Journal of Medical Resident Research 2021;1(1):2PDF Portuguese PDF English Text Portuguese Text English
Journal of Medical Resident Research 2021;1(1):3PDF Portuguese PDF English Text Portuguese Text English
Journal of Medical Resident Research 2021;1(1):4PDF Portuguese PDF English Text Portuguese Text English
Journal of Medical Resident Research 2021;1(1):5-10Abstract PDF Portuguese PDF English Text Portuguese Text English
OBJECTIVES: This study aims to identify participants satisfaction level in interest
groups of medical students known as “Ligas Acadêmicas” (Portuguese term for
"academic leagues"), in this case, the Trauma, Resuscitation and Emergency
Medicine Interest Group at the Federal Fluminense University (UFF); the main
factors that motivated students to participate in the group; and the
importance attributed to this activity, and to the medical course
METHODS: A survey was applied to a sample of 38 medical students, mainly female (52.63%). The average rate of participation was 78.2% (± 13.4). In a general subjective evaluation, a score from 0 to 100 was applied about satisfaction with the group and the course.
RESULTS: The main reason for participating in the group was to improve knowledge on trauma and emergency, while interested in research and extension.
CONCLUSION: The results therefore reinforce the essential role of the interest group as an extracurricular activity, addressing issues relevant to the education of academics through specific didactic methods.
Keywords: Medical education; Medical students; Teaching
Journal of Medical Resident Research 2021;1(1):11-16Abstract PDF Portuguese PDF English Text Portuguese Text English
OBJECTIVES: Suicide is considered a serious public health problem and especially affects medical
students, who present a high prevalence of suicidal ideation, of approximately 11.1%.
The aim of this study is to evaluate the risk of suicide in medical students from
a University in an inland city of the State of São Paulo, Brazil.
METHODS: This is a cross-sectional study carried out with 169 medical students from stages I, II, III and V of the medical course. Two questionnaires were employed: the module C of the Mini International Neuropsychiatric Interview (MINI), in which the risk of suicide was classified as “low” or “moderate/high”; and a survey with 23 questions about clinical and demographic factors potentially associated with suicide risk. A preliminary exploratory analysis was carried out to investigate this association and a subsequent logistic regression was employed to perform a multivariate analysis.
RESULTS: of the students who responded to the MINI questionnaire, 131 (77.5%) showed a low risk of suicide and 37 (21.9%), a moderate/high risk. The variables that were associated with suicide risk were: family history of suicide (RR= 5.90; p=0.001) and the diagnosis of mental disorders (RR=3.96; p= 0.004). Alcohol consumption was associated with suicide risk in the preliminary bivariate analysis (RR=4; p=0.046), but this association did not remain significant in the final model of the multivariate analysis (RR=3.54; p=0.059).
CONCLUSION: The results showed that a family history of suicide and the diagnosis of mental disorders were associated with suicide risk and can be used to identify students at risk, as well as to guide preventive strategies for its prevention in Medical Schools.
Keywords: Medical Students; Suicide Attempt; Mental Health; Medical Education; Psychiatric Graduation Scales.
Journal of Medical Resident Research 2021;1(1):17-21Abstract PDF Portuguese PDF English Text Portuguese Text English
OBJECTIVE: To evaluate the level of postoperative complications in incisional hernia repairs
according to the adjuvant method of wound closure used: adhesive suture or suction
METHODS: This is a retrospective study that compared the outcomes of patients who were submitted to incisional hernia repairs using drains or adhesive suture as adjuvant methods of wound closure.
RESULTS: of the 75 patients who underwent surgery, 26 were submitted to adhesive sutures, and 8% developed seromas and infections, compared to 45% (p = 0.0013) and 32% (p = 0.0013), respectively, in the drain group.
CONCLUSION: adhesive sutures were more effective in preventing postoperative complications of incisional hernia repairs than suction drains, leading to lower morbidity rates and greater patient comfort.
Keywords: Incisional Hernia; Suction; Seroma; Postoperative Complications; Abdominal Wound Closure Techniques.
Journal of Medical Resident Research 2021;1(1):22-26Abstract PDF Portuguese PDF English Text Portuguese Text English
OBJECTIVES: To describe a case of urinary bladder leiomyosarcoma (LMS), a rare malignant mesenchymal
tumor. Less than 1% of primary bladder tumors are LMS, and only 200 cases have been
reported in the literature, since the first description by Gusshaver, a century ago.
METHODS: A radical cystoprostatectomy, using Bricker reconstruction and rectosigmoidectomy was performed. In the intraoperative period, an extensive and hypervascularized mass was found, involving the abdominal wall and compressing the ureters and iliac arteries bilaterally. Resection of the extensive bladder and prostate lesion was permormed in monobloc. The resected material was sent to anatomopathological analysis, which characterized a pleomorphic sarcoma fusiform cell type with necrosis, measuring 30x25x13 cm. After immunohistochemistry, a grade I (stage II in the TNM classification) leiomyosarcoma was evidenced.
RESULTS: The patient remained hospitalized for 15 days in the Intensive Care Unit (ICU) after acute renal failure after surgery, requiring dialysis. He had a good evolution in the postoperative period, despite maintaining dialysis for chronic renal failure. On the 22nd postoperative day, he was constipated, but with a functioning Bricker and with no particularities in the surgical wound.
CONCLUSION: Although the therapeutic approach to bladder LMS is not a consensus in the literature, a more radical treatment can be justified in the situation of an aggressive tumor, which often has a poor prognosis.
Keywords: bladder neoplasm; cystectomy; neobladder; leiomyosarcoma.
Journal of Medical Resident Research 2021;1(1):27-32Abstract PDF Portuguese PDF English Text Portuguese Text English
OBJECTIVES: To identify and evaluate the epidemiological profile of patients that underwent surgery
for proximal femoral fractures and to analyze data regarding their hospitalization,
such as length of hospital stay and costs, in public hospitals in the State of São
METHODS: This is a retrospective and descriptive population study, which included patients hospitalized with proximal femoral fractures that underwent surgery from April 2018 to March 2019, in hospitals belonging to the Brazilian Public Health System (SUS), in the State of São Paulo, Brazil. We analyzed the Prior Authorization Letters registered in the Hospital Information System of the Brazilian Public Health System (SIHSUS). The DATASUS tabwin32.exe software, developed by the Brazilian Ministry of Health, was employed for data gathering.
RESULTS: We found a total of 10,118 surgical procedures for proximal femoral fractures, with a predominance of the trochanteric region, with 63.69%; female sex, with 58.69% and white race, with 68.65%. Regarding the age groups, 38.8% of patients were older than 80 years. Most patients (18.33%) came from the state of São Paulo capital, where most of the surgical procedures were performed (4.95%), followed by the city of Ribeirão Preto (2.12%). Most patients (41.76%) stayed in the hospital for four to seven days and the majority did not need to be transferred to an Intensive Care Unit. Among the outcomes at hospital discharge, 65.96% showed clinical improvement, while 4.17% died. The mean cost of each surgical procedure was BRL 2,355.63, while the total amount spent on surgeries for intertrochanteric fractures corresponded to 68.3% of the total expense on surgeries for femoral fractures, which reached BRL 23,834,300.58.
CONCLUSION: Proximal femoral fractures should be monitored by health authorities given their great impact on the health of the elderly, in addition to the costs involved. The implementation of interventions aimed at preventing these injuries can result in the reduction of their negative impact. Orthopedic care services should optimize the care for these patients, who present long hospital stays, which can increase their morbidity and mortality.
Keywords: Proximal femoral fractures; Elderly; Epidemiology; Brazilian Unified Health System.
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