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Watch One, Do One? A Systematic Review and Educational Analysis of YouTube Microsurgery Videos, and a Proposal for a Quality Assurance Checklist

  • Fernandez-Diaz, Oscar F.;Navia, Alfonso;Berner, Juan Enrique;Ahmad, Fateh;Guerra, Claudio;Ragbir, Maniram
    • Archives of Plastic Surgery
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    • v.49 no.5
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    • pp.668-675
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    • 2022
  • Background Educational resources on the internet are extensively used to obtainmedical information. YouTube is the most accessed video platform containing information to enhance the learning experience of medical professionals. This study systematically analyzed the educational value of microsurgery-related videos on this platform. Methods A systematic review was conducted on YouTube from April 18 to May 18, 2020, using the following terms: "microsurgery," "microsurgical," "microsurgical anastomosis," "free flap," and "free tissue transfer." The search was limited to the first 100 videos, and two independent reviewers screened for eligible entries and analyzed their educational value using validated scales, including a modified version of the DISCERN score (M-DISCERN), Journal of the American Medical Association (JAMAS) benchmark criteria, and the Global Quality Score (GQS). Evaluation of video popularity was also assessed with the video power index (VPI). Results Of 356 retrieved videos, 75 (21%) were considered eligible. The educational quality of videos was highly variable, and the mean global scores for the M-DISCERN, JAMAS, and GQS for our sample were consistent with medium to low quality. Conclusions A limited number of videos on YouTube for microsurgical education have high-educational quality. The majority scored low on the utilized criteria. Peer-reviewed resources seem to be a more reliable resource. Although the potential of YouTube should not be disregarded, videos should be carefully appraised before being usedas an educational resource.

Which Information of ICF Was Collected to Understand Our Clients?

  • Song, Jumin;Lee, Haejung
    • The Journal of Korean Physical Therapy
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    • v.28 no.2
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    • pp.77-87
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    • 2016
  • Purpose: The purpose of the study was to review functioning components of studies for measuring functional information using International Classification of Functioning, disability and health (ICF) in Korea. Methods: A literature review was conducted and eligible studies were identified via search of RISS, KISS, DBpia, KoreaMed, PubMed, and ISI databases published from 2001 to 2015. For inclusion in this review, a study should be published in a peer-review journal, must have participation of Korean researchers and/or developed in Korea, and should provide functioning data related ICF. Descriptive studies containing only ICF concepts and review studies were also excluded. Collected functioning data in each study were analyzed using frequency based on ICF domain. Data assessment was performed by two independent reviewers. Results: Eighty publications were included in the analysis. The majority of studies collected data from clinical patients (n=38) and from the disabled (n=28). Fourteen studies assessed functioning data from the elderly and students under special education. The studies reported functioning data using various tools, including ICF itself, ICF checklist, coresets, and conventional measurement tools. Body function domain was most commonly used and the least used domain was the body structure across areas. Interestingly, increasing data related to environmental factors was observed in all studied populations. Conclusion: Functioning data was collected from four domains of ICF across professional areas. The most common collected data was body function and activity and participation for which conventional measurement tools are already available. To understand clients, components of environmental factors that might influence a person's functioning should be considered.

Review on Science and Invention-gifted Students Having Social and Emotional Problem (사회-정서적 어려움을 겪고 있는 과학영재에 대한 고찰)

  • Lyu, Eun-Joo;Kim, Jung-Eun;Paik, Seoung-Hey
    • Journal of Gifted/Talented Education
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    • v.21 no.3
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    • pp.659-682
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    • 2011
  • The objective of this research is to search the solution for the difficulties of science and invention gifted middle school students with social and emotional problems that they are faced. The result of this research has shown that the gifted students were feeling difficulties of low self-esteem in their peer relationships, communication and cooperation skills. They were feeling less confident in their stress processing capacity and their multi-processing capacity. Some were also troubled with the intense expectations from their environment and theirselves which led them to feel confusion in their identities and their future. Therefore, instead of education focused on academic achievement and cognitive activity, present education for the gifted must focus on helping to solve the student's social and emotional problems and to strengthen social and emotional skills they need. To achieve this, the education for the gifted students should include a social-emotional learning program, and it should also run a continued and personalized consultation program for gifted students.

