Seminars in Medical Writing and Education
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Digital innovation in the teaching of history: The impact of Genially on Ecuadorian education
Education in Ecuador faced the challenge of modernising and adapting to the digital age, especially in the teaching of history, where student motivation and understanding were traditionally problematic. In this context, the use of interactive tools such as Genially was proposed as an innovative alternative to make learning more dynamic and encourage student participation (Cabero, 2020). Studies such as those by Gómez and López (2020) and Fernández and Ortega (2021) showed that the use of digital resources improved motivation and knowledge retention. At the Vilcabamba High School, 85% of students said they felt more motivated and 78% said they understood historical content better with Genially compared to traditional methods. However, the lack of teacher training and limited access to technological infrastructure made its implementation difficult (Villalta, 2023). The Ecuadorian educational context was regulated by the Organic Law of Intercultural Education (2021) and the General Regulations of the LOEI (2023), which recognised the importance of technology in education. Despite this, problems persisted, such as the digital divide and resistance to methodological change (Guale, 2024). To guarantee a more inclusive and high-quality education, it was considered essential to strengthen teacher training, invest in technological infrastructure and establish strategies that encourage the use of interactive tools in the teaching of history, in line with the objectives of Sustainable Development Goal 4 (SDG 4) and the 2030 Agenda.
Circular Economy in the Health Sector: Sustainable Management of Hospital Waste and Its Environmental Impact
Introduction:The circular economy has become a key strategy to optimize hospital waste management, reduce operating costs, and minimize environmental impact. This study analyzes the factors that influence the adoption of circular economy practices in the health sector, identifying its benefits and main barriers.Methods:A descriptive and exploratory study with a mixed approach was carried out, applying documentary review, surveys, and case analysis in hospitals and clinics. Data were collected on the generation and management of hospital waste, evaluating reduction, reuse, and recycling strategies. Data analysis was carried out using descriptive statistics and content analysis.Results:It was identified that 70% of hospital waste corresponds to recyclable or reusable materials, although only 15% of hospitals have implemented circular economy strategies. Health centers with circular programs managed to reduce waste generation by 25% and operating costs by 18%. However, the main barriers include the lack of infrastructure, specific regulations, and resistance from healthcare personnel.Conclusions:The circular economy in the health sector allows for optimizing waste management, reducing costs and minimizing environmental pollution. However, its success depends on public policies, financing and incentives that promote its implementation. It is recommended to strengthen regulation, infrastructure and staff training to facilitate the transition towards a more sustainable hospital model
Active methodologies in civic education: The impact of Design Thinking in citizenship education
The study addressed the teaching of Citizenship Education at the Llano Chico Educational Unit, identifying challenges in students\u27 understanding and participation. It was observed that, despite obtaining good grades, students showed little interest and knowledge about citizenship and rights. This problem was attributed to traditional teaching methods and the scarce use of active strategies that encourage participation.Faced with this problem, the research proposed the implementation of the Design Thinking methodology in the teaching of citizenship. This approach promotes active participation, practice-based learning and the development of critical and creative skills. It was argued that student disinterest could be due to the lack of innovative pedagogical tools and the predominant theoretical approach to teaching.Previous studies have shown that Design Thinking facilitates the understanding of concepts by involving students in the construction of their knowledge. In addition, it strengthens autonomous learning, teamwork and problem solving. Research such as that of Ramírez (2023) and Dorland (2024) highlighted the importance of active methodologies for the teaching of various disciplines, including social sciences and civic education.Finally, it was concluded that the use of Design Thinking in Citizenship Education could improve student engagement, allowing for more meaningful teaching tailored to their interests and needs
Evaluation of the performance of vector at the primary health level
This research was carried out at the 50th Anniversary Polyclinic Assistance Unit of Manicaragua, subordinate to the Manicaragua Health Budgeted Unit, belonging to the province of Villa Clara, Cuba. It is a tax on Project PT223VC008-002 Contributions to the improvement of tax and budgetary management at the territorial and local level in Villa Clara. A performance audit program is applied in the surveillance and vector control department, belonging to the 50th Anniversary Polyclinic care unit, Manicaragua. To achieve this objective, it was necessary to update the bibliography, consult experts and analyze documents. The main binding normative resolutions in force of the Office of the Comptroller General of the Republic and those related to the Ministry of Public Health were taken into account. Analytical-synthetic, historical-logical and inductive-deductive methods were used, as well as analysis of documents, cross-sectional observational study and survey in institutions of the health sector. The study carried out made it possible to identify failures that make it difficult to carry out the department\u27s activities with rigor, control and technical quality, so they demand that they be managed immediately.
