BMJ Surgery Interventions Health Technologies最新文献

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Differences in the effect of high and low maximum oxygen consumption capacity on the increase in lactic acid after exercise at night 高、低最大耗氧量对夜间运动后乳酸增加影响的差异
BMJ Surgery Interventions Health Technologies Pub Date : 2023-04-25 DOI: 10.58962/ht.2023.1.2.31-39
Satria Gasuma Romadhan, S. Purnama, Sri Santoso Sabarini
{"title":"Differences in the effect of high and low maximum oxygen consumption capacity on the increase in lactic acid after exercise at night","authors":"Satria Gasuma Romadhan, S. Purnama, Sri Santoso Sabarini","doi":"10.58962/ht.2023.1.2.31-39","DOIUrl":"https://doi.org/10.58962/ht.2023.1.2.31-39","url":null,"abstract":"Purpose: This study aimed to determine the differences in the effects of high and low maximal oxygen consumption on the increase in lactic acid after night training.\u0000Materials and Methods: This type of research is comparative. This study uses the Bleep Test tool. The minimum total sample to be selected is 20 people in 2 groups. Data analysis in this study used a test for normality of data using the Shapiro-Wilk test. Test the homogeneity of the data using the chi-square test. Hypothesis testing using ANOVA with a significant level of 5%.\u0000Results: According to the results of the study, which showed that high and low levels of maximal oxygen consumption can affect the change or decrease of lactic acid levels, this can be confirmed by a significant value = 0.041 <0.05. Therefore, the hypothesis Ho is rejected and Ha is accepted, which means that there is a significant difference in the effect of high and low levels of maximal oxygen consumption on the reduction of lactic acid levels. Further analysis revealed that the exposure of the high maximal oxygen consumption group caused a greater decrease in lactic acid compared to the low maximal oxygen consumption group, with the high maximal oxygen consumption group having a mean of 6.370, while the low maximal oxygen consumption group low peak oxygen consumption averaged 5.460.\u0000Conclusions: There are differences in the effects of high and low levels of maximal oxygen consumption on lactic acid levels after nighttime exercise. The high-capacity effect of maximal oxygen uptake has a greater reduction in lactic acid levels compared to the low maximal oxygen uptake treatment.","PeriodicalId":33349,"journal":{"name":"BMJ Surgery Interventions Health Technologies","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84491886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Integral development of coordination and cognitive abilities of young basketball players 6-7 years old 6-7岁青少年篮球运动员协调与认知能力的整体发展
BMJ Surgery Interventions Health Technologies Pub Date : 2023-01-04 DOI: 10.58962/ht.2023.1.1.30-35
Y. Zaichenko
{"title":"Integral development of coordination and cognitive abilities of young basketball players 6-7 years old","authors":"Y. Zaichenko","doi":"10.58962/ht.2023.1.1.30-35","DOIUrl":"https://doi.org/10.58962/ht.2023.1.1.30-35","url":null,"abstract":"Purpose: to theoretically substantiate and experimentally verify the method of integral development of coordination and cognitive abilities of young basketball players 6-7 years old.Material and methods. The following research methods were used in the work: theoretical analysis of scientific special literature, methods of movement tests, methods of psychophysiological testing, pedagogical experiment, methods of mathematical statistics. The developed method of integral development of coordination and cognitive abilities can be used during training in groups of initial basketball training.Results. In the experimental group, the increase in indicators was significant (p<0.05) according to the results of four tests out of five. Only in the test \"sense of time (5 seconds), deviation s\" the difference between the results before the experiment and after the experiment was not reliable (p>0.05). The difference between the test results of the control and experimental groups after the experiment turned out to be significant (p<0.05) in three out of five tests.Conclusions. The positive influence of the experimental method on the results of psychophysiological testing was revealed. In the experimental group, the time of PZMR decreased by 7.56% from 426.83 ± 38.55 ms to 394.58 ± 37.06 ms (р<0.05), the time of PZMR in the test \"Choosing two elements from