MARCOS FABIANO SIGWALT_2001.pdf - DSpace

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RESUMO Os estudos epldemlol6glcos conduzldos sob forma de analise prospectlva de dad os parecem produzlr resultados com qualldade supenor quando comparados com revisoes da Iiteratura ou meta-anallses Atualmente, vem se mostrando cad a vez mals Importante apllcar a Informatica na condw;ao dos mals vanados trabalhos na area medica, a flm de correlaclonar tecnologla e clencla Consequentemente, a melhor manelra de se coletar mforma
ABSTRACT Prospective database researches tend to have more quality than other kind of epidemiological studies, like traditional reviews of literature or meta-analyses Nowadays, It ISnecessary to apply computer knowledge Into medical research In order to found sCience and technology Therefore, the production of an electronic clinical database ISthe best way to collect clinical Information Digestive system and, more speCifically, esophageal diseases are the subject of this work, which has three alms 1 - create database of esophageal disease, 2 - computenze these data, and 3 - create a web by Involving other medical centers In the process To get started, a large esophageal literature revIsion was made It was based on some books of esophageal surgery and on plenty of medical articles Dunng the electronic process, two protocols were created' master and speCifiC The master protocol was used to keep all the data about every esophageal disease The speCifiC protocol was used to store the pieces of Information that come from the master and create twenty-sIx esophageal diseases All the Information was then computenzed with the help of the electroniC research laboratory from Hospital de Clinlcas of Unlversldade Federal do Parana The clinical program allows that selected users collect some data after a patient leaves hospital. When the pieces of information are assembled, the database users Will be able to analyze them by applYing the EXCEL'" program ThiS clinical database was temporanly Installed at Unlversldade Estadual de Camplnas (UNICAMP) and at the medical school of Unlversldade de Sao Paulo (USP) for further tests The conclUSions of thiS work are 1 - the creation of medical databases was pOSSible, 2 - It was Viable to computenze the clinical protocol because of the electrOnic laboratory and speCialized profeSSional aSSistance, 3 - It IS pOSSible to Involve other medical centers In thiS process of clinical electrOnic research by applYing the same database Xl
Page 1 and 2: MARCOS FABIANO SIGWAL T BASE ELETRO
Page 3 and 4: A Deus, por tudo Aos meus pais que
Page 5 and 6: SUMARIO LISTA DE FIGU RAS vi RESU M
Page 7 and 8: FIGURA 14 -ALTERAC;Ao ou CRIAC;Ao D
Page 9: FIGURA 47 - PROTOCOLO ESPECfFICO DA
Page 14 and 15: Inlroduqao 3 todos OSestudos ah3mde
Page 16 and 17: Introdur;ao 5 Em 1958, LIPKIN e HAR
Page 18 and 19: Material e Metodos
Page 20 and 21: Matenal e Me/odos 9 que permltem ao
Page 22 and 23: Matenal e Metodos 11 22 IMPLEMENTAc
Page 24 and 25: Matenal e Me/odos 13 contanto que h
Page 26 and 27: Malenal e Melodos 15 Serao apresent
Page 28 and 29: Resultados 17 3.0 RESULTADOS Para d
Page 30 and 31: Resultados 19 o Item "Protocolos" p
Page 32 and 33: Resultados 21 A pnmelra pasta desta
Page 34 and 35: Resultados 23 FIGURA 13 • EDI
Page 36 and 37: , Resultados 25 A opQao "Classe" pe
Page 38 and 39: Resultados 27 FIGURA 22 PROTOCOLO E
Page 40 and 41: Resultados 29 FIGURA 25 CADASTRO DO
Page 42 and 43: Resultados 31 Os Itens presentes a
Page 48 and 49: Resultados 37 __ FIGURA 44 PROTOCOL
Page 52 and 53: Discussao
Page 54 and 55: O,scussao 43 Portanto parece clara
Page 56 and 57: D/scussao 45 entrada de novos medic
Page 58 and 59: O,scussao 47 clinlcas e parte essen
Page 60 and 61:
Olscussao 49 relaclonados a area, p
Page 62 and 63:
Concfusoes 51 5.0 CONCLUSOES A conf
Page 64 and 65:
Anexo 1 53 ANEXO 1 CARTAS COMPROBAT
Page 66 and 67:
Anexo 2 55 ANEXO 2 L1TERATURA ESPEC
Page 68 and 69:
Anexo 2 57 4 DIVERTICULO EPIFRENICO
Page 70 and 71:
Anexo 2 59 8 DOEN
Page 72 and 73:
Anexo 2 61 OTT, D J et al Associati
Page 74 and 75:
Anexo 2 63 12 DOEN
Page 76 and 77:
Anexa 2 65 KIKENDAl, J W PIli Esoph
Page 78 and 79:
Anexo 2 67 AKIYAMA, H et al Radical
Page 80 and 81:
Anexo 2 69 PrognosIs The Journal of
Page 82 and 83:
Anexo 2 71 chemotherapy Gastrointes
Page 84 and 85:
Refer{inclas Blbflograflcas 73 REFE
Page 86 and 87:
Refer{mclas Blbilograflcas 75 LISTE
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