Does bench model fidelity interfere in the acquisition of suture skills by novice medical students?

OBJETIVO: Embora vários modelos de bancada inanimados tenham sido descritos para o treinamento de habilidades de sutura, até o momento, não existe um método ideal para esse ensino e aprendizagem durante a formação médica. O objetivo foi avaliar se a fidelidade dos modelos de bancada interfere na aquisição de habilidades de sutura em estudantes de medicina iniciantes na prática cirúrgica. MÉTODOS: 36 estudantes de medicina sem exposição prévia a habilidades cirúrgicas foram randomizados em três grupos (n = 12): treinamento de suturas baseado em materiais didáticos (controle); treinamento de suturas em modelo de baixa-fidelidade (modelo de bancada de etileno vinil acetato); ou treinamento de suturas em modelo de alta-fidelidade (modelo de bancada de pele de pata de porco). Foram aplicados pré e pós-testes (realização de pontos simples e pontos subdérmicos invertidos em língua de boi). Três ferramentas (Global Rating Scale com avaliação cega, tamanho do efeito e autopercepção da confiança baseada em uma escala de Likert) foram utilizadas para mensurar todas as performances de sutura. RESULTADOS: A análise após o treinamento demonstrou que os estudantes que treinaram nos modelos tiveram um melhor (p < 0.0000) desempenho na avaliação pela Global Rating Scale, quando comparados com o controle, independente da fidelidade do modelo. A magnitude do efeito (treinamento) foi considerada grande (> 0.80) em todas as mensurações. Após o treinamento os alunos sentiram-se mais confiantes (p < 0.0000) para executarem os dois tipos de suturas. CONCLUSÃO: A aquisição de habilidades de suturas no modelo de baixa fidelidade foi semelhante à prática no modelo de alta fidelidade, sendo que a melhora no desempenho dos participantes que treinaram nesses dois modelos foi superior à aprendizagem baseada em materiais didáticos.

Are large-scale distributional shifts of the blue-winged macaw (Primolius maracana) related to climate change?

Aim To evaluate whether observed geographical shifts in the distribution of the blue-winged macaw (Primolius maracana) are related to ongoing processes of global climate change. This species is vulnerable to extinction and has shown striking range retractions in recent decades, withdrawing broadly from southern portions of its historical distribution. Its range reduction has generally been attributed to the effects of habitat loss; however, as this species has also disappeared from large forested areas, consideration of other factors that may act in concert is merited.Location Historical distribution of the blue-winged macaw in Brazil, eastern Paraguay and northern Argentina.Methods We used a correlative approach to test a hypothesis of causation of observed shifts by reduction of habitable areas mediated by climate change. We developed models of the ecological niche requirements of the blue-winged macaw, based on point-occurrence data and climate scenarios for pre-1950 and post-1950 periods, and tested model predictivity for anticipating geographical distributions within time periods. Then we projected each model to the other time period and compared distributions predicted under both climate scenarios to assess shifts of habitable areas across decades and to evaluate an explanation for observed range retractions.Results Differences between predicted distributions of the blue-winged macaw over the twentieth century were, in general, minor and no change in suitability of landscapes was predicted across large areas of the species' original range in different time periods. No tendency towards range retraction in the south was predicted, rather conditions in the southern part of the species' range tended to show improvement for the species.Main conclusions Our test permitted elimination of climate change as a likely explanation for the observed shifts in the distribution of the blue-winged macaw, and points rather to other causal explanations (e.g. changing regional land use, emerging diseases).

Exploring community assembly through an individual-based model for trophic interactions

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Grand unification and proton stability near the Peccei-Quinn scale

We show that in an SU(2)circle timesU(1) model with a Dine-Fischler-Srednicki-like invisible axion it is possible to obtain (i) the convergence of the three gauge coupling constants at an energy scale near the Peccei-Quinn scale; (ii) the correct value for sin(2)theta<^>(W)(M-Z); (iii) the stabilization of the proton by the cyclic Z(13)circle timesZ(3) symmetries which also stabilize the axion as a solution to the strong CP problem. Concerning the convergence of the three coupling constants and the prediction of the weak mixing angle at the Z peak, this model is as good as the minimal supersymmetric standard model with mu(SUSY)=M-Z. We also consider the standard model with six and seven Higgs doublets. The main calculations were done in the 1-loop approximation but we briefly consider the 2-loop contributions.

Spontaneous CP violation in the 3-3-1 model with right-handed neutrinos

We implement the mechanism of spontaneous CP violation in the 3-3-1 model with right-handed neutrinos and recognize their sources of CP violation. Our main result is that the mechanism works already in the minimal version of the model and new sources of CP violation emerges as an effect of new physics at energies higher than the electroweak scale.

SU(5)circle times Z(13) grand unification model

We propose an SU(5) grand unified model with an invisible axion and the unification of the three coupling constants which is in agreement with the values, at M(Z), of alpha, alpha(s), and sin(2)theta(W). A discrete, anomalous, Z(13) symmetry implies that the Peccei-Quinn symmetry is an automatic symmetry of the classical Lagrangian protecting, at the same time, the invisible axion against possible semiclassical gravity effects. Although the unification scale is of the order of the Peccei-Quinn scale the proton is stabilized by the fact that in this model the standard model fields form the SU(5) multiplets completed by new exotic fields and, also, because it is protected by the Z(13) symmetry.

