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1.
Educ. med. (Ed. impr.) ; 22(1): 34-39, ene.-feb. 2021. tab, graf
Article in English | IBECS | ID: ibc-202114

ABSTRACT

INTRODUCTION: Pedagogical workshop planning is challenging especially when we aim to promote a reflective practice of the tutees. This practice has been widely discussed in the literature without a real consensus. Some authors reported oral exercises or anecdotes, other described writings or even storytelling. The aim of the authors was to describe the different steps performed by the tutors and to assess the tutees' satisfaction. MATERIAL AND METHODS: This was a pilot study dealing with the use of the prospective strategy principles in order to plan a pedagogical workshop. Included participants were early academic teacher trainees. RESULTS: The authors illustrated how they planned a pedagogical workshop using the prospective strategy and highlighted the satisfaction of the tutees. CONCLUSION: Prospective strategy is mainly used in economic field in order to change the future of the companies by acting on different intervening factors. Associating prospective strategy to pedagogical principles hasn't been reported in the medical literature and seems to be available in order to induce reflective practice


INTRODUCCIÓN: La planificación del taller pedagógico es un desafío, especialmente cuando nuestro objetivo es promover una práctica reflexiva de los alumnos. Esta práctica ha sido ampliamente discutida en la literatura sin un consenso real. Algunos autores informaron ejercicios orales o anécdotas, otros escritos descritos o incluso narraciones. El objetivo de los autores fue describir los diferentes pasos realizados por los tutores y evaluar la satisfacción de los alumnos. MATERIAL Y MÉTODOS: Este fue un estudio piloto que trató sobre el uso de los principios de la estrategia prospectiva para planificar un taller pedagógico. Los participantes incluidos fueron los primeros aprendices de docentes académicos. RESULTADOS: Los autores ilustraron cómo planearon un taller pedagógico utilizando la estrategia prospectiva y destacaron la satisfacción de los alumnos. CONCLUSIÓN: La estrategia prospectiva se utiliza principalmente en el campo económico para cambiar el futuro de las empresas actuando sobre diferentes factores intermedios. Asociar la estrategia prospectiva a los principios pedagógicos no se ha informado en la literatura médica y parece estar disponible para inducir la práctica reflexiva


Subject(s)
Humans , Education, Medical/trends , Educational Measurement/statistics & numerical data , Teacher Training/organization & administration , National Health Strategies , Tunisia , Organizational Case Studies , Courses/analysis , Education, Graduate/trends
2.
Am J Forensic Med Pathol ; 41(3): 199-202, 2020 Sep.
Article in English | MEDLINE | ID: mdl-32735410

ABSTRACT

Neck paragangliomas are relatively rare neuroendocrine nonsecretory tumors. They are mainly observed among adults and are often asymptomatic, causing a frequent delay in diagnosis. In pediatric cases, neck paragangliomas can be associated with adrenergic symptoms that may lead to complications.A report of a sudden death due to a carotid paraganglioma in a young girl is reported. Autopsy revealed a thoracic arotic dissection and a 4-cm jugulocarotidian mass in the absence of traumatic injuries. Histology showed no evidence of underlying aortic disease, including signs of Marfan syndrome, and a paraganglioma. Postmortem biochemistry analysis showed blood metanephrines levels 100 times higher than normal range. The cause of death was an aortic dissection complicating a neck paraganglioma. The manner of death was concluded as natural.Our case highlighted the importance for forensic pathologist to consider the diagnosis of paraganglioma in case of sudden hypertensive complications, especially among young people.


Subject(s)
Carotid Body Tumor/pathology , Death, Sudden/etiology , Adolescent , Aortic Dissection/diagnostic imaging , Aortic Dissection/pathology , Aortic Aneurysm, Thoracic/diagnostic imaging , Aortic Aneurysm, Thoracic/pathology , Cardiac Tamponade/etiology , Carotid Body Tumor/diagnostic imaging , Female , Humans
3.
Saf Health Work ; 8(4): 398-401, 2017 Dec.
Article in English | MEDLINE | ID: mdl-29276640

