Seminars in Medical Writing and Education
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Impact of digital education in rural areas of Ecuador: Challenges and opportunities.
Get PDFThe integration of digital technologies in rural areas of Ecuador has revealed problems related to a lack of technological literacy and infrastructure. This study, based on a systematic review of 20 documents obtained from databases such as Google Scholar and Redalyc, analyzes the main challenges and opportunities of digital education in these communities. Five key areas are identified: the digital divide, the need for teacher training, the development of digital skills, technological accessibility, and public policies. The results indicate that digital literacy is fundamental for social inclusion and economic development, highlighting the need to implement sustainable strategies that guarantee equitable access to ICTs
RESEARCH AND POSTGRADUATE TRAINING THROUGH THE GOOD LIVING PROGRAM FOR DIABETIC PATIENTS IN VENEZUELA
No full textIntroduction: Health programs have an impact on society and constitute a global health priority. The Buen Vivir Program for Diabetics in the Bolivarian Republic of Venezuela represents a strategy led by the People\u27s Ministry of Health, focused on reducing the amputation rate due to diabetic foot ulcers. The training of its human capital is a fundamental pillar for providing excellent healthcare services in outpatient care units. Objective: To improve the research and postgraduate training of health professionals in healthcare units where consultations for diabetic foot ulcers are provided. Methods: An Action-Participatory Research study was conducted, using analysis-synthesis, systemic-structural, holistic-configurational, and statistical-mathematical methods. The ethical principles required for this type of research were taken into account, in addition to the use of non-parametric tests such as McNemar\u27s, which made it possible to test the effectiveness of the study and the transformations arising from this process. Results: There was an increase in the number of scientific papers presented at national and international events, as well as professional development activities associated with the treatment of diabetic foot ulcers with risk of lower limb amputation. Conclusions: The strengthening of human resources in the training plan designed for the study allowed for the improvement of research and postgraduate training, in addition to providing content updates consistent with the fourth strategic line of the health personnel policy in the 2030 Agenda
Psychological well-being in medical education: an analysis of its evolution and scientific communication
Get PDFIntroduction: Psychological well-being in medical education is a growing line of research, essential for mitigating stress, anxiety, and burnout among medical students. Objective: To map the intellectual structure and evolution of this area of study through a bibliometric analysis. Methodology: A bibliometric analysis of 3,127 documents indexed in Scopus (2018-2024) was conducted, processed with VOSviewer to examine production metrics, collaboration, and keyword co-occurrence. Results: Scientific production experienced exponential growth, accelerated by the COVID-19 pandemic. A marked concentration of scientific leadership was identified in English-speaking countries (United States and United Kingdom), while the Hispanic American contribution was peripheral. Conceptually, the field evolved from a predominant focus on psychopathologies (anxiety, burnout) towards emerging clusters on curricular interventions and protective educational environments. Artificial intelligence is emerging as a topic with controversial impact. Conclusions: The field is consolidated but asymmetrical. Strategic investment in Hispanic America is required to strengthen research capacities, improve visibility, and ethically integrate emerging technologies, shifting from description to prediction and prevention of psychological distress in medical training
Use of ICT in education and generational diversity: a critical review of digital capabilities
