Diretrizes de (con)federações nacionais para o desenvolvimento de treinadores de handebol em uma perspectiva de longo prazo / National (con)federations guidelines for the handball coaches development in the long-term overview / Directrices de las (con)federaciones nacionales para el desarrollo de entrenadores de balonmano en una perspectiva de largo plazo

Esta pesquisa teve como objetivo identificar e analisar as diretrizes de formação de treinadores de handebol em países que alcançaram resultados expressivos no contexto internacional nos últimos anos. Trata-se de uma pesquisa documental, realizada en-tre dezembro de 2020 e janeiro de 2021. Os dados foram extraídos dos endereços eletrônicos oficiais das respectivas (con)federações nacionais, por um instrumento elaborado pelos autores e, posteriormente, foram analisados por meio da análise temática. Os achados denotam o envolvimento das (con)federações na formação dos treinadores, que, por sua vez, apresentou características padronizadas e hierarquizadas, proporcionando diferentes níveis de treinadores, relacionados aos diversos contextos de atuação da modalidade (AU).

This study aimed at identifying and analyzing handball coaches' development guidelines in countries that got significant results in the international background in the last few years. It's a documental research performed between december 2020 and january 2021. The data was collected from the official websites of the respective national (con)federations using an instrument de-signed by the authors. It was analyzed through thematic analysis. The findings denote the engagement of the (con)federations in the coaches' development, which presented standardized and hierar-chical characteristics, providing different levels of coaches for each of the related fields of handball (AU)

Esta investigación tuvo como objetivo identificar y anali-zar las directrices de la formación de entrenadores de balonmano en naciones que lograron resultados expresivos en contexto inter-nacional en los últimos años. Se trata de una investigación docu-mental realizada entre diciembre de 2020 y enero de 2021. Los da-tos fueran obtenidos de las direcciones electrónicas oficiales de las (con)federaciones utilizando una herramienta confeccionada por los autores y después fue analizado mediante análisis temática. Los hallazgos denotan la participación de las (con)federaciones en la for-mación de entrenadores que, por su vez, presentó características estandarizadas y jerarquizadas proporcionando distintos grados de entrenador para cada ámbito de actuación en lo balonmano (AU).

Diretrizes de (con)federações nacionais para o desenvolvimento de treinadores de handebol em uma perspectiva de longo prazo / National (con)federations guidelines for the handball coaches development in the long-term overview / Directrices de las (con)federaciones nacionales para el desarrollo de entrenadores de balonmano en una perspectiva de largo plazo

Esta pesquisa teve como objetivo identificar e analisar as diretrizes de formação de treinadores de handebol em países que alcançaram resultados expressivos no contexto internacional nos últimos anos. Trata-se de uma pesquisa documental, realizada entre dezembro de 2020 e janeiro de 2021. Os dados foram extraídos dos endereços eletrônicos oficiais das respectivas (con)federações nacionais, por um instrumento elaborado pelos autores e, posteriormente, foram analisados por meio da análise temática. Os achados denotam o envolvimento das (con)federações na formação dos treinadores, que, por sua vez, apresentou características padronizadas e hierarquizadas, proporcionando diferentes níveis de treinadores, relacionados aos diversos contextos de atuação da modalidade.

This study aimed at identifying and analyzing handball coaches' development guidelines in countries that got significant results in the international background in the last few years. It's a documental research performed between december 2020 and january 2021. The data was collected from the official websites of the respective national (con)federations using an instrument de-signed by the authors. It was analyzed through thematic analysis. The findings denote the engagement of the (con)federations in the coaches' development, which presented standardized and hierar-chical characteristics, providing different levels of coaches for each of the related fields of handball.

Esta investigación tuvo como objetivo identificar y analizar las directrices de la formación de entrenadores de balonmano en naciones que lograron resultados expresivos en contexto internacional en los últimos años. Se trata de una investigación documental realizada entre diciembre de 2020 y enero de 2021. Los datos fueran obtenidos de las direcciones electrónicas oficiales de las (con)federaciones utilizando una herramienta confeccionada por los autores y después fue analizado mediante análisis temática. Los hallazgos denotan la participación de las (con)federaciones en la formación de entrenadores que, por su vez, presentó características estandarizadas y jerarquizadas proporcionando distintos grados de entrenador para cada ámbito de actuación en lo balonmano.

Utility of YouTube online learning for junior gastrointestinal endoscopists: A rewarding or deterring practice?

