A single learning activity for large interprofessional group can boost the perception of value of interprofessional education

Introduction. The interprofessional education activity consisted in a single 4 hours meeting and it was built on three theoretical pillars: the framework of Core Competencies for Interprofessional Collaborative Practice (IPEC), Kolb’s model of experiential learning, and Vygotsky’s concept of social learning. The objectives of the activity were to enable students to identify the elements of IPEC framework in a healthcare situation and to show awareness of the value of interprofessional collaborative practice. Materials and methods. The meeting was composed by different phases: introduction and sharing of objectives and methods, followed by two cycles of short lecture, small group activity and large group discussion. At the beginning and at the end of the meeting, a questionnaire with items exploring students’ attitude on interprofessional collaboration was administered. A questionnaire of satisfaction was also administered at the end of the meeting. Eighty-four students at the last year of different degree course of health care professions (nursing, midwifery, psychiatric rehabilitation) joined the meeting. Results. The pre-post test mean values for the items of the questionnaire of assessment significantly increased for all students. The Cronbach alpha value of the questionnaire was 0.75, indicating an acceptable level of internal reliability. The scores of the satisfaction questionnaire were largely positive. Conclusion. This study shows that single learning activity for a large interprofessional group can be effective in increasing a positive attitude and provides some data on students' perceptions on interprofessional learning in an Italian context.Introduction. The interprofessional education activity consisted in a single 4 hours meeting and it was built on three theoretical pillars: the framework of Core Competencies for Interprofessional Collaborative Practice (IPEC), Kolb’s model of experiential learning, and Vygotsky’s concept of social learning. The objectives of the activity were to enable students to identify the elements of IPEC framework in a healthcare situation and to show awareness of the value of interprofessional collaborative practice. Materials and methods. The meeting was composed by different phases: introduction and sharing of objectives and methods, followed by two cycles of short lecture, small group activity and large group discussion. At the beginning and at the end of the meeting, a questionnaire with items exploring students’ attitude on interprofessional collaboration was administered. A questionnaire of satisfaction was also administered at the end of the meeting. Eighty-four students at the last year of different degree course of health care professions (nursing, midwifery, psychiatric rehabilitation) joined the meeting. Results. The pre-post test mean values for the items of the questionnaire of assessment significantly increased for all students. The Cronbach alpha value of the questionnaire was 0.75, indicating an acceptable level of internal reliability. The scores of the satisfaction questionnaire were largely positive. Conclusion. This study shows that single learning activity for a large interprofessional group can be effective in increasing a positive attitude and provides some data on students' perceptions on interprofessional learning in an Italian context

An Exploratory Study of Field Failures

Field failures, that is, failures caused by faults that escape the testing phase leading to failures in the field, are unavoidable. Improving verification and validation activities before deployment can identify and timely remove many but not all faults, and users may still experience a number of annoying problems while using their software systems. This paper investigates the nature of field failures, to understand to what extent further improving in-house verification and validation activities can reduce the number of failures in the field, and frames the need of new approaches that operate in the field. We report the results of the analysis of the bug reports of five applications belonging to three different ecosystems, propose a taxonomy of field failures, and discuss the reasons why failures belonging to the identified classes cannot be detected at design time but shall be addressed at runtime. We observe that many faults (70%) are intrinsically hard to detect at design-time

factors underlying the development of chronic temporal lobe epilepsy in autoimmune encephalitis

Abstract Purpose Limbic encephalitis (LE) is an autoimmune condition characterized by amnestic syndrome, psychiatric features and seizures. Early diagnosis and prompt treatment are crucial to avoid long-term sequelae, including psycho-cognitive deficits and persisting seizures. The aim of our study was to analyze the characteristics of 33 LE patients in order to identify possible prognostic factors associated with the development of chronic epilepsy. Methods This is a retrospective cohort study including adult patients diagnosed with LE in the period 2010–2017 and followed up for ≥12 months. Demographics, seizure semiology, EEG pattern, MRI features, CSF/serum findings were reviewed. Results All 33 LE patients (19 M/14F, mean age 61.2 years) presented seizures. Thirty subjects had memory deficits; 22 presented behavioural/mood disorders. Serum and/or CSF auto-antibodies were detected in 12 patients. In 31 subjects brain MRI at onset showed typical alterations involving temporal lobes. All patients received immunotherapy. At follow-up, 13/33 had developed chronic epilepsy; predisposing factors included delay in diagnosis (p = .009), low seizure frequency at onset (p = .02), absence of amnestic syndrome (p = .02) and absence/rarity of inter-ictal epileptic discharges on EEG (p = .06). Conclusions LE with paucisymptomatic electro-clinical presentation seemed to be associated to chronic epilepsy more than LE presenting with definite and severe "limbic syndrome"

Familial mesial temporal lobe epilepsies: Clinical and genetic features

Familial mesial temporal lobe epilepsy (FMTLE) was first described as a benign syndrome with prominent psychic and autonomic seizures and no association with hippocampal sclerosis (HS) or febrile seizures (FS). Better definition of the syndrome allowed identification of more heterogeneous phenotypes with mild to severe epileptic disorders, and a variable association with HS and FS. The genetics of these conditions is largely unknown and the hope for the future is that the identification of FMTLE genes will lead to more appropriate approaches for the diagnosis and treatment of TLE

"Symptons in focal sensory seizure: clinical and electroencephalographic features"

AbstractPurpose: Aura is a brief subjective symptom that may represent the initial manifestation of a partial epileptic seizure with objective signs or constitute the entire epileptic attack (focal sensory seizure (FSS)). We studied the electro-clinical features of FSSs recorded in 28 patients.Methods: Using long-term surface video-EEG recordings, we examined 28 patients (from a consecutive series of 64) with stereotyped FSSs and complex partial seizures (CPS) preceded in at least one instance by identical subjective manifestations (overall 255 FSSs and 39 CPS were recorded). FSSs were subdivided according to the type of sensation into somatosensory, visual or oculosensory, viscerosensory, experiential, cephalic and diffuse warm sensations. The EEG discharges accompanying FSSs were examined by two of the authors either blinded as to the type and timing of the seizure, or unblinded, i.e. after receiving complete clinical information including timing of the patient’s warning.Results: The ictal pattern accompanying FSSs was identified blind in 13 patients and unblind in 8 patients. In seven patients, the ictal discharge remained undetected. In the cases with recognizable ictal abnormalities, two main patterns could be distinguished, static and dynamic. FSSs whose ictal discharge could be recognized by blind EEG examination more frequently consisted of somatosensory and visual or oculosensory manifestations, and the discharge generally involved the centro-parieto-occipital regions. The ictal discharge of viscerosensory and experiential FSSs more easily remained undetected; when identified, it generally involved the fronto-temporal regions.Conclusions: FSSs are often accompanied by ictal abnormalities recognizable on surface EEG. A thorough knowledge of their EEG accompaniments may be a useful diagnostic aid in patients with partial epilepsy

Faciobrachial dystonic seizures: the borderland between epilepsy and movement disorders

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