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Device-based teaching

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https://www.readbyqxmd.com/read/28057275/anatomic-suitability-for-transcaval-access%C3%A2-based-on-computed-tomography
#1
REVIEW
Robert J Lederman, Adam B Greenbaum, Toby Rogers, Jaffar M Khan, Melissa Fusari, Marcus Y Chen
Transcaval access has been used successfully for over 200 transcatheter aortic valve replacements, large-bore percutaneous left ventricular assist devices, and thoracic endovascular aortic aneurysm repairs. This review teaches how to plan transcaval access and closure based on computed tomography. The main planning goals are to: 1) identify calcium-free crossing targets in the abdominal aorta along with optimal fluoroscopic projection angles and level with respect to lumbar vertebrae; 2) identify obstacles such as interposed bowel or pedunculated aortic atheroma; 3) plan covered stent bailout; and 4) identify jeopardized vascular branches such as renal arteries that might be obstructed by bailout covered stents if employed...
January 9, 2017: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/28039801/persuasive-technology-in-teaching-acute-pain-assessment-in-nursing-results-in-learning-based-on-pre-and-post-testing
#2
Ana Graziela Alvarez, Grace T Marcon Dal Sasso, M Sriram Iyengar
BACKGROUND: Thousands of patients seek health services every day with complaints of pain. However, adequate pain assessment is still flawed, a fact that is partly related to gaps in professional learning on this topic. Innovative strategies such as the use of a virtual learning object mediated by persuasive technology in the learning of undergraduate nursing students can help to fill these gaps and to provide different ways of learning to learn. OBJECTIVE: To evaluate the results in learning among undergraduate nursing students about assessment of acute pain in adults and newborns, before and after an online educational intervention...
December 22, 2016: Nurse Education Today
https://www.readbyqxmd.com/read/28025611/evidence-and-evidence-gaps-an-introduction
#3
REVIEW
Gabriele Dreier, Jan Löhler
Background: Medical treatment requires the implementation of existing evidence in the decision making process in order to be able to find the best possible diagnostic, therapeutic or prognostic measure for the individual patient based on the physician's own expertise. Clinical trials form the evidence base and ideally, their results are assembled, analyzed, summarized, and made available in systematic review articles. Beside planning, conducting, and evaluating clinical trials in conformity with GCP (good clinical practice), it is essential that all results of conducted studies are publicly available in order to avoid publication bias...
2016: GMS Current Topics in Otorhinolaryngology, Head and Neck Surgery
https://www.readbyqxmd.com/read/28018838/a-motion-sensing-based-framework-for-robotic-manipulation
#4
Hao Deng, Zeyang Xia, Shaokui Weng, Yangzhou Gan, Peng Fang, Jing Xiong
To data, outside of the controlled environments, robots normally perform manipulation tasks operating with human. This pattern requires the robot operators with high technical skills training for varied teach-pendant operating system. Motion sensing technology, which enables human-machine interaction in a novel and natural interface using gestures, has crucially inspired us to adopt this user-friendly and straightforward operation mode on robotic manipulation. Thus, in this paper, we presented a motion sensing-based framework for robotic manipulation, which recognizes gesture commands captured from motion sensing input device and drives the action of robots...
2016: Robotics and Biomimetics
https://www.readbyqxmd.com/read/28003104/role-of-simulation-in-endovascular-aneurysm-repair-evar-training-a-preliminary-study
#5
A Saratzis, T Calderbank, D Sidloff, M J Bown, R S Davies
BACKGROUND: Endovascular aneurysm repair (EVAR) requires a high-level of technical-competency to avoid device-related complications. Virtual reality simulation-based training (SBT) may offer an alternative method of psychomotor skill acquisition; however, its role in EVAR training is undefined. This study aimed to: a) benchmark competency levels using EVAR SBT, and b) investigate the impact of supervised SBT on trainee performance. METHODS: EVAR procedure-related metrics were benchmarked by six experienced consultants using a Simbionix Angiomentor EVAR simulator...
