Medicina Clinica Practica最新文献

{"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}

{"title":"El papel de las facultades de medicina","authors":"J. Pablo Lara ,&nbsp;Antonio Compañ ,&nbsp;Anna Casanova ,&nbsp;Comisión Permanente de la Conferencia Nacional de Decanos de Facultades de Medicina Españolas (CNDFME)","doi":"10.1016/j.mcpsp.2024.100428","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2024.100428","url":null,"abstract":"<div><p>The Schools of Medicine are the responsible centers for the Graduate Degree that qualifies for the practice of the medical profession, regulated by European and national legislation. Their number has increased from 28 to 50 in the last 15 years, a decision that should depend solely on academic and health criteria.</p><p>\"<em>It is necessary to provide future physicians with the best possible scientific, professional and human training, so that they are capable of solving health problems, in a coordinated and continuous itinerary that begins with the degree and specialized health training, followed by continuous professional development”</em> (Declaration of Malaga 2022. Standards for undergraduate medical education: thinking about the future, endorsed by national and international institutions).</p><p>We need to continue working in a coordinated manner between university and healthcare leaders to stabilize, promote and increase our faculty.</p><p>We face challenges, with the desire to improve, thanks to the dedication of all the people who are formed and form to care for the health of others, with our greatest gratitude.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 2","pages":"Article 100428"},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S260392492400003X/pdfft?md5=9255ef8f943ef5935d94147733e39df7&pid=1-s2.0-S260392492400003X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139743587","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":"Prognostic value of in-hospital and 6-month mortality after acute coronary syndrome using GRACE, TIMI, and HEART scores","authors":"An Viet Tran ,&nbsp;Dang Duy Truong ,&nbsp;Toan Hoang Ngo ,&nbsp;Oanh Thi Kim Nguyen ,&nbsp;Son Kim Tran ,&nbsp;Phuong Kim Huynh","doi":"10.1016/j.mcpsp.2023.100419","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2023.100419","url":null,"abstract":"<div><h3>Background</h3><p>Prognostic assessment of early cardiovascular events in patients with acute coronary syndrome (ACS) can be aided by the HEART, TIMI, and GRACE scores. However, their combined use has not been extensively researched.</p></div><div><h3>Objectives</h3><p>Determining the prognostic value of in-hospital and 6-month mortality using the GRACE, TIMI, and HEART scores in patients with acute coronary syndrome.</p></div><div><h3>Methods</h3><p>We conducted a cross-sectional descriptive study on 68 patients with acute coronary syndrome, following them longitudinally for 6 months at Can Tho Central General Hospital, Vietnam.</p></div><div><h3>Results</h3><p>The GRACE score demonstrated good prognostic value for in-hospital mortality, with an area under the curve (AUC) of 0.805. Sensitivity and specificity were 90% and 65.51%. Conversely, the TIMI risk score had a poor prognostic value for in-hospital mortality (AUC = 0.682; sensitivity = 60%, specificity = 63.79%) and 6-month mortality (AUC = 0.692; sensitivity = 60%, specificity = 66.03%). On the other hand, the HEART score had quite good prognostic value for in-hospital mortality (AUC = 0.726; sensitivity = 50%, specificity = 89.74%) and good prognostic value for 6-month mortality (AUC = 0.805; sensitivity = 57.1%, specificity = 97.14%).</p></div><div><h3>Conclusion</h3><p>The GRACE scores demonstrate greater prognostic value for in-hospital mortality in patients with acute coronary syndrome compared to the TIMI and HEART scores.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 2","pages":"Article 100419"},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924923000575/pdfft?md5=51e59a56061c6cab498fa33cb0035f47&pid=1-s2.0-S2603924923000575-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139652655","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":"Application of artificial intelligence in medical education: A review of benefits, challenges, and solutions","authors":"Mahdi Zarei ,&nbsp;Hamid Eftekhari Mamaghani ,&nbsp;Amin Abbasi ,&nbsp;Mohammad-Salar Hosseini","doi":"10.1016/j.mcpsp.2023.100422","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2023.100422","url":null,"abstract":"<div><h3>Introduction/objectives</h3><p>Artificial intelligence (AI) holds indisputable potential in solving global challenges faced in healthcare provision, resulting in its ever-increasing utilization in various medical fields. This review aims to present a thorough evaluation of the advantages, challenges, and leading strategies for utilizing AI in the field of medical education.</p></div><div><h3>Methods</h3><p>In order to access the latest studies and documents, a comprehensive literature search was conducted in Medline (via PubMed), Scopus, and Web of Science databases, using free keywords and MeSH terms representing artificial intelligence, medical education, curriculum, medical student, and their equivalents, without any restriction in time and language, until October 2023.