MAURO FIGUEIREDO CARVALHO DE ANDRADE
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Cirurgia, Faculdade de Medicina - Docente
LIM/02 - Laboratório de Anatomia Médico-Cirúrgica, Hospital das Clínicas, Faculdade de Medicina - Líder
LIM/02 - Laboratório de Anatomia Médico-Cirúrgica, Hospital das Clínicas, Faculdade de Medicina - Líder
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conferenceObject Paradigm change in clinical anatomical learning: lessons from students' evaluations(2013) JACOMO, Alfredo Luiz; AKAMATSU, Flavia Emi; ANDRADE, MauroTeaching and learning processes are constantly changing as medical knowledge increases exponentially and general students’ behavior demands a continuous improvement of techniques and approaches. The University of São Paulo Medical School has a systematic evaluation of each discipline where students grade 38 different topics ranging to physical conditions to the quality of the classes, allowing the course coordinators to redirect to adjust the course format as needed. We analyzed the changes in the Anatomy course from 1994 to the present and their impact based on the students’ evaluations. In this study, the different methods to teach Anatomy to 2nd. And 3rd. year students of Medicine employed from 1994 to 2012 were confronted to the students’ evaluations, comparing the general appreciation of the course in different teaching approaches and, in addition, comparing with simultaneous basic disciplines, evaluated by the same questionnaire. Significant difference in students’ evaluation was observed when the course changed from Problem Based Learning technique to a more formal approach with theoretical classes and practical demonstrations. A still better evaluation was obtained as the practical demonstrations focused aspects showed in theoretical classes given by specialists trained in Anatomy. A similar improvement was not seen in other disciplines. Continuous feedback from students is essential to adequate teaching strategies to modern challenges to obtain the best results in courses of Clinical Anatomy.- Anatomical Basis of the Myofascial Trigger Points of the Trapezius Muscle(2013) AKAMATSU, Flavia Emi; SALEH, Samir; PINESI, Henrique Trombini; RODRIGUES, Katarina Reichmann; ZANDONA, Cintia Benedicto; ANDRADE, Mauro; JACOMO, Alfredo LuizThis study aimed to bring the trapezius muscle, knowledge of the locations where the accessory nerve branches enter the muscle belly to reach the motor endplates and find myofascial trigger points (MTPs). Although anatomoclinical correlations represent a major feature of MTP, no previous reports describing the distribution of the accessory nerve branches and their anatomical relationship with MTP are found in the literature. Both trapezius muscles from twelve adult cadavers were carefully dissected by the authors (anatomy professors and medical graduate students) to observe the exact point where the branches of the spinal accessory nerve entered the muscle belly. Dissection was performed through stratigraphic layers to preserve the motor innervation of the trapezius muscle, which is located deep in the muscle. Eight points were identified: In all cases, these locations corresponded to clinically described MTPs. The eight points where common in these twelve cadavers. This type of clinical correlation between spinal accessory nerve branching and MPT is useful to achieve a better understanding of the anatomical correlation of MTP and the physiopathology of these disorders and may provide a scientific basis for their treatment, providing useful additional information to therapists to achieve better diagnoses and improve therapeutic approaches.
article 115 Citação(ões) na Scopus Diagnosis and Treatment of Primary Lymphedema Consensus Document of the International Union of Phlebology (IUP)-2013(2013) LEE, B. B.; ANDRADE, M.; ANTIGNANI, P. L.; BOCCARDO, F.; BUNKE, N.; CAMPISI, C.; DAMSTRA, R.; FLOUR, M.; FORNER-CORDERO, I.; GLOVICZKI, P.; LAREDO, J.; PARTSCH, H.; PILLER, N.; MICHELINI, S.; MORTIMER, P.; RABE, E.; ROCKSON, S.; SCUDERI, A.; SZOLNOKY, G.; VILLAVICENCIO, J. L.Primary lymphedema can be managed effectively as a form of chronic lymphedema by a sequenced and targeted treatment and management program based around a combination of Decongestive Lymphatic Therapy (DLT) with compression therapy, when the latter is desired as an adjunct to DLT. Treatment in the maintenance phase should include compression garments, self-management, including self-massage, meticulous personal hygiene and skin care, in addition to lymphtransport-promoting excercises and activities, and, if desired, pneumatic compression therapy applied in the home. When conservative treatment fails, or gives sub-optimal outcomes, the management of primary lymphedema can be improved, where appropriate, with the proper addition of surgical interventions, either reconstructive or ablative. These two surgical therapies can be more effective when fully integrated with manual lymphatic drainage (MLD)-based DLT postoperatively. Compliance with a long-term commitment to MLD/DLT and particularly compression postoperatively is a critical factor in determining the success of any new treatment strategy involving either reconstructive or palliative surgery. The future of management of primary lymphedema has never been brighter with the new prospect of gene-and perhaps stem-cell oriented management.