Revista Latinoamericana de Simulación Clínica最新文献

{"title":"Entrenamiento de habilidades de resucitación cardiopulmonar y soporte vital básico en laboratorio de simulación","authors":"Sabrina Costacurta, M. Moraes, S. B. Maagh, A. C. B. K. Moraes","doi":"10.35366/95228","DOIUrl":"https://doi.org/10.35366/95228","url":null,"abstract":"Conclusión: Estudios previos han demostrado que cuanto más relevante es la materia para el ABSTRACT Introduction: The process of teaching and learning basic life support and cardiopulmonary resuscitation maneuvers is related to the development of a set of skills (cognitive, motor and behavioral) that make it complex and require repeated training to achieve the necessary skills. Material and methods: This is a descriptive and observational study, conducted in the simulation laboratory of the Catholic University of Pelotas. The initial sample encompassed 120 students attending the first year, second semester, of medical school, of whom 77 participated in this analysis. Basic life support training corresponded to the first three links of the Chain of Survival in cardiorespiratory arrest and in initial treatment for airway release and ventilation. The evaluation consisted of observing the skills developed by the students during their care to cardiorespiratory arrest in different settings, and this evaluation had formative characteristics. Results: The evaluation was carried out by two teachers trained for the activity. When correlating the exposure and the result of cardiac compressions and its effectiveness, the hand position exposure and the effective compression result variables showed significance with p = 0.019, RR 3.08. Furthermore, when we correlated the hand position with the effective compression frequency (result), we obtained an important relationship, with p = 0.007, RR 2.45. Regarding the hand position and the correct depth of the compressions (result), it also showed a relationship with p = 0.01, RR 2.32. In the thorax return analysis concerning the frequency, the relationship was pretty significant p = 0.0000, RR 3.08. The activity evaluation analysis, defined as the student satisfaction survey, showed that the applicability item for the topic covered was 72.73%, and the curricular interaction with the course was 76.62%. Conclusion: Previous studies have shown that the more relevant the subject La actividad y la evaluación realizadas permitieron verificar que los estudiantes confirmaron esta importancia para su vida académica. A partir de esto, tendremos la oportunidad de implementar esta práctica para las clases iniciales de la Facultad de Medicina en el currículo académico. that relationship for their academic life. From this, we will have the opportunity to implement this practice for the initial classes of the medical school in the academic curriculum.","PeriodicalId":179877,"journal":{"name":"Revista Latinoamericana de Simulación Clínica","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125741752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Educación en línea: un camino hacia la formación docente sin fronteras","authors":"Diego Andrés Díaz-Guío, F. Ferrero, José Arturo Vázquez-Vázquez, Adalberto Amaya-Afanador, Y. Ramos, H. Olvera-Cortés","doi":"10.35366/rsc193a","DOIUrl":"https://doi.org/10.35366/rsc193a","url":null,"abstract":"","PeriodicalId":179877,"journal":{"name":"Revista Latinoamericana de Simulación Clínica","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132091405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nuevo concepto y herramienta para evaluar objetivamente el realismo en simulación clínica","authors":"G. Coro-Montanet, Óscar Oliva-Fernández, J. Sánchez-Ituarte, M. J. Pardo-Monedero","doi":"10.35366/110987","DOIUrl":"https://doi.org/10.35366/110987","url":null,"abstract":"Introduction: fidelity has been used, historically, to classify the type of simulation being performed, but it relies on a subjective and fuzzy concept. Objectives: this article proposes a categorized and subcategorized system to evaluate realism qualitatively and quantitatively through a more precise classification and a tool that evaluates the scenic realism indexes achieved in clinical simulation. It also aims to make known the elements of new science that support the new concept and to promote culture and consensus of what is measured, specifying how and by whom it should be evaluated for a better didactic design and analysis of the effects -favorable or not-of the realism achieved. Material and methods: a three-year mixed study (Delphi method and validation by means of Cronbach’s Alpha, Guttman’s Lambda 6 and correlations) and factor analysis was carried out to develop a","PeriodicalId":179877,"journal":{"name":"Revista Latinoamericana de Simulación Clínica","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133397837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Producción científica sobre la simulación clínica: revisión integrativa de las tesis y disertaciones brasileñas","authors":"S. N. D. Oliveira, J. G. Martini, Jaime Alonso Caravaca-Morera","doi":"10.35366/rsc191h","DOIUrl":"https://doi.org/10.35366/rsc191h","url":null,"abstract":"","PeriodicalId":179877,"journal":{"name":"Revista Latinoamericana de Simulación Clínica","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130967194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigación en Simulación en Latinoamérica: una buena y una mala noticia","authors":"Marcia Corvetto, R. Rubio","doi":"10.35366/rsc191a","DOIUrl":"https://doi.org/10.35366/rsc191a","url":null,"abstract":"","PeriodicalId":179877,"journal":{"name":"Revista Latinoamericana de Simulación Clínica","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130978641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Un modelo bayesiano para datos cualitativos en simulación","authors":"Jimmie Leppink","doi":"10.35366/103188","DOIUrl":"https://doi.org/10.35366/103188","url":null,"abstract":"","PeriodicalId":179877,"journal":{"name":"Revista Latinoamericana de Simulación Clínica","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121331209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aportes de la simulación al