scholarly journals Preceptores de Residência Médica: Perfil Epidemiológico e Capacitação Pedagógica

2020 ◽  
Vol 44 (4) ◽  
Author(s):  
Aderval de Melo Carvalho Filho ◽  
Almira Alves dos Santos ◽  
Rozangela Maria de Almeida Fernandes Wyszomirska ◽  
Isabella Costa Figueiredo Medeiros
Keyword(s):  
Health Care Professionals ◽  
The State ◽  
Public Institution ◽  
Medical Residency ◽  
Residency Programs ◽  
Service Training ◽  
Study Population ◽  
The Mean ◽  
Definition Of ◽  
Mean Time

Abstract: Introduction: Medical Residency is a specialization course characterized as in-service training, considered in Brazil as the gold standard in the development of specialist physicians’ training. The medical residency preceptorship is an activity carried out by a specialist physician, responsible for monitoring resident physicians. However, there is neither a definition of the main requirements for such a preceptor, nor of his/her academic background to carry out the due teaching training, and it was possible to notice a relative lack of preparation regarding the pedagogical aspects. Methods: Descriptive study based on a quantitative approach, comprising 200 preceptors, of both genders, from medical residency programs in Maceió, state of Alagoas, Brazil. Results: The mean age was 43.31 ± 10.31 years, with a slight majority of female participants (52.5%). The mean time since graduation was 19.5 ± 10.58 years, and 83% of the participants had graduated in the state of Alagoas. Moreover, 78.5% said they had their Medical Residency certification, with an increased trend of public institution preceptors getting their degree at the stricto sensu level. The mean time of their completed postgraduate course was 12.63 ± 10.87 years and 7.07 ± 6.99 years being a preceptor. Only 19% mentioned they had some qualification for exercising the preceptorship, and 29.5% work as the teachers at the undergraduate level. The state of Alagoas has followed the expansion of the Residency programs, justifying the mean age found, similar to other studies. The majority of female participants can be associated with the feminization of health care professionals. The high percentage of preceptors with medical residency qualification is in accordance with Resolution n. 4/1978. We found experienced preceptors, but some authors differed. The low percentage of preceptors with qualification for exercising preceptorship indicates low interest and lack of available training. Conclusion: This study population is characterized as being young, and most are females. They have had long professional experience, and most have graduated in the state of Alagoas. There is a predominance of medical residency as their main qualification, and few of them have had training in the field. Finally, preceptors from public institutions have mostly got their degrees at the stricto sensu level.

scholarly journals Preceptors in Medical Residency Programs: Epidemiological Profile and Pedagogic Training

2020 ◽  
Vol 44 (4) ◽  
Author(s):  
Aderval de Melo Carvalho Filho ◽  
Almira Alves dos Santos ◽  
Rozangela Maria de Almeida Fernandes Wyszomirska ◽  
Isabella Costa Figueiredo Medeiros
Keyword(s):  
Health Care Professionals ◽  
The State ◽  
Public Institution ◽  
Medical Residency ◽  
Residency Programs ◽  
Service Training ◽  
The Mean ◽  
Definition Of ◽  
Epidemiological Profile ◽  
Mean Time

Abstract: Introduction: Medical Residency is a specialization course characterized as in-service training, considered in Brazil as the gold standard in the development of specialist physicians’ training. The medical residency preceptorship is an activity carried out by a specialist physician, responsible for monitoring resident physicians. However, there is neither a definition of the main requirements for such a preceptor, nor of his/her academic background to carry out the due teaching training, and it was possible to notice a relative lack of preparation regarding the pedagogical aspects. Methods: Descriptive study based on a quantitative approach, comprising 200 preceptors, of both genders, from medical residency programs in Maceió, state of Alagoas, Brazil. Results: The mean age was 43.31 ± 10.31 years, with a slight majority of female participants (52.5%). The mean time since graduation was 19.5 ± 10.58 years, and 83% of the participants had graduated in the state of Alagoas. Moreover, 78.5% said they had their Medical Residency certification, with an increased trend of public institution preceptors getting their degree at the stricto sensu level. The mean time of their completed postgraduate course was 12.63 ± 10.87 years and 7.07 ± 6.99 years being a preceptor. Only 19% mentioned they had some qualification for exercising the preceptorship, and 29.5% work as the teachers at the undergraduate level. The state of Alagoas has followed the expansion of the Residency programs, justifying the mean age found, similar to other studies. The majority of female participants can be associated with the feminization of health care professionals. The high percentage of preceptors with medical residency qualification is in accordance with Resolution n. 4/1978. We found experienced preceptors, but some authors differed. The low percentage of preceptors with qualification for exercising preceptorship indicates low interest and lack of available training. Conclusion: This study population is characterized as being young, and most are females. They have had long professional experience, and most have graduated in the state of Alagoas. There is a predominance of medical residency as their main qualification, and few of them have had training in the field. Finally, preceptors from public institutions have mostly got their degrees at the stricto sensu level.

