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https://www.readbyqxmd.com/read/29218694/training-vascular-access-surgeons-technicians-or-specialists
#1
Nicholas Inston, Tej M Singh
Internationally, vascular access (VA) surgery is delivered in a varied and diverse fashion and subsequently, training in vascular access is poorly defined. Experience of VA during surgical training has implications on future practice. The scope of VA procedures is increasing, yet the focus in vascular training remains largely in the technical aspects of surgery rather than the more comprehensive aspects of surgery applied to dialysis and renal care. To achieve special skills in vascular access surgery may require a change to traditional training with an additional focus on developing an extended portfolio of knowledge and skills...
December 4, 2017: Journal of Vascular Access
https://www.readbyqxmd.com/read/29215187/the-use-of-orientation-decision-do-discuss-reflect-od3r-method-to-increase-critical-thinking-skill-and-practical-skill-in-biochemistry-learning
#2
Yunita Arian Sani Anwar, Senam Senam, Endang W Laksono
We have developed an OD3R method that can be applied on Biochemistry learning. This OD3R consists of 5 phases: orientation, decision, do, discuss, and reflect to connect lessons in the class with practice in the laboratory. Implementation of OD3R method was done in 2 universities in Yogyakarta to increase critical thinking skill and practical skill of the students. The critical thinking skills were assessed using modified Hoyo rubric according to student's ability in writing laboratory work report. Practical skill was assessed using a rubric with 6 practical skill categories: procedural skill, manipulative skill, observation skill, drawing skill, interpretation skill, and presentation skill...
December 7, 2017: Biochemistry and Molecular Biology Education
https://www.readbyqxmd.com/read/29214975/home-based-health-promotion-for-older-people-with-mild-frailty-the-homehealth-intervention-development-and-feasibility-rct
#3
Kate Walters, Rachael Frost, Kalpa Kharicha, Christina Avgerinou, Benjamin Gardner, Federico Ricciardi, Rachael Hunter, Ann Liljas, Jill Manthorpe, Vari Drennan, John Wood, Claire Goodman, Ana Jovicic, Steve Iliffe
BACKGROUND: Mild frailty or pre-frailty is common and yet is potentially reversible. Preventing progression to worsening frailty may benefit individuals and lower health/social care costs. However, we know little about effective approaches to preventing frailty progression. OBJECTIVES: (1) To develop an evidence- and theory-based home-based health promotion intervention for older people with mild frailty. (2) To assess feasibility, costs and acceptability of (i) the intervention and (ii) a full-scale clinical effectiveness and cost-effectiveness randomised controlled trial (RCT)...
December 2017: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/29214627/a-12-month-descriptive-analysis-of-emergency-intubations-at-brooke-army-medical-center-a-national-emergency-airway-registry-study
#4
Michael D April, Steven G Schauer, Calvin A Brown Rd, Patrick C Ng, Jessie Fernandez, Andrea E Fantegrossi, Joseph K Maddry, Shane Summers, Daniel J Sessions, Robert M Barnwell, Mark Antonacci
Emergency airway management is a critical skill for military healthcare providers. Our goal was to describe the Emergency Department (ED) intubations at Brooke Army Medical Center (BAMC) over a 12-month period. MATERIAL AND METHODS: Physicians performing endotracheal intubations in the BAMC ED complete data collection forms for each intubation event as part of the National Emergency Airway Registry, including patient demographics, intubation techniques, success and failure rates, adverse events, and patient disposition...
October 2017: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/29214135/developing-procedures-to-improve-therapist-child-rapport-in-early-intervention
#5
Ashley M Lugo, Melissa L King, John C Lamphere, Paige E McArdle
Rapport is a primary component in the development of a therapeutic relationship between health-service professionals and clients. Presession pairing is a procedure often recommended in behavior analytic practice to build rapport with clients. However, many service providers may not exhibit presession pairing skills correctly or at a sufficient rate. The current study aimed to operationally define therapist behaviors that are indicative of presession pairing and to train direct care staff to implement said skills...
