A Team‐Based Ultrasound Examination: Assessing Ultrasound Knowledge and Non‐Traditional Discipline‐Independent Skills During Practical Examination in the First‐Year Medical Anatomy Course

Bilateral breast sarcomas are rare malignancies of unknown etiology. Most common histological subtypes of breast sarcoma are angiosarcoma, ﬁbrosarcoma and malignant ﬁbrous histiocytoma. Phyllodes tumors have a predisposition to transform into sarcoma. The present clinical case describes bilateral breast fibrosarcomas in a 39 years-old female with macromastia. This peculiarity gave possibilities to do wide local excision of both tumors within 3.0 cmresection margins and preserve both breasts. Histological and immunohistochemical (ERG, CK-AE1/AE3) examination confirmed fibrosarcomas in both breast (in right – stage IIB, in left – stage IIA). Patient carried on postoperative treatment with radiation therapy (36.1 Gy for both breasts) and four cycles of adjuvant chemotherapy (doxorubicin, cisplatin, cyclophosphamide). For the first year patient had clinical and ultrasound examination every three months, then every 6 months. CT scan of chest and abdomen was every year. In seven post-op years there was no evidence of disease recurrence. Thus, macromastia gives an exceptional chance to carry out organ-sparing radical surgery in women with advanced breast malignancies.

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Acute Bronchiolitis: Is There a Role for Lung Ultrasound?

Diagnostics ◽

10.3390/diagnostics9040172 ◽

2019 ◽

Vol 9 (4) ◽

pp. 172 ◽

Cited By ~ 4

Author(s):

Di Mauro ◽

Ammirabile ◽

Quercia ◽

Panza ◽

Capozza ◽

...

Keyword(s):

Clinical Management ◽

Lung Ultrasound ◽

Ultrasound Examination ◽

Diagnostic Algorithm ◽

Current Evidence ◽

Radiographic Examination ◽

First Year ◽

Pubmed Database ◽

First Year Of Life

Introduction: Viral bronchiolitis is a common cause of lower respiratory tract infection in the first year of life, considered a health burden because of its morbidity and costs. Its diagnosis is based on history and physical examination and the role of radiographic examination is limited to atypical cases. Thus far, Lung Ultrasound (LUS) is not considered in the diagnostic algorithm for bronchiolitis. Methods: PubMed database was searched for trials reporting on lung ultrasound examination and involving infants with a diagnosis of bronchiolitis. Results: Eight studies were suitable. Conclusions: This review analyzed the current evidence about the potential usefulness of LUS in the clinical management of bronchiolitis. Literature supports a peculiar role of LUS in the evaluation of the affected children, considering it as a reliable imaging test that could benefit the clinical management of bronchiolitis.

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Minimum competency practical examination for first-year radiology residents

Academic Radiology ◽

10.1016/s1076-6332(96)80139-5 ◽

1996 ◽

Vol 3 (12) ◽

pp. 1071

Author(s):

Wanda K. Bernreuter ◽

Robert E. Koehler ◽

Robert J. Stanley

Keyword(s):

First Year ◽

Practical Examination ◽

Radiology Residents

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Comparison of Two Practical Examination Techniques in Osteology for First-Year MBBS

Scholars International Journal of Anatomy and Physiology ◽

10.36348/sijap.2019.v02i10.007 ◽

2019 ◽

Vol 02 (10) ◽

pp. 308-311

Author(s):

Suchitkumar Kamkhedkar ◽

Shilpa Kolhe ◽

Jyoti Narkhede ◽

Rupali Gajare ◽

Sundaram Kartikeyan ◽

...

Keyword(s):

First Year ◽

Practical Examination ◽

Examination Techniques

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PECULIARITIES OF DIAGNOSTICS AND TREATMENT OF PARAPROCTITIS IN CHILDREN

Russian Journal of Pediatric Surgery ◽

10.18821/1560-9510-2020-24-1-29-34 ◽

2020 ◽

Vol 24 (1) ◽

pp. 29-34

Author(s):

A. I. Kuzmin ◽

A. G. Munin ◽

M. A. Barskaya ◽

M. I. Terekhina ◽

Vladislav A. Zavyalkin ◽

...

