1,720,982 research outputs found
Revision total hip prosthesis with a primary prosthesis without bone graft
Full text linkThe durability of total hip prostheses and changes in surgical approaches for femoral neck fractures is a crucial issue in the medical literature. Worldwide, it has been observed that the longevity of total hip prostheses ranges from 10 to 30 years, according to several studies. This phenomenon could be due to several factors, such as differences in population demographics, variations in standards of care, or even particularities in the health and lifestyle of local patients. A 56-year-old male patient, with a history of electrocution in 2000 in which he suffered a transcervical fracture of the left hip with traumatic amputation of the right forearm; a total left hip arthroplasty with polyethylene metal head 28 was performed. It is concluded that, the clinical case highlights the need for individualized care and an adaptive approach in the management of total hip replacements, underlining that a careful approach and execution of preoperative, intraoperative and postoperative plans can lead to satisfactory and durable results, even in rare situations
Distance learning and its relation to medical education in the present times
Full text linkThis scientific text addresses the evolution of distance education, highlighting the crucial role of information and communication technologies (ICT) in virtual education. The COVID-19 pandemic accelerated the transition to distance education, especially in Latin America, although challenges are faced due to the lack of infrastructure and Internet access in remote areas. The text introduces key concepts such as distance and virtual education, as well as ICTs. It explores pedagogical theories, such as cyberculture and connectivism, that support online teaching. Connectivism is highlighted as a theory that emphasizes the importance of connections and learning in changing and uncontrolled environments. Suggestions for applying connectivism in medical education are provided, including the use of blogs, social networking, and the creation of online communities. The text also emphasizes the need to constantly adapt teaching strategies to keep up with advances in the field of medicine and health sciences. Several tools applied to virtual teaching are described, such as the Zoom and Google Meet videoconferencing platforms, as well as the Moodle and Google Classroom learning platforms. In addition, design and gamification tools are mentioned, along with the importance of clouds for online storage and collaboratio
Anxiety, depression and stress in resident doctors in the Central Department in Paraguay in the year 2023
Full text linkObjective: 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
Revision total hip prosthesis with a primary prosthesis without bone graft
No full textThe durability of total hip prostheses and changes in surgical approaches for femoral neck fractures is a crucial issue in the medical literature. Worldwide, it has been observed that the longevity of total hip prostheses ranges from 10 to 30 years, according to several studies. This phenomenon could be due to several factors, such as differences in population demographics, variations in standards of care, or even particularities in the health and lifestyle of local patients. A 56-year-old male patient, with a history of electrocution in 2000 in which he suffered a transcervical fracture of the left hip with traumatic amputation of the right forearm; a total left hip arthroplasty with polyethylene metal head 28 was performed. It is concluded that, the clinical case highlights the need for individualized care and an adaptive approach in the management of total hip replacements, underlining that a careful approach and execution of preoperative, intraoperative and postoperative plans can lead to satisfactory and durable results, even in rare situations
Clinical and epidemiological results in the field of podiatry
No full textIntroduction: Podiatric sciences comprise a set of areas of knowledge that are part of diverse medical specialties. Its purpose is the diagnostic study and treatment of each of the conditions that involve the foot as an atomic and functional structure.
Objective: To describe the clinical and epidemiological outcomes in the field of podiatry.
Method: A narrative study was conducted. A search strategy was established, applying prestigious and scientifically supported data sources such as PubMed. Twenty-seven sources were collated for the development of this work.
Development: Scientific evidence is demonstrated by levels of demonstration; in turn, it is matched to each of the article types. The ongoing study and gradual analysis of patient care is a way to measure and improve the quality of healthcare services. If, combined with the above, it is conducted with a scientific approach, the results obtained can have a greater impact on improving care. Communication and the doctor-patient relationship are key to successful treatment.
Conclusions: The development of health research is key to scientific and technical advancement. Podiatry as a science requires concrete studies with clear evidence. Most of these studies focus on population and risk studies, where nail injuries, deformities, and chronic pain predominate. They also contribute to health promotion and prevention, as well as updating treatment protocols. All of this without losing sight of the ongoing study of academic training
World trends in health science student publications
No full textBackground: the training and promotion of new researchers as an essential contribution in the construction of science is now a crucial aspect in higher education. Aim: to characterize communication patterns and impact of medical science student scientific output worldwide. Methods: a bibliometric study was carried out on student scientific output in health sciences, using the Scopus database. It was defined as "article with student participation" those in which at least one author who declared in his affiliation to be a student of one of the careers in health sciences (Medicine, Dentistry or Nursing) appeared. Results: Were retrieved 21162 documents, 94,77 % were original, followed by reviews (8,25 %) and letters (5,30 %). The most productive region was the Middle East. The Biomedical categories prevailed in the study, headed by Medicine. Conclusions: the pattern of student scientific communication at a global level is characterized by a tendency to increase scientific output with a high leadership of authors from the Middle East and North America. These results reflect the rise of the scientific student movement in recent years, in terms of raising the scientific quality of graduates of health sciences career
Frequency of anxiety, depression and stress in nutrition students at the Universidad del Pacífico
Full text linkBackground: In recent years there has been a growing interest in investigating stress, anxiety and depression in different contexts such as work, family and university.
Methods: A descriptive and cross-sectional observational study was carried out, including all those nutrition university students who correctly answered all the questions included in the data collection instrument designed for this study. Those under 18 years of age, those who answered the survey incorrectly, did not answer most of the questions, or did not wish to participate in the study were excluded. Sociodemographic data and the frequency of neurotic disorders were analyzed using the DASS-21 scale. A non-probabilistic convenience sampling was carried out, a minimum sample size of 72 participants was calculated using a formula for a finite population. A self-administered questionnaire consisting of 2 dimensions was made, where sociodemographic variables were considered in one dimension and neurotic disorders through the DASS-21 in the other dimension.
