Hand Experience Research Articles

Real‐life Experience with glaucoma surgical training using SOS eyes

SummarySurgical training in Europe is very different according to each region. National regulations, different settings and allocated resources allow for a great heterogeneity in surgical opportunities. The equation of providing adequate training and performance levels to the surgeon while upholding the best possible practices of maximizing patient safety is a difficult task. Throughout Europe, surgeons are increasingly resorting to solutions that allow them to train in simulated scenarios before being confronted with a real life scenario. From wet‐labs to electronic simulations, there is a wide range of solutions that could be adapted to each reality. In this section of the symposium we look at real life experiences using specifically designed advanced ‘dry lab eye’ models (Simulated Ocular Surgery, or SOS, eyes) from the perspective of residents, glaucoma fellows and consultant trainers/supervisors. Videos and first hand experiences will be shared with the audience with useful tips, practical advice and potential drawbacks presented and described by a young qualified consultant trainer from one of the largest and oldest ophthalmic teaching hospitals in the U.K.

PL-16 Sex Education By Comics. A Light Medium For Heavy Issues

Sexpo Foundation has been involved with sex education of young people since the 60’s. It has always challenged and supplemented official sexual health education by straightforwardness and dealing with topics that have been deemed inappropriate in different times. Sexpo’s sex ed activities are based on first hand experiences about youth sex culture via direct educational activities, sexuality counselling services for young people, and youth consultation group. The Together Project by Sexpo uses comic strips and accompanying sex ed materials to deal with topical issues in youth sex culture. The project was realised in 2016, and produced 8 strips and linked materials in 3 languages and plain language. The strips were scripted collaboratively by a team of sex educators, the artist, Maria Björklund, and the youth consultation group. They have been published in print and e-versions, and they are shareable by Creative Commons licence. Issues present in the comics and sex ed materials are negotiation during sex, communicating feelings, gender and relationship diversity, sexual practices like anal sex and BDSM, and discrimination.

Variable Operative Experience in Hand Surgery for Plastic Surgery Residents

Efforts to standardize hand surgery training during plastic surgery residency remain challenging. We analyze the variability of operative hand experience at U.S. plastic surgery residency programs. Operative case logs of chief residents in accredited U.S. plastic surgery residency programs were analyzed (2011-2015). Trends in fold differences of hand surgery case volume between the 10th and 90th percentiles of residents were assessed graphically. Percentile data were used to calculate the number of residents achieving case minimums in hand surgery for 2015. Case logs from 818 plastic surgery residents were analyzed of which a minority were from integrated (35.7%) versus independent/combined (64.3%) residents. Trend analysis of fold differences in case volume demonstrated decreasing variability among procedure categories over time. By 2015, fold differences for hand reconstruction, tendon cases, nerve cases, arthroplasty/arthrodesis, amputation, arterial repair, Dupuytren release, and neoplasm cases were below 10-fold. Congenital deformity cases among independent/combined residents was the sole category that exceeded 10-fold by 2015. Percentile data suggested that approximately 10% of independent/combined residents did not meet case minimums for arterial repair and congenital deformity in 2015. Variable operative experience during plastic surgery residency may limit adequate exposure to hand surgery for certain residents. Future studies should establish empiric case minimums for plastic surgery residents to ensure hand surgery competency upon graduation.

