4 research outputs found
Reflexões contemporâneas sobre anamnese na visão do estudante de medicina
Esta pesquisa analisa a compreensĂŁo dos estudantes de Medicina da terceira e sexta sĂ©ries sobre a abordagem biopsicosĂłcio-ambiental (BPSA) contida na anamnese e sua contribuição para o cuidado na perspectiva da integralidade. É uma pesquisa transversal, exploratĂłria, descritiva e com abordagem qualitativa, aprovada pelo ComitĂŞ de Ética em Pesquisa da Faculdade de Medicina de MarĂlia, sob o protocolo nÂş 1.400/11. Participaram 80 estudantes, 40 da terceira e 40 da sexta sĂ©rie do curso de Medicina. A coleta de dados foi realizada por um questionário com duas perguntas abertas sobre o tema proposto. Os resultados foram analisados pela TĂ©cnica de Análise de ConteĂşdo, Modalidade Temática. A análise apontou, na questĂŁo 1, trĂŞs categorias: saĂşde e formação mĂ©dica, processo saĂşde-doença e relação mĂ©dico-paciente. Na questĂŁo 2, cinco categorias: teoria e prática na formação mĂ©dica, competĂŞncia profissional, raciocĂnio clĂnico, necessidades de saĂşde e humanização. Os estudantes das duas sĂ©ries valorizam a abordagem BPSA na elaboração da anamnese e apontam que ela pode subsidiar o cuidado nessa perspectiva, mas indicam lacunas e dificuldades na prática da aprendizagem
Hypofractionated radiotherapy in breast cancer: a 10-year single institution experience
Background: Moderately post-operative hypofractionated radiotherapy (HYPO-RT) for breast cancer is a safe and effective strategy as seen in large prospective trials. This study aimed to assess overall and disease-free survivals, local control, and acute and late toxicities in patients treated with HYPO-RT.
Materials and methods: Data from patients submitted to post-operative HYPO-RT, with or without boost, were evaluated retrospectively. Demographic, disease, and treatment characteristics were collected.
Results: From March 2009 to December 2016, 393 patients were treated. Breast-conserving surgery was performed in 94.7%, immediate reconstruction after mastectomy in 6 (1.5%). Most patients (91.2%) had initial stage (0 to IIA), and chemotherapy was performed in 42.0%, HYPO-RT was mainly performed in 15 or 16 daily fractions of 267Â cGy and 265Â cGy, respectively. The median follow-up was 5.7 years. There were 25 deaths (6.4%) and 17 (4.3%) local recurrences. At 5 and 10 years, the overall survival, local control, and disease-free survival were, respectively, 96.0% and 79.3%, 99.2% and 94.9%, 96.6%, and 91.9%. Acute grade 3 or 4 dermatitis was observed in 0.9%. Late grade 1 or 2 occurred in less than 3% of the patients.
Conclusion: HYPO-RT is a safe and effective radiotherapy regimen with excellent disease control and overall survival rates, with low acute and late toxicity rates