Endoscopy is a competitive field in clinical practice, in which skilled endoscopists are in high demand. The learning process for Junior Gastrointestinal Endoscopists (JGEs) is difficult, quite long, and technically demanding. This directs JGEs to seek additive learning sources, including online sources. The purpose of this study was to determine the frequency, context, attitudes, perceived benefits, drawbacks, and recommendations for using YouTube videos as an educational platform among JGEs from the uses'prespective. We disseminated a cross-sectional online questionnaire from January 15th to March 17th, 2022, and recruited 166 JGE from 39 different countries. The majority of surveyed JGEs (138, 85.2%) were already using YouTube as a learning tool. The majority of JGEs (97, 59.8%) reported gaining knowledge and applying it in their clinical practice, but 56 (34.6 %) reported gaining knowledge without application in real practice. Most participants (124, 76.5 %) reported missing procedure details in YouTube endoscopy videos. The majority of JGEs (110, 80.9%) reported that YouTube videos are provided by endoscopy specialists. Only one participant, 0.6% out of the 166 JGEs surveyed, disliked video records, including YouTube as a source of learning. Based on their experience, 106 (65.4%) of participants recommended YouTube as an educational tool for the coming generation of JGEs. We consider that YouTube represents a potentially useful tool for JGEs, supplying them with both knowledge and clinical practice tricks. However, many drawbacks could make the experience misleading and time-consuming. Consequently, we encourage educational providers on YouTube and other platforms to upload well-constructed, peer-reviewed, interactive educational endoscopy videos.

Antecedentes : La endoscopia es un campo competitivo en la práctica clínica en el que los endoscopistas calificados tienen una gran demanda. El proceso de aprendizaje para los endoscopistas gastrointestinales junior (JE) es difícil, bastante largo y técnicamente exigente. Esto dirige a los JE a buscar fuentes de aprendizaje adicionales, incluidas las fuentes en línea. El propósito de este estudio fue determinar la frecuencia, el contexto, las actitudes, los beneficios percibidos, los inconvenientes y las recomendaciones para el uso de videos de YouTube como una plataforma educativa entre los JE desde la perspectiva de los usuarios. Métodos: Se aplicó un cuestionario transversal en línea difundido del 15 de enero al 17 de marzo de 2022 reclutó a 166 endoscopistas gastrointestinales junior de 39 países diferentes. Resultados : La mayoría de los JE encuestados (138, 85,2%) ya utilizaban YouTube como herramienta de aprendizaje. La mayoría de los JE (97, 59,8 %) refirieron adquirir conocimientos y aplicarlos en su práctica clínica, pero 56 (34,6 %) informaron adquirir conocimientos sin aplicación en la práctica real. La mayoría de los participantes (124, 76,5 %) informó que faltaban detalles del procedimiento en los videos de endoscopia de YouTube. La mayoría de los JE (110, 80,9%) informaron que los videos de YouTube son proporcionados por especialistas en endoscopia. Solo a un participante, el 0,6% de los 166 JE encuestados, le disgustaron los registros de video, incluyendo a YouTube como fuente de aprendizaje. Según su experiencia, 106 (65,4 %) de los participantes recomendaron YouTube como una herramienta educativa para la próxima generación de JE. Conclusión: YouTube representa una herramienta potencialmente útil para los EJ, brindándoles tanto conocimientos como trucos para la práctica clínica. Sin embargo, muchos inconvenientes podrían hacer que la experiencia sea engañosa y consuma mucho tiempo. En consecuencia, alentamos a los proveedores de educación en YouTube y otras plataformas a subir videos de endoscopia educativos interactivos, bien construidos y revisados por pares.

Improvement of physical fitness by the martial arts training program / Aprimoramento de aptidão física por programa de treinamento em artes marciais / Mejora de la aptitud física mediante programa de entrenamiento de artes marciales

ABSTRACT Introduction: Competitive martial arts athletes cannot achieve good results based only on a specific competitive skill in today's intense competition. A specific training program that emphasizes the physical fitness required by the characteristics of the sport is necessary. Objective: Study the martial arts training index system to improve athletes' physical fitness. Methods: The author adopts the research methods such as the literature data method, questionnaire survey method, and mathematical statistics method. The composition of the special indicators related to physical training for martial arts athletes is comprehensively discussed. results: Through interviews and investigations, the contribution rate of morphological indicators proved to be higher, accounting for 37.61% of the total contribution. Considering the index with the highest load, 29 special physical training indicators were determined for martial arts athletes. Conclusion: Martial arts athletes show a solid basis in training regarding the quality of special movements and sports performance. These data provide an important reference for scientific and dedicated martial arts training. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.

