Seminars in Medical Writing and Education
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Public-private strategic alliances: A fundamental pillar for strengthening primary health care systems
Introduction: Strategic alliances in health optimize resources and improve care, prioritizing institutional cooperation based on trust and transparency. PAHO highlights the importance of innovation and collaboration with public and private sectors to address health challenges. In Ecuador, the MSP promotes decentralization through public and private networks, ensuring equitable access. PUCESE contributes with research and community outreach, focusing on prevention and health promotion. In Esmeraldas, health limitations and migration aggravate vulnerability, requiring medical brigades and integrated strategies to strengthen coverage and quality of care in marginalized populations. Methods: The study has a cross-sectional, descriptive approach, anonymized data descriptively analyzed in SPSS 20.7. Results: During the days 28, 29 and 30 of July 2021, 373 inhabitants of three communities received health services: outpatient care (340 consultations), pharmacy (1051 dispensations), laboratory (213) and home care (33 consultations). Taquigue had the highest demand, while Chigue had the lowest. 63% of the beneficiaries were women, predominating in all age groups. The main diseases treated were type 2 diabetes (25%), hypertension (24%) and general medical consultations (18%). Other pathologies included neuralgia (10%), intestinal parasites (5%) and urinary tract infections (4%), reflecting the need for follow-up in chronic diseases and hygienic-sanitary conditions. Conclusions: Strategic alliances allow goals to be met and improve access to health services in isolated communities, strengthening inter-institutional cooperation and reducing health gaps and improving quality of life
Innovation in teaching citizenship: The impact of Design Thinking in the classroom
Introduction: Citizenship Education (CE) was established as a key component in the formation of critical citizens committed to society. Over time, it was observed that its traditional teaching, based on memorization and transmission of theoretical knowledge, failed to generate a real connection with the daily life of students. In response to this problem, Design Thinking (DT) emerged as an innovative methodology that promoted active participation and critical thinking in learning.Development: The research analyzed the application of Design Thinking in the teaching of CE, highlighting its ability to improve students\u27 motivation and understanding. It was identified that this methodology allowed students to detect real problems, formulate creative solutions and work collaboratively in their implementation. In addition, DT strengthened essential skills such as empathy, decision making and autonomous learning. It was shown that its use in the classroom encouraged reflection and the practice of citizenship values, overcoming the limitations of traditional approaches.Conclusions: The findings confirmed that Design Thinking enhanced CE teaching by making it more interactive and relevant. However, its implementation required teacher training and curricular adjustments. It was concluded that this methodology not only improved students\u27 learning, but also fostered their participation in democratic and social life, strengthening their role as active citizens
Terminology in qualitative research methodology
Qualitative research focuses on the in-depth and contextualized exploration of phenomena, requiring precise use of terminology to ensure the consistency and quality of studies. This article examines the confusion and controversy surrounding key methodological terms, offering a critical review of the literature. Through a systematized review of academic sources, these terms are clarified and practical examples are provided for their correct application. This effort contributes to conceptual clarity and promotes a more productive discourse among researchers, strengthening research practice and the generation of knowledge in the qualitative approach
Social Relevance Environmental Education in Medical Universities
Introduction: Today\u27s world faces a serious environmental crisis, which demands the training of professionals with a broad environmental culture, constituting Environmental Education an essential pillar in the substantive processes of medical education. The objective of this work is: To substantiate the social meaning of Environmental Education in the training of Medical Sciences professionals. Methods: Qualitative research predominates in the work, it is based on dialectical materialism as a scientific conception of the world, which enables the use of theoretical methods, such as historical-logical, analytical-synthetic and inductive-deductive. At the empirical level, the analysis of documents emanating from Cuban environmental legislation, and others of international scope, was carried out. Results: The importance of Environmental Education has been highlighted in the professional training of future graduates of Medical Sciences, and emphasizes the need to deploy systematic actions in all spheres of university life to develop their environmental awareness and responsibility. Conclusions: The need to include Environmental Education in the substantive university processes of Medical Sciences was founded, on the basis of critical and evaluative training towards the environment and its conservation, which allows the integration of ethical knowledge, axiology and the environmental contextualization in correspondence with the objectives demanded by their profession and the health and disease processes that are verified in the community environment, where the students develop
Dyslalia as an obstacle to learning in first grade students
The study titled "Dyslalia as an obstacle to learning in first grade students" provides insight into the challenges that students with dyslalia face in their educational process. In this context, education must adapt to the needs of the context, seeking to improve the living conditions of communities. In this sense, a literature review was carried out in order to deepen the understanding of the problem under study, addressing the origin of dyslalia, its classification and the impact it has on the learning process. Under the qualitative cross-sectional approach, convenience sampling was applied; To collect the information, instruments were applied such as: structured interviews aimed at the educational community, which is made up of: pedagogical advisors of the Regional Autonomous Educational Subsystem (SEAR), municipal and regional delegation of the Ministry of Education (MINED), teachers, fathers and mothers; An observation guide was designed applicable in school situations, informal dialogues with students. Managing to carry out an analysis of the effects caused by dyslalia as an obstacle to learning, identifying the causes that originate it, which made it possible to determine how it influences the teaching-learning process. As a proposal for improvement for the learning problem studied, pedagogical strategies were designed that can be taken up by the authorities of the educational community, in general, and of the school specifically, to provide comprehensive care taking into account the learning needs, training aimed at teachers, mothers, fathers and the educational center
Academic stress and causal factors in medical students in an educational institution in Mexico
