Technical Skills Training Research Articles

The Adoption and Impact of Climate-Smart Water Management Technologies in Smallholder Farming Systems of Sub-Saharan Africa: A Systematic Literature Review

Agriculture plays a significant role in global water consumption, accounting for approximately 70% of the world’s freshwater usage. This makes this sector a critical factor in the depletion of water resources. Accordingly, this paper explores potential mitigatory impacts of climate-smart water management (CSWM) technologies in sub-Saharan Africa. About 70% of the population in sub-Saharan Africa is dependent on agriculture for sustaining their livelihoods. This is despite the low agricultural output in smallholder farming systems (SFS) due to water scarcity. This has spurred several attempts to promote the adoption of climate-smart agriculture (CSA) to raise agricultural outputs and improve smallholder farmers’ livelihoods. However, there has not been a comprehensive analysis of data categorised by various aspects of climate-smart water management technologies. In this systematic literature review, climate-smart water management technologies in sub-Saharan Africa’s agricultural sector were identified and analysed to determine strategies that could enhance their adoption and impact. To this end, academic articles reporting on the adoption of climate-smart water management technologies in databases were reviewed. Four significant literature databases were used. These were limited to Springer Link, ScienceDirect, MDPI, Wiley Online, and Google Scholar. The findings demonstrate that rainwater harvesting and micro-irrigation are the primary climate-smart water management technologies used by smallholder farmers. The literature review shows that adoption of CSWM practices is constrained by inadequate technological infrastructure, financial implications, unsuitable policies, and low user skills, particularly. It is therefore recommended that government agricultural departments and relevant advocates of CSA should incentivise and subsidise smallholder farmers to encourage CSWM technology adoption. This can be achieved through the implementation of suitable policies directed at technological infrastructure development, financial support for adoption, and technical skills training.

Designing simulation-based curriculum content for emergency medicine residents in France: a Delphi method

BackgroundThe value of simulation in emergency medicine is indisputable because it allows training and acquisition of many technical and non-technical skills (TS and NTS). In France, there are no curriculum regarding the use of simulation as a teaching tool during emergency medicine residency. The aim of this study was to design the content of a national simulation-based curriculum for emergency medicine residency programs.MethodsThe Delphi method was conducted between March and June 2022. The questionnaire was divided into three sections: TS, NTS and clinical situations as starting points (SSPs). A panel of emergency physicians’ experts on simulation education was established. An online survey was conducted in which they were asked to score, on a four-point Likert scale, the suitability of skills and SSPs to be taught through simulation courses during the emergency medicine residency. The questionnaire was revised between each round following comments or suggestions for additional items from the experts.ResultsSixty-six experts completed the Delphi process. The initial questionnaire included 64 TS, 37 NTS and 103 SSPs. The experts’ comments led to the addition of 12 TS, 24 NTS and 6 SSPs. Consensus was obtained after three rounds. The experts selected 24 TS and 20 NTS to be taught as a priority through simulation during the emergency medicine residency, and 15 SSPs to be used in priority.ConclusionWith a Delphi method, French experts in simulation-based emergency medicine education have selected 24 technical and 20 non-technical skills to be taught as a priority with simulation-based training to emergency medicine residents.

New tools for learning airway management

INTRODUCTION Game-based learning, also called edutainment, has been promoted as an alternative to the unidirectional, passive teaching of traditional medical education. Solving enigmas and problems through creativity and critical thinking, which is encapsulated in ‘escape rooms’, has been adapted to teach medicine as a way to enhance the mental models of proceeding. We considered an educational escape room as an activity to promote teaching and training in airway management, integrating knowledge, technical and nontechnical skills and collaborative teamwork during crisis situations. METHODS No published experience on this topic was found. Therefore, we created an educational escape room focused on airway management. We describe the steps undertaken from the design and development of the escape room process (as part of the curriculum of an international airway course) to the results of a survey completed by the participants at the end of the escape room process. RESULTS Satisfaction with the experience was rated at least 8 points (0 to 10 numerical rating scale) by 80% of the 147 course participants. Two thirds also rated the experience as at least 8 points (0 to 10 Likert scale) as being helpful in improving behaviour in real cases, and enhance organisational teamwork skills. CONCLUSION The airway escape room was feasible for training in airway management. Participants rated it as valuable to gain team competencies. The experience encourages further development and its possible use in other clinical settings.

