4 research outputs found

    Incorporation of art in the teaching of Medicine

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    Mediante el estudio y análisis de obras de arte que manifiestan temas relacionados con la Medicina queremos enseñar al estudiante a observar y percibir, desarrollar el análisis critico, plantearse diagnósticos diferenciales en suma ejercer la medicina con mayor éxito. El análisis de estas obras de arte les ha permitido también tener una perspectiva histórica de la Medicina, enriquecer su formación humanística, aumentar la creatividad, el juicio critico y el trabajo en equipo.Through the study and analysis of works of art that manifest topics related to Medicine, we want to teach the student to observe and perceive, develop critical analysis, consider differential diagnoses, in short, practice medicine with greater success. The analysis of these works of art has also allowed them to have a historical perspective of Medicine, enrich their humanistic training, increase creativity, critical judgment and teamwork.Depto. de Medicina Legal, Psiquiatría y PatologíaFac. de MedicinaFALSEsubmitte

    Global attitudes in the management of acute appendicitis during COVID-19 pandemic: ACIE Appy Study

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    Background: Surgical strategies are being adapted to face the COVID-19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a snapshot of worldwide approaches to appendicitis. Methods: The Association of Italian Surgeons in Europe designed an online survey to assess the current attitude of surgeons globally regarding the management of patients with acute appendicitis during the pandemic. Questions were divided into baseline information, hospital organization and screening, personal protective equipment, management and surgical approach, and patient presentation before versus during the pandemic. Results: Of 744 answers, 709 (from 66 countries) were complete and were included in the analysis. Most hospitals were treating both patients with and those without COVID. There was variation in screening indications and modality used, with chest X-ray plus molecular testing (PCR) being the commonest (19\ub78 per cent). Conservative management of complicated and uncomplicated appendicitis was used by 6\ub76 and 2\ub74 per cent respectively before, but 23\ub77 and 5\ub73 per cent, during the pandemic (both P < 0\ub7001). One-third changed their approach from laparoscopic to open surgery owing to the popular (but evidence-lacking) advice from expert groups during the initial phase of the pandemic. No agreement on how to filter surgical smoke plume during laparoscopy was identified. There was an overall reduction in the number of patients admitted with appendicitis and one-third felt that patients who did present had more severe appendicitis than they usually observe. Conclusion: Conservative management of mild appendicitis has been possible during the pandemic. The fact that some surgeons switched to open appendicectomy may reflect the poor guidelines that emanated in the early phase of SARS-CoV-2
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