scholarly journals An alternative experimental model for training in microsurgery

2014 ◽  
Vol 41 (1) ◽  
pp. 72-74 ◽  
Author(s):  
Ivan Maluf Junior ◽  
Alfredo Benjamin Duarte Da Silva ◽  
Anne Karoline Groth ◽  
Marlon Augusto Camara Lopes ◽  
Adriana Sayuri Kurogi ◽  
...  

OBJECTIVE: to describe a new model of training in microsurgery with pig spleen after splenectomy performed by undergraduate students of the Discipline of Operative Technique of the UFPR Medical School. METHODS: after the completion of splenectomy we performed dissection of the vascular pedicle, distal and proximal to the ligation performed for removal of the spleen. After complete dissection of the splenic artery and vein with microscope, clamps were placed and the vessels were cut. We then made the anastomosis of the vessels with 9.0 nylon. RESULT: the microsurgical training with a well-defined routine, qualified supervision and using low cost experimental materials proved to be effective in the practice of initial microvascular surgery. CONCLUSION: the use of pig spleen, which would be discarded after splenectomy, is an excellent model for microsurgical training, since besides having the consistency and sensitivity of a real model, it saves the sacrifice of a new animal model in the initial learning phase of this technique.

Author(s):  
Caitlin N Cadaret ◽  
Dustin T Yates

Abstract Studies show that retrieval practices such as homework assignments that are completed during the encoding phase of learning benefit knowledge acquisition and retention. In addition, desirable difficulties, which are strategies that intentionally create a greater challenge during initial learning to enhance encoding and retrieval pathways, also benefit learning long term. Our objective was to determine whether weekly homework questions intended to create desirable difficulties by requiring higher-order cognitive skills (HOCS) benefited students’ long-term retention of physiology concepts compared to questions designed to require lower-order cognitive skills (LOCS). Undergraduate students in a junior-level animal physiology course were presented information during weekly laboratory periods, and then required to complete retrieval practices in the form of online homework assignments 5 d after each lab. Homework questions were formatted per Bloom’s Taxonomy to require HOCS (i.e. level 4 or 5) or LOCS (i.e. level 1 or 2). Information retention was assessed the next week via performance on an in-class quiz and again at semesters’ end via performance on a final practical exam. We observed no differences in performance on the in-class quiz or final practical exam between students randomly assigned to complete homework with HOCS questions compared to LOCS questions. However, students that received homework with HOCS questions had decreased (P < 0.05) performance scores on 9 out of the 11 homework assignments compared to those receiving homework with LOCS questions. These findings indicate that desirable difficulties were not created by our HOCS homework questions because students receiving these more difficult retrieval practices did not achieve equal success on them. As a result, this attempt to create variations in cognitive demand did not enhance retention of knowledge in this study.


2013 ◽  
Vol 85 (4) ◽  
pp. 1411-1417 ◽  
Author(s):  
Roberto P.P. Foz Filho ◽  
Benedito W. de Martin ◽  
Ana Rita de Lima ◽  
Maria Angelica Miglino

The parenchymal distribution of the splenic artery was studied in order to obtain anatomical basis for partial splenectomy. Thirty two spleens were studied, 26 spleens of healthy horses weighing 320 to 450kg, aged 3 to 12 years and 6 spleens of fetus removed from slaughterhouse. The spleens were submitted to arteriography and scintigraphy in order to have their vascular pattern examined and compared to the external aspect of the organ aiming establish anatomo-surgical segments. All radiographs were photographed with a digital camera and the digital images were submitted to a measuring system for comparative analysis of areas of dorsal and ventral anatomo-surgical segments. Anatomical investigations into the angioarchitecture of the equine spleen showed a paucivascular area, which coincides with a thinner external area, allowing the organ to be divided in two anatomo-surgical segments of approximately 50% of the organ each.


