Sleep-push movement performance in elite field hockey champions with and without training specialization.

Objective: To investigate kinematic and muscle activity differences during the sleep-push movement in elite field hockey players. We hypothesized that players with specialized sleep-push movement training (specialists) would possess a lower center of mass (CoM) and enhanced reproducibility of muscle activations during the movement, compared to players without explicit movement training (non-specialists). Methods: Ten field hockey players of the Belgian national field hockey team performed the sleep-push movement (5 specialists and 5 non-specialists). Muscle activity and kinematic data were recorded using EMG to evaluate the reproducibility of muscle activations by cross-correlation analysis and power spectral features across the movement, while a motion capture system was used to assess kinematics. Results: Compared to non-specialists, specialists had significantly (p < 0.05) increased stick velocity (9.17 ± 1.28 m/s versus 6.98 ± 0.97 m/s) and lower CoM height (141 ± 52 mm versus 296 ± 64 mm), during the second part of the shot. Specialists also showed a significant (p < 0.05) lower power spectrum in the activity of the upper limb muscles before the shot. Superimposition of the auto crosscorrelation results demonstrated a high degree of reproducibility in specialists' muscle activations. Conclusion: Sleep-push movements realized by elite players who are specialists in the sleep-push movement presented significant kinematics and muscular activation differences when compared to the sleep-push movements realized by elite players who were not specialists in such movement. Characterization of the specific movement and the related high-level performer's muscular strategies offers the possibility of translating sport science findings into functional training with concrete applications for coaches, players, and other key stakeholders for the continued development of the field.

Application of PACS system in the standardized residency training of cardiovascular medicine / 中华医学教育探索杂志

Objective:To evaluate the effect of PACS system (picture archiving and communication system) in the standardized residency training of cardiovascular medicine.Methods:Fifty-nine residents taking the standardized residency training of cardiovascular medicine in Changhai Hospital from 2018 to 2019 were randomly divided into PACS teaching group ( n = 30) and traditional teaching group ( n = 29). The research group adopted the PACS system for the teaching of cardiovascular medicine, and the control group took the traditional teaching method. The teaching effect was evaluated by theoretical examination, imaging examination and questionnaire. SPSS 19.0 was used for t test and chi-square test. Results:The theoretical and film reading scores of the PACS teaching group were significantly higher than those of the control group [(87.70 ± 6.52) vs. (80.55 ± 8.63); (86.67 ± 6.33) vs. (77.48 ± 10.29), P < 0.05)]. The results of the questionnaire showed that PACS teaching method was helpful for residents to master cardiovascular knowledge, arouse their learning interest and improve their clinical thinking ability. The satisfaction with the teaching method in the PACS teaching group was significantly higher than that in the traditional teaching group [(9.22 ± 0.44) vs. (8.26 ± 0.72), P < 0.05]. Conclusion:The application of PACS system in the teaching of cardiovascular medicine can significantly improve the teaching effect of residents.

"Kept in Check": Representations and Feelings of Social and Health Professionals Facing Intimate Partner Violence (IPV).

Social and health professionals facing gender-based violence in Intimate Partner Violence (IPV) express feelings and thoughts closely connected to their place of work and the users of their services. However, research on professionals' reflexivity and their implications has not been closely investigated. Therefore, this article will describe representations of IPV among social and health professionals facing gender-based violence as well as their personal feelings in accomplishing their job. Fifty interviews with health and social professionals were analyzed using grounded theory methodology supported by Atlas.ti 8.4. Five macrocategories will describe this phenomenon, leading to the final explicative core category that summarizes professionals' attitudes toward it. Being "kept in check" among partners, partners and families, services, and institutional duties is the core category that best expressed their feelings. Therefore, implications for services and training will be further discussed.

Exposure of Urology Residents to the Management of Urethral Strictures in Saudi Arabia: Should the Program for Postgraduates Be Customized?

PURPOSE: This study aimed to assess the exposure and knowledge of urology residents in the management of urethral stricture (US) and to determine if they would be able to perform urethroplasty after graduation and whether urethroplasty should be included as a competency in the training program. PATIENTS AND METHODS: An online survey was sent to all residents enrolled in any urology training program in Saudi Arabia. Fifty-eight (approximately 50%) of the 114 residents who were sent the survey provided responses. RESULTS: Most of the residents (45 residents, 77.6%) who responded were exposed to fewer than ten cases of US during their last year of training. Fifty-six residents (96.6%) attended five or fewer urethroplasty procedures in their last year of training. Twenty-three (40%) residents did not attend any urethroplasty procedure in the last year. The most common procedures attended by the residents were minimally invasive treatments (89% cystoscopy with dilatation and 79% direct visual internal urethrotomy (DVIU)). Most residents responded that they would manage newly diagnosed 1 cm US with either cystoscopy and dilatation or with DVIU 53 (91%). For the first recurrence of US, 46 (79%) residents responded that they would still prefer dilatation or DVIU. For the second, third, and chronic recurrences of US, 20 (34.5%), 6 (10.3%), and 5 (8.6%) residents, respectively, responded that they would perform dilatation or DVIU. Residents had low expectations for the success rate of urethroplasty; only 32 (55.2%) residents thought it had a high success rate. CONCLUSION: Urethroplasty is a specialized urological procedure, one that residents have variable exposure to. Privilege to perform such a procedure after graduating should be modified to ensure the best outcome for patients.

Is it possible to become a midwife in a refugee camp?

The historical backdrop of Western Sahara has meant that, for the last 43 years, part of its indigenous population has survived in refugee camps located in the Algerian desert. International aid from abroad has become the main source of sustenance for all people living in this hostile environment. Since the beginning of this type of settlement, the Sahrawi Arab Democratic Republic has been concerned with creating the necessary infrastructures to meet the health needs of the people living in these conditions. As a result, the Ahmed Abdel-Fatah School of Nursing was created in the Sahrawi refugee camps, which began to train midwives to care for women during the stages of pregnancy, childbirth and postpartum in 2002. The aim of this paper is to provide an approach to the origin and evolution of midwifery education for the Sahrawi refugee camps, in the only school of nursing that exists worldwide in a refugee camp.

Application of Multimodal Neuronavigation System in clinical teaching of neural tumor surgery / 中华医学教育探索杂志

Objective To improve the system of specialized training by exploring the role of multimodal navigation in the teaching of neurosurgery.Methods The questionnaire was conducted by the experts to obtain the detailed information of 20 residents.They were randomly divided into two groups:the traditional teaching group (n=10) and the multimodal navigation group (n=10).The details were evaluated from the reaction layer,the learning layer,the behavior layer and the result layer by the Kirkpatriek's model.The data were analyzed by SPSS 17.0.The quantitative data were described by mean ± standard deviation and the qualitative data was described by rate or percentage.Two independent-samples t test was used to compare the results of two groups.Results The results of the reaction layer showed that the scores of the multimodal navigation group were significantly higher than those of the traditional teaching group,which were statistically significant (P＜0.05) in the training content,training methods,training facilities and experience after training.The learning results showed that the multimodal navigation group had higher scores in the theoretical examinations,surgical skills and overall scores (P＜0.05).The behavioral results showed that the clinical ability of the multimodal navigation group was more prominent (P＜0.05).The result layer showed that under the guidance of professors,the percentage of residents who can complete the whole surgical operation is higher in multimodal navigation group (50％ vs.20％).Conclusion The application of multimodal navigation technology has a positive effect on the teaching of neurosurgery and specialized training of residents.

Strategies of improving the scientific innovation ability of pathological graduate students based on modularized special training / 中华医学教育探索杂志

Pathology is a subject that studies the etiology,pathogenesis,pathological changes,progression and outcome of diseases.Pathology links the basic research and clinical practice and is an important part of translational medicine.In order to cultivate qualified pathological graduates with solid pathological theories and the abilities of proposing and addressing scientific hypotheses from pathological morphology changes,we employ modularized special training to divide the pathology training courses into morphology learning module,article searching and reading module,project design module,experiment operation module and scientific presentation module.The training contents among these modules are relatively independent but closely connected,and compose a strategy that aims to improve the scientific innovation ability of pathological graduates.

The necessity of a specialized training program for head and neck surgeon: what should be done to become an extraordinary head and neck surgeon / 中国癌症杂志

Head and neck cancers contain a wide range of diseases which put threats to public health. Training of specialized head and neck surgeon is a must for the development of the specialty. Surgical treatment of head and neck cancers can easily compromise normal appearance and function of patients owing to the complicated anatomical structures of the area. Therefore, treatments often demand multidisciplinary involvement led by surgeons. Attentions should be paid to diverse cancers, multiple techniques, distinct surgeries, complex anatomy and function protection when training a specialized head and neck surgeon. A specialized surgeon must be devoted to basic research, have a full picture of the disease, be involved in multidisciplinary treatment and focus on specialized surgical maneuvers. To become a specialized head and neck surgeon, one should go through basic knowledge of the area, read extensively, keep up with the literature and never stops practicing. The undisputed factor is that an extraordinary head and neck surgeon can not only benefit patients but also promote the profession.

