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At least 703 records · Page 39Linked to original sources
PubMed2004

When is scene identification just texture recognition?

Subjects were asked to identify scenes after very brief exposures (<70 ms). Their performance was always above chance and improved with exposure duration, confirming that subjects can get the gist of a scene with one fixation. We propose that a simple texture analysis of the image can provide a useful cue towards rapid scene identification. Our model learns texture features across scene categories and then uses this knowledge to identify new scenes. The texture analysis leads to similar identifications and confusions as subjects with limited processing time. We conclude that early scene identification can be explained with a simple texture recognition model.

Humans↗
PubMed1999

Differences between alcohol-preferring and alcohol-nonpreferring rats in ethanol generalization.

Alcohol-preferring (P rats) and alcohol-nonpreferring rats (NP rats) were trained to discriminate intraperitoneal injections of 0.5 g/kg ethanol, or subcutaneous injections of 0.6 mg/kg nicotine from saline. P rats learned the ethanol discrimination more rapidly and made a higher percentage (88%) of their responses on the ethanol lever after ethanol and a lower percentage (7%) after saline than NP rats (78 and 15%, respectively). In substitution tests, increasing doses of ethanol produced increases in the percentage of responses on the ethanol lever with similar ED50s (0.43 and 0.44 g/kg) in P and NP rats. P rats trained to discriminate ethanol from saline made more responses on the ethanol lever after nicotine (80%) and d-amphetamine (63%) than NP rats (33 and 40%). The ethanol stimulus did not generalize to morphine in either P or NP rats. NP rats trained to discriminate ethanol from saline responded more on the ethanol lever after bupropion (77%) than P rats (49%). In rats trained to discriminate nicotine from saline, the nicotine discriminative stimulus did not generalize to ethanol in either P or NP rats, suggesting that the genetic difference in the stimulus generalization of ethanol was not symmetrical.

Alcohol Drinking↗
PubMed1996

Pharmacologic management of feline lower urinary tract disorders.

Pharmacological recommendations for the treatment of lower urinary tract disorders in cats are rapidly evolving as more is learned about the physiology and pathophysiology of the feline urinary bladder and urethra. Recent investigations and clinical observations have led to reconsideration of previously prescribed treatments and to the use of new and alternative pharmacologic agents. Pharmacologic agents used in the management of common lower urinary tract disorders in cats, including urinary tract infections, idiopathic lower urinary tract inflammation, urinary incontinence, urine retention, and urinary elimination disorders, are reviewed.

Animals↗
PubMed2004

Microwave endometrial ablation vs. rollerball electroablation for menorrhagia: a multicenter randomized trial.

STUDY OBJECTIVE: To compare the effectiveness, safety, and acceptability of microwave endometrial ablation (MEA) with those of rollerball electroablation (REA) for the treatment of menorrhagia. DESIGN: Randomized clinical trial (Canadian Task Force classification I). SETTING: Eight academic medical centers and private medical practices. PATIENTS: Three hundred twenty-two women with documented menorrhagia due to benign causes. INTERVENTION: MEA or REA. MEASUREMENTS AND MAIN RESULTS: By intent-to-treat analysis, the success rate of MEA at 12 months (87.0%; CI 81.7%-91.2%) did not differ significantly (p = .40) from that of REA (83.2%; CI 74.7%-89.7%). Among evaluable patients, success rate was also similar (p = .24) in the MEA (96.4%; CI 92.7%-98.5%) and REA (92.7%; CI 85.6%-97%) groups. The amenorrhea rate in evaluable patients after MEA was 61.3% (CI 54.1 %-68.2%). In patients with myomas, the success and amenorrhea rates in evaluable patients after MEA were 90.3% (CI 74.2%-98%) and 61.3% (CI 42.2%-78.2%), respectively. In evaluable patients with body mass index of 30 kg/m2 or greater, MEA success rate was 96.7% (CI 88.5%-99.6%) compared with 81.8% (CI 59.7%-94.8%) for REA (p = .042). The ablation procedure was performed under IV sedation in 62% of patients in the MEA group versus 18% of patients in the REA group (p <.001); whereas, general anesthesia was employed more often in patients undergoing REA (37% vs. 76%, p <.001). No major complications were encountered. Patient satisfaction with results of treatment was high (98.5% of the MEA and 99.0% of the REA group). CONCLUSIONS: Microwave endometrial ablation is an efficacious and safe procedure for the treatment of menorrhagia. Over half of patients treated with MEA achieve amenorrhea, and the procedure is suitable for women with myomas and irregular uterine cavities. The procedure is easily learned and can be performed rapidly, under IV sedation in most cases.

