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Revista Latinoamericana de Simulación Clínica最新文献

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Entrenamiento de habilidades de resucitación cardiopulmonar y soporte vital básico en laboratorio de simulación 在模拟实验室进行心肺复苏技能和基本生命支持培训
Pub Date : 1900-01-01 DOI: 10.35366/95228
Sabrina Costacurta, M. Moraes, S. B. Maagh, A. C. B. K. Moraes
Conclusión: Estudios previos han demostrado que cuanto más relevante es la materia para el ABSTRACT Introduction: The process of teaching and learning basic life support and cardiopulmonary resuscitation maneuvers is related to the development of a set of skills (cognitive, motor and behavioral) that make it complex and require repeated training to achieve the necessary skills. Material and methods: This is a descriptive and observational study, conducted in the simulation laboratory of the Catholic University of Pelotas. The initial sample encompassed 120 students attending the first year, second semester, of medical school, of whom 77 participated in this analysis. Basic life support training corresponded to the first three links of the Chain of Survival in cardiorespiratory arrest and in initial treatment for airway release and ventilation. The evaluation consisted of observing the skills developed by the students during their care to cardiorespiratory arrest in different settings, and this evaluation had formative characteristics. Results: The evaluation was carried out by two teachers trained for the activity. When correlating the exposure and the result of cardiac compressions and its effectiveness, the hand position exposure and the effective compression result variables showed significance with p = 0.019, RR 3.08. Furthermore, when we correlated the hand position with the effective compression frequency (result), we obtained an important relationship, with p = 0.007, RR 2.45. Regarding the hand position and the correct depth of the compressions (result), it also showed a relationship with p = 0.01, RR 2.32. In the thorax return analysis concerning the frequency, the relationship was pretty significant p = 0.0000, RR 3.08. The activity evaluation analysis, defined as the student satisfaction survey, showed that the applicability item for the topic covered was 72.73%, and the curricular interaction with the course was 76.62%. Conclusion: Previous studies have shown that the more relevant the subject La actividad y la evaluación realizadas permitieron verificar que los estudiantes confirmaron esta importancia para su vida académica. A partir de esto, tendremos la oportunidad de implementar esta práctica para las clases iniciales de la Facultad de Medicina en el currículo académico. that relationship for their academic life. From this, we will have the opportunity to implement this practice for the initial classes of the medical school in the academic curriculum.
Conclusión: Estudios preos han demostrado que cuanto más相关材料para摘要简介:基本生命支持和心肺复苏动作的教学过程与一套技能(认知、运动和行为)的发展有关,这使得它变得复杂,需要反复训练才能获得必要的技能。材料和方法:这是一项描述性和观察性研究,在佩洛塔斯天主教大学的模拟实验室进行。最初的样本包括120名医学院一年级第二学期的学生,其中77人参加了这次分析。基本生命支持训练对应于心肺骤停和气道释放通气初始治疗中生存链的前三个环节。评估包括观察学生在不同环境下对心肺骤停的护理过程中所发展的技能,该评估具有形成性特征。结果:由两名接受活动培训的教师进行评估。当暴露与心脏按压结果及其有效性相关时,手位暴露与有效按压结果变量具有显著性,p = 0.019, RR为3.08。此外,当我们将手的位置与有效压缩频率(结果)相关联时,我们得到了一个重要的关系,p = 0.007, RR 2.45。对于手的位置和正确的按压深度(结果),p = 0.01, RR为2.32。在关于频率的胸返分析中,p = 0.0000, RR = 3.08,相关性非常显著。活动评价分析定义为学生满意度调查,对所涵盖主题的适用性项目为72.73%,课程与课程的互动度为76.62%。结论:以往的研究表明,越相关的主题La活动通过La evaluación实现了对学生的许可验证,从而证实了其重要性。1 .当事各方同意,提供实施机会práctica在医学院和currículo学院任职期间提供实施机会。这种关系影响了他们的学术生活。由此,我们将有机会在医学院校的学术课程中实施这一实践。
