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Twelve tips

Alexandre Hardy, Philippe Loriaut, Benjamin Granger, Ahmed Neffati, Audrey Massein, Laurent Casabianca, Hugues Pascal-Moussellard, Antoine Gerometta
PURPOSE: The arthroscopic Latarjet procedure has provided reliable results in the treatment of anterior shoulder instability. However, this procedure remains technically challenging and is related to several complications. The morphology of the coracoid and the glenoid are inconsistent. Inadequate coracoid and glenoid preparing may lead to mismatching between their surfaces. Inadequate screws lengthening and orientation are a major concern. Too long screws can lead to suprascapular nerve injuries or hardware irritation, whereas too short screws can lead to nonunions, fibrous unions or migration of the bone block...
October 12, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
James R Seaward, Fiona Peck, Vivien C Lees
Background: Finger flexion is a composite movement involving both long flexors and intrinsic hand muscles. Previous studies have characterized this but have not investigated differences within the normal population. Were discrete finger motion patterns identified, this could guide rehabilitation programs following flexor tendon surgery. Methods: Twelve volunteers repeatedly flexed and extended at a comfortable speed, resting their hand on a horizontal surface. Video was recorded perpendicular to the little finger flexion plane, and the little finger tip position was identified frame by frame to create a composite curve...
September 2016: Hand: Official Journal of the American Association for Hand Surgery
Jeanett Strandbygaard, Fedde Scheele, Jette Led Sørensen
Using validated assessment scales for technical competence can help structure and standardize assessment and feedback for both the trainee and the supervisor and thereby avoid bias and drive learning. Correct assessment of operative skills can establish learning curves and allow adequate monitoring. However, the assessment of surgical performance is not an easy task, since it includes many proxy parameters, which are hard to measure. Although numerous technical assessment scales exist, both within laparoscopic and open surgery, the validity evidence is often sparse, and this can raise doubts about reliability and educational outcome...
September 28, 2016: Medical Teacher
H C Gooding, K Mann, E Armstrong
Findings from the science of learning have clear implications for those responsible for teaching and curricular design. However, this data has been historically siloed from educators in practice, including those in health professions education. In this article, we aim to bring practical tips from the science of learning to health professions educators. We have chosen to organize the tips into six themes, highlighting strategies for 1) improving the processing of information, 2) promoting effortful learning for greater retention of knowledge over time, 3) applying learned information to new and varied contexts, 4) promoting the development of expertise, 5) harnessing the power of emotion for learning, and 6) teaching and learning in social contexts...
September 25, 2016: Medical Teacher
Shuiping Luo, Pei Kang Shen
Multimetallic nanoframes with three-dimensional (3D) catalytic surfaces represent an emerging class of efficient nanocatalysts. However, it still remains a challenge in engineering nanoframes via simple and economical methods. Herein, we report a facile one-pot synthetic strategy to synthesize Pt-Cu nanoframes bounded with multiple high-index facets as highly active electrooxidation catalysts. Two distinct octopod nanoframes, namely, concave PtCu2 octopod nanoframes (PtCu2 CONFs) and ultrathin PtCu octopod nanoframes (PtCu UONFs) were successfully synthesized by simply changing the feeding Pt and Cu precursors...
October 4, 2016: ACS Nano
Tsia-Shu Lo, Leng Boi Pue, Yiap Loong Tan, Cheng-Yu Long, Yi-Hao Lin, Pei-Ying Wu
OBJECTIVE: Voiding dysfunction following a midurethral sling procedure is still a relevant consequence that can affect patients' quality of life. Various invasive methods have been described to manage this problem. We hypothesize that we if we could diagnose the condition early using noninvasive tools, we would be able to offer appropriate effective management. We sought to study the effectiveness of attaching a tension-releasing suture on a single-incision sling (SIS) tape as a prophylactic measure for the treatment of immediate postoperative voiding dysfunctions, and secondarily, to evaluate the objective and subjective cure rates of the treatment for stress urinary incontinence...
August 2016: Taiwanese Journal of Obstetrics & Gynecology
Alex Fleming-Nouri, Dominic Crocombe, Yezen Sammaraiee
Peer-led teaching is an established paradigm with benefits for student teachers, learners and the wider medical community. Students are increasingly taking ownership of such teaching, which has fuelled the creation of new peer-led medical education societies at universities around the UK. Students wishing to undertake such an endeavor must contend with concerns over the quality of peer-led teaching, logistical challenges, lack of senior support and difficulties accessing relevant resources to design and appraise their initiatives...
