Medical students' personal choice for mode of delivery in Santa Catarina, Brazil: a cross-sectional, quantitative study

Background: The increase in overall rates of cesarean sections (CS) in Brazil causes concern and it appears that multiple factors are involved in this fact. In 2009, undergraduate students in the first and final years of medical school at the University of Santa Catarina answered questionnaires regarding their choice of mode of delivery. The aim of the study was to evaluate whether the education process affects decision-making regarding the waay of childbirth preferred by medical students.Methods: A cross-sectional, quantitative study was conducted based on data obtained from questionnaires applied to medical students. The questions addressed four different scenarios in childbirth, as follows: under an uneventful pregnancy; the mode of delivery for a pregnant woman under their care; the best choice as a healthcare manager and lastly, choosing the birth of their own child. For each circumstance, there was an open question to explain their choice.Results: A total of 189 students answered the questionnaires. For any uneventful pregnancy and for a pregnant woman under their care, 8.46% of the students would opt for CS. As a healthcare manager, only 2.64% of the students would recommend CS. For these three scenarios, the answers of the students in the first year did not differ from those given by students in the sixth year. In the case of the student's own or a partner's pregnancy, 41.4% of those in the sixth year and 16.8% of those in the first year would choose a CS. A positive association was found between being a sixth year student and a personal preference for CS according to logistic regression (OR = 2.91; 95%CI: 1.03-8.30). Pain associated with vaginal delivery was usually the reason for choosing a CS.Conclusions: A higher number of sixth year students preferred a CS for their own pregnancy (or their partner's) compared to first year students. Pain associated with vaginal delivery was the most common reason given for haven chosen a CS. The students' preference for childbirth changed over time during their graduation in favor of cesarean sections. This finding deserves considerable attention when structuring medical education in Obstetrics.

Motivação e personal trainning

Currently, health is one of the issues of concern of society. Health can be understood as a direct link between the practice of regular exercise and quality of life. Within this course of reasoning, comes the role of physical education professional. In this perspective, we have the Personal Trainer. Personal Trainer is the professional who makes exercise prescription, individually, with improvement goals fitness and others. This professional is someone trained in Physical Education and has qualification and training for that function. Thus, the aim of this study is to identify the reasons why the practitioners of physical exercise to train under the supervision of a Personal Trainer. To achieve the above goal was accomplished, a review of major studies on the subject. Thus, this work it is a research bibliography. On the literature review it is evident the professional demand due to a cultural change and, moreover, the need for and accessibility of this professional, the Personal Trainer. In addition, the adhesion of reasons in class Personal Trainer to give the competence of the professional in achieving goals and objectives of the student, respecting the individuality and motivation of each student, reasons that may be intrinsic or extrinsic. In Motivation respect, it is clear the need for deepening of the term, to be able to adequately meet the student