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https://www.readbyqxmd.com/read/29111136/factors-associated-with-response-to-biofeedback-therapy-for-dyssynergic-defecation
#1
Tanisa Patcharatrakul, Jessica Valestin, Amanda Schmeltz, Konrad Schulze, Satish S C Rao
BACKGROUND & AIMS: Biofeedback therapy (BT) is effective for dyssynergic defecation (DD), but it is not widely available or reimbursed, and is labor intensive. It is therefore important to select the appropriate patients for this treatment. We investigated symptoms and demographic, manometric, and other factors associated with outcomes of BT in patients with DD. METHODS: We performed a post-hoc analysis of 2 prospective studies of BT in 127 adult outpatients (18-75 years old, 120 female) with chronic constipation who failed to respond to treatment with dietary fiber or laxatives (>1 year) and were diagnosed with DD based on standard criteria...
October 27, 2017: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/29099411/learning-with-e-books-and-project-based-strategy-in-a-community-health-nursing-course
#2
Tien-Wen Sung, Ting-Ting Wu
With advances in information technology, "information-assisted instruction" has been gradually introduced to nursing education curricula. Specifically, the integration of an e-book system can effectively enhance nursing students' attention and interest. Most studies on nursing education that incorporated e-books have focused on the advantages of convenience and assistance provided by e-books. Few studies have addressed community health nursing and off-campus practice activities in relation to suitable teaching strategies for learning activities...
November 2, 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/29098597/smart-r-a-prospective-cohort-study-of-a-resilience-curriculum-for-residents-by-residents
#3
Deanna Chaukos, Emma Chad-Friedman, Darshan H Mehta, Laura Byerly, Alper Celik, Thomas H McCoy, John W Denninger
OBJECTIVE: This study aimed to determine the feasibility of a resident-led resiliency curriculum developed by residents, for residents. METHODS: The Stress Management and Resiliency Training Program for Residents (SMART-R) is a 6-h group-based curriculum that teaches meditation, behavioral skills, and positive perspective-taking strategies. SMART-R was implemented for all medicine and psychiatry interns at a large US teaching hospital during the first 6 months of internship...
November 2, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/29080245/developing-brighthearts-a-pediatric-biofeedback-mediated-relaxation-app-to-manage-procedural-pain-and-anxiety
#4
Angela M Morrow, Karen L O Burton, Melissa M Watanabe, Benjamin H Cloyd, George P Khut
OBJECTIVE: The objective of this study was to develop a child-friendly biofeedback mediated relaxation device called "BrightHearts". METHODS: Qualitative data were collected at a tertiary pediatric hospital to inform an iterative design process. Clinicians participated in expert group interviews to identify practical considerations which would facilitate the use of BrightHearts during procedures and provide feedback on prototype designs. Children aged 7-18 years participated in interactive exhibitions of the prototypes and were interviewed about their experience using BrightHearts...
October 27, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29071901/-an-introduction-to-a-newly-developed-acupuncture-needle-manipulation-training-evaluation-system-based-on-optical-motion-capture-technique
#5
Ao Zhang, Xing-Ke Yan, An-Guo Liu
In the present paper, the authors introduce a newly-developed "Acupuncture Needle Manipulation Training-evaluation System" based on optical motion capture technique. It is composed of two parts, sensor and software, and overcomes some shortages of mechanical motion capture technique. This device is able to analyze the data of operations of the pressing-hand and needle-insertion hand during acupuncture performance and its software contains personal computer (PC) version, Android version, and Internetwork Operating System (IOS) Apple version...
December 25, 2016: Zhen Ci Yan Jiu, Acupuncture Research
https://www.readbyqxmd.com/read/29067061/the-assessment-of-mortality-and-quality-of-life-after-intertrochanteric-fracture-of-femur-in-patients-older-than-60-at-emam-khomeini-hospital-of-ahvaz
#6
Seyed Abdolhossein Mehdi Nasab, Ebrahim Khorramdin
OBJECTIVE: To investigate the mortality and disability rates after surgical treatment of intertrochanteric fractures in patients older than 60 years old. METHOD: In this retrospective study, 385 patients aged 60 or older who were admitted because of intertrochanteric fracture to treatment and teaching center of Emam Khomeini hospital of Ahvaz, Iran between Mar. 2010 to Feb. 2015 and underwent surgery were included. All the patients were treated by open reduction and internal fixation by dynamic hip screw...
