Assessment of Cardiopulmonary Resuscitation Expertise among Dental House Officers Working in A Dental Hospital, Multan

Background: Cardiopulmonary arrest (CPA) is an abrupt and an unpredicted halt in patients’ breathing as well as circulation due to several reasons. All wellbeing experts, including dental specialists, should be very much prepared to take care of and oversee health related crises. Aim: To examine House Surgeon’s medical practices of the recent CPR guidelines and to recognize the precautions that should be followed to correct the deficiencies identified. Setting: Multan Dental College Multan Methodology: Participants were selected randomly. Knowledge about CPR was evaluated by printed objective paper. Practical expertise/ skills were evaluated by SimMan (high-fidelity simulator). Objective paper comprised of 7 multiple choice questions and eighteen true false. Allotted time duration was 20 Minutes. One mark for every query and 50% marks were thought-off as passing scores Results: 34% of the participants scored 50% or more marks while 66% failed to do so. Regarding practical demonstration’s none of the participant was successful completely. Failure in initial assessment was attributed to 67% participants. Failure due to compression rate error, Failure due to ventilation rate error & Failure due to wrong hand position were reported by 70% participants. Conclusion: We conclude that level of knowledge as well as training regarding medicinal emergencies of dental house officers is below the required standard. Therefore, it is essential to place correct strategies & plans in place to fortify their recognized zones of weakness. Keywords: Cardiopulmonary Resuscitation (CPR), Dental House officers, Cardiopulmonary arrest (CPA),

Cohort study of hospitalists’ procedural skills: baseline competence and durability after simulation-based training

ObjectivesHospitalists are expected to be competent in performing bedside procedures, which are associated with significant morbidity and mortality. A national decline in procedures performed by hospitalists has prompted questions about their procedural competency. Additionally, though simulation-based mastery learning (SBML) has been shown to be effective among trainees whether this approach has enduring benefits for independent practitioners who already have experience is unknown. We aimed to assess the baseline procedural skill of hospitalists already credentialed to perform procedures. We hypothesised that simulation-based training of hospitalists would result in durable skill gains after several months.DesignProspective cohort study with pretraining and post-training measurements.SettingSingle, large, urban academic medical centre in the USA.ParticipantsTwenty-two out of 38 eligible participants defined as hospitalists working on teaching services where they would supervise trainees performing procedures.InterventionsOne-on-one, 60 min SBML of lumbar puncture (LP) and abdominal paracentesis (AP).Primary and secondary outcome measuresOur primary outcome was the percentage of hospitalists obtaining minimum passing scores (MPS) on LP and AP checklists; our secondary outcomes were average checklist scores and self-reported confidence.ResultsAt baseline, only 16% hospitalists met or exceeded the MPS for LP and 32% for AP. Immediately after SBML, 100% of hospitalists reached this threshold. Reassessment an average of 7 months later revealed that only 40% of hospitalists achieved the MPS. Confidence increased initially after training but declined over time.ConclusionsHospitalists may be performing invasive bedside procedures without demonstration of adequate skill. A single evidence-based training intervention was insufficient to sustain skills for the majority of hospitalists over a short period of time. More stringent practices for certifying hospitalists who perform risky procedures are warranted, as well as mechanisms to support skill maintenance, such as periodic simulation-based training and assessment.

Usability of a point-of-care diagnostic to identify glucose-6-phosphate dehydrogenase deficiency: a multi-country assessment of test label comprehension and results interpretation

Background Point-of-care glucose-6-phosphate dehydrogenase (G6PD) testing has the potential to make the use of radical treatment for vivax malaria safer and more effective. Widespread use of G6PD tests as part of malaria case management has been limited, in part due to due concerns regarding product usability, user training, and supervision. This study seeks to assess how well end users can understand the Standard™ G6PD Test (SD Biosensor, Suwon, South Korea) workflow, result output, and label after training. This will ultimately help inform test registration and introduction. Methods Potential G6PD test users who provide malaria case management at three sites in Brazil, Ethiopia, and India were trained on the use of the SD Biosensor Standard G6PD Test and assessed based on their ability to understand the test workflow and interpret results. The assessment was done through a questionnaire, designed to assess product usability against key technical product specifications and fulfill regulatory evidence requirements. Any participant who obtained 85% or above correct responses to the questionnaire was considered to adequately comprehend how to use and interpret the test. Results Forty-five participants, including malaria microscopists, laboratory staff, nurses, and community health workers took part in the study. Seventy-eight percent of all participants in the study (35/45) obtained passing scores on the assessment with minimal training. Responses to the multiple-choice questions indicate that most participants understood well the test intended use, safety claims, and warnings. The greatest source of error regarding the test was around the correct operating temperature. Most test results were also read and interpreted correctly, with the haemoglobin measurement being a more problematic output to interpret than the G6PD measurement. Conclusions These data results show how a standardized tool can be used to assess a user’s ability to run a point-of-care diagnostic and interpret results. When applied to the SD Biosensor Standard G6PD Test, this tool demonstrates that a range of users across multiple contexts can use the test and suggests improvements to the test instructions and training that can improve product usability, increase user comprehension, and ultimately contribute to more widespread effective use of point-of-care G6PD tests. Trial registration: NCT04033640

Knowledge Transfer in Online Meat and Dairy Goat Certification Programs in English and Spanish

