Medicina Clinica Practica最新文献

{"title":"Estudio comparativo del control de nuestros pacientes diabéticos tipo 2 antes y después del confinamiento producido por la pandemia COVID-19","authors":"Daniel Suárez Hernández ,&nbsp;Elena Pascual Roquet Jalmar ,&nbsp;Jose Luis Gea González ,&nbsp;Maria Isabel Gea González ,&nbsp;Beatriz Soler Sánchez ,&nbsp;Majda Idrisi ,&nbsp;Javier Urios Durá","doi":"10.1016/j.mcpsp.2024.100438","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2024.100438","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the impact of the alterations of continuity of care on diabetic patients in our health department during the confinement that caused the pandemic. Check whether or not confinement mean tan alteration in the degree of control of our type 2 diabetic patients. Know whether our diabetic patients were adequately coontrolled before the pandemic began. Know if the pandemic has led to a deterioration in its degree of control.</p></div><div><h3>Subject and method</h3><p>Retrospective study between the years 2019 and 2020 of type 2 diabetic patients in our health area. Through the “Alumbra” application of our health area, a random sample of our patients diagnosed with type 2 diabetes from 18 to 100 years of age was obtained. The patients was informed if they wanted to enter the study and after the patient´s express consent, the patient was asked about their lifestyle, habits and a review of the medical history was carried out with the data recorded before the confinement (year 2019) and during the months of confinement of 2020.</p></div><div><h3>Results</h3><p>There were 882 patients (88.28%) with HbA1c determinations in 2019 with a mean of 7,08. There were 800 patients (88.98%) with HbA1c deteminations in 2020 with a mean of 7,02. There was a reduction in alcohol, tobacco and soft drink consumption habits, but there was also a reduction in physical exercise (33% to 22%) and is following a diabetic diet (34% to 24%). In the sample analyzed, there was a reduction in a alcohol consumption from the data obtained in 2019 to those obtained in 2020 (22% to 13%). There was an increase in obesity, which goes from 77,7% to 90,4%. It is observed that there is no change in the percentages in pathologies such as dislipemia, atrial fibrilation, osteoarthritis, and stroke.</p></div><div><h3>Conclussion</h3><p>The consequences associated with the pandemic on health are worrying, the decrease in acute consultation, preventive activities and the delay in controls for chronic patients will have a profound impact on the psychological and socioeconomic well being of populations. The holistic view of the Primary Care and the need to strengthen and rethink the system to increase its effciency are of particular importance.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 3","pages":"Article 100438"},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000132/pdfft?md5=63109c406f8b41f366c043873ab3b37c&pid=1-s2.0-S2603924924000132-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140339364","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}

{"title":"Calcinosis cutis","authors":"Julio C. Salas-Alanís ,&nbsp;Gerardo Rivera-Silva ,&nbsp;Jose G. Silva-Hernández ,&nbsp;María G. Moreno-Treviño","doi":"10.1016/j.mcpsp.2024.100439","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2024.100439","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 3","pages":"Article 100439"},"PeriodicalIF":0.0,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000144/pdfft?md5=da5fee46149281bacb444b5fc3b41a4a&pid=1-s2.0-S2603924924000144-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327829","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}

{"title":"The medicine of the past, present, and future generations: From Sir William Osler to ChatGPT","authors":"Caterina Delcea ,&nbsp;Catalin Adrian Buzea","doi":"10.1016/j.mcpsp.2024.100433","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2024.100433","url":null,"abstract":"<div><p>Innovation and discovery are the drivers of progress in medicine, which is an ever-changing science. Core concepts in current medical practice include patient-centered and high-value care, evidence-based and personalized medicine, and digital health, that is gaining momentum. Rampant progress is seen in technology development, artificial intelligence, machine learning, large language models such as ChatGPT. Their use in medicine has promising perspectives, conditioned by adequate regulations, based on ethical principles and human-rights, to ensure safety of patient data, fact accuracy, and general applicability.</p><p>The future of medicine should aim for universal health coverage, facilitated by digital medicine and guided by empathy and compassion. Human interaction will remain a mainstay in medical practice, and ideally technology will provide the much-needed time for doctor–patient bonding. Climate change, cyber security, and access to basic care are some of the challenges to be resolved in the years to come.</p><p>Future medical care should find the balance between high tech and high touch and aim to for global availability.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 3","pages":"Article 100433"},"PeriodicalIF":0.0,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000089/pdfft?md5=e2b31e8a59f2068846715a23d603428f&pid=1-s2.0-S2603924924000089-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140145377","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}

