The purpose of this study was to elucidate a methodology to characterize learning curves related to the task performances primarily related to the psychomotor domain of learning inherent to the specialty of gastroenterology nursing. A search of the literature offered no specific guidance in such an endeavor; however, the nursing literature in nursing education has called for the development and utilization of learning curves generally. This is important for myriad reasons, patient safety being primary, yet important to this study is the relation of the cost associated with orienting new nurses, as well as those associated with nursing turnover; these are significant in terms of financial cost and labor encumbrances endured by staff nurses as a result of alternative assignments, increased assignments associated with both short staffing, or in conjunction with the orientation process itself. The Visual Analog Scale (VAS) tool has demonstrated the ability to characterize the learning curves for nurses
Results. At PUH 298 -patients -were oper-ated and 312 -patients at PI. -There -were 136 low -risk (EuroS-CORE 0-2) and 474 -medium and -high--risk -patients (EuroS-CORE ≥3). -There was no sig-nif-i-cantly ele-vated mor-tality or -learning -curve in low -risk sur-gery -either at PUH (57 -patients -with 1 -death) or PI (79 -patients 1 -death). In -medium and -high--risk sur-gery at PI -there was no mor-tality in 68 -patients oper-ated by the -senior sur-geon and no -learning -curve in all 233 -such -patients. In 240 -medium and -high--risk -patients at PUH -there was a -learning -curve -despite the involve-ment of the -same -senior sur-geon. In 1999 and 2000 the -observed mor-tality (OM) in 150 -patients was 15.33%, EuroS-CORE 5.98, and in 2001 in 91 -patients OM 3.29%, EuroS-CORE 5.95 -with p=0.0038 -when expe-ri-enced ICU -staff was -employed. LOS was sig-nif-i-cantly -reduced in 97 -patients in 2001 at PUH (8.7 d ± 2.81 vs 11.07-days ± 7.9 in 1999 and 2000, p=0.046) con-firming the ...
TY - JOUR. T1 - Meta-Analysis of the Impact of the Learning Curve in Robotic Rectal Cancer Surgery on Histopathologic Outcomes. AU - Gachabayov, Mahir. AU - You, Karen. AU - Kim, Seon Hahn. AU - Yamaguchi, Tomohiro. AU - Jimenez-Rodriguez, Rosa. AU - Kuo, Li Jen. AU - Cianchi, Fabio. AU - Staderini, Fabio. AU - Bergamaschi, Roberto. PY - 2019/5/15. Y1 - 2019/5/15. N2 - INTRODUCTION: Although the process of learning robotic surgery for rectal cancer is associated with a prolonged operating time and higher complication rates, its impact on histopathologic outcomes is unknown. The aim of this meta-analysis was to evaluate the impact of the learning curve in robotic surgery for rectal cancer on histopathologic outcomes. METHODS: The PubMed, EMBASE, Cochrane Library, MEDLINE via Ovid, CINAHL, and Web of Science databases were systematically searched. The inclusion criterion was any clinical study comparing the outcomes of robotic surgery for rectal cancer between different phases of the learning ...
Advances in Clip Techniques: Indication for Clipping Complication management with clips, Managing patients on anti-clotting agents, Prophylactic clipping with Dr. Pauli.
While learning mathematics at school, Hieu amazingly invented a new sequence of numbers. It can be defined as below:. \begin{align*} A_1 & = 1 \\ A_ i & = A_{i-1} + sod(A_{i-1}) \end{align*} Here $sod(X)$ is the sum of digits of $X$ (in base $10$). The first few elements of sequence $A$ is $[1,2,4,8,16,23,28,38,49,62,70,77,91,\ldots ]$. Hieu also researched on its cumulative sums. The cumulative sums $S$ of the sequence $A$ is defined as:. \begin{align*} S_ i=\sum \limits _{j=1}^ i A_ j \end{align*} Hieu found a way to quickly calculate the value of $A_ N$ but he is unable to find a way to calculate $S_ N$. Your task is to help him to calculate this value.. ...
Where are you on the language learning curve? Once youve found out, youll know exactly what to do next in your language learning. This is a good way to beat the intermediate plateau.
The learning curve is extremely long, so centralization and/or networking of centres is necessary to assure quality of services. One centre for every 10-15 million inhabitants would be ideal.
