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https://www.readbyqxmd.com/read/28534723/evaluation-of-a-jugular-venipuncture-alpaca-model-to-teach-the-technique-of-blood-sampling-in-adult-alpacas
#1
Marjolaine Rousseau, Guy Beauchamp, Sylvain Nichols
The effectiveness of teaching aids in veterinary medical education is not often assessed rigorously. The objective in the present study was to evaluate the effectiveness of a commercially available jugular venipuncture alpaca model as a complementary tool to teach veterinary students how to perform venipuncture in adult alpacas. We hypothesized that practicing on the model would allow veterinary students to draw blood in alpacas more rapidly with fewer attempts than students without previous practice on the model...
May 23, 2017: Journal of Veterinary Medical Education
https://www.readbyqxmd.com/read/28526918/effect-of-problem-and-scripting-based-learning-on-spine-surgical-trainees-learning-outcomes
#2
Lin Cong, Qi Yan, Chenjing Sun, Yue Zhu, Guanjun Tu
PURPOSE: To assess the impact of problem and scripting-based learning (PSBL) on spine surgical trainees' learning outcomes. METHODS: 30 spine surgery postgraduate-year-1 residents (PGY-1s) from the First Hospital of China Medical University were randomly divided into two groups. The first group studied spine surgical skills and developed individual judgment under a conventional didactic model, whereas the PSBL group used PBL and Scripted model. A feedback questionnaire and the satisfaction of residents were evaluated by the first assistant surgeon immediately following each procedure...
May 19, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28526619/construct-validity-of-a-simple-laparoscopic-ovarian-cystectomy-model-using-a-validated-objective-structured-assessment-of-technical-skills
#3
Elizabeth Britton Chahine, Chan Hee Han, Tamika Auguste
STUDY OBJECTIVE: To determine the construct validity and inter-rater reliability of a laparoscopic ovarian cystectomy simulator using a global rating scale. DESIGN: Prospective blinded observational study. DESIGN: Classification: II.3 SETTING: Academic teaching hospital. PARTICIPANTS: A total of 26 postgraduate year 1 - 4 gynecology and obstetrics residents were recruited. (15 junior residents, postgraduate year (PGY) 1 - 2 and 11 senior residents, PGY 3 - 4)...
May 16, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28521751/an-integrated-intervention-to-reduce-intimate-partner-violence-and-psychological-distress-with-refugees-in-low-resource-settings-study-protocol-for-the-nguvu-cluster-randomized-trial
#4
Wietse A Tol, M Claire Greene, Samuel Likindikoki, Lusia Misinzo, Peter Ventevogel, Ann G Bonz, Judith K Bass, Jessie K K Mbwambo
BACKGROUND: Intimate partner violence (IPV) is a critical public health and human rights concern globally, including for refugee women in low-resource settings. Little is known about effective interventions for this population. IPV and psychological distress have a bi-directional relationship, indicating the potential benefit of a structured psychological component as part of efforts to reduce IPV for women currently in violent relationships. METHODS: This protocol describes a cluster randomized controlled trial aimed at evaluating an 8-session integrated psychological and advocacy intervention (Nguvu) with female adult survivors of past-year IPV displaying moderate to severe psychological distress...
May 18, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28516300/predicting-surgical-skill-from-the-first-n-seconds-of-a-task-value-over-task-time-using-the-isogony-principle
#5
Anna French, Thomas S Lendvay, Robert M Sweet, Timothy M Kowalewski
PURPOSE: Most evaluations of surgical workflow or surgeon skill use simple, descriptive statistics (e.g., time) across whole procedures, thereby deemphasizing critical steps and potentially obscuring critical inefficiencies or skill deficiencies. In this work, we examine off-line, temporal clustering methods that chunk training procedures into clinically relevant surgical tasks or steps during robot-assisted surgery. METHODS: Features calculated from the isogony principle are used to train four common machine learning algorithms from dry-lab laparoscopic data gathered from three common training exercises...
