Artist Featured in Volume 1 IJMS: Rebecca Plummer-Rohloff, PhD

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Interviewing Dr Felipe Fregni: A Pathway to a Research Career

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The Use of Activated Charcoal for Acute Poisonings

Poisoning results from the ingestion of or contact with harmful substances including overdose or incorrect use of any drug or medication. Decontamination measures prevent the absorption of the substance from the gastrointestinal tract to minimize systemic effects. Activated charcoal is the intervention most frequently used in the initial management of patients with acute intoxications. The use of activated charcoal has decreased over time, but there may be a subgroup of patients who would benefit from its use. In this review we describe the epidemiology of intoxications, the composition and pharmacology of activated charcoal, indications and dosing for use of single dose and multiple doses of charcoal, contraindications, complications and a summary for recommended use of this measure based on published studies

The Enduring Value of Research in Medical Education

Evidence-based medicine (EBM) relies on scientific data to guide diagnosis and treatment and is recognized as the current paradigm in medicine. Accordingly, every current and future physician should be knowledgeable about its principles and methodologies. Embracing research and EBM is essential to modern clinical practice; however, trainees and physicians still struggle with the value of research-related courses and knowledge on epidemiology and research methodology is often poor. In this article we provide a cogent discussion of the importance of research as an indispensable discipline in medical education through a detailed analysis of the literature. We review the evolution of medicine towards EBM and discuss the myriad of benefits that research has on medical careers, leadership roles, mentoring relationships, social networking, and personal growth and development. Participation in research contributes to medicine, public health, and society while simultaneously allowing the achievement of a high level of personal satisfactio

Bibliometric Studies in CIMEL: A Latin-American Medical Student Journal and the Future of Bibliometric Publications

Background: Bibliometric or scientometric studies are methodological fields focused on the structural analysis of the information contai­ned in scientific publication and generate indicators that help identify challenges and achievements in research. We aimed to characterize the publications that used this method authored by medical students in Latin America. Methods: We reviewed articles that performed a bibliometric analysis and were published in a Latin American medical student journal, between 2001 and 2012. We analyzed the characte­ristics of the articles, authors and references. Linear simple regression and Pearson correlation coefficient (PCC) were developed to identify trends and correlations with 95% confidence. Results: There were 12 volumes of the journal available online, with a total of 236 articles. Of these, 13 (5.5%) were bibliometric studies: five original articles, four letters to the editor, two editorials, one short communication, and one review. There was a positive significant relationship between time (years) and number of publications (ß1=0.16, p=0.03, PCC=63%), and citations of each article (not significant, ß1=1.3, p=0.09, PCC=49%). Conclusion: There was an increase in the number of bibliometric publications after 2008, possibly influenced by a popularization of these types of studies in Latin America. Findings should motivate new and collaborative studies in this field. Moreover, it will be necessary to clarify publication areas of interest of medical students around the world

Problemas de la investigación y las oportunidades para su desarrollo desde la Revista Médica de Risaralda

La crisis de la investigación en el país y el actual manejo de la Revista Medica de Risaralda resaltan las oportunidades del desarrollo de la investigación en pro de los impactos en salud publica

The International Journal of Medical Students, a Platform for Medical Student Research Worldwide

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Critical Review and Consensus Statement for Neural Monitoring in Otolaryngologic Head, Neck, and Endocrine Surgery

BACKGROUND: Enhancing patient outcomes in an array of surgical procedures in the head and neck requires the maintenance of complex regional functions through the protection of cranial nerve integrity. This review and consensus statement cover the scope of cranial nerve monitoring of all cranial nerves that are of practical importance in head, neck, and endocrine surgery except for cranial nerves VII and VIII within the temporal bone. Complete and applied understanding of neurophysiologic principles facilitates the surgeon\u27s ability to monitor the at-risk nerve. METHODS: The American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) identified the need for a consensus statement on cranial nerve monitoring. An AAO-HNS task force was created through soliciting experts on the subject. Relevant domains were identified, including residency education, neurophysiology, application, and various techniques for monitoring pertinent cranial nerves. A document was generated to incorporate and consolidate these domains. The panel used a modified Delphi method for consensus generation. RESULTS: Consensus was achieved in the domains of education needs and anesthesia considerations, as well as setup, troubleshooting, and documentation. Specific cranial nerve monitoring was evaluated and reached consensus for all cranial nerves in statement 4 with the exception of the spinal accessory nerve. Although the spinal accessory nerve\u27s value can never be marginalized, the task force did not feel that the existing literature was as robust to support a recommendation of routine monitoring of this nerve. In contrast, there is robust supporting literature cited and consensus for routine monitoring in certain procedures, such as thyroid surgery, to optimize patient outcomes. CONCLUSIONS: The AAO-HNS Cranial Nerve Monitoring Task Force has provided a state-of-the-art review in neural monitoring in otolaryngologic head, neck, and endocrine surgery. The evidence-based review was complemented by consensus statements utilizing a modified Delphi method to prioritize key statements to enhance patient outcomes in an array of surgical procedures in the head and neck. A precise definition of what actually constitutes intraoperative nerve monitoring and its benefits have been provided

Interviewing Dr Felipe Fregni: A Pathway to a Research Career

A talented Brazilian physician investigator, Felipe Fregni, is an Associate Professor of Physical Medicine & Rehabilitation and Neurology at Harvard Medical School, where he directs the Neuromodulation Laboratory at the Department of Physical Medicine & Rehabilitation at Spaulding Rehabilitation Hospital & Massachusetts General Hospital. He completed his medical studies, Neurology residency, and a Doctor of Philosophy (PhD) at the University of Sao Paulo and continued on to pursue post­graduate studies as well as a Master of Public Health (MPH) at Harvard Medical School. His philanthropic nature led him to design the Collaborative Learning in Clinical Research Program and the Principles and Practice of Clinical Research course with the Department of Continuing Education at Harvard Medical School to educate on basic and advanced training in clinical trials for physicians around the world. As part of this cour­se, he has reached to physicians and students of graduate and postgraduate studies in the medical field in 30 countries to offer a 9-month collaborative distance-learning course on clinical research. For this interview, he was invited to share his experiences and insight as a physician-scientist from Brazil with medical students worldwide