1059 Confidence and Knowledge of Urethral Catheterization and Complications Amongst Junior Doctors: The Immediate Impact of Peer-Led Clinical Mentorship

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
M Mubarak ◽  
M Al Saeed ◽  
M Alalawi
Keyword(s):  
Procedural Knowledge ◽  
Junior Doctors ◽  
Urethral Catheterization ◽  
Assessment Scores ◽  
Validated Questionnaire ◽  
Before And After ◽  
Short And Long Term ◽  
Clinical Mentorship ◽  
Term Benefit

Abstract Aim Approximately 20% of inpatients have urinary catheters. Deficiencies in knowledge and errors in catheterization techniques can cause short and long-term complications. This study aims to evaluate the short-term benefit of peer-led sessions on the knowledge and confidence of junior doctors in performing urethral catheterizations. Method 81 Foundation Year doctors participated in a one-hour basic catheterization workshop. Data was collected via a validated questionnaire covering three domains (confidence, procedural knowledge, and knowledge about complications) administered before and after the workshop. Confidence was measured using a 5-point Likert scale; knowledge was assessed through 10 questions about the procedure and three further questions about complications. Data are expressed as mean±standard deviation and were analyzed using SPSS v23. Result The majority (96.4%) had performed less than five catheterizations. 21% felt adequately trained to catheterize, 70% believed they would benefit from semi-formal training, and 97.5% found the information covered in the session to be very useful. The average pre-session confidence in performing easy and difficult catheterizations were 3.03±1.05 and 2.01±1, respectively, and increased to 3.7±1 and 3±1.1, respectively, following the session (p < 0.005). Out of a total of 10 points, pre-workshop knowledge assessment scores were 3.9±1.6 and increased to 8.85±1.4 (p < 0.005). Likewise, from a total of three points, the average pre-session knowledge of complications score was 1.75±0.7, which increased to 2.65±0.6 after the session (p < 0.005). Conclusions Peer-led mentorship is an important and efficient educational tool. Short sessions have shown to improve the confidence and knowledge of junior doctors in urethral catheterization.

scholarly journals Transurethral Catheterization in Early Training: The Impact of Peer-Led Mentorship

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Mohamed Mubarak ◽  
Qasim Isa ◽  
Mahmood Alsaeed ◽  
Mohamed Alalawi
Keyword(s):  
Procedural Knowledge ◽  
Junior Doctors ◽  
Confidence Levels ◽  
Transurethral Catheterization ◽  
Before And After ◽  
Long Term Impact ◽  
The Impact ◽  
Average Domain ◽  
Early Training

Introduction. Transurethral catheterization (TUC) is a common hospital procedure. According to the literature, junior doctors contribute to the majority of TUC-related injuries. Our aim is to evaluate the immediate and long-term impact of a short procedure-centric TUC workshop on junior doctor’s confidence, procedural knowledge, and ability to identify potential complications of catheterization. Materials and Methods. Intern doctors were invited to attend a one-hour workshop on TUC. A questionnaire was completed before and after the workshop. Three months later, the questionnaire was readministered to assess the workshop’s long-term impact. The questionnaire consisted of three domains. A: experience, training, and confidence levels (using 5-point Likert scales), B: procedural knowledge (the highest possible score was 10 points), and C: identification of TUC-related complications (the highest possible score was 3 points). Results. 81 interns participated and reported a confidence level of 3.03 ± 1.05 in performing a straightforward TUC. Preworkshop domain B and domain C were 3.92 ± 1.63 and 1.75 ± 0.69 points, respectively. After the workshop, reported confidence levels improved to 3.71 + 1.02 ( p < 0.05 ). Likewise, the scores in domains B and C increased significantly to 8.85 ± 1.40 ( p < 0.005 ) and 2.65 ± 0.6 ( p < 0.005 ), respectively. Three months later, the same parameters were evaluated, and confidence levels were higher than those of the preworkshop levels at 3.83 ± 0.77 ( p < 0.05 ). The average domain B score was 7.85 ± 1.88 ( p < 0.005 ), and domain C score was 2.69 ± 0.53 ( p < 0.005 ). All scores reported after three months were significantly better than the preworkshop levels ( p < 0.005 ), but there were no statistically significant differences when compared to the immediate postworkshop scores ( p > 0.05 ). Conclusion. Short peer-led TUC workshops positively impact intern doctors’ confidence levels, procedural knowledge, and identifying complications.