Learning the skills needed to perform shoulder arthroscopy by simulation

IntroductionSimulation for arthroscopy helps surgical trainees develop their surgery skills in a safe environment. This teaching technique has become more widespread in recent years because of the need to provide surgeons in training with an alternative to the current methods. We hypothesized that a resident in surgery could acquire the skills needed to perform arthroscopic shoulder surgery by working on a simulator. Material and methodsThe study was conducted over a 4-month period from June to September 2016. All the surgeons and residents in our department participated in the study. We recorded each participant's age, sex, dominant hand, and video gaming experience. We used the Arthro Mentor™ simulator from Simbionix (now 3D Systems). Testing was carried out at the start and end of training to evaluate the participant's skills and their progression. The changes were evaluated statistically. ResultsFourteen surgeons were included in the study. They were split into two groups: controls and residents. There was a statistically significant improvement in the intern group between the overall pre-test score and the overall post-test score. There was no significant improvement in the overall score of the control group between the pre-test and post-test. DiscussionFor surgeons in training, shoulder arthroscopy simulation helps them acquire the skills needed to perform arthroscopy such as hand-eye coordination, triangulation and the ability to work in three-dimensions based on two-dimensional visual information. We believe that the benefit of simulation resides in learning the skills needed to perform a surgical procedure, not in learning the procedure itself. Level of evidenceIII–case-control study.

Embracing social big data in wireless system design

The past decade has witnessed explosive growth in wireless big data, as well as in various big data analytics technologies. The intelligence mined from these massive datasets can be utilized to optimize wireless system design. Due to the open data policy of the mainstream OSN (Online Social Network) service providers and the pervasiveness of online social services, this paper studies how social big data can be embraced in wireless communication system design. We start with our first hand experience on crawling social big data and the principal of social-aware system design. Then we present five studies on utilizing social intelligence for system optimization, including community-aware social video distribution over cloud content delivery networks, public cloud assisted mobile social video sharing, data driven bitrate adjustment and spectrum allocation for mobile social video sharing, location-aware video streaming, and social video distribution over information-centric networking.

The Impact of Korean Ambassadors’ Encounters with Qing Entertainments, Focusing on Lantern Festivals, Fireworks, Plays, and Theater Facilities

Abstract This study examines how Chosŏn Korean ambassadors’ encounters with Qing entertainment impacted their views of the Qing dynasty in China based on their travel accounts written during the eighteenth and early nineteenth centuries. During diplomatic trips as ambassadors, select Chosŏn literati were able to experience new and exotic forms of foreign culture. This article focuses on Qing entertainments, including fireworks, lantern festivals, and plays, and related aspects such as theater facilities, that captured the attention of the traveling ambassadors. Through direct experience with Qing entertainments, traveling Chosŏn dignitaries gained first hand experience of Qing commercial and technological development. Some of these witnesses came to the realization that the Qing had become a successful ruling dynasty, which dismantled previously held assumptions by most Chosŏn literati that the Manchus were barbaric and uncultivated.

Unheard voices: researching participation in social work

ABSTRACTThe article draws attention to the loss of contract power of people, especially those with mental disabilities. It shows a gap between policies and ideology of participation on the one hand and lived experiences of participation practices in the care proceedings’ systems on the other. Users’ participation seems to be a trademark of contemporary EU social policy or mental health policy, while children’s participation is the most emphasised part of child-friendly justice discourse, but the question arises whether they really are in place. The national and European research projects conducted by the author and her colleagues in the last years are used to emphasise the most problematic points, but also innovative social work and advocacy practices. The central focus of the article is therefore the author’s recent EU research project ‘Access to Justice for Children with Mental Disabilities’, which has addressed the participation of children with mental disabilities in all stages of the legal processes. In the case of Slovenia, these are mainly taking the place at centres of social work. The findings showed that in spite of the progress towards participation of children in general in social care decisions, children with mental disabilities remain virtually invisible.

Conceptualizations of English in the discourses of Brazilian language teachers: Issues of mobility, empowerment and international ownership

The present study is an investigation of how English has been conceptualized in the discourses of ten Brazilian English language teachers with diverse language teaching experiences. Discourses of major agents in Brazilian English language teaching (ELT) – mainly the media, language schools, and the Ministry of Education through its national guidelines – usually associate English with notions of mobility, empowerment, and international ownership. The understanding of how English language educators conceptualize the language thus provides a valuable perspective on how these discourses may be taken on and reproduced by teachers. Such understanding is also relevant because educators have first hand experience in what actually goes on inside schools, thus being able to provide important accounts that are based on real life examples of their practices.

