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https://www.readbyqxmd.com/read/29455676/evaluation-of-an-ophthalmoscopy-simulator-to-teach-funduscopy-skills-to-pediatric-residents
#1
Elizabeth Kouzmitcheva, Stephanie A Grover, Tara Berenbaum, Asim Ali, Adelle Atkinson, E Ann Yeh
BACKGROUND: Medical school and residency training in ophthalmoscopic evaluation is limited, reducing diagnostic accuracy. We sought to evaluate the efficacy of self-study using an ophthalmoscopy simulator to improve the technical motor skills involved in direct funduscopy in postgraduate pediatric residents. METHODS: In this randomized-controlled study, 17 pediatric residents (postgraduate years 1-3) were randomized to control (n=8) or intervention (n=9) groups...
February 19, 2018: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
https://www.readbyqxmd.com/read/29454589/a-retrospective-review-of-registrar-out-of-hours-reporting-in-a-university-hospital-the-effect-of-time-and-seniority-on-discrepancy-rates
#2
V Lam, J A Stephenson
AIM: To assess the influence of time, intensity, and trainee seniority on radiology registrars' major and minor discrepancy rates during weekend reporting at a university teaching hospital. MATERIALS AND METHODS: A 12-month retrospective review was performed of out-of-hours trainee provisional reports for computed tomography (CT) and magnetic resonance imaging (MRI) in a university teaching hospital. From Friday 9.00 pm to Sunday 9.00 pm, the out-of-hours service is provided by a single registrar rotating every 12 hours...
February 14, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29450753/use-of-breast-imaging-after-treatment-for-locoregional-breast-cancer-aft-01
#3
Taiwo Adesoye, Jessica R Schumacher, Heather B Neuman, Stephen Edge, Daniel McKellar, David P Winchester, Amanda B Francescatti, Caprice C Greenberg
BACKGROUND: Annual mammography is recommended after breast cancer treatment. However, studies suggest its under-utilization for Medicare patients. Utilization in the broader population is unknown, as is the role of breast magnetic resonance imaging (MRI). Understanding factors associated with imaging use is critical to improvement of adherence to recommendations. METHODS: A random sample of 9835 eligible patients receiving surgery for stages 2 and 3 breast cancer from 2006 to 2007 was selected from the National Cancer Database for primary data collection...
February 15, 2018: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/29445116/evaluation-of-3d-heads-up-vitrectomy-outcomes-of-psychometric-skills-testing-and-surgeon-satisfaction
#4
Mario R Romano, Gilda Cennamo, Chiara Comune, Michela Cennamo, Mariantonia Ferrara, Luca Rombetto, Giovanni Cennamo
OBJECTIVES: To evaluate the use of a three-dimensional heads-up microscope (3DM) during 25-gauge pars plana vitrectomy (PPV) compared with a traditional ophthalmic microscope (TM) in terms of efficacy, safety, and teaching and learning satisfaction. METHODS: Prospective comparative interventional study. Fifty eyes affected by one of the following diseases: rhegmatogenous or tractional retinal detachment, epiretinal membrane, full-thickness macular hole, vitreous hemorrhage, or dropped lens...
February 15, 2018: Eye
https://www.readbyqxmd.com/read/29444388/the-virtual-microscopy-database-sharing-digital-microscope-images-for-research-and-education
#5
Lisa M J Lee, Haviva M Goldman, Michael Hortsch
Over the last 20 years, virtual microscopy has become the predominant modus of teaching the structural organization of cells, tissues, and organs, replacing the use of optical microscopes and glass slides in a traditional histology or pathology laboratory setting. Although virtual microscopy image files can easily be duplicated, creating them requires not only quality histological glass slides but also an expensive whole slide microscopic scanner and massive data storage devices. These resources are not available to all educators and researchers, especially at new institutions in developing countries...