Effectiveness of Worksite Intervention on Stress Management: An Analytic Literature Review

  • Park Kyoung-Ok
    • Korean Journal of Health Education and Promotion
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    • v.21 no.4
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    • pp.15-33
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    • 2004
  • With growing significance of psychological well-being in the worksite, the purpose of this analysis was to overview the empirical studies on worksite stress management and to identity the overall effect of worksite health promotion programs on stress management through meta-analysis. Literature retrieval was conducted on-line first in MEDLINE, EBSCOhost Academic Search Premier, and PSYCHINFO databases in public health, psychology, sociology, and human resource management areas. All studies written in English and published in the peer-reviewed journals during 1990 and 2002 were recruited. Key words used in literature retrieval were 'worksite,' 'intervention,' 'program,' 'work stress,' 'strain,' 'burnout,' 'management,' 'prevention,' 'education,' and 'health promotion.' A total of 18 worksite intervention studies with 48 effect sizes were analyzed and the results were as follows. Approximately 60% of the studies had quasi-experimental design and were conducted in manufacturing company and public sector. General psychological strains and burnout were frequently used measures of psychological stress. The lecturing and discussion typed intervention and the participatory problem-solving typed intervention were employed more than others in the studies. The average effect (r: pearson's simple correlation coefficient) weighted by sampling error was -0.14 (-0.32 to 0.05). In the conventional category of effects this is a small effect ranging from -0.59 to 0.05. Binomial effect size showed that success rates increased from 43% without intervention to 57% after an intervention. Sampling error explained 47.14% of the observed variance and its effectiveness on stress management were heterogeneous. In regression analysis with suspected moderating factors affecting the worksite interventions, research design was the only significant moderating factor. The studies with quasi-experimental design had greater effects than the studies with experimental design.

The effects of maternal-child nursing clinical practicum using virtual reality on nursing students' competencies: a systematic review (가상현실을 이용한 모아간호 실습교육이 간호 대학생의 실습역량에 미치는 영향: 체계적 문헌고찰)

  • Hwang, Sungwoo;Kim, Hyun Kyoung
    • Women's Health Nursing
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    • v.28 no.3
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    • pp.174-186
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    • 2022
  • Purpose: This study aimed to investigate the effects of virtual reality used in maternal-child nursing clinical practicums on nursing students' competencies through a systematic review. Methods: The inclusion criteria were peer-reviewed papers in English or Korean presenting analytic studies of maternal-child nursing practicums using virtual reality. An electronic literature search of the Cochrane Library, CINAHL, EMBASE, ERIC, PubMed, and Research Information Sharing System databases was performed using combinations of the keywords "nursing student," "virtual reality," "augmented reality," "mixed reality," and "virtual simulation" from February 4 to 15, 2022. Quality appraisal was performed using the RoB 2 and ROBINS-I tools for randomized controlled trials (RCTs) and non-RCTs, respectively. Results: Of the seven articles identified, the RCT study (n=1) was deemed to have a high risk of bias, with some items indeterminable due to a lack of reported details. Most of the non-RCT studies (n=6) had a moderate or serious risk of bias related to selection and measurement issues. Clinical education using virtual reality had positive effects on knowledge, skills, satisfaction, self-efficacy, and needs improvement; however, it did not affect critical thinking or self-directed learning. Conclusion: This study demonstrated that using virtual reality for maternal-child nursing clinical practicums had educational effects on a variety of students' competencies. Considering the challenges of providing direct care in clinical practicums, virtual reality can be a viable tool that supplements maternal-child nursing experience. Greater rigor and fuller reporting of study details are required for future research.

The Relationship Between Levels of Serum Testosterone and Prostate-specific Antigen in Healthy Men: An Integrative Review (성인 남성의 혈청 테스토스테론 농도와 전립선 특이항원의 관계에 대한 통합적 고찰)

  • An, Gyeong-Ju
    • Journal of Korean Biological Nursing Science
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    • v.22 no.2
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    • pp.71-80
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    • 2020
  • Purpose: The purpose of this study was to review primary research exploring the correlations between the levels of serum testosterone and the prostate-specific antigen (PSA) in healthy men without prostate diseases. Methods: An integrative review was conducted using the Whittemore & Knafle (2005) framework. The keywords, 'testosterone & prostate-specific antigen', 'testosterone & PSA' and 'healthy men' were used to search peer-reviewed publications in six databases. Among 1,959 searched articles, eleven articles were selected after excluding articles that do not meet inclusion criteria. Literature quality was moderate (Level 3). Results: As a result of this study, it was confirmed through the nine articles that healthy adult men showed no significant correlation between the serum testosterone and the PSA. Conversely, two articles presented that the serum PSA correlate positively with the testosterone. In particular, it is inferred that the effect of the serum testosterone and the PSA secreted into a 24-hour circadian rhythm with different amplitudes and slopes would have had great influence. However, it does not consider the factors affecting the testosterone and the PSA, such as race, liver disease, and BMI, so there is insufficient empirical data to clearly explain the relationship between the testosterone and the PSA. Conclusion: The correlation between the serum testosterone and the PSA in healthy adult men is insignificant in relation to the circadian rhythm of the testosterone and the PSA secretion. It is that a large-scale study including various influencing factors using new biochemical indicators such as pro PSA be conducted in the future.