Taking the student to the world: Teaching sensitive issues using field trips

Field trips can provide an opportunity to take the student to the world, as an alternative to presenting the world to the student in the classroom. Such trips can create a forum for exploring controversial and distressing topics by exposing the students to first–hand experience, rather than second–hand accounts: witnessing the effects of blind obedience in the remains of a concentration camp whilst hearing the story of the survivors is a very different experience to the detached presentation of information in a classroom. This article outlines the benefits of usingfield trips to teach sensitive topics through accounts of four excursions taken bystudents in the School of Psychology at Bangor University. These case studies are presented alongside a list of tips to support those planning a future venture and evidence of the impact on students and staff.

Editors' Note.

Editors’ Note James M. DuBois, Ana S. Iltis, and Heidi A. Walsh We are pleased to publish the first issue of volume seven of Narrative Inquiry in Bioethics (NIB). The new cover art on issue 7.1 symbolizes change at NIB. This is the first issue supported by Heidi Walsh as Managing Editor and by Cynthia McKenna as Communications Director (and the graphic artist behind the new cover art). Editors Ana Iltis and James DuBois wish to thank Susan DuBois for more than six years of service in these roles. She led the day-to-day efforts to develop and support a new journal during a challenging time in the publication industry. She played an essential role in the publication of NIB’s first 18 issues, in the development of NIB VOICES, and the creation of the Foundation for Narrative Inquiry in Bioethics. On behalf of the NIB Editorial Office and the Johns Hopkins University Press Journals Division, we extend to Susan deeply heartfelt thanks. Susan will remain active as an Officer of the Board for the Foundation for Narrative Inquiry in Bioethics. The narrative symposium in this issue details the first–hand experiences of individuals and teams who have engaged in community–academic partnerships. The narrative symposium editors, Emily Anderson and Kevin Valadares, along with the editorial office, wrote the call for stories and invited Gianna McMillan, BJ Crigger, Rebecca Dresser, and Nina Tumosa to write the four commentary articles on these narratives. The commentary authors offer expertise that include patient and research subject advocacy, bioethics, and the use of narratives to explore legal and ethical issues in medicine, human subjects research, and public health. The research article in this issue written by Amy E. Caruso Brown, Manika Suryadevara, Thomas R. Welch, and Ann S. Botash, “Being Persistent without Being Pushy: Student Reflections on Vaccine Hesitancy,” explores medical students’ perceptions of provider–parent visits in which they observed a provider discussing vaccine hesitancy with a parent. Only four of the interactions ended in parents agreeing to vaccinate, though most of the students reported that communication between the provider and parent was positive. As pediatric educators, the authors discuss how including information and communication strategies regarding vaccines “in the educational curriculum of providers at all levels,” could optimize vaccine acceptance. This issue of NIB includes four case studies. The first, “To Enroll or Not to Enroll? A Researcher Struggles with the Decision to Involve Study Participants in a Clinical Trial that Could Save Their Lives,” was written by Roberto Abadie. This case study takes readers through the experience of a community health investigator who received an invitation to enroll IV drug users into a clinical trial of an experimental drug being tested to treat Hepatitis C. The author elaborates on the ethical tensions that he confronted between “doing good” and “avoiding harm” and takes readers through his decision–making process. Lori Roscoe’s case study, “Sometimes Those Hoofbeats Are Zebras: A Narrative Analysis of a Missed Diagnosis”, highlights the case of a young female patient who was severely misdiagnosed. The case study discusses how physicians are trained to make the most logical diagnosis rather than suspect [End Page v] rarer ones. It also examines ethical issues and communication problems, including the difficulty that nurses or family members may have in questioning a physician’s diagnosis and treatment plan. Colleen Gallagher, Elijah Weber, and Nisha Rathi provided a case study titled, “Reframing Medical Appropriateness: A Case Study Concerning the Use of Life-Sustaining Technologies for a Patient with Profoundly Diminished Quality of Life”. This case explores quality–of–life determinations and a situation in which the medical team and spouse of an unresponsive, terminally ill cancer patient disagreed about plans to transition the patient to end-of-life care. The case study discusses the ethics involved with determining medical appropriateness when carrying out or discontinuing life-sustaining interventions. The final case study for the issue by Johan Christiaan Bester, Martin Smith, and Cynthia Griggins is titled, “A Jehovah’s Witness Adolescent in the Labor and Delivery Unit: Should Patient and Parental Refusals of Blood Transfusions for Adolescents be Honored?” The authors discuss the ethical conflicts and issues raised in the case...

The Impact of Korean Ambassadors’ Encounters with Qing Entertainments, Focusing on Lantern Festivals, Fireworks, Plays, and Theater Facilities

This study examines how Chosŏn Korean ambassadors’ encounters with Qing entertainment impacted their views of the Qing dynasty in China based on their travel accounts written during the eighteenth and early nineteenth centuries. During diplomatic trips as ambassadors, select Chosŏn literati were able to experience new and exotic forms of foreign culture. This article focuses on Qing entertainments, including fireworks, lantern festivals, and plays, and related aspects such as theater facilities, that captured the attention of the traveling ambassadors. Through direct experience with Qing entertainments, traveling Chosŏn dignitaries gained first hand experience of Qing commercial and technological development. Some of these witnesses came to the realization that the Qing had become a successful ruling dynasty, which dismantled previously held assumptions by most Chosŏn literati that the Manchus were barbaric and uncultivated.

“The monster of the month”: teachers’ views about alcohol within personal, social, health, and economic education (PSHE) in schools

PurposeThere is a lack of evidence for effective school-based prevention programmes to reduce alcohol misuse in adolescents. The purpose of this paper is to explore teacher’s views about alcohol education in secondary schools in order to inform the subsequent development of new educational and intervention measures.Design/methodology/approachSemi-structured interviews were conducted with nine female teachers from a range of schools who had responsibility for designing and delivering personal social, health, and economic education (PSHE).FindingsThree main themes were identified in a thematic analysis of the interview transcripts. The themes demonstrated the importance of PSHE to these teachers, who faced challenges in delivering a comprehensive enough curriculum. Alcohol unit knowledge and responsible drinking were priorities for the teachers. However, given the many pressures faced by young people, alcohol could be viewed as just one challenge amongst many.Research limitations/implicationsInterventions may be seen as too compartmentalised by teachers if they fail to address the wider concerns of adolescents. Intervention developers should consider gaining input from teachers on the content of their programmes prior to running a trial to enhance feasibility and acceptability.Originality/valueThere are few studies that have explored what teachers think about alcohol education in general or about the content of specific interventions prior to their implementation. This study adds their voice to the literature and highlights the importance of considering the views and first hand experiences when developing new alcohol interventions aimed at adolescents.

The reality of cross-disciplinary energy research in the United Kingdom: A social science perspective

Cross-disciplinary research is essential in understanding and reducing energy usage, however the reality of this collaboration comes with many challenges. This paper provides an insight into the integration of social science in energy research, drawing on the expertise and first hand experiences of a range of social science researchers (predominantly Early Career Researchers (ECRs)) working on UK cross-disciplinary projects in energy demand. These researchers, participants in a workshop dedicated to understanding the integration of social science in energy research, identified four groups of challenges to successful integration: Differing expectations of the role of social scientists; Working within academia; Feeling like a valued member of the team; and Communicating and comprehension between disciplines. Suggestions of how to negotiate those challenges included: Management and planning; Increasing contact; Sharing experience; and Understanding team roles. The paper offers a definition of ‘success’ in cross-disciplinary energy research from the perspective of social science ECRs, comprising external, internal and personal components. Using the logics of interdisciplinarity, this paper suggests that integration of the social sciences in the projects discussed may be partial at best and highlights a need to recognise the challenges ECRs face, in order to achieve full integration and equality of disciplines.

