Medicina Clinica Practica最新文献

{"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}

{"title":"La medicina del pasado y del futuro vista desde la experiencia","authors":"Jordi Casademont","doi":"10.1016/j.mcpsp.2023.100420","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2023.100420","url":null,"abstract":"<div><p>Medicine has evolved positively throughout my professional life. It is currently more decisive and respectful, and less invasive than a few decades ago. The proof of this is that life expectancy has increased and the general health of the population is clearly better. However, there seems to be some discrepancy between these objective data and the self-perception of health by a large part of the population. Various possible causes are pointed out, among which stands out the progressive technification of medicine at the cost, frequently, of a loss of humanistic values of the profession. From these premises, we ponder on possible actions aimed at alleviating this problem.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 2","pages":"Article 100420"},"PeriodicalIF":0.0,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924923000587/pdfft?md5=209cd34d8814070e78081348dd6a1285&pid=1-s2.0-S2603924923000587-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139480070","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 formación médica especializada en España: fortalezas y debilidades","authors":"Javier García Alegría,&nbsp;Josefa Andrea Aguilar García","doi":"10.1016/j.mcpsp.2023.100414","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2023.100414","url":null,"abstract":"<div><p>Medical specialty training in Spain the so-called MIR system, is one of the pillars of the quality of the health care system by ensuring standardized training in accredited units. After decades of experience, the medical specialty training has some obvious strengths, but also some weaknesses. This article reviews these characteristics and proposes improvement measures.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 2","pages":"Article 100414"},"PeriodicalIF":0.0,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924923000526/pdfft?md5=915f0b1e2c5a04973db24c03dcfd3751&pid=1-s2.0-S2603924923000526-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139493143","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":"Assessment of clinical competence of medical students: Future perspectives for Spanish Faculties","authors":"Stefan Lindgren ,&nbsp;Jorge Luis Pales Argullos ,&nbsp;Josep Roma Millan","doi":"10.1016/j.mcpsp.2023.100424","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2023.100424","url":null,"abstract":"<div><p>Medical education should foster professionals with knowledge and skills, professional attitudes, and social responsibilities. Undergraduate and postgraduate education and continuing professional development as specialist each have unique possibilities and responsibilities.</p><p>The use of varied assessment formats assist progression towards the expected program outcomes. An analysis of the main methods for assessing clinical competence is done. This will support students, provide confidence, and document the competence acquired; needed for safe practise, professional life-long learning, being a member of the medical knowledge community and a catalyst for a health promoting society.</p><p>Spanish medical schools have partially incorporated the Bologna Process, including the introduction of outcome-based medical education. With some exceptions however, they continue with non-integrated curricula, structured on independent subjects.</p><p>Instead, integrated and progressive competence assessment programs in horizontally and vertically integrated curricula should be established based on the programmatic assessment paradigm. This supports feedback and summative decisions for each student, to help them progress and reach the expected outcomes.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 2","pages":"Article 100424"},"PeriodicalIF":0.0,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924923000629/pdfft?md5=814ce6b63db680d5844a171033af69b2&pid=1-s2.0-S2603924923000629-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139493145","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":"Simulación interprofesional en estudiantes de ciencias de la salud","authors":"Marta Raurell-Torredà ,&nbsp;Francesca Mitjavila ,&nbsp;José Antonio Sarria-Guerrero ,&nbsp;Olga Capdevila ,&nbsp;Joan Maria Estrada ,&nbsp;Antoni Riera-Mestre","doi":"10.1016/j.mcpsp.2023.100413","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2023.100413","url":null,"abstract":"<div><h3>Background and objective</h3><p>Interprofessional education allows improving communication and acquiring interprofessional competencies for better patient care. The aim of the present study was to analyze such changes in the class group, and before-after participating in an undergraduate subject based on interprofessional simulation.</p></div><div><h3>Methodology</h3><p>Descriptive cross-sectional study in first year students of the nursing degree and second year students of the medical degree before participating in the interprofessional simulation elective subject in the subsequent academic year. A prospective before and after study was conducted with 12 students of the nursing degree and 12 medical students who received such training. The Interprofessional Socialization and Values Scale was used to assess attitudes and beliefs toward collaborative education and socialization in the professional group. Differences between grades were analyzed with the Mann-Whitney U test and between the two phases with the Friedman test for paired data.</p></div><div><h3>Results</h3><p>Overall, nursing students showed better pre-simulation role knowledge than medical students. In the pre-simulation cut-off, interprofessional simulation students scored low on the ISVS scale items related to the use of common language, role knowledge and shared decision making. In the post-simulation cut-off they scored significantly higher on all items of the scale (p &lt; 0.001).</p></div><div><h3>Conclusions</h3><p>Interprofessional simulation-based education is optimal for developing interprofessional socialization between nursing and medical students in the context of an elective subject with students from both grades. It enables training of one's own role and knowledge of the role of the other members, improving communication and teamwork.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 2","pages":"Article 100413"},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924923000514/pdfft?md5=6a92efd52a81d9d162d2d6804a791ef2&pid=1-s2.0-S2603924923000514-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139480069","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":"Celsus’ Kerion","authors":"Julio C. Salas-Alanís ,&nbsp;María G. Moreno-Treviño ,&nbsp;Gerardo Rivera-Silva","doi":"10.1016/j.mcpsp.2023.100425","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2023.100425","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 2","pages":"Article 100425"},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924923000630/pdfft?md5=24b8a2ae8c2562758ea684e5034badba&pid=1-s2.0-S2603924923000630-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139406542","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}