Perspectives on Medical Education in Paraguay: Time Management, Mental Health, and Self-Awareness Strategies for Brazilian Students
Medical training is a demanding process that challenges students both academically and personally. This article explores some of these challenges based on an interview conducted during the "Brazilians Beyond Borders: The Journey of Medical Training in Paraguay" Congress in 2024. Eduardo Paglioni interviewed clinical psychoanalyst and medical student Kelton Oliveira, who shared his perspectives on crucial topics such as time management, mental health, resilience, and self-awareness.
The study identifies and analyzes the main challenges faced by Brazilian students who choose to study medicine abroad, particularly in Paraguay, highlighting the importance of an integrated approach that encompasses both technical competence and emotional and psychological well-being. Kelton Oliveira emphasizes the need for effective time management strategies to avoid burnout, self-care practices to maintain balanced mental health, and the promotion of self-awareness to cope with the pressures of medical training.
The methodology employed included the transcription and detailed qualitative analysis of the interview, contextualizing the challenges faced and extracting practical strategies to overcome them. To reinforce the importance of this topic, we also conducted a review of scientific publications that highlight the necessity and relevance of these issues for medical students.
Although the analysis is based on a single interview, integrating information provided by other researchers in available scientific publications allows for correlating these contributions to obtain a broader and more comprehensive perspective. This provides a better understanding of the challenges faced by medical students in Paraguay and in other international contexts.
This article aims to provide an in-depth analysis of the challenges faced by these students and present practical suggestions that can be applied to improve their academic performance and promote a healthy balance between their academic, personal, and professional lives
Data Lakehouse: Next Generation Information System
This paper introduces the Data Lakehouse Architecture, a transformative model in data architecture that seamlessly integrates the analytical strengths of traditional data warehouses with the schema flexibility inherent in data lakes. Departing from current frameworks, this comprehensive approach establishes a unified platform, overcoming limitations of conventional data management. Addressing the critical need for an integrated solution, our primary objective is to set a new standard for sophisticated data management. The distinctiveness of our proposal lies in the seamless fusion of data warehouse analytics and data lake schema flexibility, underscoring its originality. The full article delves into the research methodology, providing a comprehensive understanding of the study\u27s framework proposal. The foundational outcomes showcase the successful implementation of our Data Lakehouse Architecture, revealing enhanced processing capabilities for structured data analysis, complex querying, and high-performance reporting. The conclusion emphasizes the paradigm shift and transformative impact on data management practices, reinforcing the significance of our innovative solution. This research not only contributes a novel technological framework but also highlights the importance of adaptability and performance in the face of evolving data landscape
Curricular innovation in the knowledge society
Introduction: the problematization of the phenomenon of curricular innovation has been approached by research in the international and local context and confronting positions have emerged around the curriculum; and in order to make effective the transformation in the educational field and in a peculiar way in the decisions of the Curriculum, it is necessary to assume policies of change in the educational management. The objective of this work focuses on the characterization, reflection and theoretical deepening of curricular innovation within the framework of the knowledge and information society.
Methods: qualitative-hermeneutic, narrative and exploratory study based on literature review.
Results: the concept of curriculum is polysemic, with numerous definitions that indicate the richness of this concept and also the difficulty of its study; Furthermore, the need to think from a curricular vision the principles for educational innovation and as a model of socio-political transformation in decision making as a contribution to the culture of peoples, promoting the search for and production of knowledge, and that as a collective process the emergence of the knowledge society will require, among other things, reflection and practices on the effective conditions of possibility of its social, political and economic nature through appropriate educational policies that need to be elucidated and explored collectively as a challenge of Curricular Innovation.
