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Care as a creative practice: comics, dementia and graphic medicine. 护理作为一种创造性的实践:漫画、痴呆症和图形医学。
IF 1.4 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-01-01 DOI: 10.1080/17453054.2023.2216249
Sathyaraj Venkatesan, Livine Ancy A

Care paves efficient ways to sustain life during illness, nonetheless, caring for a chronically ill person is a hard, demanding, tedious and unglamorous work, often fraught with challenges. In contrast, creativity refers to a generative process that brings something new into existence. For instance, creativity implies a moment of discovery, the birth of new ideas, crossing existing boundaries among others. Perfusing creativity with care practices mitigates the difficult experiences, and aid in the healthy management of challenges put forth by the illness. The present article after elaborating on how creativity transforms care as a meaningful and constructive life-changing practice in the context of one of the chronic illnesses, dementia/AD, and briefing on graphic medicine-an interdisciplinary field of healthcare and comics, seeks to close-read Dana Walrath's Aliceheimer's: Alzheimer's Through the Looking Glass to demonstrate how care as creative practice provides a therapeutic direction when biomedical cure becomes impossible. The article investigates how such distinctive caring practices challenges the predominant perspective of dementia as a social death and aid in finding meaning in the alternative experiential realities of the person living with dementia. Further, the article also examines how these practices help in retaining the personhood and humanity of the care-receiver.

护理为在生病期间维持生命铺平了有效的途径,然而,照顾慢性病患者是一项艰苦、费力、乏味和乏味的工作,往往充满挑战。相反,创造力指的是将新事物带入存在的生成过程。例如,创造力意味着发现的时刻,新想法的诞生,跨越现有的界限。在护理实践中注入创造力可以减轻困难的经历,并有助于健康地管理疾病带来的挑战。本文在详细阐述了创造力如何在一种慢性疾病——痴呆症/AD的背景下,将护理转变为一种有意义的、建设性的改变生活的实践,并简要介绍了图形医学——一个医疗保健和漫画的跨学科领域,试图仔细阅读Dana Walrath的《爱丽丝海默症:阿尔茨海默症透视镜》,以证明当生物医学治疗变得不可能时,作为创造性实践的护理如何提供治疗方向。文章调查了这种独特的护理实践如何挑战痴呆症作为一种社会死亡的主流观点,并帮助在痴呆症患者的另一种经验现实中找到意义。此外,文章还探讨了这些做法如何帮助保持人格和人性的照顾者。
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引用次数: 0
Synchronised Video-assisted Clinical Skill Lab Sessions (SVCSLSs). Can SVCSLSs fill some gaps in virtual medical education? A mixed-method study. 同步视频辅助临床技能实验课程(SVCSLSs)。svcsls能否填补虚拟医学教育的一些空白?混合方法研究。
IF 1.4 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-01-01 DOI: 10.1080/17453054.2022.2086454
Nouran M Moustafa, Farah A Alghamdi, Shatha S Aldaajani, Hind R Alghweri, Reem H Alomari, Reem A Almutairi, Emtenan Y Alkahbbaz, Asmaa F Sharif

Despite the recent advancement of virtual education during the last pandemic, mastering clinical competencies remains challenging. The current study endorsed Synchronised Video-assisted Clinical Skill lab Sessions (SVCSLS) as a novel instructional design aiming to improve medical students' clinical competencies during virtual learning. The current study is a mixed-method study that was carried out among 210 medical students at a medical college in Saudi Arabia. It was revealed that students viewed SVCSLSs as an effective and safe tool during times of crisis. Students' performance did not show significant variations in all program phases compared with face-to-face learning. SVCSLSs has many advantages, including enjoyment, continuous access to learning material, Self-Directed Learning, fostering recall and memorisation, and enhancing higher cognitive skills. Students suggested that the sessions' content be updated, that workplace-related videos be added, and that constructive feedback is provided. Students recommended updating the contents of the sessions, enriching them with workplace-based videos, and providing constructive feedback. Though SVCSLSs have been proven to be an effective tool, we recommend using them during a crisis rather than replacing the face-to-face mode of learning in normal circumstances.

尽管最近在上次大流行期间虚拟教育取得了进展,但掌握临床能力仍然具有挑战性。当前的研究支持同步视频辅助临床技能实验室课程(SVCSLS)作为一种新颖的教学设计,旨在提高医学生在虚拟学习中的临床能力。目前的研究是在沙特阿拉伯一所医学院的210名医科学生中进行的混合方法研究。调查显示,学生们认为在危机时刻,svcsls是一种有效和安全的工具。与面对面学习相比,学生的表现在所有课程阶段都没有显着变化。svcsls有许多优点,包括享受,持续获得学习材料,自主学习,促进回忆和记忆,以及提高更高的认知技能。学生们建议更新课程内容,增加与工作场所相关的视频,并提供建设性的反馈。学生们建议更新课程内容,用基于工作场所的视频丰富课程内容,并提供建设性的反馈。虽然svcsls已被证明是一种有效的工具,但我们建议在危机期间使用它们,而不是在正常情况下取代面对面的学习模式。
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引用次数: 0
Augmented Resuscitation- simulacrum of AR. 增强复苏- AR模拟。
IF 1.4 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-01-01 DOI: 10.1080/17453054.2023.2169111
Chris Jacobs

This brief article is a reflection of immersive technology in healthcare education that features a digital illustration to capture the frenetic clinical environment that is broadcast live using augmented reality with a virtual onlooker, portrayed as the all seeing eye. The purpose of the artwork is to promote a discussion over consent, reality, and psychological safety.

这篇简短的文章反映了沉浸式技术在医疗保健教育中的应用,它采用数字插图来捕捉狂热的临床环境,该环境使用增强现实技术与虚拟旁观者(被描绘为全视眼)进行现场直播。这件艺术品的目的是促进关于同意、现实和心理安全的讨论。
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引用次数: 1
Neurosynergy: an animated documentary exploring the synergistic capabilities of art, science, and medicine. 神经协同:一部探索艺术、科学和医学协同能力的动画纪录片。
IF 1.4 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-01-01 DOI: 10.1080/17453054.2023.2178881
Oscar Li

Neurosynergy is an award-winning animated documentary film focussed on the convergence of art, science, and medicine. It highlights Dr. Joel Schechter, a retired medical instructor who has been drawing and teaching medical students for several years. The use of animated documentaries has great potential in connecting viewers with lived experiences of individuals.

《神经协同》是一部获奖的动画纪录片,聚焦于艺术、科学和医学的融合。Joel Schechter博士是一位退休的医学讲师,多年来一直从事绘画和医学教学工作。使用动画纪录片在将观众与个人的生活经历联系起来方面具有巨大的潜力。
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引用次数: 0
Preparing anatomical scan data for sharing online. 准备解剖扫描数据,以便在线分享。
IF 1.4 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-01-01 DOI: 10.1080/17453054.2023.2216238
Caroline Erolin

This paper gives an overview of working with anatomical scan data such as CT and surface scans. The various types of scans are discussed along with their pros and cons, before going on to provide a detailed guide as to how these can be further post-processed. A method for cleaning and enhancing scan data using the 3D modelling software ZBrush is outlined. Finally, a method for sharing the resulting scans online via Sketchfab is presented.

本文概述了解剖扫描数据的工作,如CT和表面扫描。在提供如何进一步后处理的详细指南之前,讨论了各种类型的扫描及其优缺点。概述了使用3D建模软件ZBrush清洗和增强扫描数据的方法。最后,提出了一种通过Sketchfab在线共享结果扫描的方法。
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引用次数: 0
Immersive virtual patient simulation compared with traditional education for clinical reasoning: a pilot randomised controlled study. 沉浸式虚拟病人模拟与传统临床推理教育的比较:一项试点随机对照研究。
IF 1.4 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-01-01 DOI: 10.1080/17453054.2023.2216243
Claire Bonnin, Dominique Pejoan, Eric Ranvial, Méryl Marchat, Nicolas Andrieux, Laurent Fourcade, Anaick Perrochon

Immersive virtual patient simulation could help medical students in clinical reasoning, but there is a lack of literature on the effectiveness of this method in healthcare learning. A pilot randomised controlled study compared performance (exam score) on a clinical case in immersive virtual simulation to a text for physiotherapy students. In the experimental group, the clinical case was presented by an immersive 360° video that students watched with a standalone headset, whereas the control group used the text only. A survey investigated students' perceptions of the clinical case, their experience of virtual reality, and sense of presence. Twenty-three students in immersive virtual reality had a significantly lower total score than 25 students with a text. This difference appeared in the assessment part of a clinical case. More precisely, it concerned patient history (including a few other elements of assessment and bio-psycho-social factors, p = 0.007). Satisfaction and motivation were strong in the experimental group. In conclusion, the performance was higher in text than in virtual reality situations. Nevertheless, immersive virtual patient simulation remains an interesting tool could train novices to follow history-taking skills of a new patient, as similar to a real-life situation.

沉浸式虚拟患者模拟可以帮助医学生进行临床推理,但缺乏关于这种方法在医疗保健学习中的有效性的文献。一项试点随机对照研究比较了沉浸式虚拟模拟中临床病例的表现(考试分数)与物理治疗学生的文本。在实验组中,临床病例通过沉浸式360°视频呈现,学生们用独立耳机观看,而对照组只使用文本。一项调查调查了学生对临床病例的看法,他们对虚拟现实的体验和存在感。23名沉浸式虚拟现实的学生的总分明显低于25名有课本的学生。这种差异出现在一个临床病例的评估部分。更准确地说,它涉及病人的病史(包括一些其他的评估因素和生物心理社会因素,p = 0.007)。实验组的满意度和积极性较强。总之,在文本环境中的表现比在虚拟现实环境中的表现要高。然而,沉浸式虚拟病人模拟仍然是一个有趣的工具,可以训练新手跟随新病人的历史记录技能,就像现实生活中的情况一样。
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引用次数: 2
YouTube as a source of information for retinopathy of prematurity in the Arabic language. YouTube作为阿拉伯语早产儿视网膜病变的信息来源。
IF 1.4 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-01-01 DOI: 10.1080/17453054.2023.2191125
Lina Raffa, Khadijah Alattas, Omar Akeely, Mohammed Awadh

Retinopathy of prematurity (ROP) is a leading cause of blindness in infants thus it is important to raise awareness about this disease. As online platforms are a popular source of medical information; the purpose of this study is to evaluate the credibility of the content of YouTube videos on ROP in the Arabic language. The first 40 relevant videos were included and were independently reviewed by two ophthalmologists employing six assessment tools: reliability, accuracy, quality, comprehensiveness, overall viewer experience, and usefulness. Out of the 40 videos that were analysed, only 29 were considered useful. The mean DISCERN score of the videos was 32 indicating poor quality. Furthermore, 70% of the videos were completely accurate, but only 5% were fully comprehensive. Regarding the global quality score, only four videos were of excellent quality/flow (10%), while 15 were generally poor with the poor flow (37.5%). Viewer experience was assessed as fair to very poor in 22 videos (55%). The overall quality of the content in YouTube videos was poor, rendering this platform an unreliable source of information about ROP. However, given its high level of engagement, the medical community could hone its potential for raising awareness about ROP by creating entertaining useful content.

早产儿视网膜病变(ROP)是婴儿失明的主要原因,因此提高对这种疾病的认识是很重要的。由于在线平台是医疗信息的流行来源;本研究的目的是评估YouTube视频内容在阿拉伯语ROP上的可信度。前40个相关视频被包括在内,并由两位眼科医生独立审查,采用六种评估工具:可靠性、准确性、质量、全面性、整体观众体验和有用性。在被分析的40个视频中,只有29个被认为是有用的。视频的平均辨别得分为32分,表明质量较差。此外,70%的视频是完全准确的,但只有5%是完全全面的。就全球质量评分而言,只有4个视频的质量/流量为优秀(10%),而15个视频一般较差,流量较差(37.5%)。22个视频(55%)的观众体验被评为一般或非常差。YouTube视频内容的整体质量很差,这使得该平台成为关于ROP的不可靠信息来源。然而,鉴于其高度参与,医学界可以通过创建有趣的有用内容来提高对ROP的认识。
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引用次数: 1
MSc medical art masters showcase 2022, University of Dundee. 2022年邓迪大学医学艺术硕士作品展。
IF 1.4 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-01-01 DOI: 10.1080/17453054.2023.2186219
Caroline Erolin
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引用次数: 0
Preference for realism in 3D anatomical scans. 偏好的现实主义在三维解剖扫描。
IF 1.4 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-01-01 DOI: 10.1080/17453054.2023.2226690
Caroline Erolin

This study investigated individuals' preference for different levels of realism in anatomical 3D scans. Staff and students working with anatomical material at the University of Dundee were asked to look at three versions of a 3D scan of the upper limb as follows: high realism - i.e. minimally altered from the original scan; moderate realism - i.e. a more significantly processed scan; and lower realism - i.e. the most significantly processed scan. Twenty-two participants took part in the study, with the majority preferring the 'moderate realism' scan overall, suggesting however that the 'high realism' scan would be most preferable for use in relation to anatomy (i.e. cadaver) practical sessions.

本研究调查了个体在解剖三维扫描中对不同程度的真实感的偏好。邓迪大学(University of Dundee)研究解剖材料的教职员工和学生被要求观看上肢3D扫描的三个版本:高真实感——即与原始扫描的差异最小;适度的真实感——即更明显的扫描处理;和较低的真实感-即最显著的处理扫描。22名参与者参加了这项研究,总的来说,大多数人更喜欢“中等真实感”扫描,但这表明“高真实感”扫描更适合用于解剖学(即尸体)实践课程。
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引用次数: 0
Meanings and functions of different types of heart images in the communication of doctors and patients. 不同类型心脏图像在医患沟通中的意义和作用。
IF 1.4 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-01-01 DOI: 10.1080/17453054.2023.2205911
Anna-Malin Karlsson, Theres Bellander

Images in medical communication are appreciated by both professionals and patients, but we know little about how they are actually used in clinical practice and in the learning processes of patients. This qualitative study investigates the use and the meaning potential of two different types of heart images: the hand-drawn doctor's sketch and the digital illustration from the web. The analysis starts with how these are recontextualised in social media, tracks them back to their original contexts and finally explores their material resources. The analytical perspective is that of social semiotics and multimodal discourse and interaction analysis. While the hand-drawn sketch is recontextualised as a witness of the specific consultation, the digital illustration is used to focus on the heart defect as such. It is also shown how the act of drawing works as a means for framing and structuring the consultation, slowing down the pace and reducing context and detail and thus focussing on what is uniquely relevant. While the digital and more realistic illustration is technically neutral and objective and is free from unique context, the drawing on paper is physically tied to its context of origin, which is also its main resource.

医学传播中的图像受到专业人员和患者的赞赏,但我们对它们在临床实践和患者学习过程中的实际应用知之甚少。本定性研究调查了两种不同类型的心脏图像的使用和意义潜力:手绘医生草图和来自网络的数字插图。分析从这些作品如何在社交媒体中被重新语境化开始,追踪到它们的原始语境,最后探索它们的物质资源。分析视角是社会符号学和多模态话语互动分析。虽然手绘草图被重新定位为具体咨询的见证,但数字插图被用来关注心脏缺陷。它还显示了绘图行为如何作为框架和构建咨询的手段,减缓节奏,减少背景和细节,从而专注于独特相关的内容。虽然数字和更现实的插图在技术上是中立和客观的,并且没有独特的背景,但纸上的绘画在物理上与它的起源背景联系在一起,这也是它的主要资源。
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引用次数: 0
期刊
Journal of Visual Communication in Medicine
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