In 2020, on-line courses in Spanish (SP) for dairy (D) and meat (M) goat producers were unveiled (http://certification.goats.langston.edu). These courses complemented the existing courses in English (EN) for D and M. Thirty-one undergraduate and one graduate animal science students at the University of Puerto Rico (UPR), Mayagüez enrolled in the SP courses for beta-testing. Nineteen students completed D-SP, 9 completed M-SP, and 4 completed both. Participants take a pre-test (PRE) and if the PRE score < 85%, a post-test (POST) is required. To complete D, passing scores are required on 18 required modules and 7 of 10 electives. To complete M, passing scores are required on 21 required modules and 9 of 12 electives. A random sample of previous participants (23 D-EN and 13 M-EN) in the same time length (86 ± 18.2 d) was added to the UPR dataset. The objective of this study is to evaluate the difference (DIFF) between PRE and POST scores as a measure of knowledge transfer. Mixed model analysis was conducted with the dependent variable of DIFF, the independent variables of course (D or M), language (EN or SP), the two-way interaction, and participant as the random effect. There were significant course (P > 0.01) and language (P > 0.05) effects on DIFF. M had lower DIFF than D (29.0% vs 34.1%) and EN had lower DIFF than SP (29.2% vs 34.0%). When required module within course (18 for D and 21 for M) was added to the model to examine specific module differences, there was a significant course(module)*language interaction (P > 0.01) with values ranging from 15.6% for Preventive Herd Health in EN M to 45.1% for Milking Systems in SP D. Participant background and language may play a role in knowledge transfer for online courses; however, a larger sample would be needed to confirm this hypothesis.

Aplikasi Pintar : Hukum Tajwid Berbasis Android

Information technology is now growing, the need for quality information is needed. The development of technology has a lot to influence the order of life or a certain rule and system that can be utilized in various fields, one of which is in the field of education. The system, which is summarized into an e-Learning concept, has an effect on the transformation of education into digital form both in content and systems. UNIS Tangerang has a faculty called the Science of Religion. One of the important subjects is understanding the use of recitation in the Koran. By using an applicative method, this research was built with the aim of making it easier for students to understand it and also making it easier for lecturers to transfer knowledge to students. With an interactive learning model, it is proven that the results are maximally measured by the passing scores of students in this course.

ANALISIS DAN PERANCANGAN SISTEM INFORMASI PENENTUAN SHUTDOWN POINT PADA PT. LARIS SUMUT MAKMUR MEDAN

This research was conducted aiming to design a New Student Selection Decision Support System. To help the selection process for new student admissions at the Indonesian Business Polytechnic, a decision support system (SPK) was designed to help the data processing of prospective new students who register using the Weighteded Product (WP) method. This Weighteded Product method is done by using multiplication to link the attribute rating, where the rating of each attribute must be raised first with the Weighted of the attribute in question. The criteria used in this Decision Support System consist of: capacity, achievement, academic tests, age, and passing scores. From the sample of data examined, the ranking results were found to be the best value of prospective students with a value of 0.0841 and 0.0791.

SISTEM PENYELEKSI MAHASISWA BARU BERBASIS WEB MENGGUNAKAN METODE WEIGHTED PRODUCT

This research was conducted aiming to design a New Student Selection Decision Support System. To help the selection process for new student admissions at the Indonesian Business Polytechnic, a decision support system (SPK) was designed to help the data processing of prospective new students who register using the Weighted Product (WP) method. This Weighted Product method is done by using multiplication to link the attribute rating, where the rating of each attribute must be raised first with the weight of the attribute in question. The criteria used in this Decision Support System consist of: capacity, achievement, academic tests, age, and passing scores. From the sample of data examined, the ranking results were found to be the best value of prospective students with a value of 0.0841 and 0.0791.

Physics Entrance Testing at Technical University

The paper deals with the organization of entrance physics testing for first-year BMSTU students of all majors and specialties. The role and position of testing in the educational process of a technical university is discussed on the example of entrance testing conducted by the Department of Physics. The advantages of entrance testing as one of the types of control of students residual knowledge are shown. The subjects of the tasks of entrance testing are presented and an example of typical variants of test tickets is given. The analysis of the degree of solution of the input testing problems for all faculties has been carried out. It has been established that the following sections of the school physics course: “Electrostatics”, “Magnetism”, and “Mechanical vibrations” cause the greatest difficulties. A comparative analysis of the entrance test has been conducted at the faculties of “Basic Sciences” and “Special Engineering” for the 2018 and 2019 academic years. The connection between the entrance testing results and passing scores at the faculties of technical university ihas been revealed. It has been shown that entrance testing allows to determine the percentage of students’ retained knowledge at the school physics course and make adjustments to organize students’ additional auditorial and individual work. The lecturer has the opportunity to correct the presentation of the physics course in order to increase the percentage of retained knowledge in future.

Standard Setting of Competency in Mastoidectomy for the Cross-Institutional Mastoidectomy Assessment Tool

Objective: Competency-based surgical training involves progressive autonomy given to the trainee. This requires systematic and evidence-based assessment with well-defined standards of proficiency. The objective of this study is to develop standards for the cross-institutional mastoidectomy assessment tool to inform decisions regarding whether a resident demonstrates sufficient skill to perform a mastoidectomy with or without supervision. Methods: A panel of fellowship-trained content experts in mastoidectomy was surveyed in relation to the 16 items of the assessment tool to determine the skills needed for supervised and unsupervised surgery. We examined the consensus score to investigate the degree of agreement among respondents for each survey item as well as additional analyses to determine whether the reported skill level required for each survey item was significantly different for the supervised versus unsupervised level. Results: Ten panelists representing different US training programs responded. There was considerable consensus on cut-off scores for each item and trainee level between panelists, with moderate (0.62) to very high (0.95) consensus scores depending on assessment item. Further analyses demonstrated that the difference between supervised and unsupervised skill levels was significantly meaningful for all items. Finally, minimum-passing scores for each item was established. Conclusion: We defined performance standards for the cross-institutional mastoidectomy assessment tool using the Angoff method. These cut-off scores that can be used to determine when trainees can progress from performance under supervision to performance without supervision. This can be used to guide training in a competency-based training curriculum.