February 14, 2018: Anatomical Sciences Education
https://www.readbyqxmd.com/read/29439086/using-photography-to-enhance-gp-trainees-reflective-practice-and-professional-development
#6
Rutherford, Emer Forde, Jacqueline Priego-Hernandez, Aurelia Butcher, Clare Wedderburn
The capacity and the commitment to reflect are integral to the practice of medicine and are core components of most general practitioners (GP) training programmes. Teaching through the humanities is a growing area within medical education, but one which is often considered a voluntary 'add-on' for the interested doctor. This article describes an evaluation of a highly innovative pedagogical project which used photography as a means to enhance GP trainees' reflective capacity, self-awareness and professional development...
February 8, 2018: Medical Humanities
https://www.readbyqxmd.com/read/29436946/what-patients-want-to-know-about-imaging-examinations-a-multiinstitutional-u-s-survey-in-adult-and-pediatric-teaching-hospitals-on-patient-preferences-for-receiving-information-before-radiologic-examinations
#7
Jay K Pahade, Andrew T Trout, Bin Zhang, Pradeep Bhambhvani, Victorine V Muse, Lisa R Delaney, Evan J Zucker, Pari V Pandharipande, James A Brink, Marilyn J Goske
Purpose To identify what information patients and parents or caregivers found useful before an imaging examination, from whom they preferred to receive information, and how those preferences related to patient-specific variables including demographics and prior radiologic examinations. Materials and Methods A 24-item survey was distributed at three pediatric and three adult hospitals between January and May 2015. The χ 2 or Fisher exact test (categorical variables) and one-way analysis of variance or two-sample t test (continuous variables) were used for comparisons...
February 13, 2018: Radiology
https://www.readbyqxmd.com/read/29424061/prospective-diagnostic-study-on-the-use-of-narrow-band-imaging-on-suspicious-lesions-during-colonoscopy-examination
#8
Huzairi Yaacob, Sani Mohamad Ikhwan, Mohd Nizam Hashim, Syed Hassan Syed Abd Aziz, Wan Zainira Wan Zain, Sharifah Emilia Tuan Sharif, Firdaus Hayati, Andee Dzulkarnaen Zakaria
INTRODUCTION: Colonoscopy is the gold standard to detect colorectal neoplasm. Narrow-band imaging (NBI) has a good diagnostic accuracy to differentiate between neoplastic and non-neoplastic colorectal lesions. This study explores the diagnostic validity of NBI colonoscopy as well as its associated factors related to neoplastic and non-neoplastic colorectal lesions. METHODS: This study enrolled 100 patients in a single-center tertiary teaching hospital. Patients presented for screening colonoscopy, and those with suspicious colorectal lesions were included in this study...
February 8, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29405432/use-of-medical-photography-among-dermatologists-a-nationwide-online-survey-study
#9
E C Milam, M C Leger
BACKGROUND: Medical photography enhances patient care, medical education, and research. Despite medical photography's widespread use, little is known about how dermatologists choose to implement photography in routine clinical practice, and how they approach issues of image storage, image security, and patient consent. OBJECTIVE: To characterize dermatologists' medical photography habits and opinions. METHODS: A 32-item anonymous, multiple-choice SurveyMonkey questionnaire about medical photography practices was emailed to program directors of the 117 United States (US) dermatology residency programs between May and August 2015, with a request to forward to faculty and affiliated dermatologists...
February 6, 2018: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/29394967/utility-of-diffusion-weighted-magnetic-resonance-imaging-with-multiple-b-values-in-evaluation-of-pancreatic-malignant-and-benign-lesions-and-pancreatitis
#10
Elif Karadeli, Gurcan Erbay, Alper Parlakgumus, Zafer Koc
OBJECTIVE: To determine the feasibility of diffusion-weighted imaging in evaluation of pancreatic lesions and in differentiation of benign from malignant lesions. STUDY DESIGN: Descriptive study. PLACE AND DURATION OF STUDY: Baskent University Adana Teaching and Research Center, Adana, Turkey, between September 2013 and May 2015. METHODOLOGY: Forty-three lesions [pancreas adenocarcinoma (n=25)], pancreatitis (n=10), benign lesion (n=8)] were utilized with diffusion-weighted magnetic resonance imaging with multiple b-values...