Get PDFThe aim of this study was to carry out a critical and systematic review of the scientific literature on the use of Information and Communication Technologies (ICT) and its relationship with generational diversity of teachers; to analyze how digital competencies are developed in different educational contexts. The methodology was based on the PRISMA model, guaranteeing transparency and rigor in the phases of search, selection and documentary analysis. We reviewed 142 articles published between 2020 and 2025, of which 52 met the inclusion criteria, from databases such as Scopus, Web of Science and SciELO. The results showed that digital teaching competencies represent the main line of research, followed by generational diversity and educational innovation. In addition, a greater scientific production was identified in Europe, especially in Spain and Portugal, while Latin American studies, although growing, remain limited. It is concluded that the educational digital transformation requires sustainable policies, differentiated training programs and ethical and collaborative digital literacy that integrates generational diversity as a strategic resource for pedagogical innovation and professional strengthening
Risk of eating disorder and sociocultural influence on appearance in gym-going women: the role of diet
Get PDFIntroduction. The risk of eating disorder symptoms (ED-R) among gym-attending women is linked to sociocultural influences on appearance, including thin-ideal internalization (IB), muscular-ideal internalization (IM), and pressures from peers (PP), family (FP), and media (MP). A network approach enables the characterization of their interdependence. Objective. To compare the architecture and centrality of ED-R–sociocultural networks according to diet adherence (yes/no). Method. Cross-sectional study with women attending gyms. The EAT-25 (ED-R) and SATAQ (IB, IM, PP, FP, MP) were administered. Networks were estimated using EBICglasso; strength, betweenness, closeness, and expected influence were computed; accuracy was assessed via bootstrapping. Results. Both networks included six nodes (15 possible edges). Without diet adherence: a less dense network, with PP and ED-R as the most central nodes, and IB showing moderate magnitudes. With diet adherence: a denser network, where IB emerged with the highest positive expected influence; ED-R retained structural centrality (high betweenness/closeness) but displayed negative expected influence; PP maintained positive influence with low strength; IM and MP remained peripheral. Discussion. Diet adherence was associated with increased density and functional reorganization: sociocultural propagation concentrated in IB, while ED-R acted as a structural but negatively influential node. Conclusions. Diet adherence reconfigures the pathways between ED-R and sociocultural factors (IB, IM, PP, FP, MP). Longitudinal and interventional studies are recommended to test causality and design targeted strategies focusing on IB and PP
Robust Temporal Pattern Mining for Early Detection of Acute Clinical Events in ICU Settings Using LSTM Variants
Get PDFIntroduction: Anomaly detection in the intensive care unit (ICU) is very important for the detection of acute events in the initial stages. However, the sensitivity of the current methods based on time series for anomaly detection in the ICU is low.
Objective: To build an exhaustive anomaly-conscious learning system for the temporal pattern discovery process in the ICU environment to better identify critical incidents within the ICU earlier in time while being highly robust, interpretable, and computationally efficient.
Method: The proposed architecture combines convolutional, attention-based concepts, and recurrence for temporal representation in an integrated approach. It uses attention-based models for the representation of sequences in the ICU data, multi-scale representations for temporal embeddings, and refined representations for anomalous areas in the input ICU data. Such an approach achieves continuous representation of time-series physiology for the detection of anomalous regions.
Results: The proposed framework emerges consistently better than the state-of-the-art solutions such as LSTM networks, GRU-D networks, TCN networks, Informer networks, TFT networks, TimesNet networks, and PatchTST networks on all prominent performance measures. It presents an F1-score of 0.924, an AUPRC of 0.941, an ECE of 1.8%, and an overall accuracy of 93.4%. Even in the context of the domain shift problem, the degradation in performance is minimized with the ΔAUC of 1.5% and ΔECE of 0.4%. However, the proposed framework consumes just 0.9 joules per inference through the processing of 38 sequences per second in 92 milliseconds. Weighted scoring for anomalous cases also helps significantly in their immediate detection.
