The feasibility and usability of mixed reality teaching in a hospital setting based on self-reported perceptions of medical students.

Background: Clinical teaching during encounters with real patients lies at the heart of medical education. Mixed reality (MR) using a Microsoft HoloLens 2 (HL2) offers the potential to address several challenges: including enabling remote learning; decreasing infection control risks; facilitating greater access to medical specialties; and enhancing learning by vertical integration of basic principles to clinical application. We aimed to assess the feasibility and usability of MR using the HL2 for teaching in a busy, tertiary referral university hospital.

The gut microbiota in persistent post-operative pain following breast cancer surgery.

Persistent post-surgical pain (PPSP) is defined as pain which continues after a surgical operation in a significant form for at least three months (and is not related to pre-existing painful conditions). PPSP is a common, under-recognised, and important clinical problem which affects millions of patients worldwide. Preventative measures which are currently available include the selection of a minimally invasive surgical technique and an aggressive multimodal perioperative analgesic regimen.

Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic review of the international literature.

Background: In an era of safety systems, hospital interventions to build a culture of safety deliver organisational learning methodologies for staff. Their benefits to hospital staff are unknown. We examined the literature for evidence of staff outcomes.

Delivering clinical tutorials to medical students using the Microsoft HoloLens 2: A mixed-methods evaluation.

Background: Mixed reality offers potential educational advantages in the delivery of clinical teaching. Holographic artefacts can be rendered within a shared learning environment using devices such as the Microsoft HoloLens 2. In addition to facilitating remote access to clinical events, mixed reality may provide a means of sharing mental models, including the vertical and horizontal integration of curricular elements at the bedside.

Reliability of proxy reports on patient reported outcomes measures in stroke: An updated systematic review.

Objectives: With the rising global burden of stroke-related morbidity, and increased focus on patient-centered healthcare, patient reported outcome measures (PROMs) are increasingly used to inform healthcare decision-making. Some stroke patients with cognitive or motor impairments are unable to respond to PROMs, so proxies may respond on their behalf; the reliability of which remains unclear. The aim of the study is to update a 2010 systematic review to investigate the inter-rater reliability of proxy respondents answering PROMs for stroke patients.

A systematic review of the impact of compression therapy on quality of life and pain among people with a venous leg ulcer.

Aim: To gain a greater understanding of how compression therapy affects quality of life, this systematic review appraised existing published studies measuring the impact of compression therapy on health quality of life (HRQoL), and pain, among people with venous leg ulcers (VLU).

Method: Five databases were searched, and two authors extracted data and appraised the quality of selected papers using the RevMan risk of bias tool. Due to heterogeneity in the types of compression and instruments used to evaluate HRQoL, meta-analysis was not appropriate; thus, a narrative synthesis of findings was undertaken.

'What effect do safety culture interventions have on health care workers in hospital settings?' A systematic review of the international literature.

: Interventions designed to improve safety culture in hospitals foster organisational environments that prevent patient safety events and support organisational and staff learning when events do occur. A safety culture supports the required health workforce behaviours and norms that enable safe patient care, and the well-being of patients and staff. The impact of safety culture interventions on staff perceptions of safety culture and patient outcomes has been established.

Assessing the healthcare costs associated with venous leg ulcer compression bandages - A scoping review.

Aim: To determine the monetary costs identified in economic evaluations of treatment with compression bandages among adults with venous leg ulcers (VLU).

Method: A scoping review of existing publications was conducted in February 2023. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used.

A meta-review of the impact of compression therapy on venous leg ulcer healing.

This meta-review aimed to appraise and synthesise findings from existing systematic reviews that measured the impact of compression therapy on venous leg ulcers healing. We searched five databases to identify potential papers; three authors extracted data, and a fourth author adjudicated the findings. The AMSTAR-2 tool was used for quality appraisal and the certainty of the evidence was appraised using GRADEpro.

Psychiatric nurse's perceptions of their interactions with people who hear voices: A qualitative systematic review and thematic analysis.

