The purpose of this report was to evaluate the efficacy of cardiomyotomy combined with fundoplication in the treatment of achalasia. Results obtained in 15 patients are compared with those collected in 19 asymptomatic patients treated by the classical Heller operation (12 patients), or by cardiomyotomy combined with suture of phrenoesophageal ligament to the underside of the diaphragm (7 patients). The preventive action of fundoplication on reflux esophagitis and especially the effect of surgery on esophageal emptying are particularly examined, using two rigorous isotopic tests. It is demonstrated that even asymptomatic patients have, after cardiomyotomy without antireflux maneuvers, a very high risk of esophagitis. The statistical comparison using the gastroesophageal reflux index between patients treated by Heller cardiomyotomy and normals wasp <0.001 to the classical Heller, and 0.01 0.1), and maintained the improvement of the esophageal emptying.
OBJECTIVES: To describe the curricular matrices of pediatrics teaching in the medical schools of the city of Recife and metropolitan region, analyzing their adequacy in relation to the national guidelines. METHODS: Cross-sectional study. Data collection was done through a standardized form and the information provided by the coordinators or the teachers in a face-to-face interview. We dealt with aspects related to the hours of undergraduate and pediatric teaching activities; the moment of insertion of pediatrics in the curriculum grid and practical learning scenarios. The sample was composed by the six medical schools. RESULTS: The legal nature of the institutions was as follows: federal public 1/6, state public 1/6, and private 4/6. As for the hours of medical school, all schools had a workload of more than 7,000 hours and the workload allocated to pediatrics ranged from 601 to over 1,000 hours. The first contact of students with pediatrics occurred in the first year of the course in four of the institutions, while in others, is introduced at the second and the third year. All institutions carry out the evaluation of clinical knowledge in the first four years of the undergraduate course. CONCLUSION: It was verified that the teaching of pediatrics developed in the medical schools evaluated presents differences in the workload, although the majority ends up contemplating the objectives of the national curricular guidelines. The increase in the workload of pediatrics was related to the implementation of the family health strategy.
Os textos que integram este livro aprofundam e ampliam as possibilidades de pensar e propor a pesquisa e a ação educativa em diálogo e como desdobramento da Lei 11.645/08. Nesta obra, os(as) autores(as) apresentam experiências e reflexões plurais no que se refere à abordagem das perspectivas indígenas e afro-brasileiras na educação e que vão além de narrativas e práticas discursivas dominantes em espaços acadêmicos e escolares, apresentando formatos e linguagens muito diversos, entre ensaios, poesias, relatos de práticas educativas, imagens, vídeos, entrevistas e narrativas autobiográficas. Além dos textos e imagens, a publicação apresenta referências de vídeos e sites que ampliam e aprofundam os temas e questões discutidos pelos(as) autores(as) e que podem ser acessados via QR Code - um código de barras em 2D escaneado por aparelhos celulares com câmera fotográfica. Para acessar os conteúdos digitais, é necessário baixar gratuitamente um aplicativo de leitura.
O ensino de Antropologia em “outros cursos” – aqueles que não são as graduações em Ciências Sociais nem as pós-graduações em Antropologia – é uma preocupação da Associação Brasileira de Antropologia por mais de sessenta anos, no sentido de compreender como ela é ensinada para alunosque não serão antropólogos. Assim, o presente trabalho apresenta as perspectivas observadas para o ensino de Antropologia no curso de Design de Moda e Estilismo da Universidade Federal do Piauí, em Teresina. Com este objetivo, foram estudados legislação pertinente e documentos institucionais,observadas dezenas de aulas e entrevistados coordenadores, professores e alunos. Como resultado, o artigo reúne informações sobre unidades curriculares, conteúdos abordados, referencial teórico e docentesresponsáveis pelo ensino relacionado à Antropologia neste curso.
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