December 18, 2016: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/27925381/doctors-use-of-mobile-devices-in-the-clinical-setting-a-mixed-methods-study
#6
Arany Nerminathan, Amanda Harrison, Megan Phelps, Karen M Scott
AIM: To explore how doctors use mobile devices in the clinical setting and understand drivers for use. METHODS: A mixed methods study was used with doctors in a paediatric and adult teaching hospital in 2013. A paper based survey examined mobile device usage data by doctors in the clinical setting. Focus groups explored doctors' reasons for using or refraining from using mobile devices in the clinical setting, and their attitudes about others' use. RESULTS: The survey, completed by 109 doctors, showed that 91% owned a smartphone and 88% used their mobile devices frequently in the clinical setting...
December 7, 2016: Internal Medicine Journal
https://www.readbyqxmd.com/read/27894702/adaptive-pi-controller-to-voltage-regulation-in-power-systems-statcom-as-a-case-study
#7
Mohammad Reza Tavana, Mohammad-Hassan Khooban, Taher Niknam
Static synchronous compensator (STATCOM) provides the means to improve quality and reliability of a power system as it has the functional capability to handle dynamic disturbances, such as transient stability and power oscillation damping as well as to providing voltage regulation. In this paper, a robust adaptive PI-based optimal fuzzy control strategy is proposed to control a STATCOM used in distribution systems. The proposed intelligent strategy is based on a combination of a new General Type-II Fuzzy Logic (GT2FL) with a simple heuristic algorithm named Teaching Learning Based Optimization (TLBO) Algorithm...
November 25, 2016: ISA Transactions
https://www.readbyqxmd.com/read/27875647/what-pacemakers-can-teach-us-about-the-ethics-of-maintaining-artificial-organs
#8
Katrina Hutchison, Robert Sparrow
One day soon it may be possible to replace a failing heart, liver, or kidney with a long-lasting mechanical replacement or perhaps even with a 3-D printed version based on the patient's own tissue. Such artificial organs could make transplant waiting lists and immunosuppression a thing of the past. Supposing that this happens, what will the ongoing care of people with these implants involve? In particular, how will the need to maintain the functioning of artificial organs over an extended period affect patients and their doctors and the responsibilities of those who manufacture such devices? Drawing on lessons from the history of the cardiac pacemaker, this article offers an initial survey of the ethical issues posed by the need to maintain and service artificial organs...
November 2016: Hastings Center Report
https://www.readbyqxmd.com/read/27863828/-health-care-providers-knowledge-and-abilities-to-use-inhalation-devices-and-spacers
#9
S Orfanos, A Carsin, M Baravalle, J-C Dubus
INTRODUCTION: Inhaled therapy is the mainstay of asthma treatment due to its local and rapid action. However, its efficiency relies on the teaching of a good inhalation technique by health care providers. We assessed health care providers' knowledge and practical skills in the use of inhalation devices. METHODS: An observational multicenter study was conducted in the pulmonology and paediatric wards in Marseille. The departments' common practices, theoretical knowledge and practical skills were assessed through a questionnaire and a demonstration using a spacer device...
November 15, 2016: Revue des Maladies Respiratoires
https://www.readbyqxmd.com/read/27753557/capitation-as-an-incentive-for-transitioning-to-patient-centered-medical-homes-in-the-united-states-army-a-brief-report
#10
Richard G Malish
The Army transitioned to a Patient-Centered Medical Home concept for primary care beginning in 2011. In spite of organizational commitment to the paradigm, the transition has not been without pitfalls. This performance improvement project operated under the hypothesis that focusing on the market-based incentives of a capitated system would result in a quantum leap toward the Patient-Centered Medical Home ideal. Utilizing a simple teaching device to repetitively highlight clinic and provider behaviors incentivized in a value-based payment system, a single clinic achieved significant improvements in enrollment, patient satisfaction, and measures associated with prevention while assuming an identity as a "virtual clinic"...
