates, resulting in a sample of 285 physicians who answered the questionnaire. In the third phase, eleven homepaths were selected for being interviewed, in order to elucidate some subjects suggested by the previous phases. The results herewith presented show that the physicians looked for homeopathic practice for diferentes reasons, mainly dissatisfaction with the results obtained in their medical practice, the kind of approach to the patient and his disease offered by this practice, and the lack of resources for dealing with certain complaints. Other reasons foud were the search for medical practice that considers the induvidual as a whole and the fact of once having observed good results obtained with homeopathic medicine in relatives, other patients or even in self medication.
DOI: 10.6084/m9.figshare.14316919.v1
title: Physicia ns' Motivations for Specialization in Homeopathy

description: Abstract: Homeopathy is a medical practice that has groen steadily in our country, both in the public and private sectors of health assistance. Neverthless, the knowledge about the profile of the homeopathic professional and the characteristics of its practice is very scarce. In 1998 the Homeopathic Doctors Profile Project was started with the purpose of providing information about this issue. Yhis paper presentes part of the results obtained form this Project, whose main goals were: to understand the reasons that lead a physician to look for homeopathic specialization to identify the aspects of the physician’s professional practice that changed after he concluded his homeopathic specialization to describe the professional relationship between homeopathic and non homeopathic physicians. The investigation was conducted in two differebt phases. In the first phase, 110 homeopathic physicians graduated between 1988 and 1998, selected at random from diferente states of the Union and who had participated in the Brazilian Congresso n Homeopathy in 1998, were submitted to a semi-structured questionnaire. In the second phase, a similar questionnaire was distributed by five diferente homeopathic educational institutions among all of their graduates, resulting in a sample of 285 physicians who answered the questionnaire. In the third phase, eleven homepaths were selected for being interviewed, in order to elucidate some subjects suggested by the previous phases. The results herewith presented show that the physicians looked for homeopathic practice for diferentes reasons, mainly dissatisfaction with the results obtained in their medical practice, the kind of approach to the patient and his disease offered by this practice, and the lack of resources for dealing with certain complaints. Other reasons foud were the search for medical practice that considers the induvidual as a whole and the fact of once having observed good results obtained with homeopathic medicine in relatives, other patients or even in self medication.
DOI: 10.6084/m9.figshare.14316921
title: Implementation of a Structured Evaluation System in a Medical School: Pilot Project Results

description: Abstract: Evaluation of the teaching and learning process is essential in order to review objetives, methods and contentes. The use of objective, structured clinical examination methods is well established as a valid, reliable and effective process for the assessment of clinical skills, besides allowing the perception ofmedical students’ atitudes. The Faculty of Medical Science of Unicamp has implementd na extensive curriculum restructuring process based on learning units that include the teaching of interview techniques to second grade students. We describe the implementation of na assessment method based on standart-pacients trained to evaluate students’ acquantance, skills and atitudes. The results of the pilot Project applied to 10 voluntees demosntrate that the method is feasible, relatively simple and inexpansive and allows na objective assessment of the students’ skills besides providing precocious indications of possible patient-doctor relationship problems. The method allowed us to identify points that need to be reinforced by the teachers during the course as well as to review our aims in the module evaluated.
DOI: 10.6084/m9.figshare.14316921.v1
title: Implementation of a Structured Evaluation System in a Medical School: Pilot Project Results

description: Abstract: Evaluation of the teaching and learning process is essential in order to review objetives, methods and contentes. The use of objective, structured clinical examination methods is well established as a valid, reliable and effective process for the assessment of clinical skills, besides allowing the perception ofmedical students’ atitudes. The Faculty of Medical Science of Unicamp has implementd na extensive curriculum restructuring process based on learning units that include the teaching of interview techniques to second grade students. We describe the implementation of na assessment method based on standart-pacients trained to evaluate students’ acquantance, skills and atitudes. The results of the pilot Project applied to 10 voluntees demosntrate that the method is feasible, relatively simple and inexpansive and allows na objective assessment of the students’ skills besides providing precocious indications of possible patient-doctor relationship problems. The method allowed us to identify points that need to be reinforced by the teachers during the course as well as to review our aims in the module evaluated.
DOI: 10.6084/m9.figshare.14316922
title: Views on the Use of Flowchart Analyzes in the Teaching of Health Management in the Medical College of UFRJ

