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Assessment procedure skills

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https://www.readbyqxmd.com/read/27913152/development-and-validation-of-an-objective-scoring-tool-for-robot-assisted-radical-prostatectomy-prostatectomy-assessment-and-competency-evaluation-pace
#1
Ahmed A Hussein, Khurshid R Ghani, James Peabody, Richard Sarle, Ronney Abaza, Daniel Eun, Jim Hu, Michael Fumo, Brian Lane, Jeffrey Montgomery, Nobuyuki Hinata, Deborah Rooney, Bryan Comstock, Hei Kit Chan, Sridhar S Mane, James L Mohler, Gregory Wilding, David Miller, Khurshid A Guru
INTRODUCTION: and Background: Comprehensive training and skill acquisition by urologic surgeons are vital to optimize surgical outcomes and patient safety. We sought to develop and validate an objective and procedure specific tool to assess the quality of robot-assisted radical prostatectomy (RARP)-Prostatectomy Assessment and Competence Evaluation (PACE) METHODS: Development and content validation of PACE was performed by deconstruction of RARP into seven key domains utilizing the Delphi methodology...
November 29, 2016: Journal of Urology
https://www.readbyqxmd.com/read/27911983/fibrin-glue-versus-sutures-for-conjunctival-autografting-in-primary-pterygium-surgery
#2
REVIEW
Vito Romano, Mario Cruciani, Luigi Conti, Luigi Fontana
BACKGROUND: Pterygium, a growth of the conjunctiva over the cornea, is a progressive disease leading in advanced stages to visual impairment, restriction of ocular motility, chronic inflammation and cosmetic concerns. Surgical removal is the treatment of choice, but recurrence can be a problem. Currently the best surgical option in terms of recurrence is conjunctival autograft. To date the most common surgical methods of attaching conjunctival autografts to the sclera are through suturing or fibrin glue...
December 2, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27902658/understanding-negative-predictive-value-of-diagnostic-tests-used-in-clinical-practice
#3
Reba A Umberger, Linda A Hatfield, Patricia M Speck
Nurses review, evaluate, and use diagnostic test results on a routine basis. However, the skills necessary to evaluate a particular test using statistical outcome measures is often lacking. The purpose of this article is to examine and interpret the underlying principles for use of the statistical outcomes of diagnostic screening tests (sensitivity, specificity, and positive (PPV) and negative (NPV) predictive values, with a discussion about use of SpPIn [Specificity, Positive test = rule in], and SnNOut [Sensitivity, Negative test = rule out]) in advanced nursing clinical practice...
January 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/27895238/combined-modality-intervention-for-adhd-with-comorbid-reading-disorders-a-proof-of-concept-study
#4
Rosemary Tannock, Jan C Frijters, Rhonda Martinussen, Erin Jacquelyn White, Abel Ickowicz, Nancy J Benson, Maureen W Lovett
To evaluate the relative efficacy of two reading programs with and without adjunctive stimulant medication for children with attention-deficit/hyperactivity disorder and comorbid reading disorder (ADHD+RD). Sixty-five children (7-11 years in age) were assigned randomly to one of three intensive remedial academic programs (phonologically or strategy-based reading instruction, or general academic strategy and social skills training) in combination with either immediate-release methylphenidate or placebo. Multiple-blind procedures were used for medication/placebo, given twice daily...
November 28, 2016: Journal of Learning Disabilities
https://www.readbyqxmd.com/read/27891468/influence-of-teaching-strategies-and-its-order-of-exposure-on-pre-clinical-teeth-arrangement-a-pilot-study
#5
Karthigeyan Jeyapalan, Uma Maheswari Mani, Jayanth Christian, Madhan Kumar Seenivasan, Parthasarathy Natarajan, Anand Kumar Vaidhyanathan
INTRODUCTION: Teeth arrangement is a vital skill for the undergraduate dental student. The attainment of skills depends largely on the methodology of teaching. In a dental curriculum, the students are exposed to a wide variety of inputs and teaching methodologies from different sources. The educational unit in dental school must identify the sequence of teaching methods that enhance the learning and practising ability of students. AIM: The aim of this study was to evaluate the effectiveness of three different teaching methodologies for teeth arrangement and compare the differences between the orders of exposure to each teaching methodology on the development of teeth arrangement skills...
