Pub Date : 2020-06-30DOI: 10.53902/cicmr.2021.01.000505
Julián Rondón Carvajal
Rudolf Virchow's scientific legacy to mankind is invaluable. His holistic view of disease allowed him to develop detailed experimental models based on the precepts of cell biology, which is why he is considered the forerunner of modern pathology. Many of his observations were transferred to the clinical setting and are still valid today in different areas of internal medicine. This biographical sketch highlights his main contributions to modern medical practice on the basis of his profound social sensitivity, including the founding of the first German anthropological society.
{"title":"Rudolf Virchow: Requiem for a Visionary","authors":"Julián Rondón Carvajal","doi":"10.53902/cicmr.2021.01.000505","DOIUrl":"https://doi.org/10.53902/cicmr.2021.01.000505","url":null,"abstract":"Rudolf Virchow's scientific legacy to mankind is invaluable. His holistic view of disease allowed him to develop detailed experimental models based on the precepts of cell biology, which is why he is considered the forerunner of modern pathology. Many of his observations were transferred to the clinical setting and are still valid today in different areas of internal medicine. This biographical sketch highlights his main contributions to modern medical practice on the basis of his profound social sensitivity, including the founding of the first German anthropological society.","PeriodicalId":268156,"journal":{"name":"Current Investigations in Clinical and Medical Research","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121602028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.53902/cicmr.2020.01.000501
M. Donohue
Compassion is necessary in clinical situations because they involve a medical response to suffering and carry respect, a desire to help, serve, and express solidarity. The use of the three “t's” to express compassion has been suggested: talk, take time, and touch (Talk or listen, Give time and Touch or caress). Compassion is part of humanization and involves affection, dedication, respect for the other and considering the person in their total integrity. Doctors and nurses should invite the family to participate in the health care of their relatives. In this act the values and virtues that make up the moral formation and that are taught or reinforced in the medical school emerge.
{"title":"Compassion: The Art of Medicine","authors":"M. Donohue","doi":"10.53902/cicmr.2020.01.000501","DOIUrl":"https://doi.org/10.53902/cicmr.2020.01.000501","url":null,"abstract":"Compassion is necessary in clinical situations because they involve a medical response to suffering and carry respect, a desire to help, serve, and express solidarity. The use of the three “t's” to express compassion has been suggested: talk, take time, and touch (Talk or listen, Give time and Touch or caress). Compassion is part of humanization and involves affection, dedication, respect for the other and considering the person in their total integrity. Doctors and nurses should invite the family to participate in the health care of their relatives. In this act the values and virtues that make up the moral formation and that are taught or reinforced in the medical school emerge.","PeriodicalId":268156,"journal":{"name":"Current Investigations in Clinical and Medical Research","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127276539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.53902/cicmr.2022.01.000516
E. A. Mendoza
Aim: To determine the correlation of the red cell distribution width values with pre-eclampsia and pre-eclampsia with severity criteria. Materials and methods: Cross-sectional, prospective study of patients who met the inclusion criteria in the period from August 2019 to August 2020. Statistical analysis was performed using Student's t test and Spearman's correlation to calculate the dependence between the non-parametric variables, the value of p<0.05 was considered statistically significant. Results: 9 patients with pre-eclampsia and 30 pre-eclampsia were obtained with severity criteria. There was no statistical difference when comparing the RDW of patients with pre-eclampsia and pre-eclampsia with severity criteria (p=0.226), in patients with systolic blood pressure values ≥160mmHg there was an increase in RDW levels (p=0.042) Objective: To determine the correlation of erythrocyte distribution width values with pre-eclampsia and pre-eclampsia with severity criteria. Conclusions: There is a significant relationship between increased RDW and systolic blood pressure values ≥160mmHg.