scholarly journals Judicial demand of medications through the Federal Justice of the State of Paraná

2017 ◽  
Vol 15 (1) ◽  
pp. 85-91 ◽  
Author(s):  
Renato Mitsunori Nisihara ◽  
Ana Carolina Possebom ◽  
Luiza de Martino Cruvinel Borges ◽  
Ana Claudia Athanasio Shwetz ◽  
Fernanda Francis Benevides Bettes
Keyword(s):  
Cross Sectional Study ◽  
The State ◽  
Brand Name ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Public ◽  
Online System ◽  
Broad Variety ◽  
The Mean ◽  
Mean Time

ABSTRACT Objective To describe the profile of lawsuits related to drug requests filled at the Federal Justice of the State of Paraná. Methods A cross-sectional study, and the data were obtained through consulting the lawsuits at the online system of the Federal Justice of Paraná. Results Out of 347 lawsuits included in the study, 55% of plaintiffs were women, with a median age of 56 years. Oncology was the field with more requests (23.6%), and the highest mean costs. A wide variety of diseases and broad variety of requested drugs were found in the lawsuits. Approximately two-thirds of them were requested by the brand name, and the most often requested drugs were palivizumab and tiotropium bromide. Only 14.5% of the requested medicines were registered in the National Medication Register. The Public Defender’s Office filled actions in 89.6% of cases and all lawsuits had an interim relief. The mean time for approval was 35 days and 70% of requests were granted. Conclusion Oncology was the field with the highest demand for medicines at the Federal Justice of Paraná in 2014. A great variety of medications was requested. The Public Defender´s Office represented most lawsuits. All demands had an interim relief, and the majority of requests were granted, within an average of 35 days.

scholarly journals The Academic Performance of Scholarship Students during Medical School

2019 ◽  
Vol 43 (3) ◽  
pp. 163-169
Author(s):  
Glaucia de-Oliveira Moreira ◽  
Silvia Passeri ◽  
Paulo Eduardo Neves Ferreira Velho ◽  
Flavio Ferraresi ◽  
Simone Appenzeller ◽  
...  
Keyword(s):  
Academic Performance ◽  
Medical Students ◽  
Medical School ◽  
Low Income ◽  
Educational Background ◽  
Public Institution ◽  
Choice Test ◽  
Medical Residency ◽  
Full Time ◽  
Residency Programs

ABSTRACT The inclusion, adherence and success of low-income undergraduates are important goals in Brazilian higher education, as well as in other parts of the world, especially in busy and full-time courses such as medicine. This paper analyzes the performance of undergraduate medical students by comparing two groups: those who applied for and received a scholarship during the academic years (scholarship holders) and the others (without scholarship). We analyzed data from 417 medical students who graduated between 2010 and 2013, corresponding to four years of a retrospective cohort at a free public university in Brazil. Statistical analysis was performed using Fisher’s exact test, Student’s t test, Mann-Whitney test, and linear regression to compare the scores of these groups in the sixth and twelfth semesters (middle and final semesters) and in the admission exam for medical residency programs, consisting of: total score, multiple choice test for knowledge assessment, simulated structured clinical assessment, interview and written questions. The independent variable was to receive a scholarship, while the control variables were age, socioeconomic strata, extra gratuities for high school in public institution and self-declaration of race, score in the vestibular entry exam (general and in each area assessed) and parents’ level of education. A total of 243 students (58.2%) received a scholarship, most of them as a scientific initiation grant (217 or 89.3%), while 10.7% received social assistance, the average income per capita was about 16% lower among students who received a scholarship (p = 0.01) compared to those who did not. Scholarship recipients achieved better academic performance in the sixth (p<0.01) and in the twelfth (p<0.01) semester, but not in admission to medical residency programs. Good performance was independent of age, race, receipt of bonuses for admission to medical school, and educational background of their parents. Therefore, we conclude that receiving a scholarship at the undergraduate level was associated tobetter student performance during the undergraduate medical course. It is important to emphasize the importance of reinforcing similar programs, especially to help support students who are most vulnerable socioeconomically.