three\" - by 8.42% from 529.33 ± 45.17 ms to 484.75 ± 47.86 ms (p<0.05). The result in the \"Selection of a point in space\" test improved by 8.02% from 21.83 ± 1.95 to 23.58 ± 1.93 (р<0.05). The number of errors during tests has decreased. If these changes were found to be unreliable when performing the test for PMSMR (p>0.05), then the number of errors during the performance of the test \"Choosing two elements out of three\" decreased by 18.2% from 5.5 ± 1 to 4.5 ± 0 .9 errors (p<0.05). In the control group, the increase in all indicators was found to be unreliable (p>0.05).","PeriodicalId":33349,"journal":{"name":"BMJ Surgery Interventions Health Technologies","volume":"24 5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90660291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Football as a means of integral development of intellectual abilities and physical fitness of middle school students 足球作为中学生智力和体能全面发展的手段
BMJ Surgery Interventions Health Technologies Pub Date : 2023-01-04 DOI: 10.58962/ht.2023.1.1.24-29
R. Pavlović, O.V. Siryi
{"title":"Football as a means of integral development of intellectual abilities and physical fitness of middle school students","authors":"R. Pavlović, O.V. Siryi","doi":"10.58962/ht.2023.1.1.24-29","DOIUrl":"https://doi.org/10.58962/ht.2023.1.1.24-29","url":null,"abstract":"The purpose of the study is to scientifically substantiate the positive influence of football on the physical and intellectual development of athletes. \u0000Material and methods. When conducting experimental research, a student questionnaire was first conducted to identify the success of studies and the specific interests of students who play football, play other sports, and students who do not play sports at all. 82 fifth-grade students of schools No. 38, 49 took part in the survey. The formative experiment was conducted on the basis of Kindergarten No. 38, in the fifth grades. It was found that the largest percentage of the total number of students are those engaged in other sports (58.5%). A large number are students who do not play any sports (34.10% of the total number of students). The smallest percentage was found among students who play football (7.3% of the total number of students). \u0000Results. It has been established that among the students who play football, there are absolutely no students who study at the first level of competence (in the final grades there are grades of 1-3 points on a 12-point scale), 33.3% are those whose academic success is level 2 competence (among the final grades there are grades of 4-6 points), and the largest percentage are students studying at the third level of competence (66.7%) (among the final grades there are no grades below 7 points). Among the students who are engaged in other sports, there are also absolutely no students who study at the first level of competence. Among students who do not play sports, the largest number of those who study are dissatisfied and satisfied. This shows that playing sports, both football and other sports, provide conditions for improving academic performance \u0000Conclusions. The obtained data indicate that the practice of sectional work on football provides conditions for the combined physical, intellectual and artistic development of children, about the possibility of a comprehensive all-round influence on the process of child development through the use of effective means of comprehensive development of children.","PeriodicalId":33349,"journal":{"name":"BMJ Surgery Interventions Health Technologies","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79653675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Technology of combination of physical exercises and poems about nature for integral development physical fitness and cognitive possibilities children of preschool age 体育锻炼与自然诗歌相结合的技术对学龄前儿童身体健康和认知能力的整体发展
BMJ Surgery Interventions Health Technologies Pub Date : 2023-01-04 DOI: 10.58962/ht.2023.1.1.6-23
Z. Kozina, O. Kozin, S. Grygorieva, Valeriia Khvorost, Polyna Kaparchuk