February 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/29392522/virtual-reality-as-an-educational-and-training-tool-for-medicine
#11
Santiago González Izard, Juan A Juanes, Francisco J García Peñalvo, Jesús Mª Gonçalvez Estella, Mª José Sánchez Ledesma, Pablo Ruisoto
Until very recently, we considered Virtual Reality as something that was very close, but it was still science fiction. However, today Virtual Reality is being integrated into many different areas of our lives, from videogames to different industrial use cases and, of course, it is starting to be used in medicine. There are two great general classifications for Virtual Reality. Firstly, we find a Virtual Reality in which we visualize a world completely created by computer, three-dimensional and where we can appreciate that the world we are visualizing is not real, at least for the moment as rendered images are improving very fast...
February 1, 2018: Journal of Medical Systems
https://www.readbyqxmd.com/read/29378997/ultrasound-guided-percutaneous-nephrostomy-experience-at-ahmadu-bello-university-teaching-hospital-zaria
#12
M Ahmed, A T Lawal, A Bello, A Sudi, M Awaisu, S Muhammad, N Oyelowo, M Tolani, B K Hamza, H Y Maitama
BACKGROUND: Obstructive uropathy is a common problem in urologic practice; temporary relief of obstruction in the upper tract poses a significant challenge. Ultrasound-guided percutaneous nephrostomy (PCN) is an option for upper tract drainage; compared to fluoroscopic guidance, it is readily available, affordable, and not associated with radiation exposure. We present our experience with ultrasound-guided PCN. PATIENTS AND METHODS: We studied all patients who had ultrasound-guided PCN in our center between January 2013 and January 2017...
December 2017: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29368313/the-use-of-point-of-care-ultrasound-to-diagnose-patent-foramen-ovale-in-elective-hip-and-knee-arthroplasty-patients-and-its-association-with-postoperative-delirium
#13
Nan Gai, Ronit Lavi, Philip M Jones, Hwa Lee, Douglas Naudie, Daniel Bainbridge
PURPOSE: Hip and knee arthroplasty surgeries are associated with embolism of materials such as air, cement, and fat. Patent foramen ovale (PFO) is a common congenital cardiac condition that has been reported to lead to paradoxical embolism. This observational study aimed to investigate if the presence of a PFO was associated with an increased risk of postoperative delirium in patients undergoing primary elective hip or knee arthroplasties. METHOD: This was a prospective cohort study at a tertiary teaching hospital...
January 24, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/29360092/management-of-necrotizing-otitis-externa-our-experience-with-forty-three-patients
#14
Sunil Sharma, Tumena Corrah, Arvind Singh
OBJECTIVE: To assess the impact of the introduction of a dedicated management protocol of necrotizing otitis externa patients with joint care between otorhinolaryngology and infectious diseases. MATERIALS AND METHODS: Retrospective review of case notes and the otorhinolaryngology department database of all adults admitted with necrotizing otitis externa at our teaching hospital over a 5-year period. The patients were split into two groups (first group of 10 patients prior to the introduction of the dedicated management protocol, and a second group of 33 patients managed after the introduction of this protocol)...
December 2017: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/29358105/using-real-time-ultrasound-imaging-as-adjunct-teaching-tools-to-enhance-physical-therapist-students-ability-and-confidence-to-perform-traction-of-the-knee-joint
#15
Alycia Markowski, Maureen K Watkins, Todd Burnett, Melissa Ho, Michael Ling
Often, physical therapy students struggle with the skill and the confidence to perform manual techniques for musculoskeletal examination. Current teaching methods lack concurrent objective feedback. Real-time ultrasound imaging (RTUI) has the advantage of generating visualization of anatomical structures in real-time in an efficient and safe manner. We hypothesize that the use of RTUI to augment teaching with concurrent objective visual feedback will result in students' improved ability to create a change in joint space when performing a manual knee traction and higher confidence scores...
