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Surgery_Schwartz_5605 | Surgery_Schwartz | Surgery_Schwartz. fundoplication • sentinal node biopsy and axillary lymph node dissection • open inguinal / femoral hernia repair • laparoscopic inguinal hernia repair • laparoscopic / open splenectomy • laparoscopic / open cholecystectomy • gastric resection and peptic ulcer disease • parathyroidectomy / thyroidectom... | textbooks |
Surgery_Schwartz_5606 | Surgery_Schwartz | Surgery_Schwartz. ##cted out from the other models of training, consistently higher levels of clinical or 3animal or performance is observed with such training compared to without. 64 - 67 in one such review of skills transfer studies conducted between 2007 and 2013, dawe reported results for general surgery and gyneco... | textbooks |
Surgery_Schwartz_5607 | Surgery_Schwartz | Surgery_Schwartz. more work is required to characterize the proper balance of training difficulty and the capacity for learning in specific learners or learner groups. virtual realitythe use of virtual reality ( vr ) simulation as a way to deliver training experiences in surgery was proposed by satava in 1993. 82 withi... | textbooks |
Surgery_Schwartz_5608 | Surgery_Schwartz | Surgery_Schwartz. division ) ig had fewer errors ( p = 0. 05 ), better bimanual coordination ( p = 0. 05 ), higher global score ( p = 0. 04 ) than cggala et al71 ( 2013 ) gyn residentsig ( 48 ) ; fls box trainercg ( 54 ) no simulationpomeroy bilateral tubal ligationig had higher osats progression score than cg ( p = 0.... | textbooks |
Surgery_Schwartz_5609 | Surgery_Schwartz | Surgery_Schwartz. goals score higher for ig ( p = 0. 001 ). complications and overnight stay less likely for first tep procedure in ig ( p < 0. 05 ). palter et al76 ( 2012 ) pgy 2 – 4 surgery residentsig ( 9 ) ; curriculum including simulation training on lapsim vr simulatorcg ( 9 ) no simulationright hemicolectomyig h... | textbooks |
Surgery_Schwartz_5610 | Surgery_Schwartz | Surgery_Schwartz. which determine the location and actions of instruments in the virtual space ( shown in b ) in the course of manipulating two - handed virtual objects. although basic renderings of geometric shapes, these virtual objects could be grasped, positioned, and treated with electrosurgery instruments, and th... | textbooks |
Surgery_Schwartz_5611 | Surgery_Schwartz | Surgery_Schwartz. , the quality of evidence of these studies is consistently described as below level i. based on available evidence, expanded use of vr for skills training could be justified, but few comparisons of training effectiveness have been made between physical laparoscopic video trainer ( “ box ” trainer ) an... | textbooks |
Surgery_Schwartz_5612 | Surgery_Schwartz | Surgery_Schwartz. , 98 however, surgical vr has advanced to the point where inventories of procedure types offered on specific commercially available systems are quite extensive and these will inevitably increase and encompass entire procedures. the realism of the user experience, including the haptic experience, may p... | textbooks |
Surgery_Schwartz_5613 | Surgery_Schwartz | Surgery_Schwartz. different current generation laparoscopic virtual reality simulators. a. lapvr vr simulator, cae healthcare, sarasota, fl. b. simbionix lap mentor vr simulator, littleton, co. c. lapsim vr simulator, surgical science ab, gothenburg, sweden. abcbrunicardi _ ch53 _ p2163 - p2186. indd 217222 / 02 / 19 4... | textbooks |
Surgery_Schwartz_5614 | Surgery_Schwartz | Surgery_Schwartz. . 110 further study is required, especially in the area of proficiency - based vr flexible endos - copy training, which has been generally underutilized. virtual reality for endovascular interventionsvirtual reality simulation has been shown to be an effective alternative to training with animal or ca... | textbooks |
Surgery_Schwartz_5615 | Surgery_Schwartz | Surgery_Schwartz. feasibility and general impressions of the value of this method. 115 - 117 in a randomized comparison of trainees who per - formed either part - task rehearsal or rehearsal of the entire proce - dure, willaert reported that a similar performance benefit could be achieved, suggesting a potentially more... | textbooks |
