Real-world virtual patient simulation to improve diagnostic performance through deliberate practice: a prospective quasi-experimental study.

Objectives: Diagnostic errors are pervasive in medicine and most often caused by clinical reasoning failures. Clinical presentations characterized by nonspecific symptoms with broad differential diagnoses (e.g.

Opinion and Special Articles: Remote Evaluation of Acute Vertigo: Strategies and Technological Considerations.

Patients with acute vestibular disorders are often a diagnostic challenge for neurologists, especially when the evaluation must be conducted remotely. The clinical dilemma remains: Does the patient have a benign peripheral inner ear problem or a worrisome central vestibular disorder, such as a stroke? The use of a focused history and the virtual HINTS (head impulse test, nystagmus evaluation, and test of skew) examination are key steps towards correctly diagnosing and triaging the acute vertiginous patient. When looking for signs of vestibulo-ocular dysfunction, there are important technological and practical considerations for an effective clinical interpretation.

Environmental policies for drinks packaging in Georgia: A mini-review of EPR policies with a focus on incentive compatibility.

The paper investigates various approaches to an environmental policy regarding drinks containers in Georgia. Currently, most of the waste containers are landfilled or pollute the environment through littering, and separate collection and recycling of drinks containers are almost nonexistent. The Association Agreement with the EU, which entered into force in July 2016, stipulates the development of up-to-date waste management activities in this transition country.

Quantitative changes of schwann and mast cells in the process of peripheral nerve regeneration.

One of the most common problems in the fields of orthopedic surgery and neurology is that of the injured peripheral nerve. Injured nerve fibers in the adult mammalian peripheral nervous system can and often do regenerate, thereby restoring at least some lost faunctions. During the past decade enormous progress has been made in the understanding of the cellular events and molecular changes during degeneration and regeneration of peripheral nerves.