The reach of Spanish-language YouTube videos on physical examinations made by undergraduate medical students / 보건의료교육평가

This study was conducted to evaluate the performance and reach of YouTube videos on physical examinations made by Spanish university students. We analyzed performance metrics for 4 videos on physical examinations in Spanish that were created by medical students at Miguel Hernández University (Elche, Spain) and are available on YouTube, on the following topics: the head and neck (7:30), the cardiovascular system (7:38), the respiratory system (13:54), and the abdomen (11:10). We used the Analytics application offered by the YouTube platform to analyze the reach of the videos from the upload date (February 17, 2015) to July 28, 2017 (2 years, 5 months, and 11 days). The total number of views, length of watch-time, and the mean view duration for the 4 videos were, respectively: 164,403 views (mean, 41,101 views; range, 12,389 to 94,573 views), 425,888 minutes (mean, 106,472 minutes; range, 37,889 to 172,840 minutes), and 2:56 minutes (range, 1:49 to 4:03 minutes). Mexico was the most frequent playback location, followed by Spain, Colombia, and Venezuela. Uruguay, Ecuador, Mexico, and Puerto Rico had the most views per 100,000 population. Spanish-language tutorials are an alternative tool for teaching physical examination skills to students whose first language is not English. The videos were especially popular in Uruguay, Ecuador, and Mexico.

Hospital admissions among immigrants from low-income and foreign citizens from high-income countries in Spain in 2000-2012

Over the last decade, the number of foreign nationals in Spain has increased. Our aim was to report the trends in hospital admissions, differentiating between foreign nationals from high-income countries [HICs] and from low- and middle-income countries [LMICs] in a public hospital. A retrospective analysis of hospital admissions in patients aged P15 years between 2000 and 2012 was performed by means of hospital information systems at a public hospital in the city of Alicante, Spain. During the period of the study, 387,862 patients were admitted: 32,020 [8.3%] were foreign, 22,446 [5.8%] were from LMICs, and 9574 [2.5%] were from HICs. The number of foreign nationals, foreign nationals from LMICs, and foreign nationals from HICs admitted increased from 1019, 530, and 489 in 2000 to 2925, 2097, and 828, respectively in 2012. A total of 27.5% of patients were admitted for pregnancy, childbirth, and puerperium, especially foreign nationals from LMICs [34.3%], and 14.1% of foreign nationals were admitted for cardiovascular diseases [14.1%], which were more common in those from HICs [26.3%]. The number of admissions among foreign nationals from LMICs increased significantly in all the diagnoses, but in pregnancy, childbirth, and puerperium, the increase was higher. In conclusion, nearly one out of 10 adult patients admitted to our hospital was foreign, mainly from LMICs, and the main reason for admission was diagnoses related to pregnancy, childbirth, and puerperium

Mammary, testicular and adnexal tuberculosis diagnosed by histology in a rural hospital in Southern Ethiopia

This study describes the experience of mammary, testicle and adnexal tuberculosis [TB] diagnosed by histological characteristics in a rural district hospital in Southern Ethiopia over a period of 7 years. During the same period, a total of 5589 TB cases were diagnosed. Fourteen cases of breast TB with a prevalence of 0.25% [95% confidence interval [CI]: 0.14-0.43], 8 cases of testicular TB [prevalence 0.14, [95% CI: 0.06-0.29]] and two ovarian TB [prevalence: 0.035 [95% CI: 0.001-0.15]]. The breast, testes and adnexal TB may mimic other conditions. Proper diagnosis is encouraged because the disease is curable with anti-TB drugs.