Revista Medica Clinica Las Condes最新文献_第8页

La meditación como estrategia de intervención para disminuir el impacto del burnout en las funciones cognitivas de los estudiantes de Medicina: una revisión exploratoria 冥想作为减少职业倦怠对医学生认知功能影响的干预策略：探索性综述。

IF 0.2

Revista Medica Clinica Las Condes Pub Date : 2024-09-01 DOI: 10.1016/j.rmclc.2024.10.002

María José Olivares , Ricardo Ramírez-Barrantes MSc, PhD

{"title":"La meditación como estrategia de intervención para disminuir el impacto del burnout en las funciones cognitivas de los estudiantes de Medicina: una revisión exploratoria","authors":"María José Olivares , Ricardo Ramírez-Barrantes MSc, PhD","doi":"10.1016/j.rmclc.2024.10.002","DOIUrl":"10.1016/j.rmclc.2024.10.002","url":null,"abstract":"<div><h3>Introduction</h3><div>The prevalence of burnout in the early years of medical training is a cause for concern and can negatively impact the learning and academic development of students. Meditation has been shown to be a set of techniques with the potential to reduce stress levels, improve attention and memory, and promote psychological well-being.</div></div><div><h3>Objective</h3><div>This study aims to analyze the current state of literature regarding the impact of meditation-based interventions on cognitive functions in medical students affected by burnout.</div></div><div><h3>Method</h3><div>A scoping review was conducted following PRISMA guidelines, examining studies found in PubMed and Scopus, which resulted in a total of 41 records.</div></div><div><h3>Results</h3><div>The studies indicate that burnout levels are established early in medical training. Although the literature reports impairments in cognitive functions such as attention, working memory, and executive functions, there is limited evidence regarding the impact on medical training itself.</div></div><div><h3>Conclusion</h3><div>Meditation shows promise in controlling both burnout and cognitive functions; however, a greater number of studies and a systematic review of the evidence are needed to obtain conclusive results for medical students.</div></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"35 5","pages":"Pages 459-472"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Explorando la alfabetización en feedback en la formación de profesionales de la salud: un estudio cualitativo 探索卫生专业人员培训中的反馈素养：一项定性研究

IF 0.2

Revista Medica Clinica Las Condes Pub Date : 2024-09-01 DOI: 10.1016/j.rmclc.2024.10.004

Javiera Fuentes-Cimma MSc , Francisca Rammsy , Alanis Molina-Obreque , Valentina Murga-Alfaro , Catalina Neira-Silva , Daniela Olivares-Maturana , Ignacio Villagrán MSc

{"title":"Explorando la alfabetización en feedback en la formación de profesionales de la salud: un estudio cualitativo","authors":"Javiera Fuentes-Cimma MSc , Francisca Rammsy , Alanis Molina-Obreque , Valentina Murga-Alfaro , Catalina Neira-Silva , Daniela Olivares-Maturana , Ignacio Villagrán MSc","doi":"10.1016/j.rmclc.2024.10.004","DOIUrl":"10.1016/j.rmclc.2024.10.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Feedback is recognized as a process in which students make sense of information from various sources and use it to improve performance. Several studies have shown dissatisfaction from students about this process, which could mean there is no conceptual consensus about this process.</div><div>Feedback literacy refers to the understanding and capacities to make sense of the information received and use it to improve performance, which is considered essential for an effective feedback process. Despite its importance, the implications that student feedback literacy has in teaching and course design have not been sufficiently taken into account, and uncertainty persists about engaging them effectively, especially in clinical settings.</div></div><div><h3>Methodology</h3><div>Cross-sectional study with a pragmatic approach and qualitative methods. First and fourth-year students from health-related careers at the Pontificia Universidad Católica de Chile were invited to participate. Six focus groups were organized, and thematic analysis was used.</div></div><div><h3>Results</h3><div>Three themes guided the findings. Differences exist between first- and fourth-year students regarding their capacity to recognize feedback instances and how they make sense of their experiences with this educational strategy. Students perceive feedback as a one-way process. Higher-level students recognize more instances of feedback.</div></div><div><h3>Conclusions</h3><div>Understanding students’ feedback literacy will enable future educational interventions on feedback processes in Health Sciences.</div></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"35 5","pages":"Pages 484-490"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experiencia de acompañamiento biopsicosocial al recién nacido hospitalizado y su familia antes y durante la pandemia por COVID-19 在 COVID-19 大流行之前和期间对住院新生儿及其家人进行生物心理社会陪伴的经验