{"title":"Correlation of Erythrocyte Distribution Width Values with Preeclampsia and Preeclampsia with Severity Criteria","authors":"E. A. Mendoza","doi":"10.53902/cicmr.2022.01.000516","DOIUrl":"https://doi.org/10.53902/cicmr.2022.01.000516","url":null,"abstract":"Aim: To determine the correlation of the red cell distribution width values with pre-eclampsia and pre-eclampsia with severity criteria. Materials and methods: Cross-sectional, prospective study of patients who met the inclusion criteria in the period from August 2019 to August 2020. Statistical analysis was performed using Student's t test and Spearman's correlation to calculate the dependence between the non-parametric variables, the value of p<0.05 was considered statistically significant. Results: 9 patients with pre-eclampsia and 30 pre-eclampsia were obtained with severity criteria. There was no statistical difference when comparing the RDW of patients with pre-eclampsia and pre-eclampsia with severity criteria (p=0.226), in patients with systolic blood pressure values ≥160mmHg there was an increase in RDW levels (p=0.042) Objective: To determine the correlation of erythrocyte distribution width values with pre-eclampsia and pre-eclampsia with severity criteria. Conclusions: There is a significant relationship between increased RDW and systolic blood pressure values ≥160mmHg.","PeriodicalId":268156,"journal":{"name":"Current Investigations in Clinical and Medical Research","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133598401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.53902/cicmr.2021.01.000507
H. Castillo
Introduction: Syndrome systemic inflammatory response (SIRS) is activated by the presence of any organic infection to, continuing evolves sepsis, septic shock, multiple organ failure and ends in death. Objective: Determine the utility leuco index/PCR as diagnostic early sepsis. Materials and Methods: Research has no experimental, of type descriptive, transverse and retrospective during the period July-December 2017, in patients with suspected bacterial sepsis attending IESS Riobamba Hospital emergency. It is utilize for diagnostic validity to the calculation of sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), likelihood ratio and ROC curves. Results: Se and videnctio as Qua r point of co ho rte of the leuco-PCR index a value of619.82 (AUC:0.85; IC-95%: 0.76-0.9 5; p<0.05) for a procalcitonin greater than or equal to 1ng/dl; while for a procalcitonin most or equal to 0.5ng/dl, an AUC: 0.8 2; CI-95 %; 0.71-0.9 2; p<0.05 ). Conclusion: The index leuco-PCR is useful in the diagnosis of sepsis, and alternative accesib him and inexpensive compared to procalcitonin.
{"title":"Diagnostic Performance of the Leuko-CRP Index and Procalcitonin in Patients with Suspected Sepsis who Come to the Emergency Room of the IESS Riobamba Hospital in the period July-December 2017","authors":"H. Castillo","doi":"10.53902/cicmr.2021.01.000507","DOIUrl":"https://doi.org/10.53902/cicmr.2021.01.000507","url":null,"abstract":"Introduction: Syndrome systemic inflammatory response (SIRS) is activated by the presence of any organic infection to, continuing evolves sepsis, septic shock, multiple organ failure and ends in death. Objective: Determine the utility leuco index/PCR as diagnostic early sepsis. Materials and Methods: Research has no experimental, of type descriptive, transverse and retrospective during the period July-December 2017, in patients with suspected bacterial sepsis attending IESS Riobamba Hospital emergency. It is utilize for diagnostic validity to the calculation of sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), likelihood ratio and ROC curves. Results: Se and videnctio as Qua r point of co ho rte of the leuco-PCR index a value of619.82 (AUC:0.85; IC-95%: 0.76-0.9 5; p<0.05) for a procalcitonin greater than or equal to 1ng/dl; while for a procalcitonin most or equal to 0.5ng/dl, an AUC: 0.8 2; CI-95 %; 0.71-0.9 2; p<0.05 ). Conclusion: The index leuco-PCR is useful in the diagnosis of sepsis, and alternative accesib him and inexpensive compared to procalcitonin.","PeriodicalId":268156,"journal":{"name":"Current Investigations in Clinical and Medical Research","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124719554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.53902/cicmr.2021.01.000513
José Manuel Lozano Sánchez
Objective: To study the importance of immunological screening (CH50, C3, C4) to determine the correlation between the ovarian reserve and complement pathway. Design: A cross-sectional multivariate study. Setting: Single tertiary referral center. Patients: 40 Women with infertility diagnosis who underwent In Vitro Fertilization (IVF). Intervention(s): Basal blood samples collected to measure complement pathway and antimüllerian hormone. Main Outcome Measure(s): To correlate complement pathways (CH50 levels) with AMH. Results: The complement system and ovarian reserve were studied in 40 women aged from 28-48 years (mean=37.87 years), finding the values of CH50 65-268 CAE (mean=153.2 CAE), C3 13.9- 183mg/dl (mean=128.52mg/dl), C4 11.5-106mg/dl (mean=29.86mg/dl), AMH 0.10-3.9ng/dl (mean=1.32ng/dl). A multivariate analysis comparison was also conducted yielding significant results: negative correlation between AMH and age (Spearman correlation -0.6; P=0.001), as well as between AMH and CH50 (Spearman correlation -0.4; P=0.0129). Conclusion: High CH50 levels are correlated with an AMH decrease and it could be accordingly associated with age-related chronic inflammation. Capsule: High levels of CH50 are correlated with a decrease in AMH levels and could also be considered as a marker of poor response in IVF cycles.
