Base de dados : MEDLINE
Pesquisa : F02.784.629.529.274 [Categoria DeCS]
Referências encontradas : 2175 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 218 ir para página                         

  1 / 2175 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28451755
[Au] Autor:Bosi M; De Vito A; Bellini C; D'Agostino G; Firinu E; Gobbi R; Pacella A; Filograna Pignatelli G; Zeccardo E; Poletti V; Vicini C
[Ad] Endereço:Department of Diseases of the Thorax, GB Morgagni-Pierantoni Hospital, AUSL of Romagna, Forlì, Italy.
[Ti] Título:The interpretation of compact polysomnography/polygraphy in sleep breathing disorders patients: a validation's study.
[So] Source:Eur Arch Otorhinolaryngol;274(8):3251-3257, 2017 Aug.
[Is] ISSN:1434-4726
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:The Otorhinolaryngologist (ENT) frequently has to deal with OSA or suspicious OSA patients and undergone polysomnography (PSG) or portable monitoring (PM) and should be confident about the quality and consistency of the polysomnographic diagnosis. The main polysomnographic traces compressed in a unique epoch, defined as compact PSG/PM (CP), could represent an efficient tool to confirm the quality of PSG/PM Sleep Breathing Disorders diagnosis. This is a validation's study of a CP interpretation's method, analyzing the learning curve, the level of diagnostic accuracy, and the inter-operator agreement in interpreting the CP pattern between a group of ENT specialists not skilled in PSG/PM scoring, but managing SBD patients during daily practice. Seven ENT specialists have been enrolled in the study. 50 CP traces (ranging from normal to all main SBD patterns) have been showed to each participant for the interpretation and scoring process, before and after a 2-h theoretical-practical interactive lesson, focusing on the recognition of the four main oximetric patterns on CP traces (normal, phasic, prolonged, and overlap patterns). RESULTS: before and after the theoretical-practical interactive lesson, the whole diagnostic accuracy in interpreting the 50 CP has been reported improved from 0.12 to 0.80 (median 0.52) to 0.82-0.96 (median 0.92) (p = 0.006) and the inter-scorers' agreement showed a kappa value increased from of 0.18 to 0.75 (p < 0.0001). A complete clinical diagnostic evaluation is essential in OSA patients and the ENT specialist should be concerned to verify if the patient, suitable for surgical therapy, is affected really by an isolated form of OSA. The CP interpretation allows a checking of the proper nosographic SBD framework and could be significantly important for all ENT specialists not skilled in PSG/PM scoring, but managing SBD patients during daily practice. The data reported in our validation's study showed that the CP interpretation's method is easy to apply, with a rapid learning curve. The level of diagnostic accuracy is high with a high inter-scorer agreement in interpreting the CP patterns.
[Mh] Termos MeSH primário: Otolaringologia/educação
Testes Imediatos/normas
Polissonografia
Síndromes da Apneia do Sono/diagnóstico
[Mh] Termos MeSH secundário: Precisão da Medição Dimensional
Feminino
Seres Humanos
Itália
Curva de Aprendizado
Masculino
Meia-Idade
Oximetria/métodos
Administração dos Cuidados ao Paciente/métodos
Administração dos Cuidados ao Paciente/normas
Polissonografia/métodos
Polissonografia/normas
Desenvolvimento de Pessoal/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; VALIDATION STUDIES
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1007/s00405-017-4578-8


  2 / 2175 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:29292943
[Au] Autor:Sjögren J; Nozohoor S
[Ad] Endereço:Skane University Hospital - Department of Cardiothoracic Surgery Lund, Sweden - Dept of Cardiothoracic Surgery Lund, Sweden.
[Ti] Título:Minimalinvasiv mitralis­­kirurgi i varje operatörs hand? - Inte självklart att alla svenska hjärtkirurger ska tillämpa tekniken ­ adekvata operationsvolymer krävs för goda resultat..
[So] Source:Lakartidningen;114, 2017 Nov 24.
[Is] ISSN:1652-7518
[Cp] País de publicação:Sweden
[La] Idioma:swe
[Ab] Resumo:Minimally invasive mitral valve surgery - a technique for everyone? Less invasive procedures are being developed within all surgical specialties. In cardiac surgery, minimally invasive surgery is mainly suitable for mitral valve disease. It is a technically more complex procedure compared to standard cardiac surgery. All complex procedures have a learning curve and the surgeon must be exposed to an adequate number of procedures per year in order to obtain good results. When introducing minimally invasive cardiac surgery we recommend measures to be taken including internal concentration, collaboration with established centers and training abroad in order to obtain the highest standard of care.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Minimamente Invasivos/normas
Valva Mitral/cirurgia
[Mh] Termos MeSH secundário: Serviços Centralizados no Hospital
Competência Clínica
Seres Humanos
Curva de Aprendizado
Procedimentos Cirúrgicos Minimamente Invasivos/estatística & dados numéricos
Seleção de Pacientes
Suécia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180103
[St] Status:MEDLINE


