DEVELOPMENT OF THE CLINICAL REACTION FROM THE USE OF THE PROBLEM-BASED LEARNING: EXPERIENCE REPORT OF THE UFPE MEDICAL CLINIC LEAGUE
Introduction: Medical knowledge has evolved greatly over time, both in relation to the pathophysiological knowledge of diseases, as the available therapeutic and prophetic arsenal. Despite this, clinical practice is still very much dependent on the medical ability to make a correct diagnosis and, from this, define the best conduct. In this scenario, medical schools have the challenge of facilitating the acquisition of this competence by students, as it is one of the greatest attributes to be developed during the medical course. Objectives: To describe the relevance of the mentoring activities of the medical clinic academic league (LACM-UFPE) for medical education. Methodology: We found 657 articles published from 2013 to 2018, in Portuguese and English. The Health Sciences Descriptors (DeCS) used were Problem-Based Learning and Education, Medical to search the PubMed database. Of this total, 7 articles fit the objectives of this study, serving as the basis for its composition. Results: The process of constructing clinical reasoning has been the focus of numerous investigations, which gave rise to two theoretical approaches: procedural and structural theory. LACM-UFPE uses the structural method, that is, it believes that the clinical reasoning depends on the acquired knowledge, which produces diagnostic hypotheses. Biomedical knowledge would be stored in memory composing this structural basis and thus the diagnostic competence would be determined by the professional’s ability to process these structures in memory. In Problem-Based Learning (PBL), used in LACM-UFPE tutorials, learning starts from problems or situations that aim to generate doubts, imbalances or intellectual disturbances. This method contains strong practical motivation and cognitive stimulation to generate creative solutions. The elaboration of good problems is fundamental in PBL. The problem is a tool that the teacher uses to motivate the student to retrieve knowledge stored in memory, instigate scientific doubts, integrate knowledge and direct the study. When applied,…
Background: Colleges and universities have invested in extension projects as a learning scenario focused on the training of citizen professionals, who are more involved and engaged in their training process. These projects allow participating students the contact and experience with the social reality and development of competencies that favor a better professional performance in real scenarios. Methodology: Experience report. Results and discussion: The project arose from the desire of students and tutors of the courses of Psychology, Pharmacy and Medicine, who realized the need to offer a storytelling activity that enabled the minimization of the effects brought about by hospitalization, offering leisure and cultural activity to patients, as well as the development of competence for the students involved. This project happened in distinct wards of a reference hospital in Recife, Pernambuco. It has made it possible for students to exercise their role as citizens by offering a humanized strategy by telling stories to patients in different age groups. In addition, it enabled the development of professional competence such as: planning and decision making, at the time that will be decided what to do each trip to the wards, the books that will be taken; interpersonal communication, when they need to approach the patient, family and nursing professionals, when they will tell the story; problem solving, when unexpected situations arise, such as refusal to participate, or unexpected cries; autonomy, when directed the actual account and creativity when narrating history and arouse the interest of patients, ethical attitude, approach to the participants and ability to work in a team. Project tutors were mediators of this process through monthly follow-up meetings. Conclusion: This project in the hospital space led to the development of skills in students, who at first did not realize it. It was evident that these students assumed the role of…
