Computer-aided veterinary learning at the University of Cambridge

An approach to computer-assisted learning in veterinary education at the University of Cambridge, involving the development of four types of learning module, is outlined. A tutorial on regional perineural anaesthesia in the horse, based on the familiar tape-slide format but with significant improvements, is described. A question and answer self-assessment package and a computer-based 'digital lecture' are also discussed, together with a case simulation involving the investigation of a polydipsic dog. All the tutorials were developed using standard software packages and image digitising processes. The philosophy behind the development of these computer-assisted learning packages is discussed

A Science Education Study Using Visual Cognition and Eye Tracking to Explore Medication Selection in the Novice Versus Expert Nurse Anesthetist

The purpose of this science education study is to explore visual cognition and eye tracking during medication selection in the student nurse anesthetist (first year and second year students) and the expert nurse anesthetist. The first phase of this study consisted of the selection of a specific medication (target) from an array of medications via computer simulation. Various dependent variables were recorded to examine performance (reaction time and accuracy), and the allocation of visual attention was measured with eye tracking (dwell proportion, verification, and guidance). The second phase of this study included the administration of a demographic and post experiment questionnaire to capture additional quantitative and qualitative data. Results demonstrate that similar distractors attract attention during search as evidenced by longer reaction times when similar distractors are present, most significantly in expert participants. Additionally, all participants spent a greater amount of time looking at the similar distractor as compared to randomly chosen non-similar distractors when a similar distractor was present. However, the presence of similar distractors in target present trials increased performance in experts, decreased performance in second year students, and had no effect on first year students’ performance. Expertise effects were further demonstrated, as expert participants were significantly slower than both first and second years during target verification. The post experiment questionnaire included both open-ended and close-ended questions, to allow for themes to emerge related the participants’ beliefs related to visual search and medication selection. The results reinforced the eye tracking results reported above, with most participants identifying “color” and “medication label” as the most difficult medication features to distinguish during visual search. Additionally, the majority of participants who responded they had committed a medication error, identified “similarity” as the most common factor that led to the medication error

O3 – prizadevanja na področju medicinske informatike za e-zdravstveno regijo

The Open Three (O3) Consortium is promoting the adoption of Open Source in e-health on regional, European and World-wide levels. This project aims to contribute to the development of e-health through the study of Healthcare Information Systems and the contemporary proposal of new concepts, designs and solutions for the management of health data in an integrated environment of hospitals, Regional Health Information Organizations and citizens (home-care, mobile-care and ambient assisted living). Some concrete technical solutions in the field of medical informatics are presented in this paper. The applications presented are the heart of the Radiology information system, which is open to other health institutions, thus forming a basis for the realization of e-health integration. The formation of a genuine e-health region is just one step forward.Konzorcij Odprti trije (O3) si prizadeva za sprejetje odprtega vira v e-zdravstvu na regionalnem, evropskem in svetovnem nivoju. Projekt si prizadeva prispevati k razvoju e-zdravstva s pomočjo preučevanja informacijskega sistema zdravstvenega varstva ter sodobnih predlogov novih zasnov, načrtov in rešitev za upravljanje z zdravstvenimi podatki v integriranem okolju bolnišnic, regionalnih organizacijah zdravstvene informatike in pri državljanih (v domači negi, mobilni negi in v primeru bivanja z asistenco v okolju). V prispevku so prikazane nekatere konkretne tehnične rešitve na področju medicinske informatike. Prikazane aplikacije so bistvo radiološkega informacijskega sistema, ki je odprt drugim zdravstvenim institucijam in tako predstavlja temelj za realizacijo e-zdravstvene integracije. Tako je oblikovanje prave e-zdravstvene regije oddaljeno le še za korak

Pasado, presente y futuro de la Realidad Virtual: análisis a partir de las variables tecnológica y de definición del término

Developments in Virtual Reality (VR) technology are currently arousing great scientific interest because in just a few years, VR has found its niche not only in the specialised public, but also in society in general and in different contexts, thanks to its many uses in different contexts and the decreasing price of VR viewing devices. To many, this technology may appear to be a novelty of the 21st century, but its origins go back several decades. Taking into account these aspects, this article aims to analyse the past and present of VR from two perspectives: one focused on its technological development and one on its conceptual evolution. This historical overview, in turn, will allow us to address the future applications of VR in different disciplines. The study provides the reader with an indepth analysis of VR that will contribute to the understanding of this technology and its uses.Hoy en día todo lo relacionado con la Realidad Virtual (RV) despierta un gran interés científico. Tal es así que en pocos años ha conseguido hacerse un hueco no solo entre el público especializado, sino también entre la sociedad en general, ya que, sus aplicaciones son muchas y en diferentes contextos. Este hecho ha sido posible en gran medida gracias al imparable desarrollo tecnológico y al abaratamiento de los dispositivos de visualización. Parecería, por tanto, que esta tecnología es una novedad del sigo XXI, pero lo cierto es que sus orígenes se remontan varias décadas en el pasado. Teniendo en cuenta estos aspectos, este artículo tiene como objetivo analizar el pasado y el presente de la RV desde una doble perspectiva: la que tiene que ver, por una parte, con su desarrollo tecnológico y, por otra, con la definición del término. Dicho recorrido histórico, a su vez, permitirá abordar las perspectivas de futuro de la RV desde el punto de vista de sus aplicaciones dentro de diferentes disciplinas. Todo ello dotará al lector de una visión en profundidad acerca de la tecnología de la RV que servirá para comprender

Towards a Low-Cost Mobile Subcutaneous Vein Detection Solution Using Near-Infrared Spectroscopy

Excessive venipunctures are both time- and resource-consuming events, which cause anxiety, pain, and distress in patients, or can lead to severe harmful injuries. We propose a low-cost mobile health solution for subcutaneous vein detection using near-infrared spectroscopy, along with an assessment of the current state of the art in this field. The first objective of this study was to get a deeper overview of the research topic, through the initial team discussions and a detailed literature review (using both academic and grey literature). The second objective, that is, identifying the commercial systems employing near-infrared spectroscopy, was conducted using the PubMed database. The goal of the third objective was to identify and evaluate (using the IEEE Xplore database) the research efforts in the field of low-cost near-infrared imaging in general, as a basis for the conceptual model of the upcoming prototype. Although the reviewed commercial devices have demonstrated usefulness and value for peripheral veins visualization, other evaluated clinical outcomes are less conclusive. Previous studies regarding low-cost near-infrared systems demonstrated the general feasibility of developing cost-effective vein detection systems; however, their limitations are restricting their applicability to clinical practice. Finally, based on the current findings, we outline the future research direction

Smartphone and medical related App use among medical students and junior doctors in the United Kingdom (UK): a regional survey

Background: Smartphone usage has spread to many settings including that of healthcare with numerous potential and realised benefits. The ability to download custom-built software applications (apps) has created a new wealth of clinical resources available to healthcare staff, providing evidence-based decisional tools to reduce medical errors. Previous literature has examined how smartphones can be utilised by both medical student and doctor populations, to enhance educational and workplace activities, with the potential to improve overall patient care. However, this literature has not examined smartphone acceptance and patterns of medical app usage within the student and junior doctor populations. Methods: An online survey of medical student and foundation level junior doctor cohorts was undertaken within one United Kingdom healthcare region. Participants were asked whether they owned a Smartphone and if they used apps on their Smartphones to support their education and practice activities. Frequency of use and type of app used was also investigated. Open response questions explored participants’ views on apps that were desired or recommended and the characteristics of apps that were useful. Results: 257 medical students and 131 junior doctors responded, equating to a response rate of 15.0% and 21.8% respectively. 79.0% (n=203/257) of medical students and 74.8% (n=98/131) of junior doctors owned a smartphone, with 56.6% (n=115/203) of students and 68.4% (n=67/98) of doctors owning an iPhone. The majority of students and doctors owned 1–5 medical related applications, with very few owning more than 10, and iPhone owners significantly more likely to own apps (Chi sq, p<0.001). Both populations showed similar trends of app usage of several times a day. Over 24hours apps were used for between 1–30 minutes for students and 1–20 minutes for doctors, students used disease diagnosis/management and drug reference apps, with doctors favouring clinical score/calculator apps. Conclusions: This study found a high level of smartphone ownership and usage among medical students and junior doctors. Both groups endorse the development of more apps to support their education and clinical practice

Ultimate Guide to Outpatient Care

The book presents a qualitative and quantitative approach to understanding, managing, and collaborating outpatient care. Utilizing a sound theoretical and practical foundation and illustrating procedural techniques through scientific examples, this book provides a comprehensive overview of outpatient care whether it occurs via telemedicine or in a hospital, clinic, prison, school, or other settings

Film and the Chinese Medical Humanities

Film and the Chinese Medical Humanities is the first book to reflect on the power of film in representing medical and health discourse in China in both the past and the present, as well as in shaping its future. Drawing on both feature and documentary films from mainland China, the chapters each engage with the field of medicine through the visual arts. They cover themes such as the history of doctors and their concepts of disease and therapies, understanding the patient experience of illness and death, and establishing empathy and compassion in medical practice, as well as the HIV/AIDs epidemic during the 1980s and 90s and changing attitudes towards disability. Inherently interdisciplinary in nature, the contributors therefore provide different perspectives from the fields of history, psychiatry, film studies, anthropology, linguistics, public health and occupational therapy, as they relate to China and people who identify as Chinese. Their combined approaches are united by a passion for improving the cross-cultural understanding of the body and ultimately healthcare itself. A key resource for educators in the Medical Humanities, this book will be useful to students and scholars of Chinese Studies and Film Studies as well as global health, medical anthropology and medical history