Learning of musculoskeletal ligament stress testing in a gross anatomy laboratory     

Krause DA  Youdas JW  Hollman JH 《Anatomical sciences education》2011,4(6):357-361

Human anatomy in physical therapy programs is a basic science course serving as a foundation for subsequent clinical courses. Integration of anatomy with a clinical emphasis throughout a curriculum provides opportunities for reinforcement of previously learned material. Considering the human cadaver laboratory as a fixed cost to our program, we sought opportunities to add value to the resource via vertical integration into a clinical skills course taught later in the curriculum. We designed an opportunity for second-year physical therapy students to revisit the human anatomy laboratory to study select clinical musculoskeletal tests and the associated anatomy in a clinically relevant context. Students performed select orthopedic ligament test on human cadavers, then incised specific structures and repeated the tests. Students were able to feel and visualize the function of pertinent anatomy associated with the clinical tests. Ninety-five percent of respondents reported that the ligament stress testing experience enhanced their understanding of orthopedic clinical tests with 91% reporting an enhanced understanding of anatomy related to specific clinical tests. Likewise, the experience was perceived as enjoyable and valuable with 86% of respondents reporting the experience as enjoyable and 100% responding the experience should continue as part of the curriculum.  相似文献   

Surgeons as medical school educators: an untapped resource     

Haubert LM  Way D  DePhilip R  Tam M  Bishop J  Jones K  Moffatt-Bruce SD 《Anatomical sciences education》2011,4(4):182-189

Despite extensive experience teaching residents, surgeons are an untapped resource for educating medical students. We hypothesized that by involving surgeons as teachers earlier in the medical school curriculum, medical students' interest in surgery will increase and their opinions of surgeons will improve. Five programs designed to involve surgeons as educators in the medical school curriculum were implemented. The first program, started in 2008, introduced surgical faculty into the first-year medical student anatomy dissection laboratories. Other programs initiated in 2008 included: Surgical Clinical Correlates in Anatomy, which involved faculty teaching through cadaver surgery; Clinical Pathologic Conferences in Anatomy, a surgeon-led conference based on clinical cases; and a women's faculty-student mentorship program. Table Rounds, a surgeon-led anatomy review that used clinical scenarios to quiz students was begun in 2009. All five programs were successfully integrated into the medical school curriculum. While student opinion of surgeons as educators improved, there were no significant changes in student interest in surgery as a career nor change in performance on written examinations over the Anatomy content covered by the surgeons. Surgical faculty and trainees can be integrated into the medical school curriculum. Involving surgeons as educators earlier in the medical school curriculum may have longer term effects than could be observed in this study. At a minimum, the experience improved student opinion of surgeons as educators.  相似文献   

Team-based learning in anatomy: an efficient, effective, and economical strategy     

Vasan NS  DeFouw DO  Compton S 《Anatomical sciences education》2011,4(6):333-339

Team-based learning (TBL) strategy is being adopted in medical education to implement interactive small group learning. We have modified classical TBL to fit our curricular needs and approach. Anatomy lectures were replaced with TBL that required preparation of assigned content specific discussion topics (in the text referred as "discussion topics"), an individual self-assessment quiz (IRAT), analysis of the discussion topics, and then the team retaking the same quiz (GRAT) for discussion and deeper learning. Embryology and clinical correlations were given as lectures. Unit examinations consisted of graded IRAT and GRAT. The National Board of Medical Examiners (NBME) Subject Examination was the comprehensive final examination. To evaluate the effect of TBL on student performance we compared the departmental and NBME subject examination scores between the traditional and TBL curricula. We collected five years of data on student performance in TBL-based anatomy and lecture-based preclinical courses. Our results show that departmental and NBME subject examination scores for TBL-based anatomy were higher than those for lecture-based anatomy. We subsequently compared average NBME scores for anatomy with those in other preclinical courses that were lecture-based. Average NBME anatomy scores were significantly higher than those for all the lecture-based preclinical courses. Since the introduction of TBL in anatomy, student performance has progressively improved in the NBME subject examination. Students perceived TBL as a motivator to be a responsible team member and to contribute to collective learning by the team. Further, it reinforced self-directed learning and fostered an appreciation for peer respect. Interestingly, these perceptions were uniform irrespective of student course performance.  相似文献   

Intersample optimization in a sampled-data control system using the redundancy of a dual-rate system     

R. Yasui  N. Kawaguchi  T. Sato  A. Inoue 《Journal of The Franklin Institute》2021,358(8):4483-4502

The present study discusses the design method for controlling a single-input/single-output linear time-invariant dual-rate system, where the sampling interval of the plant output is longer than the holding interval of the control input. In such a dual-rate system, the intersample output might oscillate even when the sampled output converges to the reference input in the steady state. In a conventional ripple-free method, an existing control law is extended by introducing an exogenous variable, which is independent of the discrete-time sampled response, and the exogenous variable is designed for eliminating the steady-state intersample ripples without changing the existing sampled response. In another method, since a control law is designed such that the intersample performance is optimized, the intersample ripples are eliminated in the transient as well as steady states. However, the preservation of an existing sampled response is not taken into account. The present study proposes a new design method for eliminating the intersample ripples subject to the existing sampled response. In the proposed method, the continuous-time index is optimized subject to the existing discrete-time response. As a result, the intersample ripples are eliminated in the transient as well as steady states, and the existing discrete-time sampled response is maintained. The proposed method is compared to the conventional dual-rate design methods in numerical examples, and the effectiveness of the method is demonstrated.  相似文献   