October 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27889269/medical-student-expectations-from-surgical-education-a-two-year-institutional-experience
#6
Alessandra Landmann, William S Havron, Arpit Patel, Britta M Thompson, Jason S Lees
BACKGROUND: The third-year surgical rotation is the first exposure medical students have to the fundamentals of surgical education. It is known that medical students come to the surgical clerkship with preconceived ideas, many of them negative and based on prior student feedback and hearsay. METHODS: An anonymous survey was conducted of third-year medical students while on the surgical clerkship. We sought to quantify student's experiences and expectations by assessing the students' confidence levels before and after the rotation...
October 20, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27884344/do-resident-s-leadership-skills-relate-to-ratings-of-technical-skill
#7
Samantha J Gannon, Katherine E Law, Rebecca D Ray, Jay N Nathwani, Shannon M DiMarco, Anne-Lise D D'Angelo, Carla M Pugh
BACKGROUND: This study sought to compare general surgery research residents' survey information regarding self-efficacy ratings to their observed performance during a simulated small bowel repair. Their observed performance ratings were based on their leadership skills in directing their assistant. METHODS: Participants were given 15 min to perform a bowel repair using bovine intestines with standardized injuries. Operative assistants were assigned to help assist with the repair...
December 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27876255/patient-and-perioperative-variables-affecting-30-day-readmission-for-surgical-complications-after-hip-and-knee-arthroplasties-a-matched-cohort-study
#8
Benjamin F Ricciardi, Kathryn K Oi, Steven B Daines, Yuo-Yu Lee, Amethia D Joseph, Geoffrey H Westrich
BACKGROUND: Changes in reimbursement for total hip and knee arthroplasties (THA and TKA) have placed increased financial burden of early readmission on hospitals and surgeons. Our purpose was to characterize factors of 30-day readmission for surgical complications after THA and TKA at a single, high-volume orthopedic specialty hospital. METHODS: Patients with a diagnosis of osteoarthritis and who were readmitted within 30 days of their unilateral primary THA or TKA procedure between 2010 and 2014...
October 21, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27871193/physiotherapist-delivered-cognitive-behavioural-interventions-are-effective-for-low-back-pain-but-can-they-be-replicated-in-clinical-practice-a-systematic-review
#9
Amanda Hall, Helen Richmond, Bethan Copsey, Zara Hansen, Esther Williamson, Gillian Jones, Beth Fordham, Zafra Cooper, Sarah Lamb
PURPOSE: To determine if physiotherapist-led cognitive-behavioural (CB) interventions are effective for low back pain (LBP) and described sufficiently for replication. METHOD: Randomised controlled trials (RCTs) of patients with LBP treated by physiotherapists using a CB intervention were included. Outcomes of disability, pain, and quality of life were assessed using the GRADE approach. Intervention reporting was assessed using the Template for Intervention Description and Replication...
November 21, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27869504/initial-content-validation-results-of-a-new-simulation-model-for-flexible-ureteroscopy-the-key-box-k-box%C3%A2
#10
Luca Villa, Tarik Emre Sener, Bhaskar K Somani, Jonathan Cloutier, Salvatore Butticè, Francesco Marson, Steeve Doizi, Silvia Proietti, Olivier Traxer
: Purpose We sought to test the content validity of a new training model for flexible ureteroscopy: the Key-Box. Material & Methods Sixteen medical students were randomized to either a training group (n=8) that underwent 10 days of training on 10 different exercises to learn (1) specific movements for the flexible ureteroscope and (2) how to catch and release stones with a nitinol basket using the Key-Box, or a non-training control group (n=8). Subsequently, an expert endourologist (OT) blindly assessed the skills of all students (trained and non-trained) by observing their performance on two ureteroscope manipulation exercises and one stone capture exercise...