RESUMO Introdução: As atividades de artes marciais de competição dos atletas não podem alcançar bons resultados nas disputas intensas atuais baseando-se apenas em uma habilidade competitiva específica. É necessário um programa de treinamento específico que enfatize a aptidão física requisitada pelas características do esporte. Objetivo: Estudar o sistema de índice de treinamento das artes marciais para melhorar a aptidão física dos atletas. Métodos: O autor adota os métodos de pesquisa como o método de dados da literatura, método de levantamento de questionários e método de estatística matemática. A composição dos indicadores especiais relacionados ao de treinamento físico para atletas de artes marciais é discutida de forma abrangente. Resultados: Através de entrevistas e investigações, a taxa de contribuição dos indicadores morfológicos mostrou-se superior, representando 37,61% de toda a contribuição total. Considerando o índice com a maior carga, foram determinados 29 indicadores especiais de treinamento físico para os atletas de artes marciais. Conclusão: Os atletas de artes marciais demonstram uma base sólida no treinamento quanto a qualidade de movimentos especiais e no desempenho esportivo. Esses dados fornecem uma referência importante para o treinamento científico e dedicado às artes marciais. Nível de evidência II; Estudos terapêuticos - investigação dos resultados do tratamento.

RESUMEN Introducción: Las actividades de artes marciales de competición de los atletas no pueden lograr buenos resultados en las intensas disputas actuales basándose únicamente en una habilidad competitiva específica. Es necesario un programa de entrenamiento específico que haga hincapié en la aptitud física requerida por las características del deporte. Objetivo: Estudiar el sistema de índices de entrenamiento de artes marciales para mejorar la aptitud física de los deportistas. Métodos: El autor adopta los métodos de investigación como el método de datos bibliográficos, el método de encuesta por cuestionario y el método de estadística matemática. La composición de los indicadores especiales relacionados con el de la formación física de los atletas de artes marciales se discute exhaustivamente. Resultados: A través de las entrevistas y las investigaciones, la tasa de contribución de los indicadores morfológicos resultó ser mayor, representando el 37,61% de toda la contribución total. Teniendo en cuenta el índice con mayor carga, se determinaron 29 indicadores especiales de entrenamiento físico para los atletas de artes marciales. Conclusión: Los atletas de artes marciales demuestran una sólida base en el entrenamiento cuanto la calidad de los movimientos especiales y en el rendimiento deportivo. Estos datos proporcionan una importante referencia para el entrenamiento científico y dedicado de las artes marciales. Nivel de evidencia II; Estudios terapéuticos - investigación de los resultados del tratamiento.

Survey on status quo of psychosomatic medical service ability and training needs among general practice resident physicians / 中华全科医师杂志

Objective:To investigate the current status of psychosomatic medical service competence and training needs among general practice resident physicians.Methods:An online questionnaire survey was conducted from August to September 2021, among general practice resident physicians selected by cluster sampling from 4 affiliated hospitals of Tongji University. The questionnaire contained the basic information, the self-assessment and training needs of psychosomatic medical service competence of participants, and psychosomatic medical service requirements of patients in the community.Results:A total of 159 questionnaires were distributed, and 140 were collected (88.1%). The survey showed that 25.7% (36/140) of participants believed that 50% or more patients had physical symptoms accompanied by emotional problems; 29.3% (41/140) thought that 50% or more patients had sleep problems, but 60.0% (84/140) of them failed to provide appropriate treatment. The rate of "core knowledge and concepts of psychosomatic medicine" was 47.5% (665/1 400) and the correct rate of "common psychosomatic diseases" was (64.6±23.4)%. Merely 21.4% (30/140) participants reported satisfaction with the psychosomatic medical service competence; 62.8% (88/140) respondents believed that the coverage rate of the above-mentioned competence training in the current general practice residential training program was less than 50%, and 66.4% (93/140) supported that more psychosomatic training was "necessary". The acceptance rate of online training, workshops, MDT, and clinical practice ranged from 56.4% (79/140) to 63.4% (89/140).Conclusions:The survey indicates that there are large needs for psychosomatic medical services among patients in community, but the competence and confidence of general practice resident physicians to provide the service are significantly insufficient. Therefore, it is suggested to strengthen the training of psychosomatic medical service competence in the general practice residency training program.