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Revista Medica Clinica Las Condes Pub Date : 2024-09-01 DOI: 10.1016/j.rmclc.2024.08.003

Francisca Velozo-Ramírez MSc , Macarena Hernández-Fuentes MSc , Verónica Valdivia-Berdechefic , Marcia Olhaberry-Huber PhD , Mónica Morgues-Nudman MD, MSc

引用次数: 0

Predictores del éxito académico en estudiantes de pregrado de la carrera de Nutrición y Dietética de la Pontificia Universidad Católica de Chile 智利天主教主教大学营养与饮食学系本科生学业成功的预测因素

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Revista Medica Clinica Las Condes Pub Date : 2024-09-01 DOI: 10.1016/j.rmclc.2024.09.002

Paulina Pettinelli MSc, PhD , Rodrigo Fernández-Verdejo MSc, PhD , Carolina Fredes MSc, PhD , Alejandra Parada MSc, PhD , Carolina Aguirre PhD

{"title":"Predictores del éxito académico en estudiantes de pregrado de la carrera de Nutrición y Dietética de la Pontificia Universidad Católica de Chile","authors":"Paulina Pettinelli MSc, PhD , Rodrigo Fernández-Verdejo MSc, PhD , Carolina Fredes MSc, PhD , Alejandra Parada MSc, PhD , Carolina Aguirre PhD","doi":"10.1016/j.rmclc.2024.09.002","DOIUrl":"10.1016/j.rmclc.2024.09.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Identifying the factors that determine academic success can help design strategies focused on increasing academic success. We aimed to identify predictors associated with academic success in undergraduate students of the Nutrition and Dietetics Program of the Pontificia Universidad Católica de Chile (PUC).</div></div><div><h3>Methods</h3><div>Retrospective study using the institutional database. Academic success was the main outcome, including two indexes: i) final grade point average (GPA-f) and; ii) timely graduation, defined as graduating in ≤10 semesters. Candidate predictors were: age, sex, region of origin, school attended, score at the university selection test (PSU-score), admission route, and preference for the program. Stepwise linear regression was used to identify predictors of GPA-f. Binary logistic regression was used to identify variables associated with timely graduation.</div></div><div><h3>Results</h3><div>PSU-score was the only predictor of GPA, explaining 24% of its variance. The odds (OR [95%CI]) for a timely graduation were influenced by PSU-score (1.017 [1.003–1.031]) and admission route (PSU 1.00 [Reference], Inclusive 0.30 [0.10–0.96], Special 0.46 [0.13–1.57]).</div></div><div><h3>Conclusions and implications</h3><div>PSU-score partially predicts the academic success of Nutrition and Dietetics students. In addition, students who accessed the program by the equity admission had lower odds of a timely graduation. As educational inequalities may affect academic success, the teaching and learning process needs to be addressed with specific strategies for these students to ensure academic success.</div></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"35 5","pages":"Pages 421-428"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tormenta tiroidea desencadenante de paro cardiorrespiratorio: reporte de caso 甲状腺风暴引发心肺骤停：病例报告

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Revista Medica Clinica Las Condes Pub Date : 2024-09-01 DOI: 10.1016/j.rmclc.2024.09.005

Eduardo Segovia-Vergara, Bárbara Reuse-Berner, Erick Rivera-Soto, Gabriela Ruiz-Cárcamo

{"title":"Tormenta tiroidea desencadenante de paro cardiorrespiratorio: reporte de caso","authors":"Eduardo Segovia-Vergara, Bárbara Reuse-Berner, Erick Rivera-Soto, Gabriela Ruiz-Cárcamo","doi":"10.1016/j.rmclc.2024.09.005","DOIUrl":"10.1016/j.rmclc.2024.09.005","url":null,"abstract":"<div><h3>Introduction</h3><div>A thyroid storm is a rare but highly lethal disease. It is characterized by exaggerated symptoms of hyperthyroidism, and it can lead to multiorgan failure and cardiopulmonary arrest.</div></div><div><h3>Case Report</h3><div>A 35-year-old man with no prior medical history presented with a two-week history of palpitations and epigastric pain, which abruptly worsened over 24hours, accompanied by nausea and diaphoresis. During transportation to the emergency department, he experienced cardiopulmonary arrest and multiorgan failure during his hospitalization. Family reported recent hyperthyroid symptoms led to the consideration of a thyroid storm diagnosis. Thyroid function tests revealed a free T4 level greater than 7.7 ng/dl and a TSH level less than 0.005μIU/ml. The patient was treated with thiamazole, hydrocortisone, and propranolol, showing favorable progression.</div></div><div><h3>Discussion and Conclusion</h3><div>Opportune diagnosis of a thyroid storm is crucial, as early management and detection reduce complications and mortality. Once suspected, resuscitation measures and pharmacological treatment should be initiated to mitigate the effects of thyroid hormones.</div></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"35 5","pages":"Pages 543-547"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Percepción de estudiantes de Medicina sobre curso híbrido de Traumatología y Ortopedia post pandemia COVID-19. Estudio transversal en Chile 医科学生对大流行病后 COVID-19 创伤学和骨科混合课程的看法。智利横断面研究

