RESUMEN En la actualidad, se considera al modelo curricular por competencias el más apropiado para la educación médica. Mucho se ha escrito sobre este modelo curricular, sin embargo, un aspecto crucial es la evaluación del desarrollo de las competencias, este es el punto diferente frente al modelo tradicional de evaluación eminentemente cognitivo. La evaluación en el contexto del modelo curricular por competencias debe estar alineada con el perfil de competencias que la institución propone. La presente publicación reporta la experiencia de evaluación en una escuela de Medicina del Perú que aplica un currículo basado en competencias

Little is known regarding the usefulness of the smartphone in the detection of uterine cervical lesions or uterine cervical cancer. Therefore, we evaluated the usefulness of the smartphone in the detection of uterine cervical lesions and measured its diagnostic accuracy by comparing its findings with histological findings. We conducted a systematic review to identify studies on the usefulness of the smartphone in detecting uterine cervical lesions indexed in SCOPUS, MEDLINE/PubMed, Cochrane, OVID, Web of Science, and SciELO until November 2020. The risk of bias and applicability was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 tool. A total of 16 studies that evaluated the usefulness of the smartphone in the detection of uterine cervical lesions based on the images clicked after visual inspection with acetic acid (VIA), Lugol’s iodine (VILI), or VIA/VILI combination were included in the study. Five studies estimated diagnostic sensitivity and specificity, nine described diagnostic concordance, and five described the usefulness of mobile technology. Among the five first studies, the sensitivity ranged between 66.7% (95% confidence interval (CI); 30.0–90.3%) and 94.1% (95% CI; 81.6–98.3%), and the specificity ranged between 24.0% (95% CI; 9.0–45.0%) and 85.7% (95% CI; 76.7–91.6%). The risk of bias was low (20%), and the applicability was high. In conclusion, the smartphone images clicked after a VIA were found to be more sensitive than those following the VILI method or the VIA/VILI combination and naked-eye techniques in detecting uterine cervical lesions. Thus, a smartphone may be useful in the detection of uterine cervical lesions; however, its sensitivity and specificity are still limited.

Abstracts e423 test kits). Socio demographic data was obtained using a study questionnaire.Results: Out of 536 admissions, 187 (34.9%) had acute diarrheal disease and 148 stools tested for rotavirus. Of the 148 specimens tested, 111 (75.0%) were positive for rotavirus antigen and 37 (25.0%) were negative. Ninety (81.1%) of the positive cases, were aged 12 months and below. There was no significant difference in the age specific prevalence rates (c2 = 0.50, p = 0.48).The mode of feeding, and other identifiable possible risk factors like socio economic class, maternal education, level of hygiene practiced by the mother, method of excreta disposal, water source, did not appear to have a significant effect on the risk of rotavirus infection.There was a well-defined, period of peak transmission occurring between the third week of January and second week of February 2006.Mortality rate for acute diarrhea over the study period was 7.5%, with 50.

Background: Leptospira and dengue can affect many different human tissues, producing a wide array of clinical manifestations, ranging from a mild undifferentiated febrile illness to severe multi-organ failure and death especially in tropical countries. Early differentiation between both the diseases is necessary since management of either condition varies considerably. Study was undertaken to compare clinical and laboratory parameters of dengue and leptospirosis and to identify parameters for early differentiation.Methods: The study was undertaken at patients admitted at the Kasturba Hospital, Manipal, Indiafor 3 yrs. This was a prospective study and included 200 patients with 100 each of dengue and leptospirosis. A detailed history and examination were performed. Laboratory investigations included hematological, biochemical, radiological and microbiological studies.Results: Of the 100 cases of each, 73 leptospirosis patients and 68 dengue patients were male and the rest female. The mean age was 46.19 years for leptospirosis and 34.8 years for dengue cases. Oliguria, icterus and muscle tenderness were more commonly seen in leptospirosis. Low hemoglobin, low total leukocyte count, thrombocytopenia, elevated ESR were more common in leptospirosis as compared to dengue. Renal and liver functions alteration and ARDS were altered more in leptospirosis. Mortality was 18% in leptospirosis as compared to 1% in dengue.Conclusion: Leptospirosis had a greater incidence of muscle tenderness, icterus, oliguria and pancreatitis as compared dengue. Mortality is significantly high in leptospirosis than dengue.

Dengue fever is an endemic disease, present in tropical and subtropical regions, transmitted by the Aedes Aegypti mosquito vector. It has recently appeared in non-tropical regions with dry weather. This represents a setback for advanced temperature-based reference models, since mosquitos reproductive cycle does not necessarily match with the outbreaks. This situation indicates that other variables are also involved in epidemic outbreaks. In this work we propose to include a component that capture this process, whether entomological, environmental or related to population mobility, and include it to the reference model by adding a Gaussian function to the formulation of humans (β h ) and vectors (βv) transmission rate. The parameters to be adjusted for this function were evaluated by a probabilistic model selection experiment. The parameters for this function are u, σ and k. The results indicate that, our model outperforms the reference model, and that additional information about outbreaks can be obtained from the new parameters. .