Screening, Brief Intervention, Referral to Treatment Training for Undergraduate Nursing Students: A Quasi-Experimental Comparison of Distance and Face-to-Face Learning.

Alcohol and drug misuse continue to result in negative outcomes in the United States. Training nurses in screening, brief intervention, and referral to treatment (SBIRT) has been proposed as one approach to mitigating those harms. Such training can lead to improved attitudes and intention to use SBIRT in clinical practice, but whether those outcomes manifest similarly for distance or face-to-face learning has not been investigated. The current study is a quasi-experimental comparison of face-to-face and distance SBIRT education for undergraduate nursing students performed in Fall 2019. No differences in attitudes or intentions were observed between face-to-face and distance learning approaches. Self-reported competence meaningfully increased in both study arms, and there was some evidence of additional increases in perceived role legitimacy and intention to use SBIRT. To the degree that benefits are observed for SBIRT training, they may not vary between face-to-face and distance learning implementations of the same curriculum. [Journal of Psychosocial Nursing and Mental Health Services, 60(8), 46-51.].

COVID-19 Vaccine Uptake Among College Students at a Midwest University.

COVID-19 is responsible for over 750,000 Americans deaths. Despite efforts to vaccinate, many college students are hesitant. Hesitancy has hindered efforts to achieve high COVID-19 vaccination rates. Students at a Midwest university completed an online survey. Questions included COVID-19 vaccination intent and behavior. Over 1600 students participated. Half reported being vaccinated. Of those not vaccinated, 49% did not intend to get vaccinated, and 22% were undecided. Reasons for hesitancy included not trusting the vaccine was fully tested (85%), fear of potential side effects (78%), not trusting the vaccine is safe (72%), not trusting the US government (61%), and having read negative reports from the media about the vaccine (60%). Additionally, students were concerned the vaccine was not safe (B = - 0.902; 95% Χ2 = 11.68; p = 0.001) and that it could not protect them from COVID-19 (B = - 0.834; Χ2 = 12.43; p < 0.001). Students' religious beliefs (B = - 1.245; Χ2 = 4.61; p = 0.032) and having unvaccinated family members (B = - 0672; Χ2 = 11.50; p = 0.001) also contributed to intention not to receive the vaccine. Unexpectedly, students reporting fear of potential side effects (B = 1.26; Χ2 = 12.86; p < 0.001) were significantly more likely to indicate intention to get vaccinated than students who did not report this fear. College students may be more hesitant to receive the vaccination than others. Targeted messaging addressing concerns/fears may be a way to influence those who are hesitant to receive the COVID-19 vaccination.

Physiotherapy for cystic fibrosis in Australia and New Zealand: A clinical practice guideline.

Physiotherapy management is a key element of care for people with cystic fibrosis (CF) throughout the lifespan. Although considerable evidence exists to support physiotherapy management of CF, there is documented variation in practice. The aim of this guideline is to optimize the physiotherapy management of people with CF in Australia and New Zealand. A systematic review of the literature in key areas of physiotherapy practice for CF was undertaken. Recommendations were formulated based on National Health and Medical Research Council (Australia) guidelines and considered the quality, quantity and level of the evidence; the consistency of the body of evidence; the likely clinical impact; and applicability to physiotherapy practice in Australia and New Zealand. A total of 30 recommendations were made for airway clearance therapy, inhalation therapy, exercise assessment and training, musculoskeletal management, management of urinary incontinence, managing the newly diagnosed patient with CF, delivery of non-invasive ventilation, and physiotherapy management before and after lung transplantation. These recommendations can be used to underpin the provision of evidence-based physiotherapy care to people with CF in Australia and New Zealand.

Validation of a networked virtual reality simulation of temporal bone surgery.