August 25, 2016: Medical Teacher
Jianping Weng
China has been experiencing the biggest shift in the world in diabetes and obesity epidemic over the past three decades. Chinese Diabetes Society developed and published four editions of stand of care for type 2 diabetes management as clinical guidance for practice in China in the last twelve years. During the development and implementation of guidelines, the keyword is 'evolution', which includes evolution of evidence, expertise, excellence and endpoints. It will be a complete quality improvement cycle starting with 'understanding the situation' and ending with 'tipping points of diabetes in primary prevention (prevalence), secondary prevention (diabetic complications) and tertiary prevention (diabetes-related death)'...
July 2016: Diabetes/metabolism Research and Reviews
Yuval Bar-Yosef, Mario Sofer, Margaret P Ekstein, Yosef Binyamini, Jacob Ben-Chaim
OBJECTIVES: To evaluate our results of epispadias repair with a modified Cantwell-Ransley (MCR) technique. METHODS: A retrospective IRB-approved chart review of all patients who underwent an MCR epispadias repair was conducted between 1998-2015. Procedures were performed at birth or after the age of 8 months as part of the modern staged repair (MSR) of exstrophy-epispadias complex (EEC) in patients with bladder exstrophy treated since birth, at presentation for older patients, and after the age of 6 months in isolated epispadias patients...
July 20, 2016: Urology
Benjamin Misselwitz, Jana Epprecht, Joachim Mertens, Luc Biedermann, Michael Scharl, Eugenia Haralambieva, Andreas Lutterotti, Konrad P Weber, Beat Müllhaupt, Karla Chaloupka
Hepatitis C is frequently accompanied by immune-related extrahepatic manifestations affecting the skin, kidneys, central and peripheral nervous system and exocrine glands. We present the case of a 40-year-old man with left-sided ptosis, exophthalmos and headache. MRI demonstrated left-sided orbital pseudotumor with lacrimal and retro-orbital contrast enhancement extending to the cavernous sinus and the vestibulocochlear nerve. Immunological tests of serum and cerebrospinal fluid identified hepatitis C virus (HCV) as a potential causative agent but did not indicate any additional infectious, malignant or immunological disorder...
January 2016: Case Reports in Gastroenterology
Kentaro Matsui, Xavier Martin Oliva, Masato Takao, Bruno S Pereira, Tiago Mota Gomes, Jan Martinez Lozano, Mark Glazebrook
PURPOSE: The purpose of this study was to determine the clinical utility of three bony tubercles: fibular obscure tubercle, talar obscure tubercle and tuberculum ligamenti calcaneofibularis, to serve as anatomical landmarks for defining the precise location of the origins and insertions of the anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL). METHODS: Twelve lower extremity cadaveric specimens were procured. The detectability of the tubercles was tested using palpation and fluoroscopy with subsequent confirmation after dissection...
June 28, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
David A Cook, Georges Bordage
The authors share 12 practical tips on creating effective titles and abstracts for a journal publication or conference presentation. When crafting a title authors should: (1) start thinking of the title from the start; (2) brainstorm many key words, create permutations, and ask others for input; (3) strive for an informative and indicative title; (4) start the title with the most important words; and (5) wait to finalize the title until the very end. When writing the abstract, authors should: (6) wait until the end to write the abstract; (7) copy and paste from main text as the starting point; (8) start with a detailed structured format; (9) describe what they did; (10) describe what they found; (11) highlight what readers can do with this information; and (12) ensure that the abstract aligns with the full text and conforms to submission guidelines...
June 1, 2016: Medical Teacher
Gerardo Mendizabal-Ruiz, Ioannis A Kakadiaris
Intravascular ultrasound (IVUS) refers to the medical imaging technique consisting of a miniaturized ultrasound transducer located at the tip of a catheter that can be introduced in the blood vessels providing high-resolution, cross-sectional images of their interior. Current methods for the generation of an IVUS image reconstruction from radio frequency (RF) data do not account for the physics involved in the interaction between the IVUS ultrasound signal and the tissues of the vessel. In this paper, we present a novel method to generate an IVUS image reconstruction based on the use of a scattering model that considers the tissues of the vessel as a distribution of three-dimensional point scatterers...