November 21, 2016: Journal of Endourology
https://www.readbyqxmd.com/read/27868435/a-touchy-topic-tactile-assessment-among-pediatric-therapists
#11
Megan Louise Auld, Leanne Marie Johnston
PURPOSE: Tactile impairments affect over 77% of children with unilateral cerebral palsy (CP). This study aimed to examine the current practices of pediatric therapists in relation to tactile assessment and the barriers to carrying out tactile assessment in children with CP. METHOD: The study was in two parts. In part one, pediatric therapists (n = 35) completed a questionnaire detailing their current knowledge and the use of tactile assessments in children. In part two, therapists (n = 12) completed a questionnaire based on the Theoretical Domains Framework examining the barriers and facilitators to completing tactile assessments in clinical practice...
November 20, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27867862/intermittent-neural-monitoring-of-the-recurrent-laryngeal-nerve-in-surgery-for-recurrent-goiter
#12
REVIEW
Beata Wojtczak, Marcin Barczyński
Reoperative thyroid surgery is still challenging even for skilled surgeons, and is associated with a higher incidence of complications, such as hypoparathyroidism and recurrent laryngeal nerve (RLN) palsy. Displacement of the RLN, scar tissue from previous neck surgery and difficulty in maintaining good hemostasis are risk factors in reoperations. The prevalence of RLN injury in reoperative thyroid surgery ranges as high as 12.5% for transient injury and up to 3.8% for permanent injury. Bilateral paresis can also occur during reoperations, and is a dangerous complication influencing the quality of life, sometimes requiring tracheostomy...
October 2016: Gland Surgery
https://www.readbyqxmd.com/read/27867804/dfast-and-daga-web-based-integrated-genome-annotation-tools-and-resources
#13
Yasuhiro Tanizawa, Takatomo Fujisawa, Eli Kaminuma, Yasukazu Nakamura, Masanori Arita
Quality assurance and correct taxonomic affiliation of data submitted to public sequence databases have been an everlasting problem. The DDBJ Fast Annotation and Submission Tool (DFAST) is a newly developed genome annotation pipeline with quality and taxonomy assessment tools. To enable annotation of ready-to-submit quality, we also constructed curated reference protein databases tailored for lactic acid bacteria. DFAST was developed so that all the procedures required for DDBJ submission could be done seamlessly online...
2016: Bioscience of Microbiota, Food and Health
https://www.readbyqxmd.com/read/27867658/man-versus-machine-software-training-for-surgeons-an-objective-evaluation-of-human-and-computer-based-training-tools-for-cataract-surgical-performance
#14
Nizar Din, Phillip Smith, Krisztina Emeriewen, Anant Sharma, Simon Jones, James Wawrzynski, Hongying Tang, Paul Sullivan, Silvestro Caputo, George M Saleh
This study aimed to address two queries: firstly, the relationship between two cataract surgical feedback tools for training, one human and one software based, and, secondly, evaluating microscope control during phacoemulsification using the software. Videos of surgeons with varying experience were enrolled and independently scored with the validated PhacoTrack motion capture software and the Objective Structured Assessment of Cataract Surgical Skill (OSACCS) human scoring tool. Microscope centration and path length travelled were also evaluated with the PhacoTrack software...
2016: Journal of Ophthalmology
https://www.readbyqxmd.com/read/27864981/interventions-for-nurses-well-being-at-work-a-quantitative-systematic-review
#15
REVIEW
Johanna Romppanen, Arja Häggman-Laitila
AIM: To gather, assess and synthesize current research knowledge on the interventions aiming to improve nurses' well-being at work. BACKGROUND: Previous reviews describe health care professionals' well-being at work from the perspective of burnout. Research on the interventions for and their effectiveness on nurses' well-being at work is sporadic. DESIGN: A quantitative systematic review based on the procedure of the Centre for Reviews and Dissemination...