A novel control Lyapunov-Krasovskii functional methodology for simultaneous stabilization of a set of multiple time-delays nonlinear systems     

A. Dastaviz  T. Binazadeh  Y. Cui 《Journal of The Franklin Institute》2021,358(12):6101-6120

This paper considers the simultaneous stabilization of a set of nonlinear systems, that involve uncertain nonlinearities besides multiple time-varying delays in the states. Under the assumption that the upper bounds of delays are known, a memoryless simultaneously stabilizing state feedback controller is presented by proposing a control Lyapunov-Krasovskii functional (CL-KF) method. As required to establish the CL-KF approach, a systematic procedure is given to construct CL-KFs for the systems under consideration. By the obtained CL-KFs, a common stabilizing state feedback control law is established to drive all the systems to the origin. Examples are finally given to verify the benefit of the proposed design method.  相似文献   

Biomechanics and visual-motor control: how it has, is, and will be used to reveal the secrets of hitting a cricket ball   总被引：1，自引：0，他引：1  

Sarpeshkar V  Mann DL 《Sports biomechanics / International Society of Biomechanics in Sports》2011,10(4):306-323

Cricket batting is an incredibly complex task which requires the coordination of full-body movements to successfully hit a fast moving ball. Biomechanical studies on batting have helped to shed light on how this intricate skill may be performed, yet the many different techniques exhibited by batters make the systematic examination of batting difficult. This review seeks to critically evaluate the existing literature examining cricket batting, but doing so by exploring the strong but often neglected relationship between biomechanics and visual-motor control. In three separate sections, the paper seeks to address (i) the different theories of motor control which may help to explain how skilled batters can hit a ball, (ii) strategies used by batters to overcome the (at times excessive) temporal constraints, and (iii) an interpretation from a visual-motor perspective of the prevailing biomechanical data on batting.  相似文献   

Embedded programming and real-time signal processing of swimming strokes   总被引：2，自引：1，他引：1  

T. Le Sage  A. Bindel  P. P. Conway  L. M. Justham  S. E. Slawson  A. A. West 《Sports Engineering》2011,14(1):1-14

The research outlined in this paper was conducted to allow real-time processing, transmission and presentation of data to swimming coaches and subsequently their swimmers in a training environment, focused on providing information relevant to strokes in free swimming. This was achieved using a wearable wireless sensor and embedded programming techniques, using accelerations involved in the swimming stroke to provide relevant features for coaches. Current methods used do not offer real-time response to coaches, which results in the lack of real-time feedback and significantly increased post-session analysis time. Filtering and signal processing algorithms are described here, which allow real-time data analysis to be embedded within a wireless sensor node. The system significantly reduces the time for processing acquired data and has delivered a novel monitoring device suitable for operation within the harsh environment of the pool.  相似文献   

Whole-body predictors of wrist shot accuracy in ice hockey: a kinematic analysis     

Michaud-Paquette Y  Magee P  Pearsall D  Turcotte R 《Sports biomechanics / International Society of Biomechanics in Sports》2011,10(1):12-21

The purpose of this study was to identify joint angular kinematics that corresponds to shooting accuracy in the stationary ice hockey wrist shot. Twenty-four subjects participated in this study, each performing 10 successful shots on four shooting targets. An eight-camera infra-red motion capture system (240 Hz), along with passive reflective markers, was used to record motion of the joints, hockey stick, and puck throughout the performance of the wrist shot. A multiple regression analysis was carried out to examine whole-body kinematic variables with accuracy scores as the dependent variable. Significant accuracy predictors were identified in the lower limbs, torso and upper limbs. Interpretation of the kinematics suggests that characteristics such as a better stability of the base of support, momentum cancellation, proper trunk orientation and a more dynamic control of the lead arm throughout the wrist shot movement are presented as predictors for the accuracy outcome. These findings are substantial as they not only provide a framework for further analysis of motor control strategies using tools for accurate projection of objects, but more tangibly they may provide a comprehensive evidence-based guide to coaches and athletes for planned training to improve performance.  相似文献   

Getting the Slogan Right     

David F. Kohl  Editor in Chief 《The Journal of Academic Librarianship》2011,37(3):195-196

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Walt Crawford, Open Access: What You Need to Know NowAmerican Library Association, Chicago (2011) 978-0-8389-1106-8 80 pp. $45.00.     

David Gibbs 《The Journal of Academic Librarianship》2011,37(5):452-453

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