ABSTRACT

BACKGROUND: Organizational ostracism is defined as a violation of norms that we are suggested to acknowledge at the workplace. It results in the exclusion of one person or multiple persons, and causes damage to our innate need to belong. This kind of behaviorism can be engaged through a hierarchical or nonhierarchical relationship. Three elements interact in the framework of organizational ostracism: the actor, the target, and the institution. Our aim was to describe the different factors interacting with every element in order to produce recommendations targeting to prevent the occurrence of such behaviorism in an institution and to help targets of such a violence in order to handle this situation and go forward. As psychological impact of ostracism has frequently been studied in the literature, we focused on its impact on professional tasks. METHODS: We performed a questionnaire-based study about organizational ostracism. This questionnaire was established through an online platform (https://www.sondageonline.com) and made available through the following link: https://goo.gl/forms/KrkVXe3bMEc79cau2. A keyword was sent to all participants. We created a 23-interrogation questionnaire with open and short questions. Nonwritten consent was obtained from all participants. RESULTS: The actor of ostracism engaged in ostracism, in most of the cases, with other persons without a real purpose. The actor of ostracism had an antecedent of problematic relationship at work in 82.9% of the cases. Of the participants, 58.5% were of the view that ostracism aimed to cause hurt and isolate them. Professional isolation was observed in 58.5% of the cases; 51.2% of the participants tried to improve their work potential and explained their reaction by an intrinsic motivation. The organization atmosphere was judged to be bad in most of the cases. CONCLUSION: Our study showed that ostracism was mainly observed in public practice.

4.
J Forensic Sci ; 58(5): 1163-1170, 2013 Sep.
Article in English | MEDLINE | ID: mdl-23822140

ABSTRACT

Human ecchinococcosis also known as hydatid disease is a zoonotic infection caused by the tapeworm Ecchinococcus with 2-3 Million cases worldwide. We hereby report a 6 years period study of Sudden death due to hydatidosis aiming to analyze the epidemiological criteria, death circumstances, and autopsy observations attributed to hydatid disease. During the past 6 years, 26 death cases were due to hydatid disease. Our analysis shows that the sex ratio (M/F) was 1.6, the mean age was 31-year old, and 65% of the subjects lived in rural places. In 17 cases, death occurred in the victim's place, five victims died after a heavy exercise, and in two cases, death occurred immediately after trauma. At autopsy, 91% of the cysts were found in the liver. In three cases, death followed a septic state, and in two cases, it followed an acute respiratory failure. Death was attributed to anaphylaxis in 17 cases.


Subject(s)
Death, Sudden/epidemiology , Echinococcosis/mortality , Adolescent , Adult , Age Distribution , Anaphylaxis/mortality , Arterial Occlusive Diseases/etiology , Brain Edema/pathology , Child , Ecchymosis/pathology , Erythema/pathology , Female , Forensic Pathology , Heart Failure/etiology , Hemorrhage/etiology , Hemorrhage/pathology , Humans , Male , Mesenteric Arteries/pathology , Middle Aged , Pulmonary Edema/pathology , Respiratory Insufficiency/mortality , Retrospective Studies , Rupture , Sepsis/mortality , Sex Distribution , Tunisia/epidemiology
5.
Biol Psychol ; 87(3): 414-20, 2011 Jul.
Article in English | MEDLINE | ID: mdl-21645584

ABSTRACT

Easily accessible biomarkers for fetal stress biology are lacking. We here explore whether quantification of major fetal steroids, dehydroepiandrosterone (DHEA) or DHEA sulfate (DHEAS), with liquid chromatography/tandem mass spectrometry in infant nails is a tool to assess fetal stress biology in response to maternal stressful life events during pregnancy. Sufficient nail (≥ 1 mg) was available from 80 infants (93% of those providing samples). The concentration of DHEA, but not DHEAS, was increased in infants of mothers with stressful life events during pregnancy (DHEA: F1,41=6.105, P=0.018; DHEAS: F1,77=0.767, P=0.384). DHEA concentrations were not related to maternal stress before pregnancy (F1,41=0.010, P=0.922). Infant nail DHEA may be a fetal biological correlate of intrauterine exposure to maternal stress. The method promises the first non-invasive retrospective biomarker for intrauterine stress biology, opening new ways for research and clinical applications in fetal medicine, endocrinology, obstetrics, gynecology, and for understanding the developmental origins of health and disease.


Subject(s)
Dehydroepiandrosterone/metabolism , Nails/metabolism , Stress, Psychological/metabolism , Biomarkers/metabolism , Dehydroepiandrosterone Sulfate/metabolism , Female , Humans , Infant, Newborn , Life Change Events , Pregnancy
6.
Forensic Sci Int ; 183(1-3): e7-10, 2009 Jan 10.
Article in English | MEDLINE | ID: mdl-19019591

ABSTRACT

Suicides or suicide attempts with power saws (band, circular or chain saws) are rather rare events and only a few case reports exist in the forensic literature. The use of a band saw, in particular, has been extremely rare in cases of suicide. We report two cases of suicide that occurred in the same suburban area, three years apart. In each case, the victim was a carpenter and had a history of psychiatric disorder and/or of prior suicide attempts. We summarize the findings of the death scene investigations, the pertinent autopsy findings, and also summarize the world literature pertaining to suicide committed with power saws.


Subject(s)
Construction Materials , Head Injuries, Penetrating/pathology , Neck Injuries/pathology , Suicide , Wounds, Penetrating/pathology , Adult , Forensic Pathology , Humans , Male , Middle Aged , Schizophrenic Psychology
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