{"title":"CH50 Activity and its Relationship to Antimüllerian Hormone in Patients with Infertility","authors":"José Manuel Lozano Sánchez","doi":"10.53902/cicmr.2021.01.000513","DOIUrl":"https://doi.org/10.53902/cicmr.2021.01.000513","url":null,"abstract":"Objective: To study the importance of immunological screening (CH50, C3, C4) to determine the correlation between the ovarian reserve and complement pathway. Design: A cross-sectional multivariate study. Setting: Single tertiary referral center. Patients: 40 Women with infertility diagnosis who underwent In Vitro Fertilization (IVF). Intervention(s): Basal blood samples collected to measure complement pathway and antimüllerian hormone. Main Outcome Measure(s): To correlate complement pathways (CH50 levels) with AMH. Results: The complement system and ovarian reserve were studied in 40 women aged from 28-48 years (mean=37.87 years), finding the values of CH50 65-268 CAE (mean=153.2 CAE), C3 13.9- 183mg/dl (mean=128.52mg/dl), C4 11.5-106mg/dl (mean=29.86mg/dl), AMH 0.10-3.9ng/dl (mean=1.32ng/dl). A multivariate analysis comparison was also conducted yielding significant results: negative correlation between AMH and age (Spearman correlation -0.6; P=0.001), as well as between AMH and CH50 (Spearman correlation -0.4; P=0.0129). Conclusion: High CH50 levels are correlated with an AMH decrease and it could be accordingly associated with age-related chronic inflammation. Capsule: High levels of CH50 are correlated with a decrease in AMH levels and could also be considered as a marker of poor response in IVF cycles.","PeriodicalId":268156,"journal":{"name":"Current Investigations in Clinical and Medical Research","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115050370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.53902/cicmr.2021.01.000504
Mohammad Arifur Rahman
This article discusses the fundamental characteristics of measured glucose levels and predicted glycated hemoglobin A1c (HbA1c) values among three sets of collected data, measured finger-piercing and continuous glucose monitoring (CGM) sensor device collected glucose levels at 15-minute (15-min) and 5-minute (5-min) intervals. The average glucose (in milligram per deciliter-mg/dL) is listed below: Finger glucose: 109 mg/dL (100%) Sensor at 15-min: 120 mg/dL (109%) Sensor at 5-min: 117 mg/dL (107%) Using candlestick chart, the comparison of average glucoses during this period between two sensor glucose (mg/dL) data (15-min/5-min) are as follows: Open glucose: 108/111 Close glucose: 115/115 Maximum (max) glucose: 170 /175 Minimum (min) glucose: 85/83 Average glucose: 120/117 Additional analysis of time above range (TAR)≥140 mg/dL for hyperglycemia, time within the range (TIR) from 70-140 mg/dL for normal, time below range (TBR)≤70 mg/dL for hypoglycemia based on two sensor candlesticks revealing the following information in a specific format of TAR%/ TIR%/TBR%. 15-min:18.3%, 80.5%, 1.2% 5-min: 17.0%, 81.9%, 1.1% By evaluating the results of the TIR analysis, the 5-min glucose levels appear to be marginally healthier (1.4%) than the 15-min ones. During the coronavirus pandemic (COVID 19) quarantine period, the author lived a rather unique lifestyle which is extremely calm with regular routines, such as eating home-cooked meals and exercising on a regular basis. As a result, his HbA1c has decreased from 6.6% to 6.3% with an average A1c of 6.4% without taking any diabetes medications. However, these three different measurement methods still provide three different sets of glucoses levels which are within a 10% margin of differences, while the HbA1c values are particularly close to each other between the finger-piercing and CGM 15-min.
{"title":"Outcome of Patients with ST-T Changes in Non STSegment Elevation Myocardial Infarction","authors":"Mohammad Arifur Rahman","doi":"10.53902/cicmr.2021.01.000504","DOIUrl":"https://doi.org/10.53902/cicmr.2021.01.000504","url":null,"abstract":"This article discusses the fundamental characteristics of measured glucose levels and predicted glycated hemoglobin A1c (HbA1c) values among three sets of collected data, measured finger-piercing and continuous glucose monitoring (CGM) sensor device collected glucose levels at 15-minute (15-min) and 5-minute (5-min) intervals. The average glucose (in milligram per deciliter-mg/dL) is listed below: Finger glucose: 109 mg/dL (100%) Sensor at 15-min: 120 mg/dL (109%) Sensor at 5-min: 117 mg/dL (107%) Using candlestick chart, the comparison of average glucoses during this period between two sensor glucose (mg/dL) data (15-min/5-min) are as follows: Open glucose: 108/111 Close glucose: 115/115 Maximum (max) glucose: 170 /175 Minimum (min) glucose: 85/83 Average glucose: 120/117 Additional analysis of time above range (TAR)≥140 mg/dL for hyperglycemia, time within the range (TIR) from 70-140 mg/dL for normal, time below range (TBR)≤70 mg/dL for hypoglycemia based on two sensor candlesticks revealing the following information in a specific format of TAR%/ TIR%/TBR%. 15-min:18.3%, 80.5%, 1.2% 5-min: 17.0%, 81.9%, 1.1% By evaluating the results of the TIR analysis, the 5-min glucose levels appear to be marginally healthier (1.4%) than the 15-min ones. During the coronavirus pandemic (COVID 19) quarantine period, the author lived a rather unique lifestyle which is extremely calm with regular routines, such as eating home-cooked meals and exercising on a regular basis. As a result, his HbA1c has decreased from 6.6% to 6.3% with an average A1c of 6.4% without taking any diabetes medications. However, these three different measurement methods still provide three different sets of glucoses levels which are within a 10% margin of differences, while the HbA1c values are particularly close to each other between the finger-piercing and CGM 15-min.","PeriodicalId":268156,"journal":{"name":"Current Investigations in Clinical and Medical Research","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125519943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.53902/cicmr.2021.01.000514
Vásquez Cubas Humberto
The use of antibacterials, in almost all COVID cases that require hospitalization, has been widespread throughout the planet despite being a viral infection verified by molecular biology and tomographic images characteristic of bilateral atypical pneumonia. The WHO recommended using empirical antibiotic therapy "against all the most frequent pathogens" in cases of COVID pneumonia that require hospitalization. This abuse will have dire consequences on the bacterial flora due to selection pressure, mainly of extended spectrum beta-lactamase-producing Enterobacteriaceae, Pseudomonas aeruginosa, Acinetobacter baumanii and other multi-resistant bacteria. Some criteria or guidelines are proposed to decide or not the administration of antibacterials to cases of COVID with respiratory failure and need for hospitalization.
{"title":"Criteria for Rational Use of Antibiotics in Over Aggregated Bacterial Infection in Covid-19","authors":"Vásquez Cubas Humberto","doi":"10.53902/cicmr.2021.01.000514","DOIUrl":"https://doi.org/10.53902/cicmr.2021.01.000514","url":null,"abstract":"The use of antibacterials, in almost all COVID cases that require hospitalization, has been widespread throughout the planet despite being a viral infection verified by molecular biology and tomographic images characteristic of bilateral atypical pneumonia. The WHO recommended using empirical antibiotic therapy \"against all the most frequent pathogens\" in cases of COVID pneumonia that require hospitalization. This abuse will have dire consequences on the bacterial flora due to selection pressure, mainly of extended spectrum beta-lactamase-producing Enterobacteriaceae, Pseudomonas aeruginosa, Acinetobacter baumanii and other multi-resistant bacteria. Some criteria or guidelines are proposed to decide or not the administration of antibacterials to cases of COVID with respiratory failure and need for hospitalization.","PeriodicalId":268156,"journal":{"name":"Current Investigations in Clinical and Medical Research","volume":"217 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131820485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.53902/cicmr.2021.01.000508
H. J. Costa
The breathing mechanism has existed since our birth and accompanies us throughout life. Breathing is an important function in the regulatory process of numerous body functions, its optimization can bring many health benefits. However, many children are unaware of the mechanisms of breathing, namely abdominal or diaphragmatic breathing, and in addition to this, many breathe normally through their mouths. The present study aimed to verify the influence of a short-term breathing exercise program on children's breathing capacity. Twenty-one children aged between 8 and 10 years were selected, from this selection two groups were formed, the control group (CG) with 10 children and the experimental group (EG) with 11. Through a spirometric test, an assessment of breathing capacity (ABC) was carried out for both groups. The GE participated in a program of breathing exercises (BEP) lasting 15 to 20 minutes for 5 weeks. Then, the ABC was performed again for both groups. The results demonstrate a significant increase in the values (p<0.027) of the forced vital capacity (FVC) of the EG, thus suggesting that the application of a BEP promotes the breathing capacity of school-aged children. Further studies should be performed with larger samples and with a longer protocol.
{"title":"Effect of Short-Term Practice of Breathing Exercises on the Breathing Capacity in Children","authors":"H. J. Costa","doi":"10.53902/cicmr.2021.01.000508","DOIUrl":"https://doi.org/10.53902/cicmr.2021.01.000508","url":null,"abstract":"The breathing mechanism has existed since our birth and accompanies us throughout life. Breathing is an important function in the regulatory process of numerous body functions, its optimization can bring many health benefits. However, many children are unaware of the mechanisms of breathing, namely abdominal or diaphragmatic breathing, and in addition to this, many breathe normally through their mouths. The present study aimed to verify the influence of a short-term breathing exercise program on children's breathing capacity. Twenty-one children aged between 8 and 10 years were selected, from this selection two groups were formed, the control group (CG) with 10 children and the experimental group (EG) with 11. Through a spirometric test, an assessment of breathing capacity (ABC) was carried out for both groups. The GE participated in a program of breathing exercises (BEP) lasting 15 to 20 minutes for 5 weeks. Then, the ABC was performed again for both groups. The results demonstrate a significant increase in the values (p<0.027) of the forced vital capacity (FVC) of the EG, thus suggesting that the application of a BEP promotes the breathing capacity of school-aged children. Further studies should be performed with larger samples and with a longer protocol.","PeriodicalId":268156,"journal":{"name":"Current Investigations in Clinical and Medical Research","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117222573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.53902/cicmr.2021.01.000509
Juan Carlos Uribe Cantalejo
Two questions that today's health professors should ask themselves are: Am I teaching my students in the most effective way possible to train professionals with the standards and needs demanded by today's society? Are my students memorizing facts and concepts or are they developing skills that they integrate into their personal and professional lives? In 1910 the Flexner report was published, which gave rise to the first reforms that sought to establish innovations in the education of health professionals, but the great revolution in world education arose from a study published by Barr and Tagg in 1995 where they stressed the importance of changing the paradigm of education centered on content to a new paradigm where education is centered on learning; Thus, in 1998, within the framework of the World Conference on Higher Education, UNESCO expressed the need to update higher education, bringing it closer to the current challenges of society, and in response to this request, in 1999, several European countries signed the Bologna agreement that seeks to improve the quality of higher education by creating the European Higher Education Area.
