Superación profesional del tecnólogo sobre el protocolo de bioseguridad en Estomatología en tiempos de COVID-19 / Professional improvement of the technologist on the biosafety protocol in Dentistry in times of COVID-19

RESUMEN Fundamento: los altos niveles de propagación y contagio del SARS-CoV-2 han impuesto modificaciones a los protocolos de bioseguridad en Estomatología; de aquí la necesidad de identificar tales cambios y diagnosticar la preparación del tecnólogo de atención estomatológica para su aplicación. Objetivo: identificar las necesidades de superación profesional del tecnólogo sobre el protocolo de bioseguridad en Estomatología en tiempos de COVID-19. Métodos: se realizó un estudio descriptivo en las clínicas estomatológicas de las áreas de salud del municipio Santa Clara durante el mes de febrero de 2021. Se utilizaron métodos teóricos: análisis-síntesis e inducción-deducción: para los referentes teóricos del tema y empíricos: análisis documental, cuestionario y observación. Resultados: más del 50 % de los tecnólogos tenían un nivel medio de conocimientos sobre el protocolo de bioseguridad; una vez identificadas las necesidades de superación estas se agruparon en 10 indicadores o temas a desarrollar en las diferentes formas del posgrado. En la formación del tecnólogo en atención estomatológica, por su naturaleza clínica, los cursos usualmente son presenciales y prácticos; sin embargo, para esta experiencia y a tenor de las condiciones generadas por la pandemia, se propuso incluir algunas actividades virtuales que promovieron el uso de recursos digitales, a fin de que fueran interactivas y motivaran al estudiante a realizarlas. Conclusiones: emergieron carencias que evidenciaron la necesidad de superación de los tecnólogos en atención estomatológica dadas en lo fundamental por los cambios en los protocolos de bioseguridad y las dificultades detectadas en su cumplimento.

ABSTRACT Background: the high levels of spreading and contagion of SARS-CoV-2 have imposed modifications to biosafety protocols in Stomatology; hence the need to identify such changes and diagnose the preparation of the dental care technologist for their application. Objective: to identify the professional improvement needs of the technologist on the biosafety protocol in Dentistry in times of COVID-19. Methods: a descriptive study was carried out in the Dentistry clinics of the health areas of the Santa Clara municipality during the month of February 2021. Theoretical methods were used: analysis-synthesis and induction-deduction: for the theoretical references of the subject and empirical ones: documentary analysis, questionnaire and observation. Results: more than 50% of the technologists had an average level of knowledge about the biosafety protocol; once the needs for improvement were identified, these were grouped into 10 indicators or topics to be developed in the different forms of the postgraduate course. In the training of the technologist in dental care, due to its clinical nature, the courses are usually face-to-face and practical; however, for this experience and in light of the conditions generated by the pandemic, it was proposed to include some virtual activities that promoted the use of electronic resources, so that they were interactive and motivated the student to carry them out. Conclusions: shortcomings emerged that evidenced the need for overcoming technologists in dental care, mainly due to the changes in biosafety protocols and the difficulties detected in their compliance.

Gestational age and fetal growth assessment among obstetricians.

OBJECTIVE: We aimed to characterize gestational age assessment and fetal growth evaluation among obstetricians. METHODS: Observational, cross-sectional study. We applied a questionnaire to obstetrics specialists and residents, during a national congress on obstetrics. RESULTS: Almost all 179 respondents correct gestational age in the first trimester by ultrasound, but 63% only if there is a difference of 2-9 days. Ultrasound at 11-13 weeks was considered more accurate than at 8-10 weeks by 81%, with a higher proportion of specialists choosing correctly the last answer (p = 0.05). One-third of the respondents did not correctly point the error associated with the ultrasound estimation of fetal weight (EFW). Of the 88% who use a growth table, only 32% were able to identify it by publication/author. Ninety-eight percent identify fetal growth restriction risk (FGR) with centiles (10th in 76%) and 73% of doctors diagnose FGR without other pathological findings (10th in 49%). 44% finds that a low EFW centile maintenance (4th to 3rd) is more worrisome than the crossing of two quartiles (75th to 24th). CONCLUSIONS: The role of ultrasound in gestational age assessment and use of EFW use for FGR classification was disparate among participants. EFW and respective centiles may be over relied upon.