scholarly journals Athletic Therapy Students' Perceptions of High-Fidelity Manikin Simulation: A Pilot Study

2018 ◽  
Vol 13 (2) ◽  
pp. 158-167
Author(s):  
Matthew B. Miller ◽  
Alison K. Macpherson ◽  
Loriann M. Hynes
Keyword(s):  
Effective Means ◽  
Affective Domain ◽  
Health Science ◽  
Learning Needs ◽  
High Fidelity ◽  
Therapy Program ◽  
Athletic Therapy ◽  
The Mean ◽  
Simulation Centre ◽  
Affective Domains

Context: Athletic therapy students learn emergency skills through a variety of modes, including students portraying injured athletes and cardiopulmonary resuscitation manikins. Although acceptable and satisfactory forms of teaching, these methods are limited in their ability to create realistic physiological symptoms of injury. Objective: To assess how athletic therapy students perceive their learning needs (LNs) relative to the use of high-fidelity manikin simulation (HFMS) compared with student simulation (SS) in the laboratory setting. Design: Pretest-posttest study design. Setting: Nursing Simulation Centre, Sheridan College, Brampton, Ontario, Canada. Patients or Other Participants: Thirty students from the Bachelor of Applied Health Science (Athletic Therapy) program at Sheridan College in years 2 and 4. Intervention(s): Perceived LNs related to the use of the Laerdal Medical SimMan3G HFMS contrasted with the use of SS for learning to respond to a prescribed emergency scenario. Main Outcome Measure(s): Participants completed questionnaires for both the SS and HFMS environments that consisted of 16 specific LNs spanning the cognitive, psychomotor, and affective domains of learning. Paired t tests and a 2-way analysis of variance were used to analyze the questionnaire data. Results: Participants reported all LNs as being equally important in both environments, but HFMS was identified as a better environment for achieving 13 of the 16 LNs. The mean change from pretesting to posttesting of all LNs in the affective domain improved significantly (P < .05) in the HFMS environment. Year 4 participants deemed HFMS to be a more effective means of learning in the cognitive and psychomotor domains (P < .05). Conclusions: The HFMS experience enhanced athletic therapy students' perceptions of their confidence, base of knowledge, decision-making skills, and overall acute management of critical lifesaving situations. The HMFS environment is a more effective tool for addressing the LNs in the affective domain, which includes skills related to confidence, attitudes, values, and appreciations.

Are battlefield and prehospital trauma scenarios an effective educational tool to teach leadership and crisis resource management skills to undergraduate medical students?

2019 ◽  
Vol 166 (E) ◽  
pp. e34-e37
Author(s):  
Matt Ellington ◽  
S Farrukh
Keyword(s):  
Resource Management ◽  
Medical Students ◽  
Clinical Skills ◽  
Effective Means ◽  
Resource Utilisation ◽  
High Fidelity ◽  
Crisis Resource Management ◽  
Problem Solving Skills ◽  
Before And After ◽  
The Mean

IntroductionLeadership and crisis resource management (CRM) skills are important skills for doctors, however there is a recognised lack of undergraduate leadership education. There remains debate over how best to teach leadership and CRM skills, and poor leadership skills among clinicians are associated with adverse patient outcomes. We examined whether high-fidelity battlefield and prehospital scenarios can improve leadership and CRM skills.MethodThis was a prospective observational study with students self-reporting their leadership and CRM skills using the Ottawa Crisis Resource Management Global Ranking Scale (OCRMGRS) before and after completing the Cambridge University Emergency Medicine Society Battlefield and Pre-Hospital Trauma course. The course involves a mixture of small group tutorials and practical high-fidelity battlefield and prehospital trauma scenarios. Faculty also completed the OCRMGRS for the first and last candidates at the scenarios. The mean precourse versus mean postcourse score of the OCRMGRS was analysed using a two-tailed t-test.Results46 students completed paired OCRMGRS before and after the course. The mean precourse scores for each of the domains (leadership, communication skills, resource utilisation, problem solving skills and situational awareness) were calculated. There was a statistically significant (p<0.05) increase in both self-reported and faculty-reported scores across all domains, and the increase remained at 1-year follow-up.ConclusionsLeadership and CRM skills are important non-clinical skills for doctors, however there is debate over how best to teach them. High-fidelity battlefield and prehospital trauma scenarios are an effective means of teaching leadership and CRM skills to civilian medical students.

scholarly journals Trends and Clinico-Epidemiological Features of Human Rabies Cases in Bangladesh, 2006–2018

2020 ◽  
Vol 41 (S1) ◽  
pp. s416-s416
Author(s):  
Sumon Ghosh ◽  
Md. Sohel Rana ◽  
Sukanta Chowdhury
Keyword(s):  
Effective Means ◽  
Scale Up ◽  
Traditional Healers ◽  
Human Rabies ◽  
Epidemiological Analysis ◽  
Increasing Trend ◽  
The Mean ◽  
Death Cases ◽  
Death Data