scholarly journals Predicting the cumulative medical load of COVID-19 outbreaks after the peak in daily fatalities

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0247272
Author(s):  
Claudius Gros ◽  
Roser Valenti ◽  
Lukas Schneider ◽  
Benedikt Gutsche ◽  
Dimitrije Marković
Keyword(s):  
Phase Space ◽  
Sir Model ◽  
Reaction Model ◽  
Space Representation ◽  
Cumulative Number ◽  
Short Term ◽  
Before And After ◽  
The Status ◽  
Short And Long Term

The distinct ways the COVID-19 pandemic has been unfolding in different countries and regions suggest that local societal and governmental structures play an important role not only for the baseline infection rate, but also for short and long-term reactions to the outbreak. We propose to investigate the question of how societies as a whole, and governments in particular, modulate the dynamics of a novel epidemic using a generalization of the SIR model, the reactive SIR (short-term and long-term reaction) model. We posit that containment measures are equivalent to a feedback between the status of the outbreak and the reproduction factor. Short-term reaction to an outbreak corresponds in this framework to the reaction of governments and individuals to daily cases and fatalities. The reaction to the cumulative number of cases or deaths, and not to daily numbers, is captured in contrast by long-term reaction. We present the exact phase space solution of the controlled SIR model and use it to quantify containment policies for a large number of countries in terms of short and long-term control parameters. We find increased contributions of long-term control for countries and regions in which the outbreak was suppressed substantially together with a strong correlation between the strength of societal and governmental policies and the time needed to contain COVID-19 outbreaks. Furthermore, for numerous countries and regions we identified a predictive relation between the number of fatalities within a fixed period before and after the peak of daily fatality counts, which allows to gauge the cumulative medical load of COVID-19 outbreaks that should be expected after the peak. These results suggest that the proposed model is applicable not only for understanding the outbreak dynamics, but also for predicting future cases and fatalities once the effectiveness of outbreak suppression policies is established with sufficient certainty. Finally, we provide a web app (https://itp.uni-frankfurt.de/covid-19/) with tools for visualising the phase space representation of real-world COVID-19 data and for exporting the preprocessed data for further analysis.

Cannabis and Its Different Strains

2021 ◽  
pp. 1-10
Author(s):  
Anna Muro ◽  
Ramon Cladellas ◽  
Judit Castellà
Keyword(s):  
Control Group ◽  
Temporal Perception ◽  
Self Medication ◽  
Therapeutic Uses ◽  
Before And After ◽  
Cannabis Consumption ◽  
Short And Long Term ◽  
Different Strains ◽  
Main Effects

Abstract. Previous studies show how time perception can be altered by cannabis consumption, but it is not clear yet whether cannabis produces temporal underproductions or overproductions after acute cannabis intoxication. The present study aimed to analyze a sample of 50 regular cannabis users controlling for cannabis strain (sativa, indica, and hybrid) and to compare their scores in a temporal production task before and after consuming cannabis with a control group of 49 nonusers. Results showed that cannabis intake leads to overproductions, suggesting that regular users’ internal tempo slows down after acute intoxication. However, the analyses of main effects showed that indica users, both at baseline levels and after consuming, reported significant underproductions compared to controls, sativa, and hybrid users, and the cannabis-induced effects had a higher magnitude after smoking in the indica-strain group. Results highlight the relevance of including the type of strain consumed in cannabis studies, and they are discussed in terms of short- and long-term alterations in temporal perception under the light of the self-medication theory and the therapeutic uses of cannabis.