Managing Financial Flows In The Public Sector Through Digital Transformation

This article analyzes digital transformation in public financial management in the digital era, focusing on challenges, strategies, and recommendations to address these changes. The method used in this research is descriptive qualitative with a historical research approach. Various strategies, such as the implementation of integrated financial information systems and e-procurement, have been developed to enhance efficiency and transparency in public financial management. However, challenges such as inadequate technological infrastructure, limited human resources, and cybersecurity risks remain key issues that need to be addressed. Recommendations for increasing investment in technological infrastructure, technical skills training, and cross-sector collaboration are suggested to ensure the successful digital transformation of public financial management in the future. It is hoped that these collective efforts will bring significant benefits in improving public financial governance, providing better services to the public, and promoting sustainable economic growth.

Vascular Surgery Procedures Performed By Residents. A Narrative Review On The Impact In 30-Day Outcomes.

Worldwide, there is an increase in scrutiny after surgical treatment of a vast array of pathologies. Doing so, a large body of evidence clearly supports centralisation, such as teaching hospitals, where a larger caseload enables optimal outcomes. These institutions have a strong presence of surgical residents seeking training in both technical and non-technical skills. Inevitably, as part of training, they will be involved in the surgical treatment of those patients, even as the primary operator. We sought to investigate the impact of trainee performed procedures in outcomes of common vascular procedures of different technical complexity. A non-systematic MEDLINE and Scopus databases review on the outcomes of resident performed common vascular procedures was performed. Specific evidence in many procedures (venous disease, aortic aneurysms, peripheral artery disease) is lacking. After carotid endarterectomy (CEA), resident performed procedures seem to have similar cranial nerve palsy and stroke when compared to expert surgeons. Generally, resident-performed primary radiocephalic and elbow arteriovenous fistula (AVF) presents similar primary and secondary patency. As with CEA, AVF procedures performed by residents took longer. On aortic aneurysms, although no specific comparison has been performed, resident involvement (irrespective of surgeon or assistant) in these procedures does not seem associated with increased adverse events. In most vascular surgery procedures, little is known about resident performance and their impact on outcomes. Notwithstanding, resident-performed CEA and primary AVF seem free of major compromise to patients. Further research is warranted to clarify this topic.

Training and assessment of skills in neuraxial access-Protocol of a scoping review.

Access to the neuraxial space, including lumbar punctures and neuraxial anaesthesia, is an everyday procedure in clinical practice. Traditionally these procedures rely on manual palpation technique, but ultrasound is a useful tool when patients prove challenging. Presently, there is a lack of evidence-based guidelines for technical skills acquisition, both with and without ultrasound, and likewise, competency assessment approaches vary globally. Accordingly, we aim to assess the current evidence regarding learning and assessment in neuraxial access ultrasound, for future educational recommendations. This scoping review will be conducted in accordance with the Preferred Reporting Items for Systematic and Meta-Analysis (PRISMA) statement, together with the PRISMA Extension for Scoping Reviews. A systematic search strategy will be based on a PICO approach, focusing on physicians, medical students, or nurses being exposed to education, training, or assessment in procedural neuraxial access ultrasound. No comparators are obligated, but outcomes should be assessable using the Kirkpatrick four levels of training evaluation. The search will be performed in Cochrane Library, Embase, Medline, Scopus, PubMed, and CINAHL. Independently, two authors will screen the studies and conflicts will be resolved by a third author. Relevant predefined data will be extracted and analysed using a descriptive approach. The quality of the studies will be assessed using the Medical Education Research Study Quality Instrument. This scoping review will contribute by presenting gathered evidence of an overview of the different approaches to achieving education and training of technical skills in neuraxial access, and how skills are tested, which could guide research and future recommendations for skills development and assessment.

