803 resultados para 1st-year Medical-students
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El presente trabajo forma parte del proyecto de investigación "Los jóvenes frente a la Historia" dirigido por Luis Cerri y Gonzalo de Amézola, cuyo objeto es abordar el estado actual de la enseñanza y del aprendizaje de la Historia en Argentina, Brasil y Uruguay. El proyecto parte de reconocer como problema la "falta de conocimientos sistemáticos sobre los resultados de la enseñanza de la historia, las características de la conciencia histórica y la cultura política de los jóvenes". El artículo centra su análisis en las respuestas a las preguntas referidas a los gobiernos militares, la democracia y el futuro de los jóvenes, presentes en una encuesta que realizaron en el 2008 alumnos de entre 15 y 16 años de distintas escuelas de la Argentina para acercarnos a sus conocimientos sobre dichos conceptos y al papel de la enseñanza de la Historia en su construcción. Al mismo tiempo se utilizan registros de clases de escuelas secundarias de la ciudad de La Plata para conocer de modo cualitativo las modalidades concretas que asumen las prácticas de la enseñanza en historia en las aulas
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Este artículo discute las concepciones de jóvenes brasileños, argentinos y uruguayos sobre los sujetos en la historia, en función de su aprendizaje histórico escolar y extra-escolar. Los datos fueron obtenidos a partir de la encuesta internacional " Jóvenes frente a la historia " . Los cuestionarios estuvieron dirigidos a estudiantes de 15 años y sus profesores, y se utilizó mayormente la escala Likert. Teóricamente, la investigación se sustenta en los conceptos de conciencia histórica y cultura histórica, formulados por la Didáctica de la historia alemana, pero también en el concepto de cultura política. Los resultados apuntan que, dentro del universo estudiado, las llamadas " personalidades importantes " típicas de la enseñanza escolar de la historia son reconocidas en lo que se refiere a los "padres fundadores" de las naciones, pero no en cuanto sujetos que hicieron la historia nacional. De la misma manera ocurre en el caso de los personajes femeninos. Ciencia, tecnología e invenciones son vistos como un factor de cambio más importante que las "personas importantes" y estos, a su vez, han sido superados por la importancia reconocida a los movimientos colectivos
Resumo:
El presente trabajo forma parte del proyecto de investigación "Los jóvenes frente a la Historia" dirigido por Luis Cerri y Gonzalo de Amézola, cuyo objeto es abordar el estado actual de la enseñanza y del aprendizaje de la Historia en Argentina, Brasil y Uruguay. El proyecto parte de reconocer como problema la "falta de conocimientos sistemáticos sobre los resultados de la enseñanza de la historia, las características de la conciencia histórica y la cultura política de los jóvenes". El artículo centra su análisis en las respuestas a las preguntas referidas a los gobiernos militares, la democracia y el futuro de los jóvenes, presentes en una encuesta que realizaron en el 2008 alumnos de entre 15 y 16 años de distintas escuelas de la Argentina para acercarnos a sus conocimientos sobre dichos conceptos y al papel de la enseñanza de la Historia en su construcción. Al mismo tiempo se utilizan registros de clases de escuelas secundarias de la ciudad de La Plata para conocer de modo cualitativo las modalidades concretas que asumen las prácticas de la enseñanza en historia en las aulas
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Este artículo discute las concepciones de jóvenes brasileños, argentinos y uruguayos sobre los sujetos en la historia, en función de su aprendizaje histórico escolar y extra-escolar. Los datos fueron obtenidos a partir de la encuesta internacional " Jóvenes frente a la historia " . Los cuestionarios estuvieron dirigidos a estudiantes de 15 años y sus profesores, y se utilizó mayormente la escala Likert. Teóricamente, la investigación se sustenta en los conceptos de conciencia histórica y cultura histórica, formulados por la Didáctica de la historia alemana, pero también en el concepto de cultura política. Los resultados apuntan que, dentro del universo estudiado, las llamadas " personalidades importantes " típicas de la enseñanza escolar de la historia son reconocidas en lo que se refiere a los "padres fundadores" de las naciones, pero no en cuanto sujetos que hicieron la historia nacional. De la misma manera ocurre en el caso de los personajes femeninos. Ciencia, tecnología e invenciones son vistos como un factor de cambio más importante que las "personas importantes" y estos, a su vez, han sido superados por la importancia reconocida a los movimientos colectivos
Resumo:
El presente trabajo forma parte del proyecto de investigación "Los jóvenes frente a la Historia" dirigido por Luis Cerri y Gonzalo de Amézola, cuyo objeto es abordar el estado actual de la enseñanza y del aprendizaje de la Historia en Argentina, Brasil y Uruguay. El proyecto parte de reconocer como problema la "falta de conocimientos sistemáticos sobre los resultados de la enseñanza de la historia, las características de la conciencia histórica y la cultura política de los jóvenes". El artículo centra su análisis en las respuestas a las preguntas referidas a los gobiernos militares, la democracia y el futuro de los jóvenes, presentes en una encuesta que realizaron en el 2008 alumnos de entre 15 y 16 años de distintas escuelas de la Argentina para acercarnos a sus conocimientos sobre dichos conceptos y al papel de la enseñanza de la Historia en su construcción. Al mismo tiempo se utilizan registros de clases de escuelas secundarias de la ciudad de La Plata para conocer de modo cualitativo las modalidades concretas que asumen las prácticas de la enseñanza en historia en las aulas
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In recent years, a considerable number of teachers in Spain have been using DERIVE to teach math subjects in High Schools and Universities. This software has been used by the authors of this work as a support tool in Mathematics courses for Engineering. Since Texas Instruments does not support DERIVE, we were faced with finding an alternative software product, and considering the possibility of using a public-domain software such as MAXIMA. Here we make a comparative study of DERIVE and MAXIMA as support tools for a Calculus course for first year Engineering students.