The Banco de Avío

2021 ◽  
pp. 442-464
Author(s):  
Eric Van Young
Keyword(s):  
Development Strategy ◽  
Textile Industry ◽  
The State ◽  
Development Bank ◽  
Long Term Effects ◽  
Before And After ◽  
Silver Mining ◽  
Short And Long Term ◽  
Textile Sector

At Alamán’s initiative a law of 1830 established the Banco de Avío, a government-funded development bank for the spurring of industrialization, especially in the textile sector, with which his name has forever been associated. His views of industrialization as a development strategy as opposed to a renewed reliance upon silver mining are discussed, as well as the short- and long-term effects of loans made to textile entrepreneurs and the cronyism employed by Alamán both in organizing the Banco itself and in allotting its capital as loans to industrialists. The state of the textile industry in Mexico before and after the Banco is described.

scholarly journals Ellenőrző lista hatása a légútbiztosítás korai szövődményeire felnőttekben

2019 ◽  
Vol 160 (26) ◽  
pp. 1025-1035 ◽  
Author(s):  
Zoltán Pál Szűcs ◽  
János Farkas ◽  
Péter Schimert ◽  
Zsolt Baranyai ◽  
Elek Dinya
Keyword(s):  
Airway Management ◽  
Primary Endpoint ◽  
Soft Tissues ◽  
Controlled Study ◽  
Data Collection Sheet ◽  
Before And After ◽  
Secondary Endpoints ◽  
Short And Long Term ◽  
Prospective Controlled Study

Abstract: Introduction: Airway management is an integral part of general anaesthesia, which may lead to severe short- and long-term complications. Aim: We assessed whether the application of a checklist for the steps of airway management reduces the number of complications in our institute. Method: In our observational, prospective, controlled study we made a checklist and a data collection sheet. Each airway management was performed for one month without the checklist and then for one month in the possession of the checklist. We evaluated the outcome of airway maneuvers and the occurrence of related early complications before and after the introduction of the checklist. The primary endpoint was the incidence of unexpected difficult airway. The secondary endpoints were difficult intubation, successful first intubation, aspiration, cardiac arrest, post-induction hypotension and desaturation, soft tissues/teeth injuries. Our results were also corrected for factors that affect the risk of complications (urgency of interventions, medical experience). Results: We did not find any difference in the frequency of acute complications before the introduction of the checklist (n = 439) and during the subsequent period (n = 423). At the primary endpoint (7.29% and 6.14%), there was no substantive difference (1.15%, 95% CI: –2.26%–4.56%, p = 0.5). No differences were found regarding the secondary and other endpoints. Following the correction of risk factors, there was no impact of the checklist on the incidence of complications. Conclusion: The introduction of the checklist in itself did not result in a significant change in the risk of short-term complications of airway management in our institution. Orv Hetil. 2019; 160(26): 1025–1035.

Lithium Restores Abnormal Platelet 5-HT Transport in Patients with Affective Disorders

1980 ◽  
Vol 136 (3) ◽  
pp. 235-238 ◽  
Author(s):  
Alec Coppen ◽  
Cynthia Swade ◽  
Keith Wood
Keyword(s):  
Blood Platelets ◽  
Lithium Treatment ◽  
Before And After ◽  
Short And Long Term ◽  
5 Ht Uptake ◽  
Depressive Patients ◽  
Rate Of Accumulation

SummaryKinetic analysis of the transport of 5-HT into the blood platelets of depressed patients and recovered depressive patients has shown that the rate of accumulation of 5-hydroxytryptamine (5-HT) is significantly decreased both before and after recovery from the illness. This abnormality is corrected by both short and long-term lithium treatment. As a corollary to these studies, the effect of lithium in vitro on 5-HT uptake has been studied and the results are opposite to those reported in vivo. These findings suggest that lithium acts indirectly, and possible mechanisms of its action are discussed.

scholarly journals Short- and long-term transfer of urethral catheterization skills from simulation training to performance on patients

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Tobias Todsen ◽  
Mikael V Henriksen ◽  
Charles B Kromann ◽  
Lars Konge ◽  
Jesper Eldrup ◽  
...  
Keyword(s):  
Simulation Training ◽  
Urethral Catheterization ◽  
Short And Long Term

The Effects of Retesting on the Mechanical Properties of Brain Tissue

2013 ◽  
Author(s):  
A. Rezaei ◽  
M. Salimi Jazi ◽  
G. Karami ◽  
M. Ziejewski
Keyword(s):  
Mechanical Properties ◽  
Brain Tissue ◽  
Relaxation Times ◽  
Human Brain Tissue ◽  
Relaxation Functions ◽  
Before And After ◽  
Short And Long Term ◽  
Tissue Characteristics ◽  
Testing Protocols