Influencing factors and intervention of activity limitation and disability in hospitalized older adults / 中华老年医学杂志

Hospitalization is associated with disability.The physical activity of the elderly during hospitalization is significantly lower than that during non-hospitalization.Low-level physical activity not only affects the rehabilitation of the disease during hospitalization, forming hospital-related disability, but also increases the readmission rate and long-term care needs, seriously affecting older adults' quality of life.This article reviews the influencing factors and intervention measures of physical activity in hospitalized elderly patients, aiming to provide a reference for clinical practice.

Practice and thinking of standardized cultivation of master of public health / 中华医学教育探索杂志

In recent years, in the face of the risks and challenges of public health emergencies, the demand and supply of public health talents are relatively tight, and the reform and exploration of the standardized training of public health professionals has become one of the most urgent and important topics. This study analyzed the problems of curriculum system setting, implementation of practical links and composition of tutors in the training process, and learned that Wenzhou Medical University has carried out practical exploration in strengthening theoretical study, highlighting the combination of research and study, deepening professional practice, etc., which has achieved the orderly promotion of public health training supported by supporting reform measures; Take the post competence as the guidance, and vigorously improve the practicing ability; Based on the process and result assessment, promote the reform of training mode and other preliminary results. However, there are also shortcomings and deficiencies in accuracy, supply and effectiveness. Looking at the current situation, it is suggested to promote mechanism construction, increase skill training, develop training standards, improve supporting measures, establish expert committees and other reform ideas, and explore and implement a new model of degree education connection.

Multi-disciplinary open comprehensive training program in improving the post competency of medical imaging students / 中华医学教育探索杂志

Objective:To evaluate the teaching effect of multi-disciplinary integrated training program on the open comprehensive training room to improve the post competency of medical imaging students.Methods:A total of 122 residential students of five-year medical imaging from Batch 2014 of The First Affiliated Hospital of Chengdu Medical College were divided into experimental group and control group. The experimental group carried out the multi-disciplinary open comprehensive training program, and the control group carried out open-ended exercises. The comprehensive discipline theory examination, assessment of clinical thinking and comprehensive skill appraisal, and satisfaction questionnaire results were compared between the two groups. SPSS 23.0 was used for t test. Results:①Comprehensive discipline theory examination scores were higher in experimental group than the control group [(80.33±3.70) vs. (74.56±5.09)], with statistical differences ( P<0.05). ②Experimental group scored higher in clinical thinking and comprehensive skills than the control group did, and the difference was statistically significant [(87.58±3.15) vs. (74.52±3.66), P<0.05]. ③The questionnaire investigation showed that the experimental group students did better in improving autonomous learning ability, expression ability, the team cooperation ability, the ability to find and fix problems and the degree of self-esteem than control group, with statistically significant differences ( P<0.05). Conclusion:The multi-disciplinary open comprehensive training program has a good effect on optimizing the open-ended exercises. Students' knowledge of multi-disciplinary comprehensive theoretical knowledge and imaging skills have been improved, and the ability of teamwork, problem-solving ability, self-learning ability and innovation ability required by the core competence of the profession have been developed and improved, which meets the modern medical treatment of education "to create an educational platform of medical education collaboration and multi-disciplinary integration, and to cultivate students' innovative and autonomous learning."

Development of training program for specialty nurses of traditional Chinese medicine nursing technology / 中国实用护理杂志

Objective:To develop a training program for specialty nurses of traditional Chinese medicine (TCM) technology, in order to provide a basis for the training of traditional Chinese medicine nursing techniques for traditional Chinese medicine speciallty nurses.Methods:Literature review and semi-structured interviews were conducted to preliminarily develop training program outline. From February to April 2022, a total of 18 experts were invited to finish the questionnaire survey. And the items were modified according to the experts′ advice.Results:The response rates of 2 rounds of consultation were both 100%, the authority coefficients of experts were 0.894 and 0.903 respectively, and the kendall harmony coefficients were 0.201 and 0.272 respectively. Finally, the training program was formed, which consists of 6 first-level indexes, 25 second-level indexes and 81 third-level indexes.Conclusions:The training program for specialty nurses of TCM technology constructed in this study is scientific, reliable and practical, which can provide a basis for the training of TCM nursing technology.