{"title":"Technology of combination of physical exercises and poems about nature for integral development physical fitness and cognitive possibilities children of preschool age","authors":"Z. Kozina, O. Kozin, S. Grygorieva, Valeriia Khvorost, Polyna Kaparchuk","doi":"10.58962/ht.2023.1.1.6-23","DOIUrl":"https://doi.org/10.58962/ht.2023.1.1.6-23","url":null,"abstract":"Purpose of this work is to highlight the features of the author's systems of integral development of preschool children.\u0000Material and Methods. A system of lessons with newborns and infants with the help of dynamic exercises has been developed, as well as an author's system of lessons with children from 1 to 7 years old. The exercises are performed with verses about nature.\u0000Results. The use of dynamic gymnastics for newborns and infants \"Miracle of Nature\" helps to strengthen the musculoskeletal system and all body systems; development of strength, flexibility, agility, endurance, and later - speed; prevention or reduction of child injuries during the subsequent development of walking, running, jumping, etc.; increasing resistance to adverse environmental influences; formation of a base for the tolerance of intellectual workloads associated with studies; creating a solid foundation for subsequent practice of any sport.\u0000Conclusions. It is shown that performing exercises not counting, but under poetic images, which is most acceptable for children from 1 year old, promotes integral development, reduces the feeling of fatigue, saturates emotionally classes, making gymnastics very attractive for children and adults.","PeriodicalId":33349,"journal":{"name":"BMJ Surgery Interventions Health Technologies","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83949570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Aspects of the unity of sports, science and art. Review article 体育、科学、艺术的统一。评论文章
BMJ Surgery Interventions Health Technologies Pub Date : 2023-01-04 DOI: 10.58962/ht.2023.1.1.45-52
O. Kozin
{"title":"Aspects of the unity of sports, science and art. Review article","authors":"O. Kozin","doi":"10.58962/ht.2023.1.1.45-52","DOIUrl":"https://doi.org/10.58962/ht.2023.1.1.45-52","url":null,"abstract":"Purpose of the work is to methodologically and experimentally substantiate the ways of practical implementation of the integration of sports, science and art.\u0000Material and Methods: analysis of literary data and Internet resources, analysis of personal experience of outstanding athletes and teachers, methods of determining the functional state of the athletes' body, pedagogical experiment, mathematical and statistical methods.\u0000Results. On the basis of literary data and analytical work, the theoretical concept of the unity of sports, science, and art is revealed, which illustrates the organic unity of the three aspects, in which human development reaches a qualitatively new level, characterized by the possibility of holistic manifestation of human abilities.\u0000Conclusions. It is shown that the unity of sports, science, and art brings human development to a new level as a factor contributing to the harmonious development of all parts of the brain in organic unity.","PeriodicalId":33349,"journal":{"name":"BMJ Surgery Interventions Health Technologies","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86558076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Technology of popularizing knowledge on the treatment of scoliosis using the Schroth Therapy method in the clinic and online 施罗斯疗法治疗脊柱侧凸的临床及网上知识普及技术
BMJ Surgery Interventions Health Technologies Pub Date : 2023-01-04 DOI: 10.58962/ht.2023.1.1.36-44
S. Kozin
{"title":"Technology of popularizing knowledge on the treatment of scoliosis using the Schroth Therapy method in the clinic and online","authors":"S. Kozin","doi":"10.58962/ht.2023.1.1.36-44","DOIUrl":"https://doi.org/10.58962/ht.2023.1.1.36-44","url":null,"abstract":"Purpose: to reveal the main provisions of one's own experience of working with patients with scoliosis above the second degree, in the clinic and online mode.\u0000Material and Methods Visual observation of changes in patients' posture. The total number of patients was 28 with a diagnosis of \"scoliosis\" of the 2nd-3rd degree. Schroth Therapy was applied in the conditions of the Normed clinic (Lviv, Ukraine) 3 times a week for 40 minutes. With practice homework for 20-30 minutes. every day.\u0000Results. The results of online work and work in the clinic using the Schroth therapy method indicate the high efficiency of this method: in 5-10 sessions, a significant visual improvement in the condition of the spine was observed in 28 patients. The most significant results were observed during the correction of the rib hump of a 15-year-old patient.\u0000Conclusions. Scientifically based treatment of scoliosis is a large and somewhat separate direction from general rehabilitation, which is almost entirely occupied by the Schroth therapy technique.","PeriodicalId":33349,"journal":{"name":"BMJ Surgery Interventions Health Technologies","volume":"687 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76833475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of risk factors associated with surgical site infection following abdominal surgery: a systematic review. 评估腹部手术后手术部位感染的相关危险因素:一项系统综述。
