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Copyright of Der Schmerz is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Training helps to maintain and improve sufficient muscle function, body control, and body coordination. These are important to reduce the risk of fracture incidents caused by falls, especially for the elderly or people recovering from injury. Virtual reality training can offer a cost-effective and individualized training experience. We present an application for the HoloLens 2 to enable musculoskeletal training for elderly and impaired persons to allow for autonomous training and automatic progress evaluation. We designed a virtual downhill skiing scenario that is controlled by body movement to stimulate balance and body control. By adapting the parameters of the ski slope, we can tailor the intensity of the training to individual users. In this work, we evaluate whether the movement data of the HoloLens 2 alone is sufficient to control and predict body movement and joint angles during musculoskeletal training.We record the movements of 10 healthy volunteers with external tracking cameras and track a set of body and joint angles of the participant during training. We estimate correlation coefficients and systematically analyze whether whole body movement can be derived from the movement data of the HoloLens 2. No participant reports movement sickness effects and all were able to quickly interact and control their movement during skiing. Our results show a high correlation between HoloLens 2 movement data and the external tracking of the upper body movement and joint angles of the lower limbs. [ABSTRACT FROM AUTHOR]

Background: This study was designed as a randomized experimental study to determine the effect of web-based training on anxiety and depression levels in patients who previously underwent myocardial infarction (MI). Methodology: The study was carried out between January and December 2016 with individuals who applied to two hospitals affiliated to the Ministry of Health because of MI. 65 individuals were randomly assigned to the experimental group and the control group separately. Data were collected with Patient Information Form and Hospital Anxiety Depression Scale and Patient Follow-up Form. While patients in the control group received routine patient notification, a web-based distance education program was applied to the experimental group. Both groups were reevaluated after 3 months. Results: The attitude of the individuals included in the study to exhibit health behaviors, and thus their compliance to treatment, was significantly higher in the experimental group compared to the control group (P < 0.001). The mean anxiety and depression scores of the experimental group were 6.74 ± 3.36 and 6.26 ± 3.16, whereas the mean scores of the control group were 9.66 ± 3.85 and 9.28 ± 3.49, respectively. A significant difference was found between the groups (P < 0.001). Similarly, 20% and 52.3% of the experimental group and 49.2% and 81.5% of the control group had anxiety and depression scores above the threshold, respectively. Conclusion: Web-based remote training is effective in decreasing the anxiety and depression levels in individuals who previously underwent MI. Web-based remote training can be recommended as an effective training method in dealing with life-threatening situations. [ABSTRACT FROM AUTHOR]

The influence of group self-monitoring and self-care training of 204 patients with chronic heart failure of II-IV functional class according to NYHA (average age - 58.7 ± 12.9 years) on functional status, quality of life, exercise tolerance, echocardiography indices, rate of adverse events development was studied. The duration of follow-up period was 6 months. Self-monitoring and self-care training of patients with CHF contributed to functional status improvement, quality of life improvement and exercise tolerance. The following results were noted: therapy high compliance maintenance, rate and risk of repeated admissions associated with CHF decompensation reduction, left ventricular ejection fraction increase in group training group. [ABSTRACT FROM AUTHOR]

Copyright of dentalTarget is the property of dentalTarget and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Istanbul Faculty of Medicine / İstanbul Tıp Fakültesi Dergisi is the property of Istanbul Tip Fakultesi Dergisi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aims and objectives This study was to determine the effect of preoperative patient training on the concern level of patients who would be undergoing cataract surgery. Background Cataract is one of the main causes of blindness in the world. Cataract surgery is located among the quite frequently performed surgeries today. Design This study was an experimental study. Methods The subject pool for this research consisted of patients admitted to the Eskisehir Osmangazi University Medical Faculty Hospital Ophthalmology Department for cataract surgery. The sampling consisted of volunteers who were able to communicate and were deemed suitable patients within the limitations of this study (a total of 100 patients; control group = 50, experimental group = 50). Patient identification forms and the State Trait Anxiety Inventory I-II scale were used as data collection tools. Results The mean State Trait Anxiety Inventory pretest score for the experimental group was significantly higher than the mean final test score (53·30 ± 7·02 and 27·54 ± 3·25, respectively, p < 0·05). The mean State Trait Anxiety Inventory pretest score of the control group was 53·82 ± 7·42 and the mean final test score was 49·22 ± 13·17; there was no significant difference between these average scores ( p > 0·05). However, the mean final test scores of the experimental and control groups were significantly different ( p < 0·05). Conclusions In the experimental group in this study, informative, educational and planned nursing care had a significant impact on anxiety levels in patients who had cataract surgery. Relevance to clinical practice Although it is not implemented in most hospitals, and implementation in some hospitals is unplanned, systematically planned preoperative education should take place as part of standard nursing practices. [ABSTRACT FROM AUTHOR]