{"title":"Seizure at middle age: Meningioma","authors":"André Mendes,&nbsp;Ana Paula Rezende,&nbsp;Emanuel Fernandes,&nbsp;Isabel Lavadinho","doi":"10.1016/j.mcpsp.2024.100434","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2024.100434","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 3","pages":"Article 100434"},"PeriodicalIF":0.0,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000090/pdfft?md5=9509bf41dd9eb69ddb5276b5168ef3fc&pid=1-s2.0-S2603924924000090-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140122435","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}

{"title":"Enfermedad renal crónica y mortalidad cardiovascular. Un factor de riesgo ignorado","authors":"Enrique Ricart Torres,&nbsp;María Aranzazu Roldán Ramos,&nbsp;Vicente Santamaría Meseguer","doi":"10.1016/j.mcpsp.2024.100435","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2024.100435","url":null,"abstract":"<div><h3>Objectives</h3><p>The aim is to determine hidden chronic kidney disease (CKD) and its relationship with the appearance of cardiovascular events (CVD) and mortality. Furthermore, the aim is to identify cardiovascular risk factors (CVRF) and calculate the degree of control of diabetes mellitus (DM) type 2 and dyslipidemia (DLP) prior to CVD.</p></div><div><h3>Material and methods</h3><p>It consists of a retrospective cohort study carried out in the Basic Health Zones (BHZ) of San Agustín, (population of 33,321 users) which consists of the health centers San Agustín, Illes Columbretes, and the auxiliary clinics of Borriol and Raval; and on the other hand, the BHZ of Almassora (25,831 users), calculated in analysis between January 2015 and December 2018. The main variables were CKD, CVD, mortality and CVRFs.</p></div><div><h3>Results</h3><p>Final sample of 243 patients from two cohorts of 135 without CKD and 99 with CKD (36.4% occult CKD). The HR of developing CVD was 4.28 and mortality was 12.3 in the group with CKD compared to the group without CKD. Regarding the relationship of CVRFs prior to the appearance of CVD, in the cohort with CKD, hypertension (HTA), DLP, and type 2 DM had significant results, compared to the cohort without CKD. Likewise, in the CKD cohort the percentage of DLP control was less than 50.0%, and greater than 66.66% in DM type 2.</p></div><div><h3>Conclusions</h3><p>It is observed that a third of patients are not diagnosed with CKD, which has a high probability of developing CVD or death. Given the lack of diagnosis, interventions in the control of DLP and DM type 2 are lower.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 3","pages":"Article 100435"},"PeriodicalIF":0.0,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000107/pdfft?md5=b41eedc982e858c15cc93fdb277c502c&pid=1-s2.0-S2603924924000107-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140103278","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}

{"title":"Features of preparation of foreign students for taking objective structured practical (clinical) examinations in a combined learning format","authors":"Blagaia Anna,&nbsp;Antonenko Anna,&nbsp;Vavrinevych Olena,&nbsp;Borysenko Andriy,&nbsp;Kondratiuk Mykola,&nbsp;Bardov Vasyl,&nbsp;Tkachenko Inna","doi":"10.1016/j.mcpsp.2024.100426","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2024.100426","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>As a result of the COVID-19 pandemic and the beginning of a full-scale military invasion, the opportunities for conducting offline training at the medical university have significantly decreased. This made it necessary to find mechanisms to ensure the continuity of medical education of students for all disciplines in general and “Hygiene and Ecology” in particular. Another new challenge was introducing a new form of final exams for university graduates, which also required students and teachers to focus on preparing for this format of knowledge control. This defined the objectives of this study to analyze and summarize the peculiarities of preparing international students for taking an objective structured practical (clinical) examination (OSP(C)E-2) in the “Hygiene and Ecology, Healthcare Organization” station, in the context of combined (distance and in-person) learning.</p></div><div><h3>Materials and methods</h3><p>Informational data on training organization systems, filling of training platforms, video hosting, and messengers, the results of intermediate controls of students’ knowledge during the exam (3rd year) and final module control (6th year), and final graduation control (OSP(C)E-2) are used as research material.</p><p>The method of pedagogical analysis and observation, situational analysis, comparative method, content analysis, and methods of variable statistics, including the non-parametric coefficient of Spearman’s rank correlation, Wilcoxon’s T-test (dependent samples), Kendall’s correlation coefficient, were used in the study.</p></div><div><h3>Results</h3><p>The content of suggested informational resources was analyzed, and the structure of preparational steps for the final exam and organization of learning in the combined form of education were evaluated.</p><p>The effectiveness of the proposed measures was proven by the results of the “Hygiene and Ecology, Healthcare Organization” station of the OSP(C)E-2 examination taken by international students. An analysis of the results of the mixed (online and in-person) administration of the OSP(C)E-2 examination by international students showed a 100% pass rate.</p></div><div><h3>Conclusion</h3><p>The developed steps have helped to make students resilient and to ease the stressful aspects of the transition to distance learning for English-speaking students during the periods of strict containment measures of the coronavirus disease pandemic and safety measures in wartime conditions.</p><p>According to all calculated indices using a sufficient set of variable statistics methods, no significant difference in the results between students of online and offline forms of attestation was found. According to Wilcoxon’s W-test (unrelated samples), the difference was not statistically significant; according to Kendall’s correlation coefficient, no correlation was found, as well as according to Spearman’s rank correlation coefficient.</p><p>These achiev","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 2","pages":"Article 100426"},"PeriodicalIF":0.0,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000016/pdfft?md5=06e7eaa8525bd108dc41e8f73bb8a45d&pid=1-s2.0-S2603924924000016-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140113831","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}

