scholarly journals MINIMALLY INVASIVE RESTORATIONS-A PARADIGM SHIFT ??

2011 ◽  
Vol 3 (2) ◽  
pp. 12-14
Author(s):  
Satyaki Arora ◽  
V.V. Subba Reddy ◽  
N. Sathyajith Naik ◽  
K.K. Shashibhushan
Keyword(s):  
Minimally Invasive ◽  
Paradigm Shift ◽  
And Training

Our dental schooling and training has been based on concepts with amalgams, and for most of us this has proved to be in good stead. But let us examine this a little further

scholarly journals Iterative Improvement and Marginal Gains in Coronary Revascularisation: Is Robot-assisted Percutaneous Coronary Intervention the New Hope?

2020 ◽  
Vol 15 ◽  
Author(s):  
Kalpa De Silva ◽  
Aung Myat ◽  
Julian Strange ◽  
Giora Weisz
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Paradigm Shift ◽  
Coronary Intervention ◽  
Coronary Revascularisation ◽  
Current Position ◽  
Robot Assisted ◽  
Percutaneous Coronary ◽  
Future Potential ◽  
Iterative Improvement ◽  
And Training

Percutaneous coronary intervention (PCI) has undergone a rapid and adaptive evolution since its introduction into clinical practice more than 40 years ago. It is the most common mode of coronary revascularisation in use, with the scope, breadth and constellation of disease being treated increasing markedly over time. This has principally been driven by improvements in technology, engineering and training in the field, which has facilitated more complex PCI procedures to be undertaken safely. Robot-assisted PCI represents the next paradigm shift in contemporary PCI practice. It has the ability to enhance procedural accuracy for the patient while improving radiation safety and ergonomics for the operator. This state-of-the-art review outlines the current position and future potential of robot-assisted PCI.

Professionalism in Defence Acquisition

2017 ◽  
pp. 242-262
Author(s):  
David M Moore
Keyword(s):  
Decision Making ◽  
Public Sector ◽  
Paradigm Shift ◽  
Professional Knowledge ◽  
Acquisition Performance ◽  
The Public ◽  
Customer Perspective ◽  
Professional Prerogative ◽  
Contextual Setting ◽  
And Training

This chapter discusses the nature of professionalism generally and then in the contextual setting of defence acquisition. Changing socio-political and economic pressures have resulted in a paradigm shift in the way that the public sector based business of defence acquisition is undertaken. There is policy movement towards greater commercialism but the rhetoric has not necessarily led to improvement in performance. Indeed, criticism of acquisition performance has been constant for some time. With improved professionalism, and the legitimisation of the professional prerogative and practice of personnel within the acquisition community, a move away from reliance upon process led decision making, could result in enhanced acquisition performance. This requires the development of relevant knowledge, in a suitable format, such that acquisition professionalism can enable an ‘Intelligent Customer' perspective. It recognises the need for education and training, balanced with relevant experience as the basis of professional knowledge and the concept of an ‘Intelligent Customer'.

A Paradigm Shift: Quality Management and PMETB – The Approach of a School of Surgery

2010 ◽  
Vol 92 (3) ◽  
pp. 92-96
Author(s):  
M Bradburn ◽  
S Kendall ◽  
A Young ◽  
L Sher
Keyword(s):  
Medical Education ◽  
Surgical Training ◽  
Paradigm Shift ◽  
Postgraduate Medical Education ◽  
Education And Training ◽  
Regulatory Body ◽  
Policy Document ◽  
Shift Quality ◽  
Medical Education And Training ◽  
And Training

In 2003, UK legislation established a new regulatory body to develop a single, unifying framework for postgraduate medical and dental education and training: the Postgraduate Medical Education and Training Board (PMETB). This new independent statutory organisation came into being on 30 September 2005 and set about a systematic examination of existing practice, as well as asking all 57 recognised specialties to submit formal curricula to them for approval. This review of practice translated into a policy document entitled Generic standards for training (April 2006), later updated in July 2008. In December 2008 the Joint Committee on Surgical Training (JCST) published a surgical version of this, the JCST Standards for Surgical Training.

A new experimental model of calculous cholecystitis suitable for the evaluation and training of minimally invasive approaches to cholecystectomy

2016 ◽  
Vol 31 (2) ◽  
pp. 987-994
Author(s):  
Ondrej Ryska ◽  
Zuzana Serclova ◽  
Jan Martinek ◽  
Radek Dolezel ◽  
Jaroslav Kalvach ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Experimental Model ◽  
Calculous Cholecystitis ◽  
And Training

A Sensorized Instrument for Skills Assessment and Training in Minimally Invasive Surgery

2009 ◽  
Vol 3 (4) ◽  
Author(s):  
A. L. Trejos ◽  
R. V. Patel ◽  
M. D. Naish ◽  
A. C. Lyle ◽  
C. M. Schlachta
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Tracking System ◽  
The Body ◽  
Skills Assessment ◽  
Training Methods ◽  
Laparoscopic Instrument ◽  
Rms Error ◽  
And Training

Minimally invasive surgery (MIS) is carried out using long, narrow instruments and significantly reduces trauma to the body, postoperative pain, and recovery time. Unfortunately, the restricted access conditions, limited instrument motion, and degraded sense of touch inherent in MIS result in new perceptual-motor relationships, which are unfamiliar to the surgeon and require training to overcome. Current training methods do not adequately address the needs of surgeons interested in acquiring these skills. Although a significant amount of research has been focused on the development of sensorized systems for surgery, there is still a need for a system that can be used in any training scenario (laparoscopic trainer, animal laboratories, or real surgery) for the purpose of skills assessment and training. A sensorized laparoscopic instrument has been designed that is capable of noninvasively measuring its interaction with tissue in the form of forces or torques acting in all five degrees-of-freedom (DOFs) available during MIS. Strain gauges attached to concentric shafts within the instrument allow the forces acting in different directions to be isolated. An electromagnetic tracking system is used for position tracking. Two prototypes of the sensorized instrument were constructed. Position calibration shows a maximum root mean square (RMS) error of 1.3 mm. The results of the force calibration show a maximum RMS error of 0.35 N for the actuation force, 0.07 N in the x and y directions, and 1.5 N mm for the torque calibration with good repeatability and low hysteresis. Axial measurements were significantly affected by drift, noise, and coupling leading to high errors in the readings. Novel sensorized instruments for skills assessment and training have been developed and a patent has been filed for the design and operation. The instruments measure forces and torques acting at the tip of the instrument corresponding to all five DOFs available during MIS and provide position feedback in six DOFs. The instruments are similar in shape, size, and weight to traditional laparoscopic instruments allowing them to be used in any training environment. Furthermore, replaceable tips and handles allow the instruments to be used for a variety of different tasks.

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