desarrollo del razonamiento clínico en estudiantes de pregrado de medicina","authors":"N. Bastías-Vega, C. Pérez-Villalobos, E.P. Reyes-Aramburu, C. Behrens-Pérez, Soledad Armijo-Rivera","doi":"10.35366/92935","DOIUrl":"https://doi.org/10.35366/92935","url":null,"abstract":"El uso de recursos de simulación en los planes de estudio de las carreras de medicina se ha usado para promover el desarrollo de las aptitudes procesales, la comunicación con los pacientes, la entrega de los pacientes, el razonamiento ético y el trabajo en equipo. El proceso de reunir, integrar y confirmar la información, que constituyen la base del razonamiento clínico necesario para la toma de decisiones médicas, es una de las competencias esenciales para la formación de estos profesionales; sin embargo, sigue presentando dificultades a los creadores de planes de estudios. Aunque muchos reconocen que su enseñanza es predominantemente clínica, otros piensan que aún no se conoce la mejor manera de enseñar el razonamiento clínico. La simulación con pacientes estandarizados, los simuladores virtuales computarizados, la simulación inmersiva y la simulación de alta fidelidad pueden ser útiles desde el principio del programa de estudios, pero deben ir acompañados de retroalimentación o debriefing. Por ello, es necesario desarrollar estudios longitudinales, ya que el razonamiento clínico es una tarea compleja, cuyo desarrollo se establece a lo largo de los planes de estudio; asimismo, es preciso identificar estrategias efectivas que faciliten el debriefing y promuevan el razonamiento clínico o el análisis de los errores cognitivos en la toma de decisiones. ABSTRACT","PeriodicalId":179877,"journal":{"name":"Revista Latinoamericana de Simulación Clínica","volume":"170 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115960992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validez de constructo del uso de realidad virtual en la cirugía de cataratas: revisión sistemática","authors":"Hunter Chewerk, María Montero, A. Di-Luciano","doi":"10.35366/95231","DOIUrl":"https://doi.org/10.35366/95231","url":null,"abstract":"Introduction: The use of virtual reality (VR) in surgical training has been gaining popularity. The use of VR is used today as part of surgical training programs in many centers. For this reason, the need arises to evaluate the real impact of VR on training in cataract surgery. The objective of this manuscript, is to carry out a systematic review of the literature on construct validity in the use of VR in cataract surgery. Material and methods: Systematic review was done using PubMed and the Cochrane Library for studies published from January 1, 2008 to January 1, 2018. Search keywords were: simulation in ophthalmology, virtual reality, construct validity and cataract surgery. The inclusion criteria were the following: (1) articles published in the last 10 years; (2) related to virtual reality simulation in cataract surgery and (3) articles that evaluate construct validity. We also include articles on cost analysis and learning tools that could be associated with simulation training. After the search, we found 52 articles of which we used 15 for the systematic review and 21 for the discussion. Results: The modules that have shown constructive validity are anti-tremor and forceps, capsulorexis, hydration maneuvers, cracks and chopping (p < 0.05). The use of VR in cataract surgery has shown good results in real patients through a lower posterior capsule rupture rate (p = 0.032), vitreous loss, less phaco time (p = 0.02) and time of operation (p = 0.001). Surgeons’ increased confidence in the steps of surgery are also reported. Assessing performance with VR is of utmost importance as it will partly determine the readiness of new generations of surgeons and the future surgical outcomes of patients. Objective Structured Assessment of Cataract Surgical Ability (OSACSS) and Objective Structured Assessment of Technical Surgical Skills (OSATS) have been used to assess surgical performance in residents. Conclusions: The use of virtual reality in cataract surgeries is a tool that has already demonstrated its construct validity. We consider it an important alternative (complement) to training based on artificial or animal eyes. Longer-term studies with more standardized designs are needed to assess their real impact and cost effectiveness. Di-Luciano A y cols. Uso de realidad virtual en la cirugía de cataratas 72 Simulación Clínica 2020; 2 (2): 71-80 www.medigraphic.com/simulacionclinica www.medigraphic.org.mx INTRODUCCIÓN E concepto de simulación se remonta al año 1929 cuando Edward Link creó un sistema de simulación para evitar accidentes aéreos.1 La historia de la simulación en oftalmología comienza en 1992 con la creación de un simulador para inyección de anestesia retrobulbar llamado ORIS.2 Un año después, Hunter y colaboradores crearon un robot microquirúrgico teleoperado para cirugía ocular.3 El uso de la realidad virtual (RV) ya ha demostrado ser exitoso en otras ramas de la medicina como Urología,4 Cirugía General,5 Ginecología,6 Otorrinolaringologí","PeriodicalId":179877,"journal":{"name":"Revista Latinoamericana de Simulación Clínica","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123734265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Del brochure al paciente: rol de la simulación en el uso de nuevos implantes ortopédicos","authors":"F. Soza, C. Calvo, Rodrigo de-Marinis, R. Liendo, J. Contreras","doi":"10.35366/101431","DOIUrl":"https://doi.org/10.35366/101431","url":null,"abstract":"","PeriodicalId":179877,"journal":{"name":"Revista Latinoamericana de Simulación Clínica","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129001038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resúmenes ganadores del VI Congreso Latinoamericano de Simulación Clínica: La simulación, un aprendizaje integrado. Cancún, México 2019","authors":"","doi":"10.35366/rsc193g","DOIUrl":"https://doi.org/10.35366/rsc193g","url":null,"abstract":"","PeriodicalId":179877,"journal":{"name":"Revista Latinoamericana de Simulación Clínica","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129162513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}