Conclusion: Through the careful integration of the goals of accuracy, understandability, and computational efficiency, the proposed anomaly-aware model achieves the state-of-the-art performance for the task of early warning in critical care. Its high-level predictive ability, robustness against the problem of domain shift, along with low computational complexity, make it very promising for its real-time implementation within the ICU setting
Strategies based on information and communication technologies (ICT), as a didactic tool for the development of the physiotherapy career
Get PDFThe present research focuses its interest on proposing strategies based on information and communication technology (ICT), as a teaching tool for the development of the Physiotherapy Career, at a private university. Methodologically, it was framed in a non-experimental field design under the modality of a feasible project. It is concluded that the application of virtual strategies is necessary, considering the current reality marked by the need to implement new methods in accordance with the global processes affected by various socio-cultural phenomena, at all levels and sociocultural strata. Likewise, it was evident that teachers and professionals who perform managerial functions in the Institution under study have some necessary skills for the proper appropriation of ICT and its incorporation into professional performance; however, there are some aspects where certain weaknesses were observed. , therefore it is recommended to apply the proposal that was generated in this researc
Information Packaging and Repackaging as enablers of Health Information Literacy among Rural Dwellers
Get PDFIntroduction: The need for Health Information Literacy among rural dwellers is heightened by the current information explosion and pervasiveness of misinformation occasioned by advances in digital technologies. Given the prevalent individual characteristics of individuals in the rural areas, there is need for targeted information packaging and repackaging to bridge existing gap in health information hereby ensuring sustainable health and wellbeing. Consequently, this paper explored how information packaging and repackaging can enable health information literacy among rural dwellers. Methods: The paper adopted the rapid review of literature to synthesize existing literature around the subject matter. Literatures were retrieved from Google Scholar, EBSCO Host and ProQuest. The search terms were generated from the themes of the study`s specific objectives. The results were filtered based on relevance, currency (2014 to 2024) and language (English).Results: Some of strategies for effective packaging of health information to rural dwellers include transforming printed information into oral form, use of focal group discussions, and translation of existing information materials into local language spoken by the local community and leveraging on technology for delivering of health information. Information repackaging helps improve rural dwellers` health information access and use skills. It also enhances the usage of culturally sensitive content that resonate with rural community dwellersConclusion: Information packaging and repackaging are vital in achieving health information literacy, as it facilitates access to personalized health information and capacity building
Biblans: an application for managing, sharing, representing and interpreting article data for bibliometric studies
Get PDFIntroduction: Bibliometric studies have gained popularity with the increase in scientific publications. However, there is no software that effectively manages all the data and allows its analysis, representation and interpretation. Objective: to design an application to collect, share, represent and interpret article data in bibliometric studies. Method: a technological development research was carried out in August 2024. The application was designed in Ubuntu 14.04 using Python 3.12, C++17 and MySQL. Pandas and MatPlotLib were used for data processing, FastAPI for the backend, and QtCreator for the interface. The application was converted into a Windows executable with auto-py-to-exe. Results: the application created despite running completely offline requires an initial connection to load user and license data, and to enable the collaborative sharing mode of users affiliated to the projects. Its article part detection system with the Grobid artificial intelligence model coupled with the scraping system of GoogleScholar, Mendeley and others was a strong point in the creation of the project database. It allows data analysis using the speed potential of C++ and representation using the versatility of Python libraries. Conclusions: The application is a useful tool for managing, sharing, representing and interpreting bibliometric data. It integrates powerful technologies such as Grobid, proving to be effective in its purpose
Application of Virginia Henderson’s Theory of the 14 Needs in the Clinical Training of Nursing Students
Get PDFIntroduction: Virginia Henderson\u27s Theory of 14 Needs is a humanistic framework that guides clinical nursing practice by promoting patient independence through the satisfaction of fundamental needs. The objective of this study is to evaluate the impact of an educational intervention on the application of Henderson\u27s Theory in nursing students, using the ENCH-56 as a measurement tool. Methods: A quasi-experimental, quantitative, longitudinal study was conducted with sixth-semester nursing students at a public university in Ecuador. The ENCH-56 scale was applied before and after a five-session educational intervention. Results: A total of 226 clinical evaluations were performed after the intervention. The overall mean per item ranged from 3.26 to 3.43 (scale 1-4), reflecting high performance with minimal supervision. The needs with the greatest variability were “values and beliefs” and “health education,” while “mobility,” “dressing,” and “ethics” showed greater consistency. Cluster analysis identified three groups of needs according to performance and dispersion. Fifty-seven point fifty-two percent of students perceived an improvement in their competencies after the intervention. Conclusions: The implementation of the Henderson model using the ENCH-56 was effective in strengthening comprehensive clinical assessment. Its systematic inclusion in clinical training is recommended