Abstract：
INTRODUCTION:Cognitive training is an important training modality which allows the user to rehearse a procedure without physically carrying it out. This has led to recent interests to incorporate cognitive training within surgical education but research is currently limited. The use of cognitive training in surgery is not clear-cut and so this study aimed to determine whether, relative to a control condition, the use of cognitive training improves technical surgical skills on a ureteroscopy simulator, and if so whether one cognitive training method is superior. METHODS:This prospective, comparative study recruited 59 medical students and randomised them to one of three groups: control- simulation training only (n=20), flashcards cognitive training group (n=20) or mental imagery cognitive training group (n=19). All participants completed three tasks at baseline on the URO Mentor simulator followed by the cognitive intervention if randomised to receive it. Participants then returned to perform an assessment task on the simulator. Outcome measures from the URO Mentor performance report was used for analysis and a quantitative survey was given to all participants to assess usefulness of training received. RESULTS:This study showed cognitive training to have minimal effects on technical skills of participants. The mental imagery group had fewer laser misfires in the assessment task when compared to both control and flashcards group (P=.017, P=.036, respectively). The flashcards group rated their preparation to be most useful when compared to control (P=.0125). Other parameters analysed between the groups did not reach statistical significance. Cognitive training was found to be feasible and cost effective when carried out in addition to simulation training. CONCLUSION:This study has shown that the role of cognitive training within acquisition of surgical skills is minimal and that no form of cognitive training was superior to another. Further research needs to be done to evaluate other ways of performing cognitive training.
journal_name
Actas Urol Espjournal_title
Actas urologicas espanolasauthors
Shah M,Aydin A,Moran A,Khan MS,Dasgupta P,Ahmed Kdoi
10.1016/j.acuro.2017.06.008subject
Has Abstractpub_date
2018-04-01 00:00:00pages
163-169issue
3eissn
0210-4806issn
1699-7980pii
S0210-4806(17)30216-4journal_volume
42pub_type
杂志文章,随机对照试验abstract：:Fistulae between the reservoir of the continent urinary bypass and the intestinal tract are uncommon and difficult to diagnose. To ascertain the clinic presentation, diagnosis and treatment of post-cystectomy enteroneovesical fistula due to a bladder tumour, 258 cases of radical cystectomies performed over a 6-year pe...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1999-07-01 00:00:00
abstract：:From November 1987 treatment of urinary lithiasis regardless location was initiated in our Service of extracorporal renal lithofragmentation using shockwaves. Up until August 1988 (10 months), 411 patients have been treated representing a total of 590 lithiasis and 699 sessions on which the present communication is ba...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1990-05-01 00:00:00
abstract：:The fate of some infiltrant tumours of the bladder locally advanced (pT2-3NxM0) which were radically resected, with or without association to other treatments, has been similar to those in which initial radical treated was used. To carry out simultaneously a radical RTU as a local action plus systemic chemotherapy (M-...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：
更新日期：1992-03-01 00:00:00
abstract：:Penoscrotal lymphedema is a rare disease in the developed countries, although it is relatively frequent in tropical countries. The most common cause is filariasis, although in our practice usually is associate to neoplasic and inflammatory processes, surgery, radiotherapy, hidroelectrolitic disbalances and idiopathic....
