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Rachel Stork Poeppelman, Cara A Liebert, Daniel Brandt Vegas, Carl A Germann, Anna Volerman
BACKGROUND : Team-based learning (TBL) promotes problem solving and teamwork, and has been applied as an instructional method in undergraduate medical education with purported benefits. Although TBL curricula have been implemented for residents, no published systematic reviews or guidelines exist for the development and use of TBL in graduate medical education (GME). OBJECTIVE : To review TBL curricula in GME, identify gaps in the literature, and synthesize a framework to guide the development of TBL curricula at the GME level...
October 2016: Journal of Graduate Medical Education
Barry E Bleske, Tami L Remington, Trisha D Wells, Kristin C Klein, Sally K Guthrie, Jeffrey M Tingen, Vincent D Marshall, Michael P Dorsch
Objective. To compare learning outcomes and student confidence between team-based learning (TBL) and lecture. Methods. A crossover study was conducted with 30 students divided into two sections. Each section was taught six therapeutic topics (three TBL and three lecture). There were two assessments of 24 questions each. A survey (Likert scale) assessing student confidence and attitudes was administered at the end. Results. A significantly higher overall examination score was observed for TBL as compared to lecture...
September 25, 2016: American Journal of Pharmaceutical Education
Polpun Boonmak, Suhattaya Boonmak, Malinee Laopaiboon
BACKGROUND: Functional endoscopic sinus surgery (FESS) is a minimally invasive technique that is used to treat chronic sinusitis. Small bleeding areas can reduce operative visibility and result in destruction of surrounding structures. Deliberate hypotension (lowering the mean arterial blood pressure to between 50 and 65 mm Hg in normotensive patients) using a range of pharmacological agents during general anaesthesia reduces blood loss in many operations. This review was originally published in 2013 and updated in February 2016...
October 12, 2016: Cochrane Database of Systematic Reviews
Jonathan A Isbell, Valeria Makeeva, Kara Caruthers, William S Brooks
PURPOSE: Changes in medical education have prevented students from conducting full cadaveric dissections in gross anatomy. The efficacy of alternative educational methods is being explored to augment traditional dissection. METHODS: Team-based learning was integrated into the 2014 gross anatomy laboratory for physician assistants (PA) and nurse anesthetists. Deidentified data from the 2013 and 2014 courses were used to assess with t-tests the effect of this addition on student academic performance...
September 2016: Journal of Physician Assistant Education
Jonathan D Kibble, Christine Bellew, Abdo Asmar, Lisa Barkley
The goal of this review is to highlight the key elements needed to successfully deploy team-based learning (TBL) in any class, but especially in large enrolment classes, where smooth logistics are essential. The text is based on a lecture and workshop given at the American Physiological Society's Institute on Teaching and Learning in Madison, WI, in June 2016. After a short overview of the TBL method, its underpinning in learning theory, and a summary of current evidence for its effectiveness, we present two case studies from our own teaching practices in a new medical school...
December 2016: Advances in Physiology Education
Jing Liu, Masa-Aki Morikawa, Hairui Lei, Keita Ishiba, Nobuo Kimizuka
A new family of supramolecular metalloamphiphiles carrying two metal centers is developed. They are formed by bridging two coordinatively unsaturated lipophilic Tb(3+) complexes (TbL(+)) with chiral dicarboxylate anions. The formation of bridging coordination bonds is confirmed using UV spectroscopy, induced circular dichroism (ICD), increased luminescence intensity of TbL(+), and electrospray ionization mass spectrometry (ESIMS) analysis. These supramolecular metalloamphiphiles hierarchically self-assemble in ethanol to give luminescent nanospheres, as observed using transmission electron microscopy (TEM) and scanning electron microscopy (SEM)...
October 10, 2016: Langmuir: the ACS Journal of Surfaces and Colloids
Ana L Hincapie, Timothy W Cutler, Amanda R Fingado
Objective. To incorporate a pharmacy informatics program in the didactic curriculum of a team-based learning institution and to assess students' knowledge of and confidence with health informatics during the course. Design. A previously developed online pharmacy informatics course was adapted and implemented into a team-based learning (TBL) 3-credit-hour drug information course for doctor of pharmacy (PharmD) students in their second didactic year. During a period of five weeks (15 contact hours), students used the online pharmacy informatics modules as part of their readiness assurance process...
