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1.
Sex Med ; 2019 Jul 18.
Artigo em Inglês | MEDLINE | ID: mdl-31327722

RESUMO

INTRODUCTION: Although better medical training on sexual and reproductive health (SRH) is an unquestionable global need, and recent research has emphasized the importance of SRH education, few studies have presented alternative teaching models to conventional approaches. AIM: To examine the structure and evaluation of a curricular unit that uses an active teaching and learning strategy, and to evaluate both the cognitive and affective student learning outcomes. METHODS: This study used retrospective and cross-sectional analyses of a curricular unit with 8 weekly lessons structured into individual activities before the class, group activities monitored in class, feedback, and the development of medical empathy. MAIN OUTCOME MEASURE: Student performance was evaluated through summative and formative activities. The process was evaluated quantitatively by a questionnaire containing Likert-type and open-ended questions with speech analysis and with categorical evaluation. RESULTS: The final average of the analyzed group was 7.95 ± 0.5 on a scale of 10. Likert-type assessment (Cronbach's α = 0.86) revealed strong student adherence and, through responses to open-ended questions, positive evaluations of the proposed SRH teaching model. The Jefferson Scale of Physician Empathy showed a high index of self-reported general empathy (117.3 ± 11), with a significantly higher index for female students (P = .019) than male students; however, this gender difference disappeared after the intervention (P = .086). CONCLUSIONS: The curriculum model was developed and continuously adjusted based on grounded theory for teaching SRH and included both cognitive and affective stimuli; the results showed favorable student evaluation of the unit, and it proved feasible to implement in the time available. de Oliveira R, Montagna E, Zaia V, et al. The Development of Cognitive and Affective Skills Through a Sexual and Reproductive Health Medical Education Unit. Sex Med 2019;XX:XXX-XXX.

2.
Arq Neuropsiquiatr ; 77(3): 194-207, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30970133

RESUMO

BACKGROUND: Scotopic sensitivity syndrome, later called Meares-Irlen syndrome or simply Irlen syndrome (IS) has been described as symptoms of poor reading ability due to poor color matching and distorted graphic images. Individuals with this syndrome are considered slow, ineffective readers with low comprehension and visual fatigue. It is still uncertain whether the disease pathophysiology is an independent entity or part of the dyslexia spectrum. Nevertheless, treatments with lenses and colored filters have been proposed to alleviate the effect of the luminous contrast and improve patients' reading performance. However, no evidence of treatment effectiveness has been achieved. OBJECTIVE: The aim of the present study was to obtain evidence about IS etiology, diagnosis and intervention efficacy. METHODS: A systematic review was performed covering the available studies on IS, assessing the available data according to their level of evidence, focusing on diagnostic tools, proposed interventions and related outcomes. RESULTS: The data showed high heterogeneity among studies, and lack of evidence on the existence of IS and treatment effectiveness. CONCLUSION: The syndrome as described, as well as its treatments, require further strong evidence.

3.
Arq. neuropsiquiatr ; 77(3): 194-207, Mar. 2019. tab, graf
Artigo em Inglês | LILACS-Express | ID: biblio-1001343

RESUMO

ABSTRACT Background: Scotopic sensitivity syndrome, later called Meares-Irlen syndrome or simply Irlen syndrome (IS) has been described as symptoms of poor reading ability due to poor color matching and distorted graphic images. Individuals with this syndrome are considered slow, ineffective readers with low comprehension and visual fatigue. It is still uncertain whether the disease pathophysiology is an independent entity or part of the dyslexia spectrum. Nevertheless, treatments with lenses and colored filters have been proposed to alleviate the effect of the luminous contrast and improve patients' reading performance. However, no evidence of treatment effectiveness has been achieved. Objective: The aim of the present study was to obtain evidence about IS etiology, diagnosis and intervention efficacy. Methods: A systematic review was performed covering the available studies on IS, assessing the available data according to their level of evidence, focusing on diagnostic tools, proposed interventions and related outcomes. Results: The data showed high heterogeneity among studies, and lack of evidence on the existence of IS and treatment effectiveness. Conclusion: The syndrome as described, as well as its treatments, require further strong evidence.