Keyword(s):

Ultrasound Examination ◽

Fistula Formation ◽

First Year ◽

Perianal Area ◽

Anal Glands ◽

Surgical Infection ◽

Intestinal Dysbiosis ◽

One Step ◽

First Year Of Life ◽

The Impact

Relevance. Children with acute and chronic paraproctitis constitute 1-3% of hospitalized subjects with purulent surgical infection. Purpose. To study specific features of paraproctitis in children and to analyze outcomes of treatment. Material and methods. Case-histories of 218 children with acute and chronic paraproctitis were analyzed. Microbiological culture for pathogen identification was taken from paraproctitis focus, breast milk, from feces for conditionally pathogenic flora. The researchers also studied anamnesis, type of feeding, results of ultrasound examination of the perianal area and histological test of the material taken during surgery. Results. Patients with subcutaneous and subcutaneous-submucous paraproctitis constituted 95.5% [1]. The majority of patients with subcutaneous and subcutaneous-submucous paraproctitis - up to 62,5% - were children of the first 6 months of their life. The researchers defined age and etiopathogenic aspects of paraproctitis in children; the impact of provoking factors at acute paraproctitis as well as the specificity of chronic paraprocitis course and its treatment. 76 patients with acute paraproctitis had bottle and mixed feeding for the first 6 months of their life with further developed intestinal dysbiosis. In 112 children, conditionally pathogenic microorganisms were identified in 91 (81,2%) at the first year of their life. Ultrasound examination was sensitive for acute and chronic paraproctitis in about 90% [2, 3]. With the developed intestinal dysbiosis and immunological features of children at their first year of life , the process of acute paraproctitis was caused by the causal anal crypt and abnormal ducts of anal glands. It is considered to be the first step in fistula formation (fistulous abscess) [4-6]. The Gabriel surgery performed in acute paraproctitis was pathogenically verified because due to it one of the pathogenic steps was erradicated- pararectal fistula formation [7-11]. Disease relapse (pararectal fistula) was met in 7 patients. In average, hospitalization lasted for 7.1 days in acute paraproctitis and 8.4 in chronic paraproctitis. Conclusion. On analyzing etiopahogenic features of acute subcutaneous and subcutaneous-submucous paraproctitis, the authors recommend to perform a one-step surgical intervention.

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Outcomes of Remote Pathology Instruction in Student Performance and Course Evaluation

Academic Pathology ◽

10.1177/23742895211061822 ◽

2021 ◽

Vol 8 ◽

pp. 237428952110618

Author(s):

Tahyna Hernandez ◽

Robert Fallar ◽

Alexandros D. Polydorides

Keyword(s):

Student Performance ◽

Course Evaluation ◽

Course Satisfaction ◽

First Year ◽

Item Discrimination ◽

Course Quality ◽

Practical Examination ◽

Before And After ◽

Time Periods ◽

Practical Exam

The coronavirus disease 2019 (COVID-19) pandemic has disrupted undergraduate medical education, including preclinical class-based courses, by requiring social distancing and essentially eliminating in-person teaching. The aim of this study was to compare student performance and satisfaction before and after implementation of remote instruction in a first-year introductory pathology course. Assessments (3 quizzes, 1 practical exam, and 1 final) were compared between courses given before (January 2020) and during (January 2021) the COVID-19 pandemic, in terms of mean scores, degree of difficulty, and item discrimination, both overall and across different question types. Students’ evaluations of the course (Likert scale-based) were also compared between the 2 years. Significantly higher mean scores were observed during remote instruction (compared to the prior, in-person year) on verbatim-repeated questions (94.9 ± 8.8 vs 89.4 ± 12.2; P = .002) and on questions incorporating a gross specimen image (88.4 ± 7.5 vs 84.4 ± 10.3; P = .007). The percentage of questions that were determined to be moderate/hard in degree of difficulty and good/very good in item discrimination remained similar between the 2 time periods. In the practical examination, students performed significantly better during remote instruction on questions without specimen images (96.5 ± 7.0 vs 91.2 ± 15.2; P = .004). Finally, course evaluation metrics improved, with students giving a higher mean rating value in each measured end point of course quality during the year of remote instruction. In conclusion, student performance and course satisfaction generally improved with remote instruction, suggesting that the changes implemented, and their consequences, should perhaps inform future curriculum improvements.