May 17, 2017: International Journal of Computer Assisted Radiology and Surgery
https://www.readbyqxmd.com/read/28509639/factors-associated-with-simulator-assessed-laparoscopic-surgical-skills-of-veterinary-students
#6
Jessica J Kilkenny, Ameet Singh, Carolyn L Kerr, Deep K Khosa, Boel A Fransson
OBJECTIVE To determine whether simulator-assessed laparoscopic skills of veterinary students were associated with training level and prior experience performing nonlaparoscopic veterinary surgery and other activities requiring hand-eye coordination and manual dexterity. DESIGN Experiment. SAMPLE 145 students without any prior laparoscopic surgical or fundamentals of laparoscopic surgery (FLS) simulator experience in years 1 (n = 39), 2 (34), 3 (39), and 4 (33) at a veterinary college. PROCEDURES A questionnaire was used to collect data from participants regarding experience performing veterinary surgery, playing video games, and participating in other activities...
June 1, 2017: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/28509631/improving-balance-mobility-and-dual-task-performance-in-an-adolescent-with-cerebral-palsy-a-case-report
#7
Sarah Fisher-Pipher, Lisa K Kenyon, Marci Westman
BACKGROUND AND PURPOSE: Improving functional mobility is often a desired outcome for adolescents with cerebral palsy (CP). Traditional neurorehabilitation approaches are frequently directed at impairments; however, improvements may not be carried over into functional mobility. The purpose of this case report was to describe the examination, intervention, and outcomes of a task-oriented physical therapy intervention program to improve dynamic balance, functional mobility, and dual-task performance in an adolescent with CP...
May 16, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/28509425/methods-of-fixation-of-intraocular-lenses-according-to-the-anatomical-structures-in-trauma-eyes
#8
REVIEW
Miltiadis Fiorentzis, Anja Viestenz, Jens Heichel, Berthold Seitz, Thomas Hammer, Arne Viestenz
Ocular trauma can lead to severe visual impairment and morbidity, depending on the anatomical structures affected. The main causes of ocular trauma include foreign bodies, impact by an object, falls, and chemicals. Most ocular traumas occur in children or young male adults. A meticulous slit lamp examination is crucial for assessing all anatomical structures. Trauma to the crystalline lens can result in dislocation, an intralenticular foreign body, cataract, fragmentation, and capsular breach. An intraocular lens (IOL) can endure subluxation or luxation under the conjunctiva, into the anterior chamber or the vitreous, or can be extruded...
May 16, 2017: Clinical Anatomy
https://www.readbyqxmd.com/read/28509402/a-combined-hands-on-teaching-program-and-clinical-pathway-focused-on-pleural-ultrasound-and-procedure-supervision-transforms-pleural-procedure-outcomes
#9
Timothy Edwards, Alistair Cook, Matthew Salamonsen, Farzad Bashirzadeh, David Fielding
INTRODUCTION: Management of pleural effusions is a common diagnostic and management problem. We reviewed the outcomes from pleural procedures after the instigation of pleural effusion management guidelines focusing on pleural ultrasound and a hands-on teaching program followed with procedure supervision that enabled many operators to perform such procedures. METHODS: A retrospective analysis of all procedures performed for pleural effusions on medical patients. Outcomes were assessed prior to the instigation of pleural effusion management guidelines (pleural pathway) and hands-on teaching (January 2010 to June 2011) and following these interventions (January 2012 to June 2013)...
May 16, 2017: Internal Medicine Journal
https://www.readbyqxmd.com/read/28506562/the-impact-of-system-factors-on-quality-and-safety-in-arterial-surgery-a%C3%A2-systematic-review
#10
REVIEW
R Lear, A D Godfrey, C Riga, C Norton, C Vincent, C D Bicknell
OBJECTIVE: A systems approach to patient safety proposes that a wide range of factors contribute to surgical outcome, yet the impact of team, work environment, and organisational factors, is not fully understood in arterial surgery. The aim of this systematic review is to summarize and discuss what is already known about the impact of system factors on quality and safety in arterial surgery. DATA SOURCES: A systematic review of original research papers in English using MEDLINE, Embase, PsycINFO, and Cochrane databases, was performed according to PRISMA guidelines...
