Online Supplementary Video Research Articles

ELearning in Physical Therapy: Lessons Learned From Transitioning a Professional Education Program to Full eLearning During the COVID-19 Pandemic.

ObjectiveThe objectives of this cross-sectional qualitative study were to explore the perspectives of students enrolled in one physical therapist undergraduate education program in Australia about their experience with transitioning to full eLearning and student recommendations to improve the learning experience during the COVID-19 pandemic.MethodsSeven focus groups with 28 undergraduate physical therapist students were conducted following the transitioning to full eLearning as a result of strict physical distancing measures. Focus group questions explored the students’ experiences of the transition from face-to-face to full eLearning approach and the students’ recommendations for improving future eLearning experiences. Data were analyzed using inductive thematic analysis.ResultsThe 3 themes identified were: (1) students presenting heightened negative feelings such as anxiety, stress, and reduced motivation to study; (2) students continuing to value the face-to-face learning, as it provided social support and facilitated feedback from peers and tutors; (3) student recommendations for eLearning included having online lectures and supplementary videos but face-to-face practical classes and developing healthy learning habits such as scheduled times for studying, exercise, and other activities that regulate stress.ConclusionsThe transition to a full eLearning approach in an undergraduate physical therapist education program during the COVID-19 pandemic revealed that students had heightened negative emotions due to the pandemic. Students valued face-to-face practical classes to learn and receive social support from peers and tutors. Student recommendations to future eLearning suggested changes to curriculum development geared toward a greater blended approach to learning. Blended learning may include using online lectures instead of face-to-face lectures and online resources to supplement student learning of practical skills.ImpactAs higher education moves toward a more blended approach, lessons learned from this study can help educators design future physical therapist education programs. The findings can also assist programs in delivering a full eLearning approach as the COVID-19 pandemic continues.

Face coverings and mask to minimise droplet dispersion and aerosolisation: a video case study

To evaluate the effectiveness of the Centers for Disease Control and Prevention (CDC) recommended one- and two-layer cloth face covering against a three-ply surgical mask, we challenged the cloth covering...

The colonoscopic leakage model: a new model to study the intestinal wound healing at molecular level

We describe a novel, fast-track, innovative intestinal wound healing model developed in mice called the ‘colonoscopic leakage model’. This model uses a colonoscopic biopsy grasper to make a controlled transmural...

Dancing eyes syndrome from West Nile virus encephalitis

A 71-year-old woman with a history of psoriatic arthritis on methotrexate presented with a 1 week history of dizziness, imbalance and blurry vision, followed by diarrhoea and fever. Neurological examination...

SONO case series: a 63-year-old male with shortness of breath

A 63-year-old, undomiciled male, who has been out of care for many years presents with shortness of breath for the last 3 days. He has also had 3 days of...

Robotic Resection of Diaphragm Metastases in Ovarian Cancer: Technical Aspects

Diaphragm metastases in ovarian cancer can be safely resected robotically in selected patients. The technique is similar to laparotomy, whether it is a peritoneal or full-thickness excision. Trocar placement is very important for successful resection and is dependent on the location of the disease. Metastases involving the left diaphragm and the ventral aspect of the right diaphragm are accessed with trocars placed slightly cranial to the umbilicus. Metastases in the dorsal aspect of the right diaphragm are removed with trocars in the upper quadrants. Metastases located in the lateral portion of the right diaphragm are excised using an infrahepatic approach, and those in the medial aspect are removed using a suprahepatic approach. In peritoneal resection, monopolar instruments must be kept at 10 W to 15 W to prevent contraction of the diaphragm and pleural perforation. Intraoperative pleural decompression is performed via an aspirating catheter. A video of the technique described in this report is available online (Supplementary Video 1).

Lying down on the Job? Repeat MitraClip after Previous Clip Migrates to an Unusual Position

86 year-old female was hospitalized with heart failure exacerbation. She had a history of severe mitral valve regurgitation (MR) treated with MitraClip® three years ago. Transesophageal echocardiogram (TEE) revealed severe MR with residual posterior leaflet prolapse (Online Supplementary Video 1). However, her previously placed MitraClip® was lying in a horizontal position parallel to the mitral valve plane with the tip pointing laterally, thus obstructing access to the lateral posterior leaflet prolapse (Figure 1).

Right atrial mass resembling ball valve thrombus in a patient with renal cell cancer

A middle-aged woman was admitted with progressive shortness of breath for 3 weeks. Clinical exam was unremarkable and further work-up was pursued. CT chest showed a cardiac mass and multiple...

Wrist drop and focal seizures in a 60-year-old man

A 60-year-old man presented with a 5-day history of left-hand weakness and focal seizures. On examination, he had wrist and fingers drop with brisk reflexes in the left upper limb...

Unilateral rhinorrhoea associated with cerebrospinal fluid leak

A 56-year-old postmenopausal obese woman presented with a 6-month history of right-sided rhinorrhoea. There was no history of head trauma or surgery. On clinical examination drops of clear fluid were...

Posterior Hyaloid Dissection: Let’s Make It Easy with Blue

Purpose: Our aim is to present in this online supplementa ry video (see www.karger.com/doi/10.1159/000486348) an easy new surgical technique using blue dye to dissect the posterior hyaloid when performing pars plana vitrectomy. Procedures: Dual-Blue stain is injected in vitreous cavity just after central vitrectomy is performed. The distribution of the blue stain will allow us to know if there is a posterior vitreous detachment or not (“blue lake fashion” or “blue jelly fashion,” respectively) and as an excellent visualization of the vitreous fibers is accomplished, dissection of the posterior hyaloid can be performed without difficulty. Results: This procedure allows a much more simple, fast, and safe dissection of posterior hyaloid even for an inexperienced vitreoretinal surgeon. The cleavage plane between the retina and the posterior hyaloid is easily differentiated. Conclusions: A more controlled and easy dissection of posterior hyaloid during vitrectomy is accomplished with this simple technique without adding any extra cost. Message of the paper: An easy technique that allows a much easier dissection of the posterior hyaloid during vitrectomy improving visualization and decreasing risks. No extra cost, nor time is needed.

Dieulafoy’s disease with mediastinal arteriovenous malformation

A 42-year-old, non-smoker man was hospitalised for newly diagnosed acute myeloid leukaemia and had an episode of haemoptysis of 200 mL fresh blood, complicated by transient hypotension. Patient was afebrile...

Trance-like syndrome in bull terriers

TRANCE-like syndrome (TLS) in bull terriers (BTs) has long been recognised by breeders and owners, with many considering them typical of the breed. Episodes consist of a hypokinetic gait with...

Sagging brain causing postural loss of consciousness: a case of severe spontaneous intracranial hypotension

A 69-year-old man presented with progressive headache and nausea. Ten days earlier, he had developed an acute neck pain after a workout on his home trainer. Three days later, he...

I cannot stand this anymore!

A 28-year-old right-handed man presented with medically intractable focal reflex epilepsy. He previously underwent resection of a right parietal lobe cortical dysplasia. Postoperatively, he developed focal reflex epilepsy triggered by...

Pneumothorax Complication of Deep Dry Needling Demonstration

Pneumothorax is a well-recognised but rare adverse event related to acupuncture or deep dry needling (DDN) over the thorax.1 ,2 This report of a pneumothorax resulting from DDN is unusual for a number of reasons: both the practitioner and the subject were doctors and both have contributed to this report; the practitioner was very experienced in DDN and had not knowingly caused such an event in the previous 45 years of practice and teaching DDN; the incident was captured on video and is presented online with this report (see online supplementary video). We hope that by reporting this event and review of the video recording we can suggest ways to reduce the risk of reoccurrence of such adverse events of DDN. The setting was a hands-on workshop teaching the technique of DDN for the treatment of myofascial pain syndromes. The workshop used the format of lecture, demonstration on a volunteer, and then practice by the group in groups of two or three individuals at an examination couch. Safety procedures were emphasised for each muscle considered. The safety precautions included identification of landmarks each time one prepared to needle the subject and an awareness of the local anatomy and of possible complications. During the introduction to the demonstrations the complication of pneumothorax was discussed. Symptoms were described and the advice to go to the emergency department for a chest X-ray was given. The muscle to be demonstrated was the iliocostalis muscle, one of the erector spinae muscles. RR-M volunteered to be the subject. The lecturer emphasised the danger of pneumothorax and spoke of the technique of ‘blocking’ the rib by placing a finger …

Progressive bilateral facial weakness

A 72-year-old man presented with sudden onset of right-sided facial muscle weakness and slurred speech and a 3-day history of fevers, myalgia and sore throat. There was no hyperacusis, change...

Modified target cancellation in hemispatial neglect

A 70-year-old woman developed left hemispatial neglect following a right parietal haemorrhage (figure 1A). On a standard target cancellation task, she neglected 6/10 left-sided stimuli (figure 1B,C and see online...

How to use the entrainment test in the diagnosis of functional tremor

Functional (psychogenic) tremor is the commonest functional movement disorder.1 As with other functional neurological symptoms, a key diagnostic component is to search for positive physical signs.1 ,2 A key positive...

The chameleon syndrome: acute convergence paralysis

A 78-year-old female patient without vascular risk factors presented with sudden left eye deviation at awakening. Neither diplopia nor other symptoms were reported. On admission, left eye exotropia at primary...