A novel remote hands-on training for neuroendovascular-based treatment in the era of the COVID-19 pandemic

2022 ◽  
pp. 159101992110686
Author(s):  
Tomotaka Ohshima ◽  
Megumi Koiwai ◽  
Naoki Matsuo ◽  
Shigeru Miyachi
Keyword(s):  
Operation Time ◽  
Training Programme ◽  
Training System ◽  
Learning System ◽  
Personal Training ◽  
Learning Modalities ◽  
Hands On ◽  
Remote Training ◽  
Catheter Navigation ◽  
The Government

The COVID-19 pandemic has demanded a change in learning modalities, which led us to develop a remote personal training system for clinicians performing neuroendovascular procedures. A portable vascular model designed for practicing catheter navigation guidance, thrombus retrieval, and intracranial aneurysm coil embolisation was established. We created an environment that enabled interactive dialogue and communication across long distances using the Internet. The instructor conducted approximately 2 h of hands-on training with two to four trainees at a time. Despite the restrictions enforced by the Government of Japan due to the COVID-19 pandemic, 17 online hands-on training were successfully conducted throughout Japan over 1 year for a total of 48 trainees. The developed remote training programme, to avoid the aggregation of a large number of trainees at a developed time, proved to be at par with the conventional learning system. The training was well-received since the operation time was longer and the question and answer sessions were more fulfilling compared to the conventional format in which a group of trainees had got a brief opportunity to receive actual hands-on experience.

scholarly journals ON THE FORMATION OF A REGIONAL SYSTEM OF PREPARATION OF STAFF IN THE FIELD OF MANAGEMENT OF MULTI-APARTMENT HOUSES

2020 ◽  
pp. 77-82
Author(s):  
S. P. Sterlyagov ◽  
V. M. Patudin ◽  
S. Yu. Fetisova
Keyword(s):  
Training System ◽  
Learning System ◽  
Homeowners Associations ◽  
Apartment Buildings ◽  
Independent Evaluation ◽  
Distance Learning System ◽  
Building Management ◽  
Property Owners ◽  
Regional System ◽  
Remote Training

The article discusses the main directions of formation of regional system of training in the management of apartment buildings in the Altai Territory: personnel training for management organizations, homeowners associations (associations of property owners); independent evaluation of the qualifications of specialists in the field of housing; housing education for owners of apartment buildings, The issues of the use of professional standards in the development of educational programs for training in the management of multi-apartment buildings are considered. The necessity of creating a remote training system for specialists in the management of apartment buildings in the Altai Territory is substantiated. The concept of a cloud implementation of the distance learning system as a set of specialized web services is proposed. The questions of creating a system of independent assessment of qualifications in the field of apartment building management are considered. The issues of the development of housing education as a mandatory element of the training system in the management of multi-apartment buildings are discussed. The information and service portal “Housing Education in Altai” as a distance platform for housing education is proposed as a tool for self-organization of the population in addressing the management of multi-apartment buildings.

scholarly journals Protocol for establishing an Adaptive Diseases control Expert Programme in Tanzania (ADEPT) for integrating care of communicable and non-communicable diseases using tuberculosis and diabetes as a case study

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e041521
Author(s):  
Stellah G Mpagama ◽  
Kaushik Ramaiya ◽  
Troels Lillebæk ◽  
Blandina T Mmbaga ◽  
Marion Sumari-de Boer ◽  
...  
Keyword(s):  
Operational Research ◽  
Communicable Diseases ◽  
Health Facilities ◽  
Learning System ◽  
Management Approach ◽  
African Countries ◽  
Non Communicable Diseases ◽  
Research Outcomes ◽  
The Government