May 11, 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28501594/the-safe-t-assessment-tool-derivation-and-validation-of-a-web-based-application-for-point-of-care-evaluation-of-gastroenterology-fellow-performance-in-colonoscopy
#11
Navin L Kumar, Guillaume Kugener, Molly L Perencevich, John R Saltzman
BACKGROUND AND AIMS: Attending assessment is a critical part of endoscopic education for gastroenterology fellows. The aim of this study was to develop and validate a concise assessment tool to evaluate real-time fellow performance in colonoscopy administered via a web-based application. METHODS: The Skill Assessment in Fellow Endoscopy Training (SAFE-T) tool was derived as a novel 5-question evaluation tool that captures both summative and formative feedback and adapted into a web-based application...
May 10, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28500615/marijuana-and-the-risk-of-fatal-car-crashes-what-can-we-learn-from-fars-and-nrs-data
#12
Eduardo Romano, Pedro Torres-Saavedra, Robert B Voas, John H Lacey
Lab studies have shown that marijuana can severely impair driving skills. Epidemiological studies, however, have been inconclusive regarding the contribution of marijuana use to crash risk. In the United States, case-control studies based on the merging of comparable crash Fatality Analysis Reporting System (FARS) and non-crash National Roadside Survey (NRS) data have been applied to assess the contribution of drugs to crash risk, but these studies have yielded confusing, even contradictory results. We hypothesize that such a divergence of results emanates from limitations in the databases used in these studies, in particular that of the FARS...
May 12, 2017: Journal of Primary Prevention
https://www.readbyqxmd.com/read/28498063/preliminary-evaluation-of-a-novel-rigid-bronchoscopy-simulator
#13
Grace E Hsiung, Ben Schwab, Ellen K O'Brien, Colin D Gause, Ferdynand Hebal, Katherine A Barsness, Deborah M Rooney
PURPOSE: Emergent retrieval of airway foreign bodies (AFBs) in children remains a priority skill set for pediatric surgeons. In the setting of low procedural volume, simulation-based education with deliberate practice is essential to ensure trainees reach expected surgical competency. The purposes of this work were to (1) create a realistic rigid bronchoscopy for AFB retrieval simulation model and (2) to evaluate preliminary validity evidence of a novel simulator for the use of training and assessing pediatric surgical trainees' rigid bronchoscopy skills...
May 12, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28498061/microvascular-decompression-for-hemifacial-spasm-can-intraoperative-lateral-spread-response-monitoring-improve-surgical-efficacy
#14
Yongxu Wei, Wenlei Yang, Weiguo Zhao, Chunhua Pu, Ning Li, Yu Cai, Hanbing Shang
OBJECTIVE The purpose of this study was to evaluate whether intraoperative monitoring of lateral spread response (LSR) improves the efficacy of microvascular decompression (MVD) for hemifacial spasm (HFS). METHODS In this prospective study, patients undergoing MVD for HFS were assigned to one of 2 groups, Group A (MVD with intraoperative LSR monitoring) or Group B (MVD without LSR monitoring). Clinical outcome at 12 months after surgery was assessed through telephone survey. Data analysis was performed to investigate the effect of intraoperative LSR monitoring on efficacy of MVD...
May 12, 2017: Journal of Neurosurgery
https://www.readbyqxmd.com/read/28493407/first-person-perspective-video-to-enhance-simulation
#15
Junaid Fukuta, Justin Morgan
BACKGROUND: Simulation training is increasingly being used as part of the undergraduate medical curriculum, but it remains time and faculty member intensive. To improve efficacy, videos have been used prior to the simulation of practical procedures; however, using videos prior to simulation training concerning the management of patients who are unwell has not been investigated. The aim of this project was to see whether clinical decision-making and non-technical skills can be improved if a video is used prior to simulation training, and uniquely to enhance the authenticity we filmed it using a first-person perspective...
