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Lamprecht C, Wildgaard K, Vester-Andersen M, Petersen AM, Thomsen T. Training programmes for healthcare professionals in managing postoperative epidural analgesia: A scoping review protocol. Acta Anaesthesiol Scand 2023; 67:1338-1340. [PMID: 37488697 DOI: 10.1111/aas.14312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2023] [Accepted: 07/09/2023] [Indexed: 07/26/2023]
Abstract
BACKGROUND Epidural analgesia is an effective technique advocated worldwide for postoperative analgesia after a wide range of surgical procedures. Despite the benefits of epidural analgesia for pain management, systematic education of ward nurses in managing epidural analgesia appears to be lacking. METHODS The aim of the proposed scoping review is to map the body of evidence and identify training programmes for healthcare professionals in the safe management of postoperative epidural analgesia. The methodology will follow the Preferred Reporting Items for Systematic and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). In addition, the five main steps set forth by Arksey and O'Malley and refined by Levac for guidance of the process will be used. The scoping review will include any study design of any date, design, setting and duration. RESULTS We will present results descriptively, accompanied with visual presentations as tables and graphs. CONCLUSION The outlined scoping review will provide an overview of existing training programmes for healthcare professionals in the safe management of postoperative epidural analgesia and map the body of available evidence on the topic. The study may support the development of a training programme for ward nurses caring for patients receiving postoperative epidural analgesia.
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Affiliation(s)
- Cornelia Lamprecht
- Department of Orthopaedic Surgery, Herlev and Gentofte Hospital, Herlev, Denmark
- Department of Anaesthesiology, Herlev and Gentofte Hospital, Herlev, Denmark
- Department of Clinical Medicine, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Kim Wildgaard
- Department of Anaesthesiology, Herlev and Gentofte Hospital, Herlev, Denmark
- Department of Clinical Medicine, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Morten Vester-Andersen
- Department of Anaesthesiology, Herlev and Gentofte Hospital, Herlev, Denmark
- Department of Clinical Medicine, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Anne Mørup Petersen
- Department of Orthopaedic Surgery, Herlev and Gentofte Hospital, Herlev, Denmark
| | - Thordis Thomsen
- Department of Anaesthesiology, Herlev and Gentofte Hospital, Herlev, Denmark
- Department of Clinical Medicine, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark
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2
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Acheampong B, Starnes JR, Awuku YA, Parra D, Aliyu MH, Soslow J. Feasibility of focused cardiac ultrasound training for non-cardiologists in a resource-limited setting using a handheld ultrasound machine. Cardiovasc J Afr 2022; 33:1-5. [PMID: 36594848 DOI: 10.5830/cvja-2022-057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Accepted: 10/17/2022] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND Heart disease remains a leading cause of morbidity and mortality, particularly in low- and middle-income countries. Access to diagnostic modalities is limited in these settings. Limited echocardiographic studies performed by non-cardiologists can increase access, improve diagnosis and allow for earlier medical therapy. METHODS Two internal medicine residents at a tertiary-level hospital in Ghana were trained to perform limited echocardiographic studies. Each trainee performed 50 echocardiograms and interpreted 20 studies across three predetermined timepoints. Interpretation was compared to expert interpretation. RESULTS Agreement improved over time. At the final evaluation, there was high agreement across all aspects: left ventricular structure (70%, kappa 0.52, p = 0.01), left ventricular function (80%, kappa 0.65, p = 0.004), right ventricular structure (90%, kappa 0.71, p = 0.002), right ventricular function (100%, kappa 1.00, p < 0.001), and presence of effusion (100%, kappa 1.00, p < 0.001). CONCLUSIONS Non-cardiologists can be trained in focused echocardiography using handheld machines. Such training can increase access to diagnostic capabilities in resource-limited settings.
