SUMMARY OBJECTIVE: The aim of this study was to evaluate the effects of obstetric simulation training on undergraduate medical students to improve their self-confidence. METHODS: Fifth-year undergraduate medical students were invited to a 2-week course of simulation in obstetrics during their clerkship. The sessions included were as follows: (1) care for the second and third periods of childbirth, (2) partograph analysis and pelvimetry, (3) premature rupture of membranes at term, and (4) diagnosis and management of third-trimester bleeding. Before the first session and at the end of the training period, a questionnaire about self-confidence in obstetric procedures and skills was applied. RESULTS: A total of 115 medical students were included, of whom 60 (52.2%) were male and 55 (47.8%) were female. Comparing initial and final scores, the median results of the subscales “comprehension and preparation” (18 vs. 22, p<0.001), “knowledge of procedures” (14 vs. 20, p<0.001), and “expectation” (22 vs. 23, p<0.01) were significantly higher at the end of the training period in all items of the questionnaire than in the beginning. Differences were found based on the students’ gender, i.e., female students had a significantly higher sum of scores than the male students in the initial subscale for “expectation” (median, 24 vs. 22, p<0.001) and “interest” (median, 23 vs. 21, p=0.032), and a higher sum of scores in the subscale for “expectation” (median, 23 vs. 21, p=0.010) in the final questionnaire. CONCLUSION: Obstetric simulation enhances the improvement of students’ self-confidence in understanding both the physiology of childbirth and the obstetric care procedures. Further studies are needed to understand the influence of gender on obstetric care.

Atualmente campo rupestre (CR) é um termo aceito e internacionalmente usado por botânicos, zoólogos e outros naturalistas, geralmente aplicado a um ecossistema muito específico apesar de não haver uma circunscrição de consenso. Nós apresentamos uma ciscunscrição geográfica tentativa do termo, combinando dados de clima, geologia, geomorfologia, solo, flora, fauna e vegetação. A circunscrição de campo rupestre aqui proposta se baseia nas seguintes premissas: (1) a classificação da vegetação não é uma ciência exata e é difícil atingir um alto grau de consenso sobre a circunscrição de nomes de vegetação; (2) apesar disto, a classificação da vegetação é útil para conservação e manejo. Assim é desejável descrever os tipos de vegetação com a maior precisão tangível; exista a necessidade de se preservar todos os tipos de vegetação montanos e rochosos, independentemente de sua classificação, bioma, etc. (4) os CRs são formados por um complexo mosaico de tipos de vegetação incluindo comunidades sobre rocha, psamíóilas, aquáticas, epífitas e penumbrais. Os campos rupestres stricto sensu são um complexo de vegetação endêmico ao Brasil, azonal, Neotropical, inserido numa matriz de vegetação zonal, sobretudo nas províncias do Cerrado e da Caatinga do Escudo do Brasil (regiões Sudeste, Nordeste e Centro_Oeste), ocorrendo principalmente acima de 900 m de altitude, até altitudes superiores a 2000 m, tendo uma precipitação anual mensurada entre 800 e 1500 mm, e uma estação árida de dois a cinco meses.

Currently campo rupestre (CR) is a name accepted and used internationally by botanists, zoologists, and other naturalists, usually applied to a very specific ecosystem, despite the lack of a consensual published circumscription. We present a tentative geographic circumscription of the term, combining data on climate, geology, geomorphology, soil, flora, fauna and vegetation. The circumscription of campo rupestre proposed herein is based on the following premises: (1) the classification of vegetation is not an exact science, and it is difficult to attain a high degree of consensus to the circumscription of vegetation names; (2) despite this, vegetation classification is useful for conservation and management. It is thus desirable to circumscribe vegetation types with the greatest attainable precision; (3) there is a need to preserve all montane and rocky vegetation types, regardless of classification, biome, etc; (4) the CRs are formed by a complex mosaic of vegetation types including rock-dwelling, psammophilous, aquatic, epiphytic, and penumbral plant communities. Campos rupestres stricto sensu are a Neotropical, azonal vegetation complex endemic to Brazil, forming a mosaic of rocky mountaintop “archipelagos” inserted within a matrix of zonal vegetation, mainly in the Cerrado and Caatinga provinces of the Brazilian Shield (southeastern, northeastern and central-western regions), occurring mainly above 900 m asl. up to altitudes exceeding 2000 m, having measured annual precipitation between 800 and 1500 mm, and an arid season of two to five months.

O objetivo deste trabalho foi avaliar o controle de dois fluxos de emergência das plantas daninhas capim-marmelada (Brachiaria plantaginea) e capim-colchão (Digitaria horizontalis) pelo herbicida imazapic, aplicado em condição de pré-emergência, por meio de curvas de dose-resposta. O delineamento experimental foi o de blocos ao acaso, com quatro repetições; cada parcela constou de um vaso de 3 L de capacidade, preenchido com solo argiloso, acrescido de sementes de capim-marmelada e capim-colchão. Sendo D a dose recomendada do imazapic (140 g ha-1), os tratamentos foram: 4D, 2D, D, 1/2D, 1/4D, 1/8D, 1/16D e ausência do herbicida. Foram realizadas avaliações visuais de controle aos 30 e 60 dias após a infestação (DAI) e de massa seca aos 60 DAI. Após a colheita da biomassa resultante do primeiro fluxo de emergência presente nas parcelas, os vasos foram novamente semeados com as plantas daninhas e foram realizadas novas avaliações de controle aos 30 e 60 dias após reinfestação (DAR) e de massa seca aos 60 DAR. A partir dos resultados obtidos, pode-se afirmar que: o imazapic inibiu o desenvolvimento de ambas as plantas daninhas, alcançando resultados superiores a 80% de controle em todas as avaliações, para a dose recomendada, nos dois fluxos de emergência; a eficácia no controle de capim-colchão foi ligeiramente superior à do controle do capim-marmelada; e o herbicida imazapic apresentou-se como uma opção interessante para manejo dessas plantas daninhas.

The objective of this work was to evaluate the control of two emergence fluxes of the weeds Brachiaria plantaginea and Digitaria horizontalis by the herbicide imazapic applied under pre-emergence conditions, by analyzing the dose-response curves. The experimental design adopted was randomized blocks, with four replicates, with each plot being a 3L capacity pot, filled with clay soil plus Brachiaria plantaginea and Digitaria horizontalis seeds. Considering D as the recommended rate of imazapic (140 g ha-1), the treatments were: 4D, 2D, D, 1/2D, 1/4D, 1/8D, 1/16D and no herbicide. Visual evaluations of control at 30 and 60 Days After Infestation (DAI) and dry weight at 60 DAI were performed. After harvest of the biomass present in the plots, resulting from the first flux, the pots were seeded again followed by control evaluations at 30 and 60 Days After Re-infestation (DAR) and dry weight at 60 DAR. The results showed that imazapic inhibited the development of both weeds, reaching results higher than 80% of control in all the evaluations for the recommended dose, in both emergence fluxes; the efficacy in the control of Digitaria horizontalis was slightly superior than the control of Brachiaria plantaginea; imazapic was presented as an interesting option for management of these weeds.