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https://www.readbyqxmd.com/read/28526634/microsurgery-simulation-training-system-and-set-up-an-essential-system-to-complement-every-training-programme
#1
Dhalia Masud, Nadine Haram, Margarita Moustaki, Whitney Chow, Samer Saour, Pari Naz Mohanna
INTRODUCTION: Microsurgical techniques are essential in plastic surgery; however, inconsistent training practices, acquiring these skills can be difficult. To address this, we designed a standardised laboratory-based microsurgical training programme, which allows trainees to develop their dexterity, visuospatial ability, operative flow and judgement as separate components. METHOD: Thirty trainees completed an initial microsurgical anastomosis on a chicken femoral artery, assessed using the structured assessment of microsurgical skills (SAMS) method...
April 7, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28522078/a-randomized-controlled-trial-of-positional-therapy-versus-oral-appliance-therapy-for-position-dependent-sleep-apnea
#2
Linda Benoist, Maurits de Ruiter, Jan de Lange, Nico de Vries
OBJECTIVE: To compare the effectiveness of positional therapy (PT) with the sleep position trainer (SPT) to oral appliance therapy (OAT) in patients with mild-to-moderate positional obstructive sleep apnea (POSA). METHODS: Multicenter, prospective, randomized, controlled trial. Patients with mild-to-moderate POSA (apnea-hypopnea index (AHI) ≥5 ≤ 30/hour sleep) were randomized for PT or OAT. Polysomnography was repeated after 3 months. Efficacy, adherence, mean disease alleviation (MDA), quality of life, dropouts and adverse events were evaluated...
June 2017: Sleep Medicine
https://www.readbyqxmd.com/read/28517949/cognitive-behavioral-treatments-for-criminogenic-thinking-barriers-and-facilitators-to-implementation-within-the-veterans-health-administration
#3
Daniel M Blonigen, Allison L Rodriguez, Luisa Manfredi, Andrea Nevedal, Joel Rosenthal, James F McGuire, David Smelson, Christine Timko
Cognitive-behavioral treatments for criminogenic thinking (i.e., antisocial cognitions, attitudes, and traits) are regarded as best practices for reducing criminal recidivism among justice-involved adults. However, the barriers and facilitators to implementation of these treatments within large health care systems such as the Veterans Health Administration (VHA) are largely unknown. To address this gap, we conducted qualitative interviews with 22 Specialists from the VHA's Veterans Justice Programs who had been trained in a cognitive-behavioral treatment for criminogenic thinking (i...
May 18, 2017: Psychological Services
https://www.readbyqxmd.com/read/28515975/prospective-functional-performance-testing-and-relationship-to-lower-extremity-injury-incidence-in-adolescent-sports-participants
#4
Joseph Smith, Nick DePhillipo, Iris Kimura, Morgan Kocher, Ronald Hetzler
BACKGROUND: Due to the high number of adolescent athletes and subsequent lower extremity injuries, improvements of injury prevention strategies with emphasis on clinic-based and practical assessments are warranted. PURPOSE: The purpose of this study was to prospectively investigate if a battery of functional performance tests (FPT) could be used as a preseason-screening tool to identify adolescent athletes at risk for sports-related acute lower extremity injury via comparison of injured and uninjured subjects...
April 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/28509517/impact-of-providing-free-preventive-dental-products-without-health-workers-counselling-on-infants-tooth-brushing-and-bottle-feeding-termination-practices-a-randomised-controlled-trial
#5
E Joury, M Alghadban, K Elias, R Bedi
OBJECTIVE: To investigate the impact of an integrated oral health promotion intervention, within the Syrian national immunisation programme, which provided free preventive dental health products, without health workers' counselling, on one-year-old infants' tooth-brushing and bottle-feeding termination practices. RESEARCH DESIGN: a randomised controlled parallel-group trial. SETTING: A maternal and child health centre in Sweida city, Syria...
