Case Preparation: The Expert Witness’ Role

9 pages

Using Simulation to Improve Medical Students' Comfort with Selected Pediatric Procedures

BACKGROUND: Simulation in pediatrics is described often in more procedurally-heavy areas, such as in intensive care, emergency medicine, and neonatology. However, there is a paucity of literature related to simulation in general pediatrics. We sought to improve students’ comfort with and knowledge about selected procedures using simulation mannequins during their pediatric rotation. METHODS: During a workshop, third year medical students received a lecture on male circumcisions, lumbar punctures, the Ortolani and Barlow maneuvers, and ear examinations. Following the lecture, the students were given hands-on instruction and feedback on the techniques for performing ear and hip exams, lumbar punctures, and circumcisions. Students took a pre- and post-encounter assessment regarding their confidence level, procedural knowledge, and perceived usefulness of the training. Wilcoxon Signed Rank tests were used to determine changes in the students’ confidence levels and knowledge. Alpha was set at 0.05 for all comparisons. RESULTS: Sixty medical students (100%) participated in the study during the 2012/2013 academic year. Confidence and knowledge increased significantly on all procedures following the simulation experience (p < 0.001). Perception of usefulness of the training also increased significantly at post-test (p = 0.019). CONCLUSION: Medical students benefited from using simulation to demonstrate and practice common pediatric procedures, both in their confidence and knowledge. The use of simulation for general pediatric procedures should improve patient safety, as well as remove some of the anxiety of performing procedures in actual clinical scenarios

Chronicles of Oklahoma

Article describes how the resilient people of the Oklahoma Amish have maintained their lifestyle in Oklahoma through 120 years of environmental and technological change

Phil Sheridan and His Army

General Articles 01 Cover by J. Allen Hawkins 02 Editorials by W.T. Purkiser 03 One Sin that Crucified Our Lord by General Superintendent Powers 04 Guilty of Murder! By Wilmer A. Long 05 Sin… and Its Cure by Delmar Stalter 06 Making Progress by Oscar Hudson 07 “We Have This Treasure in Earthen Vessels” by J. Rex Eaton 08 Escaping into the Bonds of Matrimony by Milo L. Arnold 09 Pressures by Clinton J. Bushey 10 The Imminence of the World’s Greatest Airlift by Morris Chalfant 12 God Built a Tower by Lee Sorenson Poetry 07 Commitment by Berniece Ayers Hall 11 If I Could Tell by W. Everett Henry Departments 13 Home Missions 14 Foreign Missions 14 The N.Y.P.S 14 General Interests 15 District Activities 16 The Local Churches 16 The Bible Lesson 18 News of the Religious World 18 The Answer Cornerhttps://digitalcommons.olivet.edu/cotn_hoh/1805/thumbnail.jp

Chronicles of Oklahoma

Corrections section from Volume 91, Number 2, Summer 2013. It includes a correction to the map on page 412 of the article "A Separate People: A History of the Oklahoma Amish" from Volume 90 Number 4, Winter 2012-13. It also includes a correction to a photograph label on page 33 in the article "The Enigma of Mike Monroney" from Volume 91, Number 1, Spring 2013

The impact of ocean acidification on the functional morphology of foraminifera

This work was supported by the NERC UK Ocean Acidification Research Programme grant NE/H017445/1. WENA acknowledges NERC support (NE/G018502/1). DMP received funding from the MASTS pooling initiative (The Marine Alliance for Science and Technology for Scotland). MASTS is funded by the Scottish Funding Council (grant reference HR09011) and contributing institutions.Culturing experiments were performed on sediment samples from the Ythan Estuary, N. E. Scotland, to assess the impacts of ocean acidification on test surface ornamentation in the benthic foraminifer Haynesina germanica. Specimens were cultured for 36 weeks at either 380, 750 or 1000 ppm atmospheric CO2. Analysis of the test surface using SEM imaging reveals sensitivity of functionally important ornamentation associated with feeding to changing seawater CO2 levels. Specimens incubated at high CO2 levels displayed evidence of shell dissolution, a significant reduction and deformation of ornamentation. It is clear that these calcifying organisms are likely to be vulnerable to ocean acidification. A reduction in functionally important ornamentation could lead to a reduction in feeding efficiency with consequent impacts on this organism’s survival and fitness.Publisher PDFPeer reviewe