Objective: To predict readiness for laparoscopic ovariectomy of live dogs on the basis of performance on a high-fidelity laparoscopic abdominal simulator and to determine interrater reliability of the assessment.Study design: Experimental study. Sample population: Seventeen fourth-year veterinary students.Methods: After a standardized laparoscopic training course, each participant performed a laparoscopic ovariectomy with a simulator. This performance was scored in real time by two evaluators using a rubric. Participants achieving a score of 112 of 160 performed a laparoscopic ovariectomy in a live dog, supervised by an instructor in the room. Two evaluators scored video recordings of each procedure using the rubric. Participants' opinions about the simulator were collected with a survey.Results: All participants scored above the threshold (range, 126-151) and successfully completed laparoscopic ovariectomy in a live dog, with an average of 10 of 17 participants requiring verbal guidance and 5 of 17 participants requiring intervention from the instructor. Interrater concordance was excellent for the rubrics used to score performance on the simulator (R = 0.91) and in vivo (R = 0.81). All participants agreed that the simulator should be used to assess trainee readiness prior to surgery in a live dog.
Conclusion:Participants achieving a score of at least 126 of 160 on the simulator were able to perform a laparoscopic ovariectomy in a live dog under supervision. The scoring system for the simulator had excellent interrater concordance. Clinical significance: This simulator and scoring system can be used in laparoscopic training programs to assess readiness for progression to the operative setting.
Shoots in seagrass beds form canopies: structurally complex habitats that provide refuge for fauna and trap sediment particles by dampening water movement. Unfortunately, seagrasses are faced with continuing negative impacts to survival, including climate change and poor water quality. In areas where several seagrass species coexist, changing conditions may influence composition of beds so one species is favored over another. Two species found worldwide, Zostera marina and Ruppia maritima, are undergoing this shift: as Z. marina dies back, in some locations it is replaced by R. maritima, a smaller-form seagrass with shorter, thinner shoots. This process is occurring in Virginia, United States in the southern Chesapeake Bay, at intermediate depths where the species co-occur. Although changes in seagrass species abundance have previously been documented, few studies have measured the resulting effects on ecosystem functioning. We evaluated three sites to determine whether canopies of the two species displayed similar small epifaunal invertebrate animal assemblages and sediment properties, and found that Z. marina beds exhibited a greater amount of fine surface sediment than those of R. maritima, but found no effect of seagrass species on invertebrate assemblages. Epifaunal invertebrates were, however, more abundant and speciose with greater biomass, and more abundant with greater shoot density. This study provides baseline information from one summer for areas where the two seagrass species coexist. Although more research is needed, this study suggests in mixed beds, decline of Z. marina could result in coarsening of sediment, but dense R. maritima canopies could harbor similar small invertebrate assemblages.
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