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Affiliation(s)
- Benjamin Acheampong
- Department of Pediatrics, Division of Pediatric Cardiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA; Department of Pediatrics, Division of Pediatric Cardiology, University of Nebraska Medical Center, Omaha, Nebraska, USA.
| | - Joseph R Starnes
- Department of Pediatrics, Division of Pediatric Cardiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
| | - Yaw A Awuku
- Department of Medicine and Therapeutics, University of Cape Coast, Cape Coast, Ghana
| | - David Parra
- Department of Pediatrics, Division of Pediatric Cardiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | - Muktar H Aliyu
- Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | - Jonathan Soslow
- Department of Pediatrics, Division of Pediatric Cardiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA
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3
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Sousa L, Sequeira C, Ferré-Grau C, Costa R, Pimenta S, Silva S, Graça L. "Living Together with Dementia"-A psychoeducational group programme for family caregivers. Perspect Psychiatr Care 2022; 58:2037-2042. [PMID: 35023574 DOI: 10.1111/ppc.13025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Revised: 12/21/2021] [Accepted: 12/25/2021] [Indexed: 11/29/2022] Open
Abstract
PURPOSE To evaluate the effectiveness of the psychoeducational programme "Living together with dementia" applied to a group of family caregivers of people with dementia. DESIGN AND METHODS A quasi-experimental study with pretest and posttest and a 4-month follow-up. Fifteen family caregivers of people with dementia were recruited in a community care unit in northern Portugal. RESULTS A positive and statistically significant impact on these caregivers' burden was found. PRACTICE IMPLICATIONS The programme could be an important mechanism to train family caregivers of home-dwelling people with dementia.
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Affiliation(s)
- Lia Sousa
- Department of Health Sciences, Professor at Vale do Ave Health School-IPSN/CESPU, Vila Nova de Famalicão.,Department of Nursing, Post-Doc Researcher at Universitat Rovira i Virgili (Tarragona, Spain), CINTESIS-FMUP researcher. Portuguese Society of Mental Health Nursing Board Member, Editorial Coordinator of Portuguese Journal of Mental Health Nursing, Vila Nova de Famalicão, Portugal
| | - Carlos Sequeira
- Department of Nursing, Coordinator Professor at Porto Nursing School-Coordinator Scientific Pedagogical Unit, "Management of Signs & Symptoms", Porto, Portugal.,Department of Nursing, Coordinator Group of Nursing Research-Research Unit-CINTESIS-Faculty of Medicine, University of Porto, Director of Portuguese Journal of Mental Health Nursing; President of The Portuguese Society of Mental Health Nursing, Porto, Portugal
| | - Carme Ferré-Grau
- Department of Nursing, University Rovira i Virgili, Tarragona, Spain.,Department of Nursing, Member of Accredited Research Group of Advanced Nursing of URV, Coordinator of the PhD of Research in Nursing Science from the URV, Tarragona, Spain
| | - Rita Costa
- Group of Mental Health Nursing, Community Care Unit of Senhora da Hora, ULS Matosinhos, Matosinhos, Portugal
| | - Sérgio Pimenta
- Group of Mental Health Nursing, Community Care Unit of Senhora da Hora, ULS Matosinhos, Matosinhos, Portugal
| | - Susana Silva
- Group of Mental Health Nursing, Community Care Unit of Senhora da Hora, ULS Matosinhos, Matosinhos, Portugal
| | - Luís Graça
- Department of Nursing, Coordinator Professor at Viana do Castelo Health School, Viana do Castelo, Portugal
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4
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Hawsawi T, Stein-Parbury J, Orr F, Roche M, Gill K. Exploring recovery-focused educational programmes for advancing mental health nursing: An integrative systematic literature review. Int J Ment Health Nurs 2021; 30 Suppl 1:1310-1341. [PMID: 34231293 DOI: 10.1111/inm.12908] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 06/18/2021] [Indexed: 01/10/2023]
Abstract
Recovery-focused educational programmes have been implemented in mental health services in an attempt to transform care from a purely biomedical orientation to a more recovery-oriented approach. Mental health nurses have identified the need for enhancing their abilities and confidence in translating recovery knowledge into mental health nursing practice. However, recovery-focused educational programmes have not fully address nurses' learning needs. Therefore, this review synthesized the evidence of the effectiveness of recovery-focused educational programmes for mental health nurses. A systematic search of electronic databases and hand-searched references was conducted. It identified 35 programmes and 55 educational materials within 39 studies. Synthesizing the literature revealed three themes and nine subthemes. The first theme, a framework for understanding and supporting consumers' recovery, had four subthemes: consumers' involvement, multidisciplinary approach, profession-specific training, and performance indicators. The second theme, contents of educational materials, included the subthemes: knowledge development and recovery-focused care planning. The final theme, nurses' learning experiences, included the subthemes: understanding recovery, the positive effects of recovery-focused educational programmes, and implementation of recovery-oriented practices. Based on these findings, a mental health nursing recovery-focused educational programme framework is proposed. Further research should investigate the effectiveness of the framework, especially in relation to recovery-focused care planning and consumer and carer involvement in the development, delivery, participation, and evaluation of these educational programmes.
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Affiliation(s)
- Tahani Hawsawi
- Faculty of Nursing, King Abdul-Aziz University, Jeddah, Saudi Arabia
| | - Jane Stein-Parbury
- School of Nursing and Midwifery, Faculty of Health, University of Technology, Sydney, New South Wales, Australia
| | - Fiona Orr
- School of Nursing and Midwifery, Faculty of Health, University of Technology, Sydney, New South Wales, Australia
| | - Michael Roche
- School of Nursing and Midwifery, Faculty of Health, University of Technology, Sydney, New South Wales, Australia
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5
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Hawkes N, Dave U, Rahman M, Richards D, Hasan M, Rowshon AHM, Ahmed F, Rahman MM, Kibria MG, Dodds P, Hawkes B, Goddard S, Rahman I, Neville P, Feeney M, Jenkins G, Lloyd K, Ragunath K, Edwards C, Taylor-Robinson SD. The Role of National Specialist Societies in Influencing Transformational Change in Low-Middle Income Countries - Reflections on the Model of Implementation for a National Endoscopy Training Programme in Bangladesh. Clin Exp Gastroenterol 2021; 14:103-111. [PMID: 33790613 PMCID: PMC7997947 DOI: 10.2147/ceg.s297667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/17/2020] [Accepted: 03/02/2021] [Indexed: 12/03/2022] Open
Abstract
The British Society of Gastroenterology (BSG) and the Bangladesh Gastroenterology Society (BGS) have collaborated on an endoscopy training programme, which has grown up over the past decade from a small scheme borne out of the ideas of consultant gastroenterologists in Swansea, South Wales (United Kingdom) to improve gastroenterology services in Bangladesh to become a formalised training programme with broad reach. In this article, we document the socioeconomic and historical problems that beset Bangladesh, the current training needs of doctors and how the BSG-BGS collaboration has made inroads into changing outcomes both for gastroenterologists in Bangladesh, but also for the populations they serve.
