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Heart Rhythm ◽  
2021 ◽  
Vol 18 (8) ◽  
pp. S153
Jose Alonso Solis-Lemus ◽  
Caroline H. Roney ◽  
Orod Razeghi ◽  
Iain Sim ◽  
Irum Kotadia ◽  

2021 ◽  
Victoria m.f Mank ◽  
Zhaohui Arter ◽  
Jeffrey Mank ◽  
Ki Suk Eum ◽  
Jefferson Roberts

ABSTRACT Introduction Military medical providers are a unique population that encounter different environments across the world. From hospital clinics to war zones, these providers must perform procedures and rely on their training and skill to help their patients. This pilot study aimed to assess the self-confidence of military medical providers performing joint aspiration and injection before and after a simulation workshop in both clinical and austere settings. Methods In 2016, 25 military physicians from various military facilities participated in a 1-hour knee arthrocentesis and injection and shoulder injection workshop. Education was provided on the knee and shoulder anatomy and various approaches to performing the procedures before the hands-on portion of the workshop. Surveys assessing self-reported confidence levels by performing the procedures in the clinic and austere settings were completed before and after simulation training. Results The results were analyzed and grouped based on the provider experience level, simulation environment, and specific procedure performed. There was a statistical significance seen in the shoulder arthrocentesis group, which included all participating providers, with a P-value of <.01 in the clinic setting and a P-value of <.001 in the austere setting. In the knee aspiration simulation, there were also improvements in the provider confidence, but it was not statistically significant with P-values of .36 and .14 in the clinical and austere settings, respectively. Conclusion Simulation training can lead to increased medical provider self-confidence in performing musculoskeletal joint aspirations and injections in both clinic and austere settings. The military medicine demographics have had little research in joint injections and provider confidence to date. This pilot study was one of the first to evaluate this unique population. The methods used in this study, and the positive data collected on provider confidence, can be used in larger studies, encompassing other medical providers to increase the confidence of providers throughout various fields of medicine.

S. V. Khodus ◽  
Vladimir S Oleksik

A study was conducted among 76 students who passed the Olympiad competitions on practical medical skills in an innovative remote format. The data obtained indicate the effectiveness of distance simulation training, which was evaluated by students answering test questions before and after passing the competition task, as well as by evaluating the actions of students during the remote passage of the simulation scenario. The proposed method of remote simulation allowed to increase the quality of knowledge of certain issues of emergency medical care.

Food Research ◽  
2021 ◽  
Vol 5 (S3) ◽  
pp. 7-13
Sumardianto ◽  
P.H. Riyadi ◽  
A.D. Anggo ◽  
Romadhon ◽  
L. Rianingsih

Antioxidants and antimicrobials are rich in seaweed. Seaweed has been used as food for a long time and the potency to be used as a functional food. One of the most versatile foods is fermented beverages. Fermentation can increase the amount of antioxidants. This study aims to determine seaweed (Gelidium sp. and Eucheuma cottonii) extract fermentation with lactic acid bacteria (LAB), namely Lactobacillus plantarum and Lactobacillus acidophilus, as a starter on phenol content and antioxidant activity. The method used was an experimental laboratory. The seaweed was obtained from Yogyakarta. Seaweed extract was given a LAB starter and then fermented for 24 hrs. The samples were analyzed before and after fermentation in parameter reducing sugar, TPC, LAB viability, pH, phenol content, and antioxidant activity IC50 tests. The result showed that both in Gelidium sp. and Eucheuma cottonii, reducing sugar does not change before and after fermentation with the LAB starter. Fermentation could increase the TPC, LAB viability, phenol content, antioxidant activity IC50, and lower the pH sample. Eucheuma cottonii fermented with L. acidophilus gives the best characteristic of antioxidant.

2021 ◽  
Vol 12 ◽  
Irina Vartanova ◽  
Kimmo Eriksson ◽  
Zeynep Melis Kirgil ◽  
Pontus Strimling

Prior work has suggested that existential threats in the form of terror attacks may shift liberals’ reliance on moral foundations to more resemble those of conservatives. We therefore hypothesized that endorsement of these moral foundations would have increased when the COVID-19 epidemic became a salient threat. To examine this hypothesis we conducted a longitudinal study with 237 American participants across the liberal-conservative spectrum, in which their endorsement of various moral foundations were measured before and after the advent of the pandemic. We did not find evidence of any systematic change in the endorsement of any moral foundation, neither in general nor specifically among liberals or specifically among those who perceived the greatest threat from COVID-19. We conclude that the threat from the pandemic does not seem to have had any substantial effect on the moral foundations that people rely on. We discuss how this finding relates to other longitudinal studies of the effect of the COVID-19 pandemic on measures related to conservatism.

2021 ◽  
Vol 14 (1) ◽  
Patrice Forget ◽  
Simon Lacroix ◽  
Eric P. Deflandre ◽  
Anne Pirson ◽  
Nicolas Hustinx ◽  

Abstract Objectives The introduction of a new technology has the potential to modify clinical practices, especially if easy to use, reliable and non-invasive. This observational before/after multicenter service evaluation compares fluid management practices during surgery (with fluids volumes as primary outcome), and clinical outcomes (secondary outcomes) before and after the introduction of the Pleth Variability Index (PVI), a non-invasive fluid responsiveness monitoring. Results In five centers, 23 anesthesiologists participated during a 2-years period. Eighty-eight procedures were included. Median fluid volumes infused during surgery were similar before and after PVI introduction (respectively, 1000 ml [interquartile range 25–75 [750–1700] and 1000 ml [750–2000]). The follow-up was complete for 60 from these and outcomes were similar. No detectable change in the fluid management was observed after the introduction of a new technology in low to moderate risk surgery. These results suggest that the introduction of a new technology should be associated with an implementation strategy if it is intended to be associated with changes in clinical practice.

2021 ◽  
pp. 175045892110090
Hannah Bellwood ◽  
Kellie M Rozdarz ◽  
John Riordan

Elective lower segment caesarean section patients are routinely instructed to fast from food for 6h before surgery, with clear fluids up until 2h before surgery. We conducted an audit examining the true fasting times of mothers undergoing an elective caesarean section and the incidence of urinary ketones before and after introducing a preop carbohydrate drink (Nutricia preOp 400ml) to be administered to all patients at 6am on the day of surgery. We audited 50 patients prior to introducing the preop carbohydrate drink and 54 patients after the introduction of a carbohydrate drink. We found the mean fasting time from last caloric intake was reduced from 13h 35min to 5h 5min after the introduction of a preoperative carbohydrate drink. We found that the incidence of urinary ketones was 40.4% prior to the introduction of a preoperative carbohydrate drink and 38.3% after the introduction of a preop drink (p = 1). If fasting times were limited to under 4h, the incidence of urinary ketones is 10%. Our audit demonstrates that reducing preoperative fasting times is possible and preventing metabolic derangements may be possible, requiring an approach targeted at keeping fasting times to a minimum.

2021 ◽  
Vol 9 (2) ◽  
pp. 144-151
Taufiq Andre Setiyono ◽  
Rinwantin Rinwantin

This study aims to obtain empirical evidence regarding the differences in the stock price of BRIS before and after the merger of the three sharia banks of BUMN, and to obtain empirical evidence regarding the difference in trading volume of BRIS stock before and after the merger of the three sharia banks of BUMN. In this research, the analytical method used paired sample t-test with the SPSS program. The object of this research is BRIS. This study concludes that there is no difference between the stock price of BRIS before and after the merger of of the three sharia banks of BUMN, and there is a significant difference between the trading volume of BRIS stock before and after the merger of the three sharia banks of BUMN.

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