Advances in HealthCare teaching: a patent mapping about the models simulators or not used

The objective in this article, the realization of a patent mapping on medical education, especially using simulators, since we know that in the teaching of medicine, the development of technical and motor skills in practice is essential, and historically, this training happens with the use of corpses, small animals and later monitoring procedures. With all the advent of technological innovation, financial, cultural and social changes demanded the emergence of new teaching technologies, and through this study, one of the utilities of the technological mapping of the activity can be confirmed through patent documents, which is to obtain the technological evolution of a given subject, in this case: use of models, including simulators in medical education. The temporal evolution of patent documents referring to medical education peaked from 2009 to 2018, and above all, it can be concluded that the latest technologies are models of simulators and there are indications from the United States in exporting this technology to Brazil. recent. From this mapping, it is possible to subsidize technological innovation strategies and assist in the promotion of policies and legislation aimed at stimulating national entrepreneurship and the generation of business opportunities

Acute kidney injury complicating bee stings – a review

Bee stings can cause severe reactions and have caused many victims in the last years. Allergic reactions can be triggered by a single sting and the greater the number of stings, the worse the prognosis. The poisoning effects can be systemic and can eventually cause death. The poison components are melitin, apamin, peptide 401, phospholipase A2, hyaluronidase, histamine, dopamine, and norepinephrine, with melitin being the main lethal component. Acute kidney injury (AKI) can be observed in patients suffering from bee stings and this is due to multiple factors, such as intravascular hemolysis, rhabdomyolysis, hypotension and direct toxicity of the venom components to the renal tubules. Arterial hypotension plays an important role in this type of AKI, leading to ischemic renal lesion. The most commonly identified biopsy finding in these cases is acute tubular necrosis, which can occur due to both, ischemic injury and the nephrotoxicity of venom components. Hemolysis and rhabdomyolysis reported in many cases in the literature, were demonstrated by elevated serum levels of indirect bilirubin and creatine kinase. The severity of AKI seems to be associated with the number of stings, since creatinine levels were higher, in most cases, when there were more than 1,000 stings. The aim of this study is to present an updated review of AKI associated with bee stings, including the currently advised clinical approach

Teaching Methodology for Topography: Didactic Proposal for the Free Station Survey Method

This article presents an innovative proposal for teaching Topography topics, as there are no qualified official publications on the subject of study referring to topographic positioning by the free station method, resulting in a shortage of didactic material on this topic in educational institutions in Brazil. Thus, the research work resulted from the didactics applied in the Topography discipline, of the UFPE's Cartographic Engineering degree program. It was proposed to the students to accomplish some practices of the free station method during the Topography discipline development. Thus, the students carried out a theoretical study on the topic. Subsequently, field work was developed with topographic equipment containing a program for surveying by free station method. Topographic vertices of the cadastral reference network of the “Joaquim Amazonas” campus of UFPE served as reference and adjustment points. A comparative analysis of the results calculated manually with the results obtained by the internal programs of the topographic equipment was carried out, using the official coordinates of the cadastral network as references. A program was developed in MATLAB for fixing the learning, whose results were also compared with the same official reference coordinates. This made it possible to generate a complete quantitative statistical analysis of the results

Vivência na maternidade no acolhimento com classificação de risco diante da assistência obstétrica / Experience in hosting maternity with risk classification before obstetric assistance

Introdução: A redução da morbimortalidade materna e neonatal permanece como um desafio no âmbito Mundial. Objetivo: Relatar a experiência da inserção da equipe multiprofissional de residentes em Urgência e Emergência no setor da maternidade. Metodologia: Trata-se de um relato de experiência de caráter descritivo com abordagem qualitativa. Discussão: A assistência era prestada por toda a equipe da maternidade que esteja de plantão, sendo os residentes e enfermeira executando o primeiro contato e os cuidados seguindo os protocolos de assistências em emergências obstétricas. Os residentes realizavam o acolhimento da gestante com escuta qualificada, ouvindo sua queixa principal e identificação de possíveis intercorrências gestacional. Conclusão: Portanto, a atuação com a equipe multiprofissional, favoreceu uma assistência integral, viabilizando o acesso qualificado e atendimento com resolutividade, evitando desfechos desfavoráveis e impactando positivamente nos indicadores de morbidade e mortalidade materna e perinatal.  

Epidemia de dengue em Fortaleza, Ceará: inquérito soro-epidemiológico aleatório

OBJECTIVE: A seroepidemiological random survey was carried out in Fortaleza city, State of Ceará, Brazil, following an epidemic of dengue virus type 2 (DEN 2), with the purpose of evaluating the frequency of clinical manifestations (signs and symptoms) and the prevalence of dengue infection. METHOD: A questionnaire calling for information on address, sex, age, clinical, epidemiological and economic status was applied to the population, followed by venupuncture collection of 5-10 ml of blood for testing by hemagglutination-inhibition (HI). The sample was calculated to obtain a prevalence of 20% with relative risk of 10% and confidence interval of 95%. All information obtained was analyzed by computer using Epi Info 5.0®, Lotus 123®, Excel 5.0®, and Stata® software. RESULTS AND CONCLUSIONS: A total of 1,341 serum samples were obtained from nine Health Districts (SD) and tested by hemagglutination inhibition. Of these, 589 (44%) were positive and 752 (56%) negative. Of the positive results, 93 primary responses (PR) (7%) to DEN-2 and 496 secondary responses (SR) (37%) were observed. The global prevalence in the SD ranged from 21% to 71%. There were 41% (243/589) asymptomatic infections and 59% (346/589) symptomatic infections. Data analysis showed no difference in frequency by sex, age, on schooling, although a highly statistically significant difference was found as between the different social classes, the infection most commonly observed being among people of better social status.The stratification of positive cases showed greater prevalence of AI (pOBJETIVO: Seguindo-se à epidemia de dengue (DEN), em 1994, em Fortaleza, Ceará, causada pelo sorotipo 2 (DEN-2), realizou-se inquérito soro-epidemiológico aleatório para avaliar e dimensionar o impacto da mesma e a prevalência do dengue por distrito sanitário. MÉTODO: Foi aplicado questionário contendo informações gerais, condições socio-econômicas, informações sobre o quadro clínico e tempo de doença. A amostra foi calculada para estimar uma prevalência de 20%, com erro relativo de 10%, e intervalo de confiança de 95% (erro a de 5%). O sorteio e as análises foram realizadas por meio de computador usando programas apropriados. RESULTADOS E CONCLUSÕES: Foram colhidas 1.341 amostras de soro de 9 distritos sanitários, testadas por inibição da hemaglutinação, sendo classificadas como negativas e positivas (respostas primária - RP e secundária - RS). Foram reativas 588 (44%) amostras, sendo 93 (7%) RP e 495 (37%) RS. A prevalência global em Fortaleza variou de 21% a 71%. Houve 41% (243/588) de infecções assintomáticas (IA) e 59% (346/588) sintomáticas (IS). Não houve diferença da prevalência quanto ao sexo, faixa etária e escolaridade, ao contrário da condição socioeconômica que apresentou diferenças estatisticamente significantes (p < 0,001). Ocorreram mais IA (