Ensino da ultrassonografia diagnóstica a partir do ciclo básico do curso de medicina utilizando livro digital multimídia

Currently, the diagnostic ultrasound is inserted in various areas of medical action and carried out by many medical professionals, from which militate directly in the image area, such as radiologists and sonographers, but also by gynecologists, pediatricians, neurologists, general practitioners, endocrinologists, angiologists, orthopedists, rheumatologists, urologists, general and vascular surgeons. It is well known that the medical professional, for the exercise of its mission, requires a broad set of skills, competencies and attitudes developed and exercised during their training period. Living with medical students over nearly 20 years in hospital environment, I noticed gaps in the learning process by the students about what is diagnostic ultrasound and its applications, demonstrating failures as understanding the basic acoustic ultrasound, difficulties in identifying of anatomical structures in ultrasound images and inability in requests examinations and interpretations of images and reports. Based on these findings, it was developed in this Professional Masters a multimedia digital book that exposes what the ultrasound as a diagnostic modality imaging, dealing with its historiography and its physical/acoustic concepts, relating the process of formation of the ultrasound image, discussing about the features of sonographic equipments and their embedded technologies and highlighting its diagnostic applications , the latter presented through videos which will be described aspects of captured ultrasound images. This book will be available for access in digital format, serving as a teaching tool in medical education since the beginning of the course, so that can be used in conjunction with the discipline of Gross Anatomy, offered in the basic cycle of the Medicine Undergraduate Course of the Federal University of Rio Grande do Norte (UFRN).

Projeto ético-político do serviço social e organização política da categoria: dilemas e tensões contemporâneas

The present study was to apprehend the controversies that underlie the political organization of the category nowadays. The research established time frame as the decade from 2003 to 2013, more precisely the situation that opens with Lula's election to the Presidency and its repercussions for the Brazilian left, social movements and for the category. Through documentary research, we studied the professional aspects that are organized politically in different fields , notably the Federal Council of Social Service (CFESS) and the National Federation of Social Workers (FENAS). Seeking to understand their relationship with the Ethical - Political Project of the profession, public documents were analyzed expressing the political positions of these entities, placing the controversies and political differences between them and understanding the political organization as a means to building professionals and corporate projects many.

Diagnóstico e tratamento do TDA/H: investigação dos critérios utilizados por diferentes categorias profissionais da cidade de Natal-RN

TDA/H is usually considered among the most frequent psychological malfunctions in both childhood and adolescence. It covers a complex combination of neurocognitive deficits leading to developmental troubles linked to attention failure, hyperactivity and impulsivity. On the other hand, diagnosis of TDA/H is frequently a hard task, since sociocultural aspects concerning the evaluation of symptoms lead to some etiologic vagueness. Additionally, the large extent of evaluation tools, together with the diversity of therapeutic approaches referred by specialized literature justify the interest of investigating the diverse ways of diagnosing and treating TDA/H by medical doctors, psychologists and psycho-pedagogues developing professional activities in Natal-RN (Brazil) in the assistance of children and teenagers with TDA/H diagnosis hypothesis. A sample of thirty-four professionals participated in this study in a convenience-basis, and submitted to a semi-directed interview. Information from this procedure was analyzed, categorized and submitted to a multidimensional descriptive analysis (cluster analysis procedure), allowing to verify the partition of the sample in two groups: Group 1, basically composed by medical professionals, and Group 2, composed by psychologists and psycho-pedagogues. The categorized variable “Number of sessions” – average time used for arriving to a diagnosis – was the partition-variable showing the larger amount of statistical contribution for the partition, followed by the variables “Professional formation” and “Use of diagnostic tools”. Variables such “Comorbidity”, “TDA/H Definition” and Modalities of Intervention” also showed contribution to the partition obtained, even though their lesser amount of statistical contribution. Despite some similarity between these two groups, data allowed to demonstrate specific association between academic source-formation of the professional concerned and diagnosis and intervention modalities shown by these professionals when dealing with TDA/H. These data confirm relevant heterogeneity in dealing with TDA/H due to professional formation of professionals involved in diagnosis and treatment tasks.

