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Background: The COVID-19 pandemic has prompted a transformation of medical training. Although there were obvious medical education and social interaction challenges, e-learning presented some advantages, which may have generated medical curricula innovation and adjustments to novel technological methodologies. This study aims to generate consensuses among medical students regarding medical education provided during the pandemic in the resource-limited context of a Global South university. Methods: The implementation of a participatory Delphi method included a recruitment campaign, training, constitution of Delphi panels and questions, and development of the Delphi exercises. Students from the second to the sixth year of medicine of a university in Quito, Ecuador, constituted two Delphi panels, developed questions about the education received during the pandemic, and answered them over 3.5 rounds. Findings: Twenty-two medical students participated in the Delphi exercises about their perception of medical education during the COVID-19 pandemic. The analysis consisted of a total of 22 Delphi questions divided into five distinct categories: adaptations and innovations, curriculum and assessment changes, virtual clinical practice, time management, and mental health. The authors established high, medium, and low consensuses for analysis. Conclusions: Consensuses were reached based on students' academic year and focused on the changes in lecture delivery, the usage of new technologies, patient care skills, the impact of the educational routine, and the mental health of the COVID-19 pandemic. The way the pandemic affected medical education in the Global South set the stage for the need for a comprehensive review of tools, skills, and curricula for students from culturally diverse backgrounds. This study offers a highly replicable methodology to generate consensuses and introduce students to academic research. [ABSTRACT FROM AUTHOR]

Background: Vitamin D Deficiency is a public health problem associated with various diseases in the adult population that could be related to work activity. Objective: To relate vitamin D deficiency with nutritional status, body composition, and sociodemographic factors in workers from Quito, Ecuador. Material and Methods: A cross-sectional study in 245 workers. Serum vitamin D was evaluated by immunofluorescence, nutritional status by Body Mass Index, body composition by bioimpedance, and other sociodemographic factors were also evaluated. The associations between vitamin D deficiency and variables of interest were examined by logistic regression. Results: Vitamin D deficiency was presented in 76% of the participants. Cardiovascular risk by abdominal circumference, age, and sex were associated with vitamin D deficiency. For each centimeter increase in abdominal circumference, the prevalence of vitamin D deficiency increased 4.4% (OR = 1.044 CI95%:1.001-1.008; p = 0.043). For each year of age increase, the prevalence decreased 4.1% (OR = 0.96; 95%CI:0.93-0.99; p = 0.030). Women showed 2.33 times more vitamin D deficiency than men (OR = 2.33 CI95%:1.28-6.94 p = 0.011). Conclusion: Vitamin D deficiency is high in workers in the city of Quito. Apparently, young female with a high abdominal circumference appear to be more likely to be this deficient. Excess weight likely influences outdoor physical activity, which in turn decreases exposure to sunlight and leads to vitamin D deficiency. [ABSTRACT FROM AUTHOR]

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Copyright of Perspectivas en Nutrición Humana is the property of Universidad de Antioquia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)