Mestrado Profissional em Ensino em Saúde - Educação Médica
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Navegando Mestrado Profissional em Ensino em Saúde - Educação Médica por Orientador "Miranda, Ariney Costa de"
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Item Análise comparativa de perfil epidemiológico e imuno-histoquímico em pacientes jovens com câncer de mama em clínica privada(Centro Universitário do Estado do Pará, 2019-05-29) Neiva, Christianne Gomes Barros; Miranda, Ariney Costa de; Carvalho, Ana Emília Vita; http://lattes.cnpq.br/1981562999898097; http://lattes.cnpq.br/0967752058385887; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Bacelar, Herick Pampolha Huet de; http://lattes.cnpq.br/3310315262508382Breast câncer in Young people is considered an uncommon disease accounting for less than 7% for all women diagnosed with câncer in developed countries. In the last decade, there have been fundamental changes in the understanding of the biology of breast cancer, which has come to be understood as a group of diseases with different molecular characteristics identified by gene expression profiles. This was a longitudinal retrospective case-control study in which 60 patients with a diagnosis of breast cancer, 20 young patients (≤ 40 years), Case group (Gca) and 40 patients (contro lgroup - CG) were evaluated, These groups were subdivided into two age groups: Groups 1 (GC1) with patients aged 41-59 years and Control groups 2 (GC2) with patients aged 60 or over. The patients underwent oncologic surgery, in the period between May/2013 and October/2018. The mean age of the participants was 34.2 years; 85% had symptomatic diseases; the mean tumor size was 2.6cm; 20% had a first-degree family history, and 35% had loco regional lymph nodes in the study. Histopathological examination. Regarding Postoperative Staging, 1A was more frequent. The luminal profile A was found in 38.8% of the patients, followed by luminal B in 33.3% and triple in 27.8% in the case group. Differing from the literature, in which predominance of the B-luminal profile occurs. We conclude that the sample studied presented fewer aggressive cases than found in the literature in this age group. The diagnosis of breast câncer is a challenge in this age group because women do not usually do mammographic screening before 40 years. With the purpose of drawing attention and orientation regarding breast cancer in Young women and guiding health professionals, a primer was produced with the purpose of encouraging, whenever possible, the early diagnosis and better therapeutic conduct of the patients.Item Avaliação do processo ensino-aprendizagem do eletrocardiograma na graduação médica(Centro Universitário do Estado do Pará, 2021) Holanda, Vitor Bruno Teixeira de; Miranda, Ariney Costa de; Nunes, Leonardo Mendes Acatauassú; http://lattes.cnpq.br/3512764081076675; http://lattes.cnpq.br/0967752058385887; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Bacelar, Herick Pampolha Huet de; http://lattes.cnpq.br/3310315262508382; Portella, Marcia Bitar; http://lattes.cnpq.br/9865172579876286Medical teaching of the electrocardiogram is a worldwide challenge, there is still no methodology considered as the “gold standard”. With the advent of the new National Curricular Guidelines, the need to learn basic diagnostic methods is clear. General Objective: Evaluation of the methodology applied for teaching electrocardiogram interpretation, in the undergraduate medical course at Centro Universitário do Pará. Specific Objectives: To identify the teaching-learning process of the electrocardiogram in the 3rd semester of the CESUPA Medicine course. Describe, from observation, the methods used by teachers to teach the electrocardiogram within the Medical Pedagogical Project of CESUPA in the Clinical Skills Module of the 3rd semester. Develop an illustrated script based on the results obtained, which facilitates the understanding and learning of the ECG. Methodology: This is a descriptive, cross-sectional observational study, with a quantitative and qualitative approach. The present study observed a group from the Clinical Skills Discipline of the Medical Course of the University Center of the State of Pará (CESUPA), from the academic period of the 3rd semester, in which the teaching of the electrocardiogram is introduced. Data collection was performed through the application of the semi-structured, quantitative and qualitative questionnaire based on the Likert scale. The applied method was the triangulation of the perception of the observer, teachers and students. Results: In the students' responses, it can be seen that the percentage regarding the statement “if active