{"title":"The Role of Teachers in the Education of Health Professionals in the 21st Century","authors":"Juan Carlos Uribe Cantalejo","doi":"10.53902/cicmr.2021.01.000509","DOIUrl":"https://doi.org/10.53902/cicmr.2021.01.000509","url":null,"abstract":"Two questions that today's health professors should ask themselves are: Am I teaching my students in the most effective way possible to train professionals with the standards and needs demanded by today's society? Are my students memorizing facts and concepts or are they developing skills that they integrate into their personal and professional lives? In 1910 the Flexner report was published, which gave rise to the first reforms that sought to establish innovations in the education of health professionals, but the great revolution in world education arose from a study published by Barr and Tagg in 1995 where they stressed the importance of changing the paradigm of education centered on content to a new paradigm where education is centered on learning; Thus, in 1998, within the framework of the World Conference on Higher Education, UNESCO expressed the need to update higher education, bringing it closer to the current challenges of society, and in response to this request, in 1999, several European countries signed the Bologna agreement that seeks to improve the quality of higher education by creating the European Higher Education Area.","PeriodicalId":268156,"journal":{"name":"Current Investigations in Clinical and Medical Research","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116721974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.53902/cicmr.2021.01.000506
Giancarlo Zuccone
Our country was one of many hit by the new coronavirus pandemic, of which its clinical manifestation, mortality rate, laboratory and imaging findings are not still fully understood and in research. This document pretends to elaborate a presentation profile-which includes clinical manifestation, radiologic and laboratory findings-of 164 SARS-CoV2 (+) patients that concurred to the Emergency Service in Barros Luco-Trudeau Hospital. This retrospective-descriptive research paper shows that the most common SARS-CoV2 (+) patient consulting on this ER was predominantly young, not necessarily having a known contact for SARS-CoV2 nor risk factors for complications related to COVID-19. Clinically, dry coughing, cephalalgy and myalgia were more often referred. 74% of patients required house-care only, without any further complications during the disease. Nonetheless, 6% of patients regarding this sample required treatment in the ICU in some point after from onset of the symptoms. In the group of the ICU patients, the most remarkable laboratory differences when compared to the house-care group were show on D-dimer and ferritin blood levels.
{"title":"Clinical and Epidemiological Characteristics of COVID-19 in the Barros Luco Hospital Emergency Unit: the First 164 Patients","authors":"Giancarlo Zuccone","doi":"10.53902/cicmr.2021.01.000506","DOIUrl":"https://doi.org/10.53902/cicmr.2021.01.000506","url":null,"abstract":"Our country was one of many hit by the new coronavirus pandemic, of which its clinical manifestation, mortality rate, laboratory and imaging findings are not still fully understood and in research. This document pretends to elaborate a presentation profile-which includes clinical manifestation, radiologic and laboratory findings-of 164 SARS-CoV2 (+) patients that concurred to the Emergency Service in Barros Luco-Trudeau Hospital. This retrospective-descriptive research paper shows that the most common SARS-CoV2 (+) patient consulting on this ER was predominantly young, not necessarily having a known contact for SARS-CoV2 nor risk factors for complications related to COVID-19. Clinically, dry coughing, cephalalgy and myalgia were more often referred. 74% of patients required house-care only, without any further complications during the disease. Nonetheless, 6% of patients regarding this sample required treatment in the ICU in some point after from onset of the symptoms. In the group of the ICU patients, the most remarkable laboratory differences when compared to the house-care group were show on D-dimer and ferritin blood levels.","PeriodicalId":268156,"journal":{"name":"Current Investigations in Clinical and Medical Research","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131224229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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