Neutrino masses through a type II seesaw mechanism at TeV scale

In this work we show that we can generate neutrino masses through the type II seesaw mechanism working at TeV scale in the context of a 331 model. (C) 2001 Published by Elsevier B.V. B.V.

3-3-1 models at electroweak scale

We show that in 3-3-1 models there exist a natural relation among the SU(3)(L) coupling constant g, the electroweak mixing angle theta(W), the mass of the W, and one of the vacuum expectation values, which implies that those models can be realized at low energy scales and, in particular, even at the electroweak scale. So that, being that symmetries realized in Nature, new physics may be really just around the corner. (c) 2006 Elsevier B.V. All rights reserved.

Closing the SU(3)(L)circle times U(1)(X) symmetry at the electroweak scale

We show that some models with SU(3)(C)circle times SU(3)(L)circle times U(1)(X) gauge symmetry can be realized at the electroweak scale and that this is a consequence of an approximate global SU(2)(L+R) symmetry. This symmetry implies a condition among the vacuum expectation value of one of the neutral Higgs scalars, the U(1)(X)'s coupling constant, g(X), the sine of the weak mixing angle sin theta(W), and the mass of the W boson, M-W. In the limit in which this symmetry is valid it avoids the tree level mixing of the Z boson of the standard model with the extra Z(') boson. We have verified that the oblique T parameter is within the allowed range indicating that the radiative corrections that induce such a mixing at the 1-loop level are small. We also show that a SU(3)(L+R) custodial symmetry implies that in some of the models we have to include sterile (singlets of the 3-3-1 symmetry) right-handed neutrinos with Majorana masses, since the seesaw mechanism is mandatory to obtain light active neutrinos. Moreover, the approximate SU(2)(L+R)subset of SU(3)(L+R) symmetry implies that the extra nonstandard particles of these 3-3-1 models can be considerably lighter than it had been thought before so that new physics can be really just around the corner.

Mesonic correlation functions at finite temperature in the NJL model

We employ the NJL model to calculate mesonic correlation functions at finite temperature and compare results with recent lattice QCD simulations. We employ an implicit regularization scheme to deal with the divergent amplitudes to obtain ambiguity-free, scale-invariant and symmetry-preserving physical amplitudes. Making the coupling constants of the model temperature dependent, we show that at low momenta our results agree qualitatively with lattice simulations.

gamma p and gamma gamma scattering from (p)over-bar-p, pp forward amplitudes in a QCD eikonal model with a dynamical gluon mass

We examine the gamma p photoproduction and the hadronic gamma gamma total cross sections by means of a QCD eikonal model with a dynamical infrared mass scale. In this model, where the dynamical gluon mass is the natural regulator for the tree level gluon-gluon scattering, the gamma p and gamma gamma total cross sections are derived from the pp and (p) over barp forward scattering amplitudes assuming vector meson dominance and the additive quark model. We show that the validity of the cross section factorization relation sigma(pp)/sigma(gamma p)=sigma(gamma p)/sigma(gamma gamma) is fulfilled depending on the Monte Carlo model used to unfold the hadronic gamma gamma cross section data, and we discuss in detail the case of sigma(gamma gamma -> hadrons) data with W-gamma gamma> 10 GeV unfolded by the Monte Carlo generators PYTHIA and PHOJET. The data seems to favor a mild dependence with the energy of the probability (P-had) that the photon interacts as a hadron.

Three-Higgs-doublet model with A(4) symmetry

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

DYNAMICAL SYMMETRY BREAKING IN A MINIMAL 3-3-1 MODEL

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

THE HIGGS PORTAL and AN UNIFIED MODEL FOR DARK ENERGY and DARK MATTER

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Extension of the Nambu-Jona-Lasinio model predictions at high densities and temperatures using an implicit regularization scheme

Traditional cutoff regularization schemes of the Nambu-Jona-Lasinio model limit the applicability of the model to energy-momentum scales much below the value of the regularizing cutoff. In particular, the model cannot be used to study quark matter with Fermi momenta larger than the cutoff. In the present work, an extension of the model to high temperatures and densities recently proposed by Casalbuoni, Gatto, Nardulli, and Ruggieri is used in connection with an implicit regularization scheme. This is done by making use of scaling relations of the divergent one-loop integrals that relate these integrals at different energy-momentum scales. Fixing the pion decay constant at the chiral symmetry breaking scale in the vacuum, the scaling relations predict a running coupling constant that decreases as the regularization scale increases, implementing in a schematic way the property of asymptotic freedom of quantum chromodynamics. If the regularization scale is allowed to increase with density and temperature, the coupling will decrease with density and temperature, extending in this way the applicability of the model to high densities and temperatures. These results are obtained without specifying an explicit regularization. As an illustration of the formalism, numerical results are obtained for the finite density and finite temperature quark condensate and applied to the problem of color superconductivity at high quark densities and finite temperature.