  3 / 2175 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:29391100
[Au] Autor:O'Connor VV; Vuong B; Yang ST; DiFronzo A
[Ad] Endereço:Kaiser Permanente Los Angeles Medical Center, Los Angeles, California, USA.
[Ti] Título:Robotic Minor Hepatectomy Offers a Favorable Learning Curve and May Result in Superior Perioperative Outcomes Compared with Laparoscopic Approach.
[So] Source:Am Surg;83(10):1085-1088, 2017 Oct 01.
[Is] ISSN:1555-9823
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Minorhepatectomy (MH) is a common type of robotic-assisted liver resection, but few studies compared it with laparoscopic. We compared the perioperative outcomes of patients who underwent robotic (RH) or laparoscopic (LH) minor hepatectomy and evaluated the effect of surgeon's experience on outcomes. A prospective database was used to identify patients from 2009 through 2016 who underwent RH or LH. Two surgeons performed RH starting in 2014, whereas LH had been established before that. Of the 93 patients, 42 were in RH and 51 in LH group. The mean patient age, gender, race, American Society of Anesthesiologists score, proportion of patients with cirrhosis and hepatocellular carcinoma were similar. Operative time, estimated blood loss (EBL), conversion to open, 30-day complication rate, Clavien-Dindo grade ≥ 3 complications, and length of hospital stay (LOS) were similar. There was no difference in average tumor size, specimen volume, or achievement of R0 margin. In RH group, after completing 15 cases, there were no conversions to open. After 25 cases, EBL, LOS, and 30-day complication rate were improved as compared with LH. Perioperative outcomes of robotic MH are equivalent to laparoscopic. After approximately 25 cases, robotic-assisted MH may result in superior outcomes compared with laparoscopic.
[Mh] Termos MeSH primário: Hepatectomia/métodos
Laparoscopia
Curva de Aprendizado
Procedimentos Cirúrgicos Robóticos
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Bases de Dados Factuais
Feminino
Seres Humanos
Tempo de Internação/estatística & dados numéricos
Masculino
Meia-Idade
Duração da Cirurgia
Avaliação de Resultados (Cuidados de Saúde)
Complicações Pós-Operatórias/epidemiologia
Complicações Pós-Operatórias/etiologia
Estudos Retrospectivos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE


  4 / 2175 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29406929
[Au] Autor:Arevalo G; Marks J
[Ad] Endereço:University Hospitals, Cleveland Medical Center, Cleveland, Ohio, USA.
[Ti] Título:Using statistical measurements rather than case numbers to determine learning curves: a practice that has application for all endoscopic procedures.
[So] Source:Gastrointest Endosc;87(2):448-449, 2018 02.
[Is] ISSN:1097-6779
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Endoscopia
Curva de Aprendizado
[Mh] Termos MeSH secundário: Competência Clínica
Seres Humanos
[Pt] Tipo de publicação:EDITORIAL; COMMENT
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180212
[Lr] Data última revisão:
180212
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