scholarly journals Vascular surgery in the most populous state in the Amazon: socio-professional profile and aspirations of the specialty

2021 ◽  
Vol 20 ◽  
Author(s):  
José Maciel Caldas dos Reis ◽  
Deivid Ramos dos Santos ◽  
Inez Ohashi Torres ◽  
Nelson De Luccia
Keyword(s):  
Vascular Surgery ◽  
The State ◽  
Self Report ◽  
Medical Residency ◽  
Cross Sectional ◽  
Venous Surgery ◽  
Wide Range ◽  
Hands On ◽  
Professional Profile ◽  
The Mean

Abstract Background There is a dearth of studies conducted to understand the socio-professional profile of the vascular surgery specialty and the population demands of specific regions, which are needed to support creation of care policies and direct infrastructure improvements in healthcare. Objectives The purpose of this study was to describe the socio-professional profile of vascular surgeons in the state of Pará, Brazil, to guide creation of tools for professional improvement. Methods A cross-sectional, self-report survey was conducted in Pará using a questionnaire comprising 30 questions covering six main topics. Results All vascular surgeons actively practicing in the state participated in this study. The total number of specialists was 59, with 71.2% working in the greater Belém area and 16.9% exclusively practicing in the interior of the state. The mean age of these professionals was 48 ± 11.1 years, 86.4% of respondents were men, 64.4% of surgeons had completed medical residency, and 96.6% (n=57) of the surgeons would like to improve their skills in venous surgery, echo-guided vascular access, and endovascular surgery. The method of professional improvement of greatest interest was simulation courses (hands-on), endorsed by 93% of the participants. Conclusions Pará has 59 vascular surgeons. These professionals mainly work in the greater Belém (71.2%), in hospitals (100%) or in private clinics or offices (94.9%), performing a wide range of procedures, including venous and arterial surgery, amputations, and provision of hemodialysis access. More than 90% of these surgeons were satisfied professionally and reported that they would choose the specialty again. However, 22% had a pessimistic view of the specialty’s future. The vast majority of professionals (96.6%) consider that training or a continuing education program are necessary.

scholarly journals Outcomes of Wound Dehiscence after Penetrating Keratoplasty and Lamellar Keratoplasty

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Xin Wang ◽  
Ting Liu ◽  
Sai Zhang ◽  
Xiaolin Qi ◽  
Suxia Li ◽  
...  
Keyword(s):  
Medical Records ◽  
Penetrating Keratoplasty ◽  
Wound Dehiscence ◽  
Lamellar Keratoplasty ◽  
Wound Treatment ◽  
Light Perception ◽  
Occurrence Time ◽  
Study Population ◽  
The Mean ◽  
Mean Time

Objective. To investigate the incidence, causes, occurrence time, and range of wound and outcomes of wound dehiscence in patients treated by penetrating keratoplasty (PK) or lamellar keratoplasty (LK). Methods. We retrospectively reviewed medical records of keratoplasty in Shandong Eye Hospital from January 2006 to June 2017. Thirty-one eyes of 30 patients had sustained wound dehiscence (WD) after surgical treatment. The surgical type, causes, occurrence time, extent of the wound, treatment, and outcomes were recorded. Results. The study population consisted of 26 men and 4 women. The mean age at the occurrence of WD was 44.6 years old (range: 12–78 years), and the mean time from keratoplasty to WD was 45.9 months (range: 1–204 months). WD occurred in 23 eyes (23/1385, 1.66%) after PK and 8 eyes (8/1632, 0.49%) after LK (p<0.05). Twenty-seven eyes (27/31, 87.0%) had trauma-induced dehiscence. The mean range of dehiscence was 5.5 o’clock. The vision ranged from 20/50 to light perception after wound suture. The eyes receiving LK had fewer serious complications than PK. Conclusions. Compared with LK, PK seems to be more prone to result in wound dehiscence. The WD after LK may be less severe. The visual acuity after treatment of WD can be worse in the eyes with PK than LK.

