scholarly journals Comparison of Self Versus Expert-assisted Feedback for Cricothyroidotomy Training

Author(s):  
Hasan Aldinc ◽  
Serpil Yaylaci ◽  
Cem Gun ◽  
Cigdem Ozkaya Senuren ◽  
Feray Guven ◽  
...  

Abstract The self-video feedback method may have the potential to provide a low-cost alternative to physician-driven simulation-based training. This study aimed to assess the utility of video feedback by comparing the improvement in procedural performance when trainees received self-video feedback (trainees review their performance alone) and expert-assısted video feedback (trainees review their performance while an emergency physician provides additional feedback). This study was performed at a university simulation center with 89 final-year medical students and used a cricothyroidotomy simulation model. Following the educational presentation and the best practice video, trainees were randomized into two groups (self video-feedback and expert assisted video-feedback). They performed the cricothyroidotomy before and after the feedback, The procedures were recorded and scored. Scoring were made using a pre-defıned checklist. Mann Whitney U test and Wilcoxon test were used to analyze non-normally distributed data. For the analysis of normally distributed data, Student t-test and Paired Samples t-test were used. Results demonstrated significant improvement in cricothyroidotomy performance with both types of video feedback. The improvement was significantly greater in the expert-assisted video feedback group. We think that simulation-based training is effective with self video feedback.

2019 ◽  
Vol 65 (3) ◽  
pp. 394-403 ◽  
Author(s):  
Javiera Ponce ◽  
Claudia Latín ◽  
Víctor Leiva ◽  
Guillermo Cortés ◽  
Fernando Rodríguez ◽  
...  

SUMMARY OBJECTIVE: To propose a program of physical-cognitive dual task and to measure its impact in Chilean institutionalized elderly adults. METHOD: Experimental design study with pre and post-intervention evaluations, measuring the cognitive and depressive levels by means of the Pfeiffer test and the Yesavage scale, respectively. The program was applied for 12 weeks to adults between 68 and 90 years old. The statistical analysis was based on the nonparametric Wilcoxon test for paired samples and was contrasted with its parametric version. The statistical software R was used. RESULTS: Statistically significant differences were obtained in the cognitive level (p-value < 0.05) and highly significant (p-value < 0.001) in the level of depression with both tests (parametric and nonparametric). CONCLUSION: Due to the almost null evidence of scientific interventions of programs that integrate physical activity and cognitive tasks together in Chilean elderly adults, a program of physical-cognitive dual task was proposed as a non-pharmacological treatment, easy to apply and of low cost to benefit their integral health, which improves significantly the cognitive and depressive levels of institutionalized elderly adults.


MEDIKORA ◽  
2019 ◽  
Vol 17 (2) ◽  
pp. 113-119
Author(s):  
Ela Yuliana ◽  
B.M. Wara Kushartanti

Nyeri dan ketegangan otot leher merupakan keluhan muskuloskeletal umum yang sering dirasakan setiap orang (prevalensi 30%-50%). Topurak (Totok, Pukul, Gerak) merupakan salah satu terapi manipulasi. Tujuan penelitian ini adalah untuk menguji efektivitas manipulasi Topurak untuk penyembuhan nyeri dan ketegangan otot leher pasien Klinik Olahraga Terapi dan Rehabilitasi FIK UNY. Rancangan Pre-experimental dengan One Group Pretest-Posttest Design. Teknik pengambilan sampel menggunakan quota sampling yang dihitung dengan rumus Slovin didapatkan quota sebesar 15 orang. Data yang dikumpulkan adalah ROM, skala nyeri, dan skala fungsi baik sebelum maupun sesudah perlakukan. Paired Samples t Test digunakan untuk menganalisis data ROM dan uji Wilcoxon untuk data skala nyeri maupun skala fungsi. Hasil penelitian menunjukkan adanya peningkatan ROM pada gerakan fleksi, ekstensi, left lateral flexion, right lateral flexion, left rotation, dan right rotation. Didapatkan juga adanya penurunan skala nyeri serta peningkatan skala fungsi leher setelah manipulasi Topurak (p<0,05). Berdasarkan hasil tersebut, maka dapat disimpulkan bahwa manipulasi Topurak efektif untuk penyembuhan nyeri dan ketegangan otot leher. TOPURAK MANIPULATION (TOUCH, PUNCH, MOTION) FOR HEALING OF PAIN AND NECK MUSCLE TENSIONAbstractNeck pain and muscle tension is a common musculoskeletal complaint that is often felt by everyone (prevalence of 30% -50%). Topurak (Touch, Pukul, Motion) is a manipulation therapy. and neck muscle tension of FIK UNY Sports and Therapy Sports and Rehabilitation Clinic patients. Pre-experimental design with One Group Pretest-Posttest Design. The sampling technique uses quota sampling which is calculated by Slovin formula obtained quota of 15 people. Data collected were ROM, pain scale, and function scale both before and after treatment. Paired Samples t Test is used to analyze ROM data and Wilcoxon test for pain scale and function scale data. The results showed an increase in ROM in flexion, extension, left lateral flexion, right lateral flexion, left rotation, and right rotation. There was also a decrease in pain scale and an increase in the scale of neck function after Topurak manipulation (p <0.05). Based on these results, it can be concluded that Topurak manipulation is effective for healing neck pain and muscle tension.


