Valeria del Real-Machain, Luis Octavio Bolaños-Pano, Arianna Parra-Ibarraran, Eduardo Mercado-Cruz
{"title":"Hernia diafragmática congénita de presentación tardía. Reporte de caso con revisión de la literatura","authors":"Valeria del Real-Machain, Luis Octavio Bolaños-Pano, Arianna Parra-Ibarraran, Eduardo Mercado-Cruz","doi":"10.22201/fm.24484865e.2023.66.4.04","DOIUrl":"https://doi.org/10.22201/fm.24484865e.2023.66.4.04","url":null,"abstract":"A congenital diaphragmatic hernia occurs when the diaphragm has a structural defect that allows the migration of abdominal organs into the chest cavity. It is called a \"\"late presentation\"\" when its diagnosis is within 30 days of being born. More than 60% of patients with congenital diaphragmatic hernia are misdiagnosed. The most common misdiagnoses are pleural effusion, pneumonia, pneumothorax, pneumatocele, and lung abscess. We present the case of a 3-year-old female who attended the emergency room due to abdominal pain, nausea, vomiting, intolerance to the oral route, and respiratory distress. The chest X-Ray showed migration of the gastric chamber towards the thorax, displacement of the cardiac silhouette and the mediastinal structures to the right, and the tip of the nasogastric tube located in the left hemithorax. The doctors concluded a late presentation diaphragmatic hernia. The patient received surgical treatment, which was successful. This paper highlights the importance of suspecting the diagnosis of late-onset congenital diaphragmatic hernia when treating pediatric patients with respiratory distress without another apparent cause, abdominal pain, nausea, and vomiting. \u0000Key words: Late-onset congenital diaphragmatic hernia; respiratory distress syndrome; acute abdominal pain; pediatrics.","PeriodicalId":21295,"journal":{"name":"Revista de la Facultad de Medicina","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89250680","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":"Procesos para la rendición de cuentas en la Facultad de Medicina","authors":"Ignacio Villalba Espinosa","doi":"10.22201/fm.24484865e.2023.66.4s.21","DOIUrl":"https://doi.org/10.22201/fm.24484865e.2023.66.4s.21","url":null,"abstract":"The accountability of the Faculty or School of Medicine is the legal obligation related to the information that the management team must make available to the academic community of the institution and society in general, regarding the management of resources and the assurance of the quality of processes and result in learning and academic productivity, in such a way that transparency standards are met. Based on the above, and through the Secretary of Planning and Institutional Development (SPDI), mechanisms for accountability are designed, implemented, and evaluated.\u0000The following accountability processes and mechanisms are carried out: Self-evaluation process for the Accreditation of the Bachelor’s Degree in Medicine and Surgery before the Mexican Council for the Accreditation of Medical Education (COMAEM A.C.); Reporting and participation in the publication of rankings (newspapers El Universal and Reforma); Annual Report of the Faculty of Medicine;\u0000Four-year Activities Report of the Scholl of Medicine; Matrix of Results Indicators (MIR); UNAM Memory. The School has the responsibility to be a reference both nationally and internationally and is committed to its pioneering role by disseminating this type of actions, as it encourages other higher education institutions to adopt accountability processes that they consider most suitable to their context.\u0000Keywords: Accountability; transparency; medical education; accreditation; UNAM.","PeriodicalId":21295,"journal":{"name":"Revista de la Facultad de Medicina","volume":"536 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77699405","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":"Perspectiva docente frente a la transición de ambientes virtuales de aprendizaje","authors":"Irene Durante Montiel","doi":"10.22201/fm.24484865e.2023.66.4s.10","DOIUrl":"https://doi.org/10.22201/fm.24484865e.2023.66.4s.10","url":null,"abstract":"Education in the world changed radically as consequence of the health emergency experienced in 2020; the confinement posed -among others- the challenge of urgently implementing digital tools to teach at a distance with the resources available up to that moment, and limited teacher training in these topics. This article explored, through a survey applied to 1,009 academics of the School of Medicine, their perception regarding the type of electronic devices, the quality of Internet connection and the use of electronic tolos they had at the beginning of the confinement, as well as their willingness to develop online classes and activities. The results show that less than half of the academics surveyed had previous experience in implementing distance classes; practically all of them agreed to train and teach their classes online. These results provide guidance on the general strengths and weaknesses that need to be addressed to enrich the preparation of academics in the teaching-learning process\u0000towards a hybrid model.