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Purpose: Surgical simulators are currently essential within any laparoscopic training program because they provide a low-stakes, reproducible and reliable environment to acquire basic skills. The purpose of this study is to determine the training learning curve based on different metrics corresponding to five tasks included in SINERGIA laparoscopic virtual reality simulator. Methods: Thirty medical students without surgical experience participated in the study. Five tasks of SINERGIA were included: Coordination, Navigation, Navigation and touch, Accurate grasping and Coordinated pulling. Each participant was trained in SINERGIA. This training consisted of eight sessions (R1–R8) of the five mentioned tasks and was carried out in two consecutive days with four sessions per day. A statistical analysis was made, and the results of R1, R4 and R8 were pair-wise compared with Wilcoxon signed-rank test. Significance is considered at P value <0.005. Results: In total, 84.38% of the metrics provided by SINERGIA and included in this study show significant differences when comparing R1 and R8. Metrics are mostly improved in the first session of training (75.00% when R1 and R4 are compared vs. 37.50% when R4 and R8 are compared). In tasks Coordination and Navigation and touch, all metrics are improved. On the other hand, Navigation just improves 60% of the analyzed metrics. Most learning curves show an improvement with better results in the fulfillment of the different tasks. Conclusions: Learning curves of metrics that assess the basic psychomotor laparoscopic skills acquired in SINERGIA virtual reality simulator show a faster learning rate during the first part of the training. Nevertheless, eight repetitions of the tasks are not enough to acquire all psychomotor skills that can be trained in SINERGIA. Therefore, and based on these results together with previous works, SINERGIA could be used as training tool with a properly designed training program.
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INTRODUCTION: Objective assessment of motor skills has become an important challenge in minimally invasive surgery (MIS) training.Currently, there is no gold standard defining and determining the residents' surgical competence.To aid in the decision process, we analyze the validity of a supervised classifier to determine the degree of MIS competence based on assessment of psychomotor skills METHODOLOGY: The ANFIS is trained to classify performance in a box trainer peg transfer task performed by two groups (expert/non expert). There were 42 participants included in the study: the non-expert group consisted of 16 medical students and 8 residents (< 10 MIS procedures performed), whereas the expert group consisted of 14 residents (> 10 MIS procedures performed) and 4 experienced surgeons. Instrument movements were captured by means of the Endoscopic Video Analysis (EVA) tracking system. Nine motion analysis parameters (MAPs) were analyzed, including time, path length, depth, average speed, average acceleration, economy of area, economy of volume, idle time and motion smoothness. Data reduction was performed by means of principal component analysis, and then used to train the ANFIS net. Performance was measured by leave one out cross validation. RESULTS: The ANFIS presented an accuracy of 80.95%, where 13 experts and 21 non-experts were correctly classified. Total root mean square error was 0.88, while the area under the classifiers' ROC curve (AUC) was measured at 0.81. DISCUSSION: We have shown the usefulness of ANFIS for classification of MIS competence in a simple box trainer exercise. The main advantage of using ANFIS resides in its continuous output, which allows fine discrimination of surgical competence. There are, however, challenges that must be taken into account when considering use of ANFIS (e.g. training time, architecture modeling). Despite this, we have shown discriminative power of ANFIS for a low-difficulty box trainer task, regardless of the individual significances between MAPs. Future studies are required to confirm the findings, inclusion of new tasks, conditions and sample population.
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The present work covers the first validation efforts of the EVA Tracking System for the assessment of minimally invasive surgery (MIS) psychomotor skills. Instrument movements were recorded for 42 surgeons (4 expert, 22 residents, 16 novice medical students) and analyzed for a box trainer peg transfer task. Construct validation was established for 7/9 motion analysis parameters (MAPs). Concurrent validation was determined for 8/9 MAPs against the TrEndo Tracking System. Finally, automatic determination of surgical proficiency based on the MAPs was sought by 3 different approaches to supervised classification (LDA, SVM, ANFIS), with accuracy results of 61.9%, 83.3% and 80.9% respectively. Results not only reflect on the validation of EVA for skills? assessment, but also on the relevance of motion analysis of instruments in the determination of surgical competence.
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The purpose of this study is to work out how a clear and motivated task goal set for the students can develop several skills that are not only useful in their specific academic contexts but also serve to reinforce links and cooperation with the labor market. The following research on skills was taken during one academic year. The students collected advertisements likely to be selected in a near future by themselves as possibilities to apply for a job. The advertisements selected were 120, and all of them were published on the internet either in jobs links or located by the students themselves in the web-practices of their choice. All the advertisements chosen by the students provided us with a skill list focused on architectural profiles. To conclude, academic research skills versus future motivation jobs positions are fruitful paths to conduct successful students´response at job interviews.
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Background The aim of this study is to present face, content, and constructs validity of the endoscopic orthogonal video system (EndoViS) training system and determines its efficiency as a training and objective assessment tool of the surgeons’ psychomotor skills. Methods Thirty-five surgeons and medical students participated in this study: 11 medical students, 19 residents, and 5 experts. All participants performed four basic skill tasks using conventional laparoscopic instruments and EndoViS training system. Subsequently, participants filled out a questionnaire regarding the design, realism, overall functionality, and its capabilities to train hand–eye coordination and depth perception, rated on a 5-point Likert scale. Motion data of the instruments were obtained by means of two webcams built into a laparoscopic physical trainer. To identify the surgical instruments in the images, colored markers were placed in each instrument. Thirteen motion-related metrics were used to assess laparoscopic performance of the participants. Statistical analysis of performance was made between novice, intermediate, and expert groups. Internal consistency of all metrics was analyzed with Cronbach’s α test. Results Overall scores about features of the EndoViS system were positives. Participants agreed with the usefulness of tasks and the training capacities of EndoViS system (score >4). Results presented significant differences in the execution of three skill tasks performed by participants. Seven metrics showed construct validity for assessment of performance with high consistency levels. Conclusions EndoViS training system has been successfully validated. Results showed that EndoViS was able to differentiate between participants of varying laparoscopic experience. This simulator is a useful and effective tool to objectively assess laparoscopic psychomotor skills of the surgeons.
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O desenvolvimento de competências profissionais em processos de ensino-aprendizagem insere a simulação na perspectiva tecnológica realística de situações clínicas para atingir objetivos educacionais, visando segurança e qualidade. A ação competente operacionaliza saberes pela combinação de conhecimentos, habilidades e atitudes. A competência avaliação de risco para úlcera por pressão é privativa do enfermeiro, o agravo é indicador de qualidade e segurança do paciente. O objetivo do estudo foi avaliar o processo de ensino-aprendizagem ante a estratégia de simulação clínica, visando o desenvolvimento da competência profissional avaliação de risco para úlceras por pressão e seus respectivos conhecimentos, habilidades e atitudes. Fundamentou-se, teoricamente, o estudo, nos preceitos da andragogia, no modelo de Simulação da National League for Nursing/Jeffries, nas concepções de competências de Le Boterf e recomendações para prevenção de úlcera por pressão do NPUAP/ EPUAP. Trata-se de estudo descritivo com análise quanti e qualitativa, desenvolvido no Laboratório de Simulação da Universidade Federal do Piauí, em Teresina, com estudantes de enfermagem do último ano do curso. Constou de três etapas: construção e validação de conteúdo do instrumento para conhecimentos, habilidades e atitudes da competência, elaboração do plano de aula e sequência didática do cenário de simulação, aplicação de pré/pós-teste sobre o componente \"conhecimento\", aula expositiva, execução do cenário de simulação pelos estudantes, avaliação dos cenários pelo comitê de juízes e debriefing por grupo focal, após o cenário. Verificou-se confiabilidade do construto e do instrumento de medida da competência com concordância predominando de 80 a 100% de pertinência. O instrumento constou de 32 itens: conhecimento (14), habilidades (8) e atitudes (10), com escala de resposta de cinco pontos, de nada (1) a extremamente (5). Inicialmente o estudo contou com 35 estudantes. Desses, 29 (82,8%) participaram da simulação. Predominou o sexo feminino 22 (76%), faixa etária de 21 a 24 anos, 24 (82,7%) e procedentes de Universidades Públicas do Estado do Piauí (83%). Os resultados mostraram melhores níveis de combinação de saberes para o componente conhecimentos, após a aplicação das estratégias de ensino autorreferidos pelos estudantes. Na avaliação dos conhecimentos, habilidade e atitudes, durante o cenário, houve discordância entre os juízes: para o juiz 1 predominaram parâmetros negativos da escala (nada e muito pouco) e para o juiz 2 e 3 os positivos (bastante e extremamente). As comparações pelo teste de variância ANOVA mostraram diferenças significativas entre juiz 1 e 2 (p-valor = < 0,01) e juiz 1 e 3 (p-valor=<0,01) para todos os componentes. A análise dos dados obtidos, durante o debriefing, originou cinco categorias com suas respectivas unidades de registro temáticas pela análise de conteúdo de Bardin. Os resultados sugerem que a estratégia é capaz de resgatar o raciocínio operativo dos estudantes durante a ação, desenvolver pensamento crítico-reflexivo sobre a competência, identificar lacunas de aprendizagem, promover satisfação aos estudantes e melhorar a autoimagem profissional. Conclui-se que a estratégia possibilita o desenvolvimento da competência avaliação de risco para úlcera por pressão nas dimensões de saberes (conhecimento), fazeres (habilidades) e querer-agir, saber-agir e poder-agir (atitudes), explorados neste estudo.
