PURPOSE: Implement a constructivist approach in thoracic drainage training in surgical ex vivo pig models, to compare the acquisition of homogeneous surgical skills between medical students.
METHODS:Experimental study, prospective, transversal, analytical, controlled, three steps. Selection, training, evaluation. Inclusion criteria: a) students without training in thoracic drainage; b) without exposure to constructivist methodology. 2) Exclusion criteria: a) students developed surgical skills; b) a history of allergy. (N = 312). Two groups participated in the study: A and B. Lecture equal for both groups. Differentiated teaching: group A, descriptive and informative method; group B, learning method based on problems. A surgical ex vivo pig model for training the chest drain was created. Were applied pre and post-test, test goal-discursive and OSATS scale.
RESULTS:Theoretical averages: Group A = 9.5 ± 0.5; Group B = 8.8 ± 1.1 (p = 0.006). Medium Practices: Group A = 22.8 ± 1.8; Group B = 23.0 ± 2.8 (p <0.001).
CONCLUSION:Through the constructivist methodology implemented in the thoracic drainage training in surgical ex vivo pig models, has proven the acquisition of surgical skills homogeneous compared among medical students.
This case gives us the lesson that we need to include ASVC in the differential diagnosis of SVCS. The importance of the V-Leiden factor as a joint risk with this congenital defect for venous thromboembolism episodes was also highlighted.
Introdução: várias síndromes clínicas podem apresentam sintomas neurológicos e psiquiátricos. Objetivo: este artigo está focado em descrever as principais síndromes endócrinas que podem cursar com alterações psiquiátricas. Método: foi realizada uma revisão de literatura por meio de busca e análise de artigos em inglês no Pubmed com descritores e complementada com referências dos artigos primários. Discussão: doenças da tireoide, como o hipotireoidismo e hipertireoidismo e doenças relacionadas às glândulas adrenais como Feocromocitoma, Doença de Addison e as Síndromes e Doença de Cushing podem ocasionar sintomas de ordem psiquiátrica, suprimindo sintomas já existentes ou intensificando os mesmos. Conclusão: pode-se perceber que o psiquiatra clínico deve manter atenção para as interfaces clínicas das doenças endócrinas uma vez que essas afecções podem mimetizar os quadros psiquiátricos mais comuns e saber como criar uma rotina de rastreio clínico e laboratorial para exclusão ou diagnóstico desses casos.
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