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Affiliation(s)
- Neil Hawkes
- Department of Gastroenterology, Cwm Taf Morgannwg University Health Board, Llantrisant, South Wales, UK
- British Society of Gastroenterology Central Office, London, UK
| | - Umakant Dave
- Department of Gastroenterology, Swansea Bay University Health Board, Swansea, UK
| | - Mesbah Rahman
- British Society of Gastroenterology Central Office, London, UK
- Department of Gastroenterology, Swansea Bay University Health Board, Swansea, UK
| | - Dafydd Richards
- Department of Gastroenterology, Swansea Bay University Health Board, Swansea, UK
| | - Mahmud Hasan
- Office of the Central Secretariat, Bangladesh Gastroenterology Society, Dhaka, Bangladesh
- Office of Central Secretariat, Gastroliver Foundation, Dhaka, Bangladesh
| | - A H M Rowshon
- Office of the Central Secretariat, Bangladesh Gastroenterology Society, Dhaka, Bangladesh
| | - Faruque Ahmed
- Office of the Central Secretariat, Bangladesh Gastroenterology Society, Dhaka, Bangladesh
- Department of Gastroenterology, Sheikh Russel National Gastroliver Institute and Hospital, Dhaka, Bangladesh
| | - M Masudur Rahman
- Department of Gastroenterology, Sheikh Russel National Gastroliver Institute and Hospital, Dhaka, Bangladesh
| | - M G Kibria
- Department of Gastroenterology, Sheikh Russel National Gastroliver Institute and Hospital, Dhaka, Bangladesh
| | - Phedra Dodds
- Department of Endoscopy Nursing, Office of the JAG GRS Team, Powys Health Board, Brecon, UK
| | - Bethan Hawkes
- Office of the Wales Cancer Network Pathway, Welsh Cancer Network, Cardiff, UK
| | - Stuart Goddard
- Welsh Institute of Minimal Access Therapy, Cardiff MediCentre, Welsh Institute for Minimal Access Therapy, Cardiff University, Cardiff, UK
| | - Imdadur Rahman
- Department of Gastroenterology, Southampton NHS Trust, Southampton, UK
| | - Peter Neville
- Department of Gastroenterology, Cwm Taf Morgannwg University Health Board, Llantrisant, South Wales, UK
| | - Mark Feeney
- Department of Gastroenterology and Liver Medicine, Torbay and South Devon NHS Foundation Trust, Devon, UK
| | - Gareth Jenkins
- Faculty of Health and Life Sciences, Medicine, Swansea University, Swansea, UK
| | - Keith Lloyd
- Faculty of Health and Life Sciences, Medicine, Swansea University, Swansea, UK
| | - Krish Ragunath
- Office of the Provost, Faculty of Health Sciences, Bentley Campus, Curtin Medical School, Curtin University, Perth, Western Australia, Australia
| | - Cathryn Edwards
- British Society of Gastroenterology Central Office, London, UK
- Department of Gastroenterology and Liver Medicine, Torbay and South Devon NHS Foundation Trust, Devon, UK
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Abstract
Challenges facing general practice are multiple and extreme. Amongst them is the increasing difficulty of recruiting and retaining General Practitioners (GPs). GPs cite heavy workload, work-related stress, little family time and psychological ill-health as factors influencing their decisions to leave or reduce working hours. Analysis of the literature suggests that these factors, amongst others, are present in GP training and trainees have similar experiences. An in-depth understanding of the challenges trainees in difficulty face is lacking.Our research aim was to better understand the factors that trainees perceive contribute to their failure to progress in training. A qualitative approach was adopted using semi-structured interviews with GP trainees identified as failing to progress satisfactorily or failing the MRCGP examinations. Interviews were audio-recorded and transcribed. Thematic analysis was used to understand the unique experiences of GP trainees and find common themes.Twenty-three interview transcripts were analysed. Emergent themes were presented using a framework of three distinct categories to aid data organisation and allocating themes and sub-themes: professional factors, personal factors, and social factors. Difficulties with managing work-load, poor motivation, lack of family time and psychological ill-health were significant themes for many. This study supports the evidence that difficulties facing GPs take root in training. Failure to fully understand trainees' journeys and associated challenges reduces opportunities to provide bespoke packages of care and remediation that fully address their needs.
