Simulação baseada em Dinâmica de Sistemas para o ensino da fisiologia do eixo Hipotálamo-hipófise-tireoide no contexto da graduação em medicina
Resumo
O uso de simuladores no ensino da medicina, vem crescendo continuamente, como uma tecnologia barata e efetiva para treinamentos. Neste trabalho propomos um simulador, para endrocrinologia, para ensino do eixo hipotálamo-hipófise-tireoide (HHT), denominado EndoSim-LZ que executa um modelo de Dinâmica do Sistema (DS) para esse eixo. Com ele, visualmente, o aluno pode controlar os valores de qualquer hormônio do eixo e verificar a repercussão na produção dos demais. Foi realizada uma avaliação para capturar a percepção de especialistas por meio de um survey com 14 itens na escala Likert, onde foram levantados alguns pontos negativos relacionados à melhorias de interface e interação, mas também foram levantados os principais pontos positivos que estão relacionados à relevância e utilidade no ensino do eixo HHT.
Palavras-chave:
Simulação, Dinâmica de Sistemas, Ensino, Eixo Hipotálamo-hipófise-tireoide, Endrocrinologia
Referências
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Harder, B. N. (2010). Use of simulation in teaching and learning in health sciences: A systematic review. Journal of Nursing Education, 49(1):23–28.
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Meadows, D. (2007). A brief and incomplete history of operational gaming in system dynamics. System Dynamics Review, 23(2-3):199–203.
Medeiros, M. A. (1999) ISO 9241: uma proposta de utilização da norma para avaliação do grau de satisfação de usuários de software Universidade Federal de Santa Catarina. MastersThesis.
Melmed, S., Polonsky, K., Larsen, P. R., and Kronenberg, H. (2010). Williams Tratado de Endocrinologia (Em Portuguese do Brasil). Elsevier Professional.
Michael, J. (2007). What makes physiology hard for students to learn? results of a faculty survey. Advances in Physiology Education, 31(1):34–40.
Park, H. J., Wang, C., Choi, K. H., and Kim, H. N. (2018). Use of a life-size three-dimensional-printed spine model for pedicle screw instrumentation training. Journal of Orthopaedic Surgery and Research, 13(1).
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Richardson, G. P. (2014). ”model” teaching II: Examples for the early stages. System Dynamics Review, 30(4):283–290.
Rubin, D. M., Richards, C. L., Keene, P. A. C., Paiker, J. E., Gray, A. R. T., Herron, R. F. R., Russell, M. J., and Wigdorowitz, B. (2010). System dynamics in medical education: a tool for life. Advances in Health Sciences Education, 17(2):203–210.
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Seker, O.; Barlas, Y. . A. F. ((2012)). Modelling the dynamics of thyroid hormones and related disorders. Master’s thesis, Bogazici University.
Sterman, J. D. (2001). System dynamics modeling: Tools for learning in a complex world. California Management Review, 43(4):8–25.
Tawalbeh, L. I. and Tubaishat, A. (2013). Effect of simulation on knowledge of advanced cardiac life support, knowledge retention, and confidence of nursing students in Jordan. Journal of Nursing Education.
Varga, C. R. R., de Carvalho Almeida, V., Germano, C. M. R., Melo, D. G., Chachá, G. F., Souto, B. G. A., Fontanella, B. J. B., and Lima, V. V. (2009). Relato de experiência: o uso de simulações no processo de ensino-aprendizagem em medicina. Revista Brasileira de Educação Médica.
Yoshida, E. A., Castro, M. L. A., and Martins, V. F. (2017). Virtual reality and fetal medicine - a systematic review. In 2017 XLIII Latin American Computer Conference (CLEI). IEEE.
Barlas, Y. and Diker, V. G. (2000). A dynamic simulation game (UNIGAME) for strategic university management. Simulation & Gaming, 31(3):331–358.
Bozikov, J., Relic, D., and Dezelic, G. (2018). Use of system dynamics modeling in medical education and research projects. Studies in health technology and informatics, 247:830–834.
Cant, R. P. and Cooper, S. J. (2009). Simulation-based learning in nurse education: systematic review. Journal of Advanced Nursing, 66(1):3–15.
Degon, M., Chipkin, S. R., Hollot, C., Zoeller, R. T., and Chait, Y. (2008). A computational model of the human thyroid. Mathematical Biosciences.
Dietrich, J. W., Landgrafe, G., and Fotiadou, E. H. (2012). TSH and thyrotropic agonists: Key actors in thyroid homeostasis. Journal of Thyroid Research, 2012.
Dietrich, J. W., Landgrafe-Mende, G., Wiora, E., Chatzitomaris, A., Klein, H. H., Midgley, J. E. M., and Hoermann, R. (2016). Calculated parameters of thyroid homeostasis: Emerging tools for differential diagnosis and clinical research. Frontiers in Endocrinology, 7.
