Oral Task/UFC solution. provide an answer with an MP3 audio file,promo 2023

interview

Interview title : Non Operative Management for Small Bowel Obstruction in the Virgin Abdomen.

Thank you for the kind introduction. Good evening everyone. I'm Wilson, one of the unaccredited general surgical registrars at the Alfred and I'm grateful to be given the opportunity to present here. My study is titled Non Operative Management for Small Bowel Obstruction in the Virgin Abdomen. A systematic review Before I begin, I wish to state that I'm the primary researcher for the study and I declare no conflicts of interest. S Small bowel obstruction is a common general surgical presentation which accounts for at least 12% of surgical admissions and more than 300,000 operations annually. Traditional surgical teaching decrees that one should never let the sun rise or set in a small bowel obstruction. Over time, there has been a gradual shift in its management from definite operative intervention to a more conservative approach. Conventionally explorative surgery has been advocated in patients with a virgin abdomen due to concerns regarding malignancy or an obstructing lesion. However, there is increasing evidence showing that a subset of these patients can be treated conservatively. Hence, we perform a systematic review to assess if nonoperative management can be a safe and feasible option in patients with small bowel obstruction and a virgin abdomen. Our secondary aims were to compare associated mortality and morbidity rates and identify its etiologies in this group of patients. Our systematic review was performed in accordance to the PRISMA guidelines as shown in this figure. We identified relevant studies between 1995 and 2020 using the keywords Virgin Abdermin and all smoke obstruction. From our initial search there were 44 papers and were scout down to six papers. The six included studies are shown in this table. All the studies were retrospective observation of case series including one which utilized a prospect fluid collected database. All studies scored six or more on the Newcastle Autobah skill and therefore were deemed good quality studies. The modality of nonoperative management were varied with the most consistent approach keeping the patient nearby mouth with gradual diet upgrade. Nasogastric tube insertion for the purpose of decompression was used in four studies and two studies utilized the gastrograph and Aura contrast agent approach. Amongst a total of 416 patients, 205 or 49.3% had nonoperative management and 211 or 51.7% underwent explorative surgery. In the nonoperative group, 196 patients or 95.6% were successfully treated and the remaining nine patients failed conservative management and required surgery. In the explorative surgery group, 187 patients or 88.6% were successfully treated. The remaining 24 patients had a negative explorative surgery meaning that nothing unusual was found and therefore nothing was done. Intraoperatively within the nonoperative management group, three out of 96 patients or 3% suffered from aspiration pneumonia and in the expirative surgery group, 13 out of 50 patients or 26% suffered from both aspiration pneumonia and superficial surgical site infections. In regards to mortality rates, both groups had zero fatalities reported. The commonest etiologies of smallpo obstruction in the Virgin abdomen were adhesions at 63%, malignancy at 11%, foreign body of the ZOE at 5%, or internal hernia and vovulus both at 4%. Each other causes included inflammation, gaustone, Ilias and mechas diverticulum. As mentioned in the previous slide, the high success rate of nonoperative management is possible because the predominant etiology of small BoB obstruction in this group is adhesions, accounting for 63% in our study. Adhesions may be congenital or may have developed as a result of previous intra abdominal infections. Furthermore, with the wider variability of CT scans nowadays, such patients can be stratified appropriately by detecting other nonadhesional intra abdominal pathologies. Not surprisingly, we found that the CT scan is highly utilized, ranging from 93.5% to 100% across the studies. From our findings, we recommend nonoperative management in a select group of patients with exclusion based on criteria presented here in this table. It is imperative to recognize that operative management is still necessary in patients with hemodynamic instability, clinical features of peritonism, incarcerated hernia, closed loop obstruction or obstructing tumor. These cases have a high index of suspicion of bowel strangulation, which may lead to ischemia, necrosis or perforation. Emergency operative intervention should not be delayed in these patients as the consequence will be catastrophic. There are a few limitations identified in this study. Firstly, there was significant outcome measure heterogeneity amongst these studies which made data summation by metaanalysis not possible. Secondly, the small number of papers identified in this review in which all were non randomized and retrospective in design with their inherent bias. In conclusion, nonopertice management for small bowel obstruction is a safe and feasible option in patients with a virgin abdomen. Patients should be carefully selected for this management protocol. Adhesions are the most common cause of small bowel obstruction in this group of patients. Looking ahead further, large scale prospective clinical studies with standardized management modality, homogeneous clinical resolution indicators and long term follow up data are warranted to allow for quantitative analysis to reinforce this evidence. Here are my references. Thank you. Thank you Wilson an

¹ Adapted from: https://www.youtube.com/watch?v=e8nNaxReWe8

Certainly! Here's a summary of the technical presentation analysis based on the provided information:

1. **Type of Presentation:**

   - Research study or systematic review.

2. **Target Audience:**

   - Medical professionals, specifically those interested in general surgery and small bowel obstruction.

3. **Purpose of Presentation:**

   - To present the findings of a systematic review on "Non Operative Management for Small Bowel Obstruction in the Virgin Abdomen."

   - To challenge traditional surgical approaches and discuss the shift towards nonoperative management.

   - To provide evidence on the safety and feasibility of nonoperative management in specific cases.