Diagnóstico e tratamento do TDA/H: investigação dos critérios utilizados por diferentes categorias profissionais da cidade de Natal-RN

TDA/H is usually considered among the most frequent psychological malfunctions in both childhood and adolescence. It covers a complex combination of neurocognitive deficits leading to developmental troubles linked to attention failure, hyperactivity and impulsivity. On the other hand, diagnosis of TDA/H is frequently a hard task, since sociocultural aspects concerning the evaluation of symptoms lead to some etiologic vagueness. Additionally, the large extent of evaluation tools, together with the diversity of therapeutic approaches referred by specialized literature justify the interest of investigating the diverse ways of diagnosing and treating TDA/H by medical doctors, psychologists and psycho-pedagogues developing professional activities in Natal-RN (Brazil) in the assistance of children and teenagers with TDA/H diagnosis hypothesis. A sample of thirty-four professionals participated in this study in a convenience-basis, and submitted to a semi-directed interview. Information from this procedure was analyzed, categorized and submitted to a multidimensional descriptive analysis (cluster analysis procedure), allowing to verify the partition of the sample in two groups: Group 1, basically composed by medical professionals, and Group 2, composed by psychologists and psycho-pedagogues. The categorized variable “Number of sessions” – average time used for arriving to a diagnosis – was the partition-variable showing the larger amount of statistical contribution for the partition, followed by the variables “Professional formation” and “Use of diagnostic tools”. Variables such “Comorbidity”, “TDA/H Definition” and Modalities of Intervention” also showed contribution to the partition obtained, even though their lesser amount of statistical contribution. Despite some similarity between these two groups, data allowed to demonstrate specific association between academic source-formation of the professional concerned and diagnosis and intervention modalities shown by these professionals when dealing with TDA/H. These data confirm relevant heterogeneity in dealing with TDA/H due to professional formation of professionals involved in diagnosis and treatment tasks.

A Fraternidade como categoria política: princípio anunciado na educação brasileira

This dissertation has had the goal of understanding and discussing how the fraternity category is presented in the main Brazilian education laws after the promulgation of the 1988 Federal Constitution. The systematization of a theoretical base about the fraternity category in its relation with de Brazilian education regulatory landmarks has allowed the proposition of elements of this category. The process of building the theoretical references of this research was written from a historical recuperation of the French Revolution, taking into account the triad of its main principles, “liberty, equality, and fraternity”, as civic and political values. Likewise, the Haitian Revolution was considered because of the symbolic role this revolution played on the concretization of the triad through the slave and black people’s struggle whose aims were both participation in the colony’s power positions and in the abolishing of slavery. The modernity and post modernity issues, as well as the concepts of citizenship and human rights, are also took as theoretical references in order to identify characteristics and connections of each one of those themes and concepts with the fraternity as a political category. This analysis has allowed the elaboration and systematization of the fraternity category and its constitutive elements: the universality which is directly connected to the local and regional issues; the mondialization as a counter-argument to the globalization which is seen exclusively in its economic dimension; the participative democracy as alternative way to the representative democracy; the “alteridade” (a kind of altruism) due to its specific way to recognize the other one as someone pretty much like me; and the diversity which consider the multicultural perspective and the necessity of building unity. It was possible to identify that the first two elements of the triad, liberty and equality, were the most import ones over the so called modernity period when the triad was put in the second place or only in its religious dimension. The post modernity, in turn, has brought to light the fraternity due to its constitutive elements. It was also possible to highlight the citizenship as a modernity landmark and the human rights as an idea marked by the fraternity and directly linked with the post modernity. From this theoretical frame it was made an analysis of the legal instruments that organize and regulate the Brazilian education: the 1998 Federal Constitution; the Statute for Children and Adolescents; the National Brazilian Education Law; and the National Education Plan. All these legal instruments were discussed based on their relation with the fraternity as a political category and through the identification of its main constitutive elements. The methodological way was put into practice mainly through the qualitative dimension, especially the Bardin’s content analysis. The dissertation has permitted to emphasize that the fraternity as political category was not a forgotten principle in the Brazilian education legislation, but a principle not formally and textually declared yet.