BMJ Surgery Interventions Health Technologies Pub Date : 2023-01-01 DOI: 10.1136/bmjsit-2023-000182
Omer A Marzoug, Ahmed Anees, Elfatih M Malik
{"title":"Assessment of risk factors associated with surgical site infection following abdominal surgery: a systematic review.","authors":"Omer A Marzoug,&nbsp;Ahmed Anees,&nbsp;Elfatih M Malik","doi":"10.1136/bmjsit-2023-000182","DOIUrl":"https://doi.org/10.1136/bmjsit-2023-000182","url":null,"abstract":"<p><strong>Objective: </strong>Surgical site infections (SSIs) are among the most common healthcare-associated infections occurring following 1%-3% of all surgical procedures. Their rates are the highest following abdominal surgery. They are still associated with increased morbidity and healthcare costs despite the advancement in the medical field. Many risk factors for SSIs following abdominal surgery have been identified. The aim of this study is to comprehensively assess these risk factors as published in peer-reviewed journals.</p><p><strong>Design: </strong>A systematic review was conducted with accordance to Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines.</p><p><strong>Setting: </strong>The databases for search were PubMed and Cochrane Library, in addition to reference lists. Studies were retrieved and assessed for their quality. Data were extracted in a designed form, and a stratified synthesis of data was conducted to report the significant risk factors.</p><p><strong>Participants: </strong>Patients undergoing general abdominal surgery.</p><p><strong>Intervention: </strong>The intervention of general abdominal surgery.</p><p><strong>Main outcome measures: </strong>To identify and assess the risk factors for SSI following abdominal surgery.</p><p><strong>Results: </strong>Literature search yielded 813 articles, and the final screening process identified 11 eligible studies. The total number of patients is 11 996. The rates of SSI ranged from 4.09% to 26.7%. Nine studies were assessed to be of high quality, the remaining two studies have moderate quality. Stratified synthesis of data was performed for risk factors using summary measures (OR/risk ratio, 95% CI, and p value). Male sex and increased body mass index (BMI) were identified as significant demographic risk factors, and long operative time was among the major significant procedure-related risk factors.</p><p><strong>Conclusions: </strong>Male sex, increased BMI, diabetes, smoking, American Society of Anesthesiologists classification of >2, low albumin level, low haemoglobin level, preoperative hospital stay, long operative time, emergency procedure, open surgical approach, increased wound class, intraoperative blood loss, perioperative infection, perioperative blood transfusion, and use of drains are potential independent risk factors for SSI following abdominal surgery.</p>","PeriodicalId":33349,"journal":{"name":"BMJ Surgery Interventions Health Technologies","volume":"5 1","pages":"e000182"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5d/c7/bmjsit-2023-000182.PMC10387634.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9926504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Novel usage of everolimus-eluting coronary stent for intracranial atherosclerotic disease: a technical report and case series. 依维莫司洗脱冠状动脉支架在颅内动脉粥样硬化疾病中的新应用:技术报告和病例系列。
BMJ Surgery Interventions Health Technologies Pub Date : 2023-01-01 DOI: 10.1136/bmjsit-2022-000171
Nangorgo Jean Oumar Coulibaly, Griffin L Ernst, Hussain Shallwani, Beau Hawkins, Usman Baber, Hakeem J Shakir
