Jairo Amaya-Guío

Systematic review of prostaglandin analogues for retained placenta

Medical management of retained placenta could be a safe alternative to manual removal.

P2.03 Antibiotic treatment for the sexual partners of women with bacterial vaginosis

Introduction Microorganisms associated with Bacterial Vaginosis (BV) have been isolated from the normal flora of the male genital tract, and their presence could be related to the recurrence of BV in women after antibiotic treatment. Therefore, the treatment of sexual partners could decrease the recurrence of infection.To assess the effectiveness in women and the safety in men of concurrent antibiotic treatment for the sexual partners of women treated for BV. Search methods We searched the Cochrane STI Specialised Register, CENTRAL, MEDLINE, Embase, LILACS, International Clinical Trials Registry Platform, ClinicalTrials and Web of Science. We also handsearched conference proceedings. Selection criteria Randomised controlled trials that compared the concurrent use of any antibiotic treatment with placebo by the sexual partners of women treated for BV. Data collection and analysis Authors independently assessed trials for inclusion, extracted data and assessed the risk of bias. Disagreements were resolved through consensus. Quality of the evidence were assessed using GRADE. Results Five trials (854 patients) met our inclusion criteria. High quality evidence shows that antibiotic treatment does not increase the rate of clinical or symptomatic improvement in women during the first week (risk ratio (RR) 0.99, 95% confidence interval (CI) 0.96 to 1.03; RR 1.06, 95% CI 1.00 to 1.12; respectively) or between the first and fourth week (RR 1.02, 95% CI 0.94 to 1.11; RR 0.93, 95% CI 0.84 to 1.03; respectively). Antibiotic treatment does not led to a lower recurrence (RR 1.28, 95% CI 0.68 to 2.43) in women, but increases the frequency of adverse events reported by sexual partners (RR 2.55, 95% CI 1.55 to 4.18). Conclusion High quality evidence shows that antibiotic treatment for sexual partners of women with BV, does not increase the rate of clinical or symptomatic improvement and does not led to a lower recurrence rate into the women, but increases the frequency of adverse events reported by sexual partners.

Aprendiendo sobre determinantes sociales de la salud a través de crónicas, mediante un ambiente virtual de aprendizaje

Objective To describe the contributions of a pedagogical strategy based on the construction of chronicles, using a Virtual Learning Environment for training medical students from Universidad de La Sabana on social determinants of health. Methodology Descriptive study with a qualitative approach. Design and implementation of a Virtual Learning Environment based on the ADDIE instructional model. Results A Virtual Learning Environment was implemented with an instructional design based on the five phases of the ADDIE model, on the grounds of meaningful learning and social constructivism, and through the narration of chronicles or life stories as a pedagogical strategy. During the course, the structural determinants and intermediaries were addressed, and nine chronicles were produced by working groups made up of four or five students, who demonstrated meaningful learning from real life stories, presented a coherent sequence, and kept a thread; 82% of these students incorporated in their contents most of the social determinants of health, emphasizing on the concepts of equity or inequity, equality or inequality, justice or injustice and social cohesion. Conclusions A Virtual Learning Environment, based on an appropriate instructional design, allows to facilitate learning of social determinants of health through a constructivist pedagogical approach by analyzing chronicles or life stories created by ninth-semester students of medicine from Universidad de La Sabana.

Learning about social determinants of health through chronicles, using a virtual learning environment

Objective To describe the contributions of a pedagogical strategy based on the construction of chronicles, using a Virtual Learning Environment for training medical students from Universidad de La Sabana on social determinants of health. Methodology Descriptive study with a qualitative approach. Design and implementation of a Virtual Learning Environment based on the ADDIE instructional model. Results A Virtual Learning Environment was implemented with an instructional design based on the five phases of the ADDIE model, on the grounds of meaningful learning and social constructivism, and through the narration of chronicles or life stories as a pedagogical strategy. During the course, the structural determinants and intermediaries were addressed, and nine chronicles were produced by working groups made up of four or five students, who demonstrated meaningful learning from real life stories, presented a coherent sequence, and kept a thread; 82% of these students incorporated in their contents most of the social determinants of health, emphasizing on the concepts of equity or inequity, equality or inequality, justice or injustice and social cohesion. Conclusions A Virtual Learning Environment, based on an appropriate instructional design, allows to facilitate learning of social determinants of health through a constructivist pedagogical approach by analyzing chronicles or life stories created by ninth-semester students of medicine from Universidad de La Sabana.