RESUMO Background: A síndrome da sensibilidade escotópica, posteriormente denominada síndrome de Meares-Irlen ou simplesmente síndrome de Irlen (SI), foi descrita como indivíduos com sintomas de baixa capacidade de leitura devido à combinação de cores e distorções nas imagens. Indivíduos com essa síndrome podem apresentar leitura lenta e ineficaz, com baixo nível de compreensão e fadiga visual. A fisiopatologia da doença ainda é incerta como uma entidade independente ou como parte do espectro da dislexia. No entanto, tratamentos com lentes e filtros coloridos foram propostos com o objetivo de aliviar o efeito do contraste luminoso e melhorar o desempenho de leitura dos pacientes. Outrossim, nenhuma evidência de eficácia do tratamento foi alcançada. Objetivos: Obter evidências sobre a etiologia, eficácia diagnóstica e intervenção da SI. Métodos: Foi realizada uma revisão sistemática, cobrindo os estudos disponíveis sobre a SI, avaliando os dados disponíveis de acordo com seu nível de evidência, com foco em ferramentas de diagnóstico, intervenções propostas e desfechos relacionados. Resultados: Os dados mostram alta heterogeneidade, falta de evidência sobre a existência da SI e eficácia do tratamento. Conclusões: A síndrome descrita e seus tratamentos exigem evidências mais robustas.

4.
Cell Physiol Biochem ; 49(4): 1259-1276, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30205368

RESUMO

Kisspeptin is involved in the control of human reproduction bridging the gap between the sex steroid levels and feedback mechanisms that control the gonadotropin releasing hormone (GnRH) secretion; however, studies considering this peptide and infertility are limited. We conducted a review and critical assessment of available evidence considering kisspeptin structure, physiology, function in puberty and reproduction, its role in assisted reproduction treatments, kisspeptin dosage and the impact on KISS1 and GPR54 genes. Literature searches were conducted in PubMed using keywords related to: (i) kisspeptin or receptors, kisspeptin-1 (ii) reproduction or infertility or fertility (iii) gene and (iv) dosage or measurement or quantification or serum level, in human. Kisspeptin is a product of KISS1 gene that binds to a G-protein-coupled receptor (GPR54/KISS1R) stimulating the release of GnRH by hypothalamic neurons, leading to secretion of pituitary gonadotropins (LH and FSH) and sexual steroids, which in turn will act in the gonads to produce the gametes. Kisspeptin is being recognized as a crucial regulator of the onset of puberty, the regulation of sex hormone mediated secretion of gonadotropins, and the control of fertility. Inactivating and activating mutations in both KISS1 or GPR54 genes were associated with hypogonadotropic hypogonadism and precocious puberty. Despite this, studies considering kisspeptin and infertility are scarce. The understanding of the role of kisspeptin may lead to its use as a biomarker in infertility treatments and use in controlled ovarian hyperstimulation.


Assuntos
Genitália/metabolismo , Kisspeptinas/metabolismo , Receptores de Kisspeptina-1/metabolismo , Fertilização In Vitro , Variação Genética , Gonadotropinas/metabolismo , Humanos , Infertilidade/metabolismo , Infertilidade/patologia , Infertilidade/terapia , Kisspeptinas/química , Kisspeptinas/genética , Neurônios/metabolismo , Receptores de Kisspeptina-1/química , Receptores de Kisspeptina-1/genética , Maturidade Sexual
5.
Einstein (Sao Paulo) ; 16(2): eGS4316, 2018 Jun 28.
Artigo em Inglês, Português | MEDLINE | ID: mdl-29972441

RESUMO

OBJECTIVE: To formulate and to implement a virtual learning environment course in patient safety, and to propose ways to estimate the impact of the course in patient safety outcomes. METHODS: The course was part of an accreditation process and involved all employees of a public hospital in Brazil. The whole hospital staff was enrolled in the course. The accreditation team defined the syllabus. The education guidelines were divided into 12 modules related to quality, patient safety and required organizational practices. The assessment was performed at the end of each module through multiple-choice tests. The results were estimated according to occurrence of adverse events. Data were collected after the course, and employees' attitude was surveyed. RESULTS: More than 80% of participants reached up to 70% success on tests after the course; the event-reporting rate increased from 714 (16,264 patients) to 1,401 (10,180 patients). CONCLUSION: Virtual learning environment was a successful tool data. Data on course evaluation is consistent with increase in identification and reporting of adverse events. Although the report increment is not positive per si, it indicates changes in patient safety culture.