Background: Vaccinating dogs against rabies is an effective means of reducing human rabies. Methods: We analyzed 1,327 clinically diagnosed human rabies deaths and mass dog vaccination (MDV) data during 2006–2018 to quantify the impacts of MDV on human rabies incidence in Bangladesh and a subset of rabies death data (n = 422) for clinico-epidemiological analysis. Results: We found a positive and increasing trend of dog population vaccination (P = .01 and τ = 0.71) and a negative and declining trend (P < .001 and τ = −0.88) of human rabies cases (correlation coefficient, −0.82). Among 422 human rabies death cases, most victims (78%) sought treatment from traditional healers, and 12% received postexposure prophylaxis (PEP). The mean incubation period of rabies cases with exposure sites on the head and neck (35 days) was shorter than the upper limb (mean, 64 days; P = .02) and lower limb (mean, 89 days; P < .01). MDV is effective for reducing human rabies cases in Bangladesh. Conclusions: Creating awareness among the animal bite victims to stop relying on traditional healers rather seeking PEP, addressing the role of traditional healers through an awareness education program in respect to the treatment of dog bites, ensuring availability of PEP, and continuing to scale up MDV can help prevent human rabies deaths.Funding: NoneDisclosures: None

Mass-Casualty Training Exercise Using High-Fidelity Computerized Simulators and Involving Time and Resource Limitation

2021 ◽  
Vol 36 (3) ◽  
pp. 313-320
Author(s):  
Phillip A. Jacobson ◽  
Paul N. Severin ◽  
Dino P. Rumoro ◽  
Shital Shah
Keyword(s):  
Health Care ◽  
Resource Limitation ◽  
Mass Casualty ◽  
Health Care Personnel ◽  
High Fidelity ◽  
Medical Team ◽  
Training Exercise ◽  
The Mean ◽  
Medical Teams

AbstractPurpose:Training emergency department (ED) personnel in the care of victims of mass-casualty incidents (MCIs) is a highly challenging task requiring unique and innovative approaches. The purpose of this study was to retrospectively explore the value of high-fidelity simulators in an exercise that incorporates time and resource limitation as an optimal method of training health care personnel in mass-casualty care.Methods:Mass-casualty injury patterns from an explosive blast event were simulated for 12 victims using high-fidelity computerized simulators (HFCS). Programmed outcomes, based on the nature of injuries and conduct of participants, ranged from successful resuscitation and survival to death. The training exercise was conducted five times with different teams of health care personnel (n = 42). The exercise involved limited time and resources such as blood, ventilators, and imaging capability. Medical team performance was observed and recorded. Following the exercise, participants completed a survey regarding their training satisfaction, quality of the exercise, and their prior experiences with MCI simulations. The Likert scale responses from the survey were evaluated using mean with 95% confidence interval, as well as median and inter-quartile range. For the categorical responses, the frequency, proportions, and associated 95% confidence interval were calculated.Results:The mean rating on the quality of experiences related trainee survey questions (n = 42) was between 4.1 and 4.6 on a scale of 5.0. The mean ratings on a scale of 10.0 for quality, usefulness, and pertinence of the program were 9.2, 9.5, and 9.5, respectfully. One hundred percent of respondents believed that this type of exercise should be required for MCI training and would recommend this exercise to colleagues. The five medical team (n = 5) performances resulted in the number of deaths ranging from two (including the expectant victims) to six. Eighty percent of medical teams attempted to resuscitate the “expectant” infant and exhausted the O- blood supply. Sixty percent of medical teams depleted the supply of ventilators. Forty percent of medical teams treated “delayed” victims too early.Conclusion:A training exercise using HFCS for mass casualties and employing limited time and resources is described. This exercise is a preferred method of training among participating health care personnel.

A comparative study of learning outcomes between video-based and traditional lecture-based teaching in physiology

2021 ◽  
Vol 20 (4) ◽  
pp. 833-839
Author(s):  
Raisa Nazir Ahmed Kazi ◽  
Mirfat Mohamed Labib El Kashif ◽  
Manjur Kolhar
Keyword(s):  
Learning Outcomes ◽  
Medical Science ◽  
Affective Domain ◽  
Assessment Methods ◽  
Cognitive Domain ◽  
Digestive Physiology ◽  
Traditional Lecture ◽  
Lecture Session ◽  
Affective Domains ◽  
Different Levels

