With the development of medical level, specialized, refined and multidisciplinary collaborative therapy is the requirement and main development direction of neurosurgery. With the improvement of people’s medical awar...With the development of medical level, specialized, refined and multidisciplinary collaborative therapy is the requirement and main development direction of neurosurgery. With the improvement of people’s medical awareness, people cannot meet the simple surgical treatment, and there is a great demand for nursing treatment. At the same time, the demand for efficiency and convenience of medical nursing practice teaching continues to improve, and the multi-functional medical nursing training innovation platform has been paid more and more attention. The rapid development of material technology as well as digitalization has brought about a huge change, and we have created a multifunctional, spatially efficient and easy-to-transfer information platform for medical care training. A base box, placement drawer, platform board and display are used as the base module and the base module is filled with specific functional components. Lifting and lowering using motors and spiral base, moving using universal wheels. These devices together constitute the training platform. A survey of students and teachers was conducted through a questionnaire, and they all gave very good feedback that the multi-functional platform was very practical and useful. This platform effectively solves the drawbacks of the original training platform which is time-consuming, laborious and inconvenient, and is worthy of further promotion and research.展开更多
In a recent article,1 we have demonstrated a significant difference in the theoretical knowledge of both junior and senior emergency department (ED) medical officers (M0s) from Salem, Tamil Nadu, India, and the Ro...In a recent article,1 we have demonstrated a significant difference in the theoretical knowledge of both junior and senior emergency department (ED) medical officers (M0s) from Salem, Tamil Nadu, India, and the Royal Adelaide Hospital (RAH) Adelaide, South Australia, in the management of severely injured trauma patients, when comparing M0s who had completed an ATLS-type program with those who had not undertaken such a program.展开更多
Point of care ultrasonography(POCUS)has evolved to become the fifth pillar of the conventional physical examination,and use of POCUS protocols have significantly decreased procedure complications and time to diagnose....Point of care ultrasonography(POCUS)has evolved to become the fifth pillar of the conventional physical examination,and use of POCUS protocols have significantly decreased procedure complications and time to diagnose.However,lack of experience in POCUS by preceptors in medical schools and nephrology residency programs are significant barriers to implement a broader use.In rural and low-income areas POCUS may have a transformative effect on health care management.展开更多
Background Virtual reality(VR)in healthcare training has increased adoption and support,but efforts are still required to mitigate usability concerns.Methods This study conducted a usability study of an in-use emergen...Background Virtual reality(VR)in healthcare training has increased adoption and support,but efforts are still required to mitigate usability concerns.Methods This study conducted a usability study of an in-use emergency medicine VR training application,available on commercially available VR hardware and with a standard interaction design.Nine users without prior VR experience but with relevant medical expertise completed two simulation scenarios for a total of 18 recorded sessions.They completed NASA Task Load Index and System Usability Scale questionnaires after each session,and their performance was recorded for the tracking of user errors.Results and Conclusions Our results showed a medium(and potentially optimal)Workload and an above average System Usability Score.There was significant improvement in several factors between users'first and second sessions,notably increased Performance evaluation.User errors with the strongest correlation to usability were not directly tied to interaction design,however,but to a limited'possibility space'.Suggestions for closing this'gulf of execution'were presented,including'voice control'and'hand-tracking',which are only feasible for this commercial product now with the availability of the Oculus Quest headset.Moreover,wider implications for VR medical training were outlined,and potential next steps towards a standardized design identified.展开更多
Clinical practice teaching is an important part of medical education.For medical students in colleges and universities,the teaching method is mostly single before the teaching reform.Innovative clinical practice teach...Clinical practice teaching is an important part of medical education.For medical students in colleges and universities,the teaching method is mostly single before the teaching reform.Innovative clinical practice teaching methods have been implemented in colleges and universities with the deepening of the teaching reform in recent years.展开更多