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引用次数: 0
Educación en línea: un camino hacia la formación docente sin fronteras 在线教育:无国界教师培训之路
Pub Date : 1900-01-01 DOI: 10.35366/rsc193a
Diego Andrés Díaz-Guío, F. Ferrero, José Arturo Vázquez-Vázquez, Adalberto Amaya-Afanador, Y. Ramos, H. Olvera-Cortés
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引用次数: 1
Nuevo concepto y herramienta para evaluar objetivamente el realismo en simulación clínica 客观评估临床模拟现实主义的新概念和工具
Pub Date : 1900-01-01 DOI: 10.35366/110987
G. Coro-Montanet, Óscar Oliva-Fernández, J. Sánchez-Ituarte, M. J. Pardo-Monedero
Introduction: fidelity has been used, historically, to classify the type of simulation being performed, but it relies on a subjective and fuzzy concept. Objectives: this article proposes a categorized and subcategorized system to evaluate realism qualitatively and quantitatively through a more precise classification and a tool that evaluates the scenic realism indexes achieved in clinical simulation. It also aims to make known the elements of new science that support the new concept and to promote culture and consensus of what is measured, specifying how and by whom it should be evaluated for a better didactic design and analysis of the effects -favorable or not-of the realism achieved. Material and methods: a three-year mixed study (Delphi method and validation by means of Cronbach’s Alpha, Guttman’s Lambda 6 and correlations) and factor analysis was carried out to develop a
简介:历史上,保真度一直被用来对正在执行的模拟类型进行分类,但它依赖于一个主观和模糊的概念。目的:通过更精确的分类和评估临床模拟中所达到的景物真实感指标的工具,提出了一个分类和亚分类系统,以定性和定量地评估真实感。它还旨在使人们了解支持新概念的新科学元素,并促进对测量内容的文化和共识,规定如何以及由谁来评估它,以便更好地教学设计和分析所实现的现实主义的效果(有利或不有利)。材料和方法:进行了为期三年的混合研究(德尔菲法和通过Cronbach’s Alpha、Guttman’s Lambda 6和相关性进行验证)和因子分析,以制定一个
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引用次数: 2
Producción científica sobre la simulación clínica: revisión integrativa de las tesis y disertaciones brasileñas 临床模拟的科学成果:巴西论文和论文的综合综述
Pub Date : 1900-01-01 DOI: 10.35366/rsc191h
S. N. D. Oliveira, J. G. Martini, Jaime Alonso Caravaca-Morera
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引用次数: 2
Investigación en Simulación en Latinoamérica: una buena y una mala noticia 拉丁美洲的模拟研究:好消息和坏消息
Pub Date : 1900-01-01 DOI: 10.35366/rsc191a
Marcia Corvetto, R. Rubio
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引用次数: 1
Un modelo bayesiano para datos cualitativos en simulación 定性数据模拟的贝叶斯模型
Pub Date : 1900-01-01 DOI: 10.35366/103188
Jimmie Leppink
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引用次数: 1
Aportes de la simulación al desarrollo del razonamiento clínico en estudiantes de pregrado de medicina 模拟对医学本科生临床推理发展的贡献
Pub Date : 1900-01-01 DOI: 10.35366/92935
N. Bastías-Vega, C. Pérez-Villalobos, E.P. Reyes-Aramburu, C. Behrens-Pérez, Soledad Armijo-Rivera
El uso de recursos de simulación en los planes de estudio de las carreras de medicina se ha usado para promover el desarrollo de las aptitudes procesales, la comunicación con los pacientes, la entrega de los pacientes, el razonamiento ético y el trabajo en equipo. El proceso de reunir, integrar y confirmar la información, que constituyen la base del razonamiento clínico necesario para la toma de decisiones médicas, es una de las competencias esenciales para la formación de estos profesionales; sin embargo, sigue presentando dificultades a los creadores de planes de estudios. Aunque muchos reconocen que su enseñanza es predominantemente clínica, otros