  5 / 2175 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:29173259
[Au] Autor:Al Hasan I; Tun-Abraham ME; Wanis KN; Garcia-Ochoa C; Levstik MA; Al-Judaibi B; Hernandez-Alejandro R
[Ad] Endereço:From the Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ont. (Al Hasan, Tun-Abraham, Garcia-Ochoa, Hernandez-Alejandro); the Department of Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia (Al Hasan); the Multi-Organ Transp
[Ti] Título:Optimizing associated liver partition and portal vein ligation for staged hepatectomy outcomes: Surgical experience or appropriate patient selection?
[So] Source:Can J Surg;60(6):408-415, 2017 Dec.
[Is] ISSN:1488-2310
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Early reports of associated liver partition and portal vein ligation for staged hepatectomy (ALPPS) outcomes have been suboptimal. The literature has confirmed that learning curves influence surgical outcomes. We have 54 months of continuous experience performing ALPPS with strict selection criteria. This study aimed to evaluate the impact of the learning curve on ALPPS outcomes. METHODS: We retrospectively compared patients who underwent ALPPS between April 2012 and March 2016. Patients were grouped into 2 24-month (early and late) periods. All candidates had a high tumour load requiring staged hepatectomy after chemotherapy response, a predicted future liver remnant (FLR) less than 30% and good performance status. RESULTS: Thirty-three patients underwent ALPPS during the study period: 16 in the early group (median age 65 yr, mean body mass index [BMI] 27) and 17 in the late group (median age 60 yr, mean BMI 25). Bilobar disease was comparable in both groups (94% v. 88%, > 0.99). Duration of surgery was not statistically different. Intraoperative blood loss and need for transfusion were significantly lower in the late group (200 ± 109 mL v. 100 ± 43 mL, < 0.05). The late group had a higher proportion of monosegment ALPPS (4:1). There were no deaths within 90 days in either cohort. Rates of postoperative complications were not statistically significant between groups. The R0 resection rate was similar. The entire 1-year disease-free and overall survival were 52% and 84%, respectively. CONCLUSION: Excellent results can be obtained in innovative complex surgery with careful patient selection and good technical skills. Additionally, the learning curve brought confidence to perform more complex procedures while maintaining good outcomes.
[Mh] Termos MeSH primário: Competência Clínica
Hepatectomia/métodos
Curva de Aprendizado
Neoplasias Hepáticas/cirurgia
Seleção de Pacientes
Veia Porta/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Ligadura
Masculino
Meia-Idade
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171222
[Lr] Data última revisão:
171222
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE


  6 / 2175 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:29206378
[Au] Autor:Melstrom K
[Ti] Título:Robotic Rectal Cancer Surgery.
[So] Source:Cancer Treat Res;168:295-308, 2016.
[Is] ISSN:0927-3042
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:There are an estimated 39,000 new cases of rectal cancer in the United States per year which makes it the third most prevalent cancer when paired with colon cancer. Given its complexity, there are now multiple modalities available for its successful treatment. This includes innovative chemotherapy, radiation, transanal resection techniques, and minimally invasive surgery. Robotic surgery for the treatment of rectal cancer represents the current pinnacle of minimally invasive technology for this disease process.
[Mh] Termos MeSH primário: Neoplasias Retais/cirurgia
Procedimentos Cirúrgicos Robóticos/métodos
[Mh] Termos MeSH secundário: Custos de Cuidados de Saúde
Seres Humanos
Curva de Aprendizado
Neoplasias Retais/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171221
[Lr] Data última revisão:
171221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE


  7 / 2175 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29212679
[Au] Autor:Nakano N; Lisenda L; Jones TL; Loveday DT; Khanduja V
[Ad] Endereço:Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB2 0QQ, UK.
[Ti] Título:Complications following arthroscopic surgery of the hip: a systematic review of 36 761 cases.
[So] Source:Bone Joint J;99-B(12):1577-1583, 2017 Dec.
[Is] ISSN:2049-4408
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS: The number of patients undergoing arthroscopic surgery of the hip has increased significantly during the past decade. It has now become an established technique for the treatment of many intra- and extra-articular conditions affecting the hip. However, it has a steep learning curve and is not without the risk of complications. The purpose of this systematic review was to determine the prevalence of complications during and following this procedure. MATERIALS AND METHODS: Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used in designing this study. Two reviewers systematically searched the literature for complications related to arthroscopy of the hip. The research question and eligibility criteria were established . Pertinent data were abstracted and analysed. RESULTS: We found 276 relevant studies with a total of 36 761 arthroscopies that met the inclusion criteria. The mean age of the patients was 36.7 years (1.7 to 70) and the mean body mass index was 25.7 kg/m (20.2 to 29.2). Femoroacetabular impingement and labral tears were the most common indications for the procedure. The total number of complications was 1222 (3.3%). Nerve injury (0.9%), mainly involving the pudendal and lateral femoral cutaneous nerves, and iatrogenic chondral and labral injury (0.7%), were the two most common complications. There were 58 major complications (0.2%), the most common being intra-abdominal extravasation of fluid, which was found in 13 cases (0.04%). There were three deaths (0.008%). CONCLUSION: Arthroscopic surgery of the hip is a procedure with a relatively low rate of complications, although some may be significant in this young cohort of patients. This study relied on the reported complications only and the results should be interpreted with caution. Cite this article: 2017;99-B:1577-83.
[Mh] Termos MeSH primário: Artroscopia/efeitos adversos
Articulação do Quadril/cirurgia
Artropatias/cirurgia
[Mh] Termos MeSH secundário: Artroscopia/normas
Seres Humanos
Curva de Aprendizado
Complicações Pós-Operatórias/epidemiologia
Prevalência
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171213
[Lr] Data última revisão:
171213
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171208
[St] Status:MEDLINE
[do] DOI:10.1302/0301-620X.99B12.BJJ-2017-0043.R2