{"title":"Squamous cell carcinoma of the lower lip","authors":"Julio C. Salas-Alanís ,&nbsp;María G. Moreno-Treviño ,&nbsp;Gerardo Rivera-Silva ,&nbsp;Raymundo Garza-Martínez","doi":"10.1016/j.mcpsp.2024.100436","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2024.100436","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 3","pages":"Article 100436"},"PeriodicalIF":0.0,"publicationDate":"2024-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000119/pdfft?md5=2e4d48fe22ab81c76705c27254b7b94a&pid=1-s2.0-S2603924924000119-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066688","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}

{"title":"Avances en Educación Médica","authors":"Ramon Pujol ,&nbsp;Joan Carles Trullàs","doi":"10.1016/j.mcpsp.2024.100431","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2024.100431","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 2","pages":"Article 100431"},"PeriodicalIF":0.0,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000065/pdfft?md5=aec76a585fc85961571679cf8edd06e5&pid=1-s2.0-S2603924924000065-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139986312","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}

{"title":"La selección de estudiantes de Medicina con competencias en humanidades: resultados de una prueba piloto","authors":"Josep Roma ,&nbsp;Jaume March-Llanes ,&nbsp;Eva Peguero ,&nbsp;Bárbara Segura ,&nbsp;Antoni Castro ,&nbsp;Grupo de trabajo para el estudio del acceso al Grado de Medicina","doi":"10.1016/j.mcpsp.2024.100429","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2024.100429","url":null,"abstract":"<div><p>The characteristics of students who begin a medical degree in Spain are determined by the results of the entrance tests (EBAU). In order to select a student profile more closely aligned with the skills that must be acquired in order to practice the profession, the medical schools of Catalonia, with the health and university departments of the <em>Generalitat</em>, carried out a pilot test, inspired by the selection processes that are carried out in other countries around us.</p></div><div><h3>Objective</h3><p>To develop a test for the detection of non-technical skills in students who are admitted to the degree.</p></div><div><h3>Methodology</h3><p>The test consisted of answering three types of tests, to measure communication and relationship with the professional environment (CREP), ethical judgment in specific situations (JUESC) and, finally, critical reasoning ability (CRAC). There was a total of 134 multiple-choice questions that had previously been validated by members of the dean's teams. 511 first-year students (49% of the total) answered the test in September 2022.</p></div><div><h3>Results</h3><p>The means and standard deviations of the three tests were: CREP (7.18, 0.99), JUESC (4.68, 0.81), CRAC (5.43, 1.02), and the total of the test (5.67, 0.62). The reliability tests (Cronbach) were: CREP (0.56), JUESC (0.54), CRAC (0.49), total (0.65).</p></div><div><h3>Conclusion</h3><p>A test that better selects medical students based on a profile more in line with humanistic values is perfectly feasible, although based on this experience, the instrument needs to be improved to make it more reliable.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 2","pages":"Article 100429"},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000041/pdfft?md5=8631095545482fb656a00614661274c0&pid=1-s2.0-S2603924924000041-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139743586","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}

{"title":"Rheumatoid iliopsoas bursitis","authors":"Daniela Oliveira ,&nbsp;Rafaela Nicolau ,&nbsp;Lúcia Costa ,&nbsp;Miguel Bernardes","doi":"10.1016/j.mcpsp.2024.100427","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2024.100427","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 3","pages":"Article 100427"},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000028/pdfft?md5=20f89c28a070de0c866e611ee9aeb5aa&pid=1-s2.0-S2603924924000028-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139749018","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}