1
40
2
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/00005373-200109000-00022" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/00005373-200109000-00022</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
545-549
Issue
3
Volume
51
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Locate full-text within NEOMED Library's e-journal collections
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Does the presence of ultrasound really affect computed tomographic scan use? A prospective randomized trial of ultrasound in trauma
Publisher
An entity responsible for making the resource available
Journal of Trauma-Injury Infection and Critical Care
Date
A point or period of time associated with an event in the lifecycle of the resource
2001
2001-09
Subject
The topic of the resource
blunt abdominal-trauma; emergency; experience; fluid; General & Internal Medicine; hemoperitoneum; indicator; intraperitoneal; learning-curve; sonography; surgeon-performed ultrasound; Surgery; Ultrasonography
Creator
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Rose J S; Levitt M A; Porter J; Hutson A; Greenholtz J; Nobay F; Hilty W
Description
An account of the resource
Objective. There is a paucity of evidence demonstrating that emergency department (ED) ultrasound changes clinical practice in trauma patients. We hypothesized that the presence of ultrasound would affect clinical decision making as evidenced through abdominal computed tomographic WT) scan use in blunt multiple trauma patients. Methods. This study used a prospective randomized format in an urban county ED with Level II trauma center status (ED census, 72,000 patients per year). Participants were patients with multiple blunt injuries meeting trauma center triage criteria. Patients were randomized to receive either abdominal ultrasound or no ultrasound (control) during initial ED resuscitation. The primary outcome variable was use of abdominal CT scan in patients with and without ultrasound. Results. Two hundred eight patients were enrolled. The mean age was 40 +/- 18 years, and 62% were men. Mechanism of injury was motor vehicle crash, 56%; automobile versus pedestrian, 18%; motorcycle crash, 16%; falls, 10%; and other, 10%. One hundred four ultrasound and 104 control patients were analyzed. There were no apparent differences between ultrasound and control groups in demographics, injury type, or Injury Severity Score. Fifty-four of 104 (52%) of the control group received abdominal CT scans versus 37 of 104 (36%) abdominal CT scans for the ultrasound group; mean difference in proportions was 15.9 (p < 0.01; 95% confidence interval, 2.6-29.1). Conclusion. In this trial, the routine use of abdominal ultrasound in the evaluation of patients with multiple blunt injuries resulted in significantly fewer abdominal CT scans being obtained. A larger trial is needed to more clearly define the clinical and financial impact of ultrasound in the management of blunt abdominal trauma.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/00005373-200109000-00022" target="_blank" rel="noreferrer noopener">10.1097/00005373-200109000-00022</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2001
blunt abdominal-trauma
Emergency
experience
fluid
General & Internal Medicine
Greenholtz J
hemoperitoneum
Hilty W
Hutson A
indicator
Intraperitoneal
Journal Article
Journal of Trauma-Injury Infection and Critical Care
learning-curve
Levitt M A
Nobay F
Porter J
Rose J S
sonography
surgeon-performed ultrasound
Surgery
Ultrasonography
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.4293/108680812x13427982376185" target="_blank" rel="noreferrer noopener">http://doi.org/10.4293/108680812x13427982376185</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
218-228
Issue
2
Volume
16
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Robotic Surgical Skills: Acquisition, Maintenance, And Degradation
Publisher
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Jsls-Journal of the Society of Laparoendoscopic Surgeons
Date
A point or period of time associated with an event in the lifecycle of the resource
2012
2012-04
Subject
The topic of the resource
cancer; Degradation; learning-curve; operative mortality; radical prostatectomy; Robotic surgical skills; surgeon; Surgery; Training; volume
Creator
An entity primarily responsible for making the resource
Jenison E L; Gil K M; Lendvay T S; Guy M S
Description
An account of the resource
Background and Objectives: The degradation in robotic skills that occurs during periods of robotic surgical inactivity in newly trained surgeons was measured. The role of animate training in robotic skill was also assessed. Methods: Robotically naive resident and attending surgeons underwent training with the da Vinci (R) robot on needle passage (DN), rocking ring transfer peg board (RPB), and running suture pod tasks (SP). Errors were established to convert actual time to adjusted time. Participants were deemed "proficient" once their adjusted times were within 80% of those set by experienced surgeons through repeated trials. Participants did not use the robot except for repeating the tasks once at 4, 8, and 12 weeks (tests). Participants then underwent animate training and completed a final test within 7 days. Results: Twenty-five attending and 29 resident surgeons enrolled; 3 withdrew. There were significant increases in time to complete each of the tasks, and in errors, by 4 weeks (Adjusted times: DN: 122.9 +/- 2.2 to 204.2 +/- 11.7, t=6.9, P<.001; RPB: 262.4 +/- 2.5 to 364.7 +/- 8.0, t=12.4, P<.001; SP: 91.4 +/- 1:4 to 169.9 +/- 6.8, t=11.3, P<.001). Times decreased following animate training, but not to levels observed after proficiency training for the RPB and SP modules. Conclusions: Robotic surgical skills degrade significantly within 4 weeks of inactivity in newly trained surgeons. Animate training may provide different skills than those acquired in the dry lab.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.4293/108680812x13427982376185" target="_blank" rel="noreferrer noopener">10.4293/108680812x13427982376185</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article or Conference Abstract Publication
2012
Cancer
degradation
Gil K M
Guy M S
Jenison E L
Journal Article or Conference Abstract Publication
Jsls-Journal of the Society of Laparoendoscopic Surgeons
learning-curve
Lendvay T S
operative mortality
radical prostatectomy
Robotic surgical skills
surgeon
Surgery
Training
volume