\u0000Keywords: Virtual modality; virtual learning environments; online classes; technological barriers in education; teaching practice in the health emergency.","PeriodicalId":21295,"journal":{"name":"Revista de la Facultad de Medicina","volume":"76 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86675471","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":"Tecnología y reflexión ética: binomio indisoluble en la educación médica contemporánea","authors":"Oscar Barrera Sánchez","doi":"10.22201/fm.24484865e.2023.66.4s.09","DOIUrl":"https://doi.org/10.22201/fm.24484865e.2023.66.4s.09","url":null,"abstract":"The use of technology has implied an advance for human beings in the way of understanding the world. The relationships of the subjects with their environment and with others are transformed into dilemmas that challenge them before their own interaction with products, resources and technological tools. Medical education is one of these cases, which represents an opportunity for the complex training of health professionals, as well as a tension regarding the relationship between doctors and patients, from a humanistic perspective.\u0000Keywords: Technology; ethics; artificial intelligence; medical education; dilemma.","PeriodicalId":21295,"journal":{"name":"Revista de la Facultad de Medicina","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85976816","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":"La función de las proteínas de choque térmico en las infecciones virales","authors":"Sofía Olvera-Sánchez, Federico Martínez","doi":"10.22201/fm.24484865e.2023.66.4.02","DOIUrl":"https://doi.org/10.22201/fm.24484865e.2023.66.4.02","url":null,"abstract":"Heat- shock proteins (HSP) were first described as a cell response to heat stress. However, over time, it has become clear they have multiple functions inside and outside cells, and that they actively participate in different physiological and pathological processes. They perform functions related to their cellular location or physiological moment, which is why they have been called multi-use proteins or “moonlighting proteins”. Furthermore, HSP activity is associated with different structural conformations, from peptides derived from them or as dimers or multimers, to mention a few. This article describes these functions and their relationship with the immune system, and their relationship with viral infection, particularly with inflammatory processes. Keywords: HSP; viral infection; COVID-19; immune system; inflammation processes.","PeriodicalId":21295,"journal":{"name":"Revista de la Facultad de Medicina","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84991397","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":"Evaluación de las asignaturas optativas en modalidad a distancia desde la mirada del estudiantado de la licenciatura de Médico Cirujano","authors":"Lilia Macedo de la Concha","doi":"10.22201/fm.24484865e.2023.66.4s.07","DOIUrl":"https://doi.org/10.22201/fm.24484865e.2023.66.4s.07","url":null,"abstract":"The educational model of the Open University and Distance Education System (SUAyED) is based on the generation of learning ecologies that consider environments, situations and contexts of activity different from the traditional ones, which offer opportunities to learn. The principles of this model are flexibility, adaptability, innovation, interaction and interactivity, distributed teaching, co-responsibility, continuous evaluation, humanism and sustainability, which are considered in the design of optional subjects in the distance modality (MOLIMOD). The technical and design aspects were evaluated through a questionnaire with a Likert-type scale, applied to students from the first to the fourth year of the Medical Doctor degree (MDD) who took any of these subjects. The results guide us to a positive perception from the students. The systematic evaluation allows constant improvement and shows that the students are satisfied with the design and implementation of MOLIMOD.\u0000Keywords: Medical education; evaluation; distance modality; optional subjects; didactic design.","PeriodicalId":21295,"journal":{"name":"Revista de la Facultad de Medicina","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85628744","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":"El vínculo entre el currículo y la docencia en el proceso de actualización del Plan de Estudios 2010","authors":"Irene Durante Montiel","doi":"10.22201/fm.24484865e.2023.66.4s.03","DOIUrl":"https://doi.org/10.22201/fm.24484865e.2023.66.4s.03","url":null,"abstract":"In a process of curricular evaluation and updating, it is important to account for the teacher’s artiopinion in relation to the challenges that the curriculum has implied for them, in such a way that it is possible to identify which elements of this require restructuring and which are the teacher training needs, in addition to the requirements to manage the educational process.\u0000This paper seeks to establish the link between the Surgeon degree curriculum and teaching practice, in order to identify some of the main problems faced by teachers and possible recommendations for updating the curriculum.\u0000Keywords: Teaching; didactics; curriculum; assessment and medical training.\u0000In a process of curricular evaluation and updating, it is important to account for the teacher’s artiopinion in relation to the challenges that the curriculum has implied for them, in such a way that it is possible to identify which elements of this require restructuring and which are the teacher training needs, in addition to the requirements to manage the educational process.\u0000This paper seeks to establish the link between the Surgeon degree curriculum and teaching practice, in order to identify some of the main problems faced by teachers and possible recommendations for updating the curriculum.