scholarly journals Spirituality/Religiosity as a Therapeutic Resource in Clinical Practice: Conception of Undergraduate Medical Students of the Paulista School of Medicine (Escola Paulista de Medicina) - Federal University of São Paulo (Universidade Federal de São Paulo)

2021 ◽  
Vol 12 ◽  
Author(s):  
Silvia Borragini-Abuchaim ◽  
Luis Garcia Alonso ◽  
Rita Lino Tarcia
Keyword(s):  
Clinical Practice ◽  
Medical Students ◽  
Sao Paulo ◽  
Care Process ◽  
São Paulo ◽  
Undergraduate Medical Students ◽  
Academic Context ◽  
Spiritual Dimension ◽  
School Of Medicine ◽  
De Medicina

Introduction: The high degree of religious/spiritual involvement that brings meaning and purpose to a patients’ life, especially when they are weakened by pain, is among the various reasons to consider the spiritual dimension in clinical practice. This involvement may influence medical decisions and, therefore, should be identified in the medical history of a patient (anamnesis).Objective: To verify the opinion of undergraduate medical students of the Paulista School of Medicine – Federal University of São Paulo regarding the use of a patient’s Spirituality/Religiosity as a therapeutic resource in clinical practice.Method: Quantitative approach of the transversal analytical observational type. The sample was composed of academics’ medical program, from the first to the sixth year, regularly enrolled in 2017. Data collection was performed with a standardized questionnaire divided into three sections: sociodemographic profile; Duke University Religious Index; Spirituality/Religiosity in the clinical and academic context.Results: Participated in the survey 72% of the enrolled students, of which 61.4% had religious affiliation, 26.2% declared themselves agnostic and 12.4% atheists. All of them proposed to answer questions about the insertion of Spirituality/Religiosity in the patient care process. Through the Duke Religiosity Index, we evaluated the importance of religiosity in the student’s personal life and the pertinence of religiosity as a therapeutic insertion for medical treatment. Regarding the clinical and academic context, most participants considered relevant the proposition of didactic-pedagogical actions in medical education related to the spiritual dimension of the patient.Conclusion: We conclude, through our research, that the insertion of the Spirituality/Religiosity of the patient as a therapeutic resource in clinical practice is feasible for most undergraduate students in Medicine of the Escola Paulista de Medicina – Universidade Federal de São Paulo (Paulista School of Medicine - Federal University of São Paulo). The result of the research, although it shows only the opinion of medical students at a Brazilian university, indicates that Spirituality/Religiosity is already part of the contemporary medical universe.

scholarly journals Hidra de duas cabeças: Configuração ricoeuriana e narrador impuro numa narrativa do HC-FMUSP / Two Heads Hidra: Ricoeurian Configuration and Impure Narrator in a Narrative of HC - FMUSP

2013 ◽  
Vol 2 (2) ◽  
Author(s):  
Fabiana Carelli ◽  
Andrea Funchal Lens ◽  
Amanda Cabral Carvalho Alcântara De Oliveira ◽  
Ariadne Catarine Dos Santos ◽  
Mariluz Dos Reis ◽  
...  
Keyword(s):  
Literary Theory ◽  
Paul Ricoeur ◽  
Sao Paulo ◽  
Point Of View ◽  
São Paulo ◽  
Cultural Aspects ◽  
School Of Medicine ◽  
Paul Ricœur ◽  
The University ◽  
De Medicina

