RESUMEN
Many U.S. medical schools have developed curricula in geriatric medicine to address the growing older adult population. At our university, the authors have integrated an assisted living facility (ALF) program into a required first-year clinical skills course. During the 2011 to 2012 academic year, an electronic survey was distributed to 109 first-year medical students prior to and after the program. Eighty-eight percent and 85% of students completed the pre- and postintervention survey, respectively. Students reported a positive attitude toward caring for older adults (92.5% post- vs. 80.2% preintervention), an understanding of the medical and social needs of older adults (89.2% post- vs. 38.5% preintervention), an acquisition of the skills to assess the health of older adults (71% post- vs. 14.5% preintervention), and an understanding of ALFs as nonmedical supportive housing (92.5% post- vs. 70.8% preintervention). The authors' curriculum offers an innovative method to integrate geriatrics education early in medical education and to involve medical students in their community.
Asunto(s)
Instituciones de Vida Asistida/métodos , Prácticas Clínicas , Competencia Clínica , Curriculum , Geriatría/educación , Estudiantes de Medicina/psicología , Adulto , Prácticas Clínicas/métodos , Prácticas Clínicas/organización & administración , Educación de Pregrado en Medicina/métodos , Educación de Pregrado en Medicina/organización & administración , Femenino , Humanos , Masculino , Encuestas y Cuestionarios , Estados UnidosRESUMEN
Vasomotor symptoms affect the majority of postmenopausal women. Given the risks of hormone replacement therapy, alternative treatments for hot flashes have emerged over recent years. This article will review currently available treatments for hot flashes, including hormonal and non-hormonal therapies.
Asunto(s)
Sofocos/terapia , Menopausia , Agonistas alfa-Adrenérgicos/uso terapéutico , Antidepresivos/uso terapéutico , Bloqueadores de los Canales de Calcio/uso terapéutico , Terapias Complementarias , Femenino , Terapia de Reemplazo de Hormonas/efectos adversos , Humanos , Estilo de Vida , Factores de RiesgoAsunto(s)
Disnea/etiología , Neoplasias Hepáticas/secundario , Neoplasias Pulmonares/secundario , Melanoma/secundario , Dolor Musculoesquelético/etiología , Neoplasias Primarias Múltiples/patología , Neoplasias Cutáneas/patología , Femenino , Humanos , Neoplasias Hepáticas/diagnóstico , Neoplasias Pulmonares/complicaciones , Neoplasias Pulmonares/diagnóstico , Melanoma/complicaciones , Melanoma/diagnóstico , Persona de Mediana Edad , Neoplasias Primarias Múltiples/diagnóstico , Costillas , Neoplasias Cutáneas/diagnósticoAsunto(s)
Terapia de Reemplazo de Estrógeno/efectos adversos , Sofocos/tratamiento farmacológico , Paroxetina/uso terapéutico , Inhibidores Selectivos de la Recaptación de Serotonina/uso terapéutico , Anciano , Terapias Complementarias , Femenino , Humanos , Persona de Mediana Edad , Ensayos Clínicos Controlados Aleatorios como Asunto , Resultado del TratamientoRESUMEN
Hermansky-Pudlak syndrome (HPS) is a disease characterized by the triad of oculocutaneous albinism, bleeding diathesis and organ failure secondary to lysosomal accumulation of ceroid lipofuscin. We report the case of a pregnant woman with HPS who had a successful vaginal delivery with the administration of desmopressin.