WHAT IS KNOWN ON THE SUBJECT?: There is no qualitative systematic review of nurses' perceptions of their interactions with people hearing voices. There are some studies exploring the interventions provided by community psychiatric nurses to people hearing voices; these give a sense of what interactions may contain. WHAT THE PAPER ADDS TO THE EXISTING KNOWLEDGE?: Nurses across both community and inpatient mental healthcare settings feel uncertain about how to interact with people hearing voices, sometimes feeling like they can do little to help.

The effect of prone positioning on pressure injury incidence in adult intensive care unit patients: A meta-review of systematic reviews.

Objective: Numerous systematic reviews have examined the impact of prone positioning on outcomes, including pressure injury (PI). The objective of this meta-review was to synthesise the evidence on the effect of prone positioning on the incidence and location of PIs in adult intensive care unit patients.

Review Method: This is a meta-review of published systematic reviews.

Proficiency-based progression training: an 'end to end' model for decreasing error applied to achievement of effective epidural analgesia during labour: a randomised control study.

Background: Training procedural skills using proficiency-based progression (PBP) methodology has consistently resulted in error reduction. We hypothesised that implementation of metric-based PBP training and a valid assessment tool would decrease the failure rate of epidural analgesia during labour when compared to standard simulation-based training.

Methods: Detailed, procedure-specific metrics for labour epidural catheter placement were developed based on carefully elicited expert input.

Silver engineered nanoparticles in freshwater systems - Likely fate and behaviour through natural attenuation processes.

Growth in the nanotechnology sector is likely introducing unnatural formations of materials on the nanoscale (10m) to the environment. Disposal and degradation of products incorporating engineered nanomaterials (ENMs) are likely being released into natural aquatic systems un-intentionally primarily via waste water effluents. The fate and behaviour of metallic based nanoparticles (NPs) such as silver (Ag) in aquatic waters is complex with high levels of variability and uncertainty.

Measuring Nanoparticle Attachment Efficiency in Complex Systems.

As process-based environmental fate and transport models for engineered nanoparticles are developed, there is a need for relevant and reliable measures of nanoparticle behavior. The affinity of nanoparticles for various surfaces (α) is one such measure. Measurements of the affinity of nanoparticles obtained by flowing particles through a porous medium are constrained by the types of materials or exposure scenarios that can be configured into such column studies.

Nanoparticle Surface Affinity as a Predictor of Trophic Transfer.

Nanoscale materials, whether natural, engineered, or incidental, are increasingly acknowledged as important components in large, environmental systems with potential implications for environmental impact and human health. Mathematical models are a useful tool for handling the rapidly increasing complexity and diversity of these materials and their exposure routes. Presented here is a mathematical model of trophic transfer driven by nanomaterial surface affinity for environmental and biological surfaces, developed in tandem with an experimental functional assay for determining these surface affinities.

Maximal acceptable torques of six highly repetitive hand-wrist motions for male industrial workers.

Objective: The purpose of the study was to quantify maximum acceptable torques (MATs) in 16 healthy male industrial workers while performing six motions: screw driving clockwise with a 40 mm handle and a 39 mm yoke handle, flexion and extension with a pinch grip,ulnar deviation with a power grip (similar to knife cutting), and a handgrip task (similar to a pliers task).

Background: Psychophysical studies on repetitive motions of the wrist and hand were previously reported on women; however, it is not clear how men will psychophysically respond to similar motions.

Method: A psychophysical methodology was used in which the participant adjusted the resistance on the handle.

A risk assessment framework for assessing metallic nanomaterials of environmental concern: aquatic exposure and behavior.

Nanomaterials are finding application in many different environmentally relevant products and processes due to enhanced catalytic, antimicrobial, and oxidative properties of materials at this scale. As the market share of nano-functionalized products increases, so too does the potential for environmental exposure and contamination. This study presents some exposure ranking methods that consider potential metallic nanomaterial surface water exposure and fate, due to nano-functionalized products, through a number of exposure pathways.

Influence of three principles of pacing on the temporal organisation of work during cyclic assembly and disassembly tasks.

A study was conducted to investigate the influence of different approaches to arranging the pace and temporal organisation of repetitive assembly and disassembly tasks on both average performance and its variability and to compare assembly and disassembly times derived with psychophysical methods to a more traditional methods-time measurement (MTM) approach. The conditions studied were a traditional assembly line arrangement, where assemblies were started at a pace of 110 MTM (repeated on two occasions), a batch condition, where subjects were required to complete 36 assemblies within the total amount of time allowed at 110, MTM and a psychophysical condition, where subjects were allowed to choose their pace (repeated on two occasions). Overall, the results suggest that the mean time spent working in each cycle (the 'on-time') remained fairly constant across conditions, while the idle 'off-time' in between on-times was shorter and of less varied duration in the more autonomous batch and psychophysical conditions.

Gender differences in psychophysically determined maximum acceptable weights and forces for industrial workers observed after twenty years.

Purpose: In the year 1991, manual materials handling guidelines were published by Liberty Mutual Research Institute for Safety. In these guidelines, maximum acceptable weights (MAWs) and forces (MAFs) for lifting, lowering, pushing, pulling, and carrying were derived from studies conducted in a 20 year span before the above publication date. The question is whether the present generation of workers has retained the same gender differences and absolute values in psychophysically determined MAWs and MAFs as those reflected in the guideline.

Gender comparison of psychophysical forces, cardiopulmonary, and muscle metabolic responses during a simulated cart pushing task.

The purpose was to compare psychophysiological responses between healthy male and female workers during dynamic pushing. Using a psychophysical approach, 27 participants chose an acceptable force that they could push over a 7.6m distance at a frequency of 1 push per min on a treadmill.

Ranking initial environmental and human health risk resulting from environmentally relevant nanomaterials.

As nanomaterials find increased application in commercial and industrial products and processes so too the potential for release of these novel materials into the environment increases. The characteristics of these materials also may result in novel toxicological actions related to their nanoscale, which will have implications on their ecotoxicological and toxicological limits of exposure and eventual regulation. A framework for nanomaterial risk assessment on regulatory, ecotoxicological and toxicological bases developed from recent exposure and toxicity studies is presented.

Psychophysiological responses in women during cart pushing on different frictional walkways.

Objective: The aim of this study was to evaluate psychophysically determined acceptable forces, cardiopulmonary, and calf muscle metabolic responses in 15 workers while they pushed an instrumented cart on two walkways.

Background: In addition to the potential for increased musculoskeletal disorders in workers, pushing on various terrains is associated with occurrence of slips and falls at the workplace.

Method: Using a psychophysical approach, participants chose the maximum acceptable cart weight they could push without strain on walkways with coefficient of friction equaling 0.

Psychophysically determined forces of dynamic pushing for female industrial workers: Comparison of two apparatuses.

Using psychophysics, the maximum acceptable forces for pushing have been previously developed using a magnetic particle brake (MPB) treadmill at the Liberty Mutual Research Institute for Safety. The objective of this study was to investigate the reproducibility of maximum acceptable initial and sustained forces while performing a pushing task at a frequency of 1min(-1) both on a MPB treadmill and on a high-inertia pushcart. This is important because our pushing guidelines are used extensively as a ergonomic redesign strategy and we would like the information to be as applicable as possible to cart pushing.

Dynamic pushing on three frictional surfaces: maximum acceptable forces, cardiopulmonary and calf muscle metabolic responses in healthy men.

Pushing is an important materials handling activity in many occupations; however, pushing-related physiological investigations are still in infancy. The purpose was to evaluate maximum acceptable forces and physiological responses while pushing on: treadmill (TREAD); plywood floor (PLY); and Teflon floor (TEF). Acceptable forces, cardiopulmonary and calf muscle oxygenation and blood volume responses were collected simultaneously while 12 men (age 39 +/- 13 years; height 178 +/- 6 cm; and body mass 91.

Oxygen consumption prediction models for individual and combination materials handling tasks.

An experiment was conducted to develop models to predict oxygen consumption of males and females engaged in common materials handling tasks including lifting, lowering, pushing, pulling, (de)palletising and combination tasks involving lifting or lowering a box and carrying it a set distance and lifting or lowering it to the destination. Nineteen male and 19 female subjects participated in the study. A psychophysical approach was used to set load limits for individual subjects for the oxygen consumption protocol.