scholarly journals Objective Assessment of the Core Laparoscopic Skills Course

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Sami Mansour ◽  
Nizar Din ◽  
Kumaran Ratnasingham ◽  
Shashidhar Irukulla ◽  
George Vasilikostas ◽  
...  
Keyword(s):  
Assessment Tool ◽  
Objective Assessment ◽  
Laparoscopic Skills ◽  
Left Hand ◽  
The Core ◽  
Before And After ◽  
Hand Length ◽  
Marked Area ◽  
Laparoscopic Experience

Objective.The demand for laparoscopic surgery has led to the core laparoscopic skills course (CLSC) becoming mandatory for trainees in UK. Virtual reality simulation (VR) has a great potential as a training and assessment tool of laparoscopic skills. The aim of this study was to determine the role of the CLSC in developing laparoscopic skills using the VR.Design.Prospective study. Doctors were given teaching to explain how to perform PEG transfer and clipping skills using the VR. They carried out these skills before and after the course. During the course they were trained using the Box Trainer (BT). Certain parameters assessed.Setting.Between 2008 and 2010, doctors attending the CLSC at St Georges Hospital.Participants.All doctors with minimal laparoscopic experience attending the CLSC.Results. Forty eight doctors were included. The time taken for the PEG skill improved by 52%, total left hand and right hand length by 41% and 48%. The total time in the clipping skill improved by 57%. Improvement in clips applied in the marked area was 38% and 45% in maximum vessel stretch.Conclusions.This study demonstrated that CLSC improved some aspects of the laparoscopic surgical skills. It addresses Practice-based Learning and patient care.

scholarly journals Development of Scoring Rubrics for Projects as an Assessment Tool across an IS Program

10.28945/2941 ◽  
2006 ◽  
Author(s):  
Doncho Petkov ◽  
Olga Petkova
Keyword(s):  
Information Systems ◽  
Student Learning ◽  
Assessment Tool ◽  
Learning Assessment ◽  
The Core ◽  
Core Subjects ◽  
Scoring Rubrics ◽  
Student Learning Assessment ◽  
Future Work

This paper describes the experience of the authors with the development of scoring rubrics for projects in the core subjects of an Information Systems program. It presents an overview of student learning assessment issues in professional courses and the role of educational projects for that purpose. Then the steps of deriving project rubrics in different subjects across the Information Systems program are shown along with some suggestions for future work.

scholarly journals Changes in Gaze Behavior during the Learning of the Epidural Technique with a Simulator in Anesthesia Novices (Preprint)

2020 ◽  
Author(s):  
Emanuele Capogna ◽  
Francesco Salvi ◽  
Lorena Delvino ◽  
Andrea Di Giacinto ◽  
Angelica Del Vecchio ◽  
...  
Keyword(s):  
Eye Tracking ◽  
Assessment Tool ◽  
Objective Assessment ◽  
Needle Insertion ◽  
Epidural Block ◽  
Epidural Needle ◽  
Eye Tracker ◽  
Gaze Behavior ◽  
Before And After ◽  
Potential Applications

BACKGROUND Current literature demonstrates the ability of eye tracking to provide reliable quantitative data as an objective assessment tool, with potential applications to medical and surgical training to improve performance. OBJECTIVE The aim of this study was to evaluate the changes in gaze behavior in anesthesia novice trainees when performing a simulated epidural technique before and after a hands-on training on the epidural simulator. METHODS We enrolled 48 novice trainees who had never previously performed an epidural block. After a standardized learning module, each trainee practiced the epidural procedure on the epidural simulator while wearing a pair of eye tracking glasses (Tobii Pro Glasses 50 Hz wearable wireless eye tracker). After this baseline recording, each trainee spent two hours practicing with the epidural simulator and afterwards once again performed the eye tracking epidural procedure. Eye tracking metrics and epidural learning (duration of the procedure and number of attempts) before and after the simulated practice were recorded. RESULTS The duration of the epidural procedure was shorter and the number of epidural attempts reduced after the tutorial. Before the tutorial, during needle insertion. the eye tracking metrics showed more visit counts of shorter duration and after the tutorial less visit counts (P=.05) but of longer duration (P=.03). A significant correlation was observed between the number of epidural needle insertions (additional attempts) and the number (OR=2.02 (0.23-1.27; P=.008)) and duration (OR=0.65 (-0.93-0.02; P=.05)) of visits. CONCLUSIONS In novice anesthesia trainees who had never previously performed an epidural block, we observed significant changes in gaze behavior associated with increased performance during the initial phase of epidural technique learning with a simulator. These results may create a prototype for future studies on eye tracking technique as a teaching and evaluating tool in simulation. CLINICALTRIAL Not necessary

scholarly journals The Role of Simulator Promis2 in Learning Laparoscopic Skill

2009 ◽  
Vol 48 (175) ◽  
Author(s):  
Suman K Shrestha ◽  
T Nomura ◽  
T Tajiri ◽  
I Akagi ◽  
R Aso ◽  
...  
Keyword(s):  
Path Length ◽  
Simulator Training ◽  
Laparoscopic Skill ◽  
Laparoscopic Skills ◽  
Left Hand ◽  
Left Handed ◽  
Path Lengths ◽  
The Right ◽  
Right And Left Hand