Assuntos
Instrução por Computador , Internet , Segurança do Paciente , Recursos Humanos em Hospital/educação , Desenvolvimento de Pessoal/métodos , Acreditação , Brasil , Estudos Transversais , Hospitais Públicos , Humanos
6.
Rev. ABENO ; 18(2): 13-19, maio 2018. tab
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-907112

RESUMO

A regulamentação da especialização em Odontologia para Pacientes com Necessidades Especiais surgiu por meio da resolução 25/2002 do Conselho Federal de Odontologia (CFO). De acordo com a lei nº 9.394/96, os cursos de graduação possuem autonomia didático-científica para estabelecer sua estrutura curricular. Dessa forma, conteúdos relacionados à Odontologia para Pacientes com Necessidades Especiais (OPNE) poderão ou não estar presentes na matriz curricular dos cursos de Odontologia. O objetivo da pesquisa foi caracterizar a disciplina de OPNE nos cursos de Odontologia do estado da Paraíba. Trata-se de um estudo transversal de abordagem quantitativa. Um formulário foi produzido e as informações foram coletadas nos sítios web dos cursos. Foi possível coletar informações de nove dos onze cursos em funcionamento no estado. Em seis deles os conteúdos estavam presentes e a nomenclatura variava de uma instituição para outra. A oferta da disciplina foi obrigatória em 100% dos cursos avaliados e em cinco a abordagem era teórico/clinica, sendo que em um não constava informação. Dois cursos disponibilizavam a disciplina no 8º e 9º semestres, com carga horaria média de 62,2 horas. Em 50% dos casos os conteúdos tinham conexão com outras disciplinas e em 60% funcionavam como disciplina independente. Conclui-se que os cursos de graduação em Odontologia do estado da Paraíba possuem, na sua maioria, a disciplina de OPNE em sua estrutura curricular. Não existe uma padronização quanto à nomenclatura, carga horária e período em que a mesma é ofertada (AU).


The regulatory standards of the specialization in Dentistry for Patients with Special Needs emerged through the resolution 25/2002 of the Federal Council of Dentistry. According to the Law 9394/96, the courses of graduate have a scientific-didactic autonomy to establish their curricular program. Thus, the Course of Dentistry for Patients with Special Needs (DPSN) may or may not be present in the curricular matrix of Dentistry courses. The objective of the research was to characterize the discipline of DPSN in the Dentistry courses of the state of Paraíba. This is a cross-sectional quantitative study. A questionnaire was produced, and information was collected through the official website of educational institutions. From 11 courses, it was possible to collect information of 9. In 6 of them the discipline was present, and the nomenclature varied from one college to another. The course offer was compulsory in 100% of the courses and in 5 the presentation was theoretical / clinical, only 1 did not include information. Two courses provided the discipline in the 8th and 9th semester and the average time load of all subjects was 62.2 hours. In 50% the subjects had connections with others disciplines and in 60% they worked independently. Thus, it was concluded that most of the dentistry courses in the state of Paraíba offer the discipline of DPSN in their curricular matrices. There is not a standard nomenclature, time load and course offer semester (AU).


Assuntos
Brasil , Currículo/normas , Assistência Odontológica para Pessoas com Deficiências , Pessoas com Deficiência/psicologia , Educação em Odontologia , Estudos Transversais/métodos , Análise Quantitativa/métodos
7.
Biol Trace Elem Res ; 181(2): 185-191, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-28500578

