Perceptions and Anxiety Level of Students during Administration of Local Anesthesia

Objective: To assess perceptions and anxiety levels of dental students during administration of local anesthesia Study Design & Setting: This comparative cross sectional study was conceived in Foundation University Dental College and conducted in multiple institutes after endorsement from the ethical committee of the university from August – October 2021. Methodology: The questionnaire comprised of three sections which included demographic profile section, perceptions, and experience of administration of mandibular, maxillary, or inferior alveolar nerve block on the 5-point Likert’s scale and comparative anxiety analysis before, during or after local anesthetic administration with interval scale of anxiety response. Results: It was found that 311 (81.8%) dental students/professionals were anxious (cumulative response of “little nervous” and above) before administrating local anesthesia injection. It was found that students were significantly more anxious during and after local anesthesia administration as compared to clinical practitioners (p<0.001). About 89% of the responders agreed to the usefulness of video demonstration while 98% agreed to the usefulness of hands-on practice of local anesthesia administration techniques Conclusion: Students were significantly more anxious during and after local anesthesia administration as compared to clinical practitioners. Video demonstration and hands-on practice are useful adjuvants in the reduction of local anesthesia administration anxiety

Different Effects of Live Demonstration and Video Demonstration Learning Models on the Performance of the Tennis Service Biomechanics Review from Eye-Hand Coordination

This study aims to determine: (1) The difference in the effect of live demonstration and video demonstration exercise models on the biomechanics performance of court tennis service, (2) Differences in the performance of tennis service biomechanics between players who have high and low eye-hand coordination, (3) Effect of interaction between exercise model and eye-hand coordination on the performance of tennis service biomechanics. This study used an experimental method with a 2 x 2 factorial design. The population in this study were all 12 players of the male KKO SMPN 1 Surakarta. The sampling technique used is saturated sampling, the size of the sample taken is 12 players. The data analysis technique in this study used ANOVA. Before being tested with ANOVA, first using the prerequisite test of data analysis with sample normality test (Lilliefors test with = 0.05 %) and homogeneity test of variance (Bartlett test with = 0.05 %). Based on the results of the study, it can be concluded as follows: (1) there is a difference in the effect of live demonstration and video demonstration exercise models on the performance of tennis service biomechanics. The effect of the live demonstration exercise model is better than the video demonstration exercise model, (2) there are differences in the biomechanics performance of court tennis service between players who have high and low eye-hand coordination. The biomechanics performance of court tennis services on players who have high eye-hand coordination is better than players who have low eye-hand coordination, (3) there is an interaction between training models and eye-hand coordination on the biomechanics performance of court tennis services. Players who have high eye-hand coordination are more suitable if given a live demonstration exercise model. Players who have low eye-hand coordination are more suitable if given a video demonstration exercise model.

V-OG02 Video Demonstration Of Abdominal Lymphadenectomy In A Robotically Assisted Oesophagectomy

Background Lymphadenectomy is essential for adequate oncological clearance and accurate staging during oesophagectomy for malignant disease. Adequate lymph node clearance has implications on patient outcomes and confers a survival benefit. Abdominal lymph node clearance may be technically challenging due to the location of nodes along key structures such as the common hepatic artery and splenic vessels. Robotic assistance during abdominal lymphadenectomy permits improved 3-D visualisation and instrument articulation in a potentially constricted space. This video demonstrates a technique for robotic abdominal lymphadenectomy during oesophagectomy. Methods This video demonstrates a technique for coeliac axis lymph node clearance during the abdominal phase of an oesophagectomy, as practiced at this institution. The intention for such a video is for ongoing appraisal and refinement of robotic techniques within the unit, as well as for teaching and training. The video was edited using iOS software, and text has been used to explain each step in conjunction with the images. Results Dissection of all relevant coeliac axis nodal stations is successfully demonstrated, with the lymph nodes resected en-bloc with the specimen. Text has also been used to explain the steps seen in the video images. Conclusions Robotic assistance permits safe and adequate lymphadenectomy during minimally invasive oesophagectomy, as demonstrated in this video.

Effectiveness of Roleplay Video Method in Teaching Communication Skills for Undergraduate Medical Students in Pharmacology in Indian Medical School

Background Communication is an important skill to be honed and applied by Indian medical graduate, as per revised regulations on Graduate Medical Education 2019. The objective of the present study was to evaluate the effectiveness of roleplay video demonstration in teaching communication skills to students using standard pharmacology drug prescription scenarios. Materials and Methods In this study, 136 students were divided into three batches, and in each batch, they were paired as a group of one doctor and patient and were asked to perform a roleplay of doctor-patient communication to a standard drug prescription case scenario. Communication skills of the simulated doctor were assessed before and after the administration of standard roleplay video, using modified Kalamazoo consensus statement by both the patient (peer evaluation) and the doctor (self-assessment). The effectiveness of roleplay was evaluated by comparing the total score before and after the roleplay demonstration using the Wilcoxon signed rank test. The difference between the scores of self-evaluation and peer evaluation was tested using Mann–Whitney U test. Results The communication skills score of after intervention-before intervention (p = 0.001) showed 59 positive ranks and 36.64 mean rank among patient group and 61 positive ranks and 36.74 mean rank among doctors' group, indicating there was a significant improvement in communication. Conclusion Roleplay video demonstration improved the communication skills of students in the pharmacology practical class session. It helped in the active participation of the students and was appreciated by the majority of the students.

Vaginal cervicoisthmic cerclage for cervical incompetence in pregnant women: Fernandez’s technique in 8 steps

Video objective: To demonstrate that surgical technique of vaginal cervicoisthmic cerclage must be performed in women with history of cervical incompetence with more than two late miscarriages before 24 weeks or premature deliveries before 28 weeks and after prior failure of preventive Mc Donald cerclage. In this video, the authors describe the complete procedure in 8 steps to standardize and facilitate the procedure in a simple and safe way during pregnancy. Design: Step-by-step video demonstration of the surgical technique. Setting: Tertiary Center for University Hospital.

OV18 ENDOSCOPIC RETRO-MUSCULAR REPAIR OF PARASTOMAL HERNIA - A TANTALIZING NEW TECHNIQUE

Development of retro muscular space with transversus abdominis release has reached maturity in endoscopic surgery. Next-level reconstruction is adaptation to parastomal hernia repair alone or in conjunction with another abdominal wall hernia repair. We aim to present this extraperitoneal modified mesh technique based on the Sugarbaker principle with video demonstration and share clinical data and results from twenty-four patients operated with this technique within two years from the spring of 2019 to the spring of 2021. 77% patients had para-colostomy hernia and 41% of the patients had accessory repairs for midline or opposite flank hernia. 18% had prophylactic mesh at index operation, 27% were recurrent parastomal hernia and ostomies were formed median 32 months prior to parastomal hernia repair. 72% of the patients were operated robotically and 28% laparoscopically. Median follow up at time for presentation will be 17 months.