Virtual reality simulation to enhance advanced trauma life support trainings – a randomized controlled trial

BackgroundAdvanced Trauma Life Support (ATLS) is the gold standard of initial assessment of trauma patients and therefore a widely used training program for medical professionals. Practical application of the knowledge taught can be challenging for medical students and inexperienced clinicians. Simulation-based training, including virtual reality (VR), has proven to be a valuable adjunct to real-world experiences in trauma education. Previous studies have demonstrated the effectiveness of VR simulations for surgical and technical skills training. However, there is limited evidence on VR simulation training specifically for trauma education, particularly within the ATLS curriculum. The purpose of this pilot study is to evaluate the feasibility, effectiveness, and acceptance of using a fully immersive VR trauma simulation to prepare medical students for the ATLS course.MethodsThis was a prospective randomised controlled pilot study on a convenience sample of advanced medical students (n = 56; intervention group with adjunct training using a commercially available semi-automated trauma VR simulation, n = 28, vs control group, n = 28) taking part in the ATLS course of the Military Physician Officer School.Feasibility was assessed by evaluating factors related to technical factors of the VR training (e.g. rate of interruptions and premature termination). Objective and subjective effectiveness was assessed using confidence ratings at four pre-specified points in the curriculum, validated surveys, clinical scenario scores, multiple choice knowledge tests, and ATLS final clinical scenario and course pass rates. Acceptance was measured using validated instruments to assess variables of media use (Technology acceptance, usability, presence and immersion, workload, and user satisfaction).ResultsThe feasibility assessment demonstrated that only one premature termination occurred and that all remaining participants in the intervention group correctly stabilised the patient. No significant differences between the two groups in terms of objective effectiveness were observed (p = 0.832 and p = 0.237 for the pretest and final knowledge test, respectively; p = 0.485 for the pass rates for the final clinical scenario on the first attempt; all participants passed the ATLS course). In terms of subjective effectiveness, the authors found significantly improved confidence post-VR intervention (p < .001) in providing emergency care using the ATLS principles. Perceived usefulness in the TEI was stated with a mean of 4 (SD 0.8; range 0–5). Overall acceptance and usability of the VR simulation was rated as positive (System Usability Scale total score mean 79.4 (SD 11.3, range 0–100).ConclusionsThe findings of this prospective pilot study indicate the potential of using VR trauma simulations as a feasible and acceptable supplementary tool for the ATLS training course. Where objective effectiveness regarding test and scenario scores remained unchanged, subjective effectiveness demonstrated improvement.Future research should focus on identifying specific scenarios and domains where VR can outperform or enhance traditional learning methods in trauma simulation.

The influence of sports games on the formation of technical skills of athletes in ukrainian belt wrestling

The article reveals current issues of forming the high level of technical fitness of athletes in Ukrainian belt wrestling. The main task of a technical training of an athlete is the formation of skills and abilities to perform competitive actions that allow to effectively use the athlete's capabilities in the process of sports activity. Technical skills training in any sport is aimed at teaching an athlete the technique of movements, improving them to perfection. The purpose of the research: to determine the influence of sports games on the formation of the level of technical skills of athletes in Ukrainian belt wrestling at the stage of preparation for major competitions. Research methods: analysis and synthesis of literary sources, methods of observation and comparison, pedagogical research methods (testing of physical qualities: coordination, speed and strength, power abilities, flexibility), medical and biological research methods, methods of mathematical statistics. Conclusions: the level of athletes' technical skills in the experimental group during the period of the pedagogical experiment by the indicator - throws of the partner, the speed of throws increased by 21.8% in relation to the control group - 4.7%.

P25 Structured technical skills training with the Transurethral Training (TUT) Curriculum: development process of one of the core curricula of the European Association of Urology (EAU) Standardization in Surgical Education (SISE) program.

P25 Structured technical skills training with the Transurethral Training (TUT) Curriculum: development process of one of the core curricula of the European Association of Urology (EAU) Standardization in Surgical Education (SISE) program.

Usability and user expectations of a HoloLens-based augmented reality application for learning clinical technical skills

The application of augmented reality in training health science students is increasingly widespread. The aim of this work was to assess the usability and user expectations of an augmented reality application for smart glasses (Microsoft HoloLens) that can be used to train on four invasive procedures (i.e. intramuscular injection, nasogastric tube insertion, endotracheal intubation and suctioning via tracheostomy tube). A descriptive study was conducted with nursing students from three Spanish universities. Participants answered a questionnaire to assess the use of the ARSim2care application. This application offers the possibility of visualizing the internal anatomical structures during the training of the clinical technical skills for the performance of the mentioned invasive techniques. The questionnaire included demographic data, the System Usability Scale and questions about the user expectations in relation to learning with the use of augmented reality. In total, 61 participants responded to the questionnaire after using the ARSim2care application. The mean score of the System Usability Scale was 73.15 (standard deviation: 15.04) and 62.4% (n = 38) of the participants considered their experience with the application as excellent or good. In relation to user expectations, more than 90% of students indicated that the use of the application could improve their motivation and stimulation in learning, their content retention and their anatomical understanding. The developed ARSim2care application for Microsoft HoloLens showed a high level of usability and acceptance as a learning tool for training certain clinical procedures by visualizing the internal structures of the body.

Rahasia Sukses Mendriling Bola Mencakup Tips Dan Trik Dari Para Ahli Sepak Bola

Physical skills alone are not enough to be a good soccer player; Need to have strong tactical and mental abilities. In this article, research and interviews conducted with football experts who have proven themselves in the world of football are presented. They reveal the key to success in dribbling the ball. Experts provide advice and tricks that have helped them reach the peak of their performance, from basic techniques to more complex strategies. Technical skill development, tactical intelligence, mental readiness, and training and match preparation techniques are some of the elements discussed in this presentation. Soccer players of all levels can improve their abilities and achieve success in the game by understanding and applying the principles taught by experts.

Assessing Stress Levels and Coping Mechanisms among Vocational and Technical College Students：A Case of XXX College, China

Stress is a prevalent issue among college students, exacerbated by academic demands, workload, time pressure, and future career concerns. Vocational and technical college students face additional stressors related to specialized programs, including technical skills training and industry expectations. This study focuses on stress levels and coping mechanisms among students at the XXX College in Guangdong, China, using a qualitative approach. In-depth interviews were conducted with 35 participants, revealing academic pressure, financial concerns, and personal/social challenges as significant stressors. Coping mechanisms included seeking social support, engaging in recreational activities, practicing mindfulness, and seeking professional help. The findings underscore the importance of targeted interventions and support systems to enhance student well-being and academic success in vocational and technical education.

Designing an Educational Metaverse: A Case Study of NTUniverse

An up-and-coming concept that seeks to transform how students learn about and study complex systems, as well as how industrial workers are trained, metaverse technology is characterized in this context by its use in virtual simulation and analysis. In this work, a virtual environment is created that duplicates real-world situations and enables immersive and interactive learning in the educational metaverse. For this purpose, we built a digital twin of the Nanyang Technological University (NTU) campus as a foundation, called NTUniverse. It is designed as an educational metaverse in which various academic and analytical applications are digitized as 3D content embedded within this virtual campus. The approach to digitally twinning educational systems and embedding them within virtual campuses enables remote and collaborative learning as well as professional technical skills training. It also makes feasible the analysis of abstract concepts, complicated structures, dynamic processes, and sensitive industrial procedures virtually, which is otherwise challenging if not impossible to perform in the real world. The work offers important insights into the behaviors and interactions of systems in the metaverse by evaluating design choices and user interests. NTUniverse is an attempt to explore a novel approach that addresses remote education and training challenges. Three efforts with NTUniverse will be discussed in this work, including (1) digitalization of the NTU campus; (2) campus train modelling and simulation; and (3) science, technology, engineering and mathematics education.

Implementation of Community-Based Citizenship Education to Improve the Civic Skills of the Young Generation in the Qarriyah Tayyibah Community, Kalibening Village, Tingkir District, Salatiga City

Citizenship education programs need to be developed to develop citizens in the community. One of them is community-oriented citizenship education, which is education that is designed, implemented, developed and assessed by the community which is aimed at responding to the challenges and opportunities that exist in a future-oriented community environment. This research describes the implementation of community-based citizenship education to improve the civic skills of the younger generation in the Qarryah Tayyibah Community, Kalibening Village, Tingkir District, Salatiga City. This research used a sample of 70 students from the Qarryah Tayyibah Community. This research used a qualitative research method with a purposive sampling technique. Data was taken using interviews, observation and questionnaires. The results of the research show that the implementation of community-based citizenship education can improve civic skills by using appropriate learning strategies according to students' learning materials. Policy recommendations that can be given are as follows, 1) Companions need to be provided with skills training, be it Technical Skills Training, Product Quality Training, Hard Skills Training, Soft Skills Training, Skills Training. 2) The government supports the curriculum according to the needs and interests of students. at the present time.

Role of Hydroponics in Improving Water-Use Efficiency and Food Security

Hydroponic agriculture offers a soilless cultivation method that can enhance crop yields and sustainability. With decreasing arable land and water availability, hydroponics is positioned to complement conventional farming approaches to support global food security. This paper reviews the current status and future innovations in precision hydroponic technologies. Leading application crops, geographic adoption patterns, growth potential in developing countries, and technological advances are analyzed. Key challenges limiting widespread implementation are discussed, including infrastructural costs, lack of expertise, and inadequate research investments. Proposed legislation and standardization efforts in major markets are outlined. Ongoing improvements in automation, renewable energy integration, biocontrols and tailored crop varieties can further overcome limitations. The paper offers recommendations to promote hydroponics through targeted research initiatives, public incentives and localized equipment development. With appropriate regulatory support and sustained funding commitment, hydroponic systems can bolster food ecosystem resilience. The COVID-19 crisis has highlighted the interlinked risks in concentrated, centralized agriculture. More decentralized precision approaches can enhance stability. Hydroponics and vertical farming innovations can enable sustainable intensification to meet future nutritional demands. Adoption efforts to date have focused on profitable vegetable and herb markets in advanced economies, but expanding technical skills training and appropriate technologies globally would support wider implementation. With further commercial maturation and policy regulations keeping pace with innovations, hydroponics can be an integral strategy for sustainable crop production worldwide.

The Technical and Aesthetic Characteristics of The Pirouette as Applied in Classical Dance

As the core part of technical training, rotation skill has a very important training value and status. "Spin" is one of the most important kinds of Chinese classical dance technique, as the Chinese classical dance teaching training content and the teaching material system, in constant teaching practice, Chinese classical dance rotation technology from single to diversified development, and gradually in the teaching and training show a unique aesthetic attributes and style. In the training of technical skills of Chinese classical dance, "the technology of body rhyme, technology and rhyme" and "training body with body" are the main thoughts, which run through the teaching of Chinese classical dance, and accurately interpret the needs of aesthetic and style characteristics of Chinese classical dance culture. In the classical dance teaching, the rotation skills are more difficult. Through the research of this paper, we can provide new ideas and directions for teaching, and help teachers to form new teaching thinking and teaching methods. Secondly, the study in this paper can deepen the understanding and understanding of teachers and students on the rotation skills in dance, guide students to establish correct thinking and learning attitude, which is conducive to obtaining an ideal learning effect and improving the level of classical dance.

Transferring laparoscopic skills to robotic-assisted surgery: a systematic review.