Variability in Resident Operative Hand Experience by Specialty.

Recent attention has sought to standardize hand surgery training in the United States. This study analyzes the variability in operative hand experience for orthopedic and general surgery residents. Case logs for orthopedic and general surgery residency graduates were obtained from the American Council of Graduate Medical Education (2006-2007 to 2014-2015). Plastic surgery case logs were not available for comparison. Hand surgery case volumes were compared between specialties with parametric tests. Intraspecialty variation in orthopedic surgery was assessed between the bottom and top 10th percentiles in procedure categories. Case logs for 9605 general surgery residents and 5911 orthopedic surgery residents were analyzed. Orthopedic surgery residents performed a greater number of hand surgery cases than general surgery residents ( P < .001). Mean total hand experience ranged from 2.5 ± 4 to 2.8 ± 5 procedures for general surgery residents with no reported cases of soft tissue repairs, vascular repairs, and replants. Significant intraspecialty variation existed in orthopedic surgery for all hand procedure categories (range, 3.3-15.0). As the model for hand surgery training evolves, general surgeons may represent an underutilized talent pool to meet the critical demand for hand surgeon specialists. Future research is needed to determine acceptable levels of training variability in hand surgery.

TES KOGNITIF DIAGNOSTIK UNTUK MENDETEKSI KESULITAN BELAJAR SISWA SEKOLAH DASAR

&lt;div style="text-align: JUSTIFY;"&gt;Misconception refers to a concept which is neither in accordance with a scientific nor accepted by experts of a scientific body. Concepts are brought by students through observations or their first hand experiences of daily life. Students’ continuous misconceptions may hinder their building of scientific conceptions. Learning which does not take into account misconceptions leads learning difficulties and ends in students’ low achievement. In constructivistic learning, what does matter is that the learners themselves build their knowledge, rather than that the teacher transfers the knowledge. An implication of the constructivistic view for schools is that knowledge cannot be simply transformed from the teacher’s mind to the students’. It is actively constructed by the students themselves through first hand experiences. Teachers’ role, therefore, changes from the source and the giver of knowledge into the facilitator, and, by so doing, the essence of education lies on the learners rather than on the teacher. Cognitive Diagnostic Assessment (CDA) for education is designed specifically to assess the knowledge structure and the process of students’ ability to supply information with regard to their cognitive strength and weakness&lt;/div&gt;

Ecological impacts and management implications of reef walking on a tropical reef flat community

Continued growth of tourism has led to concerns about direct and indirect impacts on the ecology of coral reefs and ultimate sustainability of these environments under such pressure. This research assessed impacts of reef walking by tourists on a relatively pristine reef flat community associated with an ‘ecoresort’ on the Great Barrier Reef, Australia. Heavily walked areas had lower abundances of live hard coral but greater amounts of dead coral and sediment. Abundances of macroalgae were not affected between sites. Coral-associated butterflyfish were less abundant and less diverse in more trampled sites. A manipulative experiment showed handling holothurians on reef walks had lasting negative impacts. This is the first study to show potential impacts of such handling on holothurians. Ecological impacts of reef walking are weighed against sociocultural benefits of a first hand experience in nature.

Teaching with Socio-Scientific Issues in Physical Science: Teacher and Students’ Experiences

&lt;p&gt;Socio-scientific issues (SSI) are recommended by many science educators worldwide for learners to acquire first hand experience to apply what they learned in class. This investigated experiences of teacher-researcher and students in using SSI in Physical Science, Second Semester, School Year 2012-2013. Latest and controversial news articles on sources of energy were chosen for analysis. Based on the findings, the teacher-researcher was able to choose issues based on a set of criteria and students related what they learned inside the classroom with real life situations and its positive and negative impact to people and environment. A model of learning approach for teaching SSI in Physical Science was proposed.&lt;/p&gt;

Abstract: Do Plastic Surgery Residents Receive Similar Hand Surgery Training?

BACKGROUND: Governing bodies of graduate medical education require standardized training of surgical residents. However, efforts to standardize operative hand experience for plastic surgery residents remain challenging. This study assess the variability of hand surgery cases performed by plastic surgery residents in the U.S. METHODS: National operative case logs of chief residents in plastic surgery were obtained from the Accreditation Council of Graduate Medical Education (2011 - 2015). Cumulative hand surgery cases were compared between integrated and independent residents. The number of cases performed by the 10th and 90th percentile of residents were compared in each category and fold differences calculated. RESULTS: Of 818 residents, a minority were integrated (35.7%) relative to independent (64.3%). During several years, integrated residents performed more procedures in hand reconstruction, congenital deformity, tendon repair, nerve repair, nerve decompression, amputation, arterial repair, and Dupuytren’s release categories (p < 0.05). There were no significant changes in fold differences between 10th and 90th percentiles over time (p > 0.05). Analysis of percentile data revealed that approximately 10% of independent residents did not meet case minimums for arterial repair and congenital deformity in 2015. CONCLUSIONS: The wide variability in operative experience is an important issue facing trainees and the general public for creating competent hand surgeons. Ultimately, fellowship training may be a necessary option to provide adequate exposure on the full gamut of hand surgery for plastic surgery residency graduates. DISCLOSURES:None

Exploring the relationship between doctoral students’ experiences and research community positioning

ABSTRACTDespite the growing number of studies exploring PhD students’ experiences and their social relationships with other researchers, there is a lack of research on the interaction between the type of experiences and the social agents involved, especially in relation to not only problems and challenges, but also to positive emotions and experiences. In this study, we addressed this gap exploring the relationship between four ecology doctoral students’ most significant experiences and their perceived position in the research community. Additionally, we aimed at exploring the utility of a methodological device with two instruments, Journey Plot and Community Plot. Results showed, in one hand, that both positive and negative experiences were significant in students’ trajectories, but the proportion varied greatly across participants. Supervisors were related to negative experiences, whereas the broader community was mostly source of positive experiences. Research writing and communication experiences were significant in relation to all the social agents, while other contents of experience were restricted to the smallest social layers (e.g. research motives were confined to the individual layer, and research organization to the individual and supervisor layers). Relationships between the type of experiences and participants’ position in the community were found and implications for doctoral education discussed.

ANALISIS KARAKTERISTIK SOSIAL EKONOMI PENYULUH DENGAN PELAKSANAAN PENYULUHAN DI KABUPATEN MINAHASA

ANALYSIS OF SOCIO-ECONOMIC CHARACTERISTICS OF EDUCATOR WITH EXTENSION IN THE DISTRICT MINAHASA. Extension workers has a strategic role in improving the welfare of farmers / ranchers. One of the factors that influence the success of the extension duties is the state socio-economic background or socio-economic characteristics of each extension. However, the extent of the relationship between socioeconomic characteristics with the implementation of the extension in Minahasa unknown. Based on these problems, the purpose of this study was to determine the relationship of these characteristics with the execution of tasks with good extension. This study uses survey data collection on respondents extension and analyzed descriptively. The collected data are presented in tables cross between variables (education and experience) were observed and analyzed by looking at the distribution Trends. The results showed that the factor of higher education Bachelor (S1) tend to be better than not on the Bachelor in execution of duty. On the other hand experience of long-serving and who have served a long time showed relatively recent trend duty (&lt; 20 years) is better than the longtime (&gt; 20 years). As a conclusion that the social and economic characteristics based on the educational background related to the implementation of the tasks. The higher the education the better performance of its duties educator. Keywords: Characteristics , Social Economy, Duties , Extension