Criss-cross heart three-dimensional printed models in medical education: A multicenter study on their value as a supporting tool to conventional imaging

The utility of three-dimensional (3D) printed models for medical education in complex congenital heart disease (CHD) is sparse and limited. The purpose of this study was to evaluate the utility of 3D printed models for medical education in criss-cross hearts covering a wide range of participants with different levels of knowledge and experience, from medical students, clinical fellows up to senior medical personnel. Study participants were enrolled from four dedicated imaging workshops developed between 2016 and 2019. The study design was a non-randomized cross-over study to evaluate 127 participants' level of understanding of the criss-cross heart anatomy. This was evaluated using the scores obtained following teaching with conventional images (echocardiography and magnetic resonance imaging) versus a 3D printed model learning approach. A significant improvement in anatomical knowledge of criss-cross heart anatomy was observed when comparing conventional imaging test scores to 3D printed model tests [76.9% (61.5%–87.8%) vs. 84.6% (76.9%–96.2%), P < 0.001]. The increase in the questionnaire marks was statistically significant across all academic groups (consultants in pediatric cardiology, fellows in pediatric cardiology, and medical students). Ninety-four percent (120) and 95.2% (121) of the participants agreed or strongly agreed, respectively, that 3D models helped them to better understand the medical images. Participants scored their overall satisfaction with the 3D printed models as 9.1 out of 10 points. In complex CHD such as criss-cross hearts, 3D printed replicas improve the understanding of cardiovascular anatomy. They enhanced the teaching experience especially when approaching medical students.     

Impulsive cognitive style: Three modification techniques

Fifty-five boys aged 8-11, categorized as impulsives by means of the Matching Familiar Figures test, participated in a study comparing the effects of three different techniques, designed to change an impulsive cognitive style on response accuracy and response latency. One group of impulsives was trained to increase response latency by means of modeling and instructions. A second group was trained to increase response accuracy by a strategy of visual detailing. The third group was trained to increase response accuracy by a strategy of visual discrimination. The two groups trained to increase response accuracy showed a significant decrease in errors, as well as an increase in response latency. The “visual discrimination” group had a significantly shorter response latency than the “visual detailing” group. Subjects trained only to increase response latency did show a significant increase in latency; however, there was no decrease in errors.     

Positions Toward Science Studies in Medicine Among University Graduates of Medicine and the Teenaged Participants of the ��Medical Systems�� Study Program

The ??Medical Systems?? program was designed to introduce high school students to the world of advanced medicine. Its premise was to use an applied scientific discipline like medicine to encourage high-school students?? interest in basic science. This study compares the teen-aged graduates of ??Medical Systems?? with fourth and fifth-year medical students. It aims to identify the attitudes of these two groups towards medical science and basic sciences in medicine. The population included 94 graduates of ??Medical Systems?? from schools throughout Israel, who had also completed an advanced-level course in a basic science (biology, chemistry or physics), and 96 medical students from different Israeli universities. The students?? attitudes were measured using West et al.??s questionnaire (Med Educ 16(4):188?C191, 1982), which assesses both the attitude of the participants towards basic science knowledge, and their attitude towards their learning experience in medical school. Nine participants from each group were also interviewed using a semi-structured interview protocol. The results showed essential differences in the attitudes of the two groups. The high school students consider scientific knowledge far more essential for a physician than do the medical students, who also showed a far lower estimation of the effectiveness of their science studies.     

Response Time Comparisons among Four Base Running Starting Techniques in Slow Pitch Softball

Abstract

The purpose of this study was to compare response times among four starting techniques—cross-over step, jab-step, standing sprinter's start, and the momentum start—to determine the fastest start for optimum speed in base running in slow pitch softball. The subjects were 30 adult male amateur softball players. Response time was recorded to the nearest 1/100 second using a Dekan Automatic Performance Analyzer arranged with two starting lights and a stop gate. A one way repeated measures ANOVA indicated that the momentum start was significantly (p < .01) faster than the other starts compared while there were no significant differences among the other starts. Reliability coefficients ranging from .90 to .95, obtained using the intraclass correlation coefficient for multiple trial data, signified no trends among trials and high reliability of the testing procedures and equipment. The results suggested that the momentum start was the fastest starting technique for optimum speed for running bases in slow pitch softball.     

Single landmark feedback-based time optimal navigation for a differential drive robot

In this paper, we propose a feedback-based control approach to execute the time optimal motion trajectories for a differential drive robot. These trajectories are composed of straight lines and rotations in place. We show that the evolution of the position of a single landmark over time, in a local reference frame, makes it possible to track a prescribed time-optimal robot’s trajectory, based on feedback of the landmark’s position. We also show that the closed-loop system is an exponentially stable one with a nonvanishing perturbation, and that globally uniformly ultimately boundedness of the tracking errors can be achieved. The two main results of this work are: 1) Our approach leverages visual servo control type of methods with tools from optimal control for executing time-optimal trajectories in the state space based on feedback information. 2) The approach is able to work with the minimum number of landmarks–only one–this represents a necessary and sufficientcondition for landmark-based navigation. Experiments in a physical robot, a nonholonomic differential drive system equipped with an omnidirectional laser sensor, are shown, which validate the proposed theoretical modelling.