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1.
Rev. bras. educ. méd ; 40(4): 602-610, out.-dez. 2016. tab
Article in Portuguese | LILACS | ID: biblio-843548

ABSTRACT

RESUMO A Aprendizagem Baseada em Equipe (ABE) é uma estratégia educacional que tem sido empregada na educação de profissionais de saúde para o desenvolvimento de competências fundamentais, como a responsabilização do aluno pela aquisição do próprio conhecimento, a tomada de decisão e o trabalho colaborativo e efetivo em equipe. Levando em consideração que, no Brasil, poucos artigos nacionais explicam como realizar esta estratégia educacional, o objetivo deste artigo foi descrever os conceitos, os princípios, o planejamento e o processo detalhado para aplicação da ABE.


ABSTRACT Team-Based Learning (TBL) is an educational strategy that has been used in the education of health professionals for the development of fundamental skills, such as the student’s responsibility for the acquisition of their own knowledge, the decision-making process, and collaborative and effective teamwork. Due to the relative lack of Brazilian articles explaining how to execute this educational strategy, the objective of this article was to describe in Portuguese the concepts, principles, and the detailed process for the application of TBL.

2.
Matern Child Health J ; 20(8): 1634-50, 2016 08.
Article in English | MEDLINE | ID: mdl-27007985

ABSTRACT

Objective We seek to comprehensively assess stillbirths in Brazil, to compare the Brazilian findings with global trends and to identify the limitations of the fetal death record system. Method We studied fetal deaths in Brazil between 1996 and 2012 within the following five regions of the country: the North, Northeast, Southeast, South, and Central-West, through an analysis of data obtained from the Unified Health System's (SUS) Informatics Department. The rates of stillbirth in Brazil and in these regions were calculated in relation to the maternal and gestational age and education, birth weight, type of pregnancy, delivery type, weight ranges and cause of death. Results There were 579,661 recorded fetal deaths and a decrease of 22.9 % in the stillbirth rate. In 2012, the overall rate was 10.0/1000 births; the North and Northeast regions had the highest rates (10.3 and 12.1, respectively) and the South region had the lowest rate (7.7/1000 births). Two-thirds of the deaths occurred in pregnancies of 28 or more weeks. Low education was an important risk factor, with rates of 24.3/1000 birth in women with no formal education and 4.7/1000 birth in women with 12 or more years of study in 2012. More than 40 % of the causes of deaths were nonspecific. Conclusions Despite the gradual decline in stillbirth rates, Brazil still has stillbirth rates that are nearly two times higher than those found in developed countries. There are inequalities between country regions portrayed by the significant variation in mortality rates specified by cause.


Subject(s)
Fetal Death , Infant Mortality , Stillbirth/epidemiology , Adult , Brazil , Female , Gestational Age , Humans , Infant , Infant Mortality/trends , Infant, Newborn , Maternal Age , Pregnancy , Young Adult
3.
Rev Bras Ginecol Obstet ; 34(9): 403-8, 2012 Sep.
Article in Portuguese | MEDLINE | ID: mdl-23197278

ABSTRACT

PURPOSE: To identify the causes of fetal death in the studied population and to measure their contribution in identifying the cause of this outcome. To propose the use of the system Relevant Condition of Death (ReCoDe) in elucidating the causes of fetal death to minimize the number of unknown causes. METHODS: Cross-sectional study related to fetal deaths seen at a specialized academic hospital in the South of Brazil, from January 2000 to December 2009. The data were collected in the death certificates, maternal medical records and the reports of study of fetuses and attachments, and the findings were compared. Data analysis was performed using SPSS version 17.0. RESULTS: Were included 111 fetuses and their respective mothers in this study. The comparison between the diagnostic causes in the pathology and clinical evaluation showed 74 (66.7%) and 73 (65.8%), respectively. Together, they found a potential cause in 48.7% of cases, while 16.2% remained unknown. When analyzing both together with the ReCoDe system, only 9.9% of stillbirths remained as "unclassified." CONCLUSIONS: The proportion of diagnoses in the cause of death among the pathological and clinical evaluation showed no significant difference. When comparing the results of the cause of death suggested by the clinic/pathology with the use of the ReCoDe system, it appears that this tool has helped to clarify the cause by reducing the amount of those that remained without a possible etiology.


Subject(s)
Fetal Death/etiology , Adolescent , Adult , Cause of Death , Cross-Sectional Studies , Female , Humans , Pregnancy , Young Adult
4.
Rev. bras. ginecol. obstet ; 34(9): 403-408, set. 2012. tab
Article in Portuguese | LILACS | ID: lil-656776

ABSTRACT

OBJETIVO: Identificar as causas dos óbitos fetais (OF) e avaliar as causas deste desfecho. Propor o emprego do sistema Relevant Condition of Death (ReCoDe) na elucidação das causas de OF para minimizar o número de causas desconhecidas. MÉTODOS: Estudo transversal relacionado às mortes fetais atendidas em um hospital universitário especializado do Sul do Brasil, de Janeiro de 2000 a dezembro de 2009. Os dados foram coletados das Declarações de Óbito, dos prontuários maternos e dos laudos de estudo dos fetos e anexos, sendo os achados comparados. A análise dos dados foi realizada pelo programa SPSS versão 17.0. RESULTADOS: Foram incluídos neste estudo 111 fetos e suas respectivas mães. A comparação entre o diagnóstico das causas encontradas nos laudos do exame dos fetos e anexos e o diagnóstico clínico foi de 74 (66,7%) e 73 (65,8%), respectivamente. Em 48,7% dos casos, ambas encontraram uma potencial causa e 16,2% permaneceram desconhecidas. Utilizando-se a classificação ReCoDe, somente 9,9% dos OFs ficaram como "não classificados". CONCLUSÕES: Os laudos da autópsia fetal e exame anatomopatológico e as avaliações clínicas não apresentaram diferenças significativas na identificação da causa do OF. Ao se comparar os resultados do ReCoDe com as causas de óbito da clínica/patologia, verificou-se que ela é uma ferramenta importante no esclarecimento da causa mortis, reduzindo a quantidade daqueles OFs que permaneceram sem uma possível etiologia.


PURPOSE: To identify the causes of fetal death in the studied population and to measure their contribution in identifying the cause of this outcome. To propose the use of the system Relevant Condition of Death (ReCoDe) in elucidating the causes of fetal death to minimize the number of unknown causes. METHODS: Cross-sectional study related to fetal deaths seen at a specialized academic hospital in the South of Brazil, from January 2000 to December 2009. The data were collected in the death certificates, maternal medical records and the reports of study of fetuses and attachments, and the findings were compared. Data analysis was performed using SPSS version 17.0. RESULTS: Were included 111 fetuses and their respective mothers in this study. The comparison between the diagnostic causes in the pathology and clinical evaluation showed 74 (66.7%) and 73 (65.8%), respectively. Together, they found a potential cause in 48.7% of cases, while 16.2% remained unknown. When analyzing both together with the ReCoDe system, only 9.9% of stillbirths remained as "unclassified." CONCLUSIONS: The proportion of diagnoses in the cause of death among the pathological and clinical evaluation showed no significant difference. When comparing the results of the cause of death suggested by the clinic/pathology with the use of the ReCoDe system, it appears that this tool has helped to clarify the cause by reducing the amount of those that remained without a possible etiology.


Subject(s)
Adolescent , Adult , Female , Humans , Pregnancy , Young Adult , Fetal Death/etiology , Cause of Death , Cross-Sectional Studies
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