ABSTRACT
ABSTRACT: Introduction: With the current reality that we are experiencing with the beginning of the new coronavirus (nCov) pandemic, everyone is dealing with new challenges. Among these, there are medical students, with their practical activities interrupted and many concerns. Objective: This article portrays the experience of medical students attending internship and the impact of the pandemic on medical education. Discussion: Among the multiple issues that students have been experiencing, there is a duality between the desire to engage in the fight against the pandemic and the fear of contamination of their friends and family. Furthermore, there is an increasing offer of online content, such as courses, congresses, and discoveries regarding COVID-19. With the massive adoption of Open and Distance Learning, the student faces the duality between traditional and active teaching methods, in addition to fear about the interruption of practical activities and the question of when they will be re-established. Finally, there are concerns about the students' future: when and how they will complete the medical course, and the preparation for Medical Residency Exams. Conclusion: It is clear that the pandemic is significantly affecting already concerned medical students, in multiple aspects of their lives, about their training and completion of the course. (AU)
RESUMO: Introdução: Com a atual realidade que estamos vivenciando com o início da pandemia do Novo Coronavírus, todos têm enfrentado o desafio de lidar e se adaptar às novas dificuldades. Entre esses grupos sociais, estão os acadêmicos de Medicina, com suas atividades práticas interrompidas e muitas angústias e preocupações. Objetivo: Este artigo retrata a experiência vivenciada por acadêmicos de medicina cursando o internato sobre o impacto da pandemia na educação médica. Discussão: Dentre os múltiplos questionamentos que os acadêmicos têm vivenciado e as consequências que o isolamento tem trazido, observa-se a dualidade entre o desejo de participar da linha de frente no combate à pandemia e o medo acerca da contaminação de seus amigos e familiares. Ademais, observa-se uma grande oferta de conteúdos online, como cursos, congressos e descobertas a respeito do COVID-19, em contraponto ao reduzido tempo disponível para tal. Com a instituição do Ensino à Distância (EAD), o estudante depara-se, também, com a dualidade existente entre métodos tradicionais e ativos de aprendizagem. Soma-se a isso, o medo acerca da perda de atividades práticas importantes para sua formação e o questionamento sobre quando serão repostas de forma adequada. Por fim, observa-se o receio sobre o futuro do estudante: quando e como será a conclusão do curso de Medicina e o preparo para as sabidamente concorridas provas de Residência Médica. Conclusão: Percebe-se que a pandemia está afetando de forma significativa os já preocupados acadêmicos de Medicina, em múltiplos aspectos de suas vidas, acerca de sua formação e conclusão do curso. (AU)
Subject(s)
Students, Medical , Education, Distance , Education, Medical , COVID-19 , Internship and ResidencyABSTRACT
Abstract Purpose To compare Fructose-1,6-Bisphosphate (FBP) to Histidine-Tryptophan-Ketoglutarate (HTK) in liver preservation at cold ischemia. Methods Male rats (Sprague-Dawley: 280-340g) divided into three groups (n=7): Control; Fructose-1,6-bisphosphate (FBP); Histidine-Tryptophan-Ketoglutarate (HTK). Animals underwent laparotomy-thoracotomy for perfusion of livers with saline. Livers were removed and deposited into solutions. Mitochondria were isolated to determine State 3 (S3), State 4 (S4), Respiratory Control Ratio (RCR) and Swelling (S). Liver enzymes (AST, ALT, LDH) were determined in solution. At tissue, Malondialdehyde (MDA) and Nitrate (NOx) were determined. All parameters were analyzed at 0.6 and 24 hours of hypothermic preservation. Statistics analysis were made by Mann-Whitney test (p<0.05). Results Regarding ALT, there was a difference between FBP-6h/HTK-6h, lower in HTK. Regarding AST, there was a significant difference between FBP-24h/HTK-24h, lower in FBP. Regarding NOx, there was a difference between 0h and 6h, as well as 0h and 24h for both solutions. Regarding S3, there was a significant difference in 24h compared to Control-0h for both solutions, and a significant difference between FBP-6h/FBP-24h. Regarding S4, there was a difference between Control-0h/HTK-24h and FBP-24h/HTK-24h, higher in HTK. There was a difference between Control-0h/FBP-24h for Swelling, higher in FBP. Conclusion Fructose-1,6-Bisphosphate showed better performance at nitrate and aspartate aminotransferase compared to histidine-tryptophan-ketoglutarate.