Introduction: Academic stress is a common problem in medical students, affecting their well-being and performance. This study analyzed its level and causal factors.Methods: A quantitative, descriptive and cross-sectional study was carried out on 472 medical students. A questionnaire on stressors and physical, psychological and behavioral reactions was applied. The data were analyzed with descriptive statistics in SPSS.Results: Academic overload (68.2%), constant evaluations (61.5%) and competition among peers (55.7%) were the main stress factors. Among the physical manifestations, 72.4% reported fatigue and 64.1% reported sleep disturbances. In the psychological field, 67.3% presented anxiety and 54.9% presented emotional exhaustion.Conclusions: Medical students present high levels of stress with an impact on their health and performance. It is recommended to implement coping strategies such as time management, psychological support and healthy habits
Interactive and educational content based on the use of Genially to energize the teaching-learning process in the History subject for Secondary Education students
This study presents the design and evaluation of teaching strategies based on Genially to improve History education in secondary schools. Using a qualitative approach, case studies and classroom observations were conducted to analyze the impact of these strategies on students\u27 learning. It was explored how the use of interactive digital tools facilitates the development of critical thinking and the retention of historical knowledge. The results show that integrating Genially into teaching methodology can promote meaningful and motivating learning, as well as provide a replicable model for other educational institutions. Surveys were conducted with 75 students and 15 teachers. The results reveal an increase in motivation and improved understanding of historical content when Genially is used in the classroom. The proposal involves developing interactive educational content using Genially, including presentations and quizzes, to facilitate the learning of specific topics from Unit 4: Greece, the Cradle of the West, employing dynamic and participatory learning, adapting to different learning styles and student needs to ensure they adequately understand historical content. It is concluded that the use of interactive resources enhances meaningful learning and the active participation of students
Medical Education Abroad: Reflections and Experiences of a Brazilian Student in Paraguay
Medical training outside Brazil has emerged as a significant choice for many Brazilians seeking more accessible educational alternatives. This article aims to explore the reflections and experiences of Dr. Fabiana Gnoatto, a former Brazilian student who chose to study medicine in Paraguay. Her account analyzes the challenges she faced, the coping strategies she adopted and the lessons she learned throughout her academic and professional career. Among the main challenges identified was adapting to a different curriculum and varied teaching methodologies, requiring substantial academic flexibility on the part of Brazilians who chose to study medicine in Paraguay. The language barrier, marked by the need to master Spanish in order to follow classes and interact effectively, emerges as one of the greatest difficulties faced by this group. In addition, cultural integration is complex, requiring students to adapt to local customs and practices. The distance from family and friends, combined with academic and personal pressure, tends to generate high levels of stress and anxiety, making it a significant additional challenge. To mitigate these challenges, Brazilian students need to develop a range of strategies that might not be necessary if they were pursuing the same career in their home country. Advance preparation and planning for this student migration is essential to achieving efficient academic performance. Active participation in classes, combined with the formation of study groups, would facilitate understanding, assimilation of content and the exchange of experiences between these individuals who almost always share the same difficulties in adapting. The development of local support networks emerges as a crucial element, providing emotional and practical support. Maintaining constant contact with family and friends, using modern technology, would help to reduce the feeling of isolation. Seeking psychological support, which is essential for dealing with stress, complements adaptation strategies. Participating in cultural activities in the host country, adapting to local customs and lifestyle are also key to successful integration. Dr. Fabiana Gnoatto\u27s experiences show that, with determination, appropriate strategies and support, it is possible to overcome obstacles and achieve a successful medical career without losing quality of life during academic training. Their experiences serve as a paradigmatic guide for future students, helping them to prepare more effectively and face the challenges of international medical training. In this way, they can transform a challenging experience into an opportunity for personal and professional growth, highlighting the importance of resilience and adaptation in diverse educational and cultural context
Contribution and transcendency of the Master of Bioética for the educational improvement of the oncólogo paliativista
Experts in Bioética like the Dr. Acosta and all their educational team, developed a program of Master in the University of Havana that he/she offered to the egresado an integral philosophical focus. With the objective of meditating on the existent relationship between Master of Bioética and the oncólogo paliativista, describing the contribution of the principles bioéticos for the indicators of development of the palliative cares, he/she is carried out this article, where the educational value of the four graduates of the curricular program was evidenced. All the contributions were used for the educational development of the oncólogo paliativista and it coincided with the vision of process of the continuous palliative cares. The transcendency became evident with the I Scientific Day of National Celebration for the World Day of the Palliative Cares, event that had the contribution of diverse professionals\u27 of the health twelve conferences that you/they related a principle of the Universal Declaration on Bioética and human rights of the UNESCO, with one of the indicators of development of the palliative cares of the World Organization of the Health. The thought bioético and each one of the principles constituted an opportunity to strengthen the cares of vulnerable people in the whole country.
Open-Source Artificial Intelligence in medical applications
Free and Open-Source Software (FOSS) and open-source artificial intelligence (AI) models have emerged as transformative paradigms in the educational and medical fields, promoting innovation, transparency, and decentralized collaboration. This study analyzes their impact through a systematic literature review and the examination of emblematic case studies, such as the City of Hope National Medical Center, Zauron Labs, Gene Outlook, and Cardiomentor. In the educational realm, FOSS has facilitated the creation of adaptive and personalized learning environments, reducing operational costs and fostering active participation from students and educators. Platforms like Moodle and Sakai have revolutionized online course management, while initiatives such as MIT OpenCourseWare have expanded access to high-quality educational resources, promoting a culture of transparency and collaboration.
In the medical field, open-source AI models have demonstrated their potential to improve diagnostic accuracy and personalized care. For example, the sepsis prediction model developed by City of Hope enables continuous monitoring of immunocompromised patients, while Zauron Labs\u27 Guardian AI reduces errors in medical imaging interpretation. These applications stand out for their flexibility and ability to adapt to specific needs, making them valuable tools for clinical practice and research