Critical reading competence in family medicine residents

El médico especialista tiene actualmente como parte del perfil de egreso la búsqueda,análisis y discusión de la información. La comprensión lectora se genera tras la relación del texto con el lector y se encarga de construir un conocimiento al relacionar lo leído y lo aprendido. Nos propusimos evaluar el nivel de competencia de lectura crítica en médicos residentes de medicina familiar (MF) para evaluar si cuentan con la competencia de lectura crítica. Para ello, se aplicó el instrumento de evaluación de lectura crítica de Campos. El 63% de los residentes de MF presentóun nivel de comprensión lectora medio. No se encontró significación estadística al correlacionarlas variables comprensión lectora y sexo o al correlacionar comprensión lectora y edad. Concluimos que la competencia de lectura crítica encontrada en los médicos residentes de la unidad estudiada es de nivel medio, siendo mayor que el nivel encontrado en otros estudios bajo condiciones similares. Es necesario establecer estrategias educativas que mejoren las capacidades de lectura crítica de artículos médicosCurrently, the specialist doctor has as part of the discharge profile the search, analysisand discussion of information. Reading comprehension is generated after the relationship of thetext with the reader and is responsible for building knowledge by relating what has been read andwhat has been learned. We set out to evaluate the level of critical reading competence in familymedicine residents of the Family Medicine Unit No. 24 from the Mexican Social Security Institute;To evaluate whether they have critical reading competence, the critical reading evaluationinstrument was applied 63% of MF residents presented a medium level of reading comprehension.No statistical significance was found when correlating the variables reading comprehension andgender, and by correlating reading comprehension and age. We conclude that the critical readingcompetence found in the resident doctors of the Family Medicine Unit No. 24 is of a medium level,being higher than the level found in other studies under similar conditions. It is necessary toestablish educational strategies that improve the skills of critical reading of medical articles

COMPETÊNCIA DE LEITURA CRÍTICA EM RESIDENTES DE MEDICINA DE FAMÍLIA

Currently, the specialist doctor has as part of the discharge profile the search, analysis and discussion of information. Reading comprehension is generated after the relationship of the text with the reader and is responsible for building knowledge by relating what has been read and what has been learned. We set out to evaluate the level of critical reading competence in family medicine (MF) residents of the Family Medicine Unit No. 24 (U.M.F. No.24). from the Mexican Social Security Institute (IMSS); To evaluate whether they have critical reading competence, the critical reading evaluation instrument was applied (Campos A et al. 2016). 63% of MF residents presented a medium level of reading comprehension. No statistical significance was found when correlating the variables reading comprehension and gender, and by correlating reading comprehension and age. We conclude that the critical reading competence found in the resident doctors of the U.M.F. No. 24 is of a medium level, being higher than the level found in other studies under similar conditions. It is necessary to establish educational strategies that improve the skills of critical reading of medical articles.Actualmente el médico especialista tiene como parte del perfil de egreso la búsqueda, análisis y discusión de la información. La comprensión lectora se genera tras la relación del texto con el lector y se encarga de construir un conocimiento al relacionar lo leído y lo aprendido. Nos propusimos evaluar el nivel de competencia de lectura crítica en médicos residentes de medicina familiar (MF) de la Unidad de Medicina Familiar No. 24 (U.M.F. No.24), del Instituto Mexicano del Seguro Social (IMSS); para evaluar si cuentan con la competencia de lectura crítica se aplicó el instrumento de evaluación de lectura crítica (Campos A y cols. 2016). El 63% de los residentes de MF presento un  nivel de comprensión lectora medio. No se encontró significancia estadística al correlacionar las variables comprensión lectora y sexo, y al correlacionar comprensión lectora y edad. Concluimos que la competencia de lectura crítica encontrada en los médicos residentes de la U.M.F. No. 24 es de nivel medio, siendo mayor que el nivel encontrado en otros estudios bajo condiciones similares. Es necesario establecer estrategias educativas que mejoren las capacidades de lectura crítica de artículos médicos.Atualmente, o médico especialista tem como parte do perfil da alta a busca, análise e discussão de informações. A compreensão leitora é gerada após o relacionamento do texto com o leitor e é responsável pela construção do conhecimento ao relacionar o que foi lido e o que foi aprendido. Pretendemos avaliar o nível de competência de leitura crítica em médicos de família (MF) residentes da Unidade de Medicina de Família nº 24 (UMF nº 24), do Instituto Mexicano de Seguridade Social (IMSS); Para avaliar se possuem competência de leitura crítica, foi aplicado o instrumento de avaliação de leitura crítica (Campos A et al. 2016). 63% dos residentes do MF apresentaram nível médio de compreensão de leitura. Não foi encontrada significância estatística ao correlacionar as variáveis ​​compreensão leitora e sexo, e ao correlacionar compreensão leitora e idade. Concluímos que a competência de leitura crítica encontrada nos médicos residentes da U.M.F. O número 24 é de nível médio, sendo superior ao nível encontrado em outros estudos em condições semelhantes. É necessário estabelecer estratégias educativas que melhorem as habilidades de leitura crítica de artigos médicos

Factors associated with the use of information and communication technologies in family medicine residents

Las tecnologías en información y comunicación (TICss) son herramientas que se utilizan para procesar, administrar y compartir la información mediante diversos soportes tecnológicos. La necesidad actual de que todo profesional cuente con los conocimientos básicos en el área de inglés, informáTICsa y gerencia, es también válida para la medicina. Nos propusimos analizar los factores asociados al uso de TICss en médicos residentes(n=59) de Medicina Familiar (MF) de la Unidad de Medicina Familiar No. 24 del Instituto Mexicano del Seguro Social (IMSS); se aplicó el Instrumento Tecnología en Información y Comunicación en médicos residentes, publicado por Veloz MG y col. 2012. El 98.6%disponen de computadora portátil, 98% disponen de internet en su domicilio, el 69.5% haparTICsipado en cursos en línea y se encontró una asociación entre el grado académico y nivel de dominio de internet con una p=.013, eoncontrándose que el 49% de los residentes tienen un dominio regular en la computadora. Concluimos que el dominio regular de la computadora en médicos residentes es bajo, aunque existe una asociación entre el grado académico y el nivel de dominio de internet. Las TICs están cada vez más incorporadas en los procesos de formación y actualización de médicos residentes. La falta de dominio del idioma inglés no dificulta el uso de internet y la brecha generacional en el uso de TICs seva cerrando poco a poco, siendo estas herramientas útiles en el campo clínico de nuestros residentes.Information and communication technologies (ICT) are tools used to process, manage and share information through various technological supports. The current needfor every professional to have basic knowledge in the area of English, IT and managementis also valid for medicine. We set out to analyze the factors associated with the use of ICT in medical residents (n = 59) of Family Medicine (FM) of the Family Medicine Unit No. 24of the Mexican Institute of Social Security (IMSS); The Information and CommunicationTechnology Instrument was applied to resident physicians, published by Veloz MG et al.2012. 98.6% have a laptop, 98% have internet at home, 69.5% have parTICsipated in onlinecourses and an association was found between academic degree and level of internetproficiency with p = .013, finding that 49% of residents have a regular domain on thecomputer. We conclude that regular computer proficiency in resident physicians is low,although there is an association between academic degree and level of internet proficiency.ICTs are increasingly incorporated in the training and updating processes of residentdoctors. The lack of command of the English language does not hinder the use of theinternet and the generation gap in the use of ICT is closing little by little, these tools beinguseful in the clinical field of our residents

Fatores associados ao uso de tecnologias de informação e comunicação em residentes de medicina de família.

Information and communication technologies (ICT) are tools used to process, manage and share information through various technological supports. The teaching of medicine has been influenced since its inception by the development of science in general and medical sciences in particular, current medical practice has constituted a guide for conducting the training process of the doctor at different times, which entails the introduction of ICT in the expansion of training processes that use these means of communication and information in the exchange of medical information. The current need for every professional to have basic knowledge in the area of ​​English, IT and management, medicine does not escape this situation. Objective: To analyze the factors associated with the use of ICT in Family Medicine (MF) resident physicians of the Family Medicine Unit No. 24 of the Mexican Institute of Social Security (IMSS); The Information and Communication Technology Instrument was applied to resident physicians, published by Veloz MG et al. 2012. 59 residents were studied, 98.6% have a laptop, 98% have internet at home, 69.5% have participated in online courses, an association was found between academic degree and level of internet proficiency with a p = .013, no association was found between academic degree and lack of English language proficiency p = .43. We conclude that ICTs are increasingly being incorporated into the training and updating processes of resident doctors. The lack of command of the English language does not hinder the use of the internet, the generation gap in the use of ICT is closing every day, these tools being useful in the clinical field of our residentsLas tecnologías en información y comunicación (TIC) son herramientas que se utilizan para procesar, administrar y compartir la información mediante diversos soportes tecnológicos. La enseñanza de la medicina ha estado influenciada desde sus inicios por el desarrollo de la ciencia en general y de las ciencias médicas en particular, la práctica médica vigente ha constituido una guía para la conducción del proceso formativo del médico en diferentes épocas, lo que conlleva la introducción de las TIC en la expansión de procesos formativos que utilizan estos medios de comunicación e información en el intercambio de información médica.  La necesidad actual de que todo profesional cuente con los conocimientos básicos en el área de inglés, informática y gerencia, la medicina no escapa de esta situación. Objetivo: Analizar los factores asociados del uso de TIC en médicos residentes de Medicina Familiar (MF) de la Unidad de Medicina Familiar No. 24 del Instituto Mexicano del Seguro Social (IMSS); se aplicó el Instrumento Tecnología en Información y Comunicación en médicos residentes, publicado por Veloz MG y col. 2012. Se estudiaron 59 residentes, el 98.6% disponen de computadora portátil, 98% disponen de internet en su domicilio, el 69.5% ha participado en cursos en línea, se encontró una asociación entre el grado académico y nivel de dominio de internet con una p=.013, el 49% de los residentes tienen un dominio regular en la computadora, Concluimos que las TIC cada vez se incorporan en los procesos de formación y actualización de médicos residentes. La falta de dominio del idioma inglés no dificulta el uso de internet, la brecha generacional en el uso de TIC cada día se va cerrando siendo estas herramientas útiles en el campo clínico de nuestros residentes.As tecnologias de informação e comunicação (TIC) são ferramentas utilizadas para processar, gerir e partilhar informação através de vários suportes tecnológicos. O ensino da medicina foi influenciado desde o seu início pelo desenvolvimento das ciências em geral e das ciências médicas em particular, a prática médica atual tem constituído um guia para a condução do processo de formação do médico em diferentes momentos, o que implica a introdução das TIC no ampliação dos processos de treinamento que utilizam esses meios de comunicação e informação na troca de informações médicas. A necessidade atual de todo profissional ter conhecimentos básicos na área de inglês, informática e gestão, medicina, não escapa dessa situação. Objetivo: Analisar os fatores associados ao uso das TIC em Medicina de Família (MF) médicos residentes da Unidade de Medicina de Família nº 24 do Instituto Mexicano de Segurança Social (IMSS); O Instrumento de Tecnologia da Informação e Comunicação foi aplicado a médicos residentes, publicado por Veloz MG et al. 2012. Foram estudados 59 residentes, 98,6% possuem laptop, 98% possuem internet em casa, 69,5% participaram de cursos online, foi encontrada associação entre grau acadêmico e nível de proficiência em internet com p = 0,013, 49% de os residentes têm um comando regular do computador e concluímos que as TIC estão cada vez mais sendo incorporadas nos processos de formação e atualização dos médicos residentes. A falta de domínio da língua inglesa não atrapalha o uso da internet, o gap de gerações no uso das TIC está se fechando a cada dia, sendo essas ferramentas úteis na área clínica de nossos residentes

SARS-CoV-2 genomic surveillance in Costa Rica: Evidence of a divergent population and an increased detection of a spike T1117I mutation

Genome sequencing is a key strategy in the surveillance of SARS-CoV-2, the virus responsible for the COVID-19 pandemic. Latin America is the hardest-hit region of the world, accumulating almost 20% of COVID-19 cases worldwide. In Costa Rica, from the first detected case on March 6th to December 31st almost 170,000 cases have been reported. We analyzed the genomic variability during the SARS-CoV-2 pandemic in Costa Rica using 185 sequences, 52 from the first months of the pandemic, and 133 from the current wave. Three GISAID clades (G, GH, and GR) and three PANGOLIN lineages (B.1, B.1.1, and B.1.291) were predominant, suggesting multiple re-introductions from other regions. The whole-genome variant calling analysis identified a total of 283 distinct nucleotide variants, following a power-law distribution with 190 single nucleotide mutations in a single sequence, and only 16 mutations were found in >5% sequences. These mutations were distributed through the whole genome. The prevalence of worldwide-found variant D614G in the Spike (98.9% in Costa Rica), ORF8 L84S (1.1%) is similar to what is found elsewhere. Interestingly, the frequency of mutation T1117I in the Spike has increased during the current pandemic wave beginning in May 2020 in Costa Rica, reaching 29.2% detection in the full genome analyses in November 2020. This variant has been observed in less than 1% of the GISAID reported sequences worldwide in 2020. Structural modeling of the Spike protein with the T1117I mutation suggests a potential effect on the viral oligomerization needed for cell infection, but no differences with other genomes on transmissibility, severity nor vaccine effectiveness are predicted. In conclusion, genome analyses of the SARS-CoV-2 sequences over the course of the COVID-19 pandemic in Costa Rica suggest the introduction of lineages from other countries and the detection of mutations in line with other studies, but pointing out the local increase in the detection of Spike-T1117I variant. The genomic features of this virus need to be monitored and studied in further analyses as part of the surveillance program during the pandemic.Instituto Costarricense de Investigación y Enseñanza en Nutrición y Salud/[]/INCIENSA/Costa RicaUniversidad de Costa Rica/[803-C0-196]/UCR/Costa RicaCOINGESA-CR Consorcio Interinstitucional de Estudios Genómicos del SARS-CoV-2 Costa RicaUCR::Vicerrectoría de Investigación::Unidades de Investigación::Ciencias de la Salud::Centro de Investigación en Enfermedades Tropicales (CIET)UCR::Vicerrectoría de Docencia::Salud::Facultad de Microbiologí

The risk of COVID-19 death is much greater and age dependent with type I IFN autoantibodies

International audienceSignificance There is growing evidence that preexisting autoantibodies neutralizing type I interferons (IFNs) are strong determinants of life-threatening COVID-19 pneumonia. It is important to estimate their quantitative impact on COVID-19 mortality upon SARS-CoV-2 infection, by age and sex, as both the prevalence of these autoantibodies and the risk of COVID-19 death increase with age and are higher in men. Using an unvaccinated sample of 1,261 deceased patients and 34,159 individuals from the general population, we found that autoantibodies against type I IFNs strongly increased the SARS-CoV-2 infection fatality rate at all ages, in both men and women. Autoantibodies against type I IFNs are strong and common predictors of life-threatening COVID-19. Testing for these autoantibodies should be considered in the general population

The risk of COVID-19 death is much greater and age dependent with type I IFN autoantibodies

International audienceSignificance There is growing evidence that preexisting autoantibodies neutralizing type I interferons (IFNs) are strong determinants of life-threatening COVID-19 pneumonia. It is important to estimate their quantitative impact on COVID-19 mortality upon SARS-CoV-2 infection, by age and sex, as both the prevalence of these autoantibodies and the risk of COVID-19 death increase with age and are higher in men. Using an unvaccinated sample of 1,261 deceased patients and 34,159 individuals from the general population, we found that autoantibodies against type I IFNs strongly increased the SARS-CoV-2 infection fatality rate at all ages, in both men and women. Autoantibodies against type I IFNs are strong and common predictors of life-threatening COVID-19. Testing for these autoantibodies should be considered in the general population