Chest ultrasound integrated teaching of respiratory system physiology to medical students: a first experience

2015 ◽  
Vol 39 (2) ◽  
pp. 129-130 ◽  
Author(s):  
M. Paganini ◽  
A. Rubini
2017 ◽  
Vol 41 (4) ◽  
pp. 514-517 ◽  
Author(s):  
Matteo Paganini ◽  
Michela Bondì ◽  
Alessandro Rubini

Ultrasound imaging is a widely used diagnostic technique, whose integration in medical education is constantly growing. The aim of this study was to evaluate chest ultrasound usefulness in teaching respiratory system physiology, students’ perception of chest ultrasound integration into a traditional lecture in human physiology, and short–term concept retention. A lecture about respiratory physiology was integrated with ultrasound and delivered to third-year medical students. It included basic concepts of ultrasound imaging and the physiology of four anatomic sectors of the body of a male volunteer, shown with a portable ultrasound device (pleural sliding, diaphragmatic movement, inferior vena cava diameter variations, cardiac movements). Students’ perceptions of the integrated lecture were assessed, and attendance recorded. After 4 mo, four multiple-choice questions about respiratory physiology were administered during the normal human physiology examinations, and the results of students who attended the lesson and those of who did not were compared. One hundred thirty-four students attended the lecture. Most of them showed encouragement for the study of the subject and considered the ultrasound integrated lecture more interesting than a traditional one and pertinent to the syllabus. Exposed students achieved a better score at the examination and committed less errors than did nonexposed students. The chest ultrasound integrated lecture was appreciated by students. A possible association between the exposure to the lecture and short-term concept retention is shown by better performances of the exposed cohort at the examination. A systematic introduction of ultrasound into physiology traditional teaching will be promoted by the Ultrasound-Based Medical Education movement.


2019 ◽  
Author(s):  
John Yerxa ◽  
Cory J Vatsaas ◽  
Suresh Agarwal

Respiratory system uses an elegant physiologic mechanism to support the metabolic demands of the body through oxygenation and ventilation. Oxygen must be absorbed and delivered to the tissues to sustain oxidative metabolism, whereas carbon dioxide must be expelled in a delicate balance to maintain an acid-base equilibrium. Complete understanding of oxygen content, delivery, consumption, and carbon dioxide elimination is essential as a provider caring for the critically ill patient. This review contains 13 figures and 25 references. Key Words: oxygenation, respiratory system, ventilation, gas exchange, haemoglobin, respiratory physiology, respiratory anatomy, oxidative metabolism, dead space.


2015 ◽  
Vol 39 (1) ◽  
pp. 5-14 ◽  
Author(s):  
Samy A. Azer

The aim of the present study was to critically evaluate the accuracy and readability of English Wikipedia articles on the respiratory system and its disorders and whether they can be a suitable resource for medical students. On April 27, 2014, English Wikipedia was searched for articles on respiratory topics. Using a modified DISCERN instrument, articles were independently scored by three assessors. The scoring targeted content accuracy, frequency of updating, and quality of references. The readability of articles was measured using two other instruments. The mean DISCERN score for the 40 articles identified was 26.4 ± 6.3. Most articles covered causes, signs and symptoms, prevention, and treatment. However, several knowledge deficiencies in the pathogenesis of diseases, investigations needed, and treatment were observed. The total number of references for the 40 articles was 1,654, and the references varied from 0 to 168 references, but several problems were identified in the list of references and citations made. The readability of articles was in the range of 9.4 ± 1.8 to 22.6 ± 10.7 using the Flesch-Kincaid Grade Level instrument and 10.0 ± 2.6 to 19.6 ± 8.3 using the Readability Coleman-Liau index. A strong correlation was found between the two instruments ( r2= 0.744, P < 0.001). The agreement between the assessors had mean κ scores in the range of 0.712–0.857. In conclusion, despite the effort placed in creating Wikipedia respiratory articles by anonymous volunteers (wikipedians), most articles had knowledge deficiencies, were not accurate, and were not suitable for medical students as learning resources.