Percepção ambiental como ferramenta diagnóstica para o processo de integração entre uma unidade de conservação e a comunidade do entorno

It is remarkable the current planet’s situation of degradation and modification of natural assets and the considerable loss of the recovery power inherent to the ecosystems. Concomitant with this, all communities and species are suffering the consequences of these changes without planning. The creation of conservation units (UCs) through the National System of Conservation Units (SNUC) was a concrete action on the deliberateness of halting these processes, which, on the other hand, generated socio-environmental, geo-economical and cultural-political conflict of interests between traditional communities in the vicinity of these units, institutions, governmental entities and society in general. The country’s National Program of Environmental Education (ProNEA) provides the integration of the communities and UCs’ managers in a co-participative administration to solve these conflicts. The principles of Environmental Education (EA) leads the methodology found to change the socio-educational paradigms of traditional teaching, still existing in our society and intrinsically related to environmental problems, which are contrary to the dialogic pedagogy from Paulo Freire, that valorize popular knowledge, pro-active citizenship, as well as contrary to Ecopedagogy, that re-integrate human being on its natural environment, the Earth. One of the tools for starting environmental sensitization is the diagnosis by environmental perception of individuals. In this context, the objective of our work was to identify the environmental perception of Tenda do Moreno community located nearby Pau Furado State Park (PEPF) in Uberlândia – MG. To reach this objective, the research sought, in a first moment, to evaluate the environmental perception of residents of this community through semi-structured interviews applied in their homes and, in a second moment, we evaluated the environmental perception of community’ school students and made Environmental Education intervention activities with the intention to make children aware of the importance of conservation and function of PEPF. Using the Content analysis methodology, we found in nearly 60% of the 118 residents a systemic perception of nature, while approximately 32% expressed an anthropocentric perception. Mixed perceptions were found in 21%. A considerable part of the residents (47 individuals) indicated not knowing the park, although many of them recognize its importance. Among the 46 interviewed students, half expressed an anthropocentric perception of nature, while almost 36% had a systemic view. Seventeen children said they did not know the park and almost half of the students recognize some aspect of the importance of its existence. During the intervention activities, we had huge participation and dedication of students, beyond the massive expression of their personal views and daily experiences. In relation to the ten students that subjected the second evaluation about their environmental perception after the intervention, 80% showed systemic perception and emphasized the importance of conservation and of park. We believe that the continuity of the intervention activities could generate positive perspectives of socio-environmental effective changes in the daily school. Activities lead by Ecopedagogy and that encourage the citizen leadership in the young students are fundamental, while in the community, closer ties and dialog by UC’s managers would be important elements to generate effective change.

Rendimiento y precisión diagnóstica de la punción-aspiración con aguja fina guiada por endoscopia en lesiones sólidas del tracto digestivo superior

Programa de doctorado: Avances en Medicina Interna. Bienio 2007-2009. La fecha de publicación es la fecha de lectura

Avaliação diagnóstica e seu impacto na aprendizagem

Cada vez mais as escolas de governo assumem uma posição estratégica apoiando o Estado no aperfeiçoamento dos servidores públicos e dos serviços prestados por eles. A questão qualitativa que perpassa a atuação dessas escolas deve ser atentamente discutida por conta dessas implicações. Por isso, nesse cenário, buscou-se realizar um estudo de caso na Escola Nacional de Administração Pública - ENAP, escola de governo localizada em Brasília - Brasil. O objetivo geral da investigação foi verificar se a utilização da avaliação diagnóstica nos processos de avaliação dos cursos de formação e aperfeiçoamento da área de administração pública oferecidos pela Escola potencializa o grau de aprendizagem discente. Para levantar essa resposta e sua relação com o processo de ensino-aprendizagem, o público alvo escolhido foi a turma de dezembro/2015 do curso Fundamentos do Pregão Eletrônico. A partir da aplicação de uma avaliação diagnóstica junto aos alunos do curso, foi possível levantar dados importantes sobre as práticas pedagógicas e a estrutura do curso. Dos aspectos positivos, é possível ressaltar que a ênfase prática do curso confirmou-se de forma eficaz nas avaliações, até mesmo pelo perfil levantado dos alunos, contudo, um dos pontos frágeis que mais chamou a atenção durante a pesquisa foi o aspecto do cumprimento dos objetivos de aprendizagem. A avaliação diagnóstica revelou que metade da turma não se sentia apta as competências propostas pela ENAP. Ao final, foi possível confirmar a importância da avaliação diagnóstica como instrumento de avaliação e construção do conhecimento, propondo-se a sua implantação no curso Fundamentos do Pregão Eletrônico e, além de outras recomendações, a formação de uma cultura avaliativa na escola baseada na reflexão e na ação estratégica, que da mesma forma que um escultor, vai lapidando o processo educacional. O tema não finda com a obtenção e análise dos dados apresentados na pesquisa mas traz contribuições relevantes para a comunidade científica e poderá ainda, ser material importante para estudos futuros na área da excelência da Gestão Pública relacionada às escolas de governo.