May 10, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/28489962/development-and-validation-of-a-screening-procedure-to-identify-speech-language-delay-in-toddlers-with-cleft-palate
#16
Line Dahl Jørgensen, Elisabeth Willadsen
The purpose of this study was to develop and validate a clinically useful speech-language screening procedure for young children with cleft palate ± cleft lip (CP) to identify those in need of speech-language intervention. Twenty-two children with CP were assigned to a +/- need for intervention conditions based on assessment of consonant inventory using a real-time listening procedure in combination with parent-reported expressive vocabulary. These measures allowed evaluation of early speech-language skills found to correlate significantly with later speech-language performance in longitudinal studies of children with CP...
May 10, 2017: Clinical Linguistics & Phonetics
https://www.readbyqxmd.com/read/28487667/when-is-a-test-score-fair-for-the-individual-who-is-being-tested-effects-of-different-scoring-procedures-across-multiple-attempts-when-testing-a-motor-skill-task
#17
Arve Vorland Pedersen, Håvard Lorås
Tests or test batteries used for assessing motor skills, either in research studies or in clinical settings, apply a variety of procedures for scoring performances, including everything from one to ten attempts, of which the best is scored or an average is computed. The rationale behind scoring procedures is rarely stated, and it seems that the number of attempts allowed is decided without much qualification from research. It is uncertain whether procedures fairly capture an individual's skill level. Thus, the validity of the tests may be compromised...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28482890/crisis-checklists-for-in-hospital-emergencies-expert-consensus-simulation-testing-and-recommendations-for-a-template-determined-by-a-multi-institutional-and-multi-disciplinary-learning-collaborative
#18
Christian P Subbe, John Kellett, Paul Barach, Catriona Chaloner, Hayley Cleaver, Tim Cooksley, Erik Korsten, Eilish Croke, Elinor Davis, Ashley Jr De Bie, Lesley Durham, Chris Hancock, Jilian Hartin, Tracy Savijn, John Welch
BACKGROUND: 'Failure to rescue' of hospitalized patients with deteriorating physiology on general wards is caused by a complex array of organisational, technical and cultural failures including a lack of standardized team and individual expected responses and actions. The aim of this study using a learning collaborative method was to develop consensus recomendations on the utility and effectiveness of checklists as training and operational tools to assist in improving the skills of general ward staff on the effective rescue of patients with abnormal physiology...
May 8, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28477279/temporal-clustering-of-surgical-activities-in-robot-assisted-surgery
#19
Aneeq Zia, Chi Zhang, Xiaobin Xiong, Anthony M Jarc
PURPOSE: Most evaluations of surgical workflow or surgeon skill use simple, descriptive statistics (e.g., time) across whole procedures, thereby deemphasizing critical steps and potentially obscuring critical inefficiencies or skill deficiencies. In this work, we examine off-line, temporal clustering methods that chunk training procedures into clinically relevant surgical tasks or steps during robot-assisted surgery. METHODS: We collected system kinematics and events data from nine surgeons performing five different surgical tasks on a porcine model using the da Vinci Si surgical system...
May 5, 2017: International Journal of Computer Assisted Radiology and Surgery
https://www.readbyqxmd.com/read/28470660/-video-instruction-for-synchronous-video-recording-of-mimic-movement-of-patients-with-facial-palsy
#20
Rebecca Anna Schaede, Gerd Fabian Volk, Luise Modersohn, Jodi Maron Barth, Joachim Denzler, Orlando Guntinas-Lichius
Photografy and video are necessary to record the severity of a facial palsy or to allow offline grading with a grading system. There is no international standard for the video recording urgently needed to allow a standardized comparison of different patient cohorts. A video instruction was developed. The instruction was shown to the patient and presents several mimic movements. At the same time the patient is recorded while repeating the presented movement using commercial hardware. Facial movements were selected in such a way that it was afterwards possible to evaluate the recordings with standard grading systems (House-Brackmann, Sunnybrook, Stennert, Yanagihara) or even with (semi)automatic software...
May 3, 2017: Laryngo- Rhino- Otologie
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