Programa de entrenamiento para la cirugía laparoscópica de acalasia en modelos inertes y orgánicos. Estudio observacional / Training Program for Laparoscopic Achalasia Surgery in Inert and Organic Models. Observational Study

La educación en cirugía ha experimentado cambios de paradigmas en las últimas décadas, principalmente en la adquisición de habilidades y destrezas quirúrgicas. La simulación surge como una herramienta complementaria de aprendizaje en cirugía laparoscópica. Objetivo : Diseñar un programa de entrenamiento para el desarrollo de habilidades y destrezas en el abordaje laparoscópico de la cirugía de la acalasia. Métodos : Se trata de un estudio observacional, longitudinal, prospectivo y analítico basado en un programa de entrenamiento con modelos inertes y ex vivo. Los participantes fueron residentes de postgrado de cirugía general de la Universidad Central de Venezuela. Resultados : Se realizaron 30 prácticas con 6 residentes del mismo nivel de experiencia. Se observó una disminución del 22,64% del tiempo entre la evaluación inicial y final, con una mejoría de las habilidades con la escala GOALS del 33,3%.Conclusión : El programa de entrenamiento permitió reproducir algunos de los pasos para la cirugía de acalasia, constituyendo un método efectivo, de bajo costo y fácil de implementar para la enseñanza y adquisición de habilidades laparoscópicas(AU)

Surgery education has experienced paradigm shifts in recent decades, mainly in the acquisition of surgical skills and abilities. Simulation emerges as a complementary learning tool in laparoscopic surgery.Objective: To design a training program for the development of abilities and skills in the laparoscopic approach to achalasia surgery. Methods : This is an observational, longitudinal, prospective and analytical study based on a training program with inert and ex vivo models. The participants were postgraduate residents of general surgery at the Central University of Venezuela.Results : 30 practices were carried out with 6 residents of the same level of experience, a decrease of 22.64% in the time between the initial and final evaluation was observed, with an improvement in skills with the GOALS scale of 33.3%.Conclusion : The training program allowed to reproduce some of the steps for achalasia surgery, constituting an effective, low cost and easy to implement method for teaching and acquiring laparoscopic skills(AU)

Effect of family-based swallowing training program on swallowing function for patients with head and neck cancer undergoing radiotherapy / 中国康复理论与实践

@#Objective To explore the effect of family swallowing training program on swallowing function in patients with head and neck cancer after radiotherapy. Methods From September, 2020 to September, 2021, 45 patients with head and neck tumors who received radiotherapy in the oncology department of Beidahuang Industry Group General Hospital were randomly divided into control group (n = 23) and observation group (n = 22). Both groups received routine treatment, and the observation group received swallowing training program for 14 weeks at the beginning of radiotherapy, including six weeks of individualized guidance training in hospital and eight weeks of home training after leaving the hospital. The incisors spacing, body mass, Kubota Water Swallowing Test (WST) and Functional Oral Intake Scale (FOIS) were compared at the beginning of training, six weeks and 14 weeks after training. Results At the beginning of training, there was no significant difference in incisor spacing, body mass and the scores of WST and FOIS between two groups (P > 0.05). Six weeks and 14 weeks after training, the incisors spacing, and the scores of WST and FOIS were better in the observation group than in the control group (|Z| > 2.332, P < 0.05). Conclusion Family-based swallowing training program is helpful to improve the limitation of mouth opening and dysphagia caused by radiotherapy. Family-based swallowing training program is simple, safe, economical and highly operable, which is worthy of clinical promotion.

Investigation of Chinese residency training program of radiation oncology / 中华放射肿瘤学杂志

Objective:To evaluate the compliance with Chinese Residency Training Program of radiation oncology and provide reference for the improvement of system reform and base construction.Methods:An survey was conducted among residents who had completed residency training program of radiation oncology by online questionnaires in four dimensions, including the fulfillment of training center in hardware, personnel and procedures, the compliance with syllabuses, mechanism of trainee evaluation, and the passing rate and satisfaction degree of trainees.Results:The results showed that most training centers fulfilled the requirement of equipment, mentoring personnel and procedures. The training syllabuses had been followed and integrated with organization multi-modalities. The trainees with high degree of satisfaction accounted for 65.6%, and the final qualification passing rate reached 75.5%. However, there were less reference textbooks, insufficient training in general medicine, limited clinical practice, and low output in academic publication.Conclusions:The residency training program of radiation oncology has been established in China and achieved notable progress. For the further improvement, quantitative optimization of procedures, increasing opportunity of practice and strengthening scientific research involvement would be beneficial.