2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Endah Dwi Maharsi ◽  
Hartono Hartono

Abstract: Hemodynamic, Hemodyalisis. According to calculation of Pernefri on 2013, there are about 19.621 chronic renal failure patients which they need routine hemodialysis, over of 53% of patients is under 54 years old. Recently, hemodialysis treatment get rapidly developing, but there are many health problem on patients when they get hemodialysis treatment. Patients often get some complication such as hemodynamic problem. The purpose of this research is to 1) to discribe the characteristics of the gender, age 2) to discribe the hemodynamic (sistole, diastole, MAP, RR, HR) of pre and post hemodialysis 3) to analize the hemodynamic changes pre and post hempdyalisis treatment. This type of research is quasy experiment with one group pretest – posttest design. The results of the research is there are hemodynamic changes in patients done hemodyalisis at the hemodialysis unit in Dr. Moewardi Hospital of Surakarta. This is proven by testing paired samples t-test (systole, MAP, HR) which obtained the value of p < 0,05 and wilcoxon test (diastole, RR) which obtained the value of p < 0,05. According to the test of paired samples t-test and Wilcoxon test if p < 0,05, then the provision of therapy hemodialysis influential to changes in blood pressure. Conclusion. There is hemodynamic changes in patient done hemodyalisis at the hemodialysis unit dr.Moewardi Hospital.


2021 ◽  
Vol 7 (1) ◽  
pp. 26-32
Author(s):  
Linda Purwanti ◽  
Ahmad Syauqi ◽  
Saimul Laili

Clean water is a serious problem in Indonesia, the availability of clean water has shrunk drastically due to deteriorating environment and pollution. Drinking water that meets safety standards is increasingly scarce. More than 100 million people need safe water sources. Filter media is able to remove chemicals in water such as turbid, odor, oily, yellowish, rusty and muddy making it unfit for consumption. In addition, the purpose of the clarification results must also be considered whether to drink household needs or other needs. This study uses Lauryl Tryptose Broth (LTB) media and petrifilm media. Petrifilm results show that it is very easy to count the bacteria Colifrom and Escerichia coli using petrifilm media. From the analysis of calculations using the Paired Samples T-Test on the sample before filtering and after filtering it was obtained the Tcount value of 2.28 with a P value 0.015 which showed very successful or significant results between the samples before and after the filter. In this analysis have normally distributed data with a significant value of P = 0.015 (<0.05). In this case the Paired Samples T-Test was tested for normality (Shapiro-Wilk) and the results were obtained in the form of a P value of <.001 which would indicate that the data was normally distributed, indicated by a P value <0.05. The filter on this filter is very useful for filtering on Escerichia coli bacteria because this filter removes the bacteria, but Colifrom bacteria can still escape the use of the filter, because it depends on environmental conditions. Colifrom and Escerichia coli bacteria occur is seen from the relationship between sources of pollution such as, for example, such as septic tanks, distance of wells with waste, trash, and livestock pollution. The quality of drinking water is very close to the presence of Colifrom and Escerichia coli bacteria which are likely to have pathogenic bacteria that are harmful to health in the quality of well water. Water samples to be observed using well water using 2 treatments as many as 12 repetitions. Thus the total sample obtained as many as 24 water samples will be observed. While the test making of Lauryl Triptose Broth medium was observed by incubating 48 hours at 35oC + gas. Before making the test tube medium must be sterilized first. Subsequent tests were observed with a petrifilm medium to determine the presence or absence of Colifrom and Escherichia coli bacteria by looking at the color of the battery being sought. Keywords: Drinking Water, Coliform Bacteria and Escherichia coli    