</p></div><div><h3>Results</h3><p>The expanding integration of AI into medical practice, especially in recent decades, has also led to an increase in the use of different AI methods in medical education. However, integrating AI into medical education comes with advantages and obstacles. The advantages include objective student assessment, better clinical simulation organization, and enhanced education transparency. Conversely, the main challenges of AI integration in education are ethical and legal issues, scalability limitations, evaluating the effectiveness of these educational methods, and technical difficulties.</p></div><div><h3>Conclusions</h3><p>Further research is needed to specifically identify the potential benefits and challenges, and analyze the proposed solutions for these challenges. Also, the academic curriculum should be evaluated periodically in order to improve the effectiveness of incorporating AI in medical education.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 2","pages":"Article 100422"},"PeriodicalIF":0.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924923000605/pdfft?md5=1cefa8351304380725505f35a0671f6f&pid=1-s2.0-S2603924923000605-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139493146","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":"Anemia among active Helicobacter pylori infection at the University Medical Center Ho Chi Minh City: A case–control study","authors":"Manh Tuan Ha ,&nbsp;Viet Tung Le ,&nbsp;Phuong Duy Huynh ,&nbsp;Tuan Anh Nguyen","doi":"10.1016/j.mcpsp.2023.100423","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2023.100423","url":null,"abstract":"<div><h3>Background</h3><p><em>Helicobacter pylori</em> (<em>H. pylori</em>) infection may cause gastric ulcers or extra-gastroduodenal disorders, including iron deficiency anemia. This study aimed to determine the relationship between <em>H. pylori</em> infection and iron deficiency anemia (IDA).</p></div><div><h3>Methods</h3><p>A case–control study was conducted on participants aged ≥<!--> <!-->18 with an indication for gastric endoscopy. The cases were identified by positive rapid urease tests with biopsy specimens obtained during gastric endoscopy. The controls were negative rapid urease tests. Blood samples from the participants were taken for hematological indices and other iron-related parameters.</p></div><div><h3>Results</h3><p>A total of 230 participants including 115 cases and 115 controls were eligible for the study. <em>H. pylori</em> positive group had significantly a lower mean value of hemoglobin (<em>P</em> <!-->&lt;<!--> <!-->.001), mean corpuscular volume (MCV) (<em>P</em> <!-->&lt;<!--> <!-->.001), mean corpuscular hemoglobin concentration (MCHC) (<em>P</em> <!-->&lt;<!--> <!-->.001), serum iron (<em>P</em> <!-->&lt;<!--> <!-->.001), and transferrin saturation (TSAT) (<em>p</em> <!-->&lt;<!--> <!-->.001) compared to the counterparts; meanwhile, ferritin levels showed an insignificant difference between 2 groups (<em>P</em> <!-->&gt;<!--> <!-->.05). The rate of iron deficiency anemia was significantly higher in the cases than in the controls (χ2<!--> <!-->=<!--> <!-->16.05; <em>P</em> <!-->&lt;<!--> <!-->.001). A significant association was found between <em>H. pylori</em> infection and anemia, iron deficiency with age and sex-adjusted ORs of 7.59 (95% CI<!--> <!-->=<!--> <!-->3.83–15.05, <em>P</em> <!-->&lt;<!--> <!-->.001) and 2.12 (95% CI<!--> <!-->=<!--> <!-->1.05–4.25, <em>P</em> <!-->=<!--> <!-->.035), respectively.</p></div><div><h3>Conclusions</h3><p>Our study found a significant association between <em>H. pylori</em> infection and anemia, and iron deficiency. The relationship between <em>H. pylori</em> infection and iron deficiency anemia has not been conclusively established. <em>H. pylori</em>-infected individuals should be screened for IDA.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 2","pages":"Article 100423"},"PeriodicalIF":0.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924923000617/pdfft?md5=402165347b0dc6f593b13b316feed4eb&pid=1-s2.0-S2603924923000617-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139493142","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":"Exploring the impact of using cinema and TV series in medical education: a systematic review","authors":"Joel Piqué-Buisan ,&nbsp;Erika Sorribes ,&nbsp;Irene Cambra-Badii","doi":"10.1016/j.mcpsp.2023.100421","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2023.100421","url":null,"abstract":"<div><p>Using featured films and TV series as pedagogical tools in medical education has recently surged in popularity. This paper presents a systematic review evaluating their pedagogical applications and analyzing expertise in this field. A total of 17 papers, spanning from 1983 to 2023, were comprehensively analyzed. Results were categorized by original journal, themes, population characteristics, target groups, specific films/series used, instructional methods, and outcomes. Diverse topics emerged, including medical professionalism, bioethics, and critical thinking. 2871 medical students participated in these experiences, mainly from the first- or second year. Most experiences relied solely on films. Articles highlighted the importance of debates around audiovisual materials. The review found featured films and TV series to be valuable supplements to traditional medical education. They enrich students' learning experiences, deepen engagement with complex subjects, and foster critical skills development, offering an innovative teaching approach.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 2","pages":"Article 100421"},"PeriodicalIF":0.0,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924923000599/pdfft?md5=c5340107b19994d073e2b6f5e50d8a49&pid=1-s2.0-S2603924923000599-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139493144","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}