September 2016: Community Dental Health
https://www.readbyqxmd.com/read/28508529/mastery-learning-does-the-method-of-learning-make-a-difference-in-skills-acquisition-for-robotic-surgery
#6
Karen L Siroen, Christopher D W Ward, Abelardo Escoto, Michael D Naish, Yves Bureau, Rajni V Patel, Christopher M Schlachta, Sayra M Cristancho, Ana Luisa Trejos
BACKGROUND: Few studies compare the effectiveness of blocked vs random practice conditions in minimally invasive surgery training, and none have evaluated these in robotic surgery training. METHODS: The dV-Trainer(®) and the da Vinci(®) Surgical System (dVSS) were used to compare practice conditions. Forty-two participants were randomized into blocked and random practice groups. Each participant performed five tasks: Ring Walk, Thread the Rings, Needle Targeting, Suture Sponge and Tubes Level 2...
May 16, 2017: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
https://www.readbyqxmd.com/read/28505523/trainers-perception-of-the-learning-environment-and-student-competency-a-qualitative-investigation-of-midwifery-and-anesthesia-training-programs-in-ethiopia
#7
Sharon Kibwana, Rachel Haws, Adrienne Kols, Firew Ayalew, Young-Mi Kim, Jos van Roosmalen, Jelle Stekelenburg
BACKGROUND: Ethiopia has successfully expanded training for midwives and anesthetists in public institutions. This study explored the perceptions of trainers (instructors, clinical lab assistants and preceptors) towards the adequacy of students' learning experience and implications for achieving mastery of core competencies. METHODS: In-depth interviews with 96 trainers at 9 public universities and 17 regional health science colleges across Ethiopia were conducted to elicit their opinions about available resources, program curriculum suitability, and competence of graduating students...
May 1, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28504943/towards-multimodal-human-robot-interaction-to-enhance-active-participation-of-users-in-gait-rehabilitation
#8
Kai Gui, Honghai Liu, Dingguo Zhang
Robotic exoskeletons for physical rehabilitation have been utilized for retraining patients suffering from paraplegia and enhancing motor recovery in recent years. However, users are not voluntarily involved in most systems. This work aims to develop a locomotion trainer with multiple gait patterns, which can be controlled by the active motion intention of users. A multimodal human-robot interaction (HRI) system is established to enhance subject's active participation during gait rehabilitation, which includes cognitive human-robot interaction (cHRI) and physical human-robot interaction (pHRI)...
May 11, 2017: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://www.readbyqxmd.com/read/28503450/balance-assessment-in-subacute-stroke-patients-using-the-balance-control-trainer-balpro
#9
Jin Won Song, Jong Min Kim, Youn Soo Cheong, Yang-Soo Lee, Seong Min Chun, Yu-Sun Min, Tae-Du Jung
OBJECTIVE: To demonstrate the efficacy of the balance control trainer (BCT), developed for training patients with balance problems, as a balance assessment tool in subacute stroke patients. METHODS: A prospective cross-sectional study was carried out on 38 subacute stroke patients in their first episode of a stroke, and having the ability to maintain a standing position without aid for at least 5 minutes. Patients were assessed using the BCT (BalPro) 43.7±35.7 days after stroke...
April 2017: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28502388/the-grapefruit-an-alternative-arthroscopic-tool-skill-platform
#10
David A Molho, Stephen M Sylvia, Daniel L Schwartz, Sara L Merwin, I Martin Levy
PURPOSE: To establish the construct validity of an arthroscopic training model that teaches arthroscopic tool skills including triangulation, grasping, precision biting, implant delivery and ambidexterity and uses a whole grapefruit for its training platform. METHODS: For the grapefruit training model (GTM), an arthroscope and arthroscopic instruments were introduced through portals cut in the grapefruit skin of a whole prepared grapefruit. After institutional review board approval, participants performed a set of tasks inside the grapefruit...
May 11, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28501449/initial-steps-in-training-the-public-about-bleeding-control-surgeon-participation-and-evaluation
#11
Lenworth M Jacobs, Karyl J Burns, Peter T Pons, Mark L Gestring
BACKGROUND: With increasing active shooter and intentional mass casualty events, as well as everyday injuries resulting in severe bleeding, there have been calls for the public to learn bleeding control techniques. The aims of this project were to offer bleeding control training to surgeons attending the Clinical Congress of the American College of Surgeons (ACS), to determine if the trained surgeons believe that teaching bleeding control to the public should be a priority of the ACS, and to assess the surgeon trainees' perceptions regarding the appropriateness of the course for a public audience...
March 16, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28500246/closing-the-theory-to-practice-gap-for-newly-qualified-doctors-evaluation-of-a-peer-delivered-practical-skills-training-course-for-newly-qualified-doctors-in-preparation-for-clinical-practice
#12
A Beane, A Padeniya, A P De Silva, T Stephens, S De Alwis, P G Mahipala, P C Sigera, S Munasinghe, P Weeratunga, D Ranasinghe, E M Deshani, T Weerasinghe, K Thilakasiri, Kas Jayasinghe, A M Dondorp, R Haniffa
PURPOSE: The Good Intern Programme (GIP) in Sri Lanka has been implemented to bridge the 'theory to practice gap' of doctors preparing for their internship. This paper evaluates the impact of a 2-day peer-delivered Acute Care Skills Training (ACST) course as part of the GIP. STUDY DESIGN: The ACST course was developed by an interprofessional faculty, including newly graduated doctors awaiting internship (pre-intern), focusing on the recognition and management of common medical and surgical emergencies...
May 12, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28498195/building-health-system-capacity-through-implementation-research-experience-of-inspire-a-multi-country-pmtct-implementation-research-project
#13
Morkor Newman Owiredu, Nita B Bellare, Christine C Chakanyuka Musanhu, Taiwo A Oyelade, Ellen M Thom, Francoise Bigirimana, Chukwuma Anyaike, Michael T Eliya, Angela Mushavi, Eugene A Nyarko, David O Okello, Felicitas R Zawaira
BACKGROUND: The INSPIRE-Integrating and Scaling Up PMTCT through Implementation REsearch-initiative was established as a model partnership of national prevention of mother-to-child transmission of HIV (PMTCT) implementation research in 3 high HIV burden countries-Malawi, Nigeria, and Zimbabwe. INSPIRE aimed to link local research groups with Ministries of Health (MOH), build local research capacity, and demonstrate that implementation research may contribute to improving health care delivery and respond to program challenges...
June 1, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28497162/cadaver-embalming-fluid-for-surgical-training-courses-modified-larssen-solution
#14
Okan Bilge, Servet Celik
PURPOSE: 10% Formalin (F10)-fixed cadavers have disadvantages such as disturbing smell, mucosal irritation, discoloration and rigidity. We aimed to determine a suitable, simple and cost-effective embalming method that preserves color, texture, pliability and flexibility of the tissues for a long time without a disturbing smell and mucosal irritation. The embalmed cadavers were expected to be durable against environmental effects, utilizable for multiple and repetitive surgical trainings and instrumentations...
May 11, 2017: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/28493061/chronotype-physical-activity-and-sport-performance-a-systematic-review
#15
REVIEW
Jacopo Antonino Vitale, Andi Weydahl
BACKGROUND: Many variables related to sport have been shown to have circadian rhythms. Chronotype is the expression of circadian rhythmicity in an individual, and three categories of chronotype are defined: morning types (M-types), evening types (E-types), and neither types (N-types). M-types show earlier peaks of several psychophysiological variables during the day than E-types. The effect of chronotype on athletic performance has not been extensively investigated. OBJECTIVE: The objective of the present review was to study the effect of chronotype on athletic performance and the psychophysiological responses to physical activity...
May 11, 2017: Sports Medicine
https://www.readbyqxmd.com/read/28492207/research-experience-of-resident-doctors-who-attended-research-methodology-courses-of-the-national-postgraduate-medical-college-of-nigeria
#16
Emmanuel A Jeje, Olumide A Elebute, Bolaji O Mofikoya, Michael A Ogunjimi, Taiwo O Alabi, Oyenike O Ekekezie
INTRODUCTION: For over three decades, the National Postgraduate Medical College of Nigeria (NPMCN) has been vested with the responsibility of overseeing postgraduate medical training. The main objective of this study was to assess the residents' perception of research as well as challenges faced in pursing seamless research during their training. MATERIALS AND METHODS: This study was a cross-sectional descriptive survey in 2013. Self-administered questionnaires were distributed to the participants of the annual research methodology workshop in all the 15 faculties of the NPMCN...
January 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28491126/developing-obstetric-medicine-training-in-latin-america
#17
José Rojas-Suarez, Niza Suarez, Oier Ateka-Barrutia
Maternal mortality is an important indicator of health in populations around the world. The distribution of maternal mortality ratio globally shows that middle- and low-income countries have ∼99% of the mortality burden. Most countries of Latin America are considered to be middle- or low-income countries, as well as areas of major inequities among the different social classes. Medical problems in pregnancy remain an important cause of morbidity and mortality in this region. Previous data indicate the need for a call to action for adequate diagnosis and care of medical diseases in obstetric care...
March 2017: Obstetric Medicine
https://www.readbyqxmd.com/read/28490228/concussion-mechanisms-and-activities-in-youth-high-school-and-college-football
#18
Robert C Lynall, Kody R Campbell, Erin B Wasserman, Thomas P Dompier, Zack Kerr
Our purpose was to determine concussion mechanism and activity differences between 3 cohorts of football players; youth, high school, and college. Participants in this prospective cohort study included youth (ages 5-14, 118 teams, 310 team-seasons), high school (96 teams, 184 team-seasons), and college (34 teams, 71 team-seasons) football players. Athletic trainers collected athlete-exposure (AE) and concussion data during the 2012-2014 seasons. Injury mechanism referred to the object that made contact with the concussed player, resulting in the concussion...
May 10, 2017: Journal of Neurotrauma
https://www.readbyqxmd.com/read/28489173/new-technique-for-obesity-surgery-internal-gastric-plication-technique-using-intragastric-single-port-igs-igp-in-experimental-model
#19
Verena Müller, Panagiotis Fikatas, Safak Gül, Maximilian Noesser, Kirs Ten Fuehrer, Igor Sauer, Johann Pratschke, Ricardo Zorron
Background: Bariatric surgery is currently the most effective method to ameliorate co-morbidities as consequence of morbidly obese patients with BMI over 35 kg/m2. Endoscopic techniques have been developed to treat patients with mild obesity and ameliorate comorbidities, but endoscopic skills are needed, beside the costs of the devices. Aim: To report a new technique for internal gastric plication using an intragastric single port device in an experimental swine model...
January 2017: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/28486847/the-effects-of-common-footwear-on-stance-phase-mechanical-properties-of-the-prosthetic-foot-shoe-system
#20
Matthew J Major, Joel Scham, Michael Orendurff
BACKGROUND: Prosthetic feet are prescribed based on their mechanical function and user functional level. Subtle changes to the stiffness and hysteresis of heel, midfoot, and forefoot regions can influence the dynamics and economy of gait in prosthesis users. However, the user's choice of shoes may alter the prosthetic foot-shoe system mechanical characteristics, compromising carefully prescribed and rigorously engineered performance of feet. OBJECTIVES: Observe the effects of footwear on the mechanical properties of the prosthetic foot-shoe system including commonly prescribed prosthetic feet...
May 1, 2017: Prosthetics and Orthotics International
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