October 2016: Military Medicine
https://www.readbyqxmd.com/read/27742483/oxidized-regenerated-cellulose-adhesion-barrier-plus-intrauterine-device-prevents-recurrence-after-adhesiolysis-for-moderate-to-severe-intrauterine-adhesions
#11
Huihua Cai, Lin Qiao, KaiJing Song, Yuanli He
STUDY OBJECTIVE: To compare the efficacy of an oxidized, regenerated cellulose adhesion barrier (Interceed; Ethicon, Somerville, NJ) combined with an intrauterine device (IUD) versus an IUD alone for preventing adhesion recurrence following hysteroscopic adhesiolysis for moderate to severe intrauterine adhesions (IUAs). DESIGN: Retrospective case series (Canadian Task Force classification III). SETTING: Tertiary care teaching hospital. PATIENTS: Patients undergoing treatment for moderate to severe IUAs...
January 1, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27731862/feasibility-of-augmented-reality-in-clinical-simulations-using-google-glass-with-manikins
#12
Basil Chaballout, Margory Molloy, Jacqueline Vaughn, Raymond Brisson Iii, Ryan Shaw
BACKGROUND: Studies show that students who use fidelity-based simulation technology perform better and have higher retention rates than peers who learn in traditional paper-based training. Augmented reality is increasingly being used as a teaching and learning tool in a continual effort to make simulations more realistic for students. OBJECTIVE: The aim of this project was to assess the feasibility and acceptability of using augmented reality via Google Glass during clinical simulation scenarios for training health science students...
March 7, 2016: JMIR Medical Education
https://www.readbyqxmd.com/read/27687463/confirmation-of-laryngeal-mask-airway-placement-by-ultrasound-examination-a-pilot-study
#13
Kaicheng Song, Jie Yi, Wei Liu, Shuang Huang, Yuguang Huang
STUDY OBJECTIVE: We sought to validate ultrasound against other established methods of confirming laryngeal mask airway (LMA) placement. DESIGN: An observational study. SETTING: A university teaching hospital, operating department. PATIENTS: Fifty-eight patients undergoing general anesthesia using an LMA Supreme supraglottic airway device. INTERVENTIONS: The position of the LMA was assessed by ultrasound in 3 planes: the pharynx, the larynx, and along the cranial-caudal axis in the midline...
November 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27662005/comfort-with-skills-and-knowledge-after-immediate-postpartum-intrauterine-device-training
#14
Lisa M Goldthwaite, Jeanelle Sheeder, Stephanie B Teal, Kristina M Tocce
OBJECTIVE: To estimate whether a standardized immediate postpartum intrauterine device (IUD) simulation results in sustained improvement in perceived comfort with procedural skills. METHODS: From November 2013 to April 2015, obstetric health care providers at two teaching hospitals participated in a 30-minute immediate postpartum IUD simulation workshop and program evaluation. We assessed knowledge of indications, insertion technique, safety, and comfort with knowledge and skills preintervention immediately after and 6 months posttraining...
October 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27649902/educational-strategies-for-teaching-evidence-based-practice-to-undergraduate-health-students-systematic-review
#15
Konstantinos Kyriakoulis, Athina Patelarou, Aggelos Laliotis, Andrew C Wan, Michail Matalliotakis, Chrysoula Tsiou, Evridiki Patelarou
PURPOSE: The aim of this systematic review was to find best teaching strategies for teaching evidence-based practice (EBP) to undergraduate health students that have been adopted over the last years in healthcare institutions worldwide. METHODS: The authors carried out a systematic, comprehensive bibliographic search using Medline database for the years 2005 to March 2015 (updated in March 2016). Search terms used were chosen from the USNLM Institutes of Health list of MeSH (Medical Subject Headings) and free text key terms were used as well...
2016: Journal of Educational Evaluation for Health Professions
https://www.readbyqxmd.com/read/27648901/making-research-delicious-an-evaluation-of-nurses-knowledge-attitudes-and-practice-using-the-great-american-cookie-experiment-with-mobile-device-gaming
#16
Susan Hayes Lane, Reimund Serafica, Carolyn Huffman, Alyssa Cuddy
In the current healthcare environment, nurses must have a basic understanding of research to lead change and implement evidence-based practice. The purpose of this study was to evaluate the effectiveness of an educational intervention formulated on the framework of the Great American Cookie Experiment measuring nurses' research knowledge, attitudes, and practice using mobile device gaming. This multisite quantitative study provides insight into promotion of research and information about best practices on innovative teaching strategies for nurses...