January 17, 2018: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/29356945/mechanical-birth-related-trauma-to-the-neonate-an-imaging-perspective
#16
REVIEW
Apeksha Chaturvedi, Abhishek Chaturvedi, A Luana Stanescu, Johan G Blickman, Steven P Meyers
Mechanical birth-related injuries to the neonate are declining in incidence with advances in prenatal diagnosis and care. These injuries, however, continue to represent an important source of morbidity and mortality in the affected patient population. In the United States, these injuries are estimated to occur among 2.6% of births. Although more usual in context of existing feto-maternal risk factors, their occurrence can be unpredictable. While often superficial and temporary, functional and cosmetic sequelae, disability or even death can result as a consequence of birth-related injuries...
January 22, 2018: Insights Into Imaging
https://www.readbyqxmd.com/read/29353466/inter-observer-agreement-between-urologists-and-radiologists-in-interpreting-the-computed-tomography-images-of-emergency-patients-with-renal-colic
#17
Jun Young Hong, Dong Hoon Lee, In Ho Chang, Sung Bin Park, Chan Woong Kim, Byung Hoon Chi
PURPOSE: Low-dose non-enhanced computed tomography (LDCT) has been shown to provide low radiation exposure with proper diagnostic accuracy compared to standard dose non-enhanced computed tomography (SDCT) in patients with renal colic. The goal of our study is to estimate the accuracy of LDCT and SDCT interpretation by emergency medicine residents who primarily treated patients with renal colic. MATERIALS AND METHODS: Thirty sample images of both LDCT and SDCT from renal colic patients were extracted from January 2013 to December 2015 in a tertiary teaching hospital...
January 21, 2018: Urology Journal
https://www.readbyqxmd.com/read/29350668/concealed-lung-anatomy-in-botticelli-s-masterpieces-the-primavera-and-the-birth-of-venus
#18
Davide Lazzeri
Sandro Botticelli was one of the most esteemed painters and draughtsmen among Renaissance artists. Under the patronage of the De' Medici family, he was active in Florence during the flourishing of the Renaissance trend towards the reclamation of lost medical and anatomical knowledge of ancient times through the dissection of corpses. Combining the typical attributes of the elegant courtly style with hallmarks derived from the investigation and analysis of classical templates, he left us immortal masterpieces, the excellence of which incomprehensibly waned and was rediscovered only in the 1890s...
January 16, 2018: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/29350556/rehabilitation-of-a-young-athlete-with-extension-based-low-back-pain-addressing-motor-control-impairments-and-central-sensitization
#19
John J Winslow, Mark Jackson, Andrew Getzin, Michael Costello
OBJECTIVE:   To describe the conservative management of a young athlete with extension-based (EB) low back pain (LBP). BACKGROUND:   We present the case of a 15-year-old female high school gymnast with a 4-year history of EB LBP. Magnetic resonance imaging revealed a healed spondylolysis and significant lumbar multifidi muscle (LMM) atrophy with fatty infiltrate. She had several courses of outpatient orthopaedic rehabilitation that focused on core muscle strengthening (improving activation and strength of the LMM and transversus abdominus muscle in a neutral pelvic position) without long-lasting improvement...
January 19, 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29344572/expert-led-didactic-versus-self-directed-audiovisual-training-of-confocal-laser-endomicroscopy-in-evaluation-of-mucosal-barrier-defects
#20
Roy Huynh, Matthew Ip, Jeff Chang, Craig Haifer, Rupert W Leong
Background and study aims:  Confocal laser endomicroscopy (CLE) allows mucosal barrier defects along the intestinal epithelium to be visualized in vivo during endoscopy. Training in CLE interpretation can be achieved didactically or through self-directed learning. This study aimed to compare the effectiveness of expert-led didactic with self-directed audiovisual teaching for training inexperienced analysts on how to recognize mucosal barrier defects on endoscope-based CLE (eCLE). Materials and methods:  This randomized controlled study involved trainee analysts who were taught how to recognize mucosal barrier defects on eCLE either didactically or through an audiovisual clip...
January 2018: Endoscopy International Open
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