Insert INTO PMID_Summary(PMID,summaryText,IPAddress,dtCreated) VALUES (22677579, '** A simple and realistic model was developed to teach junior doctors adult circumcision techniques safely. ** The model consists of a simulated penis covered with double-layered bowel material to mimic the prepuce and has been positively evaluated by trainees in a practical skills course, with feedback scores mostly ranging from 7 to 10. ** This life-like model is beneficial for repeated demonstrations of circumcision and other penile procedures, making it a useful tool for surgical education. **','18.221.240.14',now())
Background: Adult circumcision is an extremely common surgical operation. As such, we developed a simple model to teach junior doctors the various techniques of circumcision in a safe, reliable, and realistic manner.
Materials And Methods: A commonly available simulated model penis (Pharmabotics, Limited, Winchester, United Kingdom) is used, which is then covered with a 30-mm diameter, 400-mm long, double-layered simulated bowel (Limbs & Things, Bristol, United Kingdom). The 2 layers of the prepuce are simulated by folding the simulated bowel on itself. The model has been officially adopted in the UroEmerge hands-on practical skills course and all participants were asked to provide feedback about their experience on a scale from 1 to 10 (1 = extremely unsatisfied and 10 = excellent).
Results: The model has been used successfully to demonstrate, teach, and practice adult circumcision as well as other penile procedures with rating by trainees ranged from 7 to 10 (median: 9), and 9 of 12 trainees commented on the model using expressions such as "life like," "excellent idea," or "extremely beneficial."
Conclusions: The model is particularly useful as it is life like, realistic, easy to set up, and can be used to repeatedly demonstrate circumcision, as well as other surgical procedures, such as dorsal slit and paraphimosis reduction.
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http://dx.doi.org/10.1016/j.jsurg.2011.12.004 | DOI Listing |
PLoS One
December 2024
Department of Social Anthropology, College of Social Sciences and Humanities, Jimma University, Jimma, Ethiopia.
This article answers the question 'why female genital cutting (FGC) has remained common among the Oromo in central Ethiopia when it is legally forbidden.' Primary data for this article were generated through key informant interviews and focus group discussions, while secondary data were gathered from online and archives in the research site. Our findings indicate that the government tries to use legislative and health approaches in its efforts to terminate FGC.
View Article and Find Full Text PDFBuilding upon evidence of safety and efficiency gains from a randomized control trial (RCT) in South Africa, we further scaled implementation of two-way, short message service (SMS), text-based (2wT) follow-up after voluntary medical male circumcision (VMMC). We aimed to determine if gains in adverse event (AE) identification and reduced follow-up visits could be maintained when 2wT was implemented in routine VMMC settings. A pragmatic, stepped wedge design (SWD) study was implemented across three districts in South Africa.
View Article and Find Full Text PDFWorld J Urol
December 2024
Department of Urology, Shenzhen University General Hospital, Shenzhen, 518060, China.
medRxiv
November 2024
International Training and Education Center for Health (I-TECH), Seattle, WA, United States of America.
Up to 98% of adult voluntary medical male circumcision (VMMC) clients heal without adverse events (AEs) in South Africa and in the sub-Saharan Africa (SSA) region, yet all clients in South Africa (SA) are still required to attend in-person reviews, creating added work for providers and barriers for clients. A randomized controlled trial (RCT) using our fee-free, open-source, two-way texting (2wT) approach showed that males could independently monitor their healing with support from VMMC nurse-led telehealth and that 2wT was more cost-effective than routine visits for quality post-operative monitoring. The objectives of this costing activity were to assess the additive cost of 2wT vs.
View Article and Find Full Text PDFPLoS One
November 2024
Rakai Health Sciences Program, Kalisizo, Uganda.
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