Construction and application of psychological support training program for palliative care specialist nurses / 中国实用护理杂志

Objective:To construct a psychological support training program for palliative care specialist nurses based on positive psychology theory and make a preliminary application.Methods:From August to September, 2020, 142 palliative nursing specialist nurses in Hunan Provincial Palliative Nursing Specialist Training Base were selected as the research objects. Based on positive psychology therapy, using literature review and analysis, semi-structured interviews, expert group meetings and other methods to construct the program, and the work stress, psychological resilience and subjective well-being scores of nurses before and after 8 weeks of psychological support training were compared.Results:The program included three dimensions: cognition, emotion and behavior. After the psychological support training for 8 weeks, the nursing staff′s work stress score 80.76 ± 20.43 was lower than that before the psychological support training 84.70 ± 19.88, the difference was statistically significant( t=6.59, P<0.05), and the psychological resilience score 64.40 ±14.26 was higher than that before the psychological support training 60.19 ±15.85, the difference was statistically significant ( t=-7.39, P<0.05), and the subjective well-being score 75.70 ± 7.70 was higher than that before the psychological support training 74.13 ± 5.98, the difference was statistically significant ( t=-3.52, P<0.05). Conclusions:The psychological support training program based on positive psychology theory can reduce the the work stress, improve psychological resilience and increase subjective well-being of palliative care specialist nurses.

Development of a Training Program on the Proper Use of Over-the-Counter Drugs for Pharmacy Pharmacists / 社会薬学

The importance of promoting self-medication is increasing, and the active participation of pharmacies is required to support this. We developed a training program based on the Attention, Relevance, Confidence, and Satisfaction (ARCS) model, which is a motivational design process to train pharmacists who support the proper use of OTC drugs, and for insurance pharmacists who usually perform dispensing work. In the six months of training, we conducted six sessions for insurance pharmacists on the subject of colds and constipation. In addition to conducting lectures and exercises on OTC drugs, we provided pharmacists with an opportunity to practice the training content during their daily work, and discuss solutions to the problems that they encountered. Of the eight participants who attended all workshops and were part of the final evaluation, seven provided OTC drugs after considering whether it was necessary to provide them. A total of six advised patients who came to the pharmacy to have their prescription medications dispensed that there were OTC medications that they should be careful about taking. These results suggest the usefulness of this training program based on the ARCS motivational design model.

Programa de entrenamiento en potencial de aprendizaje para niños colombianos con dificultades de aprendizaje en Matemáticas / Dynamic assessment program for Colombian children with learning disabilities in Mathematics (LDM)

Resumen Las dificultades de aprendizaje en Matemáticas (DAM) han sido estudiadas por parte de los investigadores en los últimos años. La literatura sobre su clasificación y su identificación en niños ha sido relevante; sin embargo, es poca la bibliografía actual acerca de cómo superar dichas dificultades en niños. El presente estudio tuvo como objetivo la validación de un protocolo para mejorar habilidades en el campo de las matemáticas. La muestra se componía de 59 niños con esta característica, además del bajo rendimiento en dicha área. Los participantes tenían entre 7 y 10 años y estaban cursando entre segundo y cuarto año de primaria. El diseño es cuasiexperimental con medidas pretest-postest y grupo control en lista de espera. El programa constó de cinco semanas, con una sesión semanal de forma grupal con una duración de 50 minutos aproximadamente. Los instrumentos de evaluación fueron: TEDI-MATH para la identificación de las DAM y tres subpruebas de la WISC-IV, dígitos, conceptos y claves. Los resultados de la investigación arrojaron diferencias significativas entre el grupo control y experimental para todas las pruebas de la TEDI-MATH y para la subprueba de conceptos en WISC-IV. Los resultados son coherentes con otras investigaciones relacionadas con la comorbilidad entre los campos del lenguaje y las matemáticas. Se concluye que, al entrenar aspectos relacionados con la adquisición del lenguaje mejora la comprensión y el manejo de las competencias en matemáticas en los niños.

