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- ItemAcesso aberto (Open Access)Contribuições do programa de educação pelo trabalho para educação interprofissional na Universidade Federal de São Paulo(Universidade Federal de São Paulo, 2022-12-12) Rolim, Bianca Yuki Sakai [UNIFESP]; Fegadolli, Claudia [UNIFESP]; http://lattes.cnpq.br/6541145627909917A Organização Mundial da Saúde (OMS) tem promovido e estimulado a educação interprofissional, há mais de uma década, como estratégia de fortalecimento nos sistemas nacionais de saúde. Transformações em contextos sanitários, sociais e econômicos no Brasil revelam a necessidade de novas iniciativas para a formação de profissionais de saúde, tanto na prática dos serviços, mediadas pela educação permanente com os trabalhadores, como na formação de novos profissionais. Os processos de formação de profissionais da saúde desenvolvem de maneira mais contundente as competências específicas para o cuidado, podendo resultar na limitação do trabalho colaborativo para a resolução de problemas complexos. O Programa de Educação pelo Trabalho para Saúde Interprofissionalidade, organizado pelo Ministério da Saúde brasileiro, teve como objetivo promover reflexões e mudanças na metodologia de ensino e trabalho nos cenários da formação de profissionais de saúde. O Programa possibilitou desenvolver ações para a educação e práticas interprofissionais, seguindo os princípios da integralidade e da resolutividade em saúde. O presente estudo visou analisar os efeitos do desenvolvimento do Programa de Educação pelo Trabalho na Universidade Federal de São Paulo (UNIFESP) a partir do projeto desenvolvido entre os cursos de Enfermagem, Farmácia e Medicina e da articulação entre a Secretaria Municipal de saúde de Diadema e a UNIFESP.
- ItemAcesso aberto (Open Access)Desenvolvimento de interface para coleta de dados em pesquisa clínica em Oftalmologia(Universidade Federal de São Paulo (UNIFESP), 2020-05-28) Ribeiro, Ivan Rogerio [UNIFESP]; Hirai, Flavio Eduardo [UNIFESP]; Universidade Federal de São PauloThe Information technology (IT) has a fundamental role in the health, in the fields of care, teaching and research. Clinical research should be widely disclosed and widespread in the academia, once it is one of the pillars in the training of health professionals. One of the difficulties encountered while conducting research is data collection. Objective: To develop a data collection platform for clinical research to facilitate and streamline statistical analysis. Method: The pertinent needs to this subject were detected with the professors involved in the graduate programs of the Department of Ophthalmology. Different possibilities were analyzed with the Information Technology (IT) team at the Federal University of São Paulo (Unifesp) and it was decided to develop a platform hosted within Unifesp existing environment. The platform was called “PAEOFTA” and the interfaces were compiled in the form of a “User Manual” to facilitate its use. Results: A test was carried out using an existing research project at the Ophthalmology Department where forms were created, data were collected and exported and statistical analysis was performed. The flaws in the system ("bugs") were being remedied by the IT team during the tests that were totally satisfactory. Conclusions: The PAEOFTA platform was developed with free access and data security offered by the UNIFESP environment in order to ensure better quality of the data collected in clinical research not only in the Department of Ophthalmology and Visual Sciences but the entire university.
- ItemSomente MetadadadosOs discursos médicos sobre o espiritismo no Brasil entre as décadas de 1920 e 1940(Universidade Federal de São Paulo (UNIFESP), 2013) Teraoka, Lucas Marzullo [UNIFESP]; Ferla, Luis Antônio Coelho [UNIFESP]; http://lattes.cnpq.br/3414564900325538; http://lattes.cnpq.br/4567313690060031; Universidade Federal de São Paulo (UNIFESP)The discuss produced by brazilian doctors about the spiritism between the decades of 1920 and 1940 is the center of analysis of this research. This discuss was uttered in order to combat a doctrine that was, more than an opponent on the s cientific field, a cure alternative to the academic medicine. The 1890’s criminal code, that criminalized the spiritism, offered a legislative support for the doctors to claim punishments to the spiritists. On this research, it was noted the working of a s cience in a determined period, seeking for the understanding of the relations between the science itself and the society. It is seen how the spiritism was studied by the doctors over some decades until the end of the confrontation, when de spiritist doctri ne ceased to be studied by the medicine and started to be investigated by the social science.