July 2017: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/29031522/video-based-surgical-learning-improving-trainee-education-and-preparation-for-surgery
#7
Paulo Mota, Nuno Carvalho, Emanuel Carvalho-Dias, Manuel João Costa, Jorge Correia-Pinto, Estevão Lima
BACKGROUND: Since the end of the XIX century, teaching of surgery has remained practically unaltered until now. With the dawn of video-assisted laparoscopy, surgery has faced new technical and learning challenges. Due to technological advances, from Internet access to portable electronic devices, the use of online resources is part of the educational armamentarium. In this respect, videos have already proven to be effective and useful, however the best way to benefit from these tools is still not clearly defined...
October 11, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29019802/design-and-evaluation-of-a-low-cost-speculum-examination-training-model
#8
James E Benson, Allix M Hillebrand, Tamika Auguste
INTRODUCTION: Learning how to perform a speculum examination is a key component of the medical student curriculum, yet there is a paucity of data on the validity of available speculum examination models. This purpose of this study is to design, evaluate, and improve a low-cost speculum examination model. METHODS: A speculum examination training model was created using low-cost or recycled materials from other simulators. A total of 54 medical students, residents, and faculty in the obstetrics and gynecology department of a single academic institution performed speculum examinations on the model...
October 10, 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/28986337/improving-neuromuscular-monitoring-and-reducing-residual-neuromuscular-blockade-with-e-learning-protocol-for-the-multicenter-interrupted-time-series-invert-study
#9
Jakob Louis Demant Thomsen, Ole Mathiesen, Daniel Hägi-Pedersen, Lene Theil Skovgaard, Doris Østergaard, Jens Engbaek, Mona Ring Gätke
BACKGROUND: Muscle relaxants facilitate endotracheal intubation under general anesthesia and improve surgical conditions. Residual neuromuscular blockade occurs when the patient is still partially paralyzed when awakened after surgery. The condition is associated with subjective discomfort and an increased risk of respiratory complications. Use of an objective neuromuscular monitoring device may prevent residual block. Despite this, many anesthetists refrain from using the device. Efforts to increase the use of objective monitoring are time consuming and require the presence of expert personnel...
October 6, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28978519/evaluation-of-chest-ultrasound-integrated-teaching-of-respiratory-system-physiology-to-medical-students
#10
Matteo Paganini, Michela Bondì, Alessandro Rubini
Ultrasound imaging is a widely used diagnostic technique, whose integration in medical education is constantly growing. The aim of this study was to evaluate chest ultrasound usefulness in teaching respiratory system physiology, students' perception of chest ultrasound integration into a traditional lecture in human physiology, and short-term concept retention. A lecture about respiratory physiology was integrated with ultrasound and delivered to third-year medical students. It included basic concepts of ultrasound imaging and the physiology of four anatomic sectors of the body of a male volunteer, shown with a portable ultrasound device (pleural sliding, diaphragmatic movement, inferior vena cava diameter variations, cardiac movements)...
December 1, 2017: Advances in Physiology Education
https://www.readbyqxmd.com/read/28969454/teaching-multi-step-requesting-to-children-with-autism-spectrum-disorder-using-systematic-instruction-and-a-speech-generating-device
#11
Derya Genc-Tosun, Onur Kurt
The purpose of this study was to examine the effectiveness of an iPad-based speech-generating device (SGD) and an intervention package in teaching multi-step requesting to children with autism spectrum disorder (ASD). The intervention package comprised discrete trial teaching, time delay, graduated guidance, and reinforcement. Social validity data were also collected from parents and teachers. Three male participants with ASD, aged 4-5 years, participated in the study, which was conducted using a multiple-probe-across-participants design...