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Revista Medica Clinica Las Condes Pub Date : 2024-05-01 DOI: 10.1016/j.rmclc.2024.05.012

Pablo Ruiz-Riquelme , Andrea Cáceres-Hernández , Bernardita König-López , Felipe Quintana-Guiñez , Magdalena Castro-Cruz

{"title":"Percepción de estudiantes de Medicina sobre curso híbrido de Traumatología y Ortopedia post pandemia COVID-19. Estudio transversal en Chile","authors":"Pablo Ruiz-Riquelme , Andrea Cáceres-Hernández , Bernardita König-López , Felipe Quintana-Guiñez , Magdalena Castro-Cruz","doi":"10.1016/j.rmclc.2024.05.012","DOIUrl":"10.1016/j.rmclc.2024.05.012","url":null,"abstract":"<div><h3>Background</h3><p>The COVID-19 pandemic led to an increase in distance learning for undergraduate medical students. Reports on these experiences have been published but research regarding student perception of these new learning methods is still lacking. Finis Terrae University implemented an online modality in 2021 and a hybrid modality in 2022 for their undergraduate Orthopedics course.</p></div><div><h3>Aim</h3><p>The objective of our work is to determine the perception of fifth year medical students with regards to the hybrid 2022 Orthopedics course.</p></div><div><h3>Methodology</h3><p>A student satisfaction survey was conducted assessing the following dimensions: concept and previous experience with distance classes; perception of distance learning and face-to-face practice; limitations of distance education; and rating with regards to maintaining teaching said methodology.</p></div><div><h3>Results</h3><p>All students (92/92) responded to the survey. The group was made up of 53% women and 47% men, with a median age of 24 [22-37] years. Most of the students reported that the course met their expectations and that they had a good acquisition of theoretical knowledge, although they had insecurity in the application of the physical examination. Advantages and disadvantages of this modality were recognized and improvements were suggested.</p></div><div><h3>Conclusions</h3><p>This study supports favorable student perception regarding an adequate acquisition of theoretical knowledge, the advantages of the hybrid modality and the positive evaluation. However, improvement in terms of the acquisition of training in physical examination and time allocation for the Orthopedics course.</p></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"35 3","pages":"Pages 364-373"},"PeriodicalIF":0.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0716864024000488/pdfft?md5=59d7a0c035cbe2fea09a965056b8ede9&pid=1-s2.0-S0716864024000488-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142011924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Osteopoiquilosis: a propósito de un caso 骨质疏松症：病例报告

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Revista Medica Clinica Las Condes Pub Date : 2024-05-01 DOI: 10.1016/j.rmclc.2024.04.004

Guillermo Sánchez-Fonseca , María del Carmen Soler-Ruiz , María Dolores Fonseca-Montosa , Francisco Rafael Sánchez-Sánchez , Marta Sánchez-Aguilar , Roberto Domingo Tabernero-Rico , Miguel Ángel Corral-de Calle