2002 ◽  
Vol 49 (3) ◽  
pp. 45-50 ◽  
Author(s):  
Radoje Colovic

Splenectomy has been performed in trauma in a number of benign lesions of the spleen and in a certain haematological diseases. When performed for trauma a luxation technique of splenectomy is applied since it allows quick haemostasis. When performed in other indications, the spleen is usually enlarged. In those patients "splenectomy in situ" is recommended. That means, first, division of the short gastric vessels and gastrosplenic ligament, second, ligation of the splenic artery and finally division of the hilar vessels after which the spleen may be simply removed. Details of operative technique, management of accessory spleens and prevention of operative complications are described.


2020 ◽  
Vol 101 (6) ◽  
pp. E917-E935
Author(s):  
Matthew R. Kumjian ◽  
Kevin A. Bowley ◽  
Paul M. Markowski ◽  
Kelly Lombardo ◽  
Zachary J. Lebo ◽  
...  

Abstract An engaged scholarship project called “Snowflake Selfies” was developed and implemented in an upper-level undergraduate course at The Pennsylvania State University (Penn State). During the project, students conducted research on snow using low-cost, low-tech instrumentation that may be readily implemented broadly and scaled as needed, particularly at institutions with limited resources. During intensive observing periods (IOPs), students measured snowfall accumulations, snow-to-liquid ratios, and took microscopic photographs of snow using their smartphones. These observations were placed in meteorological context using radar observations and thermodynamic soundings, helping to reinforce concepts from atmospheric thermodynamics, cloud physics, radar, and mesoscale meteorology courses. Students also prepared a term paper and presentation using their datasets/photographs to hone communication skills. Examples from IOPs are presented. The Snowflake Selfies project was well received by undergraduate students as part of the writing-intensive course at Penn State. Responses to survey questions highlight the project’s effectiveness at engaging students and increasing their enthusiasm for the semester-long project. The natural link to social media broadened engagement to the community level. Given the successes at Penn State, we encourage Snowflake Selfies or similar projects to be adapted or implemented at other institutions.


Author(s):  
Anthony P. Kadi

Teaching packet-forwarding theories and concepts in a practical way to undergraduate students requires both a teaching and learning framework and a laboratory infrastructure. Creating a teaching and learning framework in which students can develop a deeper knowledge and understanding of abstract concepts is not a simple task. In addition to teaching materials, the teacher requires a clear idea about learning theories and issues: (1) what is learning; (2) what is knowledge; and (3) how do students go about learning. This chapter describes a low-cost laboratory infrastructure for teaching and learning packet-forwarding theories and concepts. The framework is learner-centred and is focused on learning experiences in both classroom and laboratory. The laboratory-based activities form a critical component of the overall framework.


2012 ◽  
Vol 27 (10) ◽  
pp. 741-745 ◽  
Author(s):  
Danilo Malta Batista ◽  
Victor Araujo Felzemburgh ◽  
Ediriomar Peixoto Matos

PURPOSE: To develop a new experimental model of lower cost for training in videosurgery. METHODS: This project was performed at the Nucleus of Experimental Surgery of the Bahiana School of Medicine and Public Health, based on previous models described in the literature and under the supervision of the full professor of Operative Technique and Experimental Surgery II. It was made a model cube-shaped, made of wood, with holes distributed in various locations, rubber stoppers for the holes and lined externally with carpet, and internally with laminate. RESULTS: The new experimental model is of low cost and reproduces quite faithfully several videosurgical procedures. CONCLUSION: Medical schools interested in the subject may adopt the new model for training in videosurgery without the need of high costs for making and using these models.


2019 ◽  
Vol 9 (2) ◽  
pp. 1-23
Author(s):  
Wing Sun Li

Learning outcomes By reviewing the case study, readers are expected to understand the constraints of competitive strategies in a shifting environmental landscape; the difficulties of foreign companies to sustain in an emerging market with government interventions; the subtlety of joint venture (JV) formation by partners with very divergent background, priority and agenda; evaluation of behavioural orientations of partnership and JV operational arrangements as determinants of a successful JV strategy. Case overview/synopsis High-tech companies can enjoy super profits from their products when only a few competitors can compete with them technologically. However, these companies also nurture a high-cost operational culture that sets a constraint for their further growth when superiority of the technology can no longer be maintained. High-tech companies may reposition their businesses with a strategic shift from differentiation strategy to cost focus strategy. The attendant shift as well as synchronization problem in an organization may require a larger effort to revamp. This case describes a global telecom infrastructure company with successful business performance in China in her early establishment with a pre-emptive technological edge. Mitigation of technological superiority and the rise of local competitors have forced the Company to opt for a cooperative strategy with a local player in the establishment of a low-cost joint venture. Does the new joint venture facilitate the strategic shift or just create an illusion of cooperation? Complexity academic level Undergraduate students and post graduate students taking strategic management course. Supplementary materials Teaching Notes are available for educators only. Please contact your library to gain login details or email [email protected] to request teaching notes. Subject code CSS 11: Strategy.


Author(s):  
John R. Ridgely

An exercise has been developed for an undergraduate design laboratory. In the exercise, students design, build, and test load cells, then build computer interfaced tensile testing machines in which the load cells are integrated. Data is acquired through the use of a simple, low-cost bridge amplifier and digital counter circuit which was developed for this exercise. The circuit design and software are released as an open source project to encourage widespread use and participation by the academic community. The tensile test machine exercise has been tested on a group of 45 junior-level mechanical engineering students, with significant success in students demonstrating an understanding of the principles taught. The open source interface is being adopted by other courses and student projects at the host University; use at other institutions is encouraged.


2011 ◽  
Vol 23 (1) ◽  
pp. 178
Author(s):  
A. Martinez ◽  
G. Tovar ◽  
C. Estrada ◽  
E. Esperon ◽  
S. Romo

The objective of this work is to describe a hands-on laboratory session for surgical embryo collection and transfer using rabbits as a model. Rabbits are characterised for their low purchase price, easy handling, and low maintenance, thus allowing their use as a tool for embryo transfer teaching and for its potential application in other species, such as the bovine, ovine, and caprine. These are important reasons in countries where the use of low-cost techniques and animal models is a must. Two females of the New Zealand breed were used as donors and one female of the Chinchilla breed was used as recipient. All females were healthy and multiparous. Three days after receiving natural service by a male, the donors were anesthetized (by injection of xylazine hydrochloride, 1.1 mg kg–1 IM, then sodium pentobarbital, 30 mg kg–1 IV), and ovariohysterectomy surgery was performed on each one. Each uterine horn was flushed 3 times with Ringer’s lactate (Hartmann) solution. Using a stereoscopic microscope, we searched for embryos and then placed them in a Petri dish for evaluation and selection. Once selected, embryos were moved to a 6-well dish containing 0.5 mL of a commercially available holding solution and washed 3 times. Twenty-one grades 1, 2, and 3 embryos were recovered and evaluated, showing developmental stages 1 to 6, according to IETS. The recipient female was anesthetized, and by laparotomy, her uterine horns were exteriorized to transfer a total of 15 grade 1 embryos with development stages 4 to 6. Pregnancy diagnosis was performed by real-time ultrasound on Days 10 and 20 post-transfer, with positive results. The transferred embryos induced a 34-day pregnancy, including 3 days of embryo development within the donors. Parturition was normal and without problems; 2 live offspring were born, with normal weight and size. The technique, used for teaching purposes, was successfully performed by 3 graduate students directed by 2 professors. The use of rabbits as a teaching model was efficient and the total cost of the laboratory practice was low, as compared with the use of other domestic species. The handling of the females and their offspring was easy, the feeding costs were low, and the practical laboratory session was fulfilled. It is proposed that the rabbit species be used for teaching surgical embryo collection and transfer to graduate and undergraduate students in underdeveloped and developing countries, where low-cost teaching models are of the utmost importance.


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