Publications by authors named "Adrian Martinez-Gonzalez"

Background: The follow-up of health sciences graduates is relevant due to the commitment of universities to train professionals who contribute to solve the country's health problems. The National Autonomous University of Mexico (UNAM) has health sciences graduates who join the workforce every year.

Objective: To identify the perception of health sciences graduates regarding the curriculum and their incorporation into the labor market from 1994 to 2015, and compare it according to the degree program and campus.

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Article Synopsis
  • * Results showed that patients who did not undergo spirometry experienced significantly higher rates of POC (48% vs. 11%) and mortality (18% vs. 0.4%) when categorized as high-risk based on ARISCAT levels.
  • * The findings suggest that incorporating preoperative spirometry into guidelines for patients with moderate or high ARISCAT risk could lead to better postoperative outcomes and lower mortality rates.
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Objetivo: Comparar el control glucémico entre pacientes con diabetes mellitus tipo 2 prepandemia vs pandemia de Covid-19 que acudieron a unidades de salud de primer nivel de atención de la Ciudad de México. Material y métodos. Se analizaron los registros de 23 912 pacientes con diabetes; 78.

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Article Synopsis
  • Innovative technologies like the metaverse and AI-powered chat GPT-4 are making significant inroads into the medical field, enhancing education and practice.
  • Medical schools globally are incorporating the metaverse for teaching subjects like anatomy and performing virtual surgeries, offering new ways to learn and supervise.
  • While these innovations present exciting opportunities for transforming healthcare, it’s crucial to address the potential limitations and risks involved in adopting the metaverse in medical training and practice.
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Background: Academic track record analysis is essential for evaluating the training of students and the structure of higher education study programs, which allows diagnosing and preventing educational lag and school dropout.

Objective: To analyze the differences in academic track records of UNAM health sciences undergraduate students from generations 2001 to 2016.

Material And Methods: Study of real cohorts; graduation and lag rates were calculated.

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Introduction: Performance and selection rate of non-newly graduated physicians in a medical residency admission test as an indicator for the need of continuing education.

Methods: A database comprising 153 654 physicians who took a residency admission test in the period 2014-2018 was analysed. Performance and selection rates were assessed in relation to year of graduation and performance in medical school.

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Visualizing two variables in the fluid flow requires a complex optical system to fulfill such a purpose. Furthermore, in these applications, measuring the temperature fields of the fluid is sometimes necessary. In this work, we use a color digital camera to record in one snapshot shadowgraph and two direction sensitivity Schlieren images.

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Aim: Combining preoperative spirometry with the Assess Respiratory Risk in Surgical Patients in Catalunia (ARISCAT) risk scale can reduce post-operative complications and improve patient survival. This study aimed to assess the cost-effectiveness of performing spirometry or not in conjunction with the ARISCAT scale, to reduce post-operative complications and improve survival among adult patients undergoing elective surgery in Mexico.

Methods: A cost-effectiveness analysis (CEA) was performed to compare the specific cost and health outcomes associated with the combined use of the ARISCAT scale and preoperative spirometry (Group 1), and the use of the ARISCAT scale without preoperative spirometry (Group 2).

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Background: A large portion of prescribing errors can be attributed to deficiencies in medication knowledge. These errors are preventable and most often occur at the time of prescription. Antimicrobials are the drug class most common incorrectly prescribed.

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In this work, we present a panoramic digital holographic system for the first time capable of obtaining 3D information of a quasi-cylindrical object by using a conical mirror. The proposed panoramic digital holographic system is able to scan the entire surface of the object to determine the amplitude and phase simultaneously. This paper demonstrates the feasibility of analyzing quasi-cylindrical objects in a short time (0.

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Objective: To identify medical school characteristics associated with performance in a medical residency admission test.

Materials And Methods: Performance and selection rates according to type of medical school (Student´s t-test, Chi-squared test), accreditation status (Student´s t-test) and geographic regions (Anova) were analyzed from a database comprising 153 654 physicians who took the residency admission test Examen Nacional de Aspirantes a Residencias Médicas (ENARM) in the period 2014-2018.

Results: Performance was 62.

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Background: The choice of medical specialty is related to multiple factors, students' values, and specialty perceptions. Research in this area is needed in low- and middle-income countries, where the alignment of specialty training with national healthcare needs has a complex local interdependency. The study aimed to identify factors that influence specialty choice among medical students.