4. **Organizational Structure:**

   - The presentation follows a structured format, beginning with an introduction, study objectives, methodology, results, discussion, limitations, and conclusion.

   - The organizational structure appears to be primarily chronological, presenting information in a logical order from the background to the conclusion.

5. **Examples Justifying Organizational Structure:**

   - Introduction: Introduces the presenter, topic, and purpose.

   - Background: Provides information about small bowel obstruction and the historical surgical approach.

   - Objectives: Clearly states the study objectives.

   - Methodology: Describes the systematic review process, including criteria and data collection.

   - Results: Presents findings, including statistics, tables, and the predominant etiology (adhesions).

   - Discussion: Explores the implications of the results and recommends nonoperative management in specific cases.

   - Limitations: Acknowledges study limitations.

   - Conclusion: Summarizes key findings and calls for further research.

6. **Audio File Submission:**

   - Prepare a 3-minute MP3 audio file recording the analysis.

   - Ensure clarity, conciseness, and specificity in providing examples to support each aspect of the analysis.

   - Rename the file as follows: Activity _2_1_ Your name (e.g., Activity _2_1_ Sahraoui_Abed).

7. **Assessment Criteria:**

   - Your assessment will be based on completion, accuracy, justification, understanding, recording quality, and timeliness.

This analysis will help you create a concise and clear audio submission for the technical presentation analysis activity.

Préparation

Introduction: "Hello, this is belhachemia, and I'll be analyzing the technical presentation titled 'Non Operative Management for Small Bowel Obstruction in the Virgin Abdomen.' Let's get started."

Type of Presentation: "After watching the presentation, it's clear that this falls under the category of a systematic review. The presenter, Wilson, conducts a thorough examination of nonoperative management for small bowel obstruction."

Target Audience: "The intended audience for this presentation seems to be medical professionals, especially those involved in general surgery. Wilson addresses complex medical concepts related to small bowel obstruction."

Purpose of Presentation: "The primary purpose is to challenge traditional surgical approaches and present evidence supporting nonoperative management. Wilson aims to convey the safety and feasibility of this approach, particularly in patients with a virgin abdomen."

Organizational Structure: "The presentation follows a logical structure. It begins with an introduction, covers the background and objectives, delves into the methodology, presents results, discusses findings, acknowledges limitations, and concludes with recommendations."

Examples Justifying Organizational Structure: "For instance, in the introduction, Wilson sets the stage by introducing himself, the study title, and its significance. The background provides historical context, leading seamlessly into the study objectives. The methodology is clearly presented, followed by a detailed discussion of results, including statistics and the predominant etiology, adhesions."

Audio File Submission Reminder: "As I prepare my audio submission, I'll ensure clarity and conciseness. Each aspect of the analysis will be supported by specific examples from the presentation. I'll also keep in mind the assessment criteria, focusing on completion, accuracy, justification, understanding, recording quality, and timely submission."

Closing: "This concludes my brief analysis of the technical presentation. Stay tuned for the audio submission, and thank you for listening."

Check second answers

Introduction: "Hello, this is belhachemia mohammed ibrahim , and I've undertaken the task of analyzing the technical presentation titled 'Non Operative Management for Small Bowel Obstruction in the Virgin Abdomen.' In the next few minutes, we'll delve into the intricacies of this presentation, identifying its type, target audience, purpose, and organizational structure."

Type of Presentation: "After carefully viewing the presentation, it's evident that this falls within the realm of a systematic review. Wilson, the presenter, takes us through a comprehensive exploration of nonoperative management for small bowel obstruction, showcasing his role as the primary researcher for the study."

Target Audience: "The target audience for this presentation appears to be medical professionals, specifically those engaged in general surgery. Wilson addresses complex medical concepts surrounding small bowel obstruction, making the content relevant and tailored to individuals within the medical field."

Purpose of Presentation: "The primary objective of Wilson's presentation is to challenge conventional surgical practices and provide compelling evidence in support of nonoperative management. This shift in approach, particularly in patients with a virgin abdomen, is a focal point. The presentation aims to convey the safety and feasibility of nonoperative management through a systematic review of relevant studies."

Organizational Structure: "The organizational structure of the presentation is quite deliberate and logical. Wilson takes us on a journey starting with a well-crafted introduction, moves into the background and objectives seamlessly, outlines the methodology, presents and discusses the results, acknowledges study limitations, and concludes with thought-provoking recommendations."

Examples Justifying Organizational Structure: "Each section of the presentation contributes to a cohesive narrative. For instance, in the introduction, Wilson adeptly introduces himself, the study title, and its significance. The background provides essential historical context, naturally leading into the study objectives. The methodology is clearly presented, followed by a detailed discussion of results, including key statistics and the predominant etiology, which is adhesions."

Audio File Submission Reminder: "As I prepare to record my audio submission, I'll strive for clarity and conciseness. Each facet of the analysis will be supported by specific examples from the presentation. Keeping the assessment criteria in mind, I'll aim for completeness, accuracy, well-justified arguments, a clear demonstration of understanding, good recording quality, and a timely submission."

Closing: "This wraps up my comprehensive analysis of the technical presentation. Stay tuned for the audio submission, and thank you for engaging in this exploration of 'Non Operative Management for Small Bowel Obstruction in the Virgin Abdomen.'"