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https://www.readbyqxmd.com/read/27904788/examination-of-the-patellofemoral-joint
#1
Robert C Manske, George J Davies
Patellofemoral pain is one of the leading causes of knee pain in athletes. The many causes of patellofemoral pain make diagnosis unpredictable and examination and treatment difficult. This clinical commentary discusses a detailed physical examination routine for the patient with patellofemoral pain. Critically listening and obtaining a detailed medical history followed by a clearly structured physical examination will allow the physical therapist to diagnose most forms of patellofemoral pain. This clinical commentary goes one step further by suggesting an examination scheme and order in which it should be performed during the examination process...
December 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27884677/mastery-based-virtual-reality-robotic-simulation-curriculum-the-first-step-toward-operative-robotic-proficiency
#2
Melissa E Hogg, Vernissia Tam, Mazen Zenati, Stephanie Novak, Jennifer Miller, Amer H Zureikat, Herbert J Zeh
OBJECTIVE: Hepatobiliary surgery is a highly complex, low-volume specialty with long learning curves necessary to achieve optimal outcomes. This creates significant challenges in both training and measuring surgical proficiency. We hypothesize that a virtual reality curriculum with mastery-based simulation is a valid tool to train fellows toward operative proficiency. This study evaluates the content and predictive validity of robotic simulation curriculum as a first step toward developing a comprehensive, proficiency-based pathway...
November 21, 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27882583/how-clinical-medical-students-perceive-others-to-influence-their-self-regulated-learning
#3
Joris J Berkhout, Esther Helmich, Pim W Teunissen, Cees P M van der Vleuten, A Debbie C Jaarsma
OBJECTIVES: Undergraduate medical students are prone to struggle with learning in clinical environments. One of the reasons may be that they are expected to self-regulate their learning, which often turns out to be difficult. Students' self-regulated learning is an interactive process between person and context, making a supportive context imperative. From a socio-cultural perspective, learning takes place in social practice, and therefore teachers and other hospital staff present are vital for students' self-regulated learning in a given context...
November 23, 2016: Medical Education
https://www.readbyqxmd.com/read/27870553/comparison-of-two-intraosseous-devices-the-nio-versus-the-ez-io-by-novice-users-a-randomized-cross-over-trial
#4
Avi Shina, Erez Nissim Baruch, Amir Shlaifer, Ami Shovali, Moran Levi, Or Yosefy, David Segal, Tarif Bader, Itai Shavit, Avraham Yitzhak
BACKGROUND: During resuscitation in the field, intraosseous (IO) access may be achieved using a variety of available devices, often attempted by inexperienced users. AIM: We sought to examine the success rate and ease-of-use ratings of an IO device, the NIO® (New Intraosseous Persys Medical, Houston, TX, USA) in comparison to the Arrow® EZ-IO® (Teleflex Medical Research Triangle Park, NC, USA) by novice users. METHODS: We performed a randomized crossover trial...
November 21, 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27869504/initial-content-validation-results-of-a-new-simulation-model-for-flexible-ureteroscopy-the-key-box-k-box%C3%A2
#5
Luca Villa, Tarik Emre Sener, Bhaskar K Somani, Jonathan Cloutier, Salvatore Butticè, Francesco Marson, Steeve Doizi, Silvia Proietti, Olivier Traxer
: Purpose We sought to test the content validity of a new training model for flexible ureteroscopy: the Key-Box. Material & Methods Sixteen medical students were randomized to either a training group (n=8) that underwent 10 days of training on 10 different exercises to learn (1) specific movements for the flexible ureteroscope and (2) how to catch and release stones with a nitinol basket using the Key-Box, or a non-training control group (n=8). Subsequently, an expert endourologist (OT) blindly assessed the skills of all students (trained and non-trained) by observing their performance on two ureteroscope manipulation exercises and one stone capture exercise...
November 21, 2016: Journal of Endourology
https://www.readbyqxmd.com/read/27833004/the-effectiveness-of-google-glass-as-a-vital-signs-monitor-in-surgery-a-simulation-study
#6
Mohammed Husnain Iqbal, Abdullatif Aydin, Alexandra Lowdon, Hamza Ibn Ahmed, Gordon H Muir, M Shamim Khan, Prokar Dasgupta, Kamran Ahmed
INTRODUCTION: To assess the effectiveness of the Google GLASS as a vital signs monitor in a surgical setting and identify potential uses. METHODS: This prospective, observational and comparative study recruited novice (n = 24), intermediate (n = 8) and expert urologists (n = 5). All candidates performed a procedure on the GreenLight Simulator within a simulated setting using a standard vital signs monitor and then the Google GLASS. The time taken to respond to abnormal vital signs during both sessions was recorded...
November 7, 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27832043/construct-validity-for-a-cost-effective-arthroscopic-surgery-simulator-for-resident-education
#7
Gregory Lopez, David F Martin, Rick Wright, James Jung, Peter Hahn, Nickul Jain, Daniel N Bracey, Ranjan Gupta
INTRODUCTION: Arthroscopy is one of the most challenging surgical skills to assess and teach. Although basic psychomotor arthroscopic skills, such as triangulation and object manipulation, are incorporated into many simulation exercises, they are not always individually taught or objectively evaluated. In addition, arthroscopic instruments, arthroscopy cameras, and the cadaver or joint models necessary for practice are costly. METHODS: A low-cost arthroscopic simulator was created to practice triangulation, probing, horizon changes, suture management, and object manipulation...
December 2016: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/27790053/applying-a-reflexive-framework-to-evaluate-a-communication-skills-curriculum
#8
Lawrence Cheung
After creating and delivering an educational curriculum, medical educators must ultimately evaluate the effectiveness of the implemented curriculum. Seasoned educators can benefit from using an established framework to help them structure a thorough, complete curricular evaluation; however, novice educators may have difficulty in transforming the concept of evaluation into a concrete process. The RUFDATA (Reasons and purpose, Uses, Focus, Data and evidence, Audience, Timing, and Agency) framework is one such paradigm...
2016: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/27779511/the-impact-of-emotion-on-learners-application-of-basic-science-principles-to-novel-problems
#9
Meghan M McConnell, Sandra Monteiro, Molly M Pottruff, Alan Neville, Geoff R Norman, Kevin W Eva, Kulamakan Kulasegaram
PURPOSE: Training to become a physician is an emotionally laden experience. Research in cognitive psychology indicates that emotions can influence learning and performance, but the materials used in such research (e.g., word lists) rarely reflect the complexity of material presented in medical school. The present study examined whether emotions influence learning of basic science principles. METHOD: Fifty-five undergraduate psychology students were randomly assigned to write about positive, negative, or neutral life events for nine minutes...
November 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27774080/temporal-characteristics-of-radiologists-and-novices-lesion-detection-in-viewing-medical-images-presented-rapidly-and-sequentially
#10
Ryoichi Nakashima, Yuya Komori, Eriko Maeda, Takeharu Yoshikawa, Kazuhiko Yokosawa
Although viewing multiple stacks of medical images presented on a display is a relatively new but useful medical task, little is known about this task. Particularly, it is unclear how radiologists search for lesions in this type of image reading. When viewing cluttered and dynamic displays, continuous motion itself does not capture attention. Thus, it is effective for the target detection that observers' attention is captured by the onset signal of a suddenly appearing target among the continuously moving distractors (i...
2016: Frontiers in Psychology
https://www.readbyqxmd.com/read/27770300/cultivating-medical-intentionality-the-phenomenology-of-diagnostic-virtuosity-in-east-asian-medicine
#11
Taewoo Kim
This study examines the perceptual basis of diagnostic virtuosity in East Asian medicine, combining Merleau-Ponty's phenomenology and an ethnographic investigation of Korean medicine in South Korea. A novice, being exposed to numerous clinical transactions during apprenticeship, organizes perceptual experience that occurs between him or herself and patients. In the process, the fledgling practitioner's body begins to set up a medically-tinged "intentionality" interconnecting his or her consciousness and medically significant qualities in patients...
October 21, 2016: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/27741069/implementation-of-a-2-day-simulation-based-course-to-prepare-medical-graduates-on-their-first-year-of-residency
#12
Isabelle Bragard, Marie-Christine Seghaye, Nesrine Farhat, Marie Solowianiuk, Mariane Saliba, Anne-Marie Etienne, Katharina Schumacher
OBJECTIVES: Residents beginning their specialization in pediatrics and emergency medicine (EM) are rapidly involved in oncall duties. Early acquisition of crisis resource management by novice residents is essential for patient safety, but traditional training may be insufficient. Our aim was to investigate the impact of a 2-day simulation-based course on residents to manage pediatric and neonatal patients. METHODS: First year residents participated in the course...
October 6, 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27740669/effectiveness-of-vaginal-delivery-simulation-in-novice-trainees
#13
Kristina M Shumard, Jeffrey M Denney, Kristen Quinn, Arnold S Grandis, Paul W Whitecar, John Bailey, Rubymel J Jijon-Knupp, Chenchen Huang, Kendra Kesty, Brian C Brost, Joshua F Nitsche
OBJECTIVE: Simulation training has been demonstrated to increase medical student confidence with vaginal deliveries; however, effect on skill performance is still lacking. To determine if integration of simulation training into the OB/GYN clerkship improves performance of vaginal deliveries, we assessed the effectiveness of simulation in third-year medical students. METHODS: During the OB/GYN clerkship, third-year students were assigned to receive vaginal delivery simulation (n=54) or cervical exam simulation (n=56), with each group serving as a simulation naïve control for the other skill...
October 2016: Family Medicine
https://www.readbyqxmd.com/read/27729697/art-and-science-of-authorship-for-biomedical-research-publication
#14
S S Harsoor
Completion of research is logically followed by process of submission of the outcomes for publication. The objective of this article is to sensitise the young potential authors to improve their skill of writing so that the acceptance rate of publication is improved without significant comments and efforts of the editors of the journal. The article is based on the available literature combined with the experience of the author himself as reviewer and editor of biomedical journals. The treatment patterns of clinicians are moving towards evidence-based medical practice...
September 2016: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/27703983/comparing-mcgrath%C3%A2-mac-c-mac%C3%A2-and-macintosh-laryngoscopes-operated-by-medical-students-a-randomized-crossover-manikin-study
#15
Myungju Shin, Sun Joon Bai, Ki-Young Lee, Ein Oh, Hyun Joo Kim
We hypothesized that the McGRATH MAC would decrease the time of intubation compared to C-MAC for novices. Thirty-nine medical students who had used the Macintosh blade to intubate a manikin fewer than 3 times were recruited. The participants performed sequential intubations on the manikin in two simulated settings that included a normal airway and a difficult airway (tongue edema). The intubation time, success rate of intubation, Cormack-Lehane grade at laryngoscopy, and difficulty using the device were recorded...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27676414/lma-supreme-and-ambu-auragain-in-anesthetized-adult-patients-a-prospective-observational-study
#16
Marc Kriege, Tim Piepho, Susanne Zanker, Christian Alflen, Florian Heid, Rüdiger R Noppens
BACKGROUND: Second-generation laryngeal masks with gastric access are increasingly used in daily practice and expand the indications for laryngeal masks in the OR. Only limited data exist comparing different types of laryngeal masks. We investigated the second-generation laryngeal masks LMA Supreme and Ambu AuraGain in a clinical setting. We hypothesized that the two devices would be comparable in terms of success rate and airway complications. METHODS: After approval from the local ethics committee, data were collected in a prospective trial...
September 27, 2016: Minerva Anestesiologica
https://www.readbyqxmd.com/read/27663867/a-neural-marker-of-medical-visual-expertise-implications-for-training
#17
Liam Rourke, Leanna C Cruikshank, Larissa Shapke, Anthony Singhal
Researchers have identified a component of the EEG that discriminates visual experts from novices. The marker indexes a comprehensive model of visual processing, and if it is apparent in physicians, it could be used to investigate the development and training of their visual expertise. The purpose of this study was to determine whether a neural marker of visual expertise-the enhanced N170 event-related potential-is apparent in the EEGs of physicians as they interpret diagnostic images. We conducted a controlled trial with 10 cardiologists and 9 pulmonologists...
September 23, 2016: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/27634922/acute-inpatient-rehabilitation-interventions-and-outcomes-for-a-person-with-quadrilateral-amputation
#18
Sharon L Kimble
INTRODUCTION: Functional outcome reports for quadrilateral amputees are not common in the rehabilitation medicine literature. The literature that does exist describing functional outcomes is primarily based on persons with single lower limb or bilateral lower limb amputation. This case report chronicles the interventions and outcomes in a single person with four limb amputation during an inpatient rehabilitation admission. CASE DESCRIPTION: The patient is a 59 year old woman who became a person with quadrilateral amputation after developing disseminated intravascular coagulation (DIC)...
September 15, 2016: Physical Therapy
https://www.readbyqxmd.com/read/27624370/relationship-between-chest-compression-depth-and-novice-rescuer-body-weight-during-cardiopulmonary-resuscitation
#19
Je Hyeok Oh, Chan Woong Kim
OBJECTIVE: This study determined if rescuer body weight is a major determinant of chest compression depth (CCD) among novice rescuers by analyzing the results of cardiopulmonary resuscitation (CPR) skill tests among medical students and determined the body weight threshold for those unable to achieve adequate CCD. METHODS: Retrospective analysis of CPR test results was performed. A total of 107 medical students completed the tests, which included 5 cycles of CPR...
September 6, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27606263/phantom-study-of-a-new-laser-etched-needle-for-improving-visibility-during-ultrasonography-guided-lumbar-medial-branch-access-with-novices
#20
Jung Wook Park, Min Woo Cheon, Min Hong Lee
OBJECTIVE: To compare the visibility and procedural parameters between a standard spinal needle and a new laser-etched needle (LEN) in real-time ultrasonography guided lumbar medial branch access in a phantom of the lumbosacral spine. METHODS: We conducted a prospective single-blinded observational study at a rehabilitation medicine center. A new model of LEN was manufactured with a standard 22-gauge spinal needle and a laser etching machine. Thirty-two inexperienced polyclinic medical students performed ultrasonography-guided lumbar medial branch access using both a standard spinal needle and a LEN with scanning protocol...
August 2016: Annals of Rehabilitation Medicine
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