Han, S. X., Eisenberg, M., Larsen, P. R., and DiStefano, J. (2016). THYROSIM app for education and research predicts potential health risks of over-the-counter thyroid supplements. Thyroid, 26(4):489–498.
Harder, B. N. (2010). Use of simulation in teaching and learning in health sciences: A systematic review. Journal of Nursing Education, 49(1):23–28.
Hoermann, R., Midgley, J. E. M., Larisch, R., and Dietrich, J. W. (2015). Homeostatic control of the thyroid–pituitary axis: Perspectives for diagnosis and treatment. Frontiers in Endocrinology, 6.
Hoermann, R., Midgley, J. E. M., Larisch, R., and Dietrich, J. W. C. (2017). Advances in applied homeostatic modelling of the relationship between thyrotropin and free thyroxine. PLOS ONE, 12(11):e0187232.
Lellis-Santos, C., Giannocco, G., and Nunes, M. T. (2011). The case of thyroid hormones: how to learn physiology by solving a detective case. Advances in Physiology Education, 35(2):219–226.
Martins, L. G. and Monteiro, L. H. (2010). A model of intelligent controller for hypothyroidism treatment. In 2010 10th IEEE International Conference on Computer and Information Technology. IEEE.
Meadows, D. (2007). A brief and incomplete history of operational gaming in system dynamics. System Dynamics Review, 23(2-3):199–203.
Medeiros, M. A. (1999) ISO 9241: uma proposta de utilização da norma para avaliação do grau de satisfação de usuários de software Universidade Federal de Santa Catarina. MastersThesis.
Melmed, S., Polonsky, K., Larsen, P. R., and Kronenberg, H. (2010). Williams Tratado de Endocrinologia (Em Portuguese do Brasil). Elsevier Professional.
Michael, J. (2007). What makes physiology hard for students to learn? results of a faculty survey. Advances in Physiology Education, 31(1):34–40.
Park, H. J., Wang, C., Choi, K. H., and Kim, H. N. (2018). Use of a life-size three-dimensional-printed spine model for pedicle screw instrumentation training. Journal of Orthopaedic Surgery and Research, 13(1).
Pruyt, E. (2013). Small System Dynamics Models for Big Issues: Triple Jump towards Real-World Complexity. TU Delft Library, Delft, The Netherlands, 1.0 edition.
Richardson, G. P. (2014). ”model” teaching II: Examples for the early stages. System Dynamics Review, 30(4):283–290.
Rubin, D. M., Richards, C. L., Keene, P. A. C., Paiker, J. E., Gray, A. R. T., Herron, R. F. R., Russell, M. J., and Wigdorowitz, B. (2010). System dynamics in medical education: a tool for life. Advances in Health Sciences Education, 17(2):203–210.
Savi, R., Wangenheim, C. G. V., Ulbricht, V., and Vanzin, T. (2010). Proposta de um modelo de avaliação de jogos educacionais. RENOTE, 8(3).
Seker, O.; Barlas, Y. . A. F. ((2012)). Modelling the dynamics of thyroid hormones and related disorders. Master’s thesis, Bogazici University.
Sterman, J. D. (2001). System dynamics modeling: Tools for learning in a complex world. California Management Review, 43(4):8–25.
Tawalbeh, L. I. and Tubaishat, A. (2013). Effect of simulation on knowledge of advanced cardiac life support, knowledge retention, and confidence of nursing students in Jordan. Journal of Nursing Education.
Varga, C. R. R., de Carvalho Almeida, V., Germano, C. M. R., Melo, D. G., Chachá, G. F., Souto, B. G. A., Fontanella, B. J. B., and Lima, V. V. (2009). Relato de experiência: o uso de simulações no processo de ensino-aprendizagem em medicina. Revista Brasileira de Educação Médica.
Yoshida, E. A., Castro, M. L. A., and Martins, V. F. (2017). Virtual reality and fetal medicine - a systematic review. In 2017 XLIII Latin American Computer Conference (CLEI). IEEE.
Publicado
11/11/2019
Como Citar
RAMOS, André J. A.; CHAVES, Rafael Oliveira; FAVERO, Elói Luiz.
Simulação baseada em Dinâmica de Sistemas para o ensino da fisiologia do eixo Hipotálamo-hipófise-tireoide no contexto da graduação em medicina. In: SIMPÓSIO BRASILEIRO DE INFORMÁTICA NA EDUCAÇÃO (SBIE), 30. , 2019, Brasília/DF.
Anais [...].
Porto Alegre: Sociedade Brasileira de Computação,
2019
.
p. 962-971.
DOI: https://doi.org/10.5753/cbie.sbie.2019.962.