Adult↗
PubMed1995

Professional development and change in a learning organization.

There is a growing tendency for learning in the workplace to be seen as a managerial function rather than as the responsibility of educationalists. As managers prepare to take a more active role in facilitating professional education, they need to consider the extent to which their organizational arrangements help or hinder the learning of professional skills. There is a potential risk that the development of important clinical practice skills may be inadvertently overlooked, because of the kind of organizational arrangements in force. This paper outlines alternative approaches to organizational development, explaining the basis for implementing 'holographic principles' when planning a system. A situational analysis carried out in an inner-city community provider unit revealed an alternative, more directive and fragmented arrangement. The analysis is used to illustrate how a focus on developing the organization as a learning environment during periods of rapid and multiple change can also help to promote clinical nursing skills.

Clinical Competence↗
PubMed2004

Hand-assisted laparoscopic nephrectomy: prospective evaluation of the learning curve.

PURPOSE: Laparoscopic nephrectomy (LN) has recently become an emerging standard for extirpative surgery of the kidney. LN has historically proven to have a steep learning curve with longer operative times until a surgeon gains adequate laparoscopic experience. Hand-assisted laparoscopic nephrectomy (HALN) is fast becoming a commonly used procedure to remove kidneys as it may have a reduced learning curve compared to standard LN. To date no prospective studies have evaluated the learning curve of HALN with regard to improvements in operative times and technical difficulty. We prospectively evaluated the learning curve for HALN in a residency training program as it compares to open nephrectomy. MATERIALS AND METHODS: HALN was performed in 30 consecutive patients for various indications. The senior urology resident functioned as the primary surgeon and the same attending surgeon was present throughout all cases. All participating residents had to have performed at least 15 open nephrectomies to serve as an internal, personal reference. Difficulty scores were obtained at the completion of the case from the resident surgeon comparing HALN to open nephrectomy, which ranged from 1 to 5. Operative times, estimated blood losses and lengths of stay were obtained at the time of surgery and hospitalization. RESULTS: Median difficulty score was equivalent to open nephrectomy for the first case but decreased significantly by case 4 (p = 0.0006). Median operative times decreased significantly from 178 minutes in the first cases to 85 minutes by case 6 (p = 0.0002). Estimated blood loss and length of hospitalization did not differ significantly. CONCLUSIONS: HALN has a relatively short learning curve reflected by the rapid decrease in difficulty scores and operative times by case 4. Similar results may be expected when training practicing urologists to perform HALN.

Adult↗
PubMed1992

Facilitator not teacher: a role change for tutors in open learning nursing education.

Open learning is now an established, if rapidly changing, part of post-compulsory education and training in the United Kingdom. It has also developed in significant ways within nurse education. A key role in successful open learning is that of the tutor. Differences between the activities of teaching and facilitation are defined and ways of mapping the tutor's role within these are suggested. Differences in approach can be clustered around the topics of: the locus of control; learning methodology; the learning context and media; and the curriculum. These are discussed in turn to elicit what are the key issues for tutoring in relation to each one.

Curriculum↗
PubMed1976

Recovery from anterograde and retrograde amnesia after percutaneous drainage of a cystic craniopharyngioma.

A case is reported of a cystic craniopharyngioma involving the floor and walls of the third ventricle. Pronounced anterograde and retrograde amnesia were documented preoperatively by formal testing. Rapid improvement in both new learning capacity and remote memory occurred after percutaneous twist drill drainage of the cystic portion of the tumour. The relevance of these observations to the amnesic syndrome and its neuropathological basis is discussed.

Amnesia↗
PubMed2003

Utility of the NIH Stroke Scale as a predictor of hospital disposition.

BACKGROUND AND PURPOSE: Early identification of stroke patients in need of rehabilitation or long-term nursing facility (NF) care may promote more efficient use of health care resources and lead to better outcomes. The NIH Stroke Scale (NIHSS) is an attractive candidate predictor of disposition because it is widely used, is easily learned, and can be performed rapidly on admission. METHODS: We present a retrospective study of stroke patients admitted within 24 hours of symptom onset to a university hospital from March through June 2000. Medical records were reviewed for demographic information, stroke type, prestroke living arrangement and independence, initial NIHSS, and medical complications during hospitalization. RESULTS: Among 94 patients evaluated during the study period, 59% were discharged home, 30% to rehabilitation, and 11% to NF. In multivariate analyses, disposition was associated only with initial NIHSS. For each 1-point increase in NIHSS, the likelihood of going home was significantly reduced (odds ratio, 0.79; 95% CI, 0.70 to 0.89, P<0.001). Categorization of NIHSS was also predictive of disposition, with NIHSS < or =5 being most strongly associated with discharge home, NIHSS 6 to 13 with rehabilitation, and NIHSS >13 with NF (P<0.001). Although no other baseline characteristics predicted disposition, major medical complications during hospitalization tended to reduce the odds of going home (odds ratio, 0.30; 95% CI, 0.08 to 1.0, P=0.07). CONCLUSION: The NIHSS predicts postacute care disposition among stroke patients. Predicting disposition on the first day of admission may facilitate the time-consuming and costly process of securing a bed at rehabilitation or NF, and perhaps decrease unnecessary length of stay in acute care settings.

