Tag Archives: progress

Practice Makes Progress

Envision you’re a patient ready to go through surgery, and you find out that your surgeon has only carried out the surgery you require once prior to you.

It does not exactly put one at ease.

For quite some time, though, cosmetic surgeons were trained through the “see one, do one, teach one” approach, said Dr. Nadia Gomez, a scientist in the UNLV School of Medicine. See a particular surgery performed. Carry out that surgical treatment when yourself. Then teach another person to do that treatment. Recognizing the restrictions of that conventional mentor approach, surgical training programs now need participants to practice treatments through simulations including box trainers, electronic models, animal models, and human cadavers.

The quality of such simulations varies, however. While simulations for OB/GYN surgeries– treatments unique to females– exist, they are less developed and are studied less frequently than those associated with basic surgical treatments.

To resolve this issue, the world’s largest association of gynecologic surgeons, the American Association of Gynecologic Laparoscopists, released an across the country study to include and evaluate the efficiency of 2 simulators that are specific to female reproductive tract procedures– a laparoscopic simulator and a hysteroscopic simulator– with the goal of providing OB/GYN residents with a standardized evaluation tool specific to their specialized that can be included into their residency training.

The UNLV School of Medication was one of three pilot sites selected to take part, with Gomez as UNLV’s primary detective. UNLV’s OB/GYN locals are among the first to evaluate out the hysteroscopic and laparoscopic simulators utilized in the research study, which also consists of participants from Harvard Medical School, John Hopkins, Vanderbilt University Medical Center, Northwestern University, and others.

“Objective surgical education in gynecology has been doing not have,” Gomez said. “This study is vital to the development of a validated gynecologic-specific surgical curriculum, and we are honored to be a factor to this milestone in females’s health care.”

The basic surgical treatment field has actually led the charge on the incorporation of surgical simulation training into the curriculum. In 2008, the American Board of Surgery mandated that all general surgery residents pass the only confirmed laparoscopic surgical training curriculum available, the Basics of Laparoscopic Surgery (FLS), to be qualified for the basic surgical treatment board evaluation. In January 2018, the American Board of Obstetrics and Gynecology revealed that all OB/GYN citizens graduating after May 31, 2020, would likewise be required to pass the FLS curriculum to be qualified for OB/GYN board accreditation.

This was a good start, Gomez stated, however was not in itself enough to prepare citizens for attending to women’s specific and special surgical requirements, which vary significantly from men’s.

“Although the FLS is a fantastic curriculum for OB/GYN residents, it is not comprehensive,” Gomez said. “OB/GYN surgical training includes not just laparoscopic surgery however likewise hysteroscopy training, a treatment in which a small cam is inserted into the uterus to diagnose uterine issues. Women’s health needs include the management of fibroids, infertility, ovarian cysts, and other problems of the female reproductive system, and the FLS curriculum is not specific to those things.”

OB/GYN physicians normally undergo a four-year residency training program throughout which they get the surgical skills needed to deal with females with these kinds of health conditions, Gomez stated. Some OB/GYN finishes like herself go through further surgical training to concentrate on areas such as gynecologic oncology, infertility, pelvic female plastic surgery, and minimally invasive gynecologic surgical treatment (MIGS).

It was throughout Gomez’s 2 years of MIGS training that she was exposed to innovative gynecologic surgery training, consisting of surgical simulation training and research study. It altered her viewpoint on surgical training entirely.

“It is challenging to teach locals throughout live surgical treatment since of patient security issues and time restraints,” she said, “so I am a big advocate of simulation-based surgical training. It elevates and standardizes the surgical abilities needed to give females the best surgical outcomes.”

Initial information from the study will be examined and published later on this year.

Tariff stunts energy progress

Tuesday, July 3, 2018|2 a.m.

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While cable news pundits continue to dispute the merits of open market vs. protectionism, we’re being misled about exactly what trade policy we need to continue to grow. This year, the Trump administration announced tariffs focused on Chinese solar batteries. Tariffs have repercussions for customers; for many, the increased expense of solar cells makes new installations excessively costly.