{"title":"Osteopoiquilosis: a propósito de un caso","authors":"Guillermo Sánchez-Fonseca , María del Carmen Soler-Ruiz , María Dolores Fonseca-Montosa , Francisco Rafael Sánchez-Sánchez , Marta Sánchez-Aguilar , Roberto Domingo Tabernero-Rico , Miguel Ángel Corral-de Calle","doi":"10.1016/j.rmclc.2024.04.004","DOIUrl":"10.1016/j.rmclc.2024.04.004","url":null,"abstract":"<div><h3>Clinical case</h3><p>A 42-year-old woman, a smoker since her twenties, without any personal, family or traumatic history of interest. Currently, she consults with a cold like symptoms with fever that has lasted for several days. She had right chest and abdominal pain without dyspnea, with pleuritic characteristics. refractory to ibuprofen.</p></div><div><h3>Results</h3><p>A chest x-ray was performed showing several pulmonary micronodules, which, added to her smoking history and refractory thoraco-abdominal pain, prompted a thoraco-abdomino-pelvic computerized tomography (CT). On CT, the pulmonary micronodular images do not appear to have a malignant behavior, but since they are associated with multiple enostotic infiltrative osteosclerotic lesions in the axial skeleton (incidentally seen on thoraco-abdomino-pelvic CT with bone window), their better characterization with a metabolic study is recommended, given the reasonable suspicion of bone metastases secondary to lung cancer. In the metabolic/functional extension study, a global hypouptake was obtained, reasonably ruling out the possibility of bone metastases, and directing diagnostic suspicions towards other benign possibilities such osteopoikilosis.</p></div><div><h3>Conclusions</h3><p>Osteopoikilosis is a casual and rare finding that should be included in the differential diagnosis of multiple osteosclerotic images, and not be confused with malignant entities.</p></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"35 3","pages":"Pages 336-340"},"PeriodicalIF":0.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S071686402400049X/pdfft?md5=13d69c7613fe8579c669fd81f8c366a1&pid=1-s2.0-S071686402400049X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142011947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ventilación con liberación de presión en la vía aérea y posición prono en el síndrome de distrés respiratorio agudo grave por SARS-CoV-2: reporte de caso SARS-CoV-2 严重急性呼吸窘迫综合征中的减压气道通气和俯卧位：病例报告

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Revista Medica Clinica Las Condes Pub Date : 2024-05-01 DOI: 10.1016/j.rmclc.2024.07.006

Rita Pino-Pino , Emilia Guajardo-Moyano , Felipe Castillo-Merino , Sebastián Ugarte-Ubiergo

{"title":"Ventilación con liberación de presión en la vía aérea y posición prono en el síndrome de distrés respiratorio agudo grave por SARS-CoV-2: reporte de caso","authors":"Rita Pino-Pino , Emilia Guajardo-Moyano , Felipe Castillo-Merino , Sebastián Ugarte-Ubiergo","doi":"10.1016/j.rmclc.2024.07.006","DOIUrl":"10.1016/j.rmclc.2024.07.006","url":null,"abstract":"<div><p>COVID-19 had a wide spectrum of clinical manifestations, from asymptomatic to severe forms. A significant percentage of infected subjects develop acute respiratory distress syndrome (ARDS).</p></div><div><h3>Objective</h3><p>Use of prone position and airway pressure release ventilation (APRV) to improve oxygenation in a patient with COVID-19 ARDS.</p></div><div><h3>Clinical case</h3><p>73-year-old patient, with diabetes and high blood pressure, presented with a diagnosis of severe COVID-19 pneumonia, which required the use of invasive mechanical ventilation (IMV). In the context of poor oxygenation, difficult sedation and blood gas deterioration, APRV is started. With the progression of pulmonary involvement, ventilatory strategies were not very fruitful, so it was decided to use prone+APRV.</p></div><div><h3>Results</h3><p>a total of 574hours in IMV and 274hours in prone divided into 3 cycles of duration. The first cycles of prone+APRV were relevant in terms of improvements in PaO<sub>2</sub>/FiO<sub>2</sub> (PaFi), however, from the third prone event, there were no significant changes.</p></div><div><h3>Conclusions</h3><p>prone+APRV was adequate to the patient's requirements, however, the clinical course of the disease produced irreversible deterioration.</p></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"35 3","pages":"Pages 330-335"},"PeriodicalIF":0.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0716864024000555/pdfft?md5=319171c443d73212dbe15056104d5ed0&pid=1-s2.0-S0716864024000555-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142011950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bronquiectasias: enfoque diagnóstico y terapéutico 支气管扩张症：诊断和治疗方法

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Revista Medica Clinica Las Condes Pub Date : 2024-05-01 DOI: 10.1016/j.rmclc.2024.07.004

Joel Melo

引用次数: 0

inmunizaciones en el adulto: una mirada hacia las poblaciones especiales 成人免疫接种：特殊人群概况

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Revista Medica Clinica Las Condes Pub Date : 2024-05-01 DOI: 10.1016/j.rmclc.2024.07.003

Paulina Vergara-Pinto , Pablo Herrera-Morgado

引用次数: 0