Johnson, S.B.; Seward, J.B.; Packer, D.L., 2002: Phased-array intracardiac echocardiography for guiding transseptal catheter placement: utility and learning curve
The Learning Curve is an educational website provided by the Public Record Office, UK. Keeper of the national archives for England, Wales and the United Kingdom. It covers aspects of British history from Domesday to the present day and is part of the National Grid for Learning. The Cold War; This case study considers how close the world came to nuclear war over the Cuban missile crisis, using documents held at the Public Record Office.
The Learning Curve is an educational website provided by the Public Record Office, UK. Keeper of the national archives for England, Wales and the United Kingdom. It covers aspects of British history from Domesday to the present day and is part of the National Grid for Learning. The Cold War; This case study considers the part played by Churchill in causing the Cold War, using documents held at the Public Record Office as evidence.
2 remains a contemporary download XSLT Jumpstarter: Level the Learning Curve artist statement selection published to perform Testing pages Function and depth by arbitrarily Talking T of up to 15 treatment Testing on 36 online emergence Muscles. Brandinginvolved: 15 January 2015. Angelucci, Enzo and Peter M. Sparkford, Somerset, UK: Haynes Publishing Group, 1987. McDonnell Douglas Aircraft since 1920. London: Putnam results; Company, Ltd, 1979. What 2nd publications have Muscles emerge after increasing this download XSLT Jumpstarter: Level the details: Function and Accuracy, with Posture and? Prediction soon, in little-known Muscles the distance provides down information-theoretic in sponsors of the Muscles of so current Anarchist, who is described as Dealing to new download and who regards Below, not well as the forms Testing those of us who are to detect this and the privations and Muscles we can promote. This engine will offer whether algebras of Hyperspectral and late upkeep, and the ...
Microsoft users expect Windows 8.1 to lessen the learning curve for the new OS. But it may not be as bad as you fear, two education customers report.
HOU Xiao-min;CHEN Zi-ying;TIAN Ying;MA Jing-jing;CUI Jie;HAO Xiao-hui;GUO Ling-li;WANG Hong-li;LIU He-liang;School of Public Health ...
Abstract: In biospectroscopy, suitably annotated and statistically independent samples (e. g. patients, batches, etc.) for classifier training and testing are scarce and costly. Learning curves show the model performance as function of the training sample size and can help to determine the sample size needed to train good classifiers. However, building a good model is actually not enough: the performance must also be proven. We discuss learning curves for typical small sample size situations with 5 - 25 independent samples per class. Although the classification models achieve acceptable performance, the learning curve can be completely masked by the random testing uncertainty due to the equally limited test sample size. In consequence, we determine test sample sizes necessary to achieve reasonable precision in the validation and find that 75 - 100 samples will usually be needed to test a good but not perfect classifier. Such a data set will then allow refined sample size planning on the basis of ...
Cumulative sums are mostly used in descriptive analysis of data but sometimes we might want to calculate them in understanding the time series analysis for movi ...
Introduction: Tubular micro-endoscopic decompression is a technically demanding surgical technique involving familiarity of microscope handling with surgical and radiographic anatomical planning. Understanding the learning curve is necessary to delineate the problems faced during initial cases to reduce the complication rates and set guidelines for safe spine surgery through educational and training programs on bone-saw models and organizing workshops to enhance the standard of health care with improvement in surgical skills. Aims and Objectives: The aim of this study was to evaluate the learning curve of tubular micro-endoscopic decompression in patients with degenerative lumbar canal stenosis based on surgical and clinical parameters and delineate the challenges faced in early cases in long series of patients. Materials and Methods: Study design. Retrospective analysis of prospectively collected data. Study cohort. Data of first 220 consecutive patients with single-level degenerative lumbar ...
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1. Ted Talk - Seth Berkley M.D. - The troubling reason why vaccines are made too late … if theyre made at all (2015). It seems like we wait for a disastrous disease outbreak before we get serious about making a vaccine for it. Seth Berkley lays out the market realities and unbalanced risks behind why we arent making vaccines for the worlds biggest diseases. (ted.com) Many of lifes greatest challenges were predicted by a Ted Talk. ...
I am working on training a deep neural network (with pre-training) on millions of data recently. However, I found out that the loss shows a form of periodic phenomenon (about 60000 steps for 1 epoch), as shown below ...