Hospitalization↗
PubMed1983

Closed partial meniscectomy. Early results for simple tears with mechanical symptoms.

A review is presented of early results of a consecutive series of 45 bucket-handle or flap tears of a meniscus treated by closed partial meniscectomy over a two-year period. The mean operating time was 45 minutes. All patients were treated in hospital and 39 of 41 assessable patients were discharged within 24 hours of operation. The mean time to return to work was 12.9 days. One patient later required arthrotomy to excise a residual nubbin of meniscal tissue which had been incompletely removed and caused pain. At follow-up at a mean of eight months after operation only one patient had temporary mechanical symptoms not explained by further injury or degenerative change. Seven patients who had undergone previous open meniscectomy reported improvement after closed meniscectomy in relation to both pain and disability. It is concluded that closed partial meniscectomy for these common meniscal tears is successful in the early relief of symptoms if all unstable fragments are excised. The technique is difficult to learn but is associated with rapid rehabilitation and a high rate of acceptance by the patient.

Adolescent↗
PubMed1988

Effect of bandwidth knowledge of results on movement consistency.

The effect of "bandwidth" knowledge of results (KR), given only if the subject's response is outside of a certain movement-time bandwidth, on learning and performance of a rapid elbow-flexion movement was examined. Subjects were randomly assigned to one of three feedback groups, a 5% bandwidth group (BW5), a 10% bandwidth group (BW10), or a control group (KR), who received knowledge of results on every trial. Subjects moved a light, horizontal, aluminum lever through 60 degrees in 200 msec., for 100 acquisition trials with KR given depending on group and 25 transfer trials without KR (transfer phase). Although the subjects in the BW10 group received knowledge of results fewer times during acquisition, they showed less within-subject variability than the BW5 and KR groups on the transfer test which suggests that giving KR about a relatively large bandwidth enhances movement consistency.

Adolescent↗
PubMed1986

Expanding the armamentarium for faculty development.

When peers teach in a faculty workshop, a wonderful opportunity is provided for a mutually rewarding experience. The biggest problem was a lack of time to fully develop all of the content with the participants. A full-day workshop was really needed. Evaluations immediately after the workshop were very positive. The four-month follow-up evaluations were also positive; we had a return rate of 70% in the latter time period. We had hoped that the workshop would encourage other components within our nursing school to offer similar exchanges in their areas of expertise. This has not come to pass. All of us who came up with the idea, developed the content, and presented the material felt very good about the role we played in maximizing gerontology expertise and promoting positive attitudes about elderly in our school. Although peer workshops have limitations, especially the lack of depth gained over time in course work, the advantages are many. The time frame is rapid for the learners; the learning is relatively painless and allows for much independent follow-up through annotated bibliographies, discussion, handouts, and tools for teaching. Furthermore, presenters are being recognized for their expertise; preparation time is minimal because the teaching is within their area of expertise and many of the tools and literature are in constant use. It is economically feasible because of the numbers of faculty reached and the resources already available. The positive aspects of the peer workshop coupled with nursing facultys' natural interest and motivation outweigh the disadvantages. The peer workshop becomes an addition to our armamentarium of dynamic and innovative methods for expanding faculty growth and knowledge.

Education, Nursing, Continuing↗
PubMed2026

Artificial Intelligence in Predicting Systemic Complications From Retinal Findings: A New Frontier in Precision Medicine.

