Article intro - Non-Technical Skill Assessment and Mental Load Evaluation in RAMIS

xloma.fota13 shared this article with you from Inoreader Article intro - Non-Technical Skill Assessment and Mental Load Evaluation in RAMIS Via SurgRob Nagyné Elek et Haidegger: "Non-Techn ical Skill Assessment and Mental Load Evaluation in Robot-Assisted Minimally Invasive Surgery" has just appeared in MDPI Sensors 2021, 21(8), 2666; as part of the Special Issue on Medical Robotics. Abstract BACKGROUND: Sensor technologies and data collection practices are changing and improving quality metrics across various domains. Surgical skill assessment in Robot-Assisted Minimally Invasive Surgery (RAMIS) is essential for training and quality assurance. The mental workload on the surgeon (such as time criticality, task complexity, distractions) and non-technical surgical skills (including situational awareness, decision making, stress resilience, communication, leadership) may directly influence the clinical outcome of the sur gery. METHODS: A literature search in PubMed, Scopus and PsycNet databases was conducted for relevant scientific publications. The standard PRISMA method was followed to filter the search results, including non-technical skill assessment and mental/cognitive load and workload estimation in RAMIS. Publications related to traditional manual Minimally Invasive Surgery were excluded, and also the usability studies on the surgical tools were not assessed. RESULTS: 50 relevant publications were identified for non-technical skill assessment and mental load and workload estimation in the domain of RAMIS. The identified assessment techniques ranged from self-rating questionnaires and expert ratings to autonomous techniques, citing their most important benefits and disadvantages. CONCLUSIONS: Despite the systematic research, only a limited number of articles was found, indicating that non-technical skill and mental load assessment in RAMIS is not a well-studied area. Workload assessment and s oft skill measurement do not constitute part of the regular clinical training and practice yet. Meanwhile, the importance of the research domain is clear based on the publicly available surgical error statistics. Questionnaires and expert-rating techniques are widely employed in traditional surgical skill assessment; nevertheless, recent technological development in sensors and Internet of Things-type devices show that skill assessment approaches in RAMIS can be much more profound employing automated solutions. Measurements and especially big data type analysis may introduce more objectivity and transparency to this critical domain as well. SIGNIFICANCE: Non-technical skill assessment and mental load evaluation in Robot-Assisted Minimally Invasive Surgery is not a well-studied area yet; while the importance of this domain from the clinical outcome's point of view is clearly indicated by the available surgical error statistics. Should you be interested in publishing with MDPI Sensors, the Medical Robotics Special Issue is open for submissions.   View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Neonatal Mast Cells and Transplacental IgE Transfer: A Mechanism of Disease Inheritance or of Passive Infant Barrier Defense?

xloma.fota13 shared this article with you from Inoreader Neonatal Mast Cells and Transplacental IgE Transfer: A Mechanism of Disease Inheritance or of Passive Infant Barrier Defense? Via Journal of Allergy and Clinical Immunology View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Cancers, Vol. 13, Pages 1920: The Role of Rituximab in the Treatment of Primary Central Nervous System Lymphoma

xloma.fota13 shared this article with you from Inoreader Cancers, Vol. 13, Pages 1920: The Role of Rituximab in the Treatment of Primary Central Nervous System Lymphoma Via Cancers Cancers, Vol. 13, Pages 1920: The Role of Rituximab in the Treatment of Primary Central Nervous System Lymphoma Cancers doi: 10.3390/cancers13081920 Authors: Ruben Van Dijck Jeanette K. Doorduijn Jacoline E.C. Bromberg Primary central nervous system lymphoma (PCNSL) is a type of non-Hodgkin lymphoma limited to the central nervous system. It has a poor prognosis. Consensus has been reached on the treatment of newly diagnosed patients with high-dose methotrexate-based chemotherapy, but whether the addition of the monoclonal anti-CD20 antibody rituximab improves survival, as it does in systemic B-cell non-Hodgkin lymphoma, remains disputed. In this review, we reflect on the available evidence of the use of rituximab in PCNSL. Whether rituximab has any beneficial effect remains uncertain. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Review of Gastroesophageal Reflux Disease