methodology was applied during the teaching-learning process”, obtained a greater amount of concordant response 5 (63%) and 4 (15.79%). A higher percentage was obtained among the concordant responses, 5 (35.09) and 4 (31.58%), for the statement "there are stimuli for memorizing the measurement values", calling attention to the percentage of responses "I do not know how to give an opinion. as for the answers to affirmative “there is an emphasis on understanding the stimuli that give rise to electrocardiographic waves”, there was 91.22% disagreement. In the teachers' reply “was an active methodology applied during the teaching-learning process?”, There was a 100% response, I totally agree, and we had two justifications. The responses to statement 5 demonstrated the perception of not achieving the ideal result in the teaching-learning objective of the electrocardiogram. As for the observer: there was complete agreement with statements 2 and 3 only, completely disagreeing with the statement “the students demonstrate the ability to assess whether the ECG was well performed”. Conclusions: The search for better efficiency was evident, mixing traditional and active methods and tools, in the quest to achieve the pedagogical objectives. However, in the identification of the teaching-learning process, the ability to stimulate creation and evaluation in Bloom's taxonomy was lacking.Item Construção de instrumento de avaliação das habilidades comportamentais em simulação realística na graduação em medicina(Centro Universitário do Estado do Pará, 2019) Andrade, Selma Parente Sousa; Miranda, Ariney Costa de; Pinto, Ana Rachel; http://lattes.cnpq.br/2268370803567328; http://lattes.cnpq.br/0967752058385887; Carvalho, Ana Emília Vita; http://lattes.cnpq.br/1981562999898097; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309; Corrêa, Cláudio Eduardo Teixeira; http://lattes.cnpq.br/7448998858430931; Nunes, Leonardo Mendes Acatauassú; http://lattes.cnpq.br/3512764081076675; Furlaneto, Ismari Perini; http://lattes.cnpq.br/9542085122721945Introduction: Adequate training of the technical, and non-technical medical students skills is required, especially in a medical emergency situation, since training suitable professionals how to conduct serious cases significantly reduces the occurrence of mistakes and damages to the patient. Real-simulation-based learning allows the trainee to be prepared on how to deal with critical situations before contacting actual patients, particularly during the emergency context. Some non-technical or behavioral skills can be especially hard to be taught and trained. For this reason, the use of specific tools like behavioral checklists or scripts, become relevant to favor this task. It is crucial to mention that such tools should also be linked to the student's reality. However, as such tools are currently unavailable in our teaching institution, we have chosen to build one, based on existing scales in the literature. Objective: The aim of this study was to create a behavioral checklist applied to the realistic simulation environment of the urgency and emergency module from CESUPA medical course. Methods: For this reason, a literature review was carried out on the undergraduate competences and currently validated scales in the health area that addressed the main behavioral skills of the medical professional. From then on, the checklist developed was evaluated by four judges and applied to the students of the boarding school in Emergency and Emergence of CESUPA. The analyzed data was treated using descriptive statistics, expressed as median, interquartile range, percentiles and 95% Confidence Interval. Results: The generated checklists have been filled by a total of 30 students, from which 28 have been selected. Attitudes related to 'communication' skills have been significantly more frequent than those related to 'teamwork'; when students' performance involved 'airways' (p = 0.0195),' polytrauma '(p = 0.0011) and 'acute coronary syndrome' (p = 0.0490). In simulated cases of 'thoracic drainage' the frequency of ‘leadership’ behavior have shown to be significantly higher than those of ‘teamwork’ (p = 0.0022). Conclusion: 1. Communication, leadership and teamwork were considered three essential behavioral skills to be applied in our tool (checklist), in order to aid realistic high fidelity simulation activities at the urgent and emergency internship of CESUPA’s medical school. 2. The checklist built as a product of this work will be used as an auxiliary tool in our scenarios for analysis and behavioral discussion during debriefing and it may also be modified, adapted and improved for posterior use in different activities in our institution. 