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(05)73285-x
更新日期：2005-05-01 00:00:00
abstract：:Case report of a patient bearer of a double-J ureteral catheter due to ureteral lithiasis. After persistent renoureteral pain and fever, the proximal migration of the catheter is confirmed radiologically. The predisposing factors for this complication, described in the literature, are reviewed. ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：
更新日期：1997-04-01 00:00:00
abstract：:Micropapillary carcinoma is an uncommon pathologic variant of bladder carcinoma with aggressive behavior. Its usual presentation is like a high grade and high stage carcinoma and associated with other histologic types in different proportion. It doesn't differ clinically from normal transitional cell carcinoma of the ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：10.1016/s0210-4806(05)73263-0
更新日期：2005-04-01 00:00:00
abstract：INTRODUCTION:Laparoscopic nephron-sparing surgery is among the most complex urological procedures currently performed. Open surgery continues to be the gold standard of care, but the laparoscopic approach is gaining ground slowly but surely. Our 5 years' experience is reported. MATERIALS AND METHODS:From September 200...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：2010-03-01 00:00:00
abstract：INTRODUCTION:To prevent the overdiagnosis and overtreatment of prostate cancer (PC), therapeutic strategies have been established such as active surveillance and focal therapy, as well as methods for clarifying the diagnosis of high-grade prostate cancer (HGPC) (defined as a Gleason score ≥7), such as multiparametric m...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/j.acuro.2015.09.006
更新日期：2016-04-01 00:00:00
abstract：:Benign prostatic hypertrophy (BPH) is a common urological disease with a standard surgical approach, transurethral resection (TUR) or open adenectomy (OA), but the flowmetric clinical results are controversial. Fifty-five patients were evaluated; in 23 of them TUR was performed and 32 underwent OA. The Boyarsky clinic...
journal_title：Actas urologicas espanolas
pub_type： 临床试验,杂志文章,评审
doi：
更新日期：1994-07-01 00:00:00
abstract：:Fournier's gangrene (FG) is a rare and potentially fatal infectious disease characterised by necrotic fasciitis of the perineum and abdominal wall in addition to the scrotum and penis in men and the vulva in women. Skin loss can be very damaging and difficult to repair. This condition must be treated aggressively. Sev...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(09)72884-0
更新日期：2009-09-01 00:00:00
abstract：:The authors describe their experience over the past 3 years with 500 vasectomies performed by a single midline scrotal incision. Azoospermia was achieved in all cases in 2-6 months. Complications included 20 cases of granulomas without recanalization, 5 cases of spontaneously reabsorbed hematomas, 3 cases of epididi...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1988-09-01 00:00:00
abstract：OBJECTIVE:Bladder outlet obstruction with obstructive and irritative urinary symptoms may be a complication of surgery for female urinary incontinence. In presence of persistent symptoms, the therapy is surgical and usually consists in an accurate urethrolysis. The way of approach is generally transvaginal. In this pap...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/j.acuro.2011.07.021
更新日期：2012-06-01 00:00:00
abstract：CONTEXT:The objective of evidence-based medicine is to employ the best scientific information available to apply to clinical practice. Understanding and interpreting the scientific evidence involves understanding the available levels of evidence, where systematic reviews and meta-analyses of clinical trials are at the ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/j.acuro.2018.01.010
更新日期：2018-10-01 00:00:00
abstract：OBJECTIVES:Chronic bacterial prostatitis (CBP) is the most common urological disease in patients younger than 50 years, whose long-standing symptoms could be related to an inappropriate therapeutic regimen. The objective was to analyse the sensitivity of microorganisms isolated from patients with CBP and measure the we...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/j.acuro.2017.03.008
更新日期：2017-12-01 00:00:00
abstract：:Presentation of a malignant rhabdoid renal tumour. This type of sarcoma which occurs commonly during the paediatric age is exceptional in the adult, this being the reason for reviewing this clinical case and its management. The term rhabdoid includes several types of morphologically similar tumours which make analysis...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1996-04-01 00:00:00
abstract：:Presentation of one case of renal mycosis by Aspergillus as a primary complication in one patient diagnosed with acquired immunodeficiency syndrome. The importance of conservative treatment at all costs through percutaneous drainage is underlined, specially if we considered the short life expectancy of patients who ha...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1992-06-01 00:00:00
abstract：:Twenty-nine male children with urethral stenosis, with ages between 7 months and 18 years, were treated by endoscopic surgery. The etiology of their condition was trauma in 21 cases and congenital in 8. Location of the stenosis corresponded in 18 cases to membranous urethra, 7 to bulbar urethra, 2 to penial urethra wh...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1994-05-01 00:00:00