xloma.fota13 shared this article with you from Inoreader Review of Gastroesophageal Reflux Disease Via pubmed: dysphagia JAMA. 2021 Apr 13;325(14):1472. doi: 10.1001/jama.2021.1438. NO ABSTRACT PMID:33847719 | DOI:10.1001/jama.2021.1438 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Update on Endoscopic Therapies for the Treatment of GERD: GERDX, MUSE, EsophyX

xloma.fota13 shared this article with you from Inoreader Update on Endoscopic Therapies for the Treatment of GERD: GERDX, MUSE, EsophyX Via pubmed: dysphagia Zentralbl Chir. 2021 Apr;146(2):188-193. doi: 10.1055/a-1333-3751. Epub 2021 Apr 13. ABSTRACT Gastroesophageal reflux disease (GERD) has been a problem for patients throughout in recent decades worldwide and its prevalence is increasing. Until 20 years ago, the established treatments were the proton pump inhibitors (PPI) and varieties of laparoscopic fundoplication (LF). Increasing experience with endoscopy and knowledge of the oesophagogastric junction (EGJ) has led to new options in the treatment of GERD. However, promising short term effects have been found with radiofrequency ablation (RFA, Stretta device), endoscopic mucosal resection (ARMS) for induction of scar tissue at the lower oesophageal sphincter (LES) and endoscopic suture devices like GERDX, MUSE and EsophyX to reconstruct the flap valve at the EGJ. Long-term follow-up data and randomised controlled studies in comparison to LF are still rare. PMID:33851381 | DOI:10.1055/a-1333-3751 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Alternative Surgical Anti-Reflux Procedures

xloma.fota13 shared this article with you from Inoreader Alternative Surgical Anti-Reflux Procedures Via pubmed: dysphagia Zentralbl Chir. 2021 Apr;146(2):210-214. doi: 10.1055/a-1369-9732. Epub 2021 Apr 13. ABSTRACT Patient satisfaction when treated with acid-suppressing medication for chronic GERD disease is less than 70%. Surgical standardisation, centralisation, improved awareness of patient selection and new surgical methods have stimulated interest in surgical reflux therapy in recent years. Magnetic sphincter augmentation (MSA) seems to be a safe alternative to laparoscopic fundoplication, with reported complication rates of 0.1% and reoperation rates of 3.4% and is also effective (GERD-HRQL improvement from 19.9 to 4.1, p = 0.001 as well PPI cessation and pH normalisation in 79 and 89% of patients, respectively). Electric sphincter augmentation shows promising short-term results in small patient cohorts (92% symptomatic improvement). However, randomised controlled studies comparing these new techniques to the "gold standard" of laparoscopic fundoplication are still missing. PMID:33851383 | DOI:10.1055/a-1369-9732 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Increase of blood-brain barrier leakage is related to cognitive decline in vascular mild cognitive impairment

xloma.fota13 shared this article with you from Inoreader Increase of blood-brain barrier leakage is related to cognitive decline in vascular mild cognitive impairment Via BMC Neurology - Latest Articles Blood-brain barrier (BBB) breakdown, as an early biomarker for vascular mild cognitive impairment (vMCI), has only been validated by a few studies. The aim of this study was to investigate whether compromised ... View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

The initial CT blend sign is not associated with poor patient outcomes after stereotactic minimally invasive surgery

xloma.fota13 shared this article with you from Inoreader The initial CT blend sign is not associated with poor patient outcomes after stereotactic minimally invasive surgery Via BMC Neurology - Latest Articles The initial CT blend sign is an imaging marker that has been used to predict haematoma expansion and poor outcomes in patients with small-volume intracerebral haemorrhage (ICH). However, the association of the... View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Acute motor and sensory axonal neuropathy in association with primary Sjögren’s syndrome: a case report

xloma.fota13 shared this article with you from Inoreader Acute motor and sensory axonal neuropathy in association with primary Sjögren's syndrome: a case report Via BMC Neurology - Latest Articles Primary Sjögren's syndrome is a chronic, autoimmune, connective tissue disorder that results from the infiltration of exocrine glands, especially the lacrimal and salivary glands, by autoantibodies. Patients w... View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Clinical efficacy of ultrasound-guided pulsed radiofrequency combined with ganglion impar block for treatment of perineal pain

paythelady.612 shared this article with you from Inoreader Clinical efficacy of ultrasound-guided pulsed radiofrequency combined with ganglion impar block for treatment of perineal pain Μέσω pubmed: "world j clin cases"... World J Clin Cases. 2021 Mar 26;9(9):2153-2159. doi: 10.12998/wjcc.v9.i9.2153. ABSTRACT BACKGROUND: Ganglion impar block alone or pulsed radiofrequency alone are effective options for treating perineal pain. However, ganglion impar block combined with pulsed radiofrequency (GIB-PRF) for treating perineal pain is rare and the puncture is usually performed with X-ray or computed tomography guidance. AIM: To evaluate the safety and clinical efficacy of real-time ultrasound-guided GIB-PRF in treating perineal pain. METHODS: Thirty patients with perineal pain were included and were treated by GIB-PRF guided by real-time ultrasound imaging between January 2015 and December 2016. Complications were recorded to observe the safety of the ultrasound-guided GIB-PRF procedure, and visual analogue scale (VAS) scores at 24 h before and after treatment and 1, 3, and 6 mo later were analyzed to evaluate clinical efficacy. RESULTS: Ul trasound-guided GIB-PRF was performed successfully in all patients, and no complications occurred. Compared with pretreatment scores, the VAS scores were significantly lower (P < 0.05) at the four time points after treatment. The VAS scores at 1 and 3 mo were slightly lower than those at 24 h (P > 0.05) and were significantly lower at 6 mo after treatment (P < 0.05). There was a tendency toward lower VAS scores at 6 mo after treatment compared with those at 1 and 3 mo (P > 0.05). CONCLUSION: Ultrasound-guided GIB-PRF was a safe and effective way to treat perineal pain. The 6-mo short-term clinical efficacy was favorable, but the long-term outcomes need future study. PMID:33850934 | PMC:PMC8017504 | DOI:10.12998/wjcc.v9.i9.2153 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Editorial for the special issue of the Chinese Association for the Study of Pain

paythelady.612 shared this article with you from Inoreader Editorial for the special issue of the Chinese Association for the Study of Pain Μέσω pubmed: "world j clin cases"... World J Clin Cases. 2021 Mar 26;9(9):2022-2026. doi: 10.12998/wjcc.v9.i9.2022. ABSTRACT The Ministry of Health of China officially issued a document, adding the first level diagnosis and treatment discipline "Algology" in the list of diagnosis and treatment subjects of medical institutions on July 16, 2007. As the most important pain academic organization in China, the Chinese Association for the Study of Pain has made outstanding contributions in promoting the development of pain discipline and in establishing pain standards and disease diagnosis and treatment guidelines. In this special issue, under the leadership of Yan-Qing Liu, Chairman of the 7th Committee of the Chinese Association for the Study of Pain, nine consensus and one guideline were included. PMID:33850921 | PMC:PMC8017508 | DOI:10.12998/wjcc.v9.i9.2022 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Expert consensus of Chinese Association for the Study of Pain on the application of ozone therapy in pain medicine

paythelady.612 shared this article with you from Inoreader Expert consensus of Chinese Association for the Study of Pain on the application of ozone therapy in pain medicine Μέσω pubmed: "world j clin cases"... World J Clin Cases. 2021 Mar 26;9(9):2037-2046. doi: 10.12998/wjcc.v9.i9.2037. ABSTRACT This consensus was compiled by first-line clinical experts in the field of pain medicine and was organized by the Chinese Association for the Study of Pain. To reach this consensus, we consulted a wide range of opinions and conducted in-depth discussions on the mechanism, indications, contraindications, operational specifications and adverse reactions of ozone iatrotechnique in the treatment of pain disorders. We also referred to related previous preclinical and clinical studies published in recent years worldwide. The purpose of this consensus is to standardize the rational application of ozone iatrotechnique in pain treatment, to improve its efficacy and safety and to reduce and prevent adverse reactions and complications in this process. PMID:33850923 | PMC:PMC8017497 | DOI:10.12998/wjcc.v9.i9.2037 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.