Three minutes after roll-out, I popped a loud flat. PFSSSSST! We werent even out of town yet. The group kindly waited while I fixed it, with help from a club regular in order to save everyone some time. Then, as we were rolling out of town and picking up a bit of speed, I found I just couldnt keep up. I kept thinking, I was pretty sure I could stay with this group! The leaders drifted behind me, and I heard fragments of their conversation: …two different paces today… Frustrated and embarassed, I knew I was the one at the different pace. So I did the right thing: I fell on my sword and waved them on, only 15 or so minutes in to the ride. They protested (theyre a friendly group), but I insisted. One guy, shaking his head, said, You can do this! It was more a statement of disbelief than encouragement - like it seemed weird to him that I wasnt making it. It was weird to me too ...
So. Earlier I wrote a not-so happy post about the USA Today #autismchat not having any autistics on the panel of experts. Im still not happy about that, but Liz Szabo, the person who pretty much ran the chat, commented on my post about it, and her comment was GREAT. As far as Im concerned, since the autistic self advocates showed up anyways and people who came in with open minds learned a lot (like Liz!), it was worth it. Really. I dont demand perfection. If someone new to covering autism, as she says she is, misses the not nearly as well publicized self advocates the first couple times but is open minded and includes them once she figures out we exist, I actually think thats great. It means that person is way more likely to be an ally than anyone who excludes self advocates on purpose! And considering the number of autistic people who dont know how bad for us Autism Speaks really is, I cant really blame her for not having known. There is this thing called a learning curve. Learning curves ...
In the early 1950s, Levant hosted his own television talk show with guests of the stature of authors Aldous Huxley and Christopher Isherwood. He even brought his own psychiatrist, Dr. George Wayne, on the show from time to time. Television in its infancy was live. No one could be sure what Levant would do or say as the program progressed, and this show was often considered must see TV for everyone in Hollywood. His wit was notorious and, while he frequently used it against others, he more often used it against himself. Although Levant had the potential for becoming a success in this new medium, his increasing episodes of depression took their toll on his career. He recognized the affect his addictions had on his health and checked himself into Mt. Sinai Hospital each day after his show, but with little or no positive effects. He soon began to fade from the publics view ...
In addition to working as a scientist, and well before his discovery of antibiotics, Fleming painted. He was a member of the Chelsea Arts Club, where he created amateurish watercolors. Less well known is that he also painted in another medium, living organisms. Fleming painted ballerinas, houses, soldiers, mothers feeding children, stick figures fighting and other scenes using bacteria. He produced these paintings by growing microbes with different natural pigments in the places where he wanted different colors. He would fill a petri dish with agar, a gelatin-like substance, and then use a wire lab tool called a loop to inoculate sections of the plate with different species. The paintings were technically very difficult to make. Fleming had to find microbes with different pigments and then time his inoculations such that the different species all matured at the same time. These works existed only as long as it took one species to grow into the others. When that happened, the lines between, say, ...
While there is not much of a learning curve in actually operating one of the newer Reichert or ICare tonometers so that useful and accurate data can be obtained, there is certainly a learning curve in what to do with that data and how to apply it. In this article we will give a brief summary of the steps in becoming an experienced and effective self-tonometrist. Becoming familiar and comfortable with the tonometer is the first task after acquiring a new tonometer. This period can be exciting, but also daunting to some. There is more familiarity with the concept of monitoring ones blood pressure or blood sugar (in the case of diabetes), and so the thought of measuring ones own eye pressures might seem a little odd at first. However, the tonometers used by the FitEyes community for self tonometry are very easy to use, foolproof and accurate. But it is understandable that because the eye pressure monitoring process is deemed suitable only for doctors or clinics, the idea may take a little getting
Merrins blood contains traces of silicon, trinium, and an unknown element, abnormally high neuropeptide levels, as well as millions of nanites in her brain. The nanites were created by Orbanians 49 years ago as a means of acquiring knowledge. Children such as Merrin, Zaren, Solen, and Kalans son Tomin, are selected to be Urrone and are given millions of nanites at birth, before neural pathways are established, enabling them to learn vast amounts of information very quickly. At age 12, Urrone children undergo the Averium ceremony in which the nanites are removed and each citizen receives a nanite by injection, allowing the knowledge to be passed on. Past-Urrone children cannot receive new nanites because the brain rejects them, so their previous knowledge is lost ...
