Navegando por Palavras-chave "Obstetrics"
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- ItemSomente MetadadadosAspectos obstétricos da prematuridade: Ensaios clínico e de revisão(Universidade Federal de São Paulo (UNIFESP), 2000) Souza, Eduardo de [UNIFESP]; Universidade Federal de São Paulo [UNIFESP]
- ItemAcesso aberto (Open Access)Continuing medical education in Brazil: what about obstetricians and gynecologists?(Associação Paulista de Medicina - APM, 2005-01-01) Sass, Nelson [UNIFESP]; Torloni, Maria Regina [UNIFESP]; Soares, Bernardo Garcia De Oliveira [UNIFESP]; Atallah, Álvaro Nagib [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)CONTEXT: In Brazil, obstetricians and gynecologists are not required to submit to periodical evaluations to ascertain their professional competence in dealing with new concepts and therapies. OBJECTIVES: To evaluate the performance of a group of obstetricians and gynecologists on a written evidence-based obstetrics test and determine their opinions and use of systematic reviews. TYPE OF STUDY: Prospective cohort. SETTING: Brazilian Obstetrics and Gynecology Congress 2001. METHODS: 230 doctors agreed to participate in the study during a national obstetrics and gynecology congress. Participants took an individual anonymous written multiple-choice test with seven questions on clinical obstetrics, one question on the interpretation of a meta-analysis graph and two questions on their opinions and actual use of systematic reviews. Scores were analyzed and compared after grouping the participants according to year of graduation, residence training, doctoral program and faculty status. RESULTS: The general average score was 49.2 ± 17.4. The scores tended to decline as the years since graduation advanced. Doctors who graduated in the last five years had higher scores than those who graduated over 25 years ago (52.2 versus 42.9). The performance did not vary according to medical residence, postgraduate program or teaching status. While 98.2% considered systematic reviews relevant, only 54.9% said that they routinely used this source of information. DISCUSSION: The participants' average score was low, even though they were highly qualified and trained. Despite the limitations of the study, the results are worrisome. If motivated physicians participating in a national congress obtained such low scores, we can speculate that the results might be even worse among other doctors that do not attend these events. CONCLUSIONS: These findings suggest that Brazilian obstetricians and gynecologists could benefit from continuing medical education and raise questions about the recycling methods currently available.
- ItemAcesso aberto (Open Access)Distance Education Course about Sexuality for Obstetrics and Gynecology Residents(Federacao Brasileira Soc Ginecologia & Obstetricia-Febrasgo, 2017) Vieira, Teresa Cristina Souza Barroso [UNIFESP]; Nakamura, Mary Uchiyama [UNIFESP]; Silva, Ivaldo da [UNIFESP]; Torloni, Maria Regina [UNIFESP]; Ribeiro, Meireluci Costa [UNIFESP]; Souza, Eduardo de [UNIFESP]Purpose To describe the experience of a distance education course on sexual issues during pregnancy and after birth for residents. Methods This prospective educational intervention study was conducted by investigators from the Universidade Federal de Sao Paulo, Brazil, between April and September 2014. The participants were 219 physicians (residents from the 1st to the 6th years). The duration of the course was of 24 hours (10 video lectures and online chats). At baseline, the participants answered questions about their training, attitude and experience regarding sexual issues during pregnancy and after birth; before and after the course, they answered questions to assess their knowledge about the topic; at the end of the course, they answered questions on the quality of the course. The Student t-test was used to compare the before and after scores of the knowledge tests; values of p < 0.05 were considered statistically significant. Results A total of 143 residents concluded the course; most were in their 1st (27.2%) or 3rd (29.4%) years of residency. There was a significant increase in the mean scores of the questionnaires that assessed the knowledge of the topic: 4.4 (+/- 1.6) versus 6.0 (+/- 1.3; maximum score: 10), before and after the course respectively (p < 0.0001). Most of the participants (74.1%) declared that the quality of the course as a whole reached their expectations, and 81.1% would recommend the course to a friend. Conclusions The online Sexology course for Obstetrics and Gynecology residents increased their knowledge about the sexual issues during pregnancy and after birth, and fulfilled the participants' expectations. The experience described here may serve as a model for other sexuality courses targeting similar audiences.
- ItemSomente MetadadadosThe Effects of So-Called 'Forbidden Acupuncture Points' on Pregnancy Outcome in Wistar Rats(Karger, 2011-01-01) Guerreiro da Silva, Andre Vilella [UNIFESP]; Nakamura, Mary Uchiyama [UNIFESP]; Cordeiro, Jose Antonio; Silva, João Bosco Guerreiro da; Mendes, Gloria Elisa Florido; Burdmann, Emmanuel de Almeida; Rio Preto Med Coll; Universidade Federal de São Paulo (UNIFESP)Background: This study sought to determine if acupuncture in LI4 and SP6, or in sacral points could harm the pregnancy outcome in Wistar rats as is believed according to traditional knowledge. Methods: 48 pregnant Wistar rats were randomly divided into 4 groups: total control where the rats were left in cages without manipulation; anesthetized control where the rats were manipulated and anesthetized but did not received electroacupuncture; peripheral points and sacral points were the rats were anesthetized and received 4 acupuncture points - LI4-SP6 and BL27-28, respectively. the primary end point was embryonic loss after implantation, defined as (number of implantations - number of embryos in development) x 100 / number of implantations. Other evaluated parameters were fetal death, abortions, number of fetuses, and resorptions, resorption index (number of resorptions / total of implantations), maternal weight gain, and fetal weight. Results: There were no differences in embryonic loss after implantation (p = 0.45), fetal death (p = 1), abortions (p = 1), number of fetuses (p = 0.79), resorptions (p = 0.3), and resorption index (p = 0.45). There were differences in maternal weight gain and fetal weight, but they seemed unrelated to the treatment. Conclusions: We found no evidence that acupuncture in LI4-SP6 and sacral points could be harmful to the pregnancy outcome in Wistar rats.