Background: -Video-based teaching, a distance learning tools is widely beingused in the present COVID-19 pandemic. Present study compares cognitive and affective domains learning outcomes between traditional and video-based physiology lecture. Methods and material: -A total of 25female students of Applied Medical College, Prince Sattam bin Abdul Aziz University, kingdom of Saudi Arabia during 2019 were selected for the study. Physiology course consist of 45 credit hours in a fifteen-week semester. Students were evaluated by various methods for different levels of cognitive and affective domains between traditional method of endocrine physiology lecture session and video-based digestive physiology lecture session. Marks obtained by each student in all the assessment methods of cognitive and affective domains were calculated to get a total mean score and expressed in percentage and compared between the traditional and video-based physiology lecture. Results: -The total mean score for all the assessment methods of the cognitive domains in the digestive physiology lecture with video was 70% and endocrine lecture without video was 50%.The total mean score for affective domain in the digestive physiology lecture with video was 80% and endocrine lecture without video was 50%.Cognitive domain show no major difference between traditional endocrine physiology and video-based digestive physiology lecture, while student performance was good for affective domain in the lecture supported by video. Conclusion: -Video-based teaching helps the learner to achieve objectives of the different levels of affective domain compared to cognitive domain as well as compared to traditional lecture with no video. Bangladesh Journal of Medical Science Vol.20(4) 2021 p.833-839

High-Fidelity Simulations of a High-Pressure Turbine Stage: Effects of Reynolds Number and Inlet Turbulence

2021 ◽  
Author(s):  
Yaomin Zhao ◽  
Richard D. Sandberg
Keyword(s):  
Heat Transfer ◽  
Reynolds Number ◽  
Suction Side ◽  
Rotor Blades ◽  
High Fidelity ◽  
Mean Flow ◽  
High Pressure Turbine ◽  
Flow Shear ◽  
Phase Lock ◽  
The Mean

Abstract We present the first wall-resolved high-fidelity simulations of high-pressure turbine (HPT) stages at engine-relevant conditions. A series of cases have been performed to investigate the effects of varying Reynolds numbers and inlet turbulence on the aerothermal behavior of the stage. While all of the cases have similar mean pressure distribution, the cases with higher Reynolds number show larger amplitude wall shear stress and enhanced heat fluxes around the vane and rotor blades. Moreover, higher-amplitude turbulence fluctuations at the inlet enhance heat transfer on the pressure-side and induce early transition on the suction-side of the vane, although the rotor blade boundary layers are not significantly affected. In addition to the time-averaged results, phase-lock averaged statistics are also collected to characterize the evolution of the stator wakes in the rotor passages. It is shown that the stretching and deformation of the stator wakes is dominated by the mean flow shear, and their interactions with the rotor blades can significantly intensify the heat transfer on the suction side. For the first time, the recently proposed entropy analysis has been applied to phase-lock averaged flow fields, which enables a quantitative characterization of the different mechanisms responsible for the unsteady losses of the stages. The results indicate that the losses related to the evolution of the stator wakes is mainly caused by the turbulence production, i.e. the direct interaction between the wake fluctuations and the mean flow shear through the rotor passages.

Influencing the Personal Meaning of Diabetes: Research and Practice

1988 ◽  
Vol 14 (4) ◽  
pp. 297-302 ◽  
Author(s):  
Robert M. Anderson ◽  
George Nowacek ◽  
Frederick Richards
Keyword(s):  
Patient Education ◽  
Diabetes Patient ◽  
Affective Domain ◽  
Personal Meaning ◽  
Diabetes Research ◽  
Research And Practice ◽  
Positive Attitudes ◽  
Affective Domains ◽  
Diabetes Educators

Diabetes patient education involves the cognitive, psycho motor, and affective domains. This paper focuses on the influence diabetes patient education has on how people feel about having diabetes and what it means to them. Our research suggests that diabetes patient education can contribute to more positive attitudes about diabetes and that diabetes educators should address the affective domain directly. Strategies for influencing the personal meaning of diabetes are presented and discussed.

scholarly journals Technical Note: Quantifying music-dance synchrony with the application of a deep learning-based 2D pose estimator

2020 ◽  
Author(s):  
Filip Potempski ◽  
Andrea Sabo ◽  
Kara K Patterson
Keyword(s):  
Deep Learning ◽  
Motor Performance ◽  
Data Extraction ◽  
Effective Means ◽  
Technical Note ◽  
Novel Method ◽  
Synchronous Condition ◽  
The Mean ◽  
Repeated Training