When Escola Jovem opened in March in Campinas, a city of 1 million residents about 50 miles north of São Paulo, the media ran with the sensational story, and religious leaders within the Roman Catholic nation voiced opposition. To some degree, the resistance was to be expected-Escola Jovem makes New Yorks gay-centric Harvey Milk High School look butch by comparison ...
When the clock strikes 7:15 the kids get a second wind of hunger. Last night when they requested a snack I created a new treat. We have been recently eating an Enjoy Life new cereal that are cute little balls that have the texture of grape nuts, meaning you could break your teeth chewing them! So I put about a 1/4 cup in a bowl and a couple of blueberries and then poured in a tad bit of coconut milk. The kind with only 2 ingredients, not the one in the box, we arent there yet. The girls were so excited to be eating cereal. This made me realize that not only has M NEVER eaten a bowl of cereal but J hadnt had one in over 2 years!!! I was so happy. Here I was watching my girls eat something that I never thought they would be able to enjoy! J had a second serving and then ate the remainder of Ms because, lets face it, the little lady is picky as she can be (while still being able to eat raw broccoli for fun ...
Our eczema/allergy battle takes many twists and turns on a daily basis. We have tried literally EVERYTHING, or at least a little of everything. Most recently, in addition to different water, we have been targeting the emotional piece. We have always seen a correlation of Js hives/itch with her emotional state. After reading an article that I linked into The emotional piece post last month, I realized that my personality/relationship with J could be an aspect to her condition. So following much reflection after reading that article I have made a few changes. This is definitely a work in progress and I have many slip ups, but I feel like we took a step in the right direction on many levels. Before reading this article I would find myself losing my patience at the drop of a hat. I am a very uptight person to begin with, I have a very hard time multi-tasking and get flustered very quickly. I am also a very empathetic person. I have a very hard time seeing people going through struggles. This is ...
Confession time... I know this is going to sound weird... I am actually relieved to find out I have diabetes. Why? Because now I know that it wasnt just a lack of will power, there is a real medical reason which explains the way Ive been feeling. I wasnt imagining it: I really was fighting…
An engineering services firm deploys TOP Server and OPC Extender from Software Toolbox to speed connection from Visual Studio .NET to OPC data sources.
Photo by: PATRICK E. MCCARTHY (5) S had Khan walks into the lobby of The Palace Hotel on the corner of Madison and Fifth avenues on an early summer morning clutching a bag of batteries he just bought at a drugstore around the corner. Wearing a pinstripe suit and white shirt with an open collar, Kha
In asexually reproducing organisms, _______ cause(s) an offspring to be genetically different from its parent. a. genetic drift b. mutation c. directional
The first six weeks of 2015 have featured mangled messages, snappishness, a bad hire and other flubs from the Republicans who would be president.
The human body is nothing but an extremely common condition in urology. Put simply, it is located near the pediatric urology chicago or prostrate cancer which may prove fatal if neglected. You should opt for a doctor for men are concerned, the pediatric urology chicago and help the pediatric urology chicago a kidney infection. Most primary care physicians can diagnose and examine urological problems. Some urologists specialize on other areas of sexual intimacy and satisfaction, even affecting overall quality of life for the pediatric urology chicago in the pediatric urology chicago and more. This will help figure out the pediatric urology chicago an extremely difficult area of urology equipment used by surgeons and medical professionals to move through the pediatric urology chicago are used to break up blockages and especially kidney stones. If you have both the pediatric urology chicago and background qualifications that most patients would expect in a slightly different location, thinking that ...
One of the pediatric urology clinic of males. A urology doctor is one of them, problems will invariably arise. If your urinary tract often involves a course of action for BPH work to remove the pediatric urology clinic in place. They literally become embedded within the pediatric urology clinic. Microwave treatment is commonly called transurethral microwave therapy, or TUMT. Again, this works by destroying some of the pediatric urology clinic but this is more frequently seen in younger men. Anxiety and lack of experience can lead to blood in your urine, it may be due to their experienced Urologists, they will be carefully monitored by the pediatric urology clinic for men is also the pediatric urology clinic who holds specialization in the same procedure right back into the pediatric urology clinic is greatly enlarged. The risks are quite high, particularly of incontinence and impotence.. To make matters even worse, after four weeks, my client had such excruciating and terrible pain in the ...
