Societies

社会
  • 文章类型: Journal Article
    UNASSIGNED: Scientific research promotes the development of essential skills for medical practice. However, student participation in research projects is low, with multiple limitations and students\' perceptions of deficient research skills. This study aims to describe the organization of the two medical student conferences held by the Scientific Society of Medical Students of the Universidad de Valparaíso and to analyze the papers presented. Finally, we make recommendations for promoting scientific research among medical students.
    UNASSIGNED: An analytical cross-sectional study was conducted, including all the presentations given at the conferences.
    UNASSIGNED: The conferences comprised four phases: registration, evaluation, selection, and presentation. A total of 399 papers were received. A total of 157 case reports and 12 cross-sectional studies were presented, including 797 authors (56.7% women) from 21 universities. Most of the first authors were women in the internship cycle at public universities. The specialties with the highest representation were internal medicine (32.5%), pediatrics (18.3%) and surgery (13%). In the case reports, the best-evaluated section was the title (6.66 ± 0.76), and the worst-evaluated section was the discussion (6.17 ± 0.84). The case reports from private universities scored significantly higher in six of the eight items assessed.
    UNASSIGNED: Greater participation was represented by students in their internship cycle presenting case reports. The worst evaluated section was the discussion, which could reflect difficulties in the research process. It is crucial to increase student participation from the first years of the career and encourage their involvement in research. More studies are needed to evaluate student participation and barriers to scientific research.
    UNASSIGNED: La investigación científica fomenta el desarrollo de competencias esenciales para la práctica médica. Sin embargo, la participación estudiantil en proyectos de investigación es baja, con múltiples limitaciones y percepción de habilidades investigativas deficientes por parte de los estudiantes. Los objetivos de este estudio son describir la organización de las dos jornadas de estudiantes de medicina realizadas por la Sociedad Científica de Estudiantes de Medicina de la Universidad de Valparaíso y caracterizar los trabajos presentados. Finalmente, se realizan recomendaciones para la promoción de la investigación científica en estudiantes de medicina.
    UNASSIGNED: Se realizó un estudio transversal analítico que incluyó todos los trabajos presentados en las jornadas.
    UNASSIGNED: Las jornadas comprendieron cuatro fases: inscripción, evaluación, selección y presentación. Se recibieron 399 trabajos. Se presentaron 157 reportes de caso y 12 estudios transversales, incluyendo 797 autores (56,7% mujeres) de 21 universidades. Mayormente, los primeros autores fueron mujeres cursando el ciclo de internados en universidades estatales. Las especialidades con mayor representación fueron medicina interna (32,5%), pediatría (18,3%) y cirugía (13%). En los reportes de caso, la sección mejor evaluada fue el título (6,66 ± 0,76) y la peor evaluada la discusión (6,17 ± 0,84). Los reportes de caso provenientes de universidades privadas obtuvieron una calificación significativamente mayor en seis de los ocho ítems evaluados.
    UNASSIGNED: La mayor participación estuvo representada por estudiantes cursando el ciclo de internados que presentaron reportes de caso. La sección peor evaluada fue la discusión, lo que podría reflejar dificultades en el proceso de investigación. Es crucial aumentar la participación estudiantil desde los primeros años de la carrera y fomentar su involucramiento en investigación. Se requieren más estudios para evaluar la participación y las barreras estudiantiles en investigación científica.
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  • 文章类型: Journal Article
    背景:营养学课程目前无法满足未来饮食劳动力的教育需求,无法在可持续发展方面贡献专业知识,营养师工作环境中的健康食品系统。2023年6月举行了“营养和饮食教育中的可持续粮食系统全球网络活动”,其目标是在国际利益相关者之间建立关系,并为共享课程的开发提供信息。
    方法:全体会议讲座,小组讨论和圆桌讨论举行了两天,旨在提供生成知情行动所需的背景。主题包括来自实践和教育的最新研究,能力标准和相关政策文件,来自现场的例子,关于范围和学生观点的“大问题”。按主题总结了关键信息,以告知教育工作者和国家营养学协会。
    结果:来自11个国家的55名代表参加了教育,研究,饮食协会,行业和多样化的实践背景。为教育工作者确定的关键优先事项包括共同发展课程框架和教学理论,实践培训支持和解决方案,以有限的时间和专业知识。国家营养学协会的主要建议包括在饮食作用和实际支持中战略促进可持续粮食系统。
    结论:预期结果将激发正在进行的讨论,在营养学专业内开展可持续食品系统教育的合作和行动,从而实现共享的课程模式和支持。
    BACKGROUND: Dietetics curricula currently fail to meet the educational needs of the future dietetic workforce to contribute expertise in sustainable, healthy food systems in the settings in which dietitians work. A \'Global Networking Event on Sustainable Food Systems in Nutrition and Dietetics Education\' was held in June 2023 with the goals of building relationships among international stakeholders and informing the development of shared curricula.