Surgery_Schwartz_5616 | Surgery_Schwartz | Surgery_Schwartz. allow for team - based rehearsals and reduce the risk of human error. in addition, vr - based rehearsals may also facilitate doctor - patient communication. 120patient - specific vr simulations have recently emerged for a variety of complex operations including pancreatectomies, hepatectomies, renal s... | textbooks |
Surgery_Schwartz_5617 | Surgery_Schwartz | Surgery_Schwartz. system components usually include dual hand controls, foot pedals, and a controllable 3d camera. 124 consistency in these system components allow for similar consistency in simu - lation design and delivery. currently, there are four different simulators geared towards imparting some level of competen... | textbooks |
Surgery_Schwartz_5618 | Surgery_Schwartz | Surgery_Schwartz. gery experts, behavioral psychologists, medical educators, stat - isticians, and psychometricians. 129 the multidisciplinary team of experts agreed upon the critical skills and tasks to be included in a comprehensive basic curriculum, and a task deconstruction was performed to identify the tasks, subt... | textbooks |
Surgery_Schwartz_5619 | Surgery_Schwartz | Surgery_Schwartz. featuring well - defined areas for executing each of the seven psychomotor exercises outlined in table 53 - 6. ( used with permission from the institute for surgical excellence. ) following online course completion, trainees must com - plete seven psychomotor exercises using a surgical robot, a simula... | textbooks |
Surgery_Schwartz_5620 | Surgery_Schwartz | Surgery_Schwartz. train these skills has been widely accepted as brunicardi _ ch53 _ p2163 - p2186. indd 217522 / 02 / 19 4 : 39 pm 2176specific considerationspart iitable 53 - 6the seven psychomotor dome tasks for the fundamentals of robotic surgery curriculumtask 1 : docking / instrument insertionthe first psychomoto... | textbooks |
Surgery_Schwartz_5621 | Surgery_Schwartz | Surgery_Schwartz. , and accountabilities, which optimize the team ’ s efficiency and often make it possible for the team to take advantage of division of labor, thereby accomplishing more than the sum of its parts. • mutual trust : team members earn each other ’ s trust, creating strong norms of reciprocity and greater... | textbooks |
Surgery_Schwartz_5622 | Surgery_Schwartz | Surgery_Schwartz. , 141 these events can be conducted in a dedicated simulation suite or in an actual clinical area where it would be termed in situ simulation. the postsimulation debriefing is an essential compo - nent of simulation - based team training. this is where learning points are reinforced and progress towar... | textbooks |
Surgery_Schwartz_5623 | Surgery_Schwartz | Surgery_Schwartz. training directed at nontechnical skills has been shown to improve clinical performance and improve knowledge and attitudes about team functioning as measured in simulated surgical settings such as the trauma bay and the or for interdis - ciplinary surgical teams and for surgical trainees. 136, 151 - ... | textbooks |
Surgery_Schwartz_5624 | Surgery_Schwartz | Surgery_Schwartz. ##ventionerror recognitionnear miss recognitionfollowed by correctiveactionerror rescuepost - error knows andexecutes options forerror correctionidentify propertechnique ; potential error : error riskknows - surgicaloptionsexample : plansahead of time toadjust tensionduring knot tyingbased on tissuety... | textbooks |
Surgery_Schwartz_5625 | Surgery_Schwartz | Surgery_Schwartz. metrics. error - enabled and forced - error surgical simulation trainers have been used in a variety of research and training modules to allow observation and assessment of surgical residents as they independently perform operative procedures and practice the error management process. 112, 166, 167ano... | textbooks |
Surgery_Schwartz_5626 | Surgery_Schwartz | Surgery_Schwartz. ##el 1reactiondid the learner perceive value in using a simulator or participating in simulation training? level 2learningdid the learner ’ s knowledge, skill, or attitude improve as a result of the simulation training? level 3behavioral changedid the knowledge, skills, and attitudes acquired during s... | textbooks |
