scholarly journals Longitudinal observational study to prevent fractures in older individuals with musculoskeletal ambulatory disability symptom complex: the first-year data and effects in the COVID-19 pandemic

2021 ◽  
Vol ISASE2021 (0) ◽  
pp. 1-4
Author(s):  
Keiko Fukuroku ◽  
Yugo Narita ◽  
Hiroharu Kawanaka ◽  
Kanako Takekoshi ◽  
Ayako Matsushima ◽  
...  
2021 ◽  
Vol 9 ◽  
pp. 205031212110443
Author(s):  
Koshi Ota ◽  
Koji Oba ◽  
Yuri Ito ◽  
Jacky Cheng ◽  
Kanna Ota ◽  
...  

Background: Ultrasound training is an essential part of residency programs during emergency medicine rotations for first-year trainees (postgraduate year 1). The Focused Assessment with Sonography for Trauma examination used to assess for internal bleeding in trauma patients is one of the essential skills postgraduate year 1 residents must acquire during the emergency medicine rotation. Method: A prospective, longitudinal, observational study of postgraduate year 1 residents during a 2-month long emergency medicine rotation conducted from 1 April 2019 to 31 May 2021. The primary outcome was the mean difference between the hands-on Focused Assessment with Sonography for Trauma examination scores of the first week of the emergency medicine rotation and the same hands-on Focused Assessment with Sonography for Trauma examination scores of the last week of the emergency medicine rotation. All postgraduate year 1 residents had open access to the ultrasound machine to practice examining on other postgraduate year 1 residents or could use it on real patients under supervision of emergency medicine physicians. Result: A total of 91 postgraduate year 1 residents (65 male and 26 female) were recruited and submitted to the hands-on Focused Assessment with Sonography for Trauma test in both the first and last weeks of the rotation. The mean test score for the postgraduate year 1 residents in the first week was 7.81 (standard deviation = 2.11). The mean test score in the last week was 16.17 (standard deviation = 2.60). The primary outcome of this study was the score difference between the first and last weeks (mean = 8.35, 95% confidence interval = 7.73 to 8.94, p < 0.001, paired t-test). Conclusion: Hands-on practical Focused Assessment with Sonography for Trauma training for postgraduate year 1 residents during emergency medicine rotations significantly improved their Focused Assessment with Sonography for Trauma test scores.


2015 ◽  
Vol 11 (4) ◽  
pp. 226.e1-226.e6 ◽  
Author(s):  
D. Di Renzo ◽  
A. Persico ◽  
M. Di Nicola ◽  
S. Silvaroli ◽  
G. Martino ◽  
...  

2020 ◽  
Author(s):  
Koshi Ota ◽  
Koji Oba ◽  
Yuri Ito ◽  
Kanna Ota ◽  
Akira Takasu

Abstract Background: Ultrasound training is an essential part of residency programs during emergency medicine (EM) rotations for first-year trainees (postgraduate year 1; PGY1). The Focused Assessment with Sonography for Trauma (FAST) examination to assess for internal bleeding in trauma patients is one of the essential scans, which PGY1 residents must learn during the EM rotation.Method: A prospective, longitudinal, observational study of PGY1 residents during an EM rotation (two months) conducted from April 1, 2019 to March 31, 2020 was performed. The primary outcome was the mean difference between the hands-on FAST examination scores of the first week of the EM rotation and the same hands-on FAST examination scores of the last week of the EM rotation. All PGY1 residents could access the ultrasound machine freely for examining other PGY1 residents and could use it for real patients under supervision of EM physicians.Result: A total of 34 PGY1 residents (male 29, female 5) were recruited and completed the hands-on FAST test in both the first week and the last week of the rotation. The mean test score for the PGY1 residents in the first week was 7.53 (standard deviation [SD] 2.12). The mean test score in the last week was 15.88 (SD 2.46). The primary outcome of this study was the score difference between the first and last weeks (mean 8.35, 95% confidence interval 7.36 - 9.35, P < 0.0001, paired t-test).Conclusion: Hands-on practical FAST training for PGY1 residents during EM rotations significantly improved their FAST test scores.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Ingmar Schäfer ◽  
Heike Hansen ◽  
Agata Menzel ◽  
Marion Eisele ◽  
Daniel Tajdar ◽  
...  

Abstract Objectives The aims of our study were to describe the effect of the COVID-19 pandemic and lockdown on primary care in Germany regarding the number of consultations, the prevalence of specific reasons for consultation presented by the patients, and the frequency of specific services performed by the GP. Methods We conducted a longitudinal observational study based on standardised GP interviews in a quota sampling design comparing the time before the COVID-19 pandemic (12 June 2015 to 27 April 2017) with the time during lockdown (21 April to 14 July 2020). The sample included GPs in urban and rural areas 120 km around Hamburg, Germany, and was stratified by region type and administrative districts. Differences in the consultation numbers were analysed by multivariate linear regressions in mixed models adjusted for random effects on the levels of the administrative districts and GP practices. Results One hundred ten GPs participated in the follow-up, corresponding to 52.1% of the baseline. Primary care practices in 32 of the 37 selected administrative districts (86.5%) could be represented in both assessments. At baseline, GPs reported 199.6 ± 96.9 consultations per week, which was significantly reduced during COVID-19 lockdown by 49.0% to 101.8 ± 67.6 consultations per week (p < 0.001). During lockdown, the frequency of five reasons for consultation (-43.0% to -31.5%) and eleven services (-56.6% to -33.5%) had significantly decreased. The multilevel, multivariable analyses showed an average reduction of 94.6 consultations per week (p < 0.001). Conclusions We observed a dramatic reduction of the number of consultations in primary care. This effect was independent of age, sex and specialty of the GP and independent of the practice location in urban or rural areas. Consultations for complaints like low back pain, gastrointestinal complaints, vertigo or fatigue and services like house calls/calls at nursing homes, wound treatments, pain therapy or screening examinations for the early detection of chronic diseases were particularly affected.


2002 ◽  
Vol 96 (8) ◽  
pp. 576-584 ◽  
Author(s):  
Tana D'Allura

This longitudinal, observational study of 13 children in a preschool for children with visual impairments examined the effects of reverse mainstreaming, in combination with the cooperative learning strategy, on the social interaction patterns of preschoolers with and without visual impairments. It found that the type of environment provided and the learning strategies used affect both whether and how children relate to their environment.


2014 ◽  
Vol 27 ◽  
pp. 45-50 ◽  
Author(s):  
Tha Han ◽  
Myriam Alexander ◽  
Aphrodite Niggebrugge ◽  
Gareth J. Hollands ◽  
Theresa M. Marteau

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