description: Abstract: This paper discusses the application of na innovative tool for teaching the subject of Health Management and Planning to students in the 8th period of the medicine course of UFRJ. The health organization as a space for creating relationships, and not only as a producer of goods and services, was questioned with the students. The rebuilding of the history of live from several viewpoints turned the information into a device capable of uncovering senses and meanings in the day-to-day actions in health. The use of the flowchart analyzer produced in the students a feeling of belonging to micropolitical dynamics of live health work and also rpovided a new view over the patinet’s history, wich, in its relation with health worker, uses to be full of flaws and noises. The flowchart analyzer reveled a potente information device for students to think about the work proces in health facilities, for identifying the integration among professionals and services as well as the relationships among these and their users, acording to the dimensions of access, hosting, links, accountability, resolution and autonomy.
DOI: 10.6084/m9.figshare.14316922.v1
title: Views on the Use of Flowchart Analyzes in the Teaching of Health Management in the Medical College of UFRJ

description: Abstract: This paper discusses the application of na innovative tool for teaching the subject of Health Management and Planning to students in the 8th period of the medicine course of UFRJ. The health organization as a space for creating relationships, and not only as a producer of goods and services, was questioned with the students. The rebuilding of the history of live from several viewpoints turned the information into a device capable of uncovering senses and meanings in the day-to-day actions in health. The use of the flowchart analyzer produced in the students a feeling of belonging to micropolitical dynamics of live health work and also rpovided a new view over the patinet’s history, wich, in its relation with health worker, uses to be full of flaws and noises. The flowchart analyzer reveled a potente information device for students to think about the work proces in health facilities, for identifying the integration among professionals and services as well as the relationships among these and their users, acording to the dimensions of access, hosting, links, accountability, resolution and autonomy.
DOI: 10.6084/m9.figshare.14316925
title: Prevalence of radiographic markers of femoroacetabular impingement in asymptomatic adults

description: OBJECTIVE: to determine the prevalence of radiographic signs of femoroacetabular impingement (FAI) in asymptomatic adults and correlate them with data from physical examinations. METHODS: We conducted a cross-sectional study with 82 asymptomatic volunteers, 164 hips, between 40 and 60 years of age, selected by convenience. They were submitted to anamnesis and clinical examination of the hip, anteroposterior (AP) pelvis radiographs with three incidences, Dunn 45° and Lequesne false profile of each hip, to measure the variables. We measured the alpha angle, anterior offset of the femoral neck, cervical diaphyseal angle, CE angle of Wiberg, acetabular index, Sharp angle, and the crossing, ischial spine and posterior wall signs. RESULTS: our sample consisted of 66% women, mean age of 50.4 years. The average alpha angle was 45.10°, SD=8.6. One quarter of the hips showed alpha angle greater than or equal to 50°; among men the prevalence was 34%, and among women, 11%. We found indicative radiographic signs of femoroacetabular impingement in 42.6% of hips, whether femoral or acetabular, and the increased alpha angle was related to the decrease in hip internal rotation (p&lt;0.001). CONCLUSION: the radiographic findings of femoroacetabular impingement in asymptomatic patients were frequent in the studied sample. The increase in alpha angle was associated with decreased internal rotation.
DOI: 10.6084/m9.figshare.14316925.v1
title: Prevalence of radiographic markers of femoroacetabular impingement in asymptomatic adults

description: OBJECTIVE: to determine the prevalence of radiographic signs of femoroacetabular impingement (FAI) in asymptomatic adults and correlate them with data from physical examinations. METHODS: We conducted a cross-sectional study with 82 asymptomatic volunteers, 164 hips, between 40 and 60 years of age, selected by convenience. They were submitted to anamnesis and clinical examination of the hip, anteroposterior (AP) pelvis radiographs with three incidences, Dunn 45° and Lequesne false profile of each hip, to measure the variables. We measured the alpha angle, anterior offset of the femoral neck, cervical diaphyseal angle, CE angle of Wiberg, acetabular index, Sharp angle, and the crossing, ischial spine and posterior wall signs. RESULTS: our sample consisted of 66% women, mean age of 50.4 years. The average alpha angle was 45.10°, SD=8.6. One quarter of the hips showed alpha angle greater than or equal to 50°; among men the prevalence was 34%, and among women, 11%. We found indicative radiographic signs of femoroacetabular impingement in 42.6% of hips, whether femoral or acetabular, and the increased alpha angle was related to the decrease in hip internal rotation (p&lt;0.001). CONCLUSION: the radiographic findings of femoroacetabular impingement in asymptomatic patients were frequent in the studied sample. The increase in alpha angle was associated with decreased internal rotation.
DOI: 10.6084/m9.figshare.14316927
title: An alternative experimental model for training in microsurgery

