ABSTRACT
No disponible
Subject(s)
Humans , Male , Adult , Bronchogenic Cyst/diagnostic imaging , Rectal Diseases/diagnostic imaging , Bronchogenic Cyst/surgery , Rectal Diseases/surgery , Magnetic Resonance Imaging , Laparoscopy , Rare DiseasesABSTRACT
INTRODUCTION: This study examined the effects of a large-scale flipped learning (FL) approach in an undergraduate course of Digestive System Diseases. METHODS: This prospective non-randomized trial recruited 404 students over three academic years. In 2016, the course was taught entirely in a Traditional Lecture (TL) style, in 2017 half of the course (Medical topics) was replaced by FL while the remaining half (Surgical topics) was taught by TL and in 2018, the whole course was taught entirely by FL. Academic performance, class attendance and student's satisfaction surveys were compared between cohorts. RESULTS: Test scores were higher in the FL module (Medical) than in the TL module (Surgical) in the 2017 cohort but were not different when both components were taught entirely by TL (2016) or by FL (2018). Also, FL increased the probability of reaching superior grades (scores >7.0) and improved class attendance and students' satisfaction. CONCLUSION: The holistic FL model is more effective for teaching undergraduate clinical gastroenterology compared to traditional teaching methods and has a positive impact on classroom attendances.
Subject(s)
Digestive System Diseases , Educational Measurement , Curriculum , Humans , Problem-Based Learning , Prospective Studies , Students , TeachingABSTRACT
No disponible
Subject(s)
Humans , Male , Aged , Mesenteric Ischemia/therapy , Frail Elderly , Mesenteric Artery, Superior/diagnostic imaging , Mesenteric Artery, Inferior/diagnostic imaging , Angiography/methods , Vascular Diseases/physiopathologyABSTRACT
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Subject(s)
Humans , Male , Middle Aged , Hernia, Diaphragmatic/surgery , Shock/etiology , Esophagectomy/adverse effects , Hernia, Diaphragmatic/diagnostic imaging , Hernia, Diaphragmatic/etiology , Shock/diagnosis , Tachypnea/diagnosis , Hypoventilation/diagnosis , Tomography, X-Ray Computed , Diaphragm/injuriesABSTRACT
Los tumores retroperitoneales son lesiones infrecuentes. Las tumoraciones nerviosas benignas como los schwannomas representan menos del 3% de ellos, siendo extremadamente raros los que afectan el nervio obturador. Presentamos el caso de un paciente con importante afectación funcional en miembro inferior izquierdo y dolor pélvico, al que se le diagnosticó neoplasia retroperitoneal. Fue intervenido por vía laparoscópica objetivándose la dependencia de la lesión del nervio obturador. Se llevó a cabo una exéresis completa de la lesión preservando parcialmente el nervio. El paciente tuvo una evolución funcional y álgica muy favorable. La anatomía patología reveló la presencia de schwannoma, del denominado subtipo "anciano", sin datos de malignidad. Consideramos que el informe de un caso como este puede ayudar a conocer una patología muy infrecuente y a tener en consideración algunos puntos clave como la técnica de abordaje y la necesidad de preservación de las estructuras nerviosas.
Retroperitoneal tumors are uncommon; benign tumors originating in the nerve cells as schwannomas represent less than 3%, while schwannomas of the obturator nerve are extremely rare. We report the case of a male patient with significant functional compromise of the left lower limb and pelvic pain who was diagnosed with a retroperitoneal tumor. The patient underwent laparoscopic surgery during which the compromise of the obturator nerve was evident. The lesion was completely resected with partial preservation of the nerve. The patient progressed with favorable functional recovery and pain relief. The histopathological examination reported a benign ancient schwannoma. We believe that this case report can help to understand a very rare condition and consider some key points such as the technique of approach and the need for preservation of the nerve structures.