ABSTRACTFrom the point of view of literary theory and comparative literature, this article aims to analyze how it is configured the narrative of life of a patient of the General and Didactic Clinic of the University of São Paulo School of Medicine, in the context of a consultation with the resident who attends her, and how that narrative is reconfigured by the same resident, both in the conversation with her assistant and at the resumption of the consultation with the patient, in which diagnostic hypotheses, predictions and treatments will be transmitted. The analysis undertaken here is based mainly on the concepts of prefiguration, configuration and refiguration established by Paul Ricoeur in his book Time and Narrative (2010); narrator and narrative point of view, as in Arrigucci Jr. (1998) and Friedman (2002); and the cultural aspects of the comic genre, as in Aristotle (s/d), Darnton (1996), Bakhtin (1999) and Baudelaire (2002). In conclusion, this paper aims to propose some analytical and theoretical grounds for the concept of a “cleaved’ or “impure” narrator in the context of the relations between narrative and medicine.RESUMENEste artigo busca analisar, do ponto de vista da teoria literária e da literatura comparada, o modo como é configurada, por ela mesma, a narrativa de vida de uma paciente do Ambulatório Geral e Didático do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo num contexto de consulta com a médica residente que a atende, e de que modo essa narrativa é reconfigurada pela mesma residente, tanto na conversa com seu assistente quanto na retomada da consulta com a paciente, na qual hipóteses diagnósticas, prognósticos e tratamento lhe serão transmitidos. A análise empreendida aqui funda-se essencialmente nos conceitos de prefiguração, configuração e refiguração, tal como estabelecidos por Paul Ricoeur em sua obra Tempo e narrativa (2010); narrador e ponto de vista narrativo, tal como em Arrigucci Jr. (1998) e Friedman (2002); e do riso em suas articulações culturais, tal como em Aristóteles (s/d), Darnton (1996), Bakhtin (1999) e Baudelaire (2002). Ao final, este trabalho visa a propor bases analíticas e teóricas para a definição do conceito de narrador “clivado” ou “impuro”, no contexto das relações entre narrativa e medicina.

scholarly journals Evaluation of the Stress Phasei In Students of tThe Health Area

2018 ◽  
Vol 45 (1) ◽  
Author(s):  
Danielle Lemes Dutra ◽  
André Abrantes Rosique ◽  
Asaphe Lemes Dutra ◽  
Sarah Da Silva Candido ◽  
Cynthia Kallás Bachur
Keyword(s):  
Medical Students ◽  
Well Being ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
The Body ◽  
São Paulo ◽  
Cross Sectional ◽  
Stress Symptoms ◽  
Health Area ◽  
De Medicina

Stress is a general wear and tear of the body, being responsible for changes in the state of health and well-being of the individual. The present study had as objective apply an Inventory of Stress Symptoms among both medical and physiotherapy students, compare and identify the stage of stress they encounter. This is a descriptive and cross-sectional study. The sample consisted of students of the 4th year of both Medicine and Physiotherapy courses from Universidade de Franca- São Paulo, volunteers, regardless of sex or ethnicity. An inventory of Stress Symptoms I.S.S. Lipp to characterize the stress phase of students. A total of 70 students participated in the study, 25 of which were physiotherapists, 22 male and 48 female, 21.92 ± 1.57 years old, and 45 medical students, with a mean age of 24, 87 + 4.26 years. In both courses, the sample analyzed showed a predominance in the Resistance phase, corresponding to a score of 4.26 in relation to medical students and 1.57 in physiotherapy. Based on the data from the present study, it was possible to identify that the students of the health area are in a predominantly Exhaustion phase, according to the Lipp inventory. Avaliação da Fase de Estresse em Estudantes da Área da Saúde O estresse é causado pelas alterações psicofisiológicas que ocorrem quando o indivíduo é forçado a enfrentar situações que o irritem. O presente estudo teve como objetivo aplicar um Inventário de Sintomas de estresse entre estudantes de medicina e fisioterapia, comparar e identificar a fase de estresse que eles se encontram. Trata-se de um estudo de caráter descritivo e transversal. A amostra foi composta por estudantes do 4º ano do curso de Medicina e de Fisioterapia da Universidade de Franca- São Paulo, voluntários,sem distinção de sexo ou etnia. Foi aplicado um Inventário de Sintomas de estresse I.S.S. Lipp para caracterizar a fase do estresse dos estudantes. Participaram deste estudo70 estudantes, 25 do curso de Fisioterapia, com idade 21,92 + 1,57 anos e 45 estudantes do curso de medicina, com idade média de 24,87 + 4,26 anos. A amostra analisada apresenta, em ambos os cursos, uma predominância na fase de Resistência, correspondendo um escore de 4,26 em relação aos estudantes de Medicina e 1,57 aos de Fisioterapia. Com base nos resultados dos dados do presente estudo, foi possível identificar que os estudantes da área de saúde encontram-se em uma fase predominantemente de Exaustão segundo o inventário de Lipp.

