OBJECTIVE:To evaluate the efficacy of a training program in ultrasound-guided fine needle puncture using a cost-effective model. METHODS: We evaluated the training of 20 resident radiology physicians, based on a theoretical course and a practical simulation part with models that focused on the puncture technique of thyroid nodules. The total time to perform the procedure, the number of punctures on the model surface, and the application of a questionnaire were used to assess the performance and confidence of the resident physicians in performing the procedure. RESULTS:The training model used was easy to reproduce, inexpensive, versatile, and capable of simulating the echotexture of thyroid tissue. There was a significant reduction in the total time needed to perform the procedure with a mean of 173.7 s±91.28 s from R1 and 112.8 s±17.66 s from R2 before the course vs. 19.2 s±112.8 s and 14.3 s±9.36 s, respectively, after the course (p<0.0001); as well as the number of superficial punctures, with a mean of 2.2 punctures±0.92 from R1 and 1.5 punctures±0.32 from R2 before the course vs 1.1 punctures±0.71 and 1.0 puncture±0.0, respectively, after the course (p<0.0001). There was also a subjective improvement in the performance and confidence in performing this procedure. CONCLUSIONS: An inexpensive and easy-to-reproduce gelatin-based model enabled adequate training of resident physicians and proved capable of improving their skills and confidence in simulating the procedure, even with a short period of training.
We conducted a prospective observational study in an intensive care unit to evaluate morbidity and mortality in diabetic patients compared to non-diabetics.
Estudo de coorte prospectivo observacional. Cuidadores de crianças com traqueostomia acompanhadas no HC Unicamp participaram do estudo. Eles responderam a um questionário sobre questões demográficas relativas à criança, ao seu cuidador, às suas condições sociais e necessidades relacionadas à condição de traqueostomia e ao questionário de qualidade de vida WHOQOL-Bref. Nosso estudo tem o objetivo de descrever as características das crianças com traqueostomia e seus cuidadores, e avaliar as repercussões sobre a qualidade de vida de seus cuidadores. Entre Junho de 2017 e Fevereiro de 2018 participaram 45 cuidadores de crianças traqueostomizadas. Dentre eles, 39 eram mães dos pacientes. A média de idade dos pacientes foi de 4.9 anos. As traqueostomias foram realizadas em média com idade de 1.9 anos, e o tempo médio de permanência com traqueostomia no grupo foi de 2.9 anos. A maioria das crianças com traqueostomia é pré-escolar, não frequenta creches e é cuidada por suas mães. É grande a necessidade de deslocamento para atendimento, o que demanda recursos e tempo. A qualidade de vida desta população é afetada pelas internações recorrentes por problemas respiratórios e pelo tempo de permanência com a traqueostomia
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