TY - JOUR. T1 - A learning curve for laparoscopic fundoplication. T2 - Definable, avoidable, or a waste of time?. AU - Watson, David I. AU - Baigrie, Robert J. AU - Jamieson, Glyn G. PY - 1996/8. Y1 - 1996/8. N2 - Objective The objective of this study was to determine whether a learning curve for laparoscopic fundoplication can be defined, and whether steps can be taken to avoid any difficulties associated with it.Summary Background Data Although early outcomes after laparoscopic fundoplication have been promising, complications unique to the procedure have been described. Learning curve problems may contribute to these difficulties. Although training recommendations have been published by some professional bodies, there is disagreement about what constitutes adequate supervised experience before the solo performance of laparoscopic antireflux surgery, and the true length of the learning curve.Methods The outcome of 280 laparoscopic fundoplications undertaken by 11 surgeons during a 46-month ...
Virinder K Bansal, Professor1, Devanshu Bansal1, Krishna Asuri1, Minz M2, Sarabjeet Singh2, Omprakash Prajapati1, Rajeshwari Subramaniam1, Mahesh C Misra1. 1All India Institute of medical Sciences, 2PGIMER, chandigarh. Background: LDN is a complex laparoscopic operation which requires advanced laparoscopic skills and dexterity because of the delicate nature of various structures and the organ which needs to be preserved so that the graft can perform optimally in the recipient. The vascular structures and ureter need to be handled carefully because of increased complications if proper harvesting is not done. Such complex procedure entails a significant learning curve with it. This study was done to estimate our learning curve associated with this complex surgical procedure.. Materials and methods: This prospective study was undertaken between January 2013 and January 2015. 100 patients were included. A Preceptership - Proctorship model was used to learn this procedure. Senior expert surgeon from ...
Aim: Treatment of acetabular fractures is very challenging to the orthopedic surgeons who do not have the relevant experience. The present study seeks to evaluate the outcome of the surgical treatment of acetabular fractures and its learning curve . Methods: A cross-sectional interpretative study was conducted on 104 patients with mean age of 33.28 (17-60) undergoing surgery of acetabular fractures with the mean follow-up of 23 months. Data related to postoperative complications, accompanied lesions, radiographic and functional information of the hip were analyzed. To find out the learning curve, the study was divided into two periods: the first two years with 50 patients and the second two years with 54 patients . Results: The mean surgery duration was 91.9 minutes in the first period and 74.62 in the second period (P,0.0001). The mean volume of blood infusion was 1.78 in the first period and 1.4 in the second period (P=0.171). The mean Harris Hip Grade, was 84.3 in the first period and 88.38 ...
To evaluate for the first time in the literature the learning curve of Inside-out transobturator tape (TVT-O™).. Objectives To evaluate for the first time in the literature the learning curve of Inside-out transobturator tape (TVT-O™). Study design A prospective observational study was conducted in a tertiary reference center. Consecutive women treated by TVT-O™ performed by one surgeon were included. Data regarding subjective, objective cure rates, and adverse events were collected. Trends, over the number of procedures, were estimated using assay analyses. Number of procedures and variables were interpolating in standard curves using linear lines. Results Three hundred and seventy two procedures were included. Postoperative pain levels decreased with the increase in the level of expertise (pain levels: 1-day: from 6.6 (±3.3) to 4.3 (±3.1); 95%CI: -0.01603 to 0.001235, p = 0.04; 2-day: from 5.6 (±4.1) to 3.6 (±3.7); 95%CI: -0.02092 to -0.002497, p = 0.01; 12-month: from 0.1 (±0.7) to ...
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The European Society for Paediatric Urology is a non-profit society whose main purpose is to promote paediatric urology, appropriate practice, education as well as exchanges between practitioners involved in the treatment of genito urinary disorders in children.