Espacialidad, etnohistoria y parentalidad de la selecci?n Valle del futbol categoria 1994 masculino

Tesis de Licenciatura en Educaci?n B?sica - ?nfasis en Ciencias Sociales

Evaluación diagnóstica de la Dismorfia Muscular: una revisión sistemática

El objetivo de este estudio fue examinar las investigaciones realizadas sobre la evaluación diagnóstica de la Dismorfia Muscular (DM). Se realizó una búsqueda sistemática en las bases PsycINFO y Medline de 1997 a 2012, los descriptores fueron: "muscle dysmorphic disorder" "vigorexia" y "male". 17 estudios cumplieron los criterios de inclusión, de éstos, todos utilizaron los criterios diagnósticos propuestos por Pope et al. (1997). Aquellos con DM están preocupados por el tamaño corporal, levantan pesas de 3 a 7 días por semana, realizan dietas hiperproteicas y en ocasiones utilizan suplementos alimentarios y esteroides. En conclusión, los criterios de Pope et al. (1997) son la base para el diagnóstico de DM y el DSM-5 los retoma al reconocer e incluir a la DM como una patología.

Validez diagnóstica de la dermatoscopía en lesiones malignas en la consulta de dermatología del Hospital Amatepec del Instituto Salvadoreño del Seguro Social en el período de Agosto 2014-Agosto 2015

La dermatoscopía es una herramienta útil para el diagnóstico de lesiones malignas de piel. Estas lesiones han incrementado su incidencia y mortalidad a nivel mundial. El diagnóstico temprano de las lesiones de piel, principalmente el melanoma, es el factor pronóstico más importante. La precisión diagnóstica del examen clínico dermatológico, no se correlaciona bien con el diagnóstico patológico. La dermatoscopía ha venido a acercar las características clínicas con los hallazgos histopatológicos. La presente investigación tiene como objetivo estimar la validez de la dermatoscopía para el diagnóstico de lesiones malignas de piel en la consulta de dermatología de Hospital Amatepec y/o unidades de la red del Instituto Salvadoreño del Seguro Social ISSS. Se realizó un estudio descriptivo de corte transversal de correlación diagnóstica. Toda la consulta de lesión maligna de piel, fue evaluada por médico residente acompañado de dermatólogo, realizando examen dermatológico a simple vista con criterios ABCDE; luego una evaluación por dermatoscopía aplicando la lista de los 3 pasos; y toda lesión sugestiva de melanoma se evaluó con dermatoscopio utilizando la lista de 5 pasos. La biopsia tomada por dermatólogo y evaluada por patólogo. La validez de la dermatoscopía se observa en el incremento de su especificidad del 8% al 75% manteniendo la sensibilidad con respecto a la inspección visual simple. Recomendamos el uso de la dermatoscopía y continuar estudio de esta técnica en un diseño multicéntrico con médicos de familia. Las lesiones melanocíticas y amelanocíticas sospechosas de malignidad deben ser biopsiadas.

LA VALORACIÓN DIAGNÓSTICA GRUPAL: UNA EXPERIENCIA CON ESTUDIANTES DE LA UNA

En este artículo se presentan los resultados, recomendaciones y la evaluación de una experiencia de valoración grupal en el servicio de atención psicológica a estudiantes de la Universidad Nacional. Esta valoración se formuló con un doble propósito: en primer lugar, ofrecer a la comunidad estudiantil universitaria que lo requiriera la posibilidad de contar con una modalidad de tratamiento grupal; así mismo, dar una respuesta pronta a las solicitudes de atención psicológica y procurar disminuir el tiempo de espera, logrando, además, una mayor cobertura del servicio.

Análisis de la capacidad diagnóstica de zoonosis neurológicas de tipo viral en équidos en Cundinamarca

Tesis (Médico Veterinario). -- Universidad de La Salle. Facultad de Ciencias Agropecuarias. Programa de Medicina Veterinaria, 2014

Análisis cinético de la locomoción en perros como metodología diagnóstica de enfermedades ortopédicas

Tesis (Médico Veterinario). -- Universidad de La Salle. Facultad de Ciencias Agropecuarias. Programa de Medicina Veterinaria, 2015