Tariffs can also produce the opportunity for local companies to buy new innovation that can decrease expenses in the long term. However, according to a report “Global Trends in Renewable Energy Financial Investment 2018,” the U.S. lags far behind China on investment in renewable resource innovation. In 2017, China invested $126.1 billion in the renewable sector, up 30 percent from its costs in 2016. This was more than triple what the United States invested, just $40.5 billion, down 6 percent from the previous year.

Tariffs are a temporary tool, weighing the short-term cost on customers against the worth of growing the domestic solar industry. But if we don’t devote to the investments had to make American solar competitive with Chinese cells, tariffs will only harm customers. Now is the time for a clear message to investors that renewable energy is the direction of the future.

Vegas offerings progress to keep Southern Californians interested


Steve Marcus Tourists take photos at the Thanks for visiting Fabulous Las Vegas sign Saturday, March 14, 2015, on the Strip.

Wednesday, June 20, 2018|2 a.m.

Las Vegas and gambling might seem synonymous in the general public consciousness, however the reality is a bit more nuanced.

It ends up that “gaming” now accounts for only a third of hotel and gambling establishment income.

Most of money made on the Strip– about 52 percent– originates from food and beverage as Las Vegas evolves to keep up with changing tastes and aims to remain a location for Southern California visitors. Shopping, conventions and entertainment make up the rest.

Those were the conclusions shared by speakers today at the Las Vegas conference of the National Association of Property Editors, an event of the nation’s property press.

“Las Vegas is continuously reinventing itself to keep Southern Californians coming,” stated Daniel Lesser, chief executive of LW Hospitality Advisors, a New York-based consultant to hotels, resorts and gambling establishments.

Lesser stated Las Vegas now seeks to be known as the world’s biggest dining establishment town and a home entertainment venue in addition to for its casinos.

It’s not that betting income has declined, added Richard “Boz” Bosworth, who partnered with Virgin Atlantic founder Richard Branson and other financiers just recently to buy the Acid rock Hotel. Instead, cash produced by restaurants, bars, entertainment and convention business has actually surpassed the video gaming component after more than a years of improvement.

Hotels now generate specialists in bar and dining establishment style, said Manny Dominguez, a principal at Cooper Carry, a nationwide architectural and style company. Lobbies are developed to welcome individuals to remain and consume, while bars are becoming more attractive.

“Definitely, you want people to use your home as much as possible,” added Bosworth, the basic partner in the group that plans to convert the Hard Rock into a new Virgin Hotel by 2019.

The Virgin Hotels Las Vegas, the latest of almost a dozen planned lodgings using the Virgin brand, is an example of how casinos are progressing, he stated.

The renowned Acid rock, located about a mile off the Strip, was known for its high-energy lifestyle and was an early adaptor of the swimming pool celebration, Bosworth said.

But after its rebranding as a Virgin Hotel, it will have 6 brand-new restaurants, six new bars, 2 nightclubs, and hotel rooms will be “softened” to appeal more to a female customers.

“Organisation in Las Vegas today is different than in 2002,” Bosworth said. “Virgin will generate the sizzle the Hard Rock began 23 years ago. However it requires upgrading.”

Senate Republicans claim progress on health care legislation


J. Scott Applewhite/ AP Senate Bulk Leader Mitch McConnell, R-Ky., flanked by Sen. John Barrasso, R-Wyo., left, and Majority Whip John Cornyn, R-Texas, consults with press reporters at the Capitol in Washington, Tuesday, June 6, 2017.

Tuesday, June 6, 2017|12:56 p.m.

WASHINGTON– Senate Republicans say they’re nearing consensus on health care legislation as they head toward a make-or-break vote by the Fourth of July.

They narrowed down legal options at a conference Tuesday participated in by Vice President Mike Pence.

Bulk Leader Mitch McConnell told press reporters afterward that “We’re getting close to having a proposal to whip and to require to the flooring. It’s been 7 years to speak about health care.”

McConnell and other congressional GOP leaders later on met with President Donald Trump at the White House. Trump applauded your home for passing its own healthcare expense and motivated the Senate to “follow suit and get a bill across the goal this summer.”

Nevertheless, it’s still unclear that the emerging Senate costs will have enough votes to pass.