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The purpose of this paper is to conduct a review of studies on cystoid macular edema published in the last seven years. Cystoid macular edema is a major cause of loss of visual acuity. It is the final common pathway of many diseases and can be caused by numerous processes including inflammatory, vascular, adverse drug reactions, retinal dystrophy or intraocular tumors. These processes disrupt the blood-retinal barrier, with fluid extravasation to the macular parenchyma. Imaging tests are essential for both detection and monitoring of this pathology. Fluorescein angiography and autofluorescence show the leakage of liquid from perifoveal vessels into the tissue where it forms cystic spaces. Optical coherence tomography is currently the gold standard technique for diagnosis and monitoring. This allows objective measurement of retinal thickness, which correlates with visual acuity and provides more complete morphological information. Based on the underlying etiology, the therapeutic approach can be either surgical or medical with anti-inflammatory drugs. We found that disruption of the blood-retinal barrier for various reasons is the key point in the pathogenesis of cystoid macular edema, therefore we believe that studies on its treatment should proceed on this path.
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El objetivo de este trabajo es caracterizar la flexibilidad, entendida como habilidad para modificar la estrategia de resolución de un problema cuando se modifica la demanda de la tarea, de estudiantes de educación secundaria (12-16 años) en problemas de reconocimiento de patrones con varios apartados. Se utiliza una metodología de tipo cualitativo analizando las respuestas de los estudiantes en base a dos criterios: corrección de las respuestas y estrategias de resolución, y agrupando las que presentan características semejantes. Los resultados indican tres perfiles de estudiantes en relación a la flexibilidad en el uso de estrategias y el éxito alcanzado. El primero agrupa a los estudiantes que usan sólo la estrategia recursiva; la mayor parte de ellos se bloquea al aumentar la demanda cognitiva de la tarea; predominan los estudiantes de 12-13 años. El segundo perfil corresponde a los que cambian de una estrategia recursiva a una aproximación proporcional dando un resultado incorrecto; es más frecuente en los estudiantes de 13-14 años. Finalmente, el tercer perfil agrupa a los estudiantes que al aumentar la demanda cognitiva de la tarea cambian con éxito de una estrategia recursiva a una funcional; su frecuencia aumenta con la edad. Se concluye que la flexibilidad necesaria para identificar patrones cuando se incrementa la demanda de la tarea está relacionada con los conocimientos de los estudiantes y con el control y la regulación del proceso de resolución. Por otra parte, los estudiantes más jóvenes manifestaron menor grado de flexibilidad que los más mayores.
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The main objective of the present work is to analyze the results of the utilization and evaluation of the LORETO Record System (LRS), providing improvement areas in the teaching-learning process and technology, in second year nursing students. A descriptive, prospective, cross sectional study using inferential statics has been carried out on all electronic records reported by 55 nursing students during clinical internships (April 1º-June 26º, 2013). Electronic record average rated 7.22 points (s=0.6; CV=0.083), with differences based on the clinical practice units (p<0,05). Three items assessed did not exceed the quality threshold set at 0.7 (p<0.05). Record Rate exceeds the quality threshold set at 80% for the overall sample, with differences based on the practice units. Only two clinical practice units rated above the minimum threshold (p <0.05). Record of care provision every 3 days did not reach the estimated quality threshold (p <0.05). There is a dichotomy between qualitative and quantitative results of LRS. Improvement areas in theoretical education have been identified. The LRS seems an appropriate learning and assessment tool, although the development of a new APP version and the application of principles of gamification should be explored.