3. We believe those studied behavioral skills might have their anticipated training in related activities through in diverse contexts in order to provide greater mastery from our students.Item Curso de capacitação em ultrassonografia básica à beira leito no módulo de urgência e emergência do internato médico(Centro Universitário do Estado do Pará, 2024) Serruya, Luiza Fleury de Figueiredo; Miranda, Ariney Costa de; Teixeira, Claudio Eduardo Corrêa; http://lattes.cnpq.br/7448998858430931; http://lattes.cnpq.br/0967752058385887Objective: Train undergraduate medical students to practice point-of-care ultrasound (POCUS) in the Urgency and Emergency module of the medical internship. Methods: The study was carried out through the E-FAST Theoretical-Practical Ultrasonography Course applied to students in the eleventh semester of the CESUPA medical course. Results: It was found that most university students demonstrated an improvement in their ability to carry out and grasp knowledge about the subject after applying theoretical and practical classes on an ultrasound device and ultrasound training simulator. Conclusion: The improvement in student performance after the practical activity encourages discussion about the importance of curricular adjustment to adapt to technological advances in the medical field.Item Prevalência de sobrepeso e obesidade e sua correlação com nível de atividade física e perfil nutricional em escolares de uma instituição de ensino público municipal no estado do Pará(Centro Universitário do Estado do Pará, 2022-10-19) Batista, Elysson Raul Ferreira; Miranda, Ariney Costa de; Paes, Bruno Acatauassú; Corrêa, Cláudio Eduardo; http://lattes.cnpq.br/7448998858430931; http://lattes.cnpq.br/0967752058385887; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Teixeira, Cláudio Eduardo Corrêa; http://lattes.cnpq.br/7448998858430931; Cardoso, Thais Cristina Franco; http://lattes.cnpq.br/3752413982659840; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309; Oliveira, Edilea Monteiro de; http://lattes.cnpq.br/2758712667035434INTRODUCTION: Several factors are involved in the etiology of overweight and obesity, among which we can mention as primary the energy imbalance between calories ingested and spent, obtained mainly from the change in eating habits in which there was a higher consumption of industrialized foods, rich in fats, sugars and salt; and consequent reduction in physical activities, bringing us more and more to sedentary lifestyle (WHO, 2014). OBJECTIVE: To verify the prevalence of overweight and obesity in elementary school students, final years (6th to 9th grade), aged between 10 and 15 years of the educational institution Laércio Wilson Barbalho Municipal School in Ananindeua - PA and its correlation with habitual physical activity and nutritional profile. METHODOLOGY: This is a descriptive cross-sectional study, conducted through an interview using a structured questionnaire for the evaluation of the following variables: schooling, gender, age, eating and leisure habits, collected through a 24-hour recall and physical activity questionnaires in the Physical Activity Questionnaire for Older Children (PAQ-C) and Physical Activity Questionnaire for Adolescents (PAQ-A). Weight and height were collected to calculate the body mass index (BMI) using a scale and a statometer. RESULTS: The study participants 266 students, with a mean age of 13.61 (±1.32), most females (51.9%), attended the ninth year (32.7%), had the ideal weight (46.2%) and was sufficiently active (52.3%), 45.2% of schoolchildren were overweight, 48.12% were insufficiently active, no relationship was observed between the above-normal body mass index (overweight and obesity) and the dietary profile in the population, no relationship was observed between the above-normal body mass index (overweight and obesity) and the level of physical activity in the population studied (Contingency coefficient=0.086, p=0.34), but a weak relationship was observed between the body mass index within normality (ideal weight) and the level of physical activity (Contingency coefficient=0.277, p<0.01). CONCLUSION: Approximately half of the participants were above the ideal weight. No relationship was found between overweight and food intake of students, but a relationship was evidenced between those with the ideal weight and the level of physical activity. A technical report was prepared with suggestions for changes in the physical education curriculum component, aiming to monitor and intervene in the level of physical activity and weight of students and proposing changes in life habits in order to minimize the possible future damage caused by overweight and inactivity.