piensan que aún no se conoce la mejor manera de enseñar el razonamiento clínico. La simulación con pacientes estandarizados, los simuladores virtuales computarizados, la simulación inmersiva y la simulación de alta fidelidad pueden ser útiles desde el principio del programa de estudios, pero deben ir acompañados de retroalimentación o debriefing. Por ello, es necesario desarrollar estudios longitudinales, ya que el razonamiento clínico es una tarea compleja, cuyo desarrollo se establece a lo largo de los planes de estudio; asimismo, es preciso identificar estrategias efectivas que faciliten el debriefing y promuevan el razonamiento clínico o el análisis de los errores cognitivos en la toma de decisiones. ABSTRACT
在医学职业课程中使用模拟资源已被用于促进程序技能、患者沟通、患者交付、道德推理和团队合作的发展。收集、整合和确认信息的过程是医疗决策所需的临床推理的基础,是培训这些专业人员的基本能力之一;然而,它仍然给课程创建者带来困难。虽然许多人承认他的教学主要是临床的,但其他人认为临床推理的最佳教学方法还不清楚。标准化的患者模拟、计算机虚拟模拟器、沉浸式模拟和高保真模拟在课程开始时可能是有用的,但它们必须伴随着反馈或汇报。因此,有必要开展纵向研究,因为临床推理是一项复杂的任务,其发展贯穿整个课程;此外,有必要确定有效的策略,以促进汇报和促进临床推理或分析决策中的认知错误。ABSTRACT
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引用次数: 1
Validez de constructo del uso de realidad virtual en la cirugía de cataratas: revisión sistemática 虚拟现实在白内障手术中的建构效度:系统综述
Pub Date : 1900-01-01 DOI: 10.35366/95231
Hunter Chewerk, María Montero, A. Di-Luciano
Introduction: The use of virtual reality (VR) in surgical training has been gaining popularity. The use of VR is used today as part of surgical training programs in many centers. For this reason, the need arises to evaluate the real impact of VR on training in cataract surgery. The objective of this manuscript, is to carry out a systematic review of the literature on construct validity in the use of VR in cataract surgery. Material and methods: Systematic review was done using PubMed and the Cochrane Library for studies published from January 1, 2008 to January 1, 2018. Search keywords were: simulation in ophthalmology, virtual reality, construct validity and cataract surgery. The inclusion criteria were the following: (1) articles published in the last 10 years; (2) related to virtual reality simulation in cataract surgery and (3) articles that evaluate construct validity. We also include articles on cost analysis and learning tools that could be associated with simulation training. After the search, we found 52 articles of which we used 15 for the systematic review and 21 for the discussion. Results: The modules that have shown constructive validity are anti-tremor and forceps, capsulorexis, hydration maneuvers, cracks and chopping (p < 0.05). The use of VR in cataract surgery has shown good results in real patients through a lower posterior capsule rupture rate (p = 0.032), vitreous loss, less phaco time (p = 0.02) and time of operation (p = 0.001). Surgeons’ increased confidence in the steps of surgery are also reported. Assessing performance with VR is of utmost importance as it will partly determine the readiness of new generations of surgeons and the future surgical outcomes of patients. Objective Structured Assessment of Cataract Surgical Ability (OSACSS) and Objective Structured Assessment of Technical Surgical Skills (OSATS) have been used to assess surgical performance in residents. Conclusions: The use of virtual reality in cataract surgeries is a tool that has already demonstrated its construct validity. We consider it an important alternative (complement) to training based on artificial or animal eyes. Longer-term studies with more standardized designs are needed to assess their real impact and cost