December 2017: Behavior Analysis in Practice
https://www.readbyqxmd.com/read/29212372/crowdsourcing-evaluation-of-ureteroscopic-videos-using-the-post-ureteroscopic-lesion-scale-puls-to-assess-ureteral-injury
#6
Kamaljot S Kaler, Zachary A Valley, Khiera C Bettir, Shoaib Safiullah, Daniel J Lama, Renai Yoon, Jaime Landman, Ralph Clayman
INTRODUCTION AND OBJECTIVES: We hypothesized that crowdsourcing assessments could be applied to the Post-Ureteroscopic Lesion Scale (PULS) for ureteral injury. METHODS: At a single institution, we prospectively digitally recorded 14 ureters at the terminal portion of standard ureteroscopic procedures. Each recording was reviewed by 10 global experts to determine a mean PULS score. Following training, the Crowd-Sourced Assessment of Technical Skills, C-SATS® (CSATS, Inc...
December 7, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/29211841/perioperative-benefit-and-outcome-of-thoracic-epidural-in-esophageal-surgery-a-clinical-review
#7
P Feltracco, A Bortolato, S Barbieri, E Michieletto, E Serra, A Ruol, S Merigliano, C Ori
Surgery for esophageal cancer is a highly stressful and painful procedure, and a significant amount of analgesics may be required to eliminate perioperative pain and blunt the stress response to surgery. Proper management of postoperative pain has invariably been shown to reduce the incidence of postoperative complications and accelerate recovery. Neuraxial analgesic techniques after major thoracic and upper abdominal surgery have long been established to reduce respiratory, cardiovascular, metabolic, inflammatory, and neurohormonal complications...
December 2, 2017: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://www.readbyqxmd.com/read/29210882/fluency-in-nursing-education-and-simulation-a-concept-analysis
#8
Audra Lewis
AIM: The aim of the study was to realign how nurses view simulation in nursing education as a means of facilitating fluency in knowledge and action to promote expertise in practice. BACKGROUND: Nursing expertise is attained by translating complex phenomena across multiple representations and by constructing meaning through experience. Simulation provides learners the experiences necessary to develop fluency in thought and action. METHOD: Procedures outlined by Hupcey and Penrod (2005) and Walker and Avant (2011) were used to identify uses, defining attributes, philosophical assumptions, contextual factors, and values of the concept...
November 27, 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29207821/hand-held-dynamometer-is-a-reliable-tool-to-measure-trunk-muscle-strength-in-chronic-stroke
#9
Suruliraj Karthikbabu, Mahabala Chakrapani
Introduction: Patients with chronic stroke show atypical coordination of trunk movement and they find difficulty during bed mobility and transfer skills due to weakness of trunk muscles. Routine bedside clinical examination fails to quantify the trunk muscle strength in patients with stroke. Handheld dynamometer is widely administered to quantify the strength of extremities, but its reliability on testing the trunk muscles strength is limited. Aim: This study aimed at examining the reliability of hand-held dynamometer to quantify the strength of trunk muscle groups in chronic stroke...
September 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/29207713/analysis-of-patient-s-satisfaction-with-phlebotomy-services-in-nabh-accredited-neuropsychiatric-hospital-an-effective-tool-for-improvement
#10
Anshu Gupta, Tanima Dwivedi, Sadhana, Raju Chaudhary
Introduction: Patient's satisfaction is the need of the hour and one of the most important quality indicators in the laboratory medicine. Aim: To assess the patient's satisfaction with phlebotomy services in a neuropsychiatric hospital by a structured questionnaire with grading scale. Also, identify the problems causing dissatisfactions and to undertake necessary Corrective and Preventative Action (CAPA). Materials and Methods: Total 1200 patients were randomly selected over a period of two months (June and July 2016)...