- ItemAcesso aberto (Open Access)Estudo clínico e molecular em pacientes com artrogripose distal(Universidade Federal de São Paulo (UNIFESP), 2017-02-22) Nicola, Pablo Domingos Rodrigues De [UNIFESP]; Perez, Ana Beatriz Alvarez [UNIFESP]; Abath Neto, Osório Lopes; http://lattes.cnpq.br/4784102068388854; http://lattes.cnpq.br/8077340861513133; Universidade Federal de São Paulo (UNIFESP)Distal Arthrogryposis (DA) is a group of monogenic diseases of autosomal dominant inheritance, with incomplete penetrance, variable expressivity, characterized by congenital contractions of the distal joints of the limbs, not being caused by defects of the central and peripheral nervous system, by myopathies or by metabolic diseases. Ten different syndromes make up this group, the most common being DA1, DA2A and DA2B. Mutations in genes encoding skeletal muscle proteins (ECEL1, FBN2, MYBPC1, MYH3, MYH8, TNNI2, TNNT3, TPM2 and PIEZO2) are responsible for the etiology of AD. Objective: To describe clinical and molecular findings in patients with AD. To study the genes ACTA1, MYBPC1, MYH3, MYH8, TNNI2, TNNT1, TNNT3 and TPM2, in patients with AD and in their respective parents. To classify patients into syndromic groups and into molecular groups. Method: Evaluation of patients with congenital multiple arthrogryposis according to the clinical protocol. Extraction of genomic DNA from peripheral blood. State-of-the-art sequencing (NGS) using a panel of 8 genes (ACTA1, MYBPC1, MYH3, MYH8, TNNI2, TNNT1, TNNT3, TPM2). Validation of variants found in NGS by performing Sanger sequencing. Results: Among 106 patients with congenital multiple arthrogryposis, 19 subjects fulfilled the inclusion criteria for AD, 14 sporadic cases and 5 familial cases. Among the 19 individuals with AD, 7 individuals presented variants considered pathogenic, being 4 sporadic cases and 3 cases in the same family. Conclusions: Three variants of the MYH3 gene (c.1402T> C, c.2015G> A and c.5254G> T) were reported in individuals with DA1, DA2A and DA2B, two variants never described in the literature; one in the MYH8 gene (c.3349 + 1G> T) in an individual with DA7, not reported in the literature; and one in the TNNT3 gene (c.187C> T) in a sporadic case of DA2B and in 3 familial cases with DA2B that present phenotypic variability.
- ItemAcesso aberto (Open Access)Factors associated with depressive symptoms in a sample of Brazilian medical students(Associação Brasileira de Educação Médica, 2009-12-01) Macedo, Paula Natalie Arraes Guedes; Nardotto, Luciana Loureiro; Dieckmann, Luiz Henrique Junqueira [UNIFESP]; Ferreira, Yngrid Dieguez; Macedo, Barbara Arraes Guedes; Santos, Maria Aparecida Pedrosa Dos; De Marco, Mario Alfredo [UNIFESP]; Centro Universitário Lusíada; Universidade Federal de São Paulo (UNIFESP); Pontifícia Universidade Católica de São PauloOBJECTIVES: 1 - Verify the prevalence of depressive symptoms in first to fourth-year medical students using the Beck Depression Inventory (BDI). 2 - Establish correlations between target factors and higher or lower BDI scores. 3 - Investigate the relationship between the prevalence of depressive symptoms and the demand for psychological care offered by the Centro Universitário Lusíada. METHOD: Cross-sectional study of 290 first to fourth-year medical students; implementation of the BDI, socio-demographic survey, and evaluation of satisfaction with progress. RESULTS: The study sample was 59% female and 41% male. Mean BDI was 6.3 (SD 5.8). Overall prevalence of depressive symptoms was 23.1%. The following associations were statistically significant (p<0.05): among students for whom the course failed to meet original expectations, who were dissatisfied with the course, or who came from the interior of the State (20.5%, 12.5%, and 24.4% of the total sample, respectively), for 40%, 36.1% and 36.4%, respectively, the BDI was consistent with some degree of depression. CONCLUSION: The study showed that there is higher prevalence of depressive symptoms in medical students than in the general population