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Affiliation(s)
- Rachel Winter
- College of Life Sciences, University of Leicester, Leicester, UK
| | - Robert I Norman
- College of Life Sciences, University of Leicester, Leicester, UK
| | - Rakesh Patel
- Medical Education, University of Nottingham, Nottingham, UK
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7
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Sousa L, Sequeira C, Ferré-Grau C, Graça L. 'Living Together With Dementia': preliminary results of a training programme for family caregivers. Scand J Caring Sci 2020; 35:86-95. [PMID: 31985859 DOI: 10.1111/scs.12821] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2019] [Accepted: 01/09/2020] [Indexed: 11/29/2022]
Abstract
The aim of this article was to present the preliminary results of a training programme for family caregivers of people with dementia at an early to moderate stage living at home - 'Living Together With Dementia'. In this randomised controlled trial, 27 family caregivers who met the inclusion criteria were recruited from the neurology outpatient consultation clinic of a hospital in the north of Portugal and randomised into two groups (control and experimental) between October 2015 and March 2016. The programme 'Living Together With Dementia' was applied to the participants of the experimental group. The strategies used, overload, difficulties and satisfaction of the caregivers were assessed at three different stages (at the beginning and end of the intervention, as well as at follow-up). For the data analysis, quantitative parametric measures were applied. The Health Ethical Commission of the Hospital Centre approved the study, and its protocol and Helsinki Declaration ethical principles were considered throughout the process. In the final assessment, an improvement in the overload and difficulties was confirmed, as was an increase in the caregivers' satisfaction level and an improvement in coping/problem-solving strategies. In the follow-up stage, the results tended to revert towards those of the initial assessment. The programme 'Living Together With Dementia' appeared to be a major contribution enabling family caregivers of people with dementia, although there is a need to develop an efficacy study using a more substantial sample. The programme contributed to a reduction in the overload and difficulties borne by the family caregivers of people with dementia at an early to moderate stage living at home and to increased caregiver satisfaction.
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Affiliation(s)
- Lia Sousa
- Superior School of Health, Vale do Ave. North Polytechnic Institute of Health, Nova de Famalicão, Portugal.,Portuguese Society of Mental Health Nursing Board Member, Porto, Portugal
| | - Carlos Sequeira
- Porto Nursing School, Coordinator Scientific Pedagogical Unit, "Management of Signs & Symptoms", Porto, Portugal.,Research Unit, CINTESIS, Faculty of Medicine, University of Porto, Porto, Portugal
| | - Carme Ferré-Grau
- Department of Nursing, University Rovira i Virgili, Tarragona, Spain
| | - Luís Graça
- Viana do Castelo Health School, Viana do Castelo, Portugal
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8
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Affiliation(s)
- Ioannis N. Mammas
- Department of Clinical Virology, School of Medicine, University of Crete, Heraklion 71003, Greece
| | - Demetrios A. Spandidos
- Department of Clinical Virology, School of Medicine, University of Crete, Heraklion 71003, Greece
| | - Alan Michael Weindling
- Department of Women's and Children's Health, Institute of Translational Medicine, School of Medicine, University of Liverpool, Liverpool L69 3BX, UK
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9
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Abstract
The aim of the present study was to compare the effect of an increasing-distance, interval-training programme and a decreasing-distance, interval-training programme, matched for total distance, on aerobic and anaerobic physiological indices. Forty physical education students were randomly assigned to either the increasing- or decreasing-distance, interval-training group (ITG and DTG), and completed two similar relevant sets of tests before and after six weeks of training. One training programme consisted of increasing-distance interval-training (100-200-300-400-500 m) and the other decreasing-distance interval training (500-400-300-200-100 m). While both training programmes led to a significant improvement in VO2 max (ES = 0.83-1.25), the improvement in the DTG was significantly greater than in the ITG (14.5 ± 3.6 vs. 7.8 ± 3.2%, p < .05). In addition, while both training programmes led to a significant improvement in all anaerobic indices (ES = 0.83-1.63), the improvements in peak power (15.7 ± 7.8 vs. 8.9 ± 4.7), mean power (10.6 ± 5.4 vs. 6.8 ± 4.4), and fatigue index (18.2 ± 10.9 vs. 7.0 ± 14.2) were significantly greater in the DTG compared to the ITG (p < .05). The main finding of the present study was that beyond the significant positive effects of both training programmes on aerobic and anaerobic fitness, the DTG showed significant superiority over the ITG in improving aerobic and anaerobic performance capabilities. Coaches and athletes should therefore be aware that, in spite of identical total work, an interval-training programme might induce different physiological impacts if the order of intervals is not identical.
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Affiliation(s)
- Mahmood Sindiani
- a Life Science Department , Zinman College of Physical Education and Sport Sciences, Wingate Institute , Netanya , Israel
| | - Alon Eliakim
- a Life Science Department , Zinman College of Physical Education and Sport Sciences, Wingate Institute , Netanya , Israel.,b Pediatric Department , Child Health and Sport Center, Meir Medical Center, Sackler School of Medicine, Tel Aviv University , Tel Aviv , Israel
| | - Daria Segev
- a Life Science Department , Zinman College of Physical Education and Sport Sciences, Wingate Institute , Netanya , Israel
| | - Yoav Meckel
- a Life Science Department , Zinman College of Physical Education and Sport Sciences, Wingate Institute , Netanya , Israel
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10
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Liu M, Chen L, Liu X, Yang Y, Zheng M, Tan J. Online colour training system for dental students: a comprehensive assessment of different training protocols. J Oral Rehabil 2014; 42:282-90. [PMID: 25494964 DOI: 10.1111/joor.12253] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/24/2014] [Indexed: 11/30/2022]
Abstract
The purpose of this study was to evaluate the training effect and to determine the optimal training protocol for a recently developed online colour training system. Seventy students participated in the evaluation. They first completed a baseline test with shade guides (SGT) and the training system (TST), and then trained with one of the three system training methods (Basic colour training for group E1, Vitapan Classical for E2, and Vitapan 3D-Master for E3) or shade guides (group C1) for 4 days. The control group (C2) received no training. The same test was performed after training and they finally completed a questionnaire. The correct matches after training increased in three experimental groups and group C1. Among experimental groups, the greatest improvement of correct matching number was achieved by group E3 (4·00 ± 1·88 in SGT, 4·29 ± 2·73 in TST), followed by E2 (2·29 ± 2·73 in SGT, 3·50 ± 3·03 in TST) and E1 (2·00 ± 2·60 in SGT, 1·93 ± 2·96 in TST). The difference between E3 and E1 was statistically significant (P = 0·036 in SGT, 0·026 in TST). The total average training time was shorter in group E2 (15·39 ± 4·22 min) and E3 (17·63 ± 5·22 min), with no significant difference between them. Subjective evaluations revealed that self-confidence in colour matching were improved greater in group C1 and E3. In conclusion, all tested sections of the system effectively improved students' colour-matching ability. Among system training methods, Vitapan 3D-Master showed the best performance; it enabled greater shade-matching improvement, it saved time and was superior in subjective evaluations.
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Affiliation(s)
- M Liu
- Department of Prosthodontics, School and Hospital of Stomatology, Peking University, Beijing, China
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11
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Stevens D, Williams CA. Exercise testing and training with the young cystic fibrosis patient. J Sports Sci Med 2007; 6:286-291. [PMID: 24149414 PMCID: PMC3787278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2007] [Accepted: 07/18/2007] [Indexed: 06/02/2023]
Abstract
The purpose of the article is to review the literature related to exercise and Cystic fibrosis (CF), with particular focus on the young CF patient. Exercise intolerance is a characteristic of CF, however, recent studies in adults have advanced our understanding of how exercise can be used effectively as a prognostic marker and for rehabilitation purposes. New analyses from exercise testing have shown to have prognostic value, and different methods of exercise training have been reported to improve the functional capacity and quality of life of the young CF patient. There is a growing awareness and belief among clinicians of the benefits of exercise testing and training, however, recent work suggests that exercise is being underused in the healthcare management of the CF patient. More research is needed to identity which exercise tests and training programmes would be most feasible to incorporate into CF centres routine clinical procedures. Key pointsNew methods of health assessment from exercise testing in the young CF patient have shown to have prognostic value.The introduction of new training methods into exercise programmes can improve the functional capacity and quality of life of young patients with CF.Exercise is still being underused in the healthcare management of the CF patient.
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Affiliation(s)
- Daniel Stevens
- Children's Health and Exercise Research Centre, School of Sport and Health Sciences, University of Exeter , UK
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