Introduction: an interdisciplinarity has proved to be a necessary path to be followed by every health and/or education professional. Therefore, speech therapist needs to be integrated to several areas, such as: Psychology, Occupational therapy, Psychopedagogy, Linguistics, Neuropsychology. The Institution of “Ligas Acadêmicas”, recently, in Brazilian universities has become rather a way to reach and build together with the students and society a very important look interprofessional and multidisciplinary for the professional formation of these students. Objectives: present extensionist actions and activities in the field of language and cognition developed by an academic league during its first year. Methodology: Descriptive study, type of experience report, developed in an interdisciplinary perspective. The “Liga Acadêmica de Linguagem e Cognição” (LALIC) developed action and extension activities with the external community and academics of a private and a public university. The public was comprised of elementary school students from public schools, professors, students of Speech Therapy, Occupational Therapy, Psychology and Pedagogy. Campaign actions, conventional forums, mini-courses / workshops, meetings with members of the league and scientific events were carried out. Results: The campaign conducted on the International Stuttering Day that happened in schools and the university as lectures and activities of health education with the topic: “Gagueira não tem graça, tem tratamento!» (Stuttering do not have fun, has treatment!) Two Conversation Forums were organized, one related to Dyslexia Week and the other about the importance of phonology for linguistic development. The league also organized workshops on Therapeutic Resources and Sensory Integration, as well as mini courses on ABNT References and Production of Experience Reports. For its members, LALIC held several meetings in order to address topics such as: Cognitive decline, Language and language conceptions, Language acquisition in Prematurity and Language Disorders. Subsequently, the Symposium on Early Stimulation in Down Syndrome brought together teachers and academics…
Introduction: From May 2016 to May 2018, was developed in the city of Arapiraca/Alagoas, the Education Program at Work for Health GraduaSUS, through the interinstitutional partnership between the Federal University of Alagoas Arapiraca campus and the Municipal Health Secretariat of Arapiraca/Alagoas. The extension project encourages active interaction between their involved (preceptors, students, users and tutors) in such a way that community links were built beyond the physical space of the classroom, and the Basic Health Unit, broadening the learning scenarios and health care, based in interpersonal relationships, where mutual learning was valued. Exercising this reasoning, was organized a Fair of Professions in high school one of the territories of operation of the project. Because the typical curiosity that permeates the adolescent phase, we discussed about health care in dynamic context, conducting the assimilation of this knowledge with guidance on the professional choice. Objectives: Promoting health education; create opportunities to teens, decision-making processes more aware about possible professional choice. Methods: This is a case studies, where the courses members (Nursing, Physical Education, Biological Sciences and Social Service) organized exhibition tents at the gym of the school, in order to exchange experiences, bringing the daily experience of students applications practices of University know ledge, in addition to the possibilities of professional performance of different of different areas. The Nursing group with use of posters built the history of nursing, until the clarification regarding the care carried out in each phase of life (childhood, adolescence, adulthood and old age), and the practical demonstrations: measurement of vital signs, first aid, and cardiopulmonary resuscitation. Results: Teenagers expressed more doubts than expected, probably because they are in the school environment. The use of active learning methodology and use of accessible language to by the group at the time of the exchange of experience, made it possible…
Introduction: the consumption of illicit drugs is a public health problem. Objective: the aim of this study is to identify the profile of street drug users in the city of Arapiraca. Methodology: users were recruited in welcoming communities and at the Special Reference Center for Population in Street Situation (POP Center). A sociodemographic questionnaire was used to provide access to the users profile. All the participants signed the Informed Consent Term (TCLE). Statistical analysis was performed using the Stastistics Package for Social Science (SSPS) version 21. Results: a total of 12 users participated in the study, the age group most affected was between 36 and 45 years. The majority of users were male. Regarding ethnicity, marital status and schooling, 50% declared themselves mixed race, 83.3% were single and 50% had incomplete elementary education. Conclusions: some studies have shown that street users are predominantly male and that this predominance may be related to cultural issues. Further studies with this theme are necessary to better assess the profile of users of psychoactive substances nationwide.