Traumatic brain injury (TBI) is one of the most important problems in biomechanical engineering, and there have been many experiments conducted in order to characterize the mechanical properties of brain tissue. However, obtaining fresh human brain tissue is difficult, if not impossible. Also, the sample preparation and testing protocols must be carried out with great delicacy because brain tissue is very soft and vulnerable to being deformed under a very small amount of load. Most importantly, according to several researchers, each sample must be tested only one time as the tissue may be damaged and its characteristics subsequently changed. This paper is intended to examine the amount of decay that can happen in material characteristics due to retesting. A stress relaxation test is conducted on the same samples of the swine brain tissue multiple times in small and large deformations. The mechanical properties of the substance are calculated before and after retesting, and the constants of the tissue, as mechanical characteristics, are determined and compared. Short- and long-term moduli, relaxation times and relaxation functions are calculated and compared to understand how much they decay after repeating the experiments. The results show that retesting does not significantly change the elastic part of the tissue characteristics, but the viscous behavior shows a relatively sizeable change. The ability to account for the material decay of the samples due to repetition of the experiments results in the need for fewer samples and less preparation time and effort.

scholarly journals Assessing the Ageing Impact on Fatigue Life of Asphalt Concrete

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Saad Issa Sarsam
Keyword(s):  
Fatigue Life ◽  
Asphalt Concrete ◽  
Concrete Slab ◽  
Testing Temperature ◽  
Environmental Condition ◽  
Ageing Processes ◽  
Before And After ◽  
Short And Long Term ◽  
Asphalt Content

The fatigue life of asphalt concrete is often related to environmental condition, loading condition, ageing, material composition and  properties. This work investigates the influence of short and long term ageing of laboratory beam specimens, asphalt content, and testing temperature on fatigue life of asphalt concrete wearing course. Slab samples of (30 x 40x 6) cm have been prepared, beam specimens of (40x 5x 6) cm were cut from the asphalt concrete slab samples. Beam specimens were tested for fatigue life under the influence of three levels of micro strain (250, 400, and [3]750) at (5, 20, and 30) °C before and after practicing long-term aging. It was observed that the fatigue life decreases by (85 and 97) %, (87.5 and 97.4) %, (71.4 and 95.2) % after increasing the applied microstrain from (250 to 400 and 750) μƐ for control mixture and for mixtures subjected to short-and long-term ageing processes respectively. The fatigue life increases by (142.8 and 257.1) %, (34.4 and 57.8) % and (10 and 30) % when the asphalt content increases from (4.4 to 4.9 and 5.4) % for specimens practicing the applied microstrain of (250, 400 and 750) μƐ respectively. It was concluded that the fatigue life increases by a range of (two to fifteen) folds when the testing temperature increases from (5 to 20 and 30)°C respectively.

scholarly journals The effect of LPG installation setup on operating parameters of an internal combustion SI engine

2018 ◽  
Vol 19 (6) ◽  
pp. 506-512
Author(s):  
Szymon Kołodziej
Keyword(s):  
Management Unit ◽  
Exhaust Gas ◽  
Gas Composition ◽  
Correct Operation ◽  
Fuel Prices ◽  
Gas System ◽  
Before And After ◽  
Short And Long Term ◽  
Fuel Costs

High fuel prices cause vehicle users to seek cheaper alternatives for fuelling IC engines. The most popular way of reducing fuel costs is the instalation of an LPG gas system. Correct operation of a bi-fuel engine powering system is dependent on proper installation and setup of the LPG system, including proper regulation of LPG management unit parameters. The focus of this work was to investigate the effect of short- and long-term adjustments performed by the engine management unit. By interfering with LPG management unit parameters, disadvantageous adjustments in fuel-air ratio were made to investigate harmful substance emissions. Substantial differences in exhaust gas composition were shown before and after adjustments were made. The research results included the effect of short- and long-term adjustments on both engine power and exhaust gas composition.

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