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OBJECTIVE STRUCTURED PRACTICAL EXAMINATION IN HUMAN ANATOMY AND PHYSIOLOGY PRACTICALS IN PHARM D CURRICULUM- A PILOT STUDY

10.14293/s2199-1006.1.sor-.pppesvj.v1 ◽

2020 ◽

Author(s):

arin natania ◽

M. Umamaheshwari ◽

A.T. Sivashanmugam ◽

P. Jagannath ◽

T.K. Ravi

Keyword(s):

Pilot Study ◽

Communication Skills ◽

Direct Observation ◽

Human Anatomy ◽

First Year ◽

Skill Sets ◽

Private Pharmacy ◽

Anatomy And Physiology ◽

Practical Examination ◽

Human Anatomy And Physiology

Objective Structured Practical Examination (OSPE) can be used to assess practical competencies in an appropriate, stepwise, methodical, objective and time-oriented manner with direct observation of the students performance. The present study was undertaken in the Human Anatomy and Physiology practicals with the First year Doctor of Pharmacy (Pharm D) students at a private Pharmacy college. A set of 15 students were assessed using OSPE at 15 stations for a duration of 3 hours. The merits of OSPE include integration of knowledge, practical as well as communication skills with majority of the topics covered, transparent evaluation that covers most of the topics and was found to be student friendly. The demerits are, it requires planning, more number of examiners, time consuming and observers fatigue.Students indicated that the assessment using OSPE covered most of the topics and skill sets. Feedback from the students indicated that OSPE provided improvement and transparency in assessment and 90% of the student was in favour of OSPE. They felt the fear of facing the examiner relieved their anxiety.The students felt that the OSPE is an objective, unbiased and consistent mode of evaluation, deserving a place in Pharm D curriculum.

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Carcinoma of the external auditory meatus

Acta chirurgica iugoslavica ◽

10.2298/aci0401055j ◽

2004 ◽

Vol 51 (1) ◽

pp. 55-59

Author(s):

Snezana Jesic ◽

Radomir Radulovic ◽

Dragoslava Djeric ◽

Vladimir Nesic ◽

Milovan Dimitrijevic ◽

...

Keyword(s):

Ultrasound Examination ◽

Postoperative Radiotherapy ◽

Maxillofacial Surgery ◽

External Auditory Meatus ◽

First Year ◽

Tumor Biopsy ◽

Parotid Region ◽

Diagnostic Protocol ◽

External Meatus ◽

Second Year

Carcinoma of the external meatus is a rare disease and a challenge to treat. Demographic and clinical characteristics of this disease are discussed for 14 patients treated in the Institute of Otorhinolaryngonlogy and Maxillofacial Surgery during the period 1993-2003. using four different clasiffication of the disease. All patients were treated surgically with postoperative radiotherapy. Five years survival is 100% for the II and II stage of the disease for all clasifications, and 75% for the III stage according to Pitsburg clasiffication. Reccurence of the disease in the first year after treatment is 66,6% and, 84% in the second year. The diagnostic protocol is clinical examination, computed tomography of the tempo ral bone, nuclear magnetic resonance of the temporal bone and endocranium, ultrasound examination of the neck and parotid region and tumor biopsy. The surgical approach could be less radical, through mastoid, with postoperative radiotherapy.

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