IntroductionMost sub-Saharan African countries endure a high burden of communicable infections but also face a rise of non-communicable diseases (NCDs). Interventions targeting particular epidemics are often executed within vertical programmes. We establish an Adaptive Diseases control Expert Programme in Tanzania (ADEPT) model with three domains; stepwise training approach, integration of communicable and NCDs and a learning system. The model aims to shift traditional vertical programmes to an adaptive diseases management approach through integrating communicable and NCDs using the tuberculosis (TB) and diabetes mellitus (DM) dual epidemic as a case study. We aim to describe the ADEPT protocol with underpinned implementation and operational research on TB/DM.Methods and analysisThe model implement a collaborative TB and DM services protocol as endorsed by WHO in Tanzania. Evaluation of the process and outcomes will follow the logic framework. A mixed research design with both qualitative and quantitative approaches will be used in applied research action. Anticipated implementation research outcomes include at the health facilities level for organising TB/DM services, pathways of patients with TB/DM seeking care in different health facilities, factors in service delivery that need deimplementation and the ADEPT model implementation feasibility, acceptability and fidelity. Expected operational research outcomes include additional identified patients with dual TB/DM, the prevalence of comorbidities like hypertension in patients with TB/DM and final treatment outcomes of TB/DM including treatment-related complications. Findings will inform the future policies and practices for integrating communicable and NCDs services.Ethics and disseminationEthical approval was granted by The National Research Health Ethical Committee (Ref-No. NIMR/HQ/R.8a/Vol.IX/2988) and the implementation endorsed by the government authorities. Findings will be proactively disseminated through multiple mechanisms including peer-reviewed journals, and engagement with various stakeholders’ example in conferences and social media.

Setting up a successful nurse-led intravitreal injections service: pearls from Swindon

2020 ◽  
Vol 29 (20) ◽  
pp. 1178-1185
Author(s):  
Hani Hasan ◽  
Sunil Mamtora ◽  
Nimish Shah
Keyword(s):  
Nurse Practitioners ◽  
Positive Impact ◽  
Training Model ◽  
Training Programme ◽  
Intravitreal Injections ◽  
Nurse Training ◽  
Financial Benefits ◽  
Hands On ◽  
Number Of Injections

The demand for performing intravitreal injections has increased in recent years, prompting the need for more nurse training in their administration. The Great Western Hospitals NHS Trust in Swindon has developed a structured nurse training programme and now has 8 independent nurse injectors trained to undertake injections independently; nurse practitioners now contribute upwards of 85% of the total number of injections. The authors have also demonstrated the financial benefits of using injection assistant devices and shown the positive impact such devices have on training. In September 2019, the authors organised the first course to offer nurses and doctors hands-on experience in administering injections, using the Swindon training model to provide participants with a structured approach to learn how to perform intravitreal injections safely. Nurses made up 96% of participants; the remainder were doctors and managers; 6% had never performed an intravitreal injection; of units where they had, disposable drapes and a speculum were used in 71% of these. The number of injections performed per session at participants' units at the time they attended the course was: 17 or more injections=46%, 13–14=39%, and 11–12=15%. The course was rated 8.9/10 overall for content, with 85% very likely to recommend it to colleagues. All participants indicated that using the Swindon model made them feel confident to deliver injections safely. The authors demonstrated that using a structured training protocol and intravitreal assistant device improves the quality of nurse training and increases confidence in administering intravitreal injections.

Proton: Its rise, Fall, and Future Prospects

2012 ◽  
Vol 16 (02) ◽  
pp. 347-377
Author(s):  
Jane Terpstra Tong ◽  
Robert H. Terpstra ◽  
Ngat Chin Lim
Keyword(s):  
Joint Venture ◽  
Trade Policies ◽  
Business Decisions ◽  
Passenger Vehicles ◽  
Social Agenda ◽  
Hands On ◽  
Asean Countries ◽  
The Government ◽  
Almost All ◽  
Economic Development Model

This case focuses on the challenges faced by a Malaysian state-owned automobile manufacturer, Proton. In so doing, it exemplifies the political context in which businesses, both domestic and foreign, operate in Malaysia. What makes Proton unique is its origin as the brainchild of Tun Dr. Mahathir bin Mohammad, Malaysia's fourth Prime Minister. Mahathir was one of the longest-serving leaders in Asia when he resigned in 2003. Over his 22-year reign, Mahathir and his government made several fundamental changes to Malaysia's institutions and his legacy is still reflected in the current social, political and economic institutions. One of the more controversial economic programs he championed was the National Car Project, under which Proton was established. When Mahathir decided to industrialise Malaysia's economy, he did not look to the west for direction, but instead turned to the east — Japan. He adopted the Japanese economic development model that emphasises hands-on government involvement in the economy. To form Proton, he selected Japanese Mitsubishi Motors as the joint venture partner and within two years Proton was rolling out its own vehicles, which in effect were the “rebadged” version of Mitsubishi's Lancer. To ensure there were customers for Proton vehicles, the government raised import tariffs, making it very expensive to buy foreign imports. It also made Proton the official supplier for almost all government passenger vehicles. Under the protection policies of Mahathir, Proton grew to dominate the domestic market. However, it was unable to succeed in obtaining the desired technology from its Japanese partner, or in developing the ability to survive independently and compete effectively, especially in the international market. Part of Proton's weakness stemmed from its social agenda, which favoured bumiputera suppliers, even at the expense of cost and quality efficiency. Proton therefore serves as a good example to illustrate what can happen to a business when it is over-protected, and when business decisions are not made on merit-based principles. Proton's weaknesses were further exposed when the government allowed the establishment of a second national automaker, Perodua, in 1993. The recent free-trade policies adopted by the ASEAN countries, and also by China and India, have put even more pressure on Proton to transform. But the question is how?

scholarly journals Sustainability of the Peritoneal Dialysis-First Policy in Hong Kong

2015 ◽  
Vol 40 (4) ◽  
pp. 320-325 ◽  
Author(s):  
Agnes Shin-Man Choy ◽  
Philip Kam-Tao Li
Keyword(s):  
Hong Kong ◽  
Peritoneal Dialysis ◽  
Financial Burden ◽  
Training Programme ◽  
Number Of Patients ◽  
Ultrafiltration Failure ◽  
Average Annual Cost ◽  
The Government ◽  
Stage Renal Disease ◽  
End Stage

In Hong Kong, the average annual cost of haemodialysis (HD) per patient is more than double of that of peritoneal dialysis (PD). As the number of patients with end-stage renal disease (ESRD) has surged, it has posed a great financial burden to the government and society. A PD-first policy has been implemented in Hong Kong for three decades based on its cost-effectiveness, and has achieved successful outcomes throughout the years. A successful PD-first policy requires medical expertise in PD, the support of dedicated staff and a well-designed patient training programme. Addressing patients' PD problems is the key to sustainability of the PD-first policy. In this article, we highlight three important groups of patients: those with frequent peritonitis, ultrafiltration failure or inadequate dialysis. Potential strategies to improve the outcomes of these groups will be discussed. Moreover, enhancing HD as back-up support and promoting organ transplantation are needed in order to maintain sustainability of the PD-first policy.

scholarly journals Implementasi Kursus Calon Pengantin Berbasis Web Dalam Mengurangi Tingkat Penceraian

2020 ◽  
Vol 4 (3) ◽  
pp. 676
Author(s):  
Slamet Widodo ◽  
Herlambang Brawijaya ◽  
Samudi Samudi
Keyword(s):  
Learning System ◽  
Web Based ◽  
Web Based Learning ◽  
The Family ◽  
The Government ◽  
Family Based

Marriage is a spiritual bond between a man and a woman to form a happy and eternal home or family based on the Godhead. Nevertheless, many divorces still occur in the community today. Suscatin is a solution provided by the Government to overcome divorce which is getting higher every year. But there are still obstacles in the organization of Suscatin. The Suscatin implementation is still done manually, where to conduct the exam the bride and groom write on a piece of paper. In addition, the implementation was carried out on the effective day, so the bride and groom could not attend. For this reason, this research was conducted to design a web-based learning system that can facilitate the Office of Religious Affairs and prospective brides. So that the material about marriage can be studied without any obstacles both in terms of time and place of implementation. It is expected to be able to anticipate disputes and divorce as well as violence in the family in order to create a sakinah, mawaddah, and rahmah family

Social engineering as a threat to personal financial security

2021 ◽  
Vol 17 (1) ◽  
pp. 150-166
Author(s):  
Andrei L. LOMAKIN ◽  
Evgenii Yu. KHRUSTALEV ◽  
Gleb A. KOSTYURIN
Keyword(s):  
Information Security ◽  
Personal Information ◽  
Public Awareness ◽  
Social Engineering ◽  
Training System ◽  
Security Threats ◽  
Security Threat ◽  
Public And Private ◽  
Security Issues ◽  
The Government

Subject. As the socio-economic relationships are getting digitalized so quickly, the society faces more and more instances of cybercrime. To effectively prevent arising threats to personal information security, it is necessary to know key social engineering methods and security activities to mitigate consequences of emerging threats. Objectives. We herein analyze and detect arising information security threats associated with social engineering. We set forth basic guidelines for preventing threats and improving the personal security from social engineering approaches. Methods. The study relies upon methods of systems analysis, synthesis, analogy and generalization. Results. We determined the most frequent instances associated with social engineering, which cause personal information security threats and possible implications. The article outlines guidelines for improving the persona; security from social engineering approaches as an information security threat. Conclusions and Relevance. To make information security threats associated with social engineering less probable, there should be a comprehensive approach implying two strategies. First, the information security protection should be technologically improved, fitted with various data protection, antivirus, anti-fishing software. Second, people should be more aware of information security issues. Raising the public awareness, the government, heads of various departments, top executives of public and private organizations should set an integrated training system for people, civil servants, employees to proliferate the knowledge of information security basics.

Reasons Behind a Career Change Through Vocational Education and Training

2021 ◽  
pp. 244-259
Author(s):  
kinza Yousfani ◽  
Thembisile Ernest Gweyi ◽  
Khair un Nisa Noonari
Keyword(s):  
Vocational Education ◽  
Vocational Education And Training ◽  
Career And Technical ◽  
International Labor ◽  
Hands On ◽  
Professional Degree ◽  
General Training ◽  
Technical And Vocational Education ◽  
Government Websites ◽  
The Government

Current changes in the education system and increased competition for employment have pressurized the government to produce major skills among the youth to make them employable. Moreover, technical and vocational education (TVE) worldwide is being used to resolve the problems of unemployment, poverty, and increased competition in the international labor market. Also, technical and vocational education is called career and technical education (CTE), which enables students to get a professional job without graduating or acquiring any other professional degree. Furthermore, it is an education that provides a hands-on experience that helps individuals to get a desirable job easily in the future. This chapter highlights how Pakistan has developed TVE and has taken several initiatives like TEVTA and NAVTTC (National Vocational and Technical Training Commission), which are taken for providing skills to the local people for their better career building. The data is collected from several official government websites of Pakistan which are mentioned further in the chapter and also provided on the reference page. Also, the study supports different previous research articles. To empower women and adolescent girls, TVE has been considered an important factor. So, it is important in every country to include both general training and vocational education for the growth of society.

scholarly journals An Energy-Based Approach for n-d.o.f. Passive Dual-User Haptic Training Systems

Robotica ◽  
2019 ◽  
Vol 38 (7) ◽  
pp. 1155-1175
Author(s):  
Fei Liu ◽  
Angel Ricardo Licona ◽  
Arnaud Lelevé ◽  
Damien Eberard ◽  
Minh Tu Pham ◽  
...  
Keyword(s):  
Degrees Of Freedom ◽  
Training System ◽  
Haptic Devices ◽  
Multiple Degrees Of Freedom ◽  
User Training ◽  
Manual Task ◽  
Training Systems ◽  
Energetic Approach ◽  
Hands On ◽  
Dual User

SUMMARYThis paper introduces a dual-user training system whose design is based on an energetic approach. This kind of system is useful for supervised hands-on training where a trainer interacts with a trainee through two haptic devices, in order to practice on a manual task performed on a virtual or teleoperated robot (e.g., for an Minimally Invasive Surgery (MIS) task in a surgical context). This paper details the proof of stability of an Energy Shared Control (ESC) architecture we previously introduced for one degree of freedom (d.o.f.) devices. An extension to multiple degrees of freedom is proposed, along with an enhanced version of the Adaptive Authority Adjustment function. Experiments are carried out with 3 d.o.f. haptic devices in free motion as well as in contact contexts in order to show the relevance of this architecture.

scholarly journals An introductory article on the concept of programme development in physiotherapy training

1999 ◽  
Vol 55 (4) ◽  
pp. 20-23
Author(s):  
M. W. Krause ◽  
M. J. Viljoen ◽  
M. J. Bezuidenhout
Keyword(s):  
Training Programme ◽  
Education And Training ◽  
Training System ◽  
Curriculum Review ◽  
Introductory Article ◽  
Training Institutions ◽  
Key Aspects ◽  
New Education ◽  
And Training ◽  
Outcomes Based Education

 The move to an outcomes-based education and training system in South Africa presents higher education and training institutions with a challenge to review their curricula and to adapt to changes brought about by the new education and health care dispensations. Key aspects of the move to outcomes-based education and training as contained in the South African Qualifications Authority (SAQA) Act, information regarding the National Qualifications Framework (NQF) and other matters informing curriculum review are addressed. The Department of Physiotherapy of the University of the Orange Free State has just completed the first phase of restructuring its education and training programme in order to submit the qualification for registration on the NQF. The rationale behind the shift to an outcomes-based, student-centred curriculum and the key features of the programme are briefly discussed, as this is the first step towards the registration of unit standards/qualifications, a process which all education and training institutions will have to embark upon soon.

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