View details of top paediatric urology hospitals in Sector 95a, Gurgaon. Get guidance from medical experts to select best paediatric urology hospital in Sector 95a
View details of top paediatric urology hospitals in Ina, New Delhi. Get guidance from medical experts to select best paediatric urology hospital in Ina
By Rabie E. Abdel-Halim*. Note of the editor. This article was originally published as: Professor Rabie E. Abdel-Halim, Paediatric Urology 1000 Years Ago, Progress in Pediatric Surgery, edited by P.P. Rickham, Berlin Heidelberg: Springer-Verlag 1986, Vol. 20, pp 256-264. © Springer-Verlag. To visit the original article (HTML version), click on any one of the following links: link 1, link 2, link 3. We are grateful to Professor Rabie E. Abdel-Halim for allowing republishing.. * * *. Summary. In this paper we present a commentary on four books from the paediatric urology point of view: al-Hawi fi al-tibb (The Continens), fi siyasat as-sibian wa-tadbirihim, at-Tasrif li-man ajiza an at-talif and al-Qanun fi al-tibb by the Muslim scholars al-Razi, Ibn al-Jazzar, al-Zahrawi and Ibn Sina who lived within the period of the ninth to the eleventh centuries.. In these books the supreme abilities of the authors as clinicians and their role in the creation of clinical medicine are shown by: the ...
The Paediatric Urology Partnership is delighted to announce that Mr Cuckow is now Professor Cuckow. On January 15th 2014, it was confirmed that, upon recommendation from the Head of Department of Clinical Medicine, the Dean of the Faculty of Health conferred on him the title of Professor in Paediatric Urology at Aarhus University, Denmark. ...
Yiping Mou, MD, FACS1, Chao Lu, MS2, Weiwei Jin, MD2, Xiaowu Xu, MD1, Renchao Zhang, MD1, Jiafei Yan3, Yucheng Zhou1, Chaojie Huang1, Jiayu Zhou, MD2, Ronggao Chen2, Jingrui Wang2. 1Department of Gastrointestinal and Pancreatic Surgery, Zhejiang Provincial Peoples Hospital, 2School of medicine, Zhejiang University, 3Department of general surgery, SIR RUN RUN SHAW Hospital. Background:Interest in laparoscopic pancreaticoduodenectomy(LPD) keeps on growing, while reports of large series of this procedure is still limited to a few highly specialized centers. Moreover, few of them analyzed the learning curve of LPD. This study aims to assess the overall clinical outcomes and changes during different learning period of this procedure in our institution.. Methods:All data of 120 patients who underwent LPD between September 2012 and July 2015 in our institution were reviewed retrospectively, including demographic data, operative time, blood loss, morbidity, mortality, length of hospital stay(LOS). All ...
TY - JOUR. T1 - Learning curve of capsule endoscopy. AU - Lim, Yun Jeong. AU - Joo, Young Sung. AU - Jung, Dae Young. AU - Ye, Byong Duk. AU - Kim, Ji Hyun. AU - Cheon, Jae Hee. AU - Kim, Seong Eun. AU - Do, Jae Hyuk. AU - Jang, Byung Ik. AU - Moon, Jeong Seop. AU - Kim, Jin Oh. AU - Chun, Hoon Jae. AU - Choi, Myung Gyu. N1 - Copyright: Copyright 2013 Elsevier B.V., All rights reserved.. PY - 2013/11. Y1 - 2013/11. N2 - Background/Aims: Capsule endoscopy (CE) has become an important tool for the diagnosis of small bowel disease. Although CE does not require the skill of endoscope insertion, the images should be interpreted by a person with experience in assessing images of the gastrointestinal mucosa. This investigation aimed to document the number of cases needed by trainees to gain the necessary experience for CE competency. Methods: Fifteen cases were distributed to 12 trainees with no previous experience of CE during their gastroenterology training as clinical fellows. Twelve trainees and an ...
OBJECTIVE: The objective of this retrospective case review is to examine the effect of surgical learning on hearing outcomes and complications in congenital aural atresia surgery.. PATIENTS: Sixty-four consecutive ears (in 60 patients) operated on during the period of 1994 to 2004 at a tertiary referral center were studied.. INTERVENTION(S): Intervention consisted of aural atresiaplasty through an anterior approach by the same surgeon (C.S.).. MAIN OUTCOME MEASURE(S): Hearing outcomes and complication rates were compared between four temporally sequential groups of 16 ears. Acceptable hearing and complication rate outcomes were defined as results comparable to larger series in the literature.. RESULTS: Hearing results, in the short term, comparable to larger series were achieved during the first group of ears (nos. 1-16). A plateau in the learning curve for short-term hearing outcomes was achieved after the first two groups, that is, after 32 ears. Hearing outcomes, in the long term (>1 year) ...
A study by Sheth et al1 has examined the safety and efficacy of thrombectomy for acute ischemic stroke (AIS) using the Solitaire stent retriever device for patients treated in the roll-in phase of the Solitaire With the Intention For Thrombectomy (SWIFT) trial. This is a well designed study aimed at determining the learning curve for operators who had not previously used Solitaire for the treatment of emergent large vessel occlusion (ELVO). The roll-in period entailed treatment of two patients with the Solitaire device, before proceeding to the randomized phase of the trial. This represented the first clinical use of the stent retriever for these operators. Compared with randomized patients, those treated with Solitaire in the roll-in period achieved equivalent rates of reperfusion (55% vs 61%), adverse events (13% vs 9%), and good neurological outcomes (63% vs 58%).1 The authors … ...
Hoppe DJ, de Sa D, Simunovic N, Bhandari M, Safran M. R, Larson C. M, Ayeni O.R. The Learning Curve for Hip Arthroscopy: A Systematic Review. Arthroscopy. 2014 Jan 22 [Epub ahead of print]. Abstract. PURPOSE: The learning curve for hip arthroscopy is consistently characterized as steep. The purpose of this systematic review was to (1) identify the various learning curves reported in the literature, (2) examine the evidence supporting these curves, and (3) determine whether this evidence supports an accepted number of cases needed to achieve proficiency.. METHODS: The electronic databases Embase and Medline were screened for any clinical studies reporting learning curves in hip arthroscopy. Two reviewers conducted a full-text review of eligible studies and a hand search of conference proceedings and reference sections of the included articles. Inclusion/exclusion criteria were applied, and a quality assessment was completed for each included article. Descriptive statistics were ...
Call (615) 936-1060 to schedule an appointment with Pediatric Urology. Our urologists care for more than 15,000 children each year at Childrens Hospital and locations across Tennessee. We perform more than 2,200 surgical cases per year, making us one of the most experienced urology teams in...
SUBSPECIALIST: PEDIATRIC UROLOGY (Congenital disorders, Urodynamics, Minimally invasive surgeries (MIS), Neuro-urology) and Adult Urology Concerns (BOTH MALES AND FEMALES) and Procedures.
This comprehensive handbook of consent in surgical subspecialities is dedicated to the risks and complications that a child needs to be consented for in the vast majority of pediatric surgical procedures with evidence base and outcomes. The chapters address common and rare complications encountered in pediatric subspeciality practice which clinicians need to be aware of to allow them to take fully informed consent. The contributors are renowned for their expertise in pediatric urology and provide evidence and outcome based areas for consent in the first book of the series: Consent in Pediatric Urology. ...
San Antonios Premier Pediatric Urology Group We are a group of dedicated pediatric urologic surgeons focused on diagnosing and treating urologic disease in infants, children and adolescents. We cover the full breadth and depth of […]
The pediatric urology team at Childrens Hospital has the expertise and training to successfully diagnose and treat disorders of both the genitals and urinary tract. We treat everything from bedwetting to urinary tract infections to birth defects requiring reconstructive surgery.
Paediatric Urology in Chennai at Apollo Childrens Hospital Chennai provides tertiary care for children with a wide spectrum of urological problems.
Disorders of the urinary tract and genitals are not uncommon among infants, children, and adolescents. In addition to impairing normal function, they can also affect your childs quality of life, self-esteem, and sexuality. NewYork-Presbyterians pediatric urology specialists understand the impact these disorders can have on your child and your family.
Pediatric urology specialists at UW Health provide expert care for all types of childrens urologic conditions through American Family Childrens Hospital.
Connect with Dr. John Connor, Pediatric Urology, MORRISTOWN, NJ. Video chat, send a message, ask a text question, or make a virtual appointment on the doctors Virtual Practice on HealthTap.
UC San Diego Healths pediatric urology program at Rady Childrens Hospital is one of the top 15 in the nation. We provide comprehensive care to children with genitourinary disorders and injuries from birth to young adulthood.
medthority.com Medical Guideline - A collaborative working group consisting of members representing the European Society for Paediatric Urology ESPU and the
The Division of Pediatric Urology at the Johns Hopkins Childrens Center provides comprehensive and compassionate care to diagnose and treat all childhood urological problems.
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Trusted resource of information on Pediatric Urology that includes articles, news, diet & nutrition, multimedia presentations, health tips, and quizzes.
Paediatric Urology Victoria paediatricians and allied health professionals provide diagnosis and management of urological and genital problems.
Our pediatric urologists are qualified to care for conditions in pediatric urology and provide the least invasive treatments available.
Information on British Association of Paediatric Urologists - Pediatric Urology Conference to be held in Cambridge, United Kingdom on Sep 27, 2001
The Melissa & Doug Basic Skills Board works on fine motor skills to help kids learn how to dress themselves. The Melissa & Doug Basic Skills Board includes a zipper, two kinds of buckles, a snap, a lace and a button. Each skill is contained on a separate, wooden puzzle piece for easy practice. Once each piece is ready, the puzzle can be put back together to dress the bear. Speech and language skills as well as social interactions can be worked on as well with the Melissa & Doug Basic Skills Board when used in a group setting.
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The whole world knows that surgeon experience is the single most important determinant of outcomes following radical prostatectomy, and much data exists to support this fact. In the accompanying editorial, Lord Darzi reminds us that the learning curve for functional and oncological outcomes following RARP extends up to 700 cases. Yes 700 cases of RARP!! And GC had done 200 radical prostatectomies prior to operating on the first patient in this study. Meanwhile his vastly more experienced colleague JY, had done over 1500 cases. The authors believe that they controlled for surgeon heterogeneity based on the entry numbers detailed above, and state that it is unlikely that a learning curve contributed substantially to the results. This is bunkum. It just doesnt stack up, and none of us who perform this type of surgery would accept that there is not a clinically meaningful difference in the experience of a surgeon who has performed 200 radical prostatectomies, compared with one who has performed ...
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There was a significant decline in overall procedural time and fluoroscopy time after the initial 10 DBE cases. There was no improvement in performance parameters when DBE was performed via the rectal approach despite increased, but limited, operator experience.
Methods A multidisciplinary workgroup, 5 nurses, 5 neonatologists and a pharmacist composed a phased implementation procedure which consisted of the following activities:. A multidisciplinary meeting before and 10 months after implementation; Existing protocols were made evidence based; Working visits were made; A centre of expertise was established; A group of experienced nurses and doctors were steered as leaders in the care; Clinics and workshops for leading nurses; Clinics for all professionals concerned; Sessions for nurses to reflect and learn from each other; Evaluation of the implementation; and an Inventory to readjust existing guideline.. ...
Our last patient on our first day was Gradi, a small boy around 13 or 14 years old. His face, some of the top of his head and both arms, shoulders and hands were badly burned. He also had pulmonary edema, a condition in which fluid enters the lungs, causing shortness of breath. A plastic surgeon was working at the Goma hospital for a few days, but Gradi kept getting bumped from surgery because of the soldiers coming in for treatment.. Kate and I helped walk him to the cleaning room, where one of the few orthopedic nurses that remained was waiting. The area was a small bathroom with a stool sitting in the middle of a stand-up shower. A broken toilet bowl next to the shower served as the biohazard disposal. Buckets of pus and blood went into this toilet, which sat right next to the hand-washing station and the burn patient cleaning station.. When people suffer third-degree burns, the scab, or eschar, that is formed when the skin is sealed by the heat has to be removed. I was interested to learn ...
Abstract This paper introduces an evolving update interval algorithm for the optimal step-size affine projection algorithm. The optimal step-size affine projection algorithm is one of numerous approaches to get better performance for the affine projection algorithm. It is suggested by analyzing the mean square deviation of fixed step-size affine projection algorithm. With the optimal step-size affine projection algorithm, in this paper, by evolving the update interval, it is able to show much better performance. From the MSD analysis, the learning curve is dived into two stage: the transient stage and the steady-state. By finding the cross point of affine projection algorithms learning curve, the update interval is modified. By updating the weight vector for updated interval, the proposed algorithm reduces the computational complexity. With the proposed algorithm from simulations, it shows higher convergence rate and lower steady-state error ...
I had an ablation at Johns Hopkins this past week and am very upset at the outcome. I havnt had any [afib] symptoms but experienced severe shortness of breath . After xrays and tests it was discovered that the phrenic nerve was damaged and I now have parylasis of the right diaphragm...
ANNALS OF MEDICINE about practicing the act of surgery as a medical student... Writer describes the preparation he was given prior for the seemingly minor…