scholarly journals Homeopathy and acupuncture teaching at Faculdade de Medicina da Universidade de São Paulo: the undergraduates’ attitudes

2005 ◽  
Vol 123 (2) ◽  
pp. 77-82 ◽  
Author(s):  
Marcus Zulian Teixeira ◽  
An Lin Chin ◽  
Milton de Arruda Martins
Keyword(s):  
Primary Care ◽  
Medical Students ◽  
Teaching Methods ◽  
Sao Paulo ◽  
Public Healthcare ◽  
São Paulo ◽  
Medical Practices ◽  
Undergraduate Attitudes ◽  
Self Administered Questionnaire ◽  
De Medicina

CONTEXT AND OBJECTIVE: Homeopathy and acupuncture, although recognized as medical specializations in Brazil, are not taught in most medical schools. The objective was to evaluate undergraduate attitudes towards them following their inclusion as optional disciplines at Faculdade de Medicina da Universidade de São Paulo (FMUSP) in 2002. DESIGN AND SETTING: Questionnaire, at FMUSP. METHODS: 484 students answered a self-administered questionnaire on these therapies, regarding their interest in learning, the teaching methods, their knowledge/experience (or that of someone close to them) and how it was acquired, the main indicators and general effectiveness of these therapies, and the possibilities for offering and integrating them within public healthcare units. RESULTS: Over 85% of the students considered that homeopathy and acupuncture should be included in curricula, as options (72%) or compulsorily (19%); 56% showed great interest in learning about them. Although 76% had little or no knowledge, 67% believed that these therapies had some effectiveness, and that chronic diseases (37%) or even chronic and acute diseases (29%) would be the main indicators for their use. Around 35% were receptive towards offering public primary care using both therapies, while 34% thought these treatments should also be available in hospitals and 60% believed they could be integrated with conventional medical practices. CONCLUSION: The medical students were interested in learning the principles of homeopathy and acupuncture, were able to observe and report on the effectiveness of these treatments and defended the use of these medical specializations within public healthcare.

scholarly journals (Re)pensando a infância na atenção primária em saúde: uma narrativa dos sonhos e tropeços da terapia ocupacional nesse nível assistencial/Rethinking about childhood in primary health care: a narrative of the dreams and struggles of occupational therapy at the basic health services

2021 ◽  
Vol 5 (4) ◽  
pp. 484-501
Author(s):  
Camila Cristina Bortolozzo Ximenes de Souza ◽  
Eucenir Fredini Rocha
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Occupational Therapy ◽  
Sao Paulo ◽  
São Paulo ◽  
School Of Medicine ◽  
Primary Health ◽  
Childhood Care ◽  
Objective Understanding ◽  
De Medicina

