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Many flight simulators today are made to provide a realistic environment for training. However, they often lack the possibility of providing pedagogical feedback to the person in training as well as feedback to any instructor leading the training. The purpose of this paper was to evaluate the usefulness of several pedagogical tools embedded in a flight simulator and to examine their potential for increasing training efficiency. Twenty students and instructors from the Swedish Air Force Flying Training School volunteered in this study. Seven embedded pedagogical tools were assessed using questionnaires. There was a quite consistent opinion in favor of the pedagogical tools implying that the embedded pedagogical tools is the way forward in training simulator development. The results from the present study are believed to be equally valid in many other areas besides flight simulators.

Proton pump inhibitors (PPIs) are the most commonly used pharmacological treatment for gastroesophageal reflux disease (GERD).To examine the utilization patterns of PPIs and other GERD-related medications, satisfaction with PPI treatment and presence of GERD symptoms.GERD patients using prescription PPIs were identified from a mixed-model HMO health plan. Utilization patterns of PPIs and other GERD medications, satisfaction with PPI treatment and presence of GERD symptoms were assessed using questionnaires.Among the 617 patients who completed the survey, 71.0% used PPIs once a day (QD), 22.2% used twice a day (BID) and 6.8% more than twice a day or on an as-needed basis. Approximately 42.1% of all patients supplemented their prescription PPIs with other GERD medications, including over-the-counter medications and H(2)-receptor antagonists. Over 85% of the patients still experienced GERD symptoms and 82.7% nighttime symptoms. Overall, 72.8% of all patients were satisfied or very satisfied with their PPI treatment.The study used self-reported data which may have been subject to recall bias. As the study was conducted in a specific region of the US, the results may have limited generalizability to other US regions or countries.Patients on PPI treatment often experience GERD symptoms and supplement their prescription PPIs with other GERD medications. A substantial proportion of GERD patients receiving PPI treatment are on a BID regimen. Furthermore, more than a quarter of the patients are not completely satisfied with their PPI treatment.