- ItemAcesso aberto (Open Access)A multiculturalidade e o bilinguismo no contexto da formação médica: análise de uma experiência(Universidade Federal de São Paulo, 2016) Campos, Sandra Regina Carneiro de; Ferreira, Beatriz Jansen; Ruiz-Moreno, Lídia; http://lattes.cnpq.br/9956782921722263; http://lattes.cnpq.br/2401449110051240; http://lattes.cnpq.br/1091170914690235Introduction: The complexity of the contemporary world and the demands of the labor market require a qualified professional training of health that involves the improvement of new skills. The Federal University of Latin American Integration (UNILA) in the triple border receives Brazilian and other Latin American countries, including non-Latin Caribbean countries students. This university has the characteristics multiculturalism and bilingualism and its principle the partnership. Therefore UNILA, experiences a unique experience in a rich scenario as cultural diversity, where students and teachers from different countries make up this context, providing new opportunities and challenges in higher education. An expanded education within multiculturalism instigates knowledge of new knowledge and new practices in the training process. Objective: To describe the contributions to the teaching / learning process in arising perspective of multiculturalism and bilingualism in the context of the triple border of Medicine Course UNILA. Specifically it is proposed to analyze the perception of teachers and students about medical training against DCN and PPC, analyze teaching and student perception of the teaching / learning process developed in the context of multiculturalism and bilingualism in the tri-border scenario and Build and validate the likert type instrument. Method: With qualitative and quantitative approach, descriptive and exploratory character, the study was conducted at the Federal University of Latin American Integration - UNILA. The study in line with the research ethical principles had to collect data divided into two stages. At first, the instrument Attitudinal Likert was applied, with 111 students, distributed in 1st and 2nd year and 7 members teachers of that course. 4 dimensions in the light of the research objectives were constructed in order to identify the perceptions of respondents about the researched object. In the second phase, interviews were conducted with 11 teachers. Interviews were recorded, transcribed and analyzed using content analysis technique, thematic modality. Results: Participants value the multicultural perspective and bilinguista the medical training process in UNILA and express a proper correlation with the content of DCN and of course PPP. However the data suggest challenges preponderance of native language regarding Hispanic and will need to expand the legislation on mobility of students and professionals and on medical prescription in different countries. Conclusions: Medical training in construction by UNILA in the triple border constitutes a relevant perspective for a larger and qualified understanding of health care in the countries that comprise it. However, aspects of infrastructure such as the provision of bibliography in Spanish, the use of this language in the training process, the increase of practice scenarios in border countries, among others, should be potentiated in the short term to create satisfactory conditions of implantation Of the said Course of Medicine.
- ItemAcesso aberto (Open Access)O processo de urbanização paulista: a medicina e o crescimento da cidade moderna(Associação Nacional de História - ANPUH, 2007-06-01) Silva, Márcia Regina Barros Da [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Based on the transformations occurred in medical attendance in the hospitals of the Irmandade da Santa Casa de Misericórdia de São Paulo, between the last years of the 19th century and the beginning of the 20th century, this article intends to argue some of the characteristics of the relations between health and illness in the process of urbanization of the city.
- ItemAcesso aberto (Open Access)Solução Tecnológica para produção e análise de uma rede de colaboração a partir de dados da Plataforma Lattes(Universidade Federal de São Paulo, 2019) Valdivia, Richard William [UNIFESP]; Graziosi, Maria Elisabete Salvador [UNIFESP]; Magalhães, Fábio Luís Falchi de [UNIFESP]; http://lattes.cnpq.br/4688239140122024; http://lattes.cnpq.br/5686723676379001; Universidade Federal de São Paulo (UNIFESP)With the evolution of computational techniques it is imperative that automated tools be created to promote value to the great informational content found on the Web using programming languages. The development of technological instruments in order to answer the questions of decision-making is now a reality. The present study analyzed the current techniques and processes used for the exploration and reading of data distributed on the Internet and proposed an automated tool to generate productive and relevant information of the Lattes Platform through the analysis of word processing. The tool retrieved structured information for use in Post-Graduation Programs in Health in the area of Medicine - Ophthalmology and Ocular Health - and generated graphs of collaboration networks of Stricto Sensu researchers as a case study obtained by theoretical reference.