\u0000Keywords: Teaching; didactics; curriculum; assessment and medical training.","PeriodicalId":21295,"journal":{"name":"Revista de la Facultad de Medicina","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79405698","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":"Elección de pareja: implicaciones y complicaciones","authors":"Mario Souza y Machorro","doi":"10.22201/fm.24484865e.2023.66.4.06","DOIUrl":"https://doi.org/10.22201/fm.24484865e.2023.66.4.06","url":null,"abstract":"Human individualistic loneliness impels us to live as a couple and to achieve male/female complementarity, affection, and reciprocity. The scientific journalism of this article paraphrases the content of its bibliography when reviewing the choice of a partner, its satisfaction and complications and preventive instruction of circumstances that cause rupture. The flaw, since the election, ignores the mechanisms between reason and sexual instinct. The problem of love is not to be loved but to develop such a capacity, since maladjustment and monotony extinguishes it. The elector/chosen act and its simultaneous reasons are described: conscious (homogeneity/heterogeneity of the encounter; emulation of the animal model; type, link dynamics and social networks; sociodemographic aspects; geographic location and accessibility; sexual sharing and immediate/future expectations), and unconscious (election problems, dyadic interaction and parental history; defense mechanisms, exchange of dissociations; idealization; negative reciprocity, power struggle, projective identification, search for appreciation for the other; narcissism, false self, delay/avoidance mechanisms liability, insecurity, trespass and collusion). A healthy couple understands/attends to the creation and maintenance of \"\"we\"\", eliminates the power struggle and produces permanent conciliation. Agreement and tolerant understanding are essential for a satisfactory, stable, and lasting emotional relationship.\u0000Keywords: Choice of partner; conscious/unconscious reasons; “we”; power struggle; conciliation","PeriodicalId":21295,"journal":{"name":"Revista de la Facultad de Medicina","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79846611","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":"Programa Institucional de Tutoría Integral: nuevas estrategias de acompañamiento en la Licenciatura de Médico Cirujano","authors":"Germán E. Fajardo Dolci","doi":"10.22201/fm.24484865e.2023.66.4s.17","DOIUrl":"https://doi.org/10.22201/fm.24484865e.2023.66.4s.17","url":null,"abstract":"The Tutoring programs in higher education have gained relevance as an educational strategy, oriented to the integral attention of students during their academic career, with the purpose of guiding them to achieve their academic and personal goals. In the case of the Faculty of Medicine, since the update of its Institutional Program of Integral Tutoring FM in 2018, it has sought to contribute to the integral training of students through four actions that implement the program: adaptation, study, academic performance and self-care. These axes have been worked through the\u0000modality of traditional academic tutoring, and through the implementation of two new modalities: peer tutoring (given by a student of more advanced years) and group tutoring (given by a teacher to a group). Both modalities are aimed at the population of first and second year as pedagogical strategies of accompaniment in their integral formation.\u0000Keywords: Tutoring; group tutoring; integral tutoring; peer tutors; accompaniment","PeriodicalId":21295,"journal":{"name":"Revista de la Facultad de Medicina","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83142440","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":"Logrando tus metas, la movilidad académica en la Facultad de Medicina","authors":"Irene Durante Monyiel","doi":"10.22201/fm.24484865e.2022.66.4s.05","DOIUrl":"https://doi.org/10.22201/fm.24484865e.2022.66.4s.05","url":null,"abstract":"The objective of this article is to describe the improvement strategies that the UNAM School of Medicine (FacMed), through the MAVI (Academic Mobility and Interinstitutional Linkage Unit), has implemented throughout its administration from 2016 to 2022. The situation of mobility in the Faculty of Medicine of the UNAM is discussed, as well as the personal and institutional benefits derived from academic mobility. Although academic mobility is an expensive situation that requires financing, the FacMed generated strategies and accompaniment with which mobility processes were carried out in its community. In addition, the programs that were created during the COVID-19 pandemic are described, in response to the continuous needs for internationalization, all of them adapted to geographical mobility limitations, such as the Virtual Language Exchange, to generate bilingual practices. Likewise, the Meet&Greet in Health Science Internationalization Program, an event where students from the UNAM Faculty of Medicine met with students from other higher education institutions, to discuss various research topics in health sciences. It should be noted that academic mobility at FacMed is not exclusive to the student community, since some teachers were also advised to be part of the UNAM program of special activities for inter-institutional cooperation (PAECI), which facilitated their stay or travel. out of the country.\u0000Keywords: Academic mobility; internationalization; curriculum development; networks; higher education institutions.","PeriodicalId":21295,"journal":{"name":"Revista de la Facultad de Medicina","volume":"95 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78678995","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}