2019 ◽  
Vol 33 (1) ◽  
pp. 15-26
Author(s):  
Bakhrudin All Habsy

Self regulation is a process of self-regulation to set a mind and feeling to achieve a goal to be achieved. Self regulation determines student success, because students who have self-regulation can plan, evaluate, and control themselves. This study aims to determine the effectiveness of cognitive behavior group counseling can improve self-regulation of junior high school students. This study, using an experimental design with the Nonequivalent Control Group Design design. The data normality test results show that the control group is not normally distributed where the Sig.Asymp is smaller than 0.05. Whereas for the experimental group is normally distributed, where Sig.Asymp is greater than 0.05. Then it is obtained a hypothesis test that is appropriate for the control group using Wilcoxon test and for the experimental group using paired samples t test. Wilcoxon test results showed Sig.Asymp (2-tailed) of 0.080> 0.05, meaning that without giving counseling the Cognitive behavior group in the control group was not effective in improving student self-regulation, while for the paired samples t test test results showed Sig.Asymp ( 2-tailed) of 0.003 <0.05 means that the counseling behavior of Cognitive behavior groups in the experimental group is effective in enhancing student self-regulation. The research was carried out starting from April 2018 to January 2019, which took place at SMP Islam Mbah Bolong Jombang. Based on the results of the research, researcher gives suggestions for: 1) Teachers of Counseling Guidance, can be used as a reference that Cognitive behavior group counseling services can improve student self-regulation,  2) For further research: can apply Cognitive behavior counseling and can use different techniques in group counseling services so that they will gain a broader insight


2018 ◽  
Vol 02 (01) ◽  
pp. 005-009 ◽  
Author(s):  
Guillaume Alinier

AbstractThis invited review article was presented orally on the occasion of the South West Asian Chapter conference of the Extracorporeal Life Support Organization (ELSO) held in New Delhi, India in January 2018. It has an educational focus on the topic of extracorporeal membrane oxygenation (ECMO), which is increasingly being used as a lifesaving bridge therapy. A case is being made regarding the adage “practice makes perfect” to be considered in the context of simulation-based education to ensure patient safety. Technology-enhanced simulation-based deliberate practice should be used more commonly to support clinicians in the development of all their professional skills. This is an ethical imperative that may be addressed using low-cost simulation modalities that are sometimes proven to be as effective as more expensive approaches. Educators can now design their programs according to published best practice standards for the benefit of their learners, and ultimately the patients they care for. Simulation-based education clearly has a place and important role to play in preparing ECMO teams dealing with routine procedures as well as emergency situations. Several solution and approaches are being presented alongside innovative work currently being done in collaboration between a regional ELSO center of excellence and an academic institution. This innovative simulator is composed of several modules serving different functions required for the simulation of ECMO emergencies at a much lower cost than using the real machine and its various expensive disposable components.