{"title":"Novel usage of everolimus-eluting coronary stent for intracranial atherosclerotic disease: a technical report and case series.","authors":"Nangorgo Jean Oumar Coulibaly,&nbsp;Griffin L Ernst,&nbsp;Hussain Shallwani,&nbsp;Beau Hawkins,&nbsp;Usman Baber,&nbsp;Hakeem J Shakir","doi":"10.1136/bmjsit-2022-000171","DOIUrl":"https://doi.org/10.1136/bmjsit-2022-000171","url":null,"abstract":"<p><strong>Objectives: </strong>This report describes the use of an Everolimus-eluting stent (Xience Skypoint stent) for the treatment of medically-refractory ICAD.</p><p><strong>Design: </strong>Retrospective, case-series.</p><p><strong>Setting: </strong>In-hospital patients.</p><p><strong>Participants: </strong>All patients in this report had a history of stroke secondary to ICAD. All patients failed aggressive medical treatments and had recurrence of symptoms despite anticoagulation or dual-antiplatelet therapy plus a statin. Diagnostic angiogram in each case showed severe vessel stenosis, therefore patients were recommended for intracranial artery stenting.</p><p><strong>Main outcome measures: </strong>Technical feasibility of deploying Xience Skypoint stent for treatmet of ICAD.</p><p><strong>Results: </strong>The Xience Skypoint stent was safely and effectively deployed in the vertebral artery (x1) and the internal carotid artery (x2) using trans-ulnar (x1), trans-radial (x1), and trans-femoral (x1) approaches without the use of an intermediate catheter.</p><p><strong>Conclusion: </strong>Second-generation EES such as Xience Skypoint may be utilized for treatment of medically-refractory ICAD. This technical report serves as a proof of concept for further studies analysing long-term safety and efficacy of such stents for treatment of ICAD.</p>","PeriodicalId":33349,"journal":{"name":"BMJ Surgery Interventions Health Technologies","volume":"5 1","pages":"e000171"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/13/05/bmjsit-2022-000171.PMC10410926.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10349972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Exploring procedure duration and risk for serious adverse events during congenital cardiac catheterization. 探讨先天性心导管插入术中手术时间和严重不良事件的风险。
BMJ Surgery Interventions Health Technologies Pub Date : 2023-01-01 DOI: 10.1136/bmjsit-2022-000142
Mary J Yeh, Elizabeth Lydon, Kimberlee Gauvreau, Kathy J Jenkins, David Slater, Lisa Bergersen
{"title":"Exploring procedure duration and risk for serious adverse events during congenital cardiac catheterization.","authors":"Mary J Yeh,&nbsp;Elizabeth Lydon,&nbsp;Kimberlee Gauvreau,&nbsp;Kathy J Jenkins,&nbsp;David Slater,&nbsp;Lisa Bergersen","doi":"10.1136/bmjsit-2022-000142","DOIUrl":"https://doi.org/10.1136/bmjsit-2022-000142","url":null,"abstract":"<p><strong>Objectives: </strong>While procedure length is considered an important metric for cardiothoracic surgical procedures, the relationship between procedure length and adverse events (AEs) in congenital cardiac catheterizations has little published data available. Furthermore, most existing congenital cardiac catheterization risk prediction models are built on logistic regression models. This study aimed to characterize the relationship between case length and AE occurrence in congenital cardiac catheterization while adjusting for known risk factors and to investigate the potential role of non-linear analysis in risk modeling.</p><p><strong>Design: </strong>Age, case type, and procedure duration were evaluated for relationships with the primary outcome using logistic regression. Non-linearity of the associations with continuous risk factors was assessed using restricted cubic spline transformations.</p><p><strong>Setting and participants: </strong>All diagnostic and interventional congenital cardiac catheterization cases performed at Boston Children's Hospital between January 1, 2014 and October 31, 2019 were analyzed.</p><p><strong>Main outcome measure: </strong>The primary outcome was defined as the occurrence of any clinically significant (level 3/4/5) AE.</p><p><strong>Results: </strong>A total of 7011 catheterization cases met inclusion criteria, with interventional procedures accounting for 68% of cases. Median case duration was 97 min. A multivariable model including age, procedure type, and case duration showed a significant relationship between case duration and AE occurrence (OR 1.07 per 10 min increase, 95% CI 1.06 to 1.09, p<0.001).</p><p><strong>Conclusions: </strong>This study demonstrated the importance of procedure duration as a potential frontier for procedure risk management. Better understanding of the role of procedure duration in cardiac catheterizations may provide opportunities for quality improvement in patient safety and resource planning.</p>","PeriodicalId":33349,"journal":{"name":"BMJ Surgery Interventions Health Technologies","volume":"5 1","pages":"e000142"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ec/e3/bmjsit-2022-000142.PMC9835933.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10535595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Computer-assisted simulated workplace-based assessment in surgery: application of the universal framework of intraoperative performance within a mixed-reality simulation. 计算机辅助的基于工作场所的手术评估:混合现实模拟中术中表现通用框架的应用