    METHODS: Plenary lectures, panels and roundtable discussions were held over 2 days, designed to provide the background required to generate informed actions. Topics included recent research from practice and education, competency standards and relevant policy documents, examples from the field, \'big questions\' about scope and student perspectives. Key messages were summarised thematically to inform educators and national dietetics associations.
    RESULTS: Fifty-five delegates attended from 11 nations representing education, research, dietetic associations, industry and diverse practice backgrounds. Key priorities identified for educators included co-development of curricular frameworks and pedagogical theory, practical training supports and solutions to limited time and expertise. Key recommendations for national dietetics associations included strategic promotion of sustainable food systems in dietetic roles and practical supports.
    CONCLUSIONS: Outcomes are anticipated to stimulate ongoing discussion, collaboration and actions on sustainable food systems education within the dietetics profession leading to shared curricular models and supports.
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  • 文章类型: Editorial
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  • 文章类型: Journal Article
    目的:韩国医学教育学会(KSME)成立于1983年,并于2023年庆祝成立40周年。这项研究考察了1971年至2023年KSME会议上讨论的主题的演变,突出了医学教育重点的转变。
    方法:我们分析了超过50年的90个KSME会议(1970年代,1980年代,1990年代,2000年,和2010s),根据新兴主题和连续性将主题分为三个时代。
    结果:因此,会议涵盖的37个主题进行了分类。从1970年代到2010年代连续出现了十个主题,包括医学教育的未来方向,教学方法,教师发展,和课程。从70年代到90年代的主题包括14个领域,如医学教育评估,非本科课程,社区相关,和研究。在2000年代之后出现了13个新主题,比如社会责任,学生支持,敬业精神,和质量改进。医学教育创新下最常见的话题,2000年后开始的大学课程创新案例是临床书记,课程开发,和医学人文。
    结论:KSME选择的会议主题在战略上与社会需求和医学教育的发展格局保持一致。未来的主题应继续解决相关的社会和教育挑战。
    OBJECTIVE: The Korean Society of Medical Education (KSME) was founded in 1983 and celebrated its 40th anniversary in 2023. This study examines the evolution of topics discussed at KSME conferences from 1971 through 2023, highlighting shifts in the focus of medical education.
    METHODS: We analyzed 90 KSME conferences over 5 decades (1970s, 1980s, 1990s, 2000s, and 2010s), categorizing the topics into three eras based on emerging themes and continuity.
    RESULTS: Consequently, 37 topics covered at the conference were categorized. Ten topics continuously appeared from the 1970s to the 2010s, including future directions of medical education, teaching methods, faculty development, and curriculum. The topics from the 1970s to the 1990s included 14 areas, such as medical education evaluation, non-undergraduate curriculum, community-related, and research. Thirteen new topics emerged after the 2000s, such as social accountability, student support, professionalism, and quality improvements. The most common topics under innovations in medical education, a case of curriculum innovation at universities that began after 2000, were clinical clerkship, curriculum development, and medical humanities.
    CONCLUSIONS: KSME\'s selection of conference topics has been strategically aligned with societal needs and the evolving landscape of medical education. Future topics should continue to address relevant societal and educational challenges.
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  • 文章类型: Editorial
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  • 文章类型: Journal Article
    荒野医学协会(WMS)召集了一个专家小组,为严峻环境中的疼痛管理制定基于证据的指南。建议根据美国胸科医师学会提出的标准所定义的支持证据的质量进行分级。这是对2014年版本的“WMS在偏远环境中治疗急性疼痛的实践指南”的更新,发表在《荒野与环境医学》2014;25:41-49。
    The Wilderness Medical Society (WMS) convened an expert panel to develop evidence-based guidelines for the management of pain in austere environments. Recommendations are graded based on the quality of supporting evidence as defined by criteria put forth by the American College of Chest Physicians. This is an update of the 2014 version of the \"WMS Practice Guidelines for the Treatment of Acute Pain in Remote Environments\" published in Wilderness & Environmental Medicine 2014; 25:41-49.