Introduction: Laparoscopic surgery is unique and complex in nature, so the training is necessarybefore proceeding to operation room. Many computer aided simulators have been developed forthe purpose. Our objective is to assess the improvement of basic laparoscopic skills after training insimulator.Methods: The fi fth year medical students underwent training of three laparoscopic skills usingPromis2 simulator twice weekly for 4-6 weeks. The skills are laparoscopic orientation, target pointingand objects transferring. Time, path length of instruments and economy of movements were recorded.The comparisons were made for these parameters between session fi rst and the last using a Mann-Whitney U test.Results: Ten volunteers completed the exercises in less time (186.3±55.4 seconds) than the fi rstexercise (215.7±57.4 seconds) (P=0.0027). Both the right and left hand instrument path lengths werealso improved from 4425.8±1284.3 mm in the fi rst exercise to 3925.3±1313.6 mm in the last exercisein the left side (P=0.0219) and likewise from 4273.8±1859.4 mm to 3831.3±1717.4 mm in the right side(P=0.0027). Economy of the movement in the left handed instrument improved from 1114.4±453.5mm in the fi rst exercise to 966.8±411.1 mm in the last (P=0.0443) and in the right handed instrumentfrom 845±398.8 mm to 771.4±370.5 mm according to the software of Promis2 simulator (P >0.005).Conclusions: Training in Promis2 simulator improves the basic laparoscopic skills. The candidatesbecome consistently faster with shorter path lengths and had smoother instruments movements.They also became signifi cantly more consistent in their performance.Key Words: laparoscopy, promis2, simulator, training

scholarly journals Using the Mouse to Model Human Diseases: Cognitive Impairment in Systemic Lupus Erythematosus

2020 ◽  
Vol 47 (7) ◽  
pp. 1145-1149
Author(s):  
Lara El Khoury ◽  
Aida Zarfeshani ◽  
Betty Diamond
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Cognitive Impairment ◽  
Lupus Erythematosus ◽  
Assessment Tool ◽  
Objective Assessment ◽  
Renin Angiotensin System ◽  
Systemic Lupus ◽  
Angiotensin System

In this 2020 Dunlop-Dottridge Lecture, the authors discuss cognitive impairment (CI), one of the most prevalent neuropsychiatric syndromes in systemic lupus erythematosus (SLE). Patients often report CI as the most bothersome disease-related manifestation, with a great effect on their quality of life. Nevertheless, studies focusing on CI remain scarce and no effective targeted therapy has been identified. We herein present murine models of CI in SLE with insights into the pathogenesis of this condition as well as the role of the renin angiotensin system in microglial activation. We will discuss the role of neuroimaging as a useful objective assessment tool, describing our experience in previous and ongoing clinical trials of CI in patients with SLE.

Oxford Handbook of Surgical Nursing

2016 ◽  
Keyword(s):  
Multidisciplinary Team ◽  
Surgical Care ◽  
Surgical Patients ◽  
Care Needs ◽  
The Core ◽  
Before And After ◽  
Core Elements ◽  
Clinical Advances

The Oxford Handbook of Surgical Nursing is aimed at nurses who care for patients before and after surgery on the main ward areas of a surgical facility. The care needs of surgical patients are core to the role of the nurse and have undergone significant specialization, with the increasing technological and clinical advances in surgery. In addition, the role of the nurse in these areas has changed markedly, undertaking more procedures as well as aspects of assessment, investigation, and treatment as part of the multidisciplinary team. The Oxford Handbook of Surgical Nursing provides a guide relating to all the core elements of surgical care.

scholarly journals Activated PI3Kδ syndrome, an immunodeficiency disorder, leads to sensorimotor deficits recapitulated in a murine model

2021 ◽  
Author(s):  
Ines Serra ◽  
Olivia R. Manusama ◽  
Fabian M. P. Kaiser ◽  
Izi Izumi Floriano ◽  
Lucas Wahl ◽  
...  
Keyword(s):  
Murine Model ◽  
Assessment Tool ◽  
Objective Assessment ◽  
Autism Spectrum ◽  
Neurological Deficits ◽  
Repetitive Behaviour ◽  
Primary Immunodeficiency Disorder ◽  
Immunodeficiency Disorder ◽  
Neurodevelopmental Deficits

AbstractThe phosphoinositide-3-kinase (PI3K) family plays a major role in cell signalling and is predominant in leukocytes. Gain-of-function (GOF) mutations in the PIK3CD gene lead to the development of activated PI3Kδ syndrome (APDS), a rare primary immunodeficiency disorder. A subset of APDS patients also displays neurodevelopmental delay symptoms, suggesting a potential role of PIK3CD in cognitive and behavioural function. However, the extent and nature of the neurodevelopmental deficits has not been previously quantified. Here, we assessed the cognitive functions of two APDS patients, and investigated the causal role of the PIK3CD GOF mutation in neurological deficits using a murine model of this disease. We used E1020K knock-in mice, harbouring the most common APDS mutation in patients. We found that APDS patients present with visuomotor deficits, exacerbated by autism spectrum disorder comorbidity, whereas p110δE1020K mice exhibited impairments in motor behaviour, learning and repetitive behaviour patterning. Our data indicate that PIK3CD GOF mutations increase the risk for neurodevelopmental deficits, supporting previous findings on the interplay between the nervous and the immune system. Further, our results validate the knock-in mouse model, and offer an objective assessment tool for patients that could be incorporated in diagnosis and in the evaluation of treatments.

scholarly journals Role of Extracranial Carotid Duplex and Computed Tomography Perfusion Scanning in Evaluating Perfusion Status of Pericarotid Stenting

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Chih-Ming Lin ◽  
Yu-Jun Chang ◽  
Chi-Kuang Liu ◽  
Cheng-Sheng Yu ◽  
Henry Horng-Shing Lu
Keyword(s):  
Computed Tomography ◽  
Assessment Tool ◽  
Resistance Index ◽  
Carotid Stenting ◽  
Medical Illness ◽  
Computed Tomography Perfusion ◽  
Carotid Duplex ◽  
Standard Tool ◽  
Before And After

Carotid stenting is an effective treatment of choice in terms of treating ischemic stroke patients with concomitant carotid stenosis. Though computed tomography perfusion scan has been recognized as a standard tool to monitor/follow up this group of patients, not everyone could endure due to underlying medical illness. In contrast, carotid duplex is a noninvasive assessment tool and could track patient clinical condition in real time. In this study we found that “resistance index” of the carotid ultrasound could detect flow changes before and after the stenting procedure, thus having great capacity to replace the role of computed tomography perfusion exam.

Shall I Move My Right or My Left Hand?

2003 ◽  
Vol 17 (2) ◽  
pp. 69-86 ◽  
Author(s):  
Claudio Babiloni ◽  
Fabio Babiloni ◽  
Filippo Carducci ◽  
Febo Cincotti ◽  
Claudio Del Percio ◽  
...  
Keyword(s):  
Bimanual Coordination ◽  
Central Area ◽  
Eeg Analysis ◽  
Complementary Information ◽  
Left Hand ◽  
Mirror Movements ◽  
Related Potentials ◽  
Motor Acts ◽  
Abstract Event

Abstract Event-related desynchronization/synchronization (ERD/ERS) at alpha (10Hz), beta (20Hz), and gamma (40Hz) bands and movement-related potentials (MRPs) were investigated in right-handed subjects who were “free” to decide the side of unilateral finger movements (“fixed” side as a control). As a novelty, this “multi-modal” EEG analysis was combined with the evaluation of involuntary mirror movements, taken as an index of “bimanual competition.” A main issue was whether the decision regarding the hand to be moved (“free” movements) could modulate ERD/ERS or MRPs overlying sensorimotor cortical areas typically involved in bimanual tasks. Compared to “fixed” movements, “free” movements induced the following effects: (1) more involuntary mirror movements discarded from EEG analysis; (2) stronger vertex MRPs (right motor acts); (3) a positive correlation between these potentials and the number of involuntary mirror movements; (4) gamma ERS over central areas; and (5) preponderance of postmovement beta ERS over left central area (dominant hemisphere). These results suggest that ERD/ERS and MRPs provide complementary information on the cortical processes belonging to a lateralized motor act. In this context, the results on vertex MRPs would indicate a key role of supplementary/cingulate motor areas not only for bimanual coordination but also for the control of “bimanual competition” and involuntary mirror movements.

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