Conclusions: in relation to the phenomenon of curricular innovation and based on the bibliographic exploration, a series of descriptive studies emerged that problematize the subject from an analysis of the local reality, therefore many questions remain to be asked regarding curricular innovation such as: what is the most important and substantive change in the curriculum, how does the innovative intention of the curriculum originate, how should one proceed in the search for curricular innovation, how is the innovative intention of the curriculum transmitted to the political levels
Anxiety, depression and stress in resident doctors in the Central Department in Paraguay in the year 2023
Objective: To determine the levels of anxiety, depression and stress in resident physicians of the Central Department in Paraguay in the year 2023. Justification: It is important to know the mental health of resident physicians, since these professionals are in a stage of training and clinical practice that can be highly stressful and demanding. In addition, the results obtained could be used to design strategies for the prevention and treatment of emotional disorders in this population group. Methodology: The methodology used in this study consisted of a self-administered survey was applied to a representative sample of resident physicians of different specialties in different health institutions of the Central Department in Paraguay. The survey included standardized measures to assess the probable diagnosis and severity of stress, anxiety and depression. Results: Of the 174 respondents, 56.90% were between 26 and 30 years of age, followed by 21 to 25 years with 31.03%. A total of 71.84% were female and 48.28% were from the city of Asunción. 42.53% were from the 1st year of residence, followed by the 3rd year with 29.31%. A total of 24.14% were pediatric residents and 14.94% were internal medicine residents. 83.91% were at risk for anxiety, followed by 66.67% for stress and 77.01% for depression. 14.37% had extremely severe and 24.14% severe levels of depression, 7.47% extremely severe and 27.01% severe stress, 52.87% extremely severe and 11.49% severe anxiety. Conclusions: The majority of respondents were at risk for anxiety, followed by stress and depression
Virtual educational intervention: cancer suffering from the perspective of continuous palliative care
Introduction: Suffering was reflected at all times in the natural history of cancer, the holistic approach to the needs of patients, family members and professionals encouraged ongoing training. The continuous palliative care model allowed the design of a virtual strategy to recognize the suffering in the clinic behind the tears. The objectives were aimed at providing scientific evidence on triangular suffering and improving skills for effective support.Methods: An educational intervention was carried out using information and communication technologies (ICT) through the WhatsApp platform with the participation of 40 health professionals. The workshop was designed with a specific thematic plan with a workload of 90 hours, asynchronous virtual with national reach.Results: mostly doctors and nurses participated, as well as stomatologists and psychologists. Four fundamental components were described. Drawings were made with the theme and finally a letter was written addressed to a patient suffering from an oncological disease. The need to develop skills for support was evident: compassion and teamwork.Conclusions: Suffering is present at any time during the illness. It can affect professionals, academics, researchers, as well as patients and family members. The possibility of healing tools in which the health professional plays a therapeutic role was highlighted
Strategy to evaluate the efficiency of projects in ecuadorian public universities
Introduction: Ecuadorian public universities face the challenge of evaluating research as a core function, where projects play a predominant role. It is essential for these projects to meet their scope, adhere to the stipulated timeframe, and manage the budget efficiently, while also ensuring beneficiary satisfaction. The objective of this study was to develop a strategy to measure the efficiency of processes that contributes to improving the evaluation of R&D&I projects in Ecuadorian public universities.Methods: A mixed-methods research approach was adopted, with an explanatory scope and a non-experimental design. The study was structured around the establishment of theoretical foundations, applying documentary analysis, diagnosing the evaluation processes related to the efficiency of R&D&I projects in Ecuadorian public universities through a questionnaire, and proposing a strategy along with its pre-validation based on expert judgment.Results: The findings reveal deficiencies in the indicators of time, budget, and scope, leading to the design of an evaluation strategy to measure the efficiency of R&D&I projects in Ecuadorian public universities