Artificial intelligence can effectively improve the efficiency and accuracy of medical diagnosis,clinical data analysis,medical image recognition,treatment plan decision-making,etc.It has broad application prospects i...Artificial intelligence can effectively improve the efficiency and accuracy of medical diagnosis,clinical data analysis,medical image recognition,treatment plan decision-making,etc.It has broad application prospects in the ophthalmic diagnosis,treatment,and nursing industry.However,the application of artificial intelligence in the ophthalmic diagnosis and nursing industry in China started relatively late,and there are insufficient ophthalmic diagnosis and nursing personnel who are familiar with artificial intelligence technologies.In order to promote the modernization of ophthalmic medicine in China and accelerate the development of a high-quality and modern medical education system,it is necessary to train a new generation of compound ophthalmic medical talents who are skilled in artificial intelligence and develop an advanced talent training model that meets the needs of the ophthalmic profession and the society.Based on the application status and development prospects of artificial intelligence in the ophthalmology industry,this paper analyzes the current medical education model in ophthalmology,examines the path of cultivating compound talents in ophthalmic diagnosis,treatment,and nursing,as well as proposes suggestions for developing a high-quality and modern medical education system.展开更多
Background:To describe the current status of aerosol therapy during mechanical ventilation(MV)and the prac-tice,knowledge,and beliefs about aerosol therapy in physicians working in the intensive care unit(ICU)in China...Background:To describe the current status of aerosol therapy during mechanical ventilation(MV)and the prac-tice,knowledge,and beliefs about aerosol therapy in physicians working in the intensive care unit(ICU)in China.Methods:A physician self-administered questionnaire-based cross-sectional survey was carried out from January 2019 to July 2019.An electronic questionnaire was designed,and physicians who worked regularly in ICUs across several hospitals were contacted through WeChat.Answers to all questions and the general characteristics of physicians who answered the questionnaire were collected and analyzed.Results:A total of 2203 medical staffwho regularly worked in the ICUs completed this questionnaire(9.0%missing data);87.7%of the participants were doctors.Most respondents claimed that they often administered aerosolization therapy.Ultrasonic atomizer(50.7%)and jet nebulizer(48.6%)were the most commonly used atomization devices.Bronchodilators(65.8%)and steroids(66.3%)were the most frequently aerosolized drugs during MV.During nebulization,ventilator settings were never changed by 32.7%of respondents.Only 49.1%of respondents knew the appropriate place for a nebulizer.Further,62.7%of respondents using heated humidifiers reported turning them offduring nebulization.Specific knowledge about droplet size and nebulization yield was poor.Respondents from tertiary hospitals and those with higher technical title or work experience tended to have better accuracy than those from primary hospitals or with lower technical titles(P<0.050).Conclusions:Aerosol therapy was commonly used during MV,and the most frequent drugs were bronchodila-tors and steroids.Scientific knowledge about the optimal implementation of aerosol therapy during MV seemed deficient.展开更多
文摘With the development of medical level, specialized, refined and multidisciplinary collaborative therapy is the requirement and main development direction of neurosurgery. With the improvement of people’s medical awareness, people cannot meet the simple surgical treatment, and there is a great demand for nursing treatment. At the same time, the demand for efficiency and convenience of medical nursing practice teaching continues to improve, and the multi-functional medical nursing training innovation platform has been paid more and more attention. The rapid development of material technology as well as digitalization has brought about a huge change, and we have created a multifunctional, spatially efficient and easy-to-transfer information platform for medical care training. A base box, placement drawer, platform board and display are used as the base module and the base module is filled with specific functional components. Lifting and lowering using motors and spiral base, moving using universal wheels. These devices together constitute the training platform. A survey of students and teachers was conducted through a questionnaire, and they all gave very good feedback that the multi-functional platform was very practical and useful. This platform effectively solves the drawbacks of the original training platform which is time-consuming, laborious and inconvenient, and is worthy of further promotion and research.
文摘In a recent article,1 we have demonstrated a significant difference in the theoretical knowledge of both junior and senior emergency department (ED) medical officers (M0s) from Salem, Tamil Nadu, India, and the Royal Adelaide Hospital (RAH) Adelaide, South Australia, in the management of severely injured trauma patients, when comparing M0s who had completed an ATLS-type program with those who had not undertaken such a program.
文摘Point of care ultrasonography(POCUS)has evolved to become the fifth pillar of the conventional physical examination,and use of POCUS protocols have significantly decreased procedure complications and time to diagnose.However,lack of experience in POCUS by preceptors in medical schools and nephrology residency programs are significant barriers to implement a broader use.In rural and low-income areas POCUS may have a transformative effect on health care management.
基金Centre for Digital Entertainment(EP/L016540/1,EPSRC,UK)。
文摘Background Virtual reality(VR)in healthcare training has increased adoption and support,but efforts are still required to mitigate usability concerns.Methods This study conducted a usability study of an in-use emergency medicine VR training application,available on commercially available VR hardware and with a standard interaction design.Nine users without prior VR experience but with relevant medical expertise completed two simulation scenarios for a total of 18 recorded sessions.They completed NASA Task Load Index and System Usability Scale questionnaires after each session,and their performance was recorded for the tracking of user errors.Results and Conclusions Our results showed a medium(and potentially optimal)Workload and an above average System Usability Score.There was significant improvement in several factors between users'first and second sessions,notably increased Performance evaluation.User errors with the strongest correlation to usability were not directly tied to interaction design,however,but to a limited'possibility space'.Suggestions for closing this'gulf of execution'were presented,including'voice control'and'hand-tracking',which are only feasible for this commercial product now with the availability of the Oculus Quest headset.Moreover,wider implications for VR medical training were outlined,and potential next steps towards a standardized design identified.
基金This study was supported by Heilongjiang Province Education Science“13th Five-Year Plan”2020 Key Topics Project(Item number:GJB1320365).
文摘Clinical practice teaching is an important part of medical education.For medical students in colleges and universities,the teaching method is mostly single before the teaching reform.Innovative clinical practice teaching methods have been implemented in colleges and universities with the deepening of the teaching reform in recent years.
文摘Artificial intelligence can effectively improve the efficiency and accuracy of medical diagnosis,clinical data analysis,medical image recognition,treatment plan decision-making,etc.It has broad application prospects in the ophthalmic diagnosis,treatment,and nursing industry.However,the application of artificial intelligence in the ophthalmic diagnosis and nursing industry in China started relatively late,and there are insufficient ophthalmic diagnosis and nursing personnel who are familiar with artificial intelligence technologies.In order to promote the modernization of ophthalmic medicine in China and accelerate the development of a high-quality and modern medical education system,it is necessary to train a new generation of compound ophthalmic medical talents who are skilled in artificial intelligence and develop an advanced talent training model that meets the needs of the ophthalmic profession and the society.Based on the application status and development prospects of artificial intelligence in the ophthalmology industry,this paper analyzes the current medical education model in ophthalmology,examines the path of cultivating compound talents in ophthalmic diagnosis,treatment,and nursing,as well as proposes suggestions for developing a high-quality and modern medical education system.
基金This study was supported by the National Science and Tech-nology Major Project(Grant No.2020ZX09201015)the Clinical Science and Technology Specific Projects of Jiangsu Province(Grant Nos BE2018743,BE2019749)+3 种基金the National Natural Sci-ence Foundation of China(Grant Nos.81870066,81670074,81930058)the Natural Science Foundation of Jiangsu Province(Grant No.BK20171271)the Jiangsu Provincial Medical Youth Talent(Grant No.QNRC 2016807)the Third Level Tal-ents of the“333 High Level Talents Training Project”in the fifth phase in Jiangsu(Grant No.LGY2016051).
文摘Background:To describe the current status of aerosol therapy during mechanical ventilation(MV)and the prac-tice,knowledge,and beliefs about aerosol therapy in physicians working in the intensive care unit(ICU)in China.Methods:A physician self-administered questionnaire-based cross-sectional survey was carried out from January 2019 to July 2019.An electronic questionnaire was designed,and physicians who worked regularly in ICUs across several hospitals were contacted through WeChat.Answers to all questions and the general characteristics of physicians who answered the questionnaire were collected and analyzed.Results:A total of 2203 medical staffwho regularly worked in the ICUs completed this questionnaire(9.0%missing data);87.7%of the participants were doctors.Most respondents claimed that they often administered aerosolization therapy.Ultrasonic atomizer(50.7%)and jet nebulizer(48.6%)were the most commonly used atomization devices.Bronchodilators(65.8%)and steroids(66.3%)were the most frequently aerosolized drugs during MV.During nebulization,ventilator settings were never changed by 32.7%of respondents.Only 49.1%of respondents knew the appropriate place for a nebulizer.Further,62.7%of respondents using heated humidifiers reported turning them offduring nebulization.Specific knowledge about droplet size and nebulization yield was poor.Respondents from tertiary hospitals and those with higher technical title or work experience tended to have better accuracy than those from primary hospitals or with lower technical titles(P<0.050).Conclusions:Aerosol therapy was commonly used during MV,and the most frequent drugs were bronchodila-tors and steroids.Scientific knowledge about the optimal implementation of aerosol therapy during MV seemed deficient.