November 16, 2016: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/27864919/using-a-novel-assessment-of-procedural-proficiency-provides-medical-educators-insight-into-blood-pressure-measurement
#16
Michael Holmstrup, Brock Jensen, Rebecca Burkart, Malorie Levis
Objective: This investigation was performed to determine how students in a health sciences program utilize and explain techniques within blood pressure measurement using a novel assessment, and changes associated with greater curricular exposure. Methods: An exploratory, qualitative and quantitative study was conducted using a 'Think Aloud' design with protocol analysis. Following familiarization, participants performed the task of measuring blood pressure on a reference subject while stating their thought processes...
November 19, 2016: International Journal of Medical Education
https://www.readbyqxmd.com/read/27858521/preliminary-study-of-video-based-pediatric-endoscopic-surgical-skill-assessment-using-a-neonatal-esophageal-atresia-tracheoesophageal-fistula-model
#17
Kyoichi Deie, Tetsuya Ishimaru, Shinya Takazawa, Kanako Harada, Naohiko Sugita, Mamoru Mitsuishi, Jun Fujishiro, Tadashi Iwanaka
PURPOSE: Thoracoscopic esophageal atresia/tracheoesophageal fistula (EA/TEF) repair in neonates is technically difficult because of the small working space and fragility of tissues. This study aimed to show the construct validity of the neonatal EA/TEF simulator by video-based assessment of endoscopic suturing skill. MATERIALS AND METHODS: A rapid-prototyped neonatal chest model with an artificial esophagus model similar to the actual neonatal esophagus was developed...
November 18, 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27847557/thoracic-ultrasound-a-complementary-diagnostic-tool-in-cardiology
#18
REVIEW
Guglielmo M Trovato
Clinical assessment and workup of patients referred to cardiologists may need an extension to chest disease. This requires more in-depth examination of respiratory co-morbidities due to uncertainty or severity of the clinical presentation. The filter and integration of ecg and echocardiographic information, addressing to the clues of right ventricular impairment, pulmonary embolism and pulmonary hypertension, and other less frequent conditions, such as congenital, inherited and systemic disease, usually allow more timely diagnosis and therapeutic choice...
October 26, 2016: World Journal of Cardiology
https://www.readbyqxmd.com/read/27846050/the-ptsd-toolkit-for-nurses-assessment-intervention-and-referral-of-veterans
#19
Nancy P Hanrahan, Kate Judge, Grace Olamijulo, Lisa Seng, Matthew Lee, Pamela Herbig Wall, Sandy C Leake, Elizabeth Czekanski, Suzanne Thorne-Odem, Erika E DeMartinis, Ursula A Kelly, Lucas Blair, Warren Longmire
Approximately 20% of veterans suffer from posttraumatic stress disorder (PTSD). NPs are well positioned to provide early detection and assist veterans with access to life-saving treatment. The PTSD Toolkit for Nurses helps nurses improve their skills in assessing PTSD and provides a specialized intervention and referral procedure that promotes help-seeking behavior among veterans.
November 14, 2016: Nurse Practitioner
https://www.readbyqxmd.com/read/27834226/checklist-for-psychosocial-risk-evaluation-a-prospective-evaluation-study
#20
M Weigl, A Müller, A Paramythelli, P Angerer, R Petru
BACKGROUND: Although psychosocial risk evaluation (PRE) is legally required, implementation is often suboptimal. Occupational health specialists face various challenges in implementing a systematic PRE process. AIMS: To evaluate if a checklist strengthens the competencies of occupational physicians in PRE design and implementation. METHODS: A prospective pilot survey with a baseline and follow-up assessment at 12 months was conducted with occupational physicians who applied the checklist...
November 7, 2016: Occupational Medicine
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