Kinematic computed tomography (CT) allows identification of fine positional anomalies of bones during motion and under stress and has a potential role in the evaluation of dynamic joint diseases. The increasing width of CT detector systems has made kinematic CT clinically available. Information on acquisition protocol, patient preparation, and the influence of motion on image quality is scarce in the literature despite the obvious importance for the clinical application of this technique. In this article we review the current knowledge on the relation between motion and artifacts, recommendations for the acquisition protocol, as well as current indications for kinematic CT. [ABSTRACT FROM AUTHOR]

Background: Simulation has been associated with positive educational benefits in the training of healthcare professionals. It is unknown whether the use of simulation to supplement patient training for home hemodialysis (HHD) will assist in improving a patient's transition to home. We aim to assess the impact of simulation training on home visits, retraining and technique failure. Methods: Since February 2013, patients training for HHD are required to dialyze independently in a dedicated training room (innovation room) which simulates a patient's home prior to graduation from the program. We performed a single-center retrospective, observational, cohort study comparing patients who completed training using the innovation room(n = 28) versus historical control (n = 21). The outcome measures were number of home visits, retraining visits and technique failure. Results: Groups were matched for age, gender, race, body mass index and comorbidities. Compared with controls, significantly more cases had a permanent vascular access at the commencement of training (57.1 versus 28.6%, χ² P = 0.04). Cases spent a median of 2 days [IQR (1.75)] in the innovation room. Training duration was not statistically different between groups {cases: median 10.0 weeks [IQR (6.0)] versus controls: 11.0 [IQR (4.0)]}. Compared with controls, cases showed a trend towards needing less home visits with no difference in the number of re-training session or technique failure. Conclusions: Simulation-based teaching in NHHD training is associated with a trend to a reduction in the number of home visits but had no effect on the number of re-training sessions or proportion of patients with technique failure. [ABSTRACT FROM AUTHOR]

Introduction: The aim of this study was to assess the knowledge and skill of clinical residents in Tabriz University of Medical Sciences, northwestern Iran, (as the future specialists), as well as their attitudes on the necessity of patient education, and the practice and responsibility of the residents in this field. Methods: Knowledge, attitudes, and practices of a random selection of 380 clinical residents at Tabriz University of Medical Sciences were assessed in 2011 through a comprehensive questionnaire about education. The data were analyzed using SPSS software. Results: There was no significant relationship between the two variables of sex and study period and the knowledge variable during the residency. However, there was a significant positive correlation between knowledge and age variables (P<0.05). The level of knowledge rose with aging because the amount of the model significance was less than 0.05. Besides, the coefficient of sex was positive by regression analysis. There was no significant relationship between the previous variables and attitude variable. No significant relationship was seen between the previous variables and practice variable. Conclusion: The influence of age, sex, and year of study was apparent in the knowledge of the residents, but no considerable influence was shown in their practices and attitudes. Some educational strategies are needed to improve the practices and attitudes of the training group. [ABSTRACT FROM AUTHOR]