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Background: Medical schools and healthcare institutions need leaders with formal training in education, in order to provide quality medical teaching. An answer to this need lies in the graduate programs of health professions education. Many programs exist, but there is a dearth of publications about their educational processes and experiences.

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La analítica del aprendizaje es una disciplina novedosa que tiene un enorme potencial para mejorar la calidad de la educación médica y la evaluación del aprendizaje. Se define como: "la medición, recopilación, análisis y reporte de datos sobre los alumnos y sus contextos, con el propósito de entender y optimizar el aprendizaje y los entornos en que ocurre". En las últimas décadas, la aparición de grandes volúmenes de datos (big data), acompañada de una rápida evolución en la minería de datos educativos, la aparición de tecnologías sofisticadas para analizar y visualizar datos de cualquier tipo, así como la disponibilidad de dispositivos móviles con conectividad permanente, mayor velocidad de procesamiento y capacidad de recuperación de información, han generado un contexto que favorece el uso de la analítica del aprendizaje en la medicina clínica y la educación médica.

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Background: Clinical reasoning is an essential skill in physicians, required to address the challenges of accurate patient diagnoses. The goal of the study was to compare the diagnostic accuracy in Family Medicine residents, with and without the use of a clinical decision support tool (DXplain http://www.mghlcs.

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In order to recover the holographic object information, a method based on the recording of two digital holograms, not only at different planes but also in a slightly off-axis scheme, is presented. By introducing a -phase shift in the reference wave, the zero-order diffracted term and the twin image are removed in the frequency domain during the processing of the recorded holograms. We show that the zero-order elimination by the phase-shifted holograms is better than working with weak-order beam and average intensity removal methods.

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Background: There is no systematic evaluation of teaching performance in the clinical area at UNAM Faculty of Medicine. The study purpose is to assess the teaching competence level in the Undergraduate Medical Internship (UMI).

Methods: The paper describes the process of psychometric validity for the instrument designed to evaluate teaching competence in the UMI.

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Introduction: Research on diagnostic and formative assessment competencies during undergraduate medical training is scarce in Latin America.

Objective: To assess the level of clinical competence of students at the beginning of their medical internship in a new curriculum.

Methods: This was an observational cross-sectional study in UNAM Faculty of Medicine students in Mexico City: a formative assessment of the second class of Curriculum 2010 students as part of the integral evaluation of the program.

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Introduction: Objective structured clinical examination is the instrument with more validated evidence to assess the degree of clinical competence of medical students.

Objectives: To assess the degree of clinical competence of medical students at the end of their internship; to assess the reliability of the instruments with G theory.

Methods: This was an observational, longitudinal, and comparative study.

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Background: The objective structured clinical examination (OSCE) is a widely used method for assessing clinical competence in health sciences education. Studies using this method have shown evidence of validity and reliability. There are no published studies of OSCE reliability measurement with generalizability theory (G-theory) in Latin America.

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Background: In Mexico there is no systematic evaluation of teachers in medical specialties. It is difficult to identify appropriate teaching practices. The lack of evaluation has limited the recognition and improvement of teaching.

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Objective: To develop an instrument to assess the satisfaction of patients using health services at the first care level of the city of Mexico (SSA), adapted to the socio-cultural characteristics of the population, and to examine its reliability and validity.

Methods: The instrument reagents were designed using the natural semantic networks technique. The dimensions used have been determined from the literature.

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Background: Biomedical Informatics (BMI) education in medical schools is developing a sound curricular base, but there are few published reports of their educational usefulness. The goal of this paper is to assess knowledge change and satisfaction in medical students after a BMI curriculum.

Methods: The National Autonomous University of México Faculty of Medicine (UNAM) recently implemented a curricular reform that includes two BMI sequential courses (BMI-1 and BMI-2).

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Introduction: In Latin America there is almost no published information about knowledge retention and formative assessment of competencies in medical students, during medical school training and curricular changes.

Objective: To assess knowledge level and clinical competencies in medical students at the end of the second year in a new curriculum.

Methods: Observational, cross-sectional study in UNAM Faculty of Medicine students.

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Introduction: The Objective Structured Clinical Examination (OSCE) is a widely used measurement tool to assess clinical competence in the health sciences. There is little published evidence of its use in Mexican medical schools.

Objective: To assess clinical competence in medical students with an OSCE, before and after the Medical Internship.

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