RESUMO

This study aimed to evaluate the concentrations of copper, iron, and selenium in elderly people with Alzheimer disease (AD), comparing the same parameters in a paired group of healthy people, in order to verify if the amount of these metals may influence the cognitive impairment progression. Patients' cognitive impairment was evaluated by Clinical Dementia Rating (CDR). The elementary quantification of erythrocytes was performed by inductively coupled plasma mass spectrometry technique. The statistical analyses were carried out by SPSS software 20.0 version, employing Shapiro-Wilk, Wilcoxon, Kruskall-Wallis, and Spearman correlation tests, considering significant results of p < 0.05. The sample was composed of 34% (n = 11) of women and 66% (n = 21) of men in each group. The AD group was characterized by a higher concentration of copper (p < 0.0001) and iron (p < 0.0001); however, there is no significant difference in selenium level. The analyses of the metal levels in different stages of AD were not significant in CDR-1, however in CDR-2 and CDR-3, elevated levels of copper and iron were observed; in CDR-3 patients, the level of selenium was lower (p < 0.008) compared to that of healthy controls. Patients with Alzheimer disease studied present increase in biometal blood levels, especially of copper and iron, and such increase can be different according to the disease stage and can cause more impairment cognitive functions in AD.


Assuntos
Doença de Alzheimer/sangue , Cobre/sangue , Ferro/sangue , Selênio/sangue , Idoso , Doença de Alzheimer/diagnóstico , Feminino , Humanos , Masculino , Espectrometria de Massas
8.
Einstein (Säo Paulo) ; 16(2): eGS4316, 2018. tab, graf
Artigo em Inglês | LILACS-Express | ID: biblio-953154

RESUMO

ABSTRACT Objective To formulate and to implement a virtual learning environment course in patient safety, and to propose ways to estimate the impact of the course in patient safety outcomes. Methods The course was part of an accreditation process and involved all employees of a public hospital in Brazil. The whole hospital staff was enrolled in the course. The accreditation team defined the syllabus. The education guidelines were divided into 12 modules related to quality, patient safety and required organizational practices. The assessment was performed at the end of each module through multiple-choice tests. The results were estimated according to occurrence of adverse events. Data were collected after the course, and employees' attitude was surveyed. Results More than 80% of participants reached up to 70% success on tests after the course; the event-reporting rate increased from 714 (16,264 patients) to 1,401 (10,180 patients). Conclusion Virtual learning environment was a successful tool data. Data on course evaluation is consistent with increase in identification and reporting of adverse events. Although the report increment is not positive per si, it indicates changes in patient safety culture.


RESUMO Objetivo Elaborar e implantar um curso de segurança do paciente em um ambiente virtual de aprendizagem, e propor métodos para estimar seu impacto nos resultados de segurança do paciente. Métodos O curso fez parte de um processo de acreditação e envolveu todos os colaboradores de um hospital público. Toda a equipe do hospital foi matriculada no curso. A equipe de acreditação definiu o programa. As diretrizes de instrução foram divididas em 12 módulos relacionados à qualidade, segurança do paciente e práticas organizacionais requeridas. A avaliação foi realizada no final de cada módulo, por meio de testes de escolha múltipla. Os resultados foram estimados pela ocorrência de eventos adversos. Os dados foram coletados após o curso, e a atitude dos empregados foi pesquisada. Resultados Mais de 80% dos participantes atingiram até 70% de sucesso em testes; após o curso, a taxa de notificação de eventos aumentou de 714 (16.264 pacientes) para 1.401 notificações (10.180 pacientes). Conclusão O ambiente virtual de aprendizagem foi uma ferramenta bem-sucedida. Os dados da avaliação do curso são coerentes com o aumento da identificação e da notificação de eventos adversos. Embora o incremento de notificação não seja positivo por si só, é indicativo de mudanças na cultura de segurança do paciente.

9.
An Bras Dermatol ; 92(4): 517-520, 2017 Jul-Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28954101

RESUMO

Basal cell carcinoma is the most common cancer, presenting low mortality but high morbidity, and it has as risk factor exposure to sunlight, especially UVB spectrum. The most important constitutional risk factors for basal cell carcinoma development are clear phototypes (I and II, Fitzpatrick classification), family history of basal cell carcinoma (30-60%), freckles in childhood, eyes and light hair. The environmental risk factor better established is exposure to ultraviolet radiation. However, different solar exposure scenarios probably are independent risk factors for certain clinical and histological types, topographies and prognosis of this tumor, and focus of controversy among researchers. Studies confirm that changes in cellular genes Hedgehog signaling pathway are associated with the development of basal cell carcinoma. The cellular Hedgehog signaling pathway is activated in organogenesis, but is altered in various types of tumors.