2021 ◽  
Vol 15 (9) ◽  
pp. 2207-2211
Author(s):  
Qudsia Umaira Khan ◽  
Hameyl Tahir ◽  
Abdur Rafae Ahmad

Background: The study of physiology is an essential part of the medical school curriculum. Medical teachers have identified the preference for a specific mode of content delivery to communicate knowledge to students in a rational, strategic, coherent, and sequential manner. In comparison to the focus on systems-based didactic lectures, more emphasis is now put on the developing critical thinking skills. Physiology is widely acknowledged as a difficult subject for medical students to grasp, incorporate, and apply in clinical sciences. Aim: To learn about students’ perceptions of teaching, learning, and assessment approaches used in the physiology. Method A quantitative cross-sectional survey was conducted online on 533 medical students from first to final year and also post grate students. After the approval of Ethical review committee, a questionnaire to determine the various aspects of Physiology as a subject being taught. The survey was conducted online via “Google forms''. Participants answered anonymously with informed consent, and the survey was conducted for a period of two months. Data was analyzed using SPSS version 23. Results: A total number of 533 students participated in this research and responding to Physiology learning and teaching. When students were asked about that which subject is most interesting in first Year MBBS, majority of the students that is 46.2% of the responses claimed that Physiology is the most interesting subject. 33.6% students were from 1st Year. 9.2% students were Postgraduates. 63.4% of the students preferred studying physiology from Guyton and Hall as reference book for Physiology. Majority of students that is 25.5% of the students found Blood Physiology to be the most interesting. Whereas 19.8% found Heart or Cardio Vascular System Physiology as the most interesting subject.15.6% found cell and nerve muscle as an interesting topic in Physiology.9.6% found Endocrinology and reproduction physiology as interesting as compared to 7.7% who found central Nervous system Physiology interesting. 43.9% of the students responded that they perfeer face to face interactive lectures.23.3% of the students perfered small group discussion.10.9% students prefered learing by tutorilas.Interestingly, 20.4% of the participants replied that they would definitely pursue physiology as their career. Conclusion: Physiology is the most interesting subject preferred by majority of students. Keywords: Perception, learning methodologies, medical students


2005 ◽  
pp. 76-80
Author(s):  
V. V. Gnoevykh

Two hundred and twenty-seven healthy medical students were divided into the main (112 smokers) and the control (115 non-smokers) groups. Depending on the risk of COPD occurrence (smoking index > 140) the smokers were divided into the risk-positive (34.5 % of the smokers) and the risk-negative (65.5 %) subgroups. Smoking duration, smoking psychological dependence, need in smoking under an emotional exertion and a habit of nicotine were higher in the risk-positive smokers. The vital capacity, the inspiratory and expiratory reserve volumes, and the peak expiratory flow rate were higher in smokers as a result of adaptation of the respiratory system to smoking, in particular to the negative influence of carbon monoxide. This adaptation is aimed to the SpO2 restoration. But this parameter was lower in smokers, especially in the risk-positive subgroup. Thus, the functional adaptation of the respiratory system to the severe smoking in students with the risk of COPD is failed.


2019 ◽  
Author(s):  
John Yerxa ◽  
Cory J Vatsaas ◽  
Suresh Agarwal

Respiratory system uses an elegant physiologic mechanism to support the metabolic demands of the body through oxygenation and ventilation. Oxygen must be absorbed and delivered to the tissues to sustain oxidative metabolism, whereas carbon dioxide must be expelled in a delicate balance to maintain an acid-base equilibrium. Complete understanding of oxygen content, delivery, consumption, and carbon dioxide elimination is essential as a provider caring for the critically ill patient. This review contains 13 figures and 25 references. Key Words: oxygenation, respiratory system, ventilation, gas exchange, haemoglobin, respiratory physiology, respiratory anatomy, oxidative metabolism, dead space.


2017 ◽  
pp. 329-354
Author(s):  
Siddharth Pawan Dugar ◽  
Mani Latifi ◽  
Eduardo Mireles-Cabodevila

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