Person: Cano Valderrama, Óscar
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First Name
Óscar
Last Name
Cano Valderrama
Affiliation
Universidad Complutense de Madrid
Faculty / Institute
Department
Area
Cirugía
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Item Workshop for Basic Gynaecological Examinations: Improving Medical Student Learning through Clinical Simulation(2023) Cuñarro López, Yolanda; Sánchez Llanos, Lucia; Cueto Hernández, Ignacio; González-Garzón De Zumárraga, Blanca; Pintado Recarte, María Del Pilar; Ruiz Labarta, Francisco Ruiz; Cano Valderrama, Óscar; Aedo Ocaña, Olga; Pérez Lucas, Raquel; Viñuela Benéitez, M. Del Carmen; Reyes Angullo, Zurine Raquel; Fernández Muñoz, María; Pina Moreno, Juan Manuel; Sánchez Rodríguez, María Mercedes; Aracil Rodríguez, Rocío; Pérez Burrel, Laura; Sáez Prat, Ainoa; Fraile López, Andrea; Gutiérrez Del Río, Beatriz; Quintana Coronado, María de Guadalupe; Cisternas, Tamara; Feltrer Hidalgo, Marta; González Navarro, Pablo; Ortega, Miguel A.; López Ramón y Cajal, Carlos; León Luis, Juan AntonioIntroduction: This study was designed to evaluate whether the Workshop on Basic Principles for Clinical Gynaecological Exploration, offered to medical students, improves theoretical–practical knowledge, safety, confidence, global satisfaction and the achievement of the proposed objectives in the area of gynaecological clinical examinations. Materials and Methods: This was a quasi-experimental pre–post-learning study carried out at the Gynaecology and Obstetrics department of Gregorio Marañón Hospital in Madrid (Spain). The volunteer participants were 4th-year students earning a degree in Medicine during the 2020–2021 and 2021–2022 academic years. The study period was divided into the following stages: pre-workshop, intra-workshop and 2 weeks post-workshop. In the pre-workshop stage, students completed a brief online course to prepare for the workshop. The effectiveness of the workshop was evaluated through multiple-choice tests and self-administered questionnaires to assess self-assurance, self-confidence, self-satisfaction and the achievement of the objectives. Results: Of the 277 students invited in both academic years, 256 attended the workshop (92.4%), with a total participation in the different stages of the study greater than 70%. A total of 82.5% of the students in the 2020–2021 academic year and 80.6% of students in the 2021–2022 academic year did not have any type of experience performing gynaecological clinical examinations. Between the pre-workshop and 2 weeks post-workshop stages, there was significant improvement in theoretical–practical knowledge (improvement mean = 1.38 and 1.21 in 2020–2021 and 2021–2022 academic years, respectively). The security and confidence of the students prior to the workshop were low (average scores less than 5 points) in both academic years. However, post-workshop scores for satisfaction and the achievement of objectives were high in the two academic years; all the values approached or exceeded 8 points. Conclusions: Our students, after outstanding participation, evaluated the BPCGE, and improved their theoretical and practical knowledge, as well as their skills in a gynaecological clinical examination. Moreover, in their view, after the workshop, they felt very satisfied, far outreaching the proposed aims. In addition, excellent results were maintained over time, year after year.Item The Profile of the Obstetric Patients with SARS-CoV-2 Infection According to Country of Origin of the Publication: A Systematic Review of the Literature(Journal of Clinical Medicine, 2021) Cuñarro López, Yolanda; Pintado Recarte, Pilar; Cueto Hernández, Ignacio; Hernández Martín, Concepción; Payá Martínez, María Pilar; Muñóz Chápuli, María del Mar; Cano Valderrama, Óscar; Bravo Arribas, Coral; Bujan, Julia; Álvarez Mon, Melchor; Ortega, Miguel A.; De León Luis, Juan AntonioSARS-CoV-2 is the novel member of coronavirus responsible for the worldwide pandemic COVID-19, affecting all types of people. In this context, established research identified pregnant women as a susceptible group of SARS-CoV-2 infection, although there is still limited data regarding the real impact of COVID-19 in this group. With that purpose, we conducted a systematic review describing the maternal-fetal results of pregnant women infected by SARS-CoV-2, in aim to analyze the profile of the obstetric patients according to the country of origin of the publication. A total of 38 articles were included in this systematic review with 2670 patients from 7 countries, with 20 works published from China (52.6%). We reported significative differences according to the median maternal age, with Spain as the country with the highest age (34.6 years); The percentage of tabaquism; proportion of symptomatic patients in the triage; type of radiological exam (China and France conduct CT scans on all their patients in comparison to the use of chest X-Ray in the rest of the countries studied); percentages of C-sections (83.9% in China; 35.9% Spain, p < 0.001); maternal mortality rate, proportion of patients who need treatments, the use of antivirals, antibiotics, and anticoagulants as well as measurements of the newborns. Perinatal results are favorable in the majority of countries, with very low rates of vertical transmission in the majority of works. The studies collected in this review showed moderate to high index of quality. The different works describe the affectation during the first wave of the pandemic, where the pregnant woman with SARS-CoV-2 infection is generally symptomatic during the third trimester of gestation along with other factors associated with worse prognosis of the disease, such as higher age, body mass index, and further comorbidities developed during pregnancy. In the obstetric patient, proportion of C-sections are elevated together with prematurity, increasing maternal perinatal morbimortality. Differences found between countries could be based on the proper profile of the patient in each region, the period of the pandemic directly affecting how it was managed, and the variations regarding in situ medical attention.