ABSTRACT
1) The study tour was organized by Dr. Hinohara to learn about the medical education in North America and its philosophy to support the method.<BR>2) The McMaster University, which started PBL curriculum in 1969, began COMPASS curriculum which focuses on conceptual thinking and e-learning in which tutorial groups still remain as the key to the learning process.<BR>3) The Duke University, which values the researcher promotion, began a new curriculum including at further integration of basic and clinical medicine and structural clinical training (Intersession).<BR>4) The Washington University, which constructed WWAMI Program that cooperated with the medical institutions in four states surrounding Washington, started College System to support the students and to strengthen their clinical competencies.<BR>5) Common aspects of the innovation of medical education in North America are (1) further integration of the basic and clinical medicine, (2) early exposure to the principle of clinical medicine and (3) promotion of professionalism by Clinical Preceptorship.
ABSTRACT
Este estudo teve como objetivo descrever os passos necessários para a elaboração de instrumento de coleta de dados de ações a serem implementadas em pacientes com diagnóstico de Proteção Alterada relacionada a perfis sanguineos alterados (leucopenia) caracterizada por imunidade deficiente...
Subject(s)
Humans , Data Collection , Leukopenia , Nursing DiagnosisABSTRACT
Diante da alta incidência de idosos que se encontram hospitalizados atualmente e as inúmeras necessidades apresentadas por eles, o presente estudo tem como objetivo descrever os diagnósticos de enfermagem mais comuns entre 50 idosas hospitalizadas, as quais foram avaliadas considerando-se ser necessária a continuidade dos cuidados no domicílio. Os autores concluíram que as idosas apresentam diagnósticos em todos os padrões de resposta humana, com destaque para o déficit de conhecimento.
Subject(s)
Humans , Female , Aged , Nursing Diagnosis , Hospitalization , Health of the Elderly , Homebound Persons , Old Age Assistance , Geriatric NursingABSTRACT
A partir de proposta de mudanca curricular da Faculdade de Medicina para formacao de profissional que atenda mais as necessidades de saude da populacao, a Disciplina de Fundamentos de Enfermagem do Departamento de Enfermagem, estruturou seu programa embasado no metodo de problematizacao. O objetivo é tornar o aluno participante, agente da transformacao social, capaz de detectar problemas reais e buscar para eles, solucoes originais e criativas. Apos aplicacao do metodo, durante um semestre, com alunos do 1§ e 2§ ano do curso de graduacao em enfermagem, o aluno tornou-se mais motivado a participacao, mais critico e criativo, desenvolvendo sua capacidade de trabalhar em grupo e com conhecimentos concretos do conteudo desenvolvido
Subject(s)
Education, Nursing , Teaching , Teaching Care Integration ServicesABSTRACT
Our survey was conducted at 522 elementary schools and junior high schools in Akita prefecture in July 1981. Thus the survey was intended for 105, 137 elementary school pupils bnd 51, 029 junior high school pupils. Questionnaires were sent to teachers in charge at each school. The return rate of questionnaires wan 98.4 % for elementary school and 100.0 % for junior high school. The rate of bronchial asthma was 1.2 %(boy 1.5 %, girl 0.9 %) in elementary school pupils and 0.6 %(boy 0.8 %, girl 0.5 %) in junior high school pupils. The number of schools where pupils with bronchial asthma were found was 205 elementary schools (56.0 %) and 71 junior high schools (47.0 %). The rate of bronchial asthma in boys was greater than girls, by 1.7 times in case of elementary school and 1.6 times in junior high school. The rate of bronchial asthma in urban children was 1.2 %, while that in rural children was 0.8 %. Out of the children interpreted as bronchial asthma at the time of our survey 82.4 % of the elementary school children and 77.6 % of the junior high school children with bronchial asthma were or had been undergoing apropriate treatment. The rate of children who are absent from school due to asthma more than 10 days a year was 24.4 % in elementary school and 26.7 % in junior high school.
ABSTRACT
We have carried out the mass survey for diabetes mellitus by a 50 g GTT as the first screening since 1971. Average incidences of diabetic pattern, IGT pattern, borderline pattern and normal pattern in a Glucose Tolerance Test (GTT) were 2.3±1.8%, 6.6±1.7%, 19.8±6.6% and 71.4 ±7.8%, respectively. 21 males and 6 females were found to be diabetic by this survey for 11 years. Insulinogenic indices (I. Is.) of diabetic, IGT, borderline and normal patterns were 0.13±0.07, 0.70±0.37, 0.58±0.40 and 1.05±0.30, respectively, and the values of I. I. in diabetics and borderline diabetics were significantly lower than that in the normal pattern. A I. I. in the subjects who have revealed the normal glucose tolerance every year for 11 year, 2.62±1.28, was high in the normal range. On the other hand, a I. I. in the subjects who became overtly diabetic from the IGT, borderline or normal pattern, 0.36±0.31, was significantly lower. Therefore, taking into consideration that one of the characteristics of NIDDM is low insulin response to glucose, the mass survey for diabetes mellitus should be carried out by a Glucose Tolerance Test (GTT) as the first screening with the measurement of plasma insulin concentrations. A follow-up study for the low insulin responder is considered to be one of the most preferable investigations for the detection of the early stage of diabetes mellitus.