RESUMO
PURPOSE: In order to engage medical students and residents from public health centers to utilize the telemedicine features of surgery on their own smartphones and tablets as an educational tool, an innovative streaming system was developed with the purpose of streaming live footage from open surgeries to smartphones and tablets, allowing the visualization of the surgical field from the surgeon's perspective. The current study aims to describe the results of an evaluation on level 1 of Kirkpatrick's Model for Evaluation of the streaming system usage during gynecological surgeries, based on the perception of medical students and gynecology residents. METHODS: Consisted of a live video streaming (from the surgeon's point of view) of gynecological surgeries for smartphones and tablets, one for each volunteer. The volunteers were able to connect to the local wireless network, created by the streaming system, through an access password and watch the video transmission on a web browser on their smartphones. Then, they answered a Likert-type questionnaire containing 14 items about the educational applicability of the streaming system, as well as comparing it to watching an in loco procedure. This study is formally approved by the local ethics commission (Certificate No. 53175915.7.0000.5171/2016). RESULTS: Twenty-one volunteers participated, totalizing 294 items answered, in which 94.2% were in agreement with the items affirmative, 4.1% were neutral, and only 1.7% answers corresponded to negative impressions. Cronbach's α was .82, which represents a good reliability level. Spearman's coefficients were highly significant in 4 comparisons and moderately significant in the other 20 comparisons. CONCLUSIONS: This study presents a local streaming video system of live surgeries to smartphones and tablets and shows its educational utility, low cost, and simple usage, which offers convenience and satisfactory image resolution, thus being potentially applicable in surgical teaching.
Assuntos
Internet , Smartphone , Procedimentos Cirúrgicos Operatórios/educação , Telemedicina/instrumentação , Engenharia Biomédica , Humanos , Estudantes de Medicina , Inquéritos e QuestionáriosRESUMO
Objetivo: relatar o caso de uma paciente gestante, portadora de Arterite de Takayasu,confirmada por aortografia. Relato do caso: paciente do sexo feminino, 23 anos, branca,primigesta, com diagnóstico de arterite de Takayasu classe III, aos 12 anos. Iniciou pré-natal noserviço de alto risco do hospital Santa Casa de Misericórdia do Pará, com idade gestacional de17 semanas. No terceiro trimestre da gestação foram realizadas consultas de pré-natalsemanalmente, com acompanhamento laboratorial e ultrassonográfico com avaliação devitalidade fetal. A gestação foi interrompida com 38 semanas de gestação através de cesáreaeletiva e anestesia peridural contínua. Extraído recém-nascido masculino, pesando 3.148g,APGAR: 9/9, capurro: 38 semanas. Considerações finais: a gestação em pacientes portadorasde Arterite de Takayasu pode ser conduzida até o termo, levando-se em consideração osaspectos maternos e fetais, com preferência pelo parto cirúrgico eletivo nos casos de pacientesconsideradas classe II e III.
Aim: to report the case of a pregnant woman suffering from Takayasu's arteritis. Case report:Female patient, 23-year-old, white, primigravida, diagnosed with Takayasu's arteritis class III at12-year-old. Began prenatal care in the service of high-risk hospital Santa Casa de Misericordiaof Para when she was at 17 weeks of pregnancy. In the third trimester of pregnancy wereinvestigated for prenatal care with weekly monitoring with laboratory and ultrasound evaluationof fetal well. Pregnancy was interrupted at 38 weeks gestation via cesarean section andcontinuous epidural anesthesia. Extracted newborn male, weighing 3.148g, APGAR: 9/9,Capurro: 38 weeks. Conclusion: Pregnancy in patients with Takayasu's arteritis can be carriedto term, taking into account the maternal and fetal aspects, with preference for delivery in casesof elective surgical patients considered Class II and III.