August 25, 2016: American Journal of Pharmaceutical Education
Hairui Lei, Jing Liu, Junlin Yan, Jingmiao Quan, Yu Fang
Compared to pure organic amphiphiles, metalloamphiphiles display distinctive features, including luminescence, magnetism and catalytic properties. However, the self-organization of metalloamphiphiles is commonly driven by solvophobic effects. Alkyl chains and oligomeric ethylene glycol moieties are thus the most frequently used aggregation units to drive the self-assembly of metalloamphiphiles. We expect novel metallo-supramolecular structures with exciting functions to be created if additional noncovalent interaction modes are incorporated...
October 11, 2016: Langmuir: the ACS Journal of Surfaces and Colloids
Marie H Foss, Sovitj Pou, Patrick M Davidson, Jennifer L Dunaj, Rolf W Winter, Sovijja Pou, Meredith H Licon, Julia K Doh, Yuexin Li, Jane X Kelly, Rozalia A Dodean, Dennis R Koop, Michael K Riscoe, Georgiana E Purdy
New treatments for tuberculosis infection are critical to combat the emergence of multidrug- and extensively drug-resistant Mycobacterium tuberculosis (Mtb). We report the characterization of a diphenylether-modified adamantyl 1,2-diamine that we refer to as TBL-140, which has a minimal inhibitory concentration (MIC99) of 1.2 μg/mL. TBL-140 is effective against drug-resistant Mtb and nonreplicating bacteria. In addition, TBL-140 eliminates expansion of Mtb in cell culture infection assays at its MIC. To define the mechanism of action of this compound, we performed a spontaneous mutant screen and biochemical assays...
July 8, 2016: ACS Infectious Diseases
Laurent Maxit
This paper investigates the modeling of a vibrating structure excited by a turbulent boundary layer (TBL). Although the wall pressure field (WPF) of the TBL constitutes a random excitation, the element-based methods generally used for describing complex mechanical structures consider deterministic loads. The response of such structures to a random excitation like TBL is generally deduced from calculations of numerous Frequency Response Functions. Consequently, the process is computationally expansive. To tackle this issue, an efficient process is proposed for generating realizations of the WPF corresponding to the TBL...
August 2016: Journal of the Acoustical Society of America
Bo Zhu, Xiaomei Wu, Kang Ning, Feng Jiang, Lu Zhang
OBJECTIVES: Findings on the relationship between total bilirubin level (TBL) and diabetic retinopathy (DR) are inconsistent. Thus, we carried out a meta-analysis to investigate the relationship between TBL and the risk of DR. METHODS: Relevant studies were selected from six databases up to 31 May 2016 using a search strategy. The relevant data were extracted from the included studies according to the inclusion and exclusion criteria, and the mean value with standard errors or odds ratio (OR) with 95% confidence intervals (CIs) were calculated...
2016: PloS One
Leanne Marie Nation, Simon Tweddell, Paul Rutter
PURPOSE: It aimed at testing the validity and reliability of a validated team-based learning student assessment instrument (TBL-SAI) to assess United Kingdom pharmacy students' attitude toward TBL. METHODS: TBL-SAI, consisting of 33 items, was administered to undergraduate pharmacy students from two schools of pharmacy each at University of Wolverhampton and University of Bradford were conducted on the data, along with comparison between the two schools. RESULTS: Students' response rate was 80...
2016: Journal of Educational Evaluation for Health Professions
Noor Akmal Shareela Ismail
This study explores the experience of both learners and a teacher during a team-based learning (TBL) session. TBL involves active learning that allows medical students to utilise their visual, auditory, writing and kinetic learning styles in order to strengthen their knowledge and retain it for longer, which is important with regard to applying basic sciences in clinical settings. This pilot study explored the effectiveness of TBL in learning medical genetics, and its potential to replace conventional lectures...
March 2016: Malaysian Journal of Medical Sciences: MJMS
Jo River, Jane Currie, Tonia Crawford, Vasiliki Betihavas, Sue Randall
BACKGROUND: Technological advancements are rapidly changing nursing education in higher education settings. Nursing academics are enthusiastically blending technology with active learning approaches such as Team Based Learning (TBL). While the educational outcomes of TBL are well documented, the value of blending technology with TBL (blended-TBL) remains unclear. This paper presents a systematic review examining the effectiveness of blended-TBL in higher education health disciplines. OBJECTIVES: This paper aimed to identify how technology has been incorporated into TBL in higher education health disciplines...
October 2016: Nurse Education Today
Alexis Ioannidis, Elena Cathomen, Ronald E Jung, Vincent Fehmer, Jürg Hüsler, Daniel S Thoma
OBJECTIVES: To evaluate the discoloration of the mucosa caused by different ceramic and metal-based materials. MATERIAL AND METHODS: On six pig maxillae, trap-door flaps were prepared bilaterally. Different ceramic and metal-based specimens were placed underneath the flap. To simulate increasing mucosal thicknesses (MC), connective tissue grafts (CTGs) were harvested. Spectrophotometric measurements were performed prior to flap elevation (TBL ) and for each material under the flap alone (1 mm MC) (TMC1 ), with a 1-mm CTG (2-mm MC) (TMC2 ) and with a 2-mm CTG (3-mm MC) (TMC3 )...
July 25, 2016: Clinical Oral Implants Research
William Sherrier, Teresa Brennan, Ali Rabatsky
OBJECTIVE: The purpose of this study was to measure chiropractic student attitudes toward team-based learning (TBL) to determine if they are similar to those of medical students and to help clarify existing evidence regarding student perceptions of TBL. METHOD: Two consecutive cohorts of chiropractic students enrolled in a course that used weekly TBL activities completed an adaptation of the value of teams survey at the end of the term. Chi square analysis was used to assess for differences in scores between the beginning and end of the term...
October 2016: Journal of Chiropractic Education
Firtantyo Adi Syahputra, Ponco Birowo, Nur Rasyid, Faisal Abdi Matondang, Endrika Noviandrini, Maruto Harjanggi Huseini
Objectives Bleeding is the most common complication of percutaneous nephrolithotomy (PCNL). Injudicious transfusion is frequently performed in current practice, even though it is not always needed. This study aimed to identify the predictive factors of blood loss in the PCNL procedure and evaluate the perioperative transfusion practice. Methods A prospective study of PCNL was randomly performed by two consultants of endo-urology at our institution. The inclusion criteria were adults with kidney pelvic stones >20 mm or stone in inferior calyx >10 mm or staghorn stone...
2016: F1000Research
Lana Dvorkin Camiel, Amee Mistry, David Schnee, Gary Tataronis, Catherine Taglieri, Kathy Zaiken, Dhiren Patel, Stefanie Nigro, Susan Jacobson, Jennifer Goldman
Objective. To evaluate students' performance/attitudes toward a flipped team-based learning (TBL) format in a "very large" self-care course based on student content delivery preference. Design. Third-year students enrolled in the course were surveyed regarding elements of redesign and homework completion. Additionally, their performance and incoming grade point average were evaluated. Assessment. A survey was completed by 286 of 305 students. Nineteen percent of respondents preferred traditional content delivery, whereas 30% preferred flipped TBL, 48% preferred a mixed format, and 3% had no preference...
May 25, 2016: American Journal of Pharmaceutical Education
Jerry Yongqiang Chen, Wu Chean Lee, Hiok Yang Chan, Paul Chee Cheng Chang, Ngai Nung Lo, Seng Jin Yeo
PURPOSE: In recent years, the exclusion of a drain in total knee arthroplasty (TKA) is gaining popularity. This retrospective study aims to investigate a tertiary hospital's experience with the use of a drain in TKA. The authors hypothesise that the use of a drain will: (1) increase the peri-operative total blood loss (TBL) and transfusion rate; (2) increase the length of hospital stay (LOS); (3) reduce the 30-day readmission rate and incidence of additional surgical procedure performed...
June 13, 2016: International Orthopaedics
P T Tengberg, N B Foss, H Palm, T Kallemose, A Troelsen
AIMS: We chose unstable extra-capsular hip fractures as our study group because these types of fractures suffer the largest blood loss. We hypothesised that tranexamic acid (TXA) would reduce total blood loss (TBL) in extra-capsular fractures of the hip. PATIENTS AND METHODS: A single-centre placebo-controlled double-blinded randomised clinical trial was performed to test the hypothesis on patients undergoing surgery for extra-capsular hip fractures. For reasons outside the control of the investigators, the trial was stopped before reaching the 120 included patients as planned in the protocol...
June 2016: Bone & Joint Journal
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