September 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/29207379/practical-recommendations-of-the-obesity-management-task-force-of-the-european-association-for-the-study-of-obesity-for-the-post-bariatric-surgery-medical-management
#11
Luca Busetto, Dror Dicker, Carmil Azran, Rachel L Batterham, Nathalie Farpour-Lambert, Martin Fried, Jøran Hjelmesæth, Johann Kinzl, Deborah R Leitner, Janine M Makaronidis, Karin Schindler, Hermann Toplak, Volkan Yumuk
Bariatric surgery is today the most effective long-term therapy for the management of patients with severe obesity, and its use is recommended by the relevant guidelines of the management of obesity in adults. Bariatric surgery is in general safe and effective, but it can cause new clinical problems and is associated with specific diagnostic, preventive and therapeutic needs. For clinicians, the acquisition of special knowledge and skills is required in order to deliver appropriate and effective care to the post-bariatric patient...
December 6, 2017: Obesity Facts
https://www.readbyqxmd.com/read/29204929/what-about-the-girls-sex-based-differences-in-autistic-traits-and-adaptive-skills
#12
Allison B Ratto, Lauren Kenworthy, Benjamin E Yerys, Julia Bascom, Andrea Trubanova Wieckowski, Susan W White, Gregory L Wallace, Cara Pugliese, Robert T Schultz, Thomas H Ollendick, Angela Scarpa, Sydney Seese, Kelly Register-Brown, Alex Martin, Laura Gutermuth Anthony
There is growing evidence of a camouflaging effect among females with autism spectrum disorder (ASD), particularly among those without intellectual disability, which may affect performance on gold-standard diagnostic measures. This study utilized an age- and IQ-matched sample of school-aged youth (n = 228) diagnosed with ASD to assess sex differences on the ADOS and ADI-R, parent-reported autistic traits, and adaptive skills. Although females and males were rated similarly on gold-standard diagnostic measures overall, females with higher IQs were less likely to meet criteria on the ADI-R...
December 4, 2017: Journal of Autism and Developmental Disorders
https://www.readbyqxmd.com/read/29202731/economic-evaluation-of-emergency-obstetric-care-training-a-systematic-review
#13
Aduragbemi Banke-Thomas, Megan Wilson-Jones, Barbara Madaj, Nynke van den Broek
BACKGROUND: Training healthcare providers in Emergency Obstetric Care (EmOC) has been shown to be effective in improving their capacity to provide this critical care package for mothers and babies. However, little is known about the costs and cost-effectiveness of such training. Understanding costs and cost-effectiveness is essential in guaranteeing value-for-money in healthcare spending. This study systematically reviewed the available literature on cost and cost-effectiveness of EmOC trainings...
December 4, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29202248/bag-valve-mask-ventilation-as-a-perceptual-cognitive-skill
#14
Joel M Mumma, Francis T Durso, Michelle Dyes, Rogelio Dela Cruz, Valerie P Fox, Mary Hoey
Objective This study used a high-fidelity infant mannequin to examine the relationship between the quality of bag valve mask ventilation (BVMV) and how providers of varying levels of experience use visual feedback (e.g., electronic vital signs) to guide their performance. Background BVMV is a common and critical procedure for managing pediatric respiratory emergencies. However, providers do not consistently deliver effective BVMV. Efforts to improve BVMV have ignored the question of how providers effectively use feedback often available during BVMV...
December 1, 2017: Human Factors
https://www.readbyqxmd.com/read/29200065/cardiac-arrest-in-the-operating-room-part-2-special-situations-in-the-perioperative-period
#15
Matthew D McEvoy, Karl-Christian Thies, Sharon Einav, Kurt Ruetzler, Vivek K Moitra, Mark E Nunnally, Arna Banerjee, Guy Weinberg, Andrea Gabrielli, Gerald A Maccioli, Gregory Dobson, Michael F O'Connor
As noted in part 1 of this series, periprocedural cardiac arrest (PPCA) can differ greatly in etiology and treatment from what is described by the American Heart Association advanced cardiac life support algorithms, which were largely developed for use in out-of-hospital cardiac arrest and in-hospital cardiac arrest outside of the perioperative space. Specifically, there are several life-threatening causes of PPCA of which the management should be within the skill set of all anesthesiologists. However, previous research has demonstrated that continued review and training in the management of these scenarios is greatly needed and is also associated with improved delivery of care and outcomes during PPCA...
