The authors observed a positive association between QoL measures and DREEM scores. This association had a dose-response effect, independent of age, sex, and year of medical training, showing that educational environment appears to be an important moderator of medical student QoL.
ObjectivesTo assess health-related quality of
life (HRQOL) and to describe factors associated with its variation among undergraduate
medical students at a Brazilian private medical school.
MethodsA cross-sectional study in a sample
(n=180) of medical students at a private medical school in Salvador, Brazil,
stratified by year of medical course. Data about age, sex, year of course,
physical activity, sleepiness, headaches, participation in a student loan
program supported by the Brazilian government (FIES) and living arrangements
were collected using a self-administered form. HRQOL was assessed by using a
Brazilian Portuguese version of the SF-36 form. The eight domains of SF-36 and
the Physical Component (PCS) and Mental Component (MCS) Summaries scales were
calculated.
ResultsThe medical
students showed poor HRQOL,
mainly because of the mental component. Lower mean scores were found among
those with FIES support, females, those suffering from sleepiness, headaches
and lacking physical activity. No clear trend was observed in the variation of
the SF-36 mean scores according to the year of medical school. However, students
in the fifth year of the course had the highest HRQOL mean scores.
ConclusionsHealth-related quality of life of students at this private medical school was
poor, mainly because of its mental component. Lower HRQOL was associated with
FIES support, females, sleepiness, headaches and lack of regular physical
activity. Higher scores were found among fifth year students.
Resumo As diretrizes curriculares para o curso de graduação em medicina preconizam formação médica humanista, reflexiva e ética. Determinam também que o profissional médico esteja apto para acompanhar o processo de morte, sendo fundamental para isso a avaliação de métodos ativos de ensino-aprendizagem das humanidades e da ética e bioética no curso de medicina. Este artigo propõe avaliar o uso da obra “As intermitências da morte” de José Saramago como ferramenta de ensino da ética e bioética, abordando essencialmente reflexões individuais e coletivas ao lidar com o tema da morte. Trata-se de estudo descritivo com análise qualitativa de avaliação da obra em questão por alunos de medicina da Escola Bahiana de Medicina e Saúde Pública. Conclui-se que esse instrumento é recomendado no ensino das humanidades, comprovando que sua leitura atribuiu capacidades subjetivas ao estudante para lidar com situações relacionadas à morte respeitando os princípios da bioética.
This study aimed to evaluate the health-related quality of life of medical students participating in a large Brazilian government loan programme for undergraduate students in private schools.A cross-sectional study in a stratified sample of students from a private medical school in Salvador, Brazil, evaluated their health-related quality of life by using a Brazilian Portuguese version of the 36-item Short Form Health Survey questionnaire (SF-36).Students supported by the loan programme consistently presented lower mean scores in all SF-36 domains and in the physical and mental component summary scores than those who were not in the programme. Students supported by the loan programme presented systematically lower physical and mental component mean scores, after stratification by age, gender, school year, physical activity, sleepiness, headache, having a car, having a housemaid, living with family, and living in a rented house.The loan programme has enabled less wealthy undergraduate students to attend private medical schools in Brazil. However, this support is insufficient to improve students’ health-related quality of life during medical school, as compared with students who do not participate in the programme. Because of a poorer health-related quality of life, students supported by the loan programme deserve special attention from private medical schools.
RESUMOA busca por informações para o controle de Thaumastocoris peregrinus (Hemiptera: Thaumastocoridae) em Eucalyptus concentra-se no uso de técnicas de controle biológico, entre elas, o uso de fungos entomopatogênicos. Assim, o objetivo deste trabalho, foi avaliar a patogenicidade de isolados de Beauveria bassiana e Isaria sp. sobre Thaumastocoris peregrinus em condições de laboratório. Para isto, foram testados quatro isolados de Beauveria bassiana e um isolado de Isaria sp. na concentração de 1,0 × 10 8 conídios.mL -1 . A solução foi aplicada sobre folhas de Eucalyptus camaldulensis, fornecidas como substrato de alimentação aos insetos, e mantidas em frascos de vidro vedados com filme plástico em câmara climatizada (26 ± 2°C, 14 h de fotofase e U.R. de 70 ± 10%). Foram realizadas quatro repetições (frascos) por isolado com 13 insetos adultos por frasco. As avaliações foram realizadas até o quinto dia após a aplicação. Os insetos mortos foram colocados em câmara úmida para a confirmação da morte pelo patógeno. Todos os isolados foram patogênicos a Thaumastocoris peregrinus. A mortalidade confirmada variou entre 37% e 80,1% para Beauveria bassiana, e foi de 87% para Isaria sp. após 10 dias da aplicação. O maior percentual médio de mortalidade diária (39,9%) ocorreu no quarto dia após o contato do inseto com o substrato pulverizado. Os isolados de Beauveria bassiana e de Isaria sp. avaliados apresentam potencial para o controle de Thaumastocoris peregrinus em laboratório. Palavras-chave: percevejo-bronzeado; fungos entomopatogênicos; controle biológico; eucalipto.
ABSTRACTThe search for information to control Thaumastocoris peregrinus (Hemiptera: Thaumastocoridae) in Eucalyptus, focus on the use of biological control techniques, including the use of entomopathogenic fungi. The objective of this study was evaluated the pathogenicity of Beauveria bassiana and Isaria sp. Ciência Florestal, Santa Maria, v. 28, n. 1, p. 403-411, jan.-mar., 2018 ISSN 1980 Lorencetti, G. A. T. et al. 404 maintained in glass bottles sealed with plastic film in a climatic chamber (26 ± 2 ° C, 14 h photoperiod and U.R. 70 ± 10%). Four replicates were performed (bottles) for isolated with 13 adult insects per bottle. Each bottle received 13 adult insects. Evaluations were performed until the fifth day after application. The dead insects were placed in humid chamber for confirmation of death by pathogen. All isolates were pathogenic to Thaumastocoris peregrinus. The confirmed mortality ranged between 37% and 80.1% for Beauveria bassiana, and was 87% for Isaria sp. after 10 days of application. The highest mean percentage of daily mortality (39.9%) occurred on the fourth day after contact with the substrate insect spray. The isolates of Beauveria bassiana and Isaria sp. evaluated presented potential to control Thaumastocoris peregrinus under laboratory conditions.
Acute poisoning is a frequent accident in childhood, particularly in children under 4 years of age. This was a descriptive study with data collected from standardized forms of the Poison Control Center and patient record charts. All the cases of acute poisoning in children aged 0 to 14 years during the period 2008 to 2012 were selected. The variables studied comprised characteristics of the events and toxic agents, clinical development, and outcome. A total of 657 cases of acute poisoning, with higher frequency in the age-group from 1 to 4 years (48.7%) and male sex (53.4%), were recorded. The occurrences were accidental in 92% of the cases, and 5.8% were due to suicide attempts. Among the toxic agents, medications (28.5%), venomous animals (19.3%), nonvenomous animals (10%), household cleaning products (9.0%), and raticide agents (8.7%) predominated. The majority of cases were characterized as light (73.5%) and around 18% required hospitalization, and there was low lethality (0.5%).
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