OBJECTIVES: To assess the content validity and concurrent validity of a haptically (force feedback) rendered, virtual reality simulation of temporal bone surgery. METHODS: Eleven naive surgical trainees were given a 1-hour lesson on the operation, cortical mastoidectomy, in the virtual environment with the trainer on a networked simulator and then asked to perform this procedure on a real temporal bone. RESULTS: The simulator was found to be a convincing representation of temporal bone drilling and could be said to exhibit face validity. The simulator was an effective means of teaching both the surgical anatomy and the surgical approach as judged by oral assessments made before and after the virtual reality training session. The trainees were successful in identifying most surgical landmarks during their first temporal bone dissection, and over two thirds found the landmarks at the correct time during the procedure. Some trainees exhibited acceptable or better technique with the drill despite this being their first temporal bone dissection. Subjective assessments indicated a high level of acceptance of simulated surgery for training, and there was perceived value in specific enhancements of the virtual environment that facilitated learning. Particular enhancements of value were the networked simulation, the option to make the model semitransparent to reveal anatomic relationships, and error reporting when the sigmoid sinus or facial nerve was injured. CONCLUSIONS: Virtual reality simulation of temporal bone surgery was an effective method for teaching surgical anatomy and planning and was well accepted by trainees.

Rating perceived exertion during short duration, very high intensity cycle exercise.

This study compared undifferentiated ratings of perceived exertion (RPE) during short duration, very high intensity cycle exercise using high and low resistance. 30 recreationally trained males (24.2 +/- 2.4 yr.) were memory-anchored to the Borg 15-category scale. The high and low resistance exercises were defined by 30-sec. maximum tests assigned in counterbalanced order, with resistances set before testing during an orientation session. High resistance was 10% of body mass. Low resistance resulted in the same total work as the high resistance over the 30-sec. sessions (+/-5%) but increased pedal rate. RPE was taken at 8, 13, 18, 23, and 28 sec. during the high and the low resistance exercises. Measurements were compared using a 2-way repeated-measures analysis of variance. RPE was significantly greater (p=.005) for the high than the low resistance exercise at each interval. RPE increased when the subjects were required to pedal against a greater resistance and produce the highest forces. These RPE data are consistent with data from both aerobic cycle and resistance exercise. The data suggest that instantaneous force production, not summed work, is a primary determinant of RPE. All of these observations support Cafarelli's theoretical model of effort sense. In conclusion, as an individual generates more force during high resistance exercise than in light resistance exercise, a potential explanation of our results is that the increased motor outflow and corollary sensory signal lead to a greater sense of effort.

A networked haptic virtual environment for teaching temporal bone surgery.

This paper describes a computer system for teaching temporal bone surgery using networked haptic work benches. The system enables an instructor and student to collaboratively explore and drill a volumetric bone model including significant anatomical features. Subjective evaluations by otologists have been favourable, and experimental trials are planned.

Surgical training using haptics over long internet distances.

This paper describes a collaborative surgical training prototype using haptics, which has been able to operate across the world. It allows two users to collaboratively manipulate a simulation of pliable human body organs, as well as guide each other's 'hands' over 22,000 km of internet connection. It uses a force impulse collection mechanism feeding haptics data to a single physics server program. The server runs a 'pseudo' physics model that is resilient to latency.

Comparison of memory and combined exercise and memory-anchoring procedures on ratings of perceived exertion during short duration, near-peak-intensity cycle ergometer exercise.

The purpose of this study was to compare ratings of perceived exertion (RPE) following memory-anchoring and two different types of combined exercise and memory-anchoring during short duration, near-peak-intensity cycle exercise. Thirty recreationally trained males volunteered to participate. The M group, n = 10, received only verbal instructions prior to the experimental trial. The EM1 group, n = 10, and the EM2 group, n = 10, received the same verbal instructions, but these were administered while participants performed maximal, graded cycle ergometer exercise. The low perceptual anchor was established during light pedaling for both EM1 and EM2. The high perceptual anchor was established during the final stage of the maximal cycle test for EM1 and during a 30-sec. sprint immediately following the final stage of the maximal cycle ergometer testing for EM2. On the experimental trial pedaling at maximal intensity for 30-sec. was against a resistance equal to .10 x body mass (kg) on a cycle ergometer. The Borg 15-category RPE scale was used to record exertional perceptions. RPE was reported at 8, 13, 18, 23, and 28 sec. each trial. Ratings were similar among the three groups. Their linear regression slopes and intercepts were also similar. Memory-anchoring produced similar RPE for two different combined exercise and memory-anchoring procedures. In conclusion, memory-anchoring and combined exercise and memory-anchoring produce similar RPE during high intensity, short duration cycle exercise in young recreationally trained athletes.