AbstractDance interventions are more effective at improving gait and balance outcomes than other rehabilitation interventions. Repeated training may culminate in superior motor performance compared to other interventions without synchronization. This technical note will describe a novel method using a deep learning-based 2D pose estimator: OpenPose, alongside beat analysis of music to quantify movement-music synchrony during salsa dancing. This method has four components: i) camera setup and recording, ii) tempo/downbeat analysis and waveform cleanup, iii) OpenPose estimation and data extraction, and iv) synchronization analysis. Two trials were recorded: one in which the dancer danced synchronously to the music and one where they did not. The salsa dancer performed a solo basic salsa step continuously for 90 seconds to a salsa track while their movements and the music were recorded with a webcam. This data was then extracted from OpenPose and analyzed. The mean synchronization value for both feet was significantly lower in the synchronous condition than the asynchronous condition, indicating that this is an effective means to track and quantify a dancer’s movement and synchrony while performing a basic salsa step.

scholarly journals Efektifitas Modul Tematik Berbasis Qur’an dan Hadist Dengan Buku Paket Tematik Terhadap Hasil Belajar dan Karakter Religius Siswa Kelas 4

2019 ◽  
Vol 1 (2) ◽  
pp. 79
Author(s):  
Nuril Nuzulia
Keyword(s):  
Learning Outcomes ◽  
Affective Domain ◽  
Cognitive Domain ◽  
Average Score ◽  
Average Value ◽  
Learning Module ◽  
Domain Learning ◽  
Lower Effect ◽  
Affective Domains ◽  
Thematic Learning

The module is one of the teaching material media that is intact and systematic. This study aims to determine the effectiveness of teaching thematic modules based on the Qur'an and Hadith with the thematic package book on the 4th class religious character in SDN Janti 2 Tarik Sidoarjo. The type of research is experimental research with samples taken by class 4 A (experimental class with thematic learning module based on qur'an and hadith) and 4 B (control class with thematic package book). The data were obtained from the students' learning outcomes of the cognitive and affective aspects of my dream ideals by analyzing using SPSS program statistics. The result of cognitive domain using SPSS Independent Samples Test shows the significance of 0.000 <0,05 then Ho is rejected so it can be concluded that there is effectiveness of thematic teaching module based on qur'an and hadith with thematic package book to the result of fourth grade student learning at SDN Janti 2 Pull Sidoarjo. Likewise, the affective domain results show the percentage of 90% so it can be concluded to increase students' religious kararkter. Learning module has a high influence, seen from the cognitive domain learning results obtained by an average score of 80, while affective domain average value 4. For thematic package books have a lower effect because of the cognitive domain learning results obtained an average of 75,  while affective domains result in an average value of 3.

ART THERAPY AS A MEANS OF CORRECTING THE EMOTIONAL SPHERE OF ADOLESCENTS WITH DEVIANT BEHAVIOR

2021 ◽  
Vol 2 (1) ◽  
pp. 99-104
Author(s):  
N. V. SHAMANIN ◽  
Keyword(s):  
Art Therapy ◽  
Deviant Behavior ◽  
Effective Means ◽  
Foreign Literature ◽  
Therapy Program

The article raises the question of the correction of the emotional sphere of adolescents with deviant behavior. Particular attention is paid to the approaches to the study of deviant behavior in domestic and foreign literature. It is suggested that the art therapy program is an effective means of correcting the emotional sphere of adolescents with deviant behavior.

Burbot: Ecology, Management, and Culture

2008 ◽  
Keyword(s):  
Home Range ◽  
Maximum Distance ◽  
Home Ranges ◽  
High Fidelity ◽  
Lota Lota ◽  
Acoustic Tags ◽  
The Mean ◽  
General Movement ◽  
Kootenai River ◽  
Do So

Abstract.—Adult burbot <em>Lota lota </em>from Koocanusa Reservoir, Montana, USA were surgically implanted with acoustic (<em>n </em>= 28) and combined radio/acoustic tags (<em>n </em>= 12) to quantify movements and home range. Fish were tagged from November 2003 to April 2004, and tracking efforts were conducted approximately weekly during daylight hours on Koocanusa Reservoir using a motor boat during the period of mid-December 2003 to July 2005, which spanned two burbot spawning seasons. Six (15%) tagged burbot were never relocated after release, and an additional seven (17.5%) of the tagged burbot either died or shed their tag within 60 d after release. We relocated 34 marked burbot (85%) on at least three occasions (mean = 10.0). Burbot frequently used the deepest portions of the reservoir, especially during the summer months. We estimated that the mean 50%, 75%, and 90% kernel home ranges were 14.6, 22.6 and 32.3 km<sup>2</sup>, respectively. We found no evidence that burbot home range differed within the 2 years of this study. Although we did observe burbot moving a maximum distance of up to 64.3 km, we were unable to discern any general movement patterns by month or capture location. Individual burbot tagged in this study had relatively high fidelity to the original capture side of the reservoir, and almost half of our marked burbot were never relocated on the opposite side of the remnant Kootenai River thalweg, and those that did cross the thalweg do so infrequently. One burbot was entrained through Libby Dam approximately 134–276 d after capture and tagging.

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