GNUnet improvenemt for anonymity supporing in large multimedia file (대형 멀티미디어 파일의 익명성 지원을 위한 수정 GNUnet)

  • Lee Myoung-Hoon;Park Byung-Yeon;Jo In-June
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2006.05a
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    • pp.81-90
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    • 2006
  • The GNUnet proposed a file encoding method by 1KB block size to support anonimity of files, decentralizes encoded block to peers through unstructed mode and original data decoding method a block searching or encoded blocks. but, the encoding and block decentralizing method with $600\sim700MB$ large multimedia file appered two problems. First problem, it need addition R block and I block, which make about 4% of storage resource. Second problem, unstructured model added network load by broadcasting decentralizing method. Third problem, The critical point of keyword search function. This paper suggest variable encoding block size and structured model by block decentralizing solution. Suggested encoding method reduced block request supplementary block generation from 4% to 1%, network load by proposal structured model sending answer through dedicated peer to decentralize block and we defined content-based keyword and identifier of sharing file.

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An Integrative Literature Review on Sexual Abuse Prevention Education Programs for Elementary School Students in South Korea (한국의 초등학생을 대상으로 한 성폭력 예방 교육 프로그램에 관한 통합적 고찰)

  • Shin, Hyewon;Lee, Jung Min;Kang, Kyung-Ah;Kim, Shin-Jeong
    • Child Health Nursing Research
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    • v.25 no.4
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    • pp.435-448
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    • 2019
  • Purpose: The purpose of this study was to review sexual abuse prevention education program for Korean elementary school students. Methods: Whittemore and Knafl's integrative review methods were used and Gough's weight of evidence was employed as a quality appraisal tool. Articles published in Korean or English were identified through electronic search engines and scholarly web sites using three keywords: "elementary school student", "sexual abuse", and "prevention education". Peer-reviewed articles published between 2000 and 2018 were included in this review. Results: Twelve articles met the inclusion criteria and were appraised as being high-quality. Among the 12 selected studies, seven were descriptive, while five were intervention studies. Sexual abuse prevention education programs were effective in improving perceptions, knowledge, attitudes, and preventive behaviors among elementary school students. However, deficiencies were found in the variety of educational methods, utilization of experts, and standardization of the content of sexual abuse prevention education. Conclusion: We need to provide various educational methods that are appropriate for specific developmental stages, and the sexual abuse prevention content should draw upon the current sexual education program administered to this population. Furthermore, parents and trained teachers or school health teachers should be included to provide effective education programs for elementary students.

Systematic Review of Patient-Reported Outcomes and Complications of Pedicled Latissimus Flap Breast Reconstruction

  • Emanuela C. Peshel;Claire M. McNary;Catherine Barkach;Elizabeth M. Boudiab;Daniella Vega;Farid Nossoni;Kongkrit Chaiyasate;Jeremy M. Powers
    • Archives of Plastic Surgery
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    • v.50 no.4
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    • pp.361-369
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    • 2023
  • The latissimus dorsi (LD) flap is a reliable option for breast reconstruction. This is particularly true in patients with contraindications to abdominally based autologous breast reconstruction. A systematic review of patient satisfaction and health related quality of life following LD breast reconstruction using the BREAST-Q survey was conducted. The scope of the review was to determine the degree of patient satisfaction following the procedure and to examine how patient satisfaction from the pedicled LD flap compares to other breast reconstructive procedures. A literature search on BREAST-Q in LD flap reconstruction was performed. Only articles written in English and in published peer-reviewed journals were included. Studies with less than 20 patients in their sample and those with a follow-up period of less than 1 year were excluded. Five articles representing 331 patients were reviewed, including one case-control study and four retrospective cohort studies. Level of evidence was either III (4) or IV (1). The average age was 53 with average body mass index of 25. Most reconstructions were delayed (67%) and unilateral (88%), and most patients required radiation (79%). The average length of follow-up was 36 months, and the response rate was 75%. Overall, patients who underwent LD flap reconstruction reported favorable outcomes in satisfaction domains and quality of life domains with few complications. A meta-analysis also demonstrated higher satisfaction in LD flap without implants compared with LD flap with implants. Patient-reported outcomes following LD breast reconstruction compare favorably with other techniques of breast reconstruction.

An Analysis on Teacher Librarians' Self-reported Appraisals about School Library-based Instruction (도서관 활용수업에 대한 사서교사의 자기평가 분석)

  • Song, Gi-Ho
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.27 no.3
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    • pp.5-23
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    • 2016
  • The aim of this study is to analyze the effect and limitation of teacher librarians' self-reported appraisals and suggest it's activation plans about school library based instruction (SLBI). According to results of analyses, the SLBI begin with subject teachers' demand for learning materials and teacher librarians play their educational role in Information search & access and representation & synthesis of information during the instruction. Compared with previous studies, the limitations of SLBI we can see in this study are restricted role of teacher librarians, exclusive attitude and antipathy to classroom opening of subject teachers under the SLBI. The bars of promoting the SLBI are also the difficulty of collaborative working with several same subject teachers and subject classroom system. The ways of activating the SLBI suggested in their self-reported appraisals are building intimacy with subject teachers and participating actively curriculum council, peer-supervision and demonstration classes.