scholarly journals Monitoramento da Administração de Medicamentos Injetáveis em Unidade de Pronto Atendimento UPA

2015 ◽  
Vol 8 (1) ◽  
pp. 45
Author(s):  
Camila Mioko Ono Lopes ◽  
Talma Reis Leal Fernandes
Keyword(s):  
Exploratory Study ◽  
First Aid ◽  
The State ◽  
Descriptive Statistics ◽  
Not Given ◽  
Dose Administration ◽  
Pharmaceutical Intervention ◽  
Northwestern Region ◽  
The Mean ◽  
Mean Time

A superlotação das Unidades de Pronto Atendimento (UPAs) tem se tornado uma preocupação frequente para gestores e profissionais da saúde, pois gera mais custo para o sistema de saúde e auxilia na sobrecarga das equipes de trabalho. O objetivo deste estudo foi caracterizar e analisar a administração de medicamentos injetáveis prescritos em Unidade de Pronto Atendimento da região noroeste do Paraná. Foi utilizado um estudo descritivo e exploratório no período de 01 de junho a 31 de agosto de 2013. A população em estudo constituiu-se de uma amostra aleatória de 285 pacientes. As prescrições foram avaliadas quanto à dose, via de administração e diluição, e o tempo médio de administração dos medicamentos foi monitorado. Para análise dos dados foi empregada estatística descritiva baseada na distribuição de frequências e medidas de tendência central. A via de administração foi informada em 99,3% das prescrições; entretanto, em 95,8% dos casos a dose não foi informada. As soluções diluentes utilizadas foram compatíveis com os medicamentos prescritos, embora tenha sido observada uma grande variação nos volumes das diluições, havendo necessidade de intervenção farmacêutica. Observou-se que o tempo médio de administração de medicamentos não foi responsável pelo aumento no tempo de permanência do paciente no serviço de saúde. Monitoring the Administration of Injectable Medicine in First Aid Clinics ABSTRACT: Overcrowding in first aid clinics (UPAs) is a great concern for health managers and professionals since it increases costs and overloads health teams. Current study characterizes and analyzes the administration of injectable medicines prescribed in first aid clinics in the northwestern region of the state of Paraná, Brazil. The descriptive and exploratory study was undertaken between 1st June and 31st August 2013 with a randomized selected population of 285 patients. Prescriptions were assessed according to dose, administration mode, dilution and the mean time for the administration of the medicine. Data were analyzed by descriptive statistics based on the distribution of frequencies and trend measures. Administration mode was informed in 99.3% of prescriptions, although the dose was not given in 95.8% of cases. Dilution solutions were compatible to the medicines even though there was a great variation in dilution volumes, which required pharmaceutical intervention. Average time in the administration of medicines did not cause an increase in the patient´s permanence time at the unit.

scholarly journals Tendência do Número de Dias de Chuva no Estado do Mato Grosso do Sul e Sua Relação com o Fenômeno ENOS (Trend in Number of Days of Precipitation in the State of Mato Grosso do Sul and Its Relationship with ENSO Phenomenon)

2013 ◽  
Vol 5 (5) ◽  
pp. 1133 ◽  
Author(s):  
Francisco Marcuzzo ◽  
Nayhara De Lima Oliveira ◽  
Murilo Raphael Dias Cardoso
Keyword(s):  
El Niño ◽  
El Nino ◽  
The State ◽  
Annual Number ◽  
Mato Grosso ◽  
Climatological Data ◽  
Monthly Average ◽  
The Mean ◽  
Mean Time ◽  
Mato Grosso Do Sul

