ABSTRACT
An extensive review of the literature on the diagnostic and clinical accuracy of Kurjak's antenatal neurodevelopmental test (KANET) and the summarized results of the multi-center study involving 10 centers revealed that four-dimensional ultrasonography (4D US) has become a powerful tool and KANET a valuable test that empowers the clinicians worldwide to evaluate the fetal behavior in a systematic way and contribute to the detection of fetuses that might be at high risk for neurological impairments and in particular cerebral palsy (CP). After 10 years of clinical use, many published papers and multi-center studies, hundreds of trained physicians and numerous tests performed all over the world, KANET has proven its value and has been showing encouraging results so far. The aim of this paper is to show the results from the studies done so far and to reveal the clinical value of the KANET. We expect that data from the larger ongoing collaborative study, the short- and long-term postnatal follow-up will continue to improve our knowledge. Ultimately, we all strive to prevent the CP disorders, autism spectrum disorder (ASD) and other neurological impairments and we are convinced that KANET might be helpful in the realization of this important aim.
Subject(s)
Neurodevelopmental Disorders/diagnostic imaging , Neuropsychological Tests , Ultrasonography, Prenatal/methods , Autism Spectrum Disorder/diagnostic imaging , Cerebral Palsy/diagnostic imaging , Female , Humans , Multicenter Studies as Topic , PregnancyABSTRACT
Fetal neurology is evolving as an area of great interest in prenatal diagnosis and fetal medicine. The identification and diagnosis of brain damage prenatally has been a great challenge in obstetrics for many years. Investigations of fetal behavior in comparison with morphological studies led to the conclusion that fetal behavioral patterns directly reflect developmental and maturational processes of the fetal central nervous system (CNS). Four-dimensional (4D) ultrasound has greatly improved the assessment of the quality of the fetal spontaneous movements, and enabled a better evaluation of fetal behavior. The assessment of normal neurobehavioral development by 4D ultrasound provided the opportunity to investigate functional characteristics of the fetus that could predict neurological developmental dysfunction. Some studies have already been carried out to evaluate this new methodology in the observation of fetal behavior during different stages of gestation, in an attempt to better understand the relationships between the maturation of the CNS of the fetus and its implications on its behavior pattern. We present a review of literature on fetal behavior by 4D ultrasound.
Subject(s)
Fetal Development , Fetal Movement , Ultrasonography, Prenatal/methods , Central Nervous System/embryology , Female , Fetus , Humans , Imaging, Three-Dimensional/methods , Neurodevelopmental Disorders/diagnosis , Pregnancy , Prenatal Diagnosis/methodsABSTRACT
Este estudo dá continuidde ao projeto integrado de avaliaçäo de habilidades técnicas no curso de graduaçäo da faculdade de Medicina da Unioversidade Federal do Rio Grande do Sul (UFRGS). Nesta etapa, o treinamento dos alunos na disciplina " Introduçäo à Prática Médica III - Ginecologia e Obstetrícia" (MED 705), efetuado ao longo dos dois semestres de 1992, é comparado com sua equivalte no novo currículo médico da UFRGS (MED 708), no primeiro semestre de 1994. Questionários foram aplicados aos alunos antes e após o seu término, contendo uma lista com 17 habilidades consideradas básicas na área de ginecologia e obstetrícia e à formaçäo do médico geral. Estas habilidades foram agrupadas para análise em quatro categorias principais:exame ginecológico, exame obstétrico, identificaçäo de patologiasginecológicas-obstétricas e exames laboratoriais complementares. A comparaçäo entre as disciplinas, do currículo prévio e a nova, possibilitou a identificaçäo das habilidades que näo foram exercitadas a contento neste primeiro semestre de 1994, quais sejam:identificaçäo de prolapso genital e de doença inflamatória pélvica
Subject(s)
Curriculum , Education, Medical , Gynecology/education , Obstetrics/educationABSTRACT
Atraves da implantacao do Nucleo de Acompanhamento do Aluno (NAA), a Direcao da Faculdade de Medicina da Universidade Federal do Rio Grande do Sul (UFRGS), visa aprimorar a integracao entre alunos e tutores. Nesta etapa inicial de atividades, o NAA buscou descrever o perfil do academico de medicina, das turmas de ingresso 93/1 e 93/2, quanto a suas caracteristicas socio demograficas, educacionais e expectativas quanto a profissao medica. Dos 140 calouros de 1993, distribuidos em dois semestres, 107 (77.5 por cento ) responderam aos 52 itens do questionario aplicado na primeira atividade de recepcao aos mesmos. Os dados apontam para um calouro jovem, solteiro, habitualmente com familiar medico e sem restricoes a dedicacao integral ao curso. Os respondentes demonstraram alguma percepcao das oportunidades atuais do mercado de trabalho medico e da necessidade de zelarem por sua educacao continuada