Surgery_Schwartz_5627 | Surgery_Schwartz | Surgery_Schwartz. vs. 3. 4 infec - tions per 1000 catheter - days, respectively ). 177riley and colleagues conducted a study in three small community hospitals, administering teamstepps ( team strategies and tools to enhance performance and patient safety ) didactic team training to perinatal care teams at one hospital... | textbooks |
Surgery_Schwartz_5628 | Surgery_Schwartz | Surgery_Schwartz. ##nt patient outcomes data to be considered kirkpatrick level 4. 183 concerns regarding the relatively few studies of this nature are primarily methodological and relate to the prepon - derance of use of the observational preand posttraining study model with its inherent bias risk, rather than randomi... | textbooks |
Surgery_Schwartz_5629 | Surgery_Schwartz | Surgery_Schwartz. - assessed using the goals scoring method. 187 the fls score was shown to corre - late with both goals results and operative time but not lymph node yield. however, evidence that a lab - based technical and cognitive skills test predicts observed operative technical skill in practicing surgeons is pro... | textbooks |
Surgery_Schwartz_5630 | Surgery_Schwartz | Surgery_Schwartz. ##s, motion tracking, and sensor tech - nologies allow for a wide variety of hybrid and aug - mented experiences in simulation as well as extensive opportunities for the development of new performance metrics. one study using sensor technology for evaluating clinical breast examination skills noted ke... | textbooks |
Surgery_Schwartz_5631 | Surgery_Schwartz | Surgery_Schwartz. . 7. rosser jc, rosser le, savalgi rs. skill acquisition and assessment for laparoscopic surgery. arch surg. 1997 ; 132 ( 2 ) : 200 - 204. 8. derossis am, bothwell j, sigman hh, fried gm. the effect of practice on performance in a laparoscopic simulator. surg endosc. 1998 ; 12 ( 9 ) : 1117 - 1120. 9. ... | textbooks |
Surgery_Schwartz_5632 | Surgery_Schwartz | Surgery_Schwartz. surgical residents in the operating room. am j surg. 1999 ; 177 ( 1 ) : 28 - 32. 18. gould jc. building a laparoscopic surgical skills training laboratory : resources and support. jsls. 2006 ; 10 ( 3 ) : 293 - 296. 19. britt ld, richardson jd. residency review committee for surgery : an update. arch s... | textbooks |
Surgery_Schwartz_5633 | Surgery_Schwartz | Surgery_Schwartz. an intern boot camp curriculum to address clinical competencies under the new accreditation council for graduate medical education supervision requirements and duty hour restrictions. jama surg. 2013 ; 148 ( 8 ) : 727 - 732. 28. cohen er, barsuk jh, moazed f, et al. making july safer : simulation - ba... | textbooks |
Surgery_Schwartz_5634 | Surgery_Schwartz | Surgery_Schwartz. . laboratory - based instruction for skin closure and bowel anastomosis for surgical residents. arch surg. 2008 ; 143 ( 9 ) : 852 - 858 ; discussion 858 - 859. 37. olson tp, becker yt, mcdonald r, gould j. a simulation - based curriculum can be used to teach open intestinal anastomosis. j surg res. 20... | textbooks |
Surgery_Schwartz_5635 | Surgery_Schwartz | Surgery_Schwartz. of laparoscopic surgery. surgery. 2004 ; 135 ( 1 ) : 21 - 27. 46. fraser sa, klassen dr, feldman ls, et al. evaluating laparoscopic skills : setting the pass / fail score for the mistels system. surg endosc. 2003 ; 17 ( 6 ) : 964 - 967. 47. fried gm, feldman ls, vassiliou mc, et al. proving the value ... | textbooks |
Surgery_Schwartz_5636 | Surgery_Schwartz | Surgery_Schwartz. ( tips ). stud health technol inform. 2007 ; 125 : 209 - 213. 55. khan is, kelly pd, singer rj. prototyping of cerebral vasculature physical models. surg neurol int. 2014 ; 5 : 11. 56. olivieri lj, su l, hynes cf, et al. “ just - in - time ” simulation training using 3 - d printed cardiac models after... | textbooks |