2021 ◽  
Vol 11 (2) ◽  
pp. 131
Author(s):  
Eny Pemilu Kusparlina

The problem of nutritional status is very complex, requiring treatment involving a health nutritionist. The nutritional status of children is one of the important things to prepare a quality generation. Health education in the form of training is expected to be able to change the collaborative competences of health workers across professions. This study aims to analyze the effect of training on knowledge of health workers about malnutrition and cross-professional collaboration. The researcher used a mix-methods approach with triangulation techniques using a questionnaire for the qualitative stage by conducting content analysis, while in the quantitative stage the researcher used a pre-experimental design with a "one group pre and post test" design, then the data were analyzed using the Wilcoxon test and paired samples-t test. The results of the content analysis informed that the training had gone well and was able to increase the participants' knowledge. The statistical test results showed that the mean knowledge of nutrition before training was 4.50, while after training was 4.467. The results of the Wilcoxon test showed that the p value = 0.586 (> 0.05), so it can be interpreted that there is no difference in knowledge about nutrition between before and after training. Meanwhile, the average knowledge about collaboration before training was 8.75 and after training was 10.67. The results of the paired samples t-test showed a value of p = 0.008 (0,05), sehingga dapat diinterpretasikan bahwa tidak ada perbedaan pengetahuan tentang gizi antara sebelum dengan setelah pelatihan. Sedangkan rerata pengetahuan tentang kolaborasi sebelum pelatihan adalah 8,75 dan setelah pelatihan adalah 10,67. Hasil Wilcoxon test menunjukkan nilai p = 0,008 (


2017 ◽  
Vol 50 (4) ◽  
pp. 211
Author(s):  
Y Yoana ◽  
Eka Chemiawan ◽  
Arlette Suzy Setiawan

Background: The analysis of cephalometric radiographs provides information about facial skeletal structures, jaw bone-base relationships, incisive-axial inclination relationships, soft tissue morphology, growth direction and pattern, malocclusion classification and the limitations of orthodontic treatments. In class II malocclusion, the mesiobuccal cusp of the permanent maxillary first molar rests between the first mandibular molar and the second premolar. A twin block appliance is recommended to treat Class II dentoskeletal malocclusion with retrognathic mandible characteristics. Purpose: The aim of this study was to analyze the dentoalveolar alterations in class II dentoskeletal malocclusion with retrognathic mandible characteristics after orthodontic treatment with twin block appliance based on a Steiner analysis. Methods: This research constitutes a retrospective study using secondary data derived from the lateral cephalometric radiographs of patients with Class II malocclusion treated with twin block appliance at the Pediatric Dentistry Department of the Oral and Dental Hospital, Universitas Padjajaran, Bandung. The data was analyzed using a T-test for normally distributed paired data. In cases where data was not normally distributed, a Wilcoxon test was employed. Results: The average measurements showed statistically significant dentoalveolar changes among class II malocclusion patients after twin block appliance treatment when analyzed using the paired t-test based on Steiner method cephalometric radiograph analysis (p < 0.05). Conclusion: It is concluded that a twin block appliance is effective in treating class II dentoskeletal malocclusion with a retrognathic mandible based on dentoalveolar changes resulting from Steiner analysis.


2020 ◽  
Vol 5 (2) ◽  
pp. 49-55
Author(s):  
Hafiko Andresni ◽  
Zahtamal Zahtamal ◽  
Winda Septiani ◽  
Mitra Mitra ◽  
Lita Lita

ABSTRACT Toilet training is an effort to train children to be able to control and urinate (BAK) and defecate (BAB). Toilet training is one of the main tasks of children at toddler age. Toilet training is one of the main tasks of children in toddler age which is very important to be done to create independence in children in controlling BAK and BAB and children know the parts of the body and their functions. Data in 2012 shows that ± 60% of parents do not teach toilet training to children from an early age. The aim of the study was to find out the effectiveness of toilet training education on maternal behavior and toilet skills in toddler age training (18-36 months). The study was conducted in July-August 2018. This type of quantitative research used the design of the Quasy pretest and posttest experiment with non-equivalent control group design. Samples were 36 mothers and 36 children with purposive sampling technique. Data analysis used Paired t test, Wilcoxon test, Man-Whitney test an Independent t test. The results showed that toilet training education through lecture methods, modules and maze games was more effective than toilet training education through lecture and leaflet methods on children's knowledge and abilities. Conversely, for the role of mothers in supervision there is no significant difference in effectiveness. Health education is recommended in health promotion programs to increase maternal knowledge, the role of mothers and the ability of toilet training children independently. Keywords: Toilet training, Lecture method, Module, Maze game, Leaflet, Knowledge, Role of mother, Children's ability.


2001 ◽  
Vol 55 (2) ◽  
pp. 125-130 ◽  
Author(s):  
Chi-tsung Wu ◽  
Marcia L Gumpertz ◽  
Dennis D Boos

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