608 resultados para Ambulatory
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Pós-graduação em Bases Gerais da Cirurgia - FMB
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Over the last decades of the 20th century, our society started an endless search for an ideal of beauty, advertised intensely by mass communication media. The concept of beauty pursued is being young, beautiful and thin. Thus, teenagers eventually die in the search for an ideal of body dominated by fat-fearing ideas. This article is a report about the field experience, during the collection of data for elaborating our Master’s Degree Dissertation on anorexia and adolescence. We went through an internship in an Eating Disease Program of a Mental Health Ambulatory from a Public University in the State of Sao Paulo, where we were able to experience the service organization, attention to users and the experience of anorexia, by the users in treatment. As the main result from this experience, it is possible to indicate the clientele profile, comprised predominantly by teenage girls, obsessed with the incessant pursuit of being thinner.
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Pós-graduação em Ginecologia, Obstetrícia e Mastologia - FMB
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Pós-graduação em Cirurgia Veterinária - FCAV
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Pós-graduação em Fisiopatologia em Clínica Médica - FMB
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Pós-graduação em Enfermagem - FMB
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Pós-graduação em Bases Gerais da Cirurgia - FMB
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Pós-graduação em Saúde Coletiva - FMB
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
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Pós-graduação em Doenças Tropicais - FMB
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In the context of medical school instruction, the segmented approach of a focus on specialties and excessive use of technology seem to hamper the development of the professional-patient relationship and an understanding of the ethics of this relationship. The real world presents complexities that require multiple approaches. Engagement in the community where health competence is developed allows extending the usefulness of what is learned. Health services are spaces where the relationship between theory and practice in health care are real and where the social role of the university can be revealed. Yet some competencies are still lacking and may require an explicit agenda to enact. Ten topics are presented for focus here: environmental awareness, involvement of students in medical school, social networks, interprofessional learning, new technologies for the management of care, virtual reality, working with errors, training in management for results, concept of leadership, and internationalization of schools. Potential barriers to this agenda are an underinvestment in ambulatory care infrastructure and community-based health care facilities, as well as in information technology offered at these facilities; an inflexible departmental culture; and an environment centered on a discipline-based medical curriculum.
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Sonohysterography was firstly described three decades ago. The saline solution infusion into the uterine cavity favors its use and provides excellent visualization of the anatomy and the inner cavity of the uterus better than the conventional transvaginal sonography To check the current role of sonohysterography in the uterine cavity assessment in women with abnormal uterine bleeding and asymptomatic, a literature review comparing sonohysterograph with conventional transvaginal sonography and/or ambulatory diagnostic hysteroscopy was carried out. To this end, relevant studies were researched in electronic databases Medline/PubMed, SciELO/LILACS. The sonohysterography is an ambulatory procedure, non-invasive, better cost-benefit, better sensitivity and specificity to identify uterine abnormalities, causing minimal discomfort and low complications rate. It was subject to revision which there is no more doubt about its accuracy. It can be concluded that the sonohysterography is a useful tool in the propedeutics to assess uterine cavity of symptomatic patients with abnormal uterine bleeding, infertility, recurrent miscarriages, and embryonic implantation failures in assisted reproduction treatment / in vitro fertilization and in any other intra and extra uterine cavity alteration. Hence, conventional transvaginal sonography is indicated as an initial method of assessment of the uterine cavity previously to ambulatory diagnostic hysteroscopy.
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Pós-graduação em Fisiopatologia em Clínica Médica - FMB
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Pós-graduação em Bases Gerais da Cirurgia - FMB
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)