Vários sistemas atmosféricos da América do Sul, com mais de um tipo de regime pluviométrico, convergem no estado do Mato Grosso do Sul. Assim, obtendo-se relevância nos estudos que focam séries históricas pluviométricas de modo a se entender sua tendência utilizando sua correlação com diferentes dados climatológicos. Com o objetivo de analisar a tendência mensal e anual do Número de Dias de Chuva (NDC) no estado do Mato Grosso do Sul, realizou-se um estudo de sua variabilidade extrema e a sua possível correlação com o fenômeno ENOS de intensidade moderada ou forte. Foram utilizadas médias mensais e anuais do NDC das séries históricas de dados pluviométricos obtidos da Rede Hidrometeorológica Nacional, da Agência Nacional de Águas e do Serviço Geológico do Brasil. A série histórica utilizada foi de 30 anos (1977 a 2006). Para o tratamento estatístico calculou-se as médias temporais do número de dias com precipitação de 92 estações pluviométricas distribuídas no estado do Mato Grosso do Sul. Observou-se que apenas o mês de outubro apresentou tendência de aumento do NDC, para a série histórica estudada, ficando os outros meses e a média geral anual, com tendência de decréscimo no NDC do estado Sul-Mato-Grossense. Como resultados são apresentados gráficos com as tendências de NDC para cada mês e anual, correlacionados com a intensidade do ENOS, além do histograma mensal com a média de 30 anos e para cada uma das três décadas.Palavras-chave: NDC, El Niño, precipitação pluviométrica. Trend in Number of Days of Precipitation in the State of Mato Grosso do Sul and Its Relationship with ENSO Phenomenon ABSTRACTSeveral weather systems in South America, with more than one type of rainfall, converge in the state of Mato Grosso do Sul. Thus, obtaining relevant in studies that focus on historical rainfall series in order to understand its trend using its correlation with different climatological data. In order to analyze the trend of monthly and annual Number of Days of Precipitation (NDP) in the state of Mato Grosso do Sul, there was a study of its variability and correlation with ENSO. We used monthly and annual averages of the NDP of the time series of rainfall data obtained from the National Hydrometeorological Network, the National Water Agency and the Geological Survey of Brazil. The series used was 30 years (1977-2006). The statistic calculated the mean time the number of days with rainfall of 92 rainfall stations distributed in the state of Mato Grosso do Sul was observed that only the month of October tended to increase the NDP for the series studied, leaving the other months and the average annual general decreasing trend with NDP in the state of Mato Grosso do Sul. Results are presented in graphical trends NDP for each month and year, correlated with the intensity of ENSO, and the histogram with the monthly average of 30 years and for each of three decades.Keywords: NDP, El Niño, rainfall.

scholarly journals PHENOTYPIC EXPRESSION OF A GENETIC PROPERTY INTRODUCED BY DEOXYRIBONUCLEATE

1959 ◽  
Vol 42 (4) ◽  
pp. 737-748 ◽  
Author(s):  
Maurice S. Fox
Keyword(s):  
Standard Deviation ◽  
Time Course ◽  
Distribution Curve ◽  
Phenotypic Expression ◽  
Normal Distribution Curve ◽  
Phenotypic Alteration ◽  
The Mean ◽  
Definition Of ◽  
Two Parameters ◽  
Mean Time

The time course of the appearance of cells showing a new phenotype, following treatment with a specific DNA, has been analyzed. A plot as a function of time of the number of cells showing the new property closely resembles the summation under a normal distribution curve. Describing the appearance of the new phenotype in these terms permits the definition of two parameters, the mean time, and the standard deviation of the distribution curve. This distribution is not affected either by the DNA concentration with which the transformable population has been treated, or by the streptomycin concentration with which the transformed population has been challenged. Interruptions of the expression process, by cooling to 20° or 0°C., serve only to displace the expression curves, without changing their shape, while small reductions in temperature change both the mean time of expression and the standard deviation of the distribution curve. On the basis of these observations a number of hypotheses have been examined concerning the mechanism whereby transforming DNA manifests a phenotypic alteration in the transformed cells. It can be concluded that there exist at least two stages in the process of expression. The completion of the first stage, causing the randomization, occurs with a mean time of about 60 minutes, and a terminal step, that of the transition of phenotype, occurs in less than 3 minutes.

scholarly journals KONSEP TOLERANSI DAN KEMATANGAN AGAMA DALAM KONFLIK BERAGAMA DI MASYARAKAT INDONESIA

2019 ◽  
Vol 23 (2) ◽  
pp. 51
Author(s):  
Anwar Hafidzi
Keyword(s):  
Social Psychology ◽  
Descriptive Analysis ◽  
Psychology Of Religion ◽  
Religious Communities ◽  
The Mean ◽  
Definition Of ◽  
Mean Time

