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Karen Nuytemans PhD Vanessa Inchausti BS Gary W. Beecham PhD Liyong Wang PhD Dennis W. Dickson MD John Q. Trojanowski MD PhD Virginia M.‐Y. Lee PhD Deborah C. Mash PhD Matthew P. Frosch MD PhD Tatiana M. Foroud PhD Lawrence S. Honig MD PhD Thomas J. Montine MD PhD Ted M. Dawson MD PhD Eden R. Martin PhD William K. Scott PhD Jeffery M. Vance MD PhD 《Movement disorders》2014,29(6):827-830
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Nicole K. Roberts Reed G. Williams Cathy J. Schwind John A. Sutyak Christopher McDowell David Griffen Jarrod Wall Hilary Sanfey Audra Chestnut Andreas H. Meier Christopher Wohltmann Ted R. Clark Nathan Wetter 《American journal of surgery》2014
Background
Communication breakdowns and care coordination problems often cause preventable adverse patient care events, which can be especially acute in the trauma setting, in which ad hoc teams have little time for advanced planning. Existing teamwork curricula do not address the particular issues associated with ad hoc emergency teams providing trauma care.Methods
Ad hoc trauma teams completed a preinstruction simulated trauma encounter and were provided with instruction on appropriate team behaviors and team communication. Teams completed a postinstruction simulated trauma encounter immediately afterward and 3 weeks later, then completed a questionnaire. Blinded raters rated videotapes of the simulations.Results
Participants expressed high levels of satisfaction and intent to change practice after the intervention. Participants changed teamwork and communication behavior on the posttest, and changes were sustained after a 3-week interval, though there was some loss of retention.Conclusions
Brief training exercises can change teamwork and communication behaviors on ad hoc trauma teams. 相似文献87.
Background
Construct validity for the pediatric laparoscopic surgery (PLS) simulator has been established through a scoring system based on time and precision. We describe the development and initial validation of motion analysis to teach and assess skills related to pediatric minimal access surgery (MAS).Methods
Participants were asked to perform a standardized intracorporeal suturing task. They were classified as novices, intermediates, and experts. Motion in the four degrees of freedom available during traditional MAS (PITCH, YAW, ROLL and SURGE) was assessed using range, velocity, and acceleration.Results
Analysis of motion allowed discrimination between the 75 participants according to level of expertise. The most discriminating motion parameter was the acceleration in performing the ROLL (pronation/supination) with values of 30 ± 27 for novices, 15 ± 5 for intermediates, and 3.7 ± 3 for experts (p < 0.001).Conclusions
Tracking and analyzing the motion of instruments within the PLS simulator allow discrimination between novices, intermediates, and experts, thus establishing construct validity. Further development may establish motion analysis as a useful “real time” modality to teach and assess MAS skills. 相似文献88.
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Kristian Amundsen Østby Nikolai Czajkowski Gun Peggy Knudsen Eivind Ystrom Line C. Gjerde Kenneth S. Kendler Ragnhild E. Ørstavik Ted Reichborn-Kjennerud 《Social psychiatry and psychiatric epidemiology》2014,49(12):2003-2011
Purpose
To determine whether personality disorders (PDs) are associated with increased risk of disability pensioning in young adults, independent of other common mental disorders.Methods
2,770 young adults from the general population were assessed for PDs by the Structured Interview for DSM-IV Personality, and for common mental disorders by the Composite of International Diagnostic Interview. These data were linked to the Norwegian National Insurance Administration’s recordings of disability benefits for a 10-year period. Logistic regression analyses were applied to investigate the association between PDs and disability pensioning. The analyses were conducted for three types of PD measures: categorical diagnoses (any PD), dimensional scores of individual PDs and higher order components retrieved by principal component analyses.Results
Having any PD was strongly associated with disability pensioning, regardless of disability diagnosis. The estimated odds ratio (OR) was substantially higher for PDs [OR 4.69 (95 % confidence interval (CI) 2.6–8.5)] than for mood disorders [OR 1.3 (CI 0.7–2.3)] and anxiety disorders [OR 2.3 (CI 1.3–4.3)]. Measured dimensionally, all PD traits except antisocial traits were significantly associated with disability pensioning. After adjusting for co-occurring traits of other PDs, only schizoid, dependent and borderline PD traits showed a significant positive association with disability pension, while antisocial traits showed a significant negative association. The principal component analyses showed that negative affectivity, psychoticism, and detachment was associated with an increased risk of disability pensioning, while antagonism/disinhibition and obsessivity were not.Conclusions
PDs are strongly associated with disability pensioning in young adults, and might be more important predictors of work disability than anxiety and depressive disorders. Certain aspects of pathologic personalities are particularly important predictors of disability. 相似文献90.
Reza Sadjadi Mary M. Reilly Michael E. Shy Davide Pareyson Matilde Laura Sinead Murphy Shawna M. E. Feely Tiffany Grider Chelsea Bacon Giuseppe Piscosquito Daniela Calabrese Ted M. Burns 《Journal of the peripheral nervous system : JPNS》2014,19(3):192-196
Charcot‐Marie‐Tooth Neuropathy Score second version (CMTNSv2) is a validated clinical outcome measure developed for use in clinical trials to monitor disease impairment and progression in affected CMT patients. Currently, all items of CMTNSv2 have identical contribution to the total score. We used Rasch analysis to further explore psychometric properties of CMTNSv2, and in particular, category response functioning, and their weight on the overall disease progression. Weighted category responses represent a more accurate estimate of actual values measuring disease severity and therefore could potentially be used in improving the current version. Copyright © 2014 John Wiley & Sons, Ltd. 相似文献