November 30, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29199083/factors-correlating-with-microsurgical-performance-a-clinical-and-experimental-study
#16
Mark V Schaverien, Jun Liu, Charles E Butler, Jesse C Selber
BACKGROUND: Microsurgery is one the most complex surgical skills to master. The factors correlating with microsurgical performance, however, are poorly understood. Understanding these factors will aid in the training and assessment of microsurgeons. METHODS: A total of 29 microsurgery fellows enrolled in a dedicated 1-year microsurgery fellowship were included in the study. For the clinical evaluations, microsurgical anastomosis performance was evaluated during multiple procedures in the operating room at the start, midpoint, and end of the fellowship by all departmental faculty using a validated microsurgical assessment tool...
November 30, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29198350/editorial-commentary-healthy-skepticism-an-invaluable-trait
#17
EDITORIAL
Richard L Angelo
Using a switching stick from the posterior portal is a frequently employed method of identifying the location for the subscapularis split for a shoulder arthroscopic Latarjet. However, in a recent cadaveric study, in none of the 20 specimens studied did this technique result in the split being placed in the preferred position-the junction of the superior two-thirds and the inferior one-third of the subscapularis. As a result, if the position of the coracoid graft is too superior, the anteroinferior extension of the glenoid arc and the vector of the conjoined sling may be suboptimal and fail to restrain humeral head translation...
December 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29198083/-robotic-assisted-transaxillary-thyroid-surgery-the-rabin-medical-center-experience
#18
Naomi Rabinovics, Gideon Bachar, Tom Raz-Yarkoni, Raphael Feinmesser
AIMS: To review the experience of a single-center with RATS and to assess its outcome, feasibility and safety. BACKGROUND: With the advent of minimally invasive techniques in thyroid surgery, robot-assisted transaxillary thyroid surgery (RATS) has become one of the most popular approaches. Its main advantages are improved cosmetic outcome, thereby increasing patient satisfaction, improved visualization and range of motion. Several large-scale studies, have demonstrated its safety and feasibility...
November 2017: Harefuah
https://www.readbyqxmd.com/read/29193008/comparison-of-gaze-behaviour-of-trainee-and-experienced-surgeons-during-laparoscopic-gastric-bypass
#19
S Erridge, H Ashraf, S Purkayastha, A Darzi, M H Sodergren
BACKGROUND: Eye tracking presents a novel tool that could be used to profile skill levels in surgery objectively. The primary aim of this study was to identify differences in gaze behaviour between expert and junior surgeons performing a laparoscopic Roux-en-Y gastric bypass (LRYGB) for obesity. METHODS: This prospective observational study used a lightweight eye-tracking apparatus to determine the difference in gaze behaviours between expert (more than 75 procedures) and junior (75 or fewer procedures) surgeons at defined stages of LRYGB...
November 28, 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/29192567/-assessment-of-physicians-with-a-foreign-diploma-results-of-10-years-of-testing-of-physicians-with-a-foreign-diploma
#20
L R Kooij, W Davidse, C T Postma
OBJECTIVE: To determine the result of the assessment procedure, initiated on 1 December 2005, for physicians with a foreign diploma who wish to practice in the Netherlands. DESIGN: Retrospective, descriptive study. METHOD: The Commission for Foreign Healthcare Graduates (CBGV) collected data on physicians with a foreign diploma who followed the procedure for requesting a declaration of professional competence and admission to the Dutch Individual Healthcare Professions (BIG) register between December 2005 - December 2015...
2017: Nederlands Tijdschrift Voor Geneeskunde
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