  8 / 2175 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28985841
[Au] Autor:Quick JA; Kudav V; Doty J; Crane M; Bukoski AD; Bennett BJ; Barnes SL
[Ad] Endereço:Department of Surgery, University of Missouri, School of Medicine, Columbia, Missouri. Electronic address: quickja@health.missouri.edu.
[Ti] Título:Surgical resident technical skill self-evaluation: increased precision with training progression.
[So] Source:J Surg Res;218:144-149, 2017 Oct.
[Is] ISSN:1095-8673
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Surgical resident ability to accurately evaluate one's own skill level is an important part of educational growth. We aimed to determine if differences exist between self and observer technical skill evaluation of surgical residents performing a single procedure. MATERIALS AND METHODS: We prospectively enrolled 14 categorical general surgery residents (six post-graduate year [PGY] 1-2, three PGY 3, and five PGY 4-5). Over a 6-month period, following each laparoscopic cholecystectomy, residents and seven faculty each completed the Objective Structured Assessment of Technical Skills (OSATS). Spearman's coefficient was calculated for three groups: senior (PGY 4-5), PGY3, and junior (PGY 1-2). Rho (ρ) values greater than 0.8 were considered well correlated. RESULTS: Of the 125 paired assessments (resident-faculty each evaluating the same case), 58 were completed for senior residents, 54 for PGY3 residents, and 13 for junior residents. Using the mean from all OSATS categories, trainee self-evaluations correlated well to faculty (senior ρ 0.97, PGY3 ρ 0.9, junior ρ 0.9). When specific OSATS categories were analyzed, junior residents exhibited poor correlation in categories of respect for tissue (ρ -0.5), instrument handling (ρ 0.71), operative flow (ρ 0.41), use of assistants (ρ 0.05), procedural knowledge (ρ 0.32), and overall comfort with the procedure (ρ 0.73). PGY3 residents lacked correlation in two OSATS categories, operative flow (ρ 0.7) and procedural knowledge (ρ 0.2). Senior resident self-evaluations exhibited strong correlations to observers in all areas. CONCLUSIONS: Surgical residents improve technical skill self-awareness with progressive training. Less-experienced trainees have a tendency to over-or-underestimate technical skill.
[Mh] Termos MeSH primário: Colecistectomia Laparoscópica/educação
Competência Clínica
Cirurgia Geral/educação
Internato e Residência
Autoavaliação
Cirurgiões/psicologia
[Mh] Termos MeSH secundário: Adulto
Colecistectomia Laparoscópica/normas
Docentes de Medicina
Feminino
Seres Humanos
Curva de Aprendizado
Masculino
Missouri
Estudos Prospectivos
Cirurgiões/educação
Cirurgiões/normas
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171008
[St] Status:MEDLINE