Surgery_Schwartz_5637 | Surgery_Schwartz | Surgery_Schwartz. . am j surg. 2005 ; 190 ( 1 ) : 107 - 113. 64. sturm lp, windsor ja, cosman ph, et al. a systematic review of skills transfer after surgical simulation training. ann surg. 2008 ; 248 ( 2 ) : 166 - 179. 65. palter vn, grantcharov tp. simulation in surgical education. cmaj. 2010 ; 182 ( 11 ) : 1191 - 11... | textbooks |
Surgery_Schwartz_5638 | Surgery_Schwartz | Surgery_Schwartz. soerensen jl, grantcharov tp, et al. effect of virtual reality training on laparoscopic surgery : randomised controlled trial. bmj. 2009 ; 338 : b1802. brunicardi _ ch53 _ p2163 - p2186. indd 218122 / 02 / 19 4 : 39 pm 2182specific considerationspart ii 74. van sickle kr, ritter em, baghai m, et al. p... | textbooks |
Surgery_Schwartz_5639 | Surgery_Schwartz | Surgery_Schwartz. , korndorffer jr, markley s, et al. closing the gap in operative performance between novices and experts : does harder mean better for laparoscopic simulator training? j am coll surg. 2007 ; 205 ( 2 ) : 307 - 313. 82. satava rm. virtual reality surgical simulator. the first steps. surg endosc. 1993 ; ... | textbooks |
Surgery_Schwartz_5640 | Surgery_Schwartz | Surgery_Schwartz. . cochrane database syst rev. 2013 ( 8 ) : cd006575. 90. piromchai p, avery a, laopaiboon m, kennedy g, o ’ leary s. virtual reality training for improving the skills needed for performing surgery of the ear, nose or throat. cochrane database syst rev. 2015 ( 9 ) : cd010198. 91. see kw, chui kh, chan ... | textbooks |
Surgery_Schwartz_5641 | Surgery_Schwartz | Surgery_Schwartz. ##arn cr, roesch mj, broderick tj. limited value of haptics in virtual reality laparoscopic cholecystectomy training. surg endosc. 2011 ; 25 ( 4 ) : 1107 - 1114. 99. seymour ne, røtnes js. challenges to the development of complex virtual reality surgical simulations. surg endosc. 2006 ; 20 ( 11 ) : 17... | textbooks |
Surgery_Schwartz_5642 | Surgery_Schwartz | Surgery_Schwartz. simulator versus bedside training. gastrointest endosc. 2010 ; 71 ( 2 ) : 298 - 307. 107. ferlitsch a, schoefl r, puespoek a, et al. effect of virtual endoscopy simulator training on performance of upper gastrointestinal endoscopy in patients : a randomized controlled trial. endoscopy. 2010 ; 42 ( 12 ... | textbooks |
Surgery_Schwartz_5643 | Surgery_Schwartz | Surgery_Schwartz. s, et al. experienced endovascular interventionalists objectively improve their skills by attending carotid artery stent training courses. eur j vasc endovasc surg. 2008 ; 35 ( 5 ) : 541 - 550. 115. cates cu, patel ad, nicholson wj. use of virtual reality simulation for mission rehearsal for carotid s... | textbooks |
Surgery_Schwartz_5644 | Surgery_Schwartz | Surgery_Schwartz. ##hiro y, yano h, mitani j, et al. novel 3 - dimensional virtual hepatectomy simulation combined with real - time deformation. world j gastroenterol. 2015 ; 21 ( 34 ) : 9982 - 9992. 124. liu m, curet m. a review of training research and virtual reality simulators for the da vinci surgical system. teac... | textbooks |
Surgery_Schwartz_5645 | Surgery_Schwartz | Surgery_Schwartz. ##esthesiology. 1992 ; 76 ( 4 ) : 491 - 494. 134. boet s, bould md, fung l, et al. transfer of learning and patient outcome in simulated crisis resource management : a systematic review. can j anaesth. 2014 ; 61 ( 6 ) : 571 - 582. 135. fung l, boet s, bould md, et al. impact of crisis resource managem... | textbooks |
Surgery_Schwartz_5646 | Surgery_Schwartz | Surgery_Schwartz. ##c. 2007 ; 2 ( 2 ) : 115 - 125. 143. paige jt, arora s, fernandez g, seymour n. debriefing 101 : training faculty to promote learning in simulation - based training. am j surg. 2015 ; 209 ( 1 ) : 126 - 131. 144. levett - jones t, lapkin s. the effectiveness of debriefing in simulation - based learnin... | textbooks |
Surgery_Schwartz_5647 | Surgery_Schwartz | Surgery_Schwartz. 263 ; discussion 263 - 254. 152. hamilton na, kieninger an, woodhouse j, et al. video review using a reliable evaluation metric improves team function in high - fidelity simulated trauma resuscitation. j surg educ. 2012 ; 69 ( 3 ) : 428 - 431. 153. gettman mt, pereira cw, lipsky k, et al. use of high ... | textbooks |
Surgery_Schwartz_5648 | Surgery_Schwartz | Surgery_Schwartz. ( 5 ) : 1408 - 1414. 163. pugh cm, darosa da, santacaterina s, clark re. faculