235 research outputs found

    Novices Outperform Experienced Laparoscopists on Virtual Reality Laparoscopy Simulator

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    BACKGROUND AND OBJECTIVES: Virtual reality has been poorly studied among gynecologic surgeons. The aim of this study was to evaluate whether performance on the Minimally Invasive Surgery Trainer-Virtual Reality (MIST-VR) laparoscopic trainer reflects laparoscopic experience among gynecologic surgeons and trainees. METHODS: Twenty-six medical students, residents, and attending gynecologic surgeons completed a MIST-VR training program. A new simulated task was then presented to each participant, who repeated the task until proficiency was reached. RESULTS: Attending physicians performed poorly when compared with medical students, requiring more than twice the number of attempts to reach proficiency (Mann-Whitney P\u3c0.01). Among medical students and residents, there was an association between years of live laparoscopy experience and poor simulator performance (Spearman r P=0.01). CONCLUSION: Increased operating room experience and age were associated with worsening simulator performance. Several potential explanations for this trend are discussed, including lack of tactile and contextual feedback. Caution should be exercised when considering current virtual reality simulator technology as a measure of experience or ability among gynecologic surgeons

    Two-stage evolution of mantle peridotites from the Stalemate Fracture Zone, northwestern Pacific

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    This paper reports the results of a mineralogical study of 14 mantle peridotite samples dredged in 2009 from the eastern slope of the northwestern segment of the Stalemate Ridge in the northwestern Pacific during cruise SO201-KALMAR Leg 1b of the R/V Sonne. The sample collection included four serpentinized and silicified dunites and ten variably serpentinized lherzolites. The compositions of primary minerals (clinopyroxene, orthopyroxene, and spinel) change systematically from the lherzolites to dunites. Spinel from the lherzolites shows higher Mg# and lower Cr# values (0.65-0.68 and 0.26-0.33, respectively) compared with spinel from the dunites (Mg# = 0.56-0.64 and Cr# = 0.38-0.43). Clinopyroxene from the lherzolites is less magnesian (Mg# = 91.7-92.4) than clinopyroxene from dunite sample DR37-3 (Mg# = 93.7). Based on the obtained data, it was concluded that the lherzolites of the Stalemate Fracture Zone were derived by 10-12% near-fractional melting of a DMM-type depleted mantle reservoir beneath the Kula-Pacific spreading center. The dunites were produced by interaction of residual lherzolites with sodium- and titaniumrich melt and are probably fragments of a network of dunite channels in the shallow mantle. The moderately depleted composition of minerals clearly distinguishes the lherzolites from the strongly depleted peridotites of the East Pacific Rise and indicates the existence of slow-spreading mid-ocean ridges in the Pacific Ocean during the Cretaceous-Paleogene

    A tale of two towns: A comparative study exploring the possibilities and pitfalls of social capital among people seeking recovery from substance misuse

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    Background: Social capital has become an influential concept in debating and understanding the modern world. Within the drug and alcohol sector, the concept of ‘recovery capital’ has gained traction with researchers suggesting that people who have access to such capital are better placed to overcome their substance use-related problems than those who do not (Cloud and Granfield, 2008), leading to requests for interventions that focus on building social capital networks (Neale & Stevenson, 2015). While accepting that the concept of social capital has enormous potential for addressing the problems associated with drug use, this paper also considers its ‘dark side’. Methods: Data were drawn from semi-structured interviews with 180 participants including 135 people who use drugs and 45 people who formerly used drugs. Results: High levels of trust, acquired through the establishment of dense social networks, are required to initiate recovery. However, these ‘strong bonds’ may also lead to the emergence of what is perceived by others as an exclusive social network that limits membership to those who qualify and abide by the ‘rules’ of the recovery community, particularly around continuous abstinence. Conclusions: Depending on the nature of the networks and the types of links participants have into them being socially connected can both inhibit and encourage recovery. Therefore, the successful application of social capital within the drugs and alcohol field requires a consideration of not only the presence or absence of social connections but their nature, the value they produce, and the social contexts within which they are developed

    Comparing Skill Acquisition Under Varying Onsets of Differential Reinforcement: A Preliminary Analysis

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    The purpose of the current study was to evaluate the effect of implementing differential reinforcement at different times relative to the onset of teaching new skills to learners with autism spectrum disorder. Specifically, we first determined the most efficient differential reinforcement arrangement for each participant. Using the most efficient arrangement, we evaluated if differential reinforcement from the immediate onset, early onset, or late onset is the most efficient for learners to acquire a new skill. Three children diagnosed with autism spectrum disorder who have a history of receiving intervention based on the principles of applied behavior analysis participated in this study. The immediate onset of differential reinforcement resulted in the most efficient instruction in 6 of 7 comparisons. The results are discussed in light of previous studies and suggestions for future research are provided

    An Evaluation of Parent Preference for Prompting Procedures

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    Parent participation in intervention can enhance intervention efficacy and promote generalization of skills across settings. Thus, parents should be trained to implement behavioral interventions. The purpose of the current investigation was to evaluate parent preference for and acceptability of 3 commonly used prompting procedures. We trained parents of children with disabilities to use 3 empirically validated prompting strategies (i.e., least‐to‐most, most‐to‐least, and a progressive‐prompt delay). Once the parent reached the mastery criteria with each prompting procedure, we evaluated his/her preference for each of the procedures using a concurrent‐chains arrangement. We also measured treatment acceptability of all procedures throughout the study. All participants met the mastery criteria for each of the prompting procedures and showed a preference for least‐to‐most prompting. Results suggest parents\u27 acceptability of procedures prior to training were different than posttraining/post‐child practice. In addition, acceptability rating scores obtained at the end of the investigation corresponded to preference of intervention during the concurrent‐chains arrangement. The results demonstrate the benefits of objective measures for studying preference for behavioral, skill‐acquisition procedures
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