Assuntos
Carcinoma Basocelular/genética , Proteínas Hedgehog/fisiologia , Neoplasias Cutâneas/genética , Proteínas Hedgehog/genética , Humanos
10.
An. bras. dermatol ; 92(4): 517-520, July-Aug. 2017.
Artigo em Inglês | LILACS-Express | ID: biblio-886982

RESUMO

Abstract: Basal cell carcinoma is the most common cancer, presenting low mortality but high morbidity, and it has as risk factor exposure to sunlight, especially UVB spectrum. The most important constitutional risk factors for basal cell carcinoma development are clear phototypes (I and II, Fitzpatrick classification), family history of basal cell carcinoma (30-60%), freckles in childhood, eyes and light hair. The environmental risk factor better established is exposure to ultraviolet radiation. However, different solar exposure scenarios probably are independent risk factors for certain clinical and histological types, topographies and prognosis of this tumor, and focus of controversy among researchers. Studies confirm that changes in cellular genes Hedgehog signaling pathway are associated with the development of basal cell carcinoma. The cellular Hedgehog signaling pathway is activated in organogenesis, but is altered in various types of tumors.

11.
World J Surg ; 41(3): 681-686, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-27766394

RESUMO

OBJECTIVE: To present a simple and affordable model able to properly simulate an ultrasound-guided venous access. DESIGN: The simulation was made using a latex balloon tube filled with water and dye solution implanted in a thawed chicken breast with bones. RESULTS: The presented model allows the simulation of all implant stages of a central catheter. The obtained echogenicity is similar to that observed in human tissue, and the ultrasound identification of the tissues, balloon, needle, wire guide and catheter is feasible and reproducible. CONCLUSION: The proposed model is simple, economical, easy to manufacture and capable of realistically and effectively simulating an ultrasound-guided venous access.


Assuntos
Cateterismo Venoso Central/métodos , Treinamento por Simulação , Ultrassonografia de Intervenção , Humanos
12.
Cell Physiol Biochem ; 39(6): 2249-2261, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27832628

RESUMO

BACKGROUND/AIMS: Reported associations of reproductive outcomes (RO) and polycystic ovary syndrome (PCOS) with genotypes of the Ile49Ser and -482A>G polymorphisms in the Anti-Müllerian hormone (AMH) gene and its type II receptor (AMHRII), respectively, have conflicting results. METHODS: PubMed, Google Scholar and Science Direct databases were searched for studies that investigated Ile49Ser and -482A>G in RO and PCOS. Using the metaanalytic approach, we estimated risk (odds ratio [OR] with 95% confidence intervals) using standard genetic models. RESULTS: All calculated summary effects were non-significant. Overall associations of Ile49Ser and -482A>G with RO were absent (OR 0.95-0.99, P = 0.76-0.96) but implied increased risk in PCOS (OR 1.07-1.17, P = 0.49-0.55). Where heterogeneity of the pooled ORs were present, its sources were explored using the Galbraith plot. Detection and omission of the outlying studies in both polymorphisms not only erased heterogeneity of the recalculated pooled outcomes but also changed direction of association, where null effects turned to increased risk (Ile49Ser in RO) and increased risk became reduced risk (-482A>G in PCOS). Implications of the Ile49Ser and -482A>G, effects pointed to protection for Caucasians (OR 0.64-0.89, P = 0.36-0.73) in RO and increased risk in PCOS (OR 1.19-1.45, P = 0.28-0.65). Asian effects in RO and PCOS were variable (OR 0.97-1.24, P = 0.58-0.91). CONCLUSIONS: In summary, we found no evidence of significant associations of Ile49Ser and -482A>G with RO and PCOS, although contrasting Ile49Ser effects were implied among Caucasians between RO (up to 0.36% reduced risk) and PCOS (up to 1.5-fold increased risk).


Assuntos
Hormônio Antimülleriano/genética , Estudos de Associação Genética , Predisposição Genética para Doença , Síndrome do Ovário Policístico/genética , Polimorfismo de Nucleotídeo Único/genética , Receptores de Peptídeos/genética , Receptores de Fatores de Crescimento Transformadores beta/genética , Reprodução/genética , Feminino , Frequência do Gene , Heterogeneidade Genética , Humanos , Modelos Genéticos
13.
Einstein (Sao Paulo) ; 14(2): 291-3, 2016 Apr-Jun.
Artigo em Inglês, Português | MEDLINE | ID: mdl-27462900

RESUMO

ABSTRACTGenetic mitochondrial disorders are responsible for the most common inborn errors of metabolism, caused by mutations in either nuclear genes or in mitochondrial DNA. This article presents the prokaryotic origin of the organelle and the relation between nuclear and mitochondrial genomes, as well as current evolutionary models for such mechanisms. It also addresses the structure of mitochondrial genes, their expression pattern, clinical features of gene defects, risk of transmission and current techniques to avoid these events in assisted human reproduction. Finally, it discusses the ethical implications of these possibilities.RESUMOAs doenças genéticas mitocondriais são responsáveis pelos erros inatos do metabolismo mais comuns, causados por mutações tanto em genes nucleares como no DNA mitocondrial. Este artigo apresenta a origem procariótica dessa organela, e a relação entre os genomas nuclear e mitocondrial, bem como modelos evolutivos correntes para esses mecanismos. Também trata da estrutura dos genes mitocondriais, seu padrão de expressão, características clínicas de defeitos genéticos, riscos de transmissão e técnicas atualmente utilizadas para evitar esses eventos em reprodução humana assistida. Finalmente, discute as implicações éticas dessas possibilidades.


Assuntos
Doenças Mitocondriais , Terapia de Substituição Mitocondrial , Humanos , Mitocôndrias/genética , Mitocôndrias/fisiologia , Doenças Mitocondriais/diagnóstico , Doenças Mitocondriais/genética , Doenças Mitocondriais/prevenção & controle , Terapia de Substituição Mitocondrial/ética , Diagnóstico Pré-Implantação
14.
Einstein (Säo Paulo) ; 14(2): 291-293,
Artigo em Inglês | LILACS-Express | ID: lil-788045

RESUMO

ABSTRACT Genetic mitochondrial disorders are responsible for the most common inborn errors of metabolism, caused by mutations in either nuclear genes or in mitochondrial DNA. This article presents the prokaryotic origin of the organelle and the relation between nuclear and mitochondrial genomes, as well as current evolutionary models for such mechanisms. It also addresses the structure of mitochondrial genes, their expression pattern, clinical features of gene defects, risk of transmission and current techniques to avoid these events in assisted human reproduction. Finally, it discusses the ethical implications of these possibilities.


RESUMO As doenças genéticas mitocondriais são responsáveis pelos erros inatos do metabolismo mais comuns, causados por mutações tanto em genes nucleares como no DNA mitocondrial. Este artigo apresenta a origem procariótica dessa organela, e a relação entre os genomas nuclear e mitocondrial, bem como modelos evolutivos correntes para esses mecanismos. Também trata da estrutura dos genes mitocondriais, seu padrão de expressão, características clínicas de defeitos genéticos, riscos de transmissão e técnicas atualmente utilizadas para evitar esses eventos em reprodução humana assistida. Finalmente, discute as implicações éticas dessas possibilidades.

15.
ABCS health sci ; 40(3)set.-dez. 2015.
Artigo em Português | LILACS | ID: lil-771405

RESUMO

Introdução: A formação do profissional fisioterapeuta declara em suas diretrizes a necessidade de preparar o egresso para desempenhar funções de gestor. Entretanto, não define com clareza qual a natureza dessa atuação, tampouco prescreve ou recomenda componentes curriculares para tanto. Objetivo: Verificar nos cursos de fisioterapia mais bem colocados segundo índices oficiais de desempenho quais abordagens eram utilizadas para essa demanda. Métodos: Por meio da análise de ementas e currículos dos dez melhores cursos de fisioterapia segundo o Índice Geral de Cursos (IGC), foi feito um levantamento das iniciativas declaradas em documentos oficiais que atendessem às demandas das Diretrizes Curriculares para fisioterapia. Resultados: Mostraram que apesar da clara indicação nas diretrizes, não existe de forma organizada e sistematizada o assunto "gestão" em disciplinas, módulos ou unidades didáticas. Conclusão: Tal fato revela o descompasso entre o declarado em documentos oficiais e o que é praticado em cursos considerados modelo segundo o IGC.


Introduction: The physiotherapist formation guidelines state the need to prepare the graduate to perform manager duties. However not clearly define the nature of these activities, either prescribed or recommended curriculum components for both. Objective: Evaluate top ten best rated physiotherapy courses according to official indices of performance and which approaches were used for this demand. Methods: Through course data analysis and resumes of the top ten physiotherapy courses according tothe General Index of Courses (IGC), a survey of the initiatives stated in official documents that met the demands of Curriculum Guidelines for physical therapy was done. Results: Showed that despite the clear statement in the guidelines, there is not an organized and systematic manner the subject "management" courses, modules or teaching units are dealt with. Conclusion: This fact reveals the disconnect between official documentsstatements and what is practiced in courses considered model by the IGC.


Assuntos
Educação Superior , Gestão em Saúde , Fisioterapeutas , Fisioterapia
16.
Adv Physiol Educ ; 34(2): 115-6, 2010 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20522908

RESUMO

Even students that obtain a high grade in neurophysiology often carry away a serious misconception concerning the final result of the complex set of events that follows the arrival of an action potential at the presynaptic terminal. The misconception consists in considering that "at a synapse, information is passed on from one neuron to the next" is equivalent to (and often expressed explicitly as) "the action potential passes from one neuron to the next." More than half of four groups of students who were asked to comment on an excerpt from a recent physiology textbook that openly stated the misconception had no clear objection to the text presented. We propose that the first culprit in generating this misconception is the term "synaptic transmission," which promotes the notion of transferring something or passing something along (implicitly unchanged). To avoid establishing this misconception, the first simple suggestion is to use words like "synaptic integration" rather than "synaptic transmission" right from the start. More generally, it would be important to focus on the function of synaptic events rather than on rote listing of all the numerous steps that are known to occur, which are so complex as to saturate the mind of the student.


Assuntos
Potenciais de Ação/fisiologia , Neurofisiologia/educação , Transmissão Sináptica/fisiologia , Humanos , Terminações Pré-Sinápticas/fisiologia , Sinapses/fisiologia
17.
Biochem Mol Biol Educ ; 38(2): 91-6, 2010 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-21567802

RESUMO

The understanding of complex physiological processes requires information from many different areas of knowledge. To meet this interdisciplinary scenario, the ability of integrating and articulating information is demanded. The difficulty of such approach arises because, more often than not, information is fragmented through under graduation education in Health Sciences. Shifting from a fragmentary and deep view of many topics to joining them horizontally in a global view is not a trivial task for teachers to implement. To attain that objective we proposed a course herein described-Biochemistry of the envenomation response-aimed at integrating previous contents of Health Sciences courses, following international recommendations of interdisciplinary model. The contents were organized by modules with increasing topic complexity. The full understanding of the envenoming pathophysiology of each module would be attained by the integration of knowledge from different disciplines. Active-learning strategy was employed focusing concept map drawing. Evaluation was obtained by a 30-item Likert-type survey answered by ninety students; 84% of the students considered that the number of relations that they were able to establish as seen by concept maps increased throughout the course. Similarly, 98% considered that both the theme and the strategy adopted in the course contributed to develop an interdisciplinary view.

18.
Biochem Mol Biol Educ ; 36(2): 99-105, 2008 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-21591172

RESUMO

Biological Nitrogen Fixation (BNF)1 is classically understood as a process restricted to the rhyzosphere and carried out by only few free-living organisms. Recent reports present a variety of new representatives of diazotrophs as well as the presence of known nitrogen-fixing organisms in new habitats. These data were systematized to expand the view on the diazotrophs' ecology and capabilities, bringing new insights on the biogeochemical cycle of nitrogen and its implications on the ecologic chain. With these new discoveries regarding BNF occurrence, we herein bring a brief review systematizing the available new data aiming to help teachers and students in updating their view on this subject, which has been underestimated in most textbooks.

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