abstract：INTRODUCTION AND OBJECTIVE:Surgery is the treatment of choice for patients with Peyronie's disease presenting difficulty in penetration or erectile dysfunction without adequate response to therapy. Several techniques have been described, and urologists must be aware of their possible complications and sequelae in order...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：10.1016/j.acuro.2020.01.008
更新日期：2020-06-01 00:00:00
abstract：:Adenocarcinoma of the bladder is an uncommon neoplasm corresponding as usual to a metastases and with a lower frequency to a primary vesical tumour. We present the primary adenocarcinoma treated in our hospital in the last 10 years. The moment at the diagnosis is related to the prognosis because of its tendency to mus...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(01)72674-5
更新日期：2001-09-01 00:00:00
abstract：:We present 3 new cases of urethral parameatal cysts in paediatric age. Literature is reviewed and histological data and ambulatory management are discussed. ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：10.1016/s0210-4806(07)73597-0
更新日期：2007-01-01 00:00:00
abstract：OBJECTIVE:To analyse the value of a second transurethral resection, repeated within 3 to 6 weeks after the initial resection, in the treatment and the classification of patients with bladder tumour. MATERIAL AND METHODS:We analyse the results of 72 repeated transurethral resection in 23 (32%) patients with T1 G1-2 bla...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(01)72596-x
更新日期：2001-03-01 00:00:00
abstract：:Since inguinal lymphadenectomy (LFD) technique in the treatment of epidermoid carcinoma of the penis was first described, control of its high mobility has been one of the concerns for oncological urologists. Our group has reviewed the complications of 21 inguinal LFDs performed since 1982 in our centre and found that ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：
更新日期：1995-11-01 00:00:00
abstract：:In this study we offer a case of spontaneous extraperitoneal vesical rupture and we analyse the etiopathogenic factors that are going to determine the genesis of the process, the diagnostic means used as well as the therapeutic attitude to be followed on the basis of the patient's clinical picture and the bladder leve...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：
更新日期：1989-07-01 00:00:00
abstract：:Orbital metastasis is an unusual localization within tumoral dissemination of prostatic cancer. Similarly, it is rare that orbital metastasis might be responsible for the clinic manifestations that determine the initial diagnosis of neoplasia. We illustrate the case of a patient suffering from prostatic adernocarcinom...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(03)72974-x
更新日期：2003-07-01 00:00:00
abstract：:We studied two groups of patients in order to evaluate the frequency of association between renal dysplasia and vesicoureteral reflux. The first was composed of 19 patients with dysplastic kidneys, 15 of whom were studied by means of micturition cystourethrography. The second group was made up of 86 patients with 124 ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：
更新日期：1989-05-01 00:00:00
abstract：:A case is presented on the use of extracorporeal lithotrity by shock waves to treat vesical lithiasis, using the desk module of a Lithostar-PlusR (Siemens) lithotripter. This is an effective method without morbidity an adequate for ambulatory use, specially valuable in patients where the use of more invasive methods, ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1990-11-01 00:00:00
abstract：:We report a case of necrotizing granulomatous vasculitis in the spermatic cord in a 35-year-old man with an antecedent of brain stroke 3 years before. The clinical manifestation was as a painless left scrotal mass. The diagnosis was established by histological examination of the spermatic cord. We discuss the physical...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(05)73340-4
更新日期：2005-09-01 00:00:00
abstract：INTRODUCTION:Malignant tumors sometimes initiate as paraneoplastic syndromes even years before the most common symptoms appear. These first manifestations could be the key for the diagnosis of "occult" malignancy. METHODS:We report the case of a 66 year old man with a renal cell carcinoma. The first symptom was a para...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(08)73902-0
更新日期：2008-06-01 00:00:00
abstract：:Sling procedures have been around for decades in the management female stress urinary incontinence (SUI), but only in the past decade they have become the preferred technique. Minimally invasive procedures are the procedure of choice in many centers for your efficacy and low morbidity. The tendinous urethral support (...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(07)73718-x
更新日期：2007-07-01 00:00:00
abstract：:Acute renal insufficiency due to ureteral obstruction is relatively uncommon and gives rise to difficulties of diagnosis and treatment. The series presented here analyzes these aspects in 24 patients who had 27 episodes of proven anuria due to ureteral obstruction. Their average age was 62. Six patients had only one k...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1989-09-01 00:00:00
