Medical advertising in social networks: awareness and medical school education.

OBJECTIVE: this study analyzed medicine students' knowledge regarding medical advertising on social media. METHOD: this is a cross-sectional study carried out between January and May 2022 with 179 medical students from public and private institutions from Curitiba - PR, using a structured questionnaire with nine problem situations on medical advertising. It was established as "sufficient" knowledge ≥70% of the problem-situations based on current professional codes and resolutions. RESULTS: five questions had the highest percentage of correct answers resulting from the acquisition of knowledge from different sources. Most students did not learn about medical marketing in their undergraduate course (84.9%), having already shared patients' pictures on social media (89.9%), and fell the lack of discussions about medical advertising (96.6%). CONCLUSION: there is a need to direct undergraduate education towards the ethical use of advertising in order to better prepare them for professional practice.

Medical advertising in social networks: awareness and medical school education / Publicidade médica em redes sociais: conhecimento e ensino na graduação de Medicina

ABSTRACT Objective: this study analyzed medicine students' knowledge regarding medical advertising on social media. Method: this is a cross-sectional study carried out between January and May 2022 with 179 medical students from public and private institutions from Curitiba - PR, using a structured questionnaire with nine problem situations on medical advertising. It was established as "sufficient" knowledge ≥70% of the problem-situations based on current professional codes and resolutions. Results: five questions had the highest percentage of correct answers resulting from the acquisition of knowledge from different sources. Most students did not learn about medical marketing in their undergraduate course (84.9%), having already shared patients' pictures on social media (89.9%), and fell the lack of discussions about medical advertising (96.6%). Conclusion: there is a need to direct undergraduate education towards the ethical use of advertising in order to better prepare them for professional practice.

RESUMO Objetivo: este estudo analisou o conhecimento dos estudantes de medicina sobre publicidade médica nas redes sociais. Método: Trata-se de estudo transversal realizado entre janeiro e maio de 2022 com 179 acadêmicos de medicina de instituição pública e privada em Curitiba - PR, por meio de questionário estruturado com nove situações-problemas sobre publicidade médica. Foi estabelecido como conhecimento "suficiente" o acerto ≥70% das situações-problemas com base nos códigos e resoluções profissionais vigentes. Resultados: cinco questões tiveram maior percentual de acerto decorrente da aquisição de conhecimento de diferentes fontes. A maioria dos estudantes não aprendeu sobre publicidade médica na graduação (84,9%), já divulgou imagens de pacientes pelas redes sociais (89,9%), e sente falta de mais discussões sobre publicidade (96,6%). Conclusão: há necessidade de direcionar o ensino da graduação para o uso ético da publicidade visando melhor preparo para o exercício profissional.

Aesthetic Contouring of the Chest wall with Rib Resection.

BACKGROUND: In past decades, several invasive and noninvasive aesthetic procedures have been sought as a way to improve body contouring, and one may resort to uncertified and potentially dangerous procedures to achieve that goal. An example of this practice would be the resection of ribs to reduce the waist for aesthetic reasons. The objective was to check scientific evidence on the effectiveness and safety of removal of floating ribs for aesthetic purposes. METHODS: A systematic review of the literature was carried out in EMBASE/Elsevier, Cochrane, Scopus, Medline, PubMed, BVS, SciELO, OneFile, and Lilacs, throughout the period until June 2020, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. RESULTS: Fifty-six articles were found in all databases. After applying the inclusion criteria, by reading the title and abstract of the studies found, only two articles were definitively included. One addressed the possibility of removing the 7th and 8th ribs for improving body contouring in patients with an exaggerated anterior projection of the chest wall, without showing cases or surgical techniques. The other demonstrated procedures of body contouring in transgender by the removal of the 11th and 12th ribs in five of the 22 patients studied, just providing a brief description of the surgical technique used, without details. CONCLUSIONS: Despite the relevance of the theme and its popularity, there is not enough scientific evidence to support the practice, effectiveness and safety of the resection of ribs for aesthetic purposes. LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Cirurgia de varizes: análise das complicaçöes hospitalares quando isolada ou associada a outro procedimento cirúrgico / Varicose veins surgery: analysis of the hospital complications when isolated or associated urth other surgical procedure

Foram analisados 200 casos de tratamento cirúrgico de varizes de membros inferiores, sendo 170 isolados e 30 associados a outros procedimentos cirúrgicos, com o intuito de comparar os índices de complicaçöes pós-operatórios imediatas nos dois grupos. O índice de complicaçöes graves foi de 0,5%, no geral, sendo a mortalidade nula. O tratamento cirúrgico de varizes dos membros inferiores, desde que näo haja nenhuma contraindicaçäo formal para a sua realizaçäo, pode ser feito concomitantemente com outras cirurgias

Meningitis viral benigna: critérios simples para diagnósticos / Viral benign meningitis: simple criteria for the diagnosis

Meningite viral benigna é pouco diagnosticada em nosso meio devido à insegurança em näo prescrever antibióticos de largo espectro. Neste trabalho de cunho prospectivo e clínico foram comparados 18 pacientes com meningite viral benigna e 11 com outros tipos de meningite, com o objetivo de enfatizar a possibilidade de um diagnóstico sem provas virológicas específicas. Conclui-se que o diagnóstico pode ser feito em casos de evoluçäo sub-aguda em uma síndrome infecciosa com meningismo isolado, sem alteraçäo de consciência ou sintomas ou sinais de envolvimento neurológico focal, com exame físico e rotina laboratorial normal, com velocidade de hemossedimentaçäo baixa e líquor com predominância inicialmente polimorfo ou mononuclear e em 24-72 horas, mononuclear, quando os valores de glicose e proteína liquórica forem normais ou próximos a normalidade. Corticoesteroídes näo devem ser utilizados pois impedem a evoluçäo natural da doença e um diagnóstico preciso