Robotic-Assisted Surgery (RAS) is experiencing rapid expansion, prompting the integration of robotic technical skills training into surgical education programs. As access to robotic training platforms remains limited, it is important to investigate the transferability of laparoscopic skills to RAS. This could potentially support the inclusion of early years laparoscopic training to mitigate the learning curve associated with robotic surgery. This study aims to assess the transferability of laparoscopic skills to robotic surgery. A systematic search was conducted using the PRISMA checklist to identify relevant articles. PubMed, MEDLINE, Embase, and Cochrane databases were searched, and inclusion and exclusion criteria were applied to collate eligible articles. Included were original articles comparing the performance of comparable tasks on both laparoscopic and robotic platforms written in English. Non-peer reviewed papers, conference abstracts, reviews, and case series were excluded. Seventeen articles met the inclusion criteria. Among these, 10 studies (59%) demonstrated skill transferability from laparoscopic surgery (LS) to robotic surgery (RS); while one study (5.8%) showed no significant transferability. Four studies highlighted the positive impact of prior laparoscopic training on robotic skill, whereas six papers suggested no significant difference between laparoscopic novices and experienced laparoscopists when utilizing a robotic simulator. Five studies evaluated advanced surgical skills such as intracorporeal knot tying and suturing, revealing superior robotic performance among experienced laparoscopists compared to novice learners. Laparoscopic skills appear to be transferrable to robotic surgery, particularly in complex surgical techniques. Robotic simulators demonstrate a significant reduction in the learning curve for surgical novices, albeit to a lesser extent for experienced laparoscopists.

A percepção do estudante de medicina sobre a simulação realística em pediatria

Abstract Introduction: The use of realistic simulation in pediatric emergencies is particularly valuable, as it allows the training of technical, attitudinal, and cognitive skills, helping to ensure patient safety. Objective: This study aims to describe the student’s perception of using the High-Fidelity Realistic Simulation in the pediatric emergency modules during the internship. Methods: Observational, descriptive study with a quantitative and qualitative approach. A semi-structured questionnaire was applied to sixth-year medical students at the end of the pediatric internship modules, which lasted eight weeks, from August to December 2020. All of them participated in two types of activities on 14 topics: high-fidelity simulation (HFS) and structured discussion of clinical cases (SDCC). Results: Of the 33 participants, 29 answered the questionnaire. The mean age was 24 ± 1.8 years, and 58.6% were female. All agreed that the experience with HFS contributed to safer performance in pediatric emergencies, considered optimal by 76% and good for the remainder. Most thought the association of HFS and SDCC was the ideal method (96%). The content analysis of the responses on HFS highlighted thematic units in five categories: significant learning, contribution to professional training, skills, attitude/behavior, and quality of the activity. Conclusions: Students’ reaction to using HFS in pediatric emergencies was very positive, and its association with SDCC was considered the ideal teaching method. Knowing the students’ reactions helps teachers plan their activities to improve the teaching-learning method.

Plastic and Transplantation Surgeries

Enthusiasm ensures continuous evolution through trials and errors. Surgical developments rely on a strong foundation in basic medical and surgical sciences, as well as training in procedural technical skills and the accumulation of experience. Tissue transfer serves as the common ground between plastic and transplantation surgery. Both disciplines require precision and often involve micro vascular expertise.

Profissional Da Informação E Transformação Digital:estudo de caso - uX User Experience Design

The article discusses the impact of digital transformation in the fields of information and librarianship, highlighting the new demands and challenges imposed toprofessionals in the field. It analyzes how the adoption of new digital technologies by information units can generate innovations in user services, through solutions such as artificial intelligence, virtual reality, personalization, and data analysis. It presents how the technology should be aligned with the needs of the users. The text also addresses the integration between the principles of User Experience Design and Information Science to develop user-centered services. The skills necessary for the information professional to work in the digital age are presented, such as technological mastery, digital information management, communication, teamwork, and continuous learning. It concludes that, with adequate training in technical, managerial, and behavioral skills, professionals can deal with the challenges of digital transformation in an ethical and strategic way.