effectiveness. Di-Luciano A y cols. Uso de realidad virtual en la cirugía de cataratas 72 Simulación Clínica 2020; 2 (2): 71-80 www.medigraphic.com/simulacionclinica www.medigraphic.org.mx INTRODUCCIÓN E concepto de simulación se remonta al año 1929 cuando Edward Link creó un sistema de simulación para evitar accidentes aéreos.1 La historia de la simulación en oftalmología comienza en 1992 con la creación de un simulador para inyección de anestesia retrobulbar llamado ORIS.2 Un año después, Hunter y colaboradores crearon un robot microquirúrgico teleoperado para cirugía ocular.3 El uso de la realidad virtual (RV) ya ha demostrado ser exitoso en otras ramas de la medicina como Urología,4 Cirugía General,5 Ginecología,6 Otorrinolaringologí
在外科训练中使用虚拟现实(VR)已经越来越受欢迎。如今,VR技术在许多中心被用作外科培训项目的一部分。因此,有必要评估虚拟现实对白内障手术培训的实际影响。这篇论文的目的,是对在白内障手术中使用虚拟现实的结构效度的文献进行系统的回顾。材料和方法:使用PubMed和Cochrane图书馆对2008年1月1日至2018年1月1日发表的研究进行系统评价。检索关键词为:眼科模拟、虚拟现实、构造有效性、白内障手术。纳入标准如下:(1)近10年内发表的文章;(2)与白内障手术中的虚拟现实模拟相关的研究;(3)评估构建效度的文章。我们还包括了与模拟训练相关的成本分析和学习工具的文章。经过检索,我们找到了52篇文章,其中15篇用于系统评价,21篇用于讨论。结果:具有建设性有效性的模块有:防抖钳、缩囊、水化动作、裂缝和斩切(p < 0.05)。虚拟现实技术在白内障手术中的应用在实际患者中表现出较低的后囊膜破裂率(p = 0.032)、玻璃体丢失、较短的超声时间(p = 0.02)和较短的手术时间(p = 0.001)。外科医生对手术步骤的信心也有所增加。评估VR的表现是至关重要的,因为它将在一定程度上决定新一代外科医生的准备情况和患者未来的手术结果。白内障手术能力客观结构化评估(OSACSS)和外科技术技能客观结构化评估(OSATS)已被用于评估住院医师的手术表现。结论:在白内障手术中使用虚拟现实技术是一种已经证明其结构有效性的工具。我们认为它是基于人工或动物眼睛训练的重要替代(补充)。需要更标准化设计的长期研究来评估它们的实际影响和成本效益。迪-卢西亚诺,我的朋友。Uso de realidad virtual en la cirugía de cataratas 72 Simulación Clínica 2020;2 (2): 71-80 www.medigraphic.com/simulacionclinica www.medigraphic.org.mx INTRODUCCIÓN E concepto de simulación se remonta al año 1929 cuando Edward Link creó un sistema de simulación para evitar2 .通过año despuacimass, Hunter和他的同事们创造了一个机器人microquirúrgico teleoperado para cirugía ocular虚拟现实技术(RV)是一种基于虚拟现实技术的虚拟现实技术,其应用范围包括:Urología,4 Cirugía General,5 Ginecología,6 Otorrinolaringología,7 Anestesiología8 y más。El aumento en la popularidad del uso de RV en El entreamiento quirúrgico en pregrado es un hecho。estestesrefleja en el aumento de la implementación de realidad虚拟电视节目de residencia en oftalmología en todo el mundo;迄今为止,没有证据表明存在的证据是关于文学的广泛存在。在última daca上,我们可以看到,在现实世界中,我们可以看到,在现实世界中,我们可以看到,在现实世界中,我们可以看到:La gran mayoría de los studios se han realizado con el Eyesi (VR Magic, Gmbh, Mannheim, Alemania)。9-19 .参考文献1 .构造有效性论证(demostrado la valididez constructiva de algunos módulos para este simulador),10-12 .抗震(fórceps),9 . maniobras (hidratación),开裂(劈裂)20 . El análisis de costes de implementación de unprograma de simulación con RV, así como la evaluación de impact en El process of aprendizaje son factors .考虑运动太多,realizamos una修订sistematica en la literatura对位evaluar la validez de constructo uso德尔德oftalmologia en cirugia de cataratas房车。tamamicassen评价了所有的ramientas的利用情况,并对所有的ramientas的利用情况进行了评价。
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引用次数: 1
Del brochure al paciente: rol de la simulación en el uso de nuevos implantes ortopédicos 从小册子到患者:模拟在新型骨科植入物使用中的作用
Pub Date : 1900-01-01 DOI: 10.35366/101431
F. Soza, C. Calvo, Rodrigo de-Marinis, R. Liendo, J. Contreras
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引用次数: 1
Resúmenes ganadores del VI Congreso Latinoamericano de Simulación Clínica: La simulación, un aprendizaje integrado. Cancún, México 2019 第六届拉丁美洲临床模拟大会获奖摘要:模拟,综合学习。2019年墨西哥坎昆
Pub Date : 1900-01-01 DOI: 10.35366/rsc193g
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引用次数: 0
期刊
Revista Latinoamericana de Simulación Clínica
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