Tolerance may through tensions between religious communities and give rise to a different sense of Brotherhood. Tolerance in life is seen from two controversies, namely Islam and social psychology. A literary review with a descriptive analysis is the method used in this study. Two theories are discussed here, i.e. the internal and external discussion. Internally, address and maintain the agreed convictions of the principle of pluralism. In the mean time, existing behaviors may be given in compliance with the maturity or mature agreement of the religion. The idea embedded in society's definition of tawazun and tasamuh. Keywords: Concept; Tolerance; Islamic approach; Psychology of Religion Toleransi merupakan suatu hal yang dapat mengurangi konflik antar umat beragama dan memunculkan rasa persaudaraan meski berbeda keyakinan. Toleransi dalam kehidupan ini ditinjau dari dua pendekatan, yaitu dalam Islam dan psikologi agama. Metode yang digunakan dalam penelitian ini adalah telaah kepustakaan dengan kata kunci toleransi bermasyarakat dan berakidah. Pendekatan ini setidaknya akan menemukan dua teori pendekatan, yaitu pendekatan toleransi internal dan eksternal. Secara internal, toleransi dalam pendekatan agama mengakui adanya konsep pluralisme  dalam memilih keyakinan dan menjalankannya. Adapun secara eksternal, toleransi dapat diyakini berdasarkan kematangan sikap dalam beragama atau mampu dalam beradaptasi secara matang. Konsep yang ditemukan adalah konsep tasamuh dan tawazun dalam bermasyarakat dan berakidah. Kata kunci: Konsep; Toleransi; Pendekatan Islam; Psikologi Agama

scholarly journals Prevalence of the Settlement of Medical Residences in the State of Tocantins in the Period 2013-2017

2020 ◽  
Vol 44 (1) ◽  
Author(s):  
Ana Carolina Batista de Souza Guedes ◽  
Fellipe Camargo Ferreira Dias ◽  
Neila Barbosa Osório ◽  
Raquel Prudente de Carvalho Baldaçara ◽  
Virgílio Ribeiro Guedes ◽  
...  
Keyword(s):  
Health System ◽  
Residency Training ◽  
Socioeconomic Development ◽  
Clinical Medicine ◽  
Public Investment ◽  
The State ◽  
Medical Residents ◽  
Medical Residency ◽  
Cross Sectional ◽  
Residency Programs

Abstract: Introduction: The accomplishment of medical residency (MR) is a type of qualification considered to be the “gold standard” for medical specialization. Understanding whether there is actually greater professional settlement or not stimulated by MR and which factors hinder or contribute to the physician’s permanence in that place, are important information for the structuring of medical residency and health system programs. The aim of this study was to evaluate the prevalence of settlement of medical residents who finished the residency training in the state of Tocantins, after the implementation of medical residency programs in the period from 2013 to 2017. Method: This is an observational quantitative research, with a cross-sectional, descriptive and analytical design, using the telematic technique and its own questionnaire, carried out with 44 medical residents that finished the medical residency program in the state of Tocantins. The project was reviewed and approved by the Ethics Committee of the Federal University of Tocantins (UFT) under Opinion number 2.292.540. Results: The prevalence of settlement was 65.9% of physicians in the state of Tocantins. Most residents were females (59.1%), with a mean age of 30.8 ± 3.1 years, income between 10 and 20 minimum wages (55.8%) and worked during their residency training (84.1%). The specialties that showed the highest settlement rates were general surgery and clinical medicine, and among these, the majority works for the private and state health networks. The main reason for not settling in Tocantins was to attend another residency or subspecialty program in another state (64.7%). Conclusion: The prevalence of medical residents that finished the residency and settled in Tocantins during the analyzed period can be considered high (65.9%). The fact that most of these individuals are young and female and the reason for not settling in the state are important indicators to be analyzed together with the settlement process and the offering of positions in the specialties available in Tocantins. The results of the study indicated a favorable and strategic perspective of the Medical Residency Programs (MRP) in the medical settlement in Tocantins, which cannot be generalized to the reality of such an unequal health system in the country. A larger public investment in the structuring of health network services is necessary, especially in the municipal network, in the organization of support and socioeconomic development of cities.

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