Innovations in retinal imaging technologies and growing evidence from retinal imaging of systemic and neurodegenerative diseases have begun to explore the utility of retinal imaging in diagnosing these conditions. Since the retina shares embryological origins with the central nervous system and reflects systemic microvascular characteristics, it is well positioned for noninvasive observation of patients' systemic and neural health. Moreover, accessibility of retinal imaging has improved with the increasing number of ophthalmology clinics. Rapid improvements in various deep learning (DL) tools have also catalyzed the automation of retinal imaging analysis. Systems that utilize DL for retinal imaging are being developed to assist with disease recognition, clinical judgment, and prognostic assessment of systemic health. Various imaging modalities are being integrated with existing genomic and clinical data to estimate an individual's predisposition to certain conditions. Contrary to many existing reviews, the objective of this review is to synthesize the most recent clinical and technological evidence on DL-based diagnostic systems for retinal imaging, with a focus on how different network architectures and their combinations have been developed, validated, and applied across systemic disease detection and prediction. Specifically, this review examines the datasets, model validation approaches, and automated diagnostic systems reported in recent literature. It discusses the extent to which these advancements address existing barriers toward real-time diagnostic application across clinical disciplines. Integrating retinal imaging with DL is an innovative and promising approach to precision medicine and health risk reduction.

artificial intelligence↗
PubMedDate not supplied

[The surgical risk of laparoscopic cholecystectomy].

Laparoscopic cholecystectomy has become the treatment of choice for gallbladder stones. As a matter of fact, the advantages related to the significant reduction of postoperative pain and the early mobilization of the patient, with a decrease of general surgical risk, have been well demonstrated. Also the complications of the surgical wound have been drastically reduced. On the contrary, iatrogenic trocar-related injuries represent specific complications of laparoscopic technique. However, the incidence of these complications, mostly the more severe ones, may be significantly reduced with routine use of the "open" technique. The increased incidence of common bile duct (CBD) injuries in laparoscopic cholecystectomy compared with the conventional technique may be partly explained with the learning curve related to the rapid diffusion of this new approach. An appropriate training, a meticulous operative technique and an early conversion to open procedure in case of intraoperative difficulties may reduce the risk of a CBD injury. In this work the authors' experience of 400 laparoscopic cholecystectomies without CBD injury and major complications is presented. Conversion rate was 5.2% in patients with simple symptomatic cholelithiasis and 37.5% in patients with acute or subacute cholecystitis.

Adolescent↗
PubMed1975

Training procedures and biofeedback methods to achieve controlled partial weight bearing: an assessment.

Limiting weight bearing to a prescribed level is clinically desirable when patients use crutches or canes or wear prostheses. Several training methods currently being used in clinical settings were tested. These included the use of bathroom scales, and several more sophisticated feedback systems, to train normal subjects to limit weight bearing on a protected limb to a target load. It was found that such training was of limited value since subjects, during training and after, often exceeded target loads by 50% or more. Any retained learning was found to diminish rapidly on the first and second days after training. Even when using continuous auditory feedback, overshoot of the target load seemed inevitable due to the time lag between auditory perception and motor response, and the rapid rate of loading of the extremity.

Adolescent↗
PubMed1993

Soviet Jews in the United States: an analysis of their linguistic and economic adjustment.

"This article reviews the literature and analyzes 1980 Census data to study English language fluency and earnings among Soviet Jews [in the United States]. The literature review reveals: 1) the importance of employment and attaining premigration occupational status for self-esteem; 2) the difficulty of adjusting to the wide range of choices in the United States; 3) the greater difficulty and economic importance of learning English; and 4) the rapid linguistic and economic mobility. The multivariate analysis supports the latter two points. Soviet Jews have a difficult initial adjustment, but after five years in the United States they achieve parity in English fluency and earnings with other European immigrants, ceteris paribus."

Acculturation↗
PubMed2003

Wisconsin can prepare and support rural physicians.

The Institute of Medicine of the National Academies in its November 2002 report, Fostering Rapid Advances in Health Care: Learning from System Demonstrations, gives the best vision for American health care I have yet come across. "The health care system of the 21st century should maximize the health and functioning of both individual patients and communities. To accomplish this goal, the system should balance and integrate needs for personal health care with broader community-wide initiatives that target the entire population. The health care system must have well-defined processes for making the best use of limited resources." It is our job in Wisconsin to assure that we have "well-defined processes for making the best use of limited resources" for preparing and supporting physicians in rural communities.

Humans↗
PubMed1991

Endotracheal intubation through the Laryngeal Mask--helpful when laryngoscopy is difficult or dangerous.

The correctly placed Laryngeal Mask will act as a guide to endotracheal intubation in over 90% of adult patients. Although the size of tube is limited to a 6-mm-internal-diameter cuffed oral or nasal pattern tube the technique is easy to learn and can provide a rapid solution when endotracheal intubation is necessary but conventional laryngoscopy is unexpectedly difficult or dental restorations are at risk. Application of cricoid pressure reduces the success rate of the technique; therefore, if this manoeuvre is indicated to reduce the risks of regurgitation, anaesthetists are advised to arrange for its momentary relaxation during the final stages of placement of the Laryngeal Mask and of the endotracheal tube.

Anesthesiology↗