description: OBJECTIVE: to describe a new model of training in microsurgery with pig spleen after splenectomy performed by undergraduate students of the Discipline of Operative Technique of the UFPR Medical School. METHODS: after the completion of splenectomy we performed dissection of the vascular pedicle, distal and proximal to the ligation performed for removal of the spleen. After complete dissection of the splenic artery and vein with microscope, clamps were placed and the vessels were cut. We then made the anastomosis of the vessels with 9.0 nylon. RESULT: the microsurgical training with a well-defined routine, qualified supervision and using low cost experimental materials proved to be effective in the practice of initial microvascular surgery. CONCLUSION: the use of pig spleen, which would be discarded after splenectomy, is an excellent model for microsurgical training, since besides having the consistency and sensitivity of a real model, it saves the sacrifice of a new animal model in the initial learning phase of this technique.
DOI: 10.6084/m9.figshare.14316927.v1
title: An alternative experimental model for training in microsurgery

description: OBJECTIVE: to describe a new model of training in microsurgery with pig spleen after splenectomy performed by undergraduate students of the Discipline of Operative Technique of the UFPR Medical School. METHODS: after the completion of splenectomy we performed dissection of the vascular pedicle, distal and proximal to the ligation performed for removal of the spleen. After complete dissection of the splenic artery and vein with microscope, clamps were placed and the vessels were cut. We then made the anastomosis of the vessels with 9.0 nylon. RESULT: the microsurgical training with a well-defined routine, qualified supervision and using low cost experimental materials proved to be effective in the practice of initial microvascular surgery. CONCLUSION: the use of pig spleen, which would be discarded after splenectomy, is an excellent model for microsurgical training, since besides having the consistency and sensitivity of a real model, it saves the sacrifice of a new animal model in the initial learning phase of this technique.
DOI: 10.6084/m9.figshare.14316928
title: Polycystic ovary syndrome: implications of metabolic dysfunction

description: OBJECTIVE: To determine the prevalence of metabolic syndrome (MS) and its clinical interrelations in polycystic ovary syndrome (PCOS).METHODS: This was a cross-sectional, prospective study with 100 patients with diagnosed PCOS based on the consensus of Rotterdam (2003). We investigated the interrelationships of MS, with intrinsic PCOS data. Dermatological profile was analyzed, in addition to acanthosis nigricans (AN) in the presence of hirsutism and acne. The use of HOMA-IR (homeostatic model assessment of insulin resistance) aimed at the correlation with MS in order to establish the metabolic dysfunction with the state of insulin resistance.RESULTS: The mean and standard deviations corresponding figures for age, body mass index and waist circumference were, respectively, 25.72 (± 4.87), 30.63 (± 9.31) and 92.09 (± 18.73). The prevalence of MS was 36% and significantly correlated with BMI, AN, and in 51% of patients the state of insulin resistance (HOMA-IR). Regarding skin profile, only AN significant correlation with MS.CONCLUSION: We propose the routine inspection of metabolic components related to severe PCOS. These parameters configure the cardiovascular risk and such conduct is of undoubted importance to public health.
DOI: 10.6084/m9.figshare.14316928.v1
title: Polycystic ovary syndrome: implications of metabolic dysfunction

description: OBJECTIVE: To determine the prevalence of metabolic syndrome (MS) and its clinical interrelations in polycystic ovary syndrome (PCOS).METHODS: This was a cross-sectional, prospective study with 100 patients with diagnosed PCOS based on the consensus of Rotterdam (2003). We investigated the interrelationships of MS, with intrinsic PCOS data. Dermatological profile was analyzed, in addition to acanthosis nigricans (AN) in the presence of hirsutism and acne. The use of HOMA-IR (homeostatic model assessment of insulin resistance) aimed at the correlation with MS in order to establish the metabolic dysfunction with the state of insulin resistance.RESULTS: The mean and standard deviations corresponding figures for age, body mass index and waist circumference were, respectively, 25.72 (± 4.87), 30.63 (± 9.31) and 92.09 (± 18.73). The prevalence of MS was 36% and significantly correlated with BMI, AN, and in 51% of patients the state of insulin resistance (HOMA-IR). Regarding skin profile, only AN significant correlation with MS.CONCLUSION: We propose the routine inspection of metabolic components related to severe PCOS. These parameters configure the cardiovascular risk and such conduct is of undoubted importance to public health.
DOI: 10.6084/m9.figshare.14316930.v1
title: Incidence of uterine post abortion infection at Hospital de Clínicas de Porto Alegre. Is prophylactic antibiotic necessary?

description: OBJECTIVE: To identify the incidence of pelvic infection after miscarriage undergoing uterine evacuation in a tertiary hospital in southern Brazil and to compare with the international literature.METHODS: we reviewed electronic medical records of the Hospital de Clinicas de Porto Alegre of all patients who underwent uterine evacuation for miscarriage between August 2008 and January 2012 were reviewed. We included all patients submitted to uterine curettage due to abortion and who had outpatient visits for review after the procedure. We calculated emographic and laboratory data of the study population, number needed for treatment (NNT) and number needed to harm (NNH).RESULTS: of the 857 revised electronic medical records, 377 patients were subjected to uterine evacuation for miscarriage; 55 cases were lost to follow-up, leaving 322 cases that were classified as not infected abortion on admission. The majority of the population was white (79%); HIV prevalence and positive VDRL was 0.3% and 2%, respectively. By following these 322 cases for a minimum of seven days, it was found that the incidence of post-procedure infection was 1.8% (95% CI 0.8 to 4). The NNT and NNH calculated for 42 months were 63 and 39, respectively.CONCLUSION: The incidence of post-abortion infection between August 2008 to January 2012 was 1.8% (0.8 to 4).
DOI: 10.6084/m9.figshare.14316930
title: Incidence of uterine post abortion infection at Hospital de Clínicas de Porto Alegre. Is prophylactic antibiotic necessary?

description: OBJECTIVE: To identify the incidence of pelvic infection after miscarriage undergoing uterine evacuation in a tertiary hospital in southern Brazil and to compare with the international literature.METHODS: we reviewed electronic medical records of the Hospital de Clinicas de Porto Alegre of all patients who underwent uterine evacuation for miscarriage between August 2008 and January 2012 were reviewed. We included all patients submitted to uterine curettage due to abortion and who had outpatient visits for review after the procedure. We calculated emographic and laboratory data of the study population, number needed for treatment (NNT) and number needed to harm (NNH).RESULTS: of the 857 revised electronic medical records, 377 patients were subjected to uterine evacuation for miscarriage; 55 cases were lost to follow-up, leaving 322 cases that were classified as not infected abortion on admission. The majority of the population was white (79%); HIV prevalence and positive VDRL was 0.3% and 2%, respectively. By following these 322 cases for a minimum of seven days, it was found that the incidence of post-procedure infection was 1.8% (95% CI 0.8 to 4). The NNT and NNH calculated for 42 months were 63 and 39, respectively.CONCLUSION: The incidence of post-abortion infection between August 2008 to January 2012 was 1.8% (0.8 to 4).
DOI: 10.6084/m9.figshare.14316933
title: Effect of the celexoxib in microscopic changes of the esophageal mucosal of rats induced by esofagojejunostomy

description: OBJECTIVE: To evaluate the protective effect of celecoxib in the esophageal mucosa in rats undergoing esofagojejunostomy.METHODS: Sixty male Wistar rats from the vivarium of the University of Health Sciences of Alagoas were used for the experiment. The animals were divided into four groups: Group I, 15 rats undergoing esofagojejunostomy with the use of celecoxib postoperatively; Group II, 15 rats undergoing esofagojejunostomy without the use of celecoxib; Group III, 15 rats undergoing celiotomy with bowel manipulation; and Group IV, 15 rats without surgery and using celecoxib. The observation period was 90 days. After the death of the animals, the distal segment of the esophagus was resected and sent for microscopic analysis.RESULTS: esofagojejunostomy caused macroscopic and microscopic esophagitis. Esophagitis was equal in both groups I and II. In groups III and IV esophageal lesions were not developed.CONCLUSIONS: celecoxib had neither protective nor inducing effect on esophagitis, but had a protective effect on dysplasia of the animals of group I.