Results: Of 78 university students surveyed, 63 (80,8 %) were women, 15 (19,2 %) were men, 32 (41 %) were between 21 and 25 years old, and 70 (89,7 %) had a single marital status. . 26 (33,3 %) were in their first year of college at the time of answering the survey. 22 (28,2 %) found it very difficult to relax in recent months, 21 (26,9 %) found it quite difficult to take the initiative for their activities, and 9 (11,5 %) felt quite that their life it didn\u27t make any sense. 45 (57,79 %) of the respondents have symptoms of anxiety, 43 (55,12 %) of depression and 39 (50 %) of stress.
Conclusion: We conclude that more than half of all respondents have symptoms of anxiety, depression and stress
Frequency of anxiety, depression and stress in nutrition students at the Universidad del Pacífico
No full textBackground: In recent years there has been a growing interest in investigating stress, anxiety and depression in different contexts such as work, family and university.
Methods: A descriptive and cross-sectional observational study was carried out, including all those nutrition university students who correctly answered all the questions included in the data collection instrument designed for this study. Those under 18 years of age, those who answered the survey incorrectly, did not answer most of the questions, or did not wish to participate in the study were excluded. Sociodemographic data and the frequency of neurotic disorders were analyzed using the DASS-21 scale. A non-probabilistic convenience sampling was carried out, a minimum sample size of 72 participants was calculated using a formula for a finite population. A self-administered questionnaire consisting of 2 dimensions was made, where sociodemographic variables were considered in one dimension and neurotic disorders through the DASS-21 in the other dimension.
Results: Of 78 university students surveyed, 63 (80,8 %) were women, 15 (19,2 %) were men, 32 (41 %) were between 21 and 25 years old, and 70 (89,7 %) had a single marital status. . 26 (33,3 %) were in their first year of college at the time of answering the survey. 22 (28,2 %) found it very difficult to relax in recent months, 21 (26,9 %) found it quite difficult to take the initiative for their activities, and 9 (11,5 %) felt quite that their life it didn't make any sense. 45 (57,79 %) of the respondents have symptoms of anxiety, 43 (55,12 %) of depression and 39 (50 %) of stress.
Conclusion: We conclude that more than half of all respondents have symptoms of anxiety, depression and stress
Probability of suffering Eating Disorders (ED) in health professionals
Full text linkBackground: Eating disorders are defined as specific and severe alterations in food intake.
Methods: A descriptive and cross-sectional observational study was carried out, health sciences professionals, adults and residents of the Republic of Paraguay were included, poorly completed surveys and students who had not graduated were excluded. Sociodemographic data and the probability of suffering eating disorders were analyzed using two scales, SCOFF and eat-26. A non-probabilistic convenience sampling was carried out, a minimum sample size of 385 participants was calculated using a formula for infinite population. A self-administered questionnaire consisting of 3 dimensions was made, where sociodemographic variables, eating behavior disorders were considered through the SCOFF scale and the EAT-26 test. The work respected the bioethical principles of research in human beings and was submitted for methodological and ethical evaluation to the research direction of the Universidad del Pacífico.
Results: Of 124 health professionals surveyed, 100 (80,6 %) were women, 75 (60,5 %) were 31 years of age or older, and 73 (58,9 %) had a single marital status. 96 (77,4 %) graduated from a private university. 45 (36,3 %) were nutrition professionals, followed by nursing 34 (27,4 %) and medicine 26 (21 %). 88 (71 %) felt sick because their stomach felt so full that it was uncomfortable, 68 (54,8 %) said they were worried because they felt they had to control how much they ate, and 12 (9,7 %) has recently lost more than 6 kg in a three-month period. (22,5 %) are rarely very afraid of weighing too much, 31 (25 %) often worry a lot about food, and 48 (38,7 %) never consider the calories in the food they eat. 14 (11,2 %) stated that they sometimes feel very guilty after eating and 15 (12,1 %) feel that food controls their life.
Conclusion: We conclude that professionals are likely to suffer from eating behavior disorders, most had the feeling of being sick because their stomach feels so full that it is uncomfortable, just over half said they were worried because they feel they have to control how much they eat, and 1 in 10 have recently lost more than 6 kg in a three-month period. Approximately 25 % are rarely very afraid of weighing too much, as well as often worry a lot about food. A few stated that they sometimes feel very guilty after eating and feel that food controls their life
Level of dependence to electronic cigarettes in medical students at the University of the Pacific in the year 2023
No full textIntroduction: electronic cigarettes are devices whose purpose is to mimic the smoking experience. Although they are promoted as a less harmful alternative to conventional cigarettes, their effects on health are not harmless.
General objective: to determine the level of dependence on electronic cigarettes among medical students at the Universidad del Pacífico.
Methodology: a cross-sectional descriptive observational study was carried out where the IDCE questionnaire was applied to medical students during the month of July 2023, classifying them as non-dependent, with low dependence, with moderate dependence, dependence with signs of high dependence, high dependence.
Results: we studied 142 students with a mean age of 24 ± 5 years where 51,4 % (73) were male, 45,8 % (65) were from the Central Department and 34,5 % (49) from Asuncion.
It was found that 35,3 % (30) of those who smoked electronic cigarettes had a level of dependence with signs of high dependence, 30,6 % (26) had a moderate level of dependence and 12,9 % (11) had a high level of dependence.
Conclusion: the level of dependence found in this work was mainly with high dependence onset signs followed by high level dependence
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