Abstract Learning Disabilities Mathematical LDM, have been the subject of study since the decade of the 70`s, advances in this field have allowed a correct identification and classification through the design of various instruments for this objective. The number of investigations that address intervention protocols to improve this type of difficulties in children is even more limited. On this way, comorbidities have also been found different researches with the Language Learning Disabilities LLD, and as well as their relationship with the neurological development of children. It is estimated that in countries like Germany, USA, and Spain, the percentage of children with LDM is between 3% and 8%. In particular, in Colombia at the moment, there is very little research that allows identifying these difficulties in children, as well as very little research on the different types of intervention to improve these difficulties in Math. In General, there are little current literature on how to overcome such difficulties in children. An intervention based on the perspective of dynamic assessment would be useful for children who have these difficulties. The dynamic assessment implies two important concepts: activity and modifiability. The tester and the inquired assume an active role, where the tester intervenes and modifies the interaction with the inquired with the purpose of successfully inducing learning. The inquired is directed and reinforced to assume an active role in searching and organizing information. The product of the assessment is modifiability or change in cognitive functioning. This study presents the validation of a protocol based on dynamic assessment to improve skills in the field of mathematics. The sample was 59 Colombian children from public schools in the city of Bogotá. Participants were between 7 to 10 years old and from second to fourth grade. They had Mathematics Learning Difficulties in evaluated with TEDI-MATH on short version. They were distributed in 28 boys and 31 girls with this characteristic. And children who were undergoing psychological, medicated and/or clinical treatment processes were excluded. The design used was quasi-experimental with pretest-posttest measures and control group on the waiting list. The program considered five weeks, with one weekly session of group with a duration of approximately 50 minutes. The evaluation instruments were: TEDI-MATH which was used for the identification of the MLD; 3 sub tests of the WISC-IV, digits, concepts and keys. And PAMATH-C protocol was used for the intervention with children with the aforementioned difficulties. The results of the investigation showed significant differences between the control and experimental group for all the TEDI-MATH tests and for the subtest of concepts in WISC-IV. The results are consistent with other research related to comorbidity between the fields of language and mathematics. The results showed that like other research based interventions with Learning Potential training programs are effective in improving the different metacognitive abilities among the participants. and has a significant effect on the decrease in Mathematical Learning Disabilities. This research leaves projections for an application to a larger population in Colombia and in South America of the TEDYMATH test on short version, since good discrimination was observed for children with LDM. The application of the PAMATH-C protocol in other types of rural and urban population throughout the territories will improve the identification of children with difficulties. In addition, the contribution for the design of new tests based on dynamic evaluation and its form of application to improve other types of difficulties in both children and adults. Therefore, an immense methodological field to develop future protocols based on the Learning Potential. It is concluded that when training aspects related to language acquisition, it improves the understanding and management of mathematics in children.

Development of a Patient Safety-training Program for Health Workers in Indonesia: Perspectives of Health Workers and Hospital Stakeholders

@#Introduction: Various patient safety training has been developed internationally to further enhance the awareness and knowledge of patient safety for health professionals. However in Indonesia, the existing training is not established based on the needs of health workers. Therefore the study aim was to explore the insights from health workers, Provincial Health Office/City Health Office (PHO/CHO) and professional organizations regarding patient safety training by using the WHO’s framework in designing training. Methods: This study was qualitative research with a cross-sectional design using focus group discussion involved 16 participants from public and private hospitals, CHO/PHO and professional organizations in East Java. Data analysis was performed using thematic analysis to identify coding or themes that emerged from the focus group discussions. Results: Through consensus, the patient safety training were grouped into basic and advanced level training. Program related to effective communication was important topics that need to be prioritized especially from the hospital’s perspective. While from the hospital stakeholders perspective, topics related to building patient safety culture is prioritized. Practice-based learning is considered as better training design instead of knowledge-based. Conclusion: In conclusion, this study succeeded in identifying the needs associated with training in patient safety. There are various viewpoints from health professionals and hospital stakeholders on the criteria of patient safety training for health workers that need to be considered in developing training.

Academic publications of full-time master of public health program students / 上海预防医学

Objective:To investigate academic publications of students of the full-time master of public health （professional degree， MPH） program and explore their research capacity. Methods:A total of 160 students of the full-time MPH program admitted from 2010 through 2014 were included in the study. Their academic publications were retrieved for analysis. Results:The average number of academic publications was 1.35. Moreover， 10.2% of the students had academic publications in Chinese journals， and 12.5% had publications in SCI-indexed English journals. Type of disciplines， province they were from， and economic status of their family were determined to be significantly associated with academic publications in SCI-indexed journals. Conclusion:Students of the full-time MPH program have research capacity； however， they have achieved relatively few academic publications of high quality. Establishment of a teaching and training program is warranted in both practice and research for students in full-time MPH programs in universities.

