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- ItemSomente MetadadadosAvaliação das habilidades em laparoscopia dos residentes de Ginecologia e Obstetrícia da Escola Paulista de Medicina - UNIFESP, após treinamento no Centro de Experimentação e Treinamento em Cirurgia (CETEC) do Hospital Israelita Albert Einstein(Universidade Federal de São Paulo (UNIFESP), 2016-12-31) Kikuchi, Carla Ferreira [UNIFESP]; Sartori, Marair Gracio Ferreira [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objective: To evaluate laparoscopic skills of third-year Gynecology and Obstetrics residents after training at a training and surgical experimentation center. Methods: Use of a prospective questionnaire analyzing demographic data, medical residency, skills, competences, and training in a box trainer and in pigs. Results: After the training, there was significant improvement in laparoscopic skills according to the residents (before 1.3/after 2.7; p=0.000) and preceptors (before 2.1/after 4.8; p=0.000). There was also significant improvement in the feeling of competence in surgeries with level 1 and 2 of difficulty. All residents approved the training. Conclusion: The training was distributed into 12 hours in the box trainer and 20 hours in animals, and led to better laparoscopic skills and a feeling of more surgical competence in laparoscopic surgery levels 1 and 2.
- ItemSomente MetadadadosGlobal training in ORL-HNS - Training of otolaryngologists in South America(Headley Brothers Ltd, 2000-11-01) Pontes, Paulo; Universidade Federal de São Paulo (UNIFESP)
- ItemAcesso aberto (Open Access)Prevalência e relação de fatores emocionais e clínicos em pacientes com discopatia degenerativa(Sociedade Brasileira de Coluna, 2010-06-01) Amaral, Vivian; Marchi, Luis; Oliveira, Leonardo [UNIFESP]; Pimenta, Luiz; Santa Casa de Misericórdia de São Paulo Instituto de Patologia da Coluna; Instituto da Patologia de Coluna; Universidade Federal de São Paulo (UNIFESP); Universidade de San Diego Instituto de Patologia da ColunaOBJECTIVES: to describe the psychosocial conditions, at the time of surgical indication, of patients with chronic low back pain caused by degenerative disc disease. METHODS: in a series of 32 cases of degenerative disc disease elective surgery, a psychological evaluation was performed before the surgery. In this evaluation, socio-demographic data were collected: gender; age; present working status; occurrence of withdrawal due to disability; and clinical-psychological data: pain; physical restraint; use of psychiatric medication controlled; degree of anxiety; degree of depression; degree of hopelessness; expectations before the surgical goal. RESULTS: the group was composed of 13 women and 14 men, mean age of 44.3 years old (23 to 65 years). The parameters of pain and physical restraint were compared to cases usually indicative of surgery, indicating no peculiarity in the studied group. We demonstrated a high and correlated prevalence of psychological changes in patients: 50% of depression, 54% of anxiety and 22% of hopelessness. Furthermore, it was possible to show high rates of absence from work due to physical disability and relation to the presence of anxiety and/or depression with cases in which expectations were misleading according to the surgical objective. CONCLUSIONS: chronic low back pain is accompanied by clinical pictures of pain and psychological disorders such as anxiety, depression and hopelessness. These parameters indicate the need for pre-surgical psychological evaluation and posterior follow-up, aiming at the rehabilitation of the patient.