Introduction: Currently drug use is as a major problem of global public health, given the diversity of aspects involved in drug abuse, psychoactive substances exert impacts on users, families and community, contributing to damage to the physical and mental health, as well as the socio-economic vulnerability and legal problems. Objective: Analyze the degree of cocaine / crack users behavior in Cozy Communities and the Reference Center for Population Homeless (POP Center) located in Arapiraca city in Alagoas. Methodology: This is a research with a quantitative approach, performed in Cozy Communities and POP Center, which are distributed in the city of Arapiraca. The instrument used for the production of data was made by means of structured interviews conducted in the period May to July 2018, in its physical space of the institutions, listing the sociodemographic profile and Impulsiveness Scale – BIS 11. For impulsive behavior grade analysis was used to impulsiveness scale – 11 BIS, based on “Ernst Barratt model, which is considered as one of the most important in impulsive behavior explanation”. Results: The results obtained, the overall score obtained an average of 2.38 were found for each partial average score of the three subdomains impulsiveness, the resulting average motor impulsivity: 2.24 to attentional impulsivity: 2.51 and impulsivity not planning: 2.34. Conclusion: This study shows the importance of impulsivity associated with the pattern of use of psychoactive substances.
Assessment of Nurses’ Knowledge and Utilization of Evidence Based Practice and its Associated Factors
Background: Evidence based practice is conscientious, clear and judicious use of current best evidence in making decisions about the care of patient. It is becoming a worldwide concern for nurses, doctors and administrators at various level of health care settings considered as critical element to improve quality of health care services. Currently one of the major barriers to utilize Evidence-based practice is knowledge deficit especially in developing countries like Ethiopia. Objective: the aim of this study was to assess nurses’ knowledge and utilization of evidence-based practice and its associated factors in selected hospitals of three zones of SNNPR, South Ethiopia. Methods: setting: the study was carried out in a sample of three zonal and secondary hospitals because evidence based practice are more implemented at hospital settings. Study design and period: Facility-based descriptive cross-sectional study design was conducted among nurses working in selected hospitals of three zones of south region from March 30 to May 1, 2017. A total of 208 nurses answered a self-reported questionnaire and selected by using convenient sampling technique. Descriptive statistics, Bi-variate and multivariate logistic regression were used to analyze the data. A statistical significance was declared at p value
Amebiasis affects around 500 million people in the world. Clinical manifestations of intestinal amebiasis can overlap with symptoms of the inflammatory bowel disease (IBD). Many studies evaluated the relationship of IBD patients during exacerbation periods and amoebic colitis as it is important to rule out the infection before starting steroids and/or immunosuppressive treatment. This mini-review focused on the best strategy to diagnose the infection in this specific population, using classical stool analysis for ova and parasites, serology, investigations by PCR and colonoscopy according to the degree of clinical suspicion. It also suggested an algorithm for management approach where patients were divided into asymptomatic carriers vs. symptomatic patients under 5 ASA or immunosuppressive therapy having either a vegetative or cystic form of the infection. All these patients were treated accordingly by intraluminal agents, and nitroimidazole was added in the vegetative form. 5-ASA was not a contraindication for treatment, while immunosuppression is forbidden until after eradiation of EH. Amoebic infection should always be ruled out before starting treatment with steroid or immunosuppressive medications, in order to minimize its deleterious outcomes on IBD patients.
The Upgrading of Foreign Trade Industry in Jiangsu Province- Based on the Perspective of Global Value Chain
Based on the global value chain perspective, this study carried out a comprehensive analysis of foreign trade industry in Jiangsu province from four dimensions, including contribution rate of foreign trade industry to GDP, value chain division, value chain dependency and value chain links. Research showed that the four types of industry upgrades (processes, products, functions, chains) could be realized by integrating “Internet +” from the perspective of value chain. Therefore, we planned three proposals to promote the upgrading of Jiangsu foreign trade industry: Integrate and promote the value chain, merge the internet technology; extend the value chain, build Internet platform; reconstruct the value chain and optimize the trade process.
Study of the effect of sofosbuvir and daklatasivir on respiratory system in patients with chronic hepatitis C
Back ground: The aim is to study effect of sofosbuvir and daklatasivir on respiratory system. Patient and methods : A randomized study was done after all patients gave an informed consent before the start. The study population consists of 21 patients receiving treatment of HCV coming to the outpatient clinic of beni suef university hospital. Results : There is no major adverse effect of sofosbuvir and daklatasivir on respiratory system as proved by assessment of pulmonary function and Computed tomography before and after treatment.