Impact and challenges to the neurology residency training in The Medical City during the COVID-19 pandemic

@#<p style="text-align: justify;"><strong>Introduction.</strong> The COVID-19 pandemic presented an extraordinary challenge to the operations of private hospitals involved in neurological residency training. Numerous adaptations were made to restructure the hospital, including the special units and diagnostic centers. Teaching and training activities were swiftly transitioned to online platforms and research activities were streamlined. Manpower allocation into teams with active duties followed by mandatory quarantine periods became the norm.</p><p style="text-align: justify;"><strong>Objective.</strong> To evaluate the effect of the COVID-19 pandemic on the neurology training program by comparing two periods: pre-pandemic and pandemic periods.</p><p style="text-align: justify;"><strong>Methods.</strong> We reviewed the changes implemented by the hospital in response to the pandemic. We also looked into our residency training program pre-pandemic and the subsequent changes instituted to adapt to the pandemic.</p><p style="text-align: justify;"><strong>Results.</strong> Due to the community quarantine imposed by the government, there was a drastic drop by as much as 70.5% in the out-patient census, 38.4% in the in-patient census, and 46.9% in neurodiagnostic (electroencephalography and electrodiagnostic medicine). The residents were reorganized into three teams of 4 residents, further divided into COVID and non-COVID rotations for 5 days straight duty. Consultants were also stratified into high-risk (on-call for emergency referrals in a work-from-home scheme) and non-high-risk (COVID patient rounds). Teleconsultation was likewise utilized. Academic activities were shifted to blended online learning.</p><p style="text-align: justify;"><strong>Conclusion.</strong> There was a need to reorganize resident staffing brought about by the hospital changes as well, to ensure safety during the pandemic. The pandemic has forced us to shift to alternative methods of teaching and examination, such as teleneurology. Regular assessments and adjustments to the training program will need to be done to adapt to an evolving situation.</p>

Faculty perceptions and applications of the in-service training programs of the Association of Philippine Medical Colleges

@#<p style="text-align: justify;"><strong>Objectives.</strong> The Association of Philippine Medical Colleges (APMC) responded to the global call for transformative learning by conducting a series of Faculty In-service Training. This study was commissioned to determine faculty trainees' perceptions of the program in terms of relevance, comprehensiveness, and quality. It also described their applications of the program in their delivery of instruction, assessment, organization, and management skills.</p><p style="text-align: justify;"><strong>Methods.</strong> This is a sequential explanatory mixed-method research. The quantitative phase refers to the analysis of the rating scale accomplished by participants as feedback. The qualitative phase includes analysis of focus group discussion results and actual course syllabi used by selected participants, including medical schools' documents. Both data were integrated using a combination of descriptive statistics, measures of central tendency and dispersion, as well as joint displays.</p><p style="text-align: justify;"><strong>Results.</strong> APMC conducted six in-service trainings from 2015 to 2018. Themes focused on medical teachers' roles as instructional designers, facilitators, assessors of learning, and as leaders and managers. Respondents perceived the programs as most relevant, comprehensive, and interesting. The syllabi, instructional resources, and assessment instruments and practices were consistent with the standards of the Commission on Higher Education. Medical teachers showed that they use innovative teaching and assessment strategies, and are dealing with medical education's continuous challenges.</p><p style="text-align: justify;"><strong>Conclusion.</strong> Faculty participants perceived the APMC in-service training programs most favorably for capacitating them to enhance their teaching skills and inculcate the culture of quality in medical schools. APMC's training also reflects the organization's commitment to social accountability.</p>

Influence of male nurse training program on professional identity and career development of male nurses in a general hospital / 中国实用护理杂志

Objective:To establish and implement the training program of male nurses in general hospitals, and to explore the influence of the program on the professional identity and career development of male nurses.Methods:Male nurses in Peking Union Medical College Hospital were selected as the participants in October of 2019, and the training program consisting of management support, professional training, cultural construction and other contents was adopted to conduct intervention. Professional identity and career development were compared and analyzed before and after the intervention.Results:The total score of professional identity level of male nurses after intervention was (121.66±19.91) points, which was significantly higher than that before intervention (117.68±19.05), and the differences in all dimensions were statistically significant ( t value was 6.278, P<0.01). The score of successful in career after intervention (42.30±8.06) was significantly higher than that before intervention (41.81±8.00), and the differences in all dimensions were statistically significant ( t value was 3.928, P<0.01). Conclusion:The implementation of male nurse training program and scientific management of male nurses in general hospitals can effectively improve their professional identity level and promote their career development.