Purpose:Strong primary health care(PHC)systems require well‐established PHC education systems to enhance the skills of general practitioners(GPs).However,the literature on the experiences of international collaborati...Purpose:Strong primary health care(PHC)systems require well‐established PHC education systems to enhance the skills of general practitioners(GPs).However,the literature on the experiences of international collaboration in primary care education in low‐and middle‐income countries remains limited.The purpose of this study was to evaluate the implementation and perceived impact of the McGill‐Tongji Blended Education Program for Teacher Leaders in General Practice(referred to as the“Tongji Program”).Methods:In 2020–2021,the McGill Department of Family Medicine(Montreal,Canada)and Tongji University School of Medicine(TUSM,Shanghai,China)jointly implemented the Tongji Program in Shanghai,China to improve the teaching capacity of PHC teachers.We conducted an exploratory longitudinal case study with a mixed methods design for the evaluation.Quantitative(QUAN)data was collected through questionnaire surveys and qualitative(QUAL)data was collected through focus group discussions.Results:The evaluation showed that learners in Tongji Program were primarily female GPs(21/22,95%)with less than 4 years of experience in teaching(16/22,73%).This program was considered a successful learning experience by most participants(19/22,86%)with higher order learning tasks such as critical thinking and problem‐solving.They also agreed that this program helped them feel more prepared to teach(21/22,95%),and developed a positive attitude toward primary care(21/22,95%).The QUAL interview revealed that both the Tongji and McGill organizers noted that TUSM showed strong leadership in organization,education,and coordination.Both students and teachers agreed that by adapting training content into contextualized delivery formats and settings,the Tongji Program successfully overcame language and technology barriers.Conclusions:Committed partnerships and contextualization were key to the success of the Tongji Program.Future research should focus on how international primary care education programs affect learners'behavior in their practice settings,and explore barriers and facilitators to change.展开更多
Background:Decrease of ocular blood flow has been linked to the pathogenesis of ocular diseases such as glaucoma and age-related macular degeneration.Current methods that measure the pulsatile blood flow have major li...Background:Decrease of ocular blood flow has been linked to the pathogenesis of ocular diseases such as glaucoma and age-related macular degeneration.Current methods that measure the pulsatile blood flow have major limitations,including the assumption that ocular rigidity is the same in all eyes.Our group has recently developed a new method to measure the pulsatile choroidal volume change by direct visualization of the choroid with OCT imaging and automated segmentation.Our goal in this study is to describe the distribution of PCBF in a healthy Caucasian population.Methods:Fifty-one subjects were recruited from the Maisonneuve-Rosemont Hospital Ophthalmology Clinic and underwent PCBF measurement in one eye.The distribution of PCBF in healthy eyes was assessed.Results:The distribution of PCBF among the healthy eyes was found to be 3.94±1.70µL with this technique.Conclusions:This study demonstrates the normal range of PCBF values obtained in a healthy Caucasian population.This technique could be used for further investigation of choroid pulsatility and to study glaucoma pathophysiology.展开更多
Background:Over the years,a variety of non-invasive techniques have been developed to allow the measurement of blood flow in living human eyes.However,none of the existing techniques has yet been adopted in clinical p...Background:Over the years,a variety of non-invasive techniques have been developed to allow the measurement of blood flow in living human eyes.However,none of the existing techniques has yet been adopted in clinical practice due to their limitations and lack of standardization.Moreover,no reliable technique is currently available to measure the pulsatile choroidal blood flow(PCBF).We propose a novel method based on video-rate optical coherence tomography(OCT)imaging and automated segmentation to measure the pulsatile component of choroidal blood flow in vivo,and demonstrate its repeatability.Methods:Adapted from our earlier work(Beaton et al.),this method uses video-rate OCT with enhanced depth imaging and automated segmentation of the choroid to measure the pulsatile choroidal volume change.Imaging is carried out at the fundus for less than a minute at 7 Hz.In each frame,choroidal thickness(CT)is measured by a segmentation algorithm based on graph cuts using an edge-probability weighting scheme.The algorithm computes the CT change corresponding to choroidal filling over the time-series and subsequently derives the pulsatile choroidal volume change through an approximate model of the eye.Fifty-eight subjects were recruited from the Maisonneuve-Rosemont Hospital and PCBF was measured twice in one eye within the same session and by a single examiner.Repeatability was assessed using the Bland-Altman plot and Intraclass correlation coefficient as calculated with SPSS.Results:Two measurements of PCBF were successfully obtained for each eye using our technique.The average measures ICC for choroidal volume change was 0.929(95%CI,0.881,0.958),showing good to excellent repeatability.The Bland-Altman plot and Pearson coefficient(r=0.840,P<0.001)showed agreement and a strong correlation respectively between intra-session measurement of OR in all examined eyes.Conclusions:This study confirms the high repeatability of pulsatile choroidal blood flow measurements obtained with our optical method,allowing further investigation of blood flow in ocular diseases such as glaucoma and AMD.展开更多
