3 research outputs found

    Valoración de los alumnos de la Unidad docente HU 12 de Octubre- HU Infanta Cristina sobre la implantación de la docencia y evaluación online con utilización del campus virtual en asignaturas teóricas y prácticas

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    La docencia en el Grado de Medicina se ha producido tradicionalmente mediante métodos presenciales, tanto en lo que se refiere a impartir clases magistrales o seminarios, como en lo referente a la experiencia clínica de los alumnos con pacientes reales o simulados. Sin embargo, la situación epidemiológica actual, con la pandemia producida por el covid-19, ha precipitado que durante los cursos académicos 2019-20 y 2020-21 se hayan comenzado a utilizar métodos de enseñanza virtual, con un profesorado y alumnado sin a penas conocimiento ni experiencia previa. Por estos motivos, se ha realizado una evaluación de la opinión de los alumnos sobre la docencia teórica online, la actividad práctica virtual, los exámenes on line o las características de la docencia práctica en un ambiente de pandemia

    Variability in the indication of brain CT scan after mild traumatic brain injury. A transnational survey

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    Purpose: Clinical guidelines have been developed to standardize the management of mild traumatic brain injury (mTBI) in the emergency room, in particular the indication of brain CT scan and the use of blood biomarkers. The objective of this study was to determine the degree of adherence to guidelines in the management of these patients across four countries of Southern Europe. Methods: An electronic survey including structural and general management of mTBI patients and six clinical vignettes was conducted. In-charge physicians from France, Spain, Greece and Portugal were contacted by telephone and email. Diferences among countries were searched using an unconditional approach test on contingency tables. Results: One hundred and eighty eight physicians from 131 Hospitals (78 Spain, 36 France, 12 Greece and 5 Portugal) completed the questionnaire. There were diferences regarding the in-charge specialist across these countries. There was variability in the use of guidelines and their adherence. Spain was the country with the least guideline adherence. There was a global agreement in ordering a brain CT for patients receiving anticoagulation or platelet inhibitors, and for patients with seizures, altered consciousness, neurological defcit, clinical signs of skull fracture or signs of facial fracture. Aging was not an indication for CT in French centres. Loss of consciousness and posttraumatic amnesia were considered as indications for CT more frequently in Spain than in France. These fndings were in line with the data from the 6 clinical vignettes. The estimated use of CT reached around 50% of mTBI cases. The use of S100B is restricted to fve French centres. Conclusions: There were large variations in the guideline adherence, especially in the situations considered to order brain CT after mTBI
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