ResumoIntrodução: Tradicionalmente, as ações de cuidado da infância na Atenção Primária à Saúde (APS) são orientadas por abordagens higienistas, eugênicas e biomédicas. Essas premissas também têm influenciado as ações de terapia ocupacional junto à infância nesse nível assistencial. O artigo reflete sobre a necessidade e as possibilidades de inserir as ações da terapia ocupacional em propostas que considerem o conceito de infância como norteador, uma vez que o mesmo é complexo, histórico, sociocultural e estrutural na sociedade. Objetivo: Compreender a natureza das ações de terapia ocupacional desenvolvidas pelo Laboratório de Estudos em Reabilitação e Tecnologia Assistiva – REATA – da Faculdade de Medicina da Universidade de São Paulo, na APS, voltadas à infância. Método: Trata-se de pesquisa qualitativa, de caráter exploratório analítico, que utilizou, como fonte de dados documental, os registros produzidos pelo Laboratório REATA, entre os anos de 2008 e 2020, cujos conteúdos foram analisados à luz do conceito de infância. Resultados e discussão: Implementou-se ações de terapia ocupacional na UBS de formação continuada, matriciamento, atendimentos individuais, em grupo, e intersetoriais, por 12 anos. Dentre as 150 crianças atendidas, apenas 12 foram encaminhadas a outros serviços, explicitando a resolutividade da APS. Muitos desafios foram encontrados na construção das ações voltadas às crianças e suas famílias, além da ressignificação das ações de terapia ocupacional, em direção à superação da ideia do déficit e da correção dos corpos, na direção da observação da infância e do lúdico. Conclusão: Ainda é necessário desconstruir um ideário de reabilitação médico-centrado e hospitalocêntrico vigente na APS.Palavras-chave: Terapia Ocupacional. Atenção Primária à saúde. Saúde da Criança. Bem-estar. AbstractIntroduction: Traditionally, childhood care actions in Primary Health Care (PHC) have been guided by hygienist, eugenic and biomedical approaches. These assumptions have also influenced occupational therapy actions with children at this care level. This article reflects on the need and possibilities of inserting occupational therapy actions in proposals that consider the concept of childhood as a guide, since it is complex, historical, socio-cultural and structural in society. Objective: Understanding the nature of occupational therapy actions developed by Laboratory of Studies in Rehabilitation and Assistive Technology – REATA – School of Medicine, University of São Paulo in PHC aimed at childhood. Method: This is a qualitative research, with an exploratory analytical character, which used as a source of documentary data the records produced by REATA Laboratory between 2008 and 2020, whose contents were analyzed in light of the concept of childhood. Results and discussion: Occupational therapy actions were implemented at the PHC service for continuing education, matrix support, individual, group and intersectorial care for 12 years. Among the 150 children assisted, only 12 were referred to other services, explaining the resolution of the PHC. Many challenges were found in the construction of actions aimed at children and their families, in addition to the redefinition of occupational therapy actions, concerning overcoming the idea of deficit and the correction of bodies, towards the observation of childhood and playfulness. Conclusion: It is still necessary to deconstruct the current medical-centered and hospital-centered rehabilitation ideals in PHC.Keywords: Occupational Therapy. Primary Health Care. Child Health. Childhood Welfare.ResumenIntroducción: Tradicionalmente, las acciones de atención a la infancia en la Atención Primaria de Salud (APS) se guían por enfoques higienistas, eugenésicos y biomédicos. Estos supuestos también han influido en las acciones de terapia ocupacional con niños en este nivel de atención. El artículo reflexiona sobre la necesidad y posibilidades de insertar acciones de terapia ocupacional en propuestas que consideren el concepto de infancia como guía, por ser complejo, histórico, sociocultural y estructural en la sociedad. Objetivo: Comprender la naturaleza de las acciones de terapia ocupacional desarrolladas por el Laboratorio de Estudios en Rehabilitación y Tecnología de asistencia - REATA - Facultad de Medicina, Universidad de São Paulo en APS dirigidas a niños. Metodo: Se trata de una investigación cualitativa, de carácter analítico exploratorio, que utilizó como fuente de datos documentales los registros producidos por el Laboratório REATA entre 2008 y 2020, cuyos contenidos fueron analizados a la luz del concepto de infancia. Resultados y discusión: Se implementaron acciones de terapia ocupacional en la UBS para educación continua, apoyo matricial, atención individual, grupal e intersectorial durante 12 años. De los 150 niños atendidos, solo 12 fueron derivados a otros servicios, explicando la resolución de la APS. Numerosos desafíos se encontraron en la construcción de acciones dirigidas a los niños y sus familias, además de la redefinición de las acciones de terapia ocupacional, hacia la superación de la idea de déficit y la corrección de cuerpos, hacia la observación de la infancia y la alegría. Conclusión: Todavía es necesario deconstruir los ideales actuales de rehabilitación centrada en la medicina y en el hospital en la APS.Palabras clave: Terpia Ocupacional. Atención Primaria de Salud. Salud Infantil. Bienestar infantil. 

scholarly journals Drug consumption among medical students in São Paulo, Brazil: influences of gender and academic year

2009 ◽  
Vol 31 (3) ◽  
pp. 227-239 ◽  
Author(s):  
Lucio Garcia de Oliveira ◽  
Lucia Pereira Barroso ◽  
Gabriela Arantes Wagner ◽  
Julio de Carvalho Ponce ◽  
André Malbergier ◽  
...  
Keyword(s):  
Medical Students ◽  
Drug Use ◽  
Illicit Drugs ◽  
Influencing Factor ◽  
Sao Paulo ◽  
Behavioral Pattern ◽  
São Paulo ◽  
School Of Medicine ◽  
Anonymous Questionnaire ◽  
Academic Year

OBJECTIVE: To analyze alcohol, tobacco and other drug use among medical students. METHOD: Over a five-year period (1996-2001), we evaluated 457 students at the Universidade de São Paulo School of Medicine, located in São Paulo, Brazil. The students participated by filling out an anonymous questionnaire on drug use (lifetime, previous 12 months and previous 30 days). The influence that gender and academic year have on drug use was also analyzed. RESULTS: During the study period, there was an increase in the use of illicit drugs, especially inhalants and amphetamines, among the medical students evaluated. Drug use (except that of marijuana and inhalants) was comparable between the genders, and academic year was an important influencing factor. DISCUSSION: Increased inhalant use was observed among the medical students, especially among males and students in the early undergraduate years. This is suggestive of a specific behavioral pattern among medical students. Our findings corroborate those of previous studies. CONCLUSION: Inhalant use is on the rise among medical students at the Universidade de São Paulo School of Medicine. Because of the negative health effects of illicit drug use, further studies are needed in order to deepen the understanding of this phenomenon and to facilitate the development of preventive measures.

Transplante Hepático: História, Panorama Atual, Perspectivas / Liver Transplantation: History, Current Situation, Prospects

1970 ◽  
Vol 5 (3) ◽  
Author(s):  
Marcelo Bruno de Rezende ◽  
Aldo Elias Kiyoshi Takano de Saidneuy ◽  
Luiz Gustavo Guedes Diaz ◽  
Marcela Balbo Rusi ◽  
Marcelo de Melo Viveiros ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Sao Paulo ◽  
Current Situation ◽  
São Paulo ◽  
America Latina ◽  
De Medicina

O transplante hepático revolucionou a expectativa de vida dos pacientes com doença hepática em estágio avançado, tornando-se muitas vezes a única modalidade terapêutica efetiva para uma variedade de doenças hepáticas crônicas ou agudas irreversíveis.1-4Deve-se a C. S. Welch as primeiras tentativas de transplante hepático experimental em cães, em 1955.5 Embora a técnica de transplante hepático em humanos tenha sido descrita inicialmente em 1960,6,7 o primeiro transplante de fígado no homem foi realizado em 1963 na Universidade do Colorado em Denver (EUA) por Thomas Starzl8 em um paciente de três anos de idade com atresia de vias biliares e que foi a óbito no transoperatório por sangramento. O primeiro transplante hepático realizado em humanos com sucesso foi alcançado por esta mesma equipe em 1967 em uma criança de um ano e meio com carcinoma hepatocelular.1Desde então a técnica operatória tem sido constantemente modificada e aprimorada, sendo necessárias quase duas décadas para que o transplante hepático se consolidasse como uma alternativa terapêutica cientificamente comprovada.O Brasil entra precocemente na era dos transplantes de fígado. Em 1965, o grupo de metabologia cirúrgica da Faculdade de Medicina da Universidade de São Paulo produz as primeiras pesquisas experimentais sobre transplante de fígado em cães. No dia 5 de agosto de 1968, foi realizado com sucesso técnico o primeiro transplante de fígado da América Latina no Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), em um doente com 52 anos de idade, portador de cirrose hepática e carcinoma hepatocelular... 