August 1, 2016: Computers in Biology and Medicine
Paula L Silva, Reinoud J Bootsma, Priscilla Rezende Pereira Figueiredo, Bruna Silva Avelar, André Gustavo Pereira de Andrade, Sérgio T Fonseca, Marisa Cotta Mancini
Aiming hand-held tools at targets in space entails adjustments in the dynamical organization of aiming patterns according to the required precision. We asked whether and how these adjustments are modified by the tool's mass distribution. Twelve participants performed reciprocal aiming movements with a 50-cm long wooden probe. Kinematic patterns of probe movements were used as a window into the behavioral dynamic underlying performance of a reciprocal aiming task. We crossed three levels of task difficulty (IDs 2...
August 2016: Human Movement Science
Kun-Yong Sung, Sang-Yeul Lee
INTRODUCTION: Neonatal extravasation injuries are often associated with peripheral parenteral nutrition. Several treatment modalities have been developed and used for managing these injuries with variable results. However, there is a lack of consensus regarding the management of neonatal extravasation injuries. The aim of this paper is to introduce a new nonoperative method for the treatment of neonatal extravasation injuries associated with parenteral nutrition. METHODS: The authors made multiple punctures on the extravasated wound using a No...
May 2016: Wounds: a Compendium of Clinical Research and Practice
Pierre Imbert, Christian Lutz, Matthew Daggett, Lucas Niglis, Benjamin Freychet, François Dalmay, Bertrand Sonnery-Cottet
PURPOSE: To measure the variations in length during flexion and internal tibial rotation of the 3 different femoral insertions of the anterolateral ligament (ALL) while maintaining a fixed tibia insertion. METHODS: Twelve fresh-frozen cadaver knees were analyzed using a navigation system. Maximal distance variations of the 3 different anatomic femoral insertions of the ALL were measured during knee flexion and internal tibial rotation at 20° (IR20°) and 90° (IR90°)...
May 4, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
H W Heetla, J H Proost, B H Molmans, M J Staal, T van Laar
AIMS: Intrathecal baclofen (ITB) has proven to be an effective and safe treatment for severe spasticity. However, although ITB is used extensively, clinical decisions are based on very scarce pharmacokinetic-pharmacodynamic (PKPD) data. The aim of this study was to measure baclofen CSF concentrations and clinical effects after administration of various ITB boluses in patients with spasticity and to create a PKPD model for ITB. METHODS: Twelve patients with severe spasticity received four different bolus doses of ITB (0, 25, 50, 75 μg and an optional dose of 100 μg), administered via a catheter with the tip at thoracic level (Th) 10...
January 2016: British Journal of Clinical Pharmacology
Deep Jaiswal, Matthew J To, Heather Hunter, Ciaran Lane, Cinera States, Brittany Cameron, Suzanne Kathleen Clarke, Catherine Cox, Anna MacLeod
Participatory action projects, such as Photovoice, can provide medical trainees with a unique opportunity for community engagement. Through Photovoice, participants with lived experience engage in dialog and capture photographs of community issues. Participants subsequently develop narratives that accompany photos to raise awareness about community needs. In this paper, we describe twelve tips to develop a Photovoice project and discuss how medical students can engage communities through a participatory action lens...
October 2016: Medical Teacher
Rebecca M Rentea, Jared A Forrester, Nathan W Kugler, Anahita Dua, Travis P Webb
Restriction of resident duty hours has resulted in the implementation of night float systems in surgical and medical programs. Many papers have examined the benefits and structure of night float, but few have addressed patient safety issues, quality patient care, and the impact on the residency education system. The objective of this review is to provide practical tips to optimize the night float experience for resident training while continuing to emphasize patient care. The tips provided are based on the experiences and reflections of residents, supervising staff, group discussions, and the available literature in a hospital-based general surgery residency program...
June 2015: WMJ: Official Publication of the State Medical Society of Wisconsin
Evangelos B Mazomenos, Ping-Lin Chang, Radoslaw A Rippel, Alexander Rolls, David J Hawkes, Colin D Bicknell, Adrien Desjardins, Celia V Riga, Danail Stoyanov
PURPOSE: Transcatheter aortic valve implantation (TAVI) demands precise and efficient handling of surgical instruments within the confines of the aortic anatomy. Operational performance and dexterous skills are critical for patient safety, and objective methods are assessed with a number of manipulation features, derived from the kinematic analysis of the catheter/guidewire in fluoroscopy video sequences. METHODS: A silicon phantom model of a type I aortic arch was used for this study...
June 2016: International Journal of Computer Assisted Radiology and Surgery
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