Application of using standardized patient tutorial in the specialized training of pancreatic surgery with WeChat platform / 中华医学教育探索杂志

Objective To analyze the effect of using standardized patient (SP) tutorial in the spe-cialized training of pancreatic surgery with WeChat platform. Methods 48 surgeons participating in resi-dent standardized training in Changhai Hospital (all for postgraduate education) were enrolled as teaching object. 48 surgeons were divided into two groups: SP group (n=24) receiving WeChat combined with SP tutorial which updates learning plan, learning contents, and clinical discussion by Wechat platform and performs practical teaching by SP method, control group (n=24) receiving traditional tutorial by using tradi-tional clinical teaching methods and video teaching followed by practical teaching. The theoretical exami-nation, questionnaires and expert assessment were used to evaluate the effect of the two teaching methods. Statistical analysis was performed using the SPSS 19.0. Continuous data were expressed as median±stan-dard deviation and compared using the Student's t-test. Categorical data were compared using the Pearson's chi-square test. Results The score of theoretical examination of the two groups showed no significant difference [(85.5±7.6) vs. (81.4±14.9), P=0.238]. The results of questionnaires and expert assessment in WeChat&SP group were significantly better than those in the control group (P0.05). Conclusion WeChat platform combined with standardized patient tutorial in the specialized training of pancreatic surgery is feasible and more effective than traditional tutorial to improve teaching effectiveness.

[Geriatric post-graduate training: Current recommendations and opinion of the trainees]. / Formación especializada en geriatría: normativa actual y opinión de los residentes.

OBJECTIVE: To evaluate the level of compliance with the official curriculum residence programme by geriatrics trainees, and to analyse their level of satisfaction. MATERIAL AND METHODS: A questionnaire was developed including these sections: trainee filiation, and questions related to their clinical training, academic formation, research training, satisfaction, and other comments. The survey was performed in Survey Monkey and sent to a geriatric trainee per hospital in March 2014. The results were collected between March and April of 2014. RESULTS: Responses were received from 41% of the trainees of 23 Geriatric Teaching Units. Rates of over 95% were observed as regards clinical rotations in the basic period, while in the specific period these percentages varied between 34% and 69%, probably because some of the trainees had not yet arrived at the period in which these rotations are programmed. An external rotation could be performed by 83% of the trainees, and 90% do the recommended number of shifts. The mean number of instruction sessions per week was 2.3, and the number of meetings with the tutor was 2.5 times per year. The median number of presentations in congresses was 3.7 per trainee, with 0.2 publications during training. Each trainee attended 1.2 national meetings, 0.3 European meetings, and 0.1 American. Most of the trainees (85%) were satisfied or very satisfied with their training. CONCLUSIONS: Geriatrics curricula for trainees are followed in the basic aspects, but not so much in the specific ones. The average level satisfaction of the trainees is very high. The recommended training activities within the specific department (sessions, etc.) are not always fulfilled. The research activity, evaluated by publications and presentations at meetings, is low. Following these data, reflection and the establishment of improvements are required in Geriatrics training at post-graduate level.

Training in intensive care medicine. A challenge within reach.

The medical training model is currently immersed in a process of change. The new paradigm is intended to be more effective, more integrated within the healthcare system, and strongly oriented towards the direct application of knowledge to clinical practice. Compared with the established training system based on certification of the completion of a series or rotations and stays in certain healthcare units, the new model proposes a more structured training process based on the gradual acquisition of specific competences, in which residents must play an active role in designing their own training program. Training based on competences guarantees more transparent, updated and homogeneous learning of objective quality, and which can be homologated internationally. The tutors play a key role as the main directors of the process, and institutional commitment to their work is crucial. In this context, tutors should receive time and specific formation to allow the evaluation of training as the cornerstone of the new model. New forms of objective summative and training evaluation should be introduced to guarantee that the predefined competences and skills are effectively acquired. The free movement of specialists within Europe is very desirable and implies that training quality must be high and amenable to homologation among the different countries. The Competency Based training in Intensive Care Medicine in Europe program is our main reference for achieving this goal. Scientific societies in turn must impulse and facilitate all those initiatives destined to improve healthcare quality and therefore specialist training. They have the mission of designing strategies and processes that favor training, accreditation and advisory activities with the government authorities.