基金China Scholarship Council,Grant/Award Number:202000610047McGill University+4 种基金Fonds de recherche du Québec–Santé,Grant/Award Number:315852Québec Ministry of HealthCanadian Institutes for Health Research,Strategy for Patient‐Oriented Research Mentorship ChairGlobal Health Scholars ProgramFonds de recherche du Québec‐Santé,Grant/Award Number:311200。
文摘Purpose:Strong primary health care(PHC)systems require well‐established PHC education systems to enhance the skills of general practitioners(GPs).However,the literature on the experiences of international collaboration in primary care education in low‐and middle‐income countries remains limited.The purpose of this study was to evaluate the implementation and perceived impact of the McGill‐Tongji Blended Education Program for Teacher Leaders in General Practice(referred to as the“Tongji Program”).Methods:In 2020–2021,the McGill Department of Family Medicine(Montreal,Canada)and Tongji University School of Medicine(TUSM,Shanghai,China)jointly implemented the Tongji Program in Shanghai,China to improve the teaching capacity of PHC teachers.We conducted an exploratory longitudinal case study with a mixed methods design for the evaluation.Quantitative(QUAN)data was collected through questionnaire surveys and qualitative(QUAL)data was collected through focus group discussions.Results:The evaluation showed that learners in Tongji Program were primarily female GPs(21/22,95%)with less than 4 years of experience in teaching(16/22,73%).This program was considered a successful learning experience by most participants(19/22,86%)with higher order learning tasks such as critical thinking and problem‐solving.They also agreed that this program helped them feel more prepared to teach(21/22,95%),and developed a positive attitude toward primary care(21/22,95%).The QUAL interview revealed that both the Tongji and McGill organizers noted that TUSM showed strong leadership in organization,education,and coordination.Both students and teachers agreed that by adapting training content into contextualized delivery formats and settings,the Tongji Program successfully overcame language and technology barriers.Conclusions:Committed partnerships and contextualization were key to the success of the Tongji Program.Future research should focus on how international primary care education programs affect learners'behavior in their practice settings,and explore barriers and facilitators to change.
文摘Background:Decrease of ocular blood flow has been linked to the pathogenesis of ocular diseases such as glaucoma and age-related macular degeneration.Current methods that measure the pulsatile blood flow have major limitations,including the assumption that ocular rigidity is the same in all eyes.Our group has recently developed a new method to measure the pulsatile choroidal volume change by direct visualization of the choroid with OCT imaging and automated segmentation.Our goal in this study is to describe the distribution of PCBF in a healthy Caucasian population.Methods:Fifty-one subjects were recruited from the Maisonneuve-Rosemont Hospital Ophthalmology Clinic and underwent PCBF measurement in one eye.The distribution of PCBF in healthy eyes was assessed.Results:The distribution of PCBF among the healthy eyes was found to be 3.94±1.70µL with this technique.Conclusions:This study demonstrates the normal range of PCBF values obtained in a healthy Caucasian population.This technique could be used for further investigation of choroid pulsatility and to study glaucoma pathophysiology.
文摘Background:Over the years,a variety of non-invasive techniques have been developed to allow the measurement of blood flow in living human eyes.However,none of the existing techniques has yet been adopted in clinical practice due to their limitations and lack of standardization.Moreover,no reliable technique is currently available to measure the pulsatile choroidal blood flow(PCBF).We propose a novel method based on video-rate optical coherence tomography(OCT)imaging and automated segmentation to measure the pulsatile component of choroidal blood flow in vivo,and demonstrate its repeatability.Methods:Adapted from our earlier work(Beaton et al.),this method uses video-rate OCT with enhanced depth imaging and automated segmentation of the choroid to measure the pulsatile choroidal volume change.Imaging is carried out at the fundus for less than a minute at 7 Hz.In each frame,choroidal thickness(CT)is measured by a segmentation algorithm based on graph cuts using an edge-probability weighting scheme.The algorithm computes the CT change corresponding to choroidal filling over the time-series and subsequently derives the pulsatile choroidal volume change through an approximate model of the eye.Fifty-eight subjects were recruited from the Maisonneuve-Rosemont Hospital and PCBF was measured twice in one eye within the same session and by a single examiner.Repeatability was assessed using the Bland-Altman plot and Intraclass correlation coefficient as calculated with SPSS.Results:Two measurements of PCBF were successfully obtained for each eye using our technique.The average measures ICC for choroidal volume change was 0.929(95%CI,0.881,0.958),showing good to excellent repeatability.The Bland-Altman plot and Pearson coefficient(r=0.840,P<0.001)showed agreement and a strong correlation respectively between intra-session measurement of OR in all examined eyes.Conclusions:This study confirms the high repeatability of pulsatile choroidal blood flow measurements obtained with our optical method,allowing further investigation of blood flow in ocular diseases such as glaucoma and AMD.