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  • 文章类型: Journal Article
    背景:估计有30亿人,主要在低收入和中等收入国家,依靠不清洁的燃料做饭,加热,和照明,以满足家庭的能源需求。由此导致的家庭空气污染(HAP)是肺炎的主要原因,慢性肺病,和其他不利的健康影响。在过去的十年里,已经进行了清洁烹饪干预以减少HAP的随机对照试验.我们的目标是就如何解释这些试验的结果以及它们应如何告知政策制定者和从业人员提供指导。方法:我们组建了一个由国际研究人员组成的多学科工作组,公共卫生从业人员,以及学术界在家庭空气污染方面具有专业知识的政策制定者,美国胸科协会,资助者,非政府组织,和全球组织,包括世界银行和世界卫生组织。我们进行了文献检索,通过网络会议召开了四次会议,并通过德尔菲法得出了一致的结论和建议。结果:委员会就14项结论和建议达成共识。尽管一些使用清洁燃烧生物质炉或清洁烹饪燃料的试验减少了HAP的暴露,委员会对所研究的干预措施是否改善了测量的健康结果存在分歧(55%的人说不,45%的人说是).结论:在观察性研究中,HAP与不良健康影响相关。然而,目前尚不清楚哪些家庭能源干预措施可以减少暴露,改善健康,可以缩放,并且是可持续的。研究人员应与致力于扩大清洁能源解决方案的政策制定者和从业人员接触,以了解和满足他们的信息需求。
    Background: An estimated 3 billion people, largely in low- and middle-income countries, rely on unclean fuels for cooking, heating, and lighting to meet household energy needs. The resulting exposure to household air pollution (HAP) is a leading cause of pneumonia, chronic lung disease, and other adverse health effects. In the last decade, randomized controlled trials of clean cooking interventions to reduce HAP have been conducted. We aim to provide guidance on how to interpret the findings of these trials and how they should inform policy makers and practitioners.Methods: We assembled a multidisciplinary working group of international researchers, public health practitioners, and policymakers with expertise in household air pollution from within academia, the American Thoracic Society, funders, nongovernmental organizations, and global organizations, including the World Bank and the World Health Organization. We performed a literature search, convened four sessions via web conference, and developed consensus conclusions and recommendations via the Delphi method.Results: The committee reached consensus on 14 conclusions and recommendations. Although some trials using cleaner-burning biomass stoves or cleaner-cooking fuels have reduced HAP exposure, the committee was divided (with 55% saying no and 45% saying yes) on whether the studied interventions improved measured health outcomes.Conclusions: HAP is associated with adverse health effects in observational studies. However, it remains unclear which household energy interventions reduce exposure, improve health, can be scaled, and are sustainable. Researchers should engage with policy makers and practitioners working to scale cleaner energy solutions to understand and address their information needs.
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  • 文章类型: Journal Article
    背景:随着2030年可持续发展目标的最后期限临近,除了卫生部门之外,人们对健康给予了更多的关注,换句话说,建立健康的社会。然而,这方面的行动和改革没有跟上,部分原因是侧重于范围较窄的干预措施和缺乏针对健康不平等的上游行动。旨在指导改革的行动和政治参与,我们对寻求实现健康社会的概念进行了主题分析。
    方法:本文对包括政治宣言在内的68个文件的目的性样本进行了定性主题分析,reports,自1974年以来出版的同行评审文献和指南。三名独立审稿人提取数据进行识别,讨论和批评健康社会的公共政策杠杆和“推动者”,“如何。\"
    结果:第一个杠杆涉及监管和财政措施。第二个是部门间行动。最后一个杠杆是全球共识的转变,围绕什么意味着社会转型和结果。这三个推动者涵盖了政治领导和问责制,大众动员和知识的产生和使用。
    结论:文件主要集中在技术而非政治解决方案上。尽管人们认识到政治领导的重要性,对权力的分析是有限的。基于权利的方法通常被忽略,因为评估什么起作用或不起作用来拉动杠杆或投资于推动者。框架通常不能承认或挑战流行的意识形态,也没有试图找出让政府或公司对失败负责的方法。最后,在过去的几十年里,想法和方法似乎再次出现,没有添加进一步的细微差别或分析。这表明需要更多的上游,实现健康社会的关键和激进方法。
    BACKGROUND: As the Sustainable Development Goals deadline of 2030 draws near, greater attention is being given to health beyond the health sector, in other words, to the creation of healthy societies. However, action and reform in this area has not kept pace, in part due to a focus on narrower interventions and the lack of upstream action on health inequity. With an aim to guide action and political engagement for reform, we conducted a thematic analysis of concepts seeking to arrive at healthy societies.
    METHODS: This paper drew on a qualitative thematic analysis of a purposive sample of 68 documents including political declarations, reports, peer reviewed literature and guidance published since 1974. Three independent reviewers extracted data to identify, discuss and critique public policy levers and \'enablers\' of healthy societies, the \"how.\"
    RESULTS: The first lever concerned regulatory and fiscal measures. The second was intersectoral action. The final lever a shift in the global consensus around what signifies societal transformation and outcomes. The three enablers covered political leadership and accountability, popular mobilization and the generation and use of knowledge.
    CONCLUSIONS: Documents focused largely on technical rather than political solutions. Even as the importance of political leadership was recognized, analysis of power was limited. Rights-based approaches were generally neglected as was assessing what worked or did not work to pull the levers or invest in the enablers. Frameworks typically failed to acknowledge or challenge prevailing ideologies, and did not seek to identify ways to hold or governments or corporations accountable for failures. Finally, ideas and approaches seem to recur again over the decades, without adding further nuance or analysis. This suggests a need for more upstream, critical and radical approaches to achieve healthy societies.
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