Subject(s)
Humans , Male , Aged , Retroperitoneal Neoplasms/surgery , Neurilemmoma/surgery , Obturator Nerve/injuries , Arthroplasty/adverse effects , Magnetic Resonance Spectroscopy/methods , Tomography, X-Ray Computed/methods , Colonoscopy/methods , Laparoscopy/methods , Neuralgia/diagnostic imaging , Neurilemmoma/diagnostic imagingABSTRACT
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Subject(s)
Humans , Male , Aged , Colonic Neoplasms/pathology , Liver Neoplasms/secondary , Tuberculosis, Hepatic , Neoplasm Metastasis , Immunosuppression Therapy , Tomography, X-Ray Computed , Liver Neoplasms/diagnostic imaging , Liver Neoplasms/drug therapy , Microwaves/therapeutic use , Isoniazid/administration & dosage , Pyrazinamide/administration & dosage , Rifampin/administration & dosageSubject(s)
Esophagectomy/adverse effects , Esophagus/surgery , Hernia, Diaphragmatic/etiology , Shock/etiology , Aftercare , Cardiac Tamponade/complications , Cardiac Tamponade/diagnosis , Hernia, Diaphragmatic/surgery , Humans , Laparotomy/methods , Male , Middle Aged , Pulmonary Atelectasis/complications , Pulmonary Atelectasis/diagnosis , Respiratory Insufficiency/complications , Shock/therapy , Treatment OutcomeSubject(s)
Anti-Inflammatory Agents, Non-Steroidal/adverse effects , Ileal Diseases/complications , Intestinal Fistula/complications , Intestinal Obstruction/etiology , Intestine, Small , Jejunal Diseases/complications , Aged, 80 and over , Anti-Inflammatory Agents, Non-Steroidal/administration & dosage , Anti-Ulcer Agents/administration & dosage , Anti-Ulcer Agents/adverse effects , Aspirin/administration & dosage , Aspirin/adverse effects , Female , Humans , Ileal Diseases/chemically induced , Ileal Diseases/diagnostic imaging , Intestinal Fistula/chemically induced , Intestinal Obstruction/diagnostic imaging , Intestinal Perforation/chemically induced , Intestinal Perforation/diagnostic imaging , Jejunal Diseases/chemically induced , Jejunal Diseases/diagnostic imaging , Omeprazole/administration & dosage , Omeprazole/adverse effects , Tomography, X-Ray ComputedABSTRACT
No disponible
Subject(s)
Humans , Female , Middle Aged , Intestinal Neoplasms/complications , Intestinal Obstruction/etiology , Melanoma/complications , Intestinal Mucosa , Intestinal Neoplasms/diagnostic imaging , Intestinal Neoplasms/surgery , Intestinal Obstruction/diagnostic imaging , Intestinal Obstruction/surgery , Melanoma/diagnostic imaging , Melanoma/surgery , Tomography, X-Ray ComputedSubject(s)
Intestinal Neoplasms/complications , Intestinal Obstruction/etiology , Melanoma/complications , Female , Humans , Intestinal Mucosa , Intestinal Neoplasms/diagnostic imaging , Intestinal Neoplasms/surgery , Intestinal Obstruction/diagnostic imaging , Intestinal Obstruction/surgery , Melanoma/diagnostic imaging , Melanoma/surgery , Middle Aged , Tomography, X-Ray ComputedABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Anus Neoplasms/pathology , Anus Neoplasms/surgery , Condylomata Acuminata/pathology , Condylomata Acuminata/surgery , Neoplasm Recurrence, Local/complications , Neoplasm Recurrence, Local/pathology , Pain/complications , Pain/etiology , Hemorrhage/complications , Anus Neoplasms , Anus Neoplasms/radiotherapy , Buschke-Lowenstein Tumor/complications , Buschke-Lowenstein Tumor/surgerySubject(s)
Anus Neoplasms/pathology , Buschke-Lowenstein Tumor/pathology , Humans , Male , Middle AgedABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Priapism/etiology , Rectal Neoplasms/surgery , Arteriovenous Fistula/complications , Postoperative Complications/diagnosis , AngiographyABSTRACT
No disponible