Diseño de un Instrumento para Evaluar el Valor Social Subjetivo de la Educación en Estudiantes, Docentes y Familias: Resultados de un Ensayo Piloto

Encontramos multitud de estudios sobre el diseño y validación de instrumentos de evaluación sobre variables socio-afectivas complejas. En estos casos ha sido evidente que un desarrollo sistemático de estandarización ha mejorado las propiedades métricas y su adecuación. Por ello planteamos algunos resultados previos sobre un estudio piloto para la construcción de un instrumento que evalúe el Valor Social Subjetivo de la Educación en tres audiencias (estudiantes, profesorado y familias). En este caso se presentan las propiedades métricas encontradas y las diferencias entre grupos con 131 estudiantes, 28 docentes y 36 familiares. En general los datos son adecuados en las tres escalas implementadas, sin embargo se encuentran nuevas líneas de indagación. Como conclusión se reflexiona sobre la necesidad de asegurar la fiabilidad y la validez de la escala para poder mejorar la investigación

The quality of internet information relating to oral leukoplakia

Objectives: The Internet provides great opportunities for patient healthcare education, but poses risks that inaccurate, outdated or harmful information will be disseminated. Our objective was determine the quality of the information available on the internet in relation to oral leukoplakia. Study design: Sites were identified using 3 search engines (Google, Yahoo and MSN), and the search term ?oral leukoplakia?. The first 100 consecutive sites in each search were visited and classified. The websites were evaluated for quality of content by using the validated DISCERN rating instrument and the JAMA benchmarks; the existence of the Health on the Net (HON) seal was also registered. Results: The Google search yielded 54.300 sites for oral leukoplakia, while Yahoo yielded 243.000 and MSN 103.000. We reviewed 21 Google websites, 20 Yahoo websites and 19 MSN. Based on the JAMA benchmarks, only 4 sites (19.1%) met the four criteria in the Google search, versus 2 sites (10%) in the Yahoo and 5 (26.3%) in MSN. With the DISCERN instrument, no site obtained the maximum score, with Google 13 sites presented serious deficiencies (61.9%), in the Yahoo search 14 (70%), and in MSN 15 (78.9%). Lastly, 4 of the Google sites (19.1%), four of the Yahoo sites (20%) and 2 (10.5%) MSN sites presented the HON seal. Conclusions: The quality of the health care information related to oral leukoplakia on the internet is poo

Comparison of pain and swelling after removal of oral leukoplakia with CO2 laser and cold knife: a randomized clinical trial

Objective: The aim of this study was to compare conventional surgery with carbon dioxide (CO2) laser in patients with oral leukoplakia, and to evaluate the postoperative pain and swelling. Study design: A total of 48 patients (27 males and 21 females) with a mean age of 53.7 ± 11.7 years and diagnosed with oral leukoplakia were randomly assigned to receive treatment either with conventional surgery using a cold knife or with a CO2 laser technique. A visual analog scale (VAS) was used to score pain and swelling at different postoperative time points. Results: Pain and swelling reported by the patients was greater with the conventional cold knife than with the CO2 laser, statistically significant differences for pain and swelling were observed between the two techniques during the first three days after surgery. Followed by a gradual decrease over one week. In neither group was granuloma formation observed, and none of the patients showed malignant transformation during the period of follow-up. Conclusions: The CO2 laser causes only minimal pain and swelling, thus suggesting that it may be an alternative method to conventional surgery in treating patients with oral leukoplakia

Los genes: del laboratorio a la prensa

La información sobre temas relacionados con genética comienza su auge en los medios de comunicación en 1999. En el informe Quiral del citado año reflejaba cómo los artículos periodísticos relacionados con la genética iniciaban un importante incremento sobre todo en los suplementos de Salud. = Information issues regarding genetics begins to grow in the media in 1999. The 1999. Quiral report mentioned the fact articles on genetics were growing rapidly, particularly in health newspaper supplements

Evaluación de sistemas educativos:teoría y experiencia

La evaluación de sistemas educativos se ha ido constituyendo como un ámbito disciplinar que concita un gran interés socio-político y educativo. Aunque este tipo de evaluaciones ya tiene una considerable historia y un elevado impacto social, probablemente es uno de los sectores en los que mayor desconocimiento real se produce entre profesionales de la educación, administradores, gestores y la sociedad en general

Fungiform papillae density in patients with burning mouth syndrome and xerostomia

Objective: The aim of this study was to analyze fungiform papillae density in patients with burning mouth syndrome (BMS) and xerostomia. Study design: In this cross-sectional clinical study, sixty patients were included (20 with BMS, 20 with xerostomia and 20 healthy controls). The fungiform papillae density was analyzed over a small region on the anterior tip of the tongue with the aid of a digital camera. The number of papillae was measured in an area of 19 mm2. Results: The patients with BMS showed significantly higher fungiform papillae density than the patients with xerostomia; though no statistically significant differences were recorded versus the control group. In the BMS group, 65% of all cases presented a density of 71-90 papillae (within an area of 19 mm2), while 10% had more than 90 papillae. On the contrary, 70% of the patients with xerostomia had fewer than 70 papillae in the studied area. Conclusions: The digital camera offers a rapid, noninvasive and relatively simple way to study fungiform papillae density. The patients with BMS have higher fungiform papillae density than the patients with xerostomia

Queilitis granulomatosa de Miescher: presentación de cinco casos

La queilitis granulomatosa de Miescher (QG), consiste en la aparición de edema labial recurrente en uno o ambos labios, el cual puede llegar a ser persistente. Ha sido considerada tradicionalmente, como una forma monosintomática del síndrome de Melkersson Rosenthal, descrito como la asociación de edema labial y/o facial recurrente, parálisis facial recidivante y lengua fisurada. El objetivo de este trabajo es presentar una serie de 5 casos diagnosticados clínica e histopatológicamente de QG, que acudieron a la consulta de la Unidad Docente de Medicina Bucal de la Universidad de Murcia. Se realizó un estudio completo de estos pacientes, valoramos la edad y el sexo, antecedentes familiares, localización y curso de los signos y síntomas. Llevamos a cabo diversos exámenes complementarios, estudiándose las características hemáticas (hemograma, velocidad de eritrosedimentación, fórmula leucocitaria y estudio inmunológico), e histopatológicas. El tratamiento consistió en corticoides intralesionales, combinado en algunos casos con fármacos antileprosos o corticoides sistémicos. En todos los casos obtuvimos una buena respuesta al tratamiento.Miescher's cheilitis granulomatosa (CG) consists of the appearance of recurrent labial edema on one or both lips, which can become persistent. It has traditionally been considered as a monosymptomatic form of the Melkersson-Rosenthal syndrome, described as the association of recurrent labial and/or recurrent facial edema, relapsing facial paralysis and fissured tongue. The aim of this study is to present a series of five clinically and histopathologically diagnosed cases of CG that came to our clinic at the Teaching Unit of Oral Medicine, Faculty of Medicine and Odontology, University of Murcia. A complete study of these patients evaluated the age, sex, family history, and location and course of the signs and symptoms. Various complementary examinations were carried out, studying the hematic characteristics (hemogram, erythrocyte sedimentation rate, leukocyte count), including immunological and histopathological studies. The treatment consisted of intralesional corticoids, combined in some cases with anti-leprous drugs or systemic corticoids. A good response to treatment was obtained in all cases