Introduction Simulation in neurosurgery is a growing trend in medical residency programs around the world due to the concerns there are about patient safety and the advancement of surgical technology. Simulation training can improve motor skills in a safe environment before the actual setting is initiated in the operating room. The aim of this review is to identify articles that describe Brazilian simulators, their validation status and the level of evidence (LoE).
Methodology This study was conducted using the Preferred Reported Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. A search was performed in the Medline, Scielo, and Cochrane Library databases. The studies were evaluated according to the Medical Education Research Quality Instrument (MERSQI), and the LoE of the study was established according to the classification system of the Oxford Centre for Evidence-Based Medicine (OCEBM), which has been adapted by the European Association of Endoscopic Surgery.
Results Of all the studies included in this review, seven referred to validated simulators. These 7 studies were assigned an average MERSQI score of 8.57 from 18 possible points. None of the studies was randomized or conducted in a high-fidelity environment. The best evidence was provided by the studies with the human placenta model, which received a score of 2b and a degree of recommendation of 3.
Conclusion Brazilian simulators can be reproduced in the different laboratories that are available in the country. The average MERSQI score of Brazilian studies is similar to the international average score. New studies should be undertaken to seek greater validation of the simulators and carry out randomized controlled trials.
Polirradiculopatia inflamatória, aguda, de caráter progressivo, a Síndrome de Guillain Barré normalmente acontece pós exposição a um agente infeccioso, ou a um estímulo, desencadeando o comprometimento dos motoneurônios periféricos. Objetivo: Comparar alterações eletrofisiológicas com ganhos funcionais na SGB, observando a relação entre prognóstico e alteração no exame eletroneuromiográfico e verificando a condição dos pacientes após um ano do início do quadro clínico. Métodos: Revisão de prontuários dos pacientes atendidos no Centro de Reabilitação e Readaptação Dr. Henrique Santillo - CRER, no período de 2008 a 2014. Resultados: Inicialmente localizados quarenta e oito casos, destes apenas dezenove, inicialmente, foram selecionados por terem estado internados no CRER no período selecionado para o estudo, houve exclusão de um paciente por não constar em prontuário o resultado da eletroneuromiografia, permanecendo na pesquisa, então, dezoito pacientes. Conclusão: A reabilitação tem um papel fundamental no resultado final e cuidados ao longo prazo em pacientes que tiveram SGB, sendo um trabalho diferenciado a internação em centro de reabilitação melhorando a capacidade de diminuir os danos causados pela doença, independente dos déficits funcionais adquiridos. Os dados apontaram que os ganhos funcionais ao longo de um ano após início da doença, não têm relação direta com o que é encontrado no exame eletroneuromiográfico.
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