  9 / 2175 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28984767
[Au] Autor:Huang YM; Huang YJ; Wei PL
[Ad] Endereço:aDepartment of Surgery, College of Medicine bDivision of Gastrointestinal Surgery, Department of Surgery cCancer Research Center dDivision of Colorectal Surgery, Department of Surgery, Taipei Medical University Hospital eDivision of Colorectal Surgery, Department of Surgery, Wan Fang Hospital fTranslational Laboratory, Department of Medical Research, Taipei Medical University Hospital gGraduate Institute of Cancer Biology and Drug Discovery, Taipei Medical University, Taipei, Taiwan.
[Ti] Título:Outcomes of robotic versus laparoscopic surgery for mid and low rectal cancer after neoadjuvant chemoradiation therapy and the effect of learning curve.
[So] Source:Medicine (Baltimore);96(40):e8171, 2017 Oct.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Randomized controlled trials have demonstrated that laparoscopic surgery for rectal cancer is safe and can accelerate recovery without compromising oncological outcomes. However, such a surgery is technically demanding, limiting its application in nonspecialized centers. The operational features of a robotic system may facilitate overcoming this limitation. Studies have reported the potential advantages of robotic surgery. However, only a few of them have featured the application of this surgery in patients with advanced rectal cancer undergoing neoadjuvant chemoradiation therapy (nCRT).From January 2012 to April 2015, after undergoing nCRT, 40 patients with mid or low rectal cancer were operated using the robotic approach at our institution. Another 38 patients who were operated using the conventional laparoscopic approach were matched to patients in the robotic group by sex, age, the body mass index, and procedure. All operations were performed by a single surgical team. The clinicopathological characteristics and short-term outcomes of these patients were compared. To assess the effect of the learning curve on the outcomes, patients in the robotic group were further subdivided into 2 groups according to the sequential order of their procedures, with an equal number of patients in each group. Their outcome measures were compared.The robotic and laparoscopic groups were comparable with regard to pretreatment characteristics, rectal resection type, and pathological examination result. After undergoing nCRT, more patients in the robotic group exhibited clinically advanced diseases. The complication rate was similar between the 2 groups. The operation time and the time to the resumption of a soft diet were significantly prolonged in the robotic group. Further analysis revealed that the difference was mainly observed in the first robotic group. No significant difference was observed between the second robotic and laparoscopic groups.Although the robotic approach may offer potential advantages for rectal surgery, comparable short-term outcomes may be achieved when laparoscopic surgery is performed by experienced surgeons. However, our results suggested a shorter learning curve for robotic surgery for rectal cancer, even in patients who exhibited more advanced disease after undergoing nCRT.
[Mh] Termos MeSH primário: Endoscopia Gastrointestinal/normas
Laparoscopia/normas
Curva de Aprendizado
Neoplasias Retais/terapia
Procedimentos Cirúrgicos Robóticos/normas
[Mh] Termos MeSH secundário: Idoso
Quimiorradioterapia Adjuvante/métodos
Competência Clínica
Endoscopia Gastrointestinal/métodos
Feminino
Seres Humanos
Laparoscopia/métodos
Masculino
Meia-Idade
Terapia Neoadjuvante/métodos
Duração da Cirurgia
Neoplasias Retais/patologia
Estudos Retrospectivos
Procedimentos Cirúrgicos Robóticos/métodos
Cirurgiões/psicologia
Cirurgiões/normas
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171007
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008171


  10 / 2175 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28966181
[Au] Autor:Ben-Gal G; Katorza L; Weiss EI; Ziv A
[Ad] Endereço:Dr. Ben-Gal is with the Department of Prosthodontics, Hebrew University-Hadassah Faculty of Dental Medicine, Jerusalem, Israel; Dr. Katorza is with the Department of Prosthodontics, Hebrew University-Hadassah Faculty of Dental Medicine, Jerusalem, Israel; Dr. Weiss is Professor and Head, Maurice and
[Ti] Título:Testing Motor Learning Curves Among Dental Students.
[So] Source:J Dent Educ;81(10):1171-1178, 2017 Oct.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Motor learning up to reaching proficiency can be registered and displayed as a learning curve. Understanding the nature of the motor learning curves will allow proper planning of teaching. The aim of this study was to measure the rate of motor learning of novice dental students in preparing dental cavities. A total of 66 first-year students (21 males and 45 females) at a dental school in Israel participated in this 12-week study. In the first and last weeks, the students prepared 12 cavities in 45 minutes in a composite material plate, using a dental high-speed burr. In the ten weeks between tests, manual performance was measured by drilling two cavities, limited to 3.5 minutes per cavity. The results showed that improvement was significant (p<0.05) at two-week intervals in all cases except for the sixth and seventh weeks, when a significant increase was observed only after three weeks. The performance of the lowest performing students (those with grades in the lowest third of the class) remained low throughout the entire course. Further subdivision of the class into two groups showed that the upper half reached the minimum required performance in week 9, whereas the lower half achieved it only three weeks later. The authors concluded that the 12-week study was not sufficiently long for the learning curve to reach a plateau. Dental students present a variety of motor learning curves and different rates of proficiency acquisition, so understanding the nature of these curves, and the differences among students, may be useful in lesson planning to support the process of motor learning.
[Mh] Termos MeSH primário: Educação em Odontologia
Curva de Aprendizado
Estudantes de Odontologia
[Mh] Termos MeSH secundário: Competência Clínica
Cárie Dentária/terapia
Educação em Odontologia/métodos
Feminino
Seres Humanos
Masculino
Desempenho Psicomotor
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:171003
[St] Status:MEDLINE
[do] DOI:10.21815/JDE.017.076



página 1 de 218 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde