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    Item type:Publication,
    Qualitative and quantitative educational disparities and brain signatures in healthy aging and dementia across global settings
    (Elsevier BV, 2025-04)
    Raul Gonzalez-Gomez
    ;
    Josephine Cruzat
    ;
    Hernán Hernández
    ;
    Joaquín Migeot
    ;
    Agustina Legaz
    Scopus© Citations 4  3
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    Item type:Publication,
    Patient centered outcomes in stroke: utility-weighted modified Rankin Scale results in a community-based study
    (Frontiers Media SA, 2025-03-21)
    Carlos Delfino
    ;
    Gabriel Cavada
    ;
    ; ;
    Background and aims</jats:title><jats:p>The transformation of modified Rankin Scale (mRS) scores based on the corresponding utilities of health-related quality of life questionnaires can facilitate the capture of Patient-Centered Outcomes (PCO) in stroke. We aimed to derive utility-weighted modified Rankin Scale (UW-mRS) values by mapping mRS functional status to EQ-5D-3L scores in a population-based cohort of stroke patients.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>The UW-mRS was obtained by analyzing the EQ5-D-3 L and mRS scores at 180 days after any stroke in the ÑANDU study, a large prospective community-based study in Chile. The mRS prediction was estimated using a linear regression adjusted by the EQ-5D-3L value. Generalized linear and binary logistic regression models were constructed to determine influencing factors of the UW-mRS, using STATA software (version 18.0).</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>We included 773 patients presenting with any stroke during 2015–2016: 48% were female, with a mean age of 71 years (SD 13.8), and 85% had an acute ischemic stroke (AIS). 82% of patients had a low socioeconomic status, 50% had less than 12 years of formal education, and only 32% lived in urban areas. UW-mRS values for mRS categories 0–6 at 180 days were 0.913, 0.694, 0.425, 0.249, −0.102, −0.347 and 0, respectively. Multivariable analysis identified age &amp;gt; 70 years (Coefficient <jats:italic>β</jats:italic> [β] -0.038 [Standard error SE 0.018], <jats:italic>p</jats:italic> = 0.032), prior mRS score 3–5 (<jats:italic>β</jats:italic> −0.556 [SE 0.197], <jats:italic>p</jats:italic> &amp;lt; 0.001), ischemic stroke (β −0.066 [SE 0.025], <jats:italic>p</jats:italic> = 0.010), and National Institutes of Health Stroke Scale (NIHSS) at admission&amp;gt;5 (<jats:italic>β</jats:italic> −0.015 [SE 0.002], <jats:italic>p</jats:italic> &amp;lt; 0.001) as significant predictors of worse UW-mRS scores (R<jats:sup>2</jats:sup> = 70%) in the overall group. Sex-disaggregated analysis showed that age &amp;gt; 70 years was a significant predictor in males (β −0.069 [SE 0.024], <jats:italic>p</jats:italic> = 0.006), while presenting an AIS had a greater impact on female’s worse UW-mRS score (β −0.087 [SE 0.033], <jats:italic>p</jats:italic> = 0.010).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>These results present UW-mRS values derived from a population-based stroke study. Key determinants of health-related quality of life in post-stroke patients included age, prior disability, and stroke severity. Sex-disaggregated analysis revealed age being significant for males and AIS for females. Incorporating PCO as UW-mRS in stroke research can provide a more nuanced understanding of the impact of stroke on survivors, offering valuable insights for clinical decision-making and rehabilitation strategies across diverse healthcare contexts.<
    Scopus© Citations 1  6
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    Item type:Publication,
      1
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    Item type:Publication,
    Evolución de la aplicación del concepto de integración curricular de simulación clínica: Una revisión con foco en el pregrado de carreras de salud
    (SciELO Agencia Nacional de Investigacion y Desarrollo (ANID), 2025-01)
    Francisca Torres Suazo
    ;
    Marco Bettancourt González
    ;
    Catalina Atuez Araya
    ;
    Matías Aravena González
    ;
    Yenny Plaza Órdenes
      1
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    Ethnic disparities in the association between maternal socioeconomic status and childhood anemia in Peru: a nationwide multiyear cross-sectional study
    (Elsevier BV, 2025-07)
    Ali Al-kassab-Córdova
    ;
    Claudio Intimayta-Escalante
    ;
    Pamela Robles-Valcarcel
    ;
    Diego Urrunaga-Pastor
    ;
      1
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    Using the OSCE to assess medical students’ communication and clinical reasoning during five years of restricted clinical practice
    (Springer Science and Business Media LLC, 2025-04-25)
    Armijo-Rivera Soledad
    ;
    Zamorano Saavedra Catalina
    ;
    Vicencio-Clarke Scarlett
    ;
    Behrens Pérez Claudia
    ;
    Pérez-Villalobos Cristhian
    Scopus© Citations 1  1
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    Advancing the assessment of clinical competence in Latin America: a scoping review of OSCE implementation and challenges in resource-limited settings
    (Springer Science and Business Media LLC, 2025-04-21)
    Soledad Armijo-Rivera
    ;
    Brenda Fuenzalida-Muñoz
    ;
    Scarlett Vicencio-Clarke
    ;
    Alexandra Elbers-Arce
    ;
    Sergio Bozzo-Navarrete
    Scopus© Citations 1  2
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    The impact of pre-stroke formal education on language test performance in aphasic and non-aphasic stroke survivors
    (Informa UK Limited, 2024-12-05)
    Sophie M. Roberts
    ;
    Rachel Bruce
    ;
    Thomas M. H. Hope
    ;
    Sharon Geva
    ;
    Storm Anderson
      2Scopus© Citations 2
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    New challenges for higher education: self-regulated learning in blended learning contexts
    <jats:sec><jats:title>Introduction</jats:title><jats:p>The study on self-regulated learning in blended learning (BL) environments highlights its crucial relevance for both the academic development of students and the evolution of contemporary educational methods. This research focused on conceptualizing self-regulated learning in university contexts with a BL modality, using direct student perceptions.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>An inductive qualitative approach with a phenomenological design was employed. Responses from 312 undergraduate students who had completed their first or second year were analyzed; 65 participated in 10 focus groups (two per area of knowledge according to OECD classification), and 247 participated through a survey. Descriptive analysis was used to obtain a range of content and meanings associated with students’ perceptions of SRL-BL.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The study conceptualized SRL-BL as a process where students structure, monitor, and evaluate their learning using self-reflection and digital technologies, with particular emphasis on planning. Significant differences were identified between SRL-BL and traditional SRL; in face-to-face education, teacher supervision is greater, while in SRL-BL, students take on more responsibility and autonomy, developing self-management skills. Although SRL-BL fosters autonomy and responsibility, students face obstacles such as distractions from social media and leisure technologies, which affect their concentration and study planning.</jats:p></jats:sec><jats:sec><jats:title>Discussion</jats:title><jats:p>It is essential to address the new challenges students face to maintain a high level of SRL in Blended Learning environments (SRL-BL) and the strategies they use to overcome them. The need to update the concept of self-regulated learning (SRL) in the current educational context, influenced by technological advances, is concluded.</jats:p></jats:sec>
    Scopus© Citations 3  6
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    Item type:Publication,
    Levels of Empathy in Students and Professors with Patients in a Faculty of Dentistry
    (2024)
    Víctor P. Díaz-Narváez
    ;
    Joyce Huberman-Casas
    ;
    Jorge Andrés Nakouzi-Momares
    ;
    Chris Alarcón-Ureta
    ;
    Patricio Alberto Jaramillo-Cavieres
    <jats:p>Background: Empathy is an attribute that plays an essential role in the dentist–patient therapeutic relationship, clinical care, and treatment adherence, along with providing other benefits. The main objective of this research was to establish the validity, reliability, and invariance of the Jefferson Scale of Empathy and then characterize the empathy levels of students and teachers at a dental school. Materials and Methods: An observational and cross-sectional study analyzed a sample of undergraduate students and professors from the Universidad Andrés Bello Faculty of Dentistry (Chile) (n = 1727 and n = 267, respectively). The Empathy Scale for Health Professionals (HP) and the same scale for students (HPS) were applied. Results: The Jefferson Empathy Scale presents adequate psychometric properties. The empathy measure has adequate reliability and construct validity, confirming a fit of the three-factor empathy model to the data. The measurement is invariant within the university campus, the sex of the student, and between teacher and student. Teachers present greater empathy than students except in the Perspective Adoption dimension. Conclusions: The Jefferson Empathy Scale is reliable, valid, and invariant among Chilean dental students and professors. Students do not differ from their professors in the cognitive component of empathy, but they present a lower score in the affective component and global empathy. It is inferred that students can develop the affective component of empathy in their interactions with their professors, increasing their overall empathy. Understanding and fostering empathy in dental students and professors can significantly improve patient care and treatment adherence and increase patient and dentist satisfaction.</jats:p>
    Scopus© Citations 12  1