There are approximately 100 000 people in the UK who have been diagnosed with multiple sclerosis (MS). Long-term adherence by patients to the widely used treatment disease modifying therapies (DMTs) can be a challenge. The aim of this survey was to understand the critical points of contact where homecare support could impact adherence and provide suggestions to improve the homecare support services provided to MS patients. Homecare support is defined as any sponsored patient support programme from a homecare company. Surveys were sent to 5 025 MS patients and 150 MS nurses working within the NHS. Completed survey responses were obtained from 1 868 MS patients (37%) and 42 MS nurses (28%). Patients and specialist nurses reported that training and support in the early stages of treatment could influence adherence, particularly when that training is tailored specifically to the patients' requirements and unlimited by time and resources. [ABSTRACT FROM AUTHOR]

Ozcan H, Findik UY, Sut N. International Journal of Nursing Practice 2010; 16: 289–294 Information level of patients in discharge training given by nurses following open heart surgery Providing discharge information following a surgery is one of the most common nursing approaches. Patients should be given discharge training after open heart surgery in order to eliminate or reduce physical and emotional problems. The study aims to assess the information level of patients in discharge training provided by nurses following open heart surgery. The study is a prospective study including 50 patients who underwent open heart surgery. The information level of patients who received discharge training was assessed before training and 1 month after the training. Data were collected using the personal information form, and pretest and post-test questionnaires. Data were assessed by using percentage, McNemar chi-squared, Wilcoxon signed ranks and stepwise linear regression analysis tests. Results indicated that patients were well informed following discharge training ( Z = −6.166, P < 0.05), and that age and marriage variables affected the information level ( P = 0.032, P = 0.045, respectively). Discharge training following open heart surgery increases the knowledge of patients and should be given to patients in a planned manner. [ABSTRACT FROM AUTHOR]

Brain-computer interfaces based on fMRI enable real-time feedback of circumscribed brain regions to learn volitional regulation of those regions. This is an emerging field of intense research, with potential for multiple applications in neuroscientific research in brain plasticity and reorganization, movement restoration due to stroke, clinical rehabilitation of emotional disorders, quality assurance of fMRI experiments, and teaching functional imaging. This article presents a general architecture of an fMRI-BCI, with descriptions of each of its subsystems, and factors influencing their performance. The study has attempted to describe and compare a variety of approaches toward signal acquisition, preprocessing, analysis, and feedback. Technological advancement in higher-field MRI scanners, data acquisition sequences and image reconstruction techniques, preprocessing algorithms to correct for artifacts, more intelligent and robust analysis and interpretation methods, and faster feedback and visualization technology are anticipated to make fMRI-BCI widely applicable. FMRI-BCI could potentially be used for training patients to learn self-regulation of specific brain areas for transferring them later on to a more portable EEG-BCI system. FMRI-BCI has the potential of establishing itself as a tool for neuroscientific research and experimentation and also as an aid for psychophysiological treatment. [ABSTRACT FROM PUBLISHER]

Copyright of Der Nephrologe is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Allergic rhinitis is an inflammatory disease often associated with bronchial asthma. Intranasal corticosteroids and oral antihistamines are the first-choice drugs. Patient training is relevant to asthma management, but little is known about its impact on rhinitis. We evaluated the role of patient training in the treatment of allergic rhinitis and its effects on nasal and bronchial symptoms. Methods: One hundred and one patients (M/F=62/39, age range 12–62 years) with pollen-induced rhinitis (32 with concomitant mild asthma) were enrolled. They were randomized into three groups: A (n=30) with drug therapy alone, B (n=35) with drug therapy plus training on the use of nasal spray, and C (n=36) the same as B plus a lesson on rhinitis and asthma. All patients received mometasone furoate nasal spray for 8 weeks as regular therapy, plus rescue medications on demand. Symptoms and drug consumption were evaluated during the pollen season. Results: The rate of noncompliance/dropout was highest in the untrained patients (P=0.001). No difference in nasal symptoms was seen among the three groups. On the other hand, group C had significantly fewer asthma symptoms (P=0.02) and less albuterol use (P=0.005) than group A. Moreover, the trained group globally used less rescue medication than the other groups (P=0.02). Conclusions: Detailed training of patients seems to improve compliance with treatment, reduce concomitant asthma symptoms, and reduce the use of symptomatic drugs. [ABSTRACT FROM AUTHOR]