BMJ Surgery Interventions Health Technologies Pub Date : 2023-01-01 DOI: 10.1136/bmjsit-2022-000135
Philipp Stefan, Michael Pfandler, Aljoscha Kullmann, Ulrich Eck, Amelie Koch, Christoph Mehren, Anna von der Heide, Simon Weidert, Julian Fürmetz, Ekkehard Euler, Marc Lazarovici, Nassir Navab, Matthias Weigl
{"title":"Computer-assisted simulated workplace-based assessment in surgery: application of the universal framework of intraoperative performance within a mixed-reality simulation.","authors":"Philipp Stefan,&nbsp;Michael Pfandler,&nbsp;Aljoscha Kullmann,&nbsp;Ulrich Eck,&nbsp;Amelie Koch,&nbsp;Christoph Mehren,&nbsp;Anna von der Heide,&nbsp;Simon Weidert,&nbsp;Julian Fürmetz,&nbsp;Ekkehard Euler,&nbsp;Marc Lazarovici,&nbsp;Nassir Navab,&nbsp;Matthias Weigl","doi":"10.1136/bmjsit-2022-000135","DOIUrl":"https://doi.org/10.1136/bmjsit-2022-000135","url":null,"abstract":"<p><strong>Objectives: </strong>Workplace-based assessment (WBA) is a key requirement of competency-based medical education in postgraduate surgical education. Although simulated workplace-based assessment (SWBA) has been proposed to complement WBA, it is insufficiently adopted in surgical education. In particular, approaches to criterion-referenced and automated assessment of intraoperative surgical competency in contextualized SWBA settings are missing.Main objectives were (1) application of the universal framework of intraoperative performance and exemplary adaptation to spine surgery (vertebroplasty); (2) development of computer-assisted assessment based on criterion-referenced metrics; and (3) implementation in contextualized, team-based operating room (OR) simulation, and evaluation of validity.</p><p><strong>Design: </strong>Multistage development and assessment study: (1) expert-based definition of performance indicators based on framework's performance domains; (2) development of respective assessment metrics based on preoperative planning and intraoperative performance data; (3) implementation in mixed-reality OR simulation and assessment of surgeons operating in a confederate team. Statistical analyses included internal consistency and interdomain associations, correlations with experience, and technical and non-technical performances.</p><p><strong>Setting: </strong>Surgical simulation center. Full surgical team set-up within mixed-reality OR simulation.</p><p><strong>Participants: </strong>Eleven surgeons were recruited from two teaching hospitals. Eligibility criteria included surgical specialists in orthopedic, trauma, or neurosurgery with prior VP or kyphoplasty experience.</p><p><strong>Main outcome measures: </strong>Computer-assisted assessment of surgeons' intraoperative performance.</p><p><strong>Results: </strong>Performance scores were associated with surgeons' experience, observational assessment (Objective Structured Assessment of Technical Skill) scores and overall pass/fail ratings. Results provide strong evidence for validity of our computer-assisted SWBA approach. Diverse indicators of surgeons' technical and non-technical performances could be quantified and captured.</p><p><strong>Conclusions: </strong>This study is the first to investigate computer-assisted assessment based on a competency framework in authentic, contextualized team-based OR simulation. Our approach discriminates surgical competency across the domains of intraoperative performance. It advances previous automated assessment based on the use of current surgical simulators in decontextualized settings. Our findings inform future use of computer-assisted multidomain competency assessments of surgeons using SWBA approaches.</p>","PeriodicalId":33349,"journal":{"name":"BMJ Surgery Interventions Health Technologies","volume":"5 1","pages":"e000135"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4e/be/bmjsit-2022-000135.PMC9853221.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10544506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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