ABSTRACT
Introdução: Agravo de grande importância biopsicossocial, queimadura é um tema crucial na formação médica, uma vez que recém-formados se deparam com pacientes que sofreram queimaduras nos mais variados cenários profissionais. Métodos: Este estudo avaliou o ensino e a aprendizagem do tema queimaduras em alunos do curso de Medicina de uma faculdade pública do Estado de São Paulo; foi aplicado um questionário específico para avaliar o conhecimento sobre o atendimento inicial ao paciente queimado na primeira série (grupo 1 - 54 estudantes), e na sexta série (grupo 2 - 60 estudantes). Resultados: Observou-se, no grupo 1, grande desconhecimento sobre o tema, com média geral de desconhecimento ("erros") de 70,98% e de acertos de 29,02%; no grupo 2, essas taxas foram de 36,66 % e 63,34 %, respectivamente. Somente 63,34% dos alunos do sexto ano conseguiriam conduzir adequadamente o tratamento de um paciente queimado e, consequentemente, oferecer a este paciente um melhor prognóstico. Conclusões: Os dados são preocupantes, uma vez que não se verificou conhecimento nem preparo adequados dos formandos para atendimento de pacientes queimados, e que queimaduras são situações de emergência que exigem intervenção médica rápida, adequada e eficiente, a fim de reduzir a morbimortalidade das vítimas.
Introduction: Burns, an injury of high biopsychosocial importance, are a crucial issue in medical training, and newly graduated students face burn patients in a variety of professional settings. Methods: This study assessed the teaching and learning of burns among medical students at a public facility in the State of São Paulo; a specific questionnaire was applied to evaluate first year (Group 1: 54 students) and sixth year (Group 2: 60 students) medical students' knowledge about the initial care of burn patients. Results: In Group 1, there was a substantial lack of knowledge about the subject, with a general average incorrect answer rate ("errors") of 70.98% and a correct answer rate of 29.02%; in Group 2, these rates were 36.66% and 63.34%, respectively. Only 63.34% of the sixth-year students would be able to adequately conduct the treatment of a burn patient, gauged by their ability to offer a patient a better prognosis. Conclusions: The data are disturbing, since adequate knowledge and preparation of the trainees for the care of burn patients has not been verified, and burns are emergency situations that require prompt, adequate, and efficient medical intervention to reduce patients' morbidity and mortality.
Subject(s)
Humans , History, 21st Century , Aptitude Tests , Burns , Evaluation Studies as Topic , Surveys and Questionnaires , Education, Medical , Educational Measurement , Emergency Medical Services , Health Sciences , Learning Curve , Aptitude Tests/standards , Evaluation Studies as Topic/methods , Surveys and Questionnaires/standards , Education, Medical/methods , Educational Measurement/methods , Emergency Medical Services/methods , Health Sciences/educationABSTRACT
Com o processo de envelhecimento, a incidência de diabetes aumenta principalmente entre a população sedentária. No entanto, poucos estudos verificam a aptidão física de idosos ativos e sua associação com a presença de diabetes. Objetivo: Analisar a associação entre a presença de diabetes e as aptidões físicas de idosos praticantes de exercícios físicos regulares. Material e Métodos: Este estudo descritivo foi realizado com os idosos dos projetos de atividades físicas do Grupo de Estudos da Terceira Idade(GETI) da Universidade do Estado de Santa Catarina (UDESC)e do Programa Saúde e Lazer do Instituto Federal de Santa Catarina (IF/SC). Foram avaliados 277 idosos de ambos os sexos, sendo 216 mulheres (média de idade de 67,05±8,24anos) e 61 homens (média de idade de 69,41±8,71 anos). Foram utilizados para coleta de dados uma ficha diagnóstica, o teste de força máxima de preensão manual e os testes físicos da bateria de testes Senior Fitness Test (SFT). Realizou-se estatística descritiva e inferencial por meio do teste Qui Quadrado ou Mann-Whitney, conforme a variável.Adotou-se um nível de significância de 5%. Resultados: Com relação ao diagnóstico clínico de diabetes, 33 (11,9%)afirmaram apresentar esse acometimento. Quanto às aptidões físicas observa-se que somente a agilidade(p=0,047) e resistência aeróbia (p=0,014) foram as aptidões cujas categorias apresentaram diferença significativa entre os grupos com e sem diagnóstico clínico de diabetes. Conclusão: Os idosos praticantes de exercícios físicos, com diabetes, têm pior desempenho na agilidade/equilíbrio dinâmico e resistência aeróbia quando comparados aos idosos sem a doença.
Introduction: With the aging process, there has been anincrease in the incidence of diabetes, especially among sedentary individuals. In spite of that, few studies have verified the physical skills of active old people and their association with the presence of diabetes. Objective: To assess the association between the presence of diabetes and physical skills in old people practitioners of regular exercise. Material and Methods: This descriptive study was conducted with old people participating of physical activities projects by the Study Group of the Third Age (GETI) at the State University of Santa Catarina (UDESC) and Leisure and Health Program at the Federal Institute of Santa Catarina (IF/SC). We evaluated 277 old people of both sexes, including216 women (mean age 67.05±8.24 years) and 61 men(69.41±8.71 years). For data collection, we used a diagnostic form, maximal handgrip strength test and physical tests contained in the battery of tests Senior FitnessTest (SFT).We carried out descriptive and inferential statistics by using the Chi Square or Mann-Whitney test, according to the variable. We adopted a significance level of 5%. Results: Atotal of 33 (11.9%) individuals reported having clinical diagnosis of diabetes. With regard to physical skills, it was observed that only agility (p=0,047) and aerobic resistance (p=0,014) were the skills that showed significant differences between the groups with and without a clinical diagnosis of diabetes. Conclusion: Old people practicing physical exercises with diabetes have worse performance in agility and aerobic resistance when compared to those without the disease.
Subject(s)
Humans , Male , Female , Aged , Physical Fitness/physiology , Diabetes Mellitus/diagnosis , Exercise/physiology , Health of the Elderly , Sociological Factors , Aptitude Tests/standardsABSTRACT
The purpose of the study was to identify technical item flaws in the multiple choice questions submitted for the final exams for the years 2009, 2010 and 2011. This descriptive analytical study was carried out in Islamic International Medical College [IIMC]. The Data was collected from the MCQ's submitted by the faculty for the final exams for the year 2009, 2010 and 2011. The data was compiled and evaluated by a three member assessment committee. The data was analyzed for frequency and percentages the categorical data was analyzed by chi-square test. Overall percentage of flawed item was 67% for the year 2009 of which 21% were for testwiseness and 40% were for irrelevant difficulty. In year 2010 the total item flaws were 36% and 11% testwiseness and 22% were for irrelevant difficulty. The year 2011 data showed decreased overall flaws of 21%. The flaws of testwisness were 7%, irrelevant difficulty were 11%. Technical item flaws are frequently encountered during MCQ construction, and the identification of flaws leads to improved quality of the single best MCQ's