September 2016: Journal for Nurses in Professional Development
https://www.readbyqxmd.com/read/27621874/a-survey-among-brazilian-thoracic-surgeons-about-the-use-of-preoperative-2d-and-3d-images
#17
Federico Enrique Garcia Cipriano, Livia Arcêncio, Lycio Umeda Dessotte, Alfredo José Rodrigues, Walter Villela de Andrade Vicente, Paulo Roberto Barbosa Évora
BACKGROUND: Describe the characteristics of how the thoracic surgeon uses the 2D/3D medical imaging to perform surgical planning, clinical practice and teaching in thoracic surgery and check the initial choice and the final choice of the Brazilian Thoracic surgeon as the 2D and 3D models pictures before and after acquiring theoretical knowledge on the generation, manipulation and interactive 3D views. METHODS: A descriptive research type Survey cross to data provided by the Brazilian Thoracic Surgeons (members of the Brazilian Society of Thoracic Surgery) who responded to the online questionnaire via the internet on their computers or personal devices...
August 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27620658/clinical-and-microbiological-characteristics-of-oxa-23-and-oxa-143-producing-acinetobacter-baumannii-in-icu-patients-at-a-teaching-hospital-brazil
#18
Francelli Cordeiro Neves, Wanessa T Clemente, Nilton Lincopan, Isabela D Paião, Patrícia R Neves, Roberta M Romanelli, Stella S S Lima, Luciene F Paiva, Paulo Henrique O Mourão, Vandack A Nobre-Junior
BACKGROUND: Carbapenem-resistant Acinetobacter baumannii (CRAb) is an important cause of nosocomial infections especially in intensive care units. This study aimed to assess clinical aspects and the genetic background of CRAb among ICU patients at a Brazilian teaching hospital. METHODS: 56 critically ill patients colonized or infected by CRAb, during ICU stay, were prospectively assessed. Based on imipenem MIC≥4μg/mL, 28 CRAB strains were screened for the presence of genes encoding metallo-β-lactamases and OXA-type β-lactamases...
November 2016: Brazilian Journal of Infectious Diseases
https://www.readbyqxmd.com/read/27599452/using-tablet-computers-to-increase-patient-engagement-with-electronic-personal-health-records-protocol-for-a-prospective-randomized-interventional-study
#19
S Ryan Greysen, Yimdriuska Magan Mendoza, Jaime Rosenthal, Ronald Jacolbia, Alvin Rajkomar, Herman Lee, Andrew Auerbach
BACKGROUND: Inadequate patient engagement in care is a major barrier to successful transitions from the inpatient setting and can lead to preventable adverse events after discharge, particularly for older adults. While older adults may be less familiar with mobile devices and applications, they may benefit from focused bedside training to engage them in using their Personal Health Record (PHR). Mobile technologies such as tablet computers can be used in the hospital to help bridge this gap in experience by teaching older, hospitalized patients to actively manage their medication list through their PHR during hospitalization and continue to use their PHR for other post-discharge tasks such as scheduling follow-up appointments, viewing test results, and communicating with providers...
September 6, 2016: JMIR Research Protocols
https://www.readbyqxmd.com/read/27595671/comparison-of-under-five-mortality-for-2000-2005-and-2011-surveys-in-ethiopia
#20
Dawit G Ayele, Temesgen T Zewotir
BACKGROUND: Though the socio-economic situation of the Ethiopian household is improving along with the decrease in under-five child mortality. But, under-five mortality is still one of the major problems. Identification of the risk factors change over time which mismatches with the diminishing rate of under-five mortality is important to address the problems. METHODS: The survey data used for this research was taken from three different Ethiopian Demographic and Health Surveys (2000, 2005 and 2011)...
2016: BMC Public Health
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