scholarly journals Searching for the erosion of empathy in medical undergraduate students: a longitudinal study

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e041810
Author(s):  
José Manuel Blanco ◽  
Fernando Caballero ◽  
Santiago Álvarez ◽  
Mercedes Plans ◽  
Diana Monge
Keyword(s):  
Medical Students ◽  
Undergraduate Students ◽  
Cognitive Empathy ◽  
Primary Outcome Measure ◽  
Undergraduate Medical Students ◽  
School Settings ◽  
School Year ◽  
School Of Medicine ◽  
Medical Undergraduate ◽  
Sociocultural Differences

ObjectiveTo analyse the trajectory of empathy throughout the degree programme of medicine in a Spanish school of medicine.DesignLongitudinal, prospective 5-year study, between October 2014 and June 2019.SettingStudents from a Spanish university of medicine.ParticipantsTwo voluntary cohorts of undergraduate medical students from two different school years were invited to participate (n=135 (cohort 1, C1) and 106 (cohort 2, C2) per school year). Finally, a total number of 174 students (102 (C1, 71.6% women) and 72 (C2, 70.8% women) students, respectively) were monitored for 5 years. Each cohort was divided in two subcohorts of paired and unpaired students that were analysed to check possible social desirability bias.Primary outcome measureThe Jefferson Scale of Empathy (JSE).ResultsThe cohort of 102 students (C1) monitored between their first and fifth years of study (71.6% women) showed an improvement among paired women of 2.15 points in total JSE score (p=0.01) and 2.39 points in cognitive empathy (p=0.01); in the unpaired female cohort the increase was of 2.32 points (cognitive empathy) (p=0.02). The cohort of 72 students (C2) monitored between their second and sixth years of study (70.8% women) displayed a cognitive empathy increase of 2.32 points (p=0.04) in the paired group of women. There were no significant differences between paired and unpaired results for either cohort. Empathy scores among men did not decrease.ConclusionsThe empathy of medical students at our school did not decline along grade years. In fact, it improved slightly, particularly cognitive empathy, among women. This paper contributes to enlarge data from Europe, where longitudinal studies are scarce. It supports the idea that there may be global geo-sociocultural differences; however, more studies comparing different school settings are needed.

Debate

2005 ◽  
Vol 1 (1) ◽  
pp. 167-176
Author(s):  
Cadernos de História da Ciência
Keyword(s):  
Sao Paulo ◽  
São Paulo ◽  
De Medicina

Os textos apresentados a seguir são reconstituições sintéticas dos depoimentos verbais proferidos pelos debatedores do evento dedicado à discussão acerca de instituições de pesquisa no estado de São Paulo. Procuramos assegurar, nesse trabalho de edição, o melhor compromisso entre fidelidade ao conteúdo e economia da forma.O registro de tais aepoimentos por gravação, assim como sua transcrição literal encontram-se à disposição dos interessados nos arquivos do LERe. - Prof. Dr. José da Rocha Carvalheiro - Coordenador dos Institutos de Pesquisa, professor livre-docente da Faculdade de Medicina da USP-Ribeirão Preto. - Prof. Dr. Shozo Motoyama - Diretor do Centro Interunidade de His~ória da Ciência e professor t:.tu:Gl' da FFLCH da USP.

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