ABSTRACT
Aim: Themain aimof the project will be evaluating the effectiveness of an experimental structured didactic program in robotic surgery in filling the training gap caused by the pandemic. We intend to evaluate how establishing a training pathway could improve young surgeons' robotic skills and implement their participation in robotic procedures during the COVID-19 pandemic. We will also evaluate the learning curve of robotic transabdominal preperitoneal inguinal hernia repair (TAPP) for young surgeons with limited experience as first operators at the dual console. Matherials and Methods:Wedesigned an experimental stepwise training program in robotic surgery that starts from a first step of theoretical and laboratory lessons, followed by a second phase of bedside assistance training, and finally the completion of low complexity procedures by the trainees proctored at the dual console by senior surgeons. Robotic TAPP was selected as training model. The performance of each trainee will be registered in an evaluation data sheet and Learning scores will be recorded by the tutor with the evaluation of 6 corner steps of the procedure. Result(s): Preliminary results showed improved technical skills and increased team spirit and wellbeing. Conclusion(s): TAPP is a good training model because involves technical steps useful for more complex procedures. The robotic dual console represent an extraordinary training tool and a structured training program positively impacts technical skills and could help filling the training gap caused by the pandemic.
ABSTRACT
In the emergency scenario generated by COVID-19 pandemic, the development of fast solutions to reduce the contagious curve can mean saving lives. Democratic access to prevention methods is essential, especially in places with high exposure to contamination and whose activities have not been interrupted, such as public transportation. This work presents the development of a hand sanitizer dispenser for public transportation and other possible locations in the urban environment, designed during an online marathon. The focus is on the development of the Design Sprint method and its adaptations to fit the remote work and other constraints due social distance. The final product was designed to be produced by 3D printing and open design, to fast distribution and replication. It fits in the bus's handrails, with some positioning possibilities and the use of PET bottles as alcohol containers. As a result, the paper highlights the particularities of agile methods for the design process at a distance and demonstrates that the process used allows for quickly responding to solutions for emerging needs. © 2020 Universidade do Vale do Rio dos Sinos. All rights reserved.
ABSTRACT
COVID-19 pandemic particularly affects older people and exposes them to a higher risk of mortality. Containment, social distancing and isolation measures have been implemented to limit viral transmission. While there is a clear rationale for reducing the contagiousness of the infection through this means, the adverse consequences of this social isolation, especially for this heterogeneous, aged and frail people, are difficult to apprehend. In particular, the disruption of the usual support and care ecosystems at home or in institutions may paradoxically increase the frailty of these people and lead to adverse events we wanted to avoid. On the other hand, the risk of a decrease in the older person's empowerment regarding his or her own health and social life decisions requires particular vigilance to prevent the risk of societal ageism. Regarding this population in particular, a possible conflict of values between individual and collective protection on one hand and respect for autonomy and independence on the other hand could exist. This article proposes an ethical reflection on the issue of containment of frail ageing people, based on medical ethics principles, in order to open up positive approaches of vulnerability that guarantee respect for the dignity of the person and equity in care access.