December 2017: Augmentative and Alternative Communication: AAC
https://www.readbyqxmd.com/read/28966490/care-bundle-approach-to-reduce-device-associated-infections-in-a-tertiary-care-teaching-hospital-south-india
#12
Suman Susan Prakash, Deepashree Rajshekar, Anusha Cherian, Apurba Sankar Sastry
CONTEXT: The care bundle approach is a set of evidence-based practices that when performed collectively and reliably have been shown to improve the patient outcome. AIMS: To evaluate the impact of the bundle care approach on reducing device-associated infections (DAIs). SETTINGS AND DESIGN: The study was conducted at a tertiary care hospital, South India. The study period was from January 2016 to September 2016 which was divided into three phases, each comprising 3 months...
October 2017: Journal of Laboratory Physicians
https://www.readbyqxmd.com/read/28937930/feasibility-of-a-multidisciplinary-caregiving-training-protocol-for-young-caregivers-in-families-with-als
#13
Melinda S Kavanaugh, Megan Howard, Lori Banker-Horner
Feasibility of a multidisciplinary caregiving training protocol for young caregivers in families with ALS. OBJECTIVES: To assess the feasibility of a multidisciplinary young caregiver group training protocol for children and youth who provide care to a family member with ALS. METHOD: Peer group experiential young caregiver model based on theories of self-management and self-efficacy. Training conducted by a multidisciplinary team of therapists in ALS (PT, OT, Speech and social work), as well as assistive device vendors...
September 22, 2017: Social Work in Health Care
https://www.readbyqxmd.com/read/28922878/development-and-validation-of-a-mobile-device-based-external-ventricular-drain-simulator
#14
Peter J Morone, Kimon Bekelis, Brandon K Root, Robert J Singer
BACKGROUND: Multiple external ventricular drain (EVD) simulators have been created, yet their cost, bulky size, and nonreusable components limit their accessibility to residency programs. OBJECTIVE: To create and validate an animated EVD simulator that is accessible on a mobile device. METHODS: We developed a mobile-based EVD simulator that is compatible with iOS (Apple Inc., Cupertino, California) and Android-based devices (Google, Mountain View, California) and can be downloaded from the Apple App and Google Play Store...
October 1, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/28904465/spectrum-of-visual-impairment-in-cerebral-venous-thrombosis-importance-of-tailoring-therapies-based-on-pathophysiology
#15
Sanjith Aaron, Anupriya Arthur, A T Prabakhar, Pavitra Mannam, N K Shyamkumar, Sunithi Mani, Vivek Mathew, Jeyanthi Peter, Ajith Sivadasan, Anika Alexander, M Karthik, Rohith Ninan Benjamin, Mathew Alexander
Visual impairment can complicate cerebral venous thrombosis (CVT). Here, we describe the various pathophysiological mechanisms and treatments available. A retrospective chart review of all patients treated for CVT in a large quaternary teaching hospital was done, and cases with visual impairment due to CVT were identified. The various mechanisms causing visual impairment in CVT were (1) raised intracranial pressure (ICP) caused by venous thrombosis without venous infarcts resulting in a benign intracranial hypertension-like presentation of CVT, (2) venous infarcts involving the occipital cortex, (3) raised ICP following the development of a secondary dural arteriovenous (AV) fistula, and (4) arterial occipital infarcts due to posterior cerebral artery compression secondary to herniation in large venous infarcts...
July 2017: Annals of Indian Academy of Neurology
https://www.readbyqxmd.com/read/28891722/requirements-strengths-and-weaknesses-of-inhaler-devices-for-copd-patients-from-the-expert-prescribers-point-of-view-results-of-the-epoca-delphi-consensus
#16
Francisco García-Río, Juan J Soler-Cataluña, Bernardino Alcazar, José L Viejo, Marc Miravitlles
The study aimed to assess the preferences of expert physicians about the requirements for inhalation devices for patients with chronic obstructive pulmonary disease (COPD) and to identify the most relevant advantages and disadvantages to their prescription. In a two-round Delphi survey, 96 Spanish COPD-expert pulmonologists completed an internet-based questionnaire to evaluate the degree of importance of the characteristics of the inhaler devices in their choice for COPD. The requirements needed for use in COPD were that the device permits a high pulmonary deposit of the drug, allowed its dispensation at low inspiratory flows, did not require hand-mouth coordination, generated an exact and reproducible dose, its operation was easy to teach, provided the perception of a correct inhalation, had an intuitive use mechanism and security mechanisms to prevent overdosing and generates a reduced oropharyngeal deposit (very good consensus)...
September 11, 2017: COPD
https://www.readbyqxmd.com/read/28882522/hospital-competitive-intensity-and-perioperative-outcomes-following-lumbar-spinal-fusion
#17
Wesley M Durand, Joseph R Johnson, Neill Y Li, JaeWon Yang, Adam E M Eltorai, J Mason DePasse, Alan H Daniels
BACKGROUND CONTEXT: Interhospital competition has been shown to influence the adoption of surgical techniques and approaches, clinical patient outcomes, and health-care resource use for select surgical procedures. However, little is known regarding these dynamics as they relate to spine surgery. PURPOSE: This investigation sought to examine the relationship between interhospital competitive intensity and perioperative outcomes following lumbar spinal fusion. STUDY DESIGN/SETTING: This study used the Nationwide Inpatient Sample dataset, years 2003, 2006, and 2009...
September 4, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28853616/low-cost-assistive-technology-to-support-educational-activities-for-adolescents-with-cerebral-palsy
#18
Alan Patricio da Silva, Acary Souza Bulle Oliveira, Italla Maria Pinheiro Bezerra, Thaiany Pedrozo Campos Antunes, Blanca Elena Guerrero Daboin, Rodrigo Daminello Raimundo, Vagner Rogério Dos Santos, Luiz Carlos de Abreu
INTRODUCTION: The concept of assistive technology covers several areas of action; one of them is communication with the elaboration of accessible solutions to overcome daily difficulties. It contributes to the resumption of functional abilities, expanding and facilitating inclusion and independent living. OBJECTIVE: To analyze the usability of a low cost prototype device to support educational activities of adolescents with cerebral palsy. METHODS: A descriptive observational study...
August 30, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28814025/learning-from-demonstration-teaching-a-myoelectric-prosthesis-with-an-intact-limb-via-reinforcement-learning
#19
Gautham Vasan, Patrick M Pilarski
Prosthetic arms should restore and extend the capabilities of someone with an amputation. They should move naturally and be able to perform elegant, coordinated movements that approximate those of a biological arm. Despite these objectives, the control of modern-day prostheses is often nonintuitive and taxing. Existing devices and control approaches do not yet give users the ability to effect highly synergistic movements during their daily-life control of a prosthetic device. As a step towards improving the control of prosthetic arms and hands, we introduce an intuitive approach to training a prosthetic control system that helps a user achieve hard-to-engineer control behaviours...
July 2017: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
https://www.readbyqxmd.com/read/28764257/a-randomized-comparison-between-video-demonstration-and-verbal-instruction-in-improving-rota-haler-technique-in-children-with-persistent-asthma-a-pilot-study
#20
Archana Arumugom, Venkatesh Chandrasekaran
INTRODUCTION: Inhalation therapy is the cornerstone in management of asthma. Failure to use the device properly is one of the factors incriminated in poor control of asthma. AIM: To compare the technique of rota haler use in children with persistent asthma immediately after receiving either verbal instruction or a video based demonstration and again at one month following intervention. MATERIALS AND METHODS: A total of 28 children, older than six years attending the childhood asthma clinic of our hospital, who were prescribed rota halers for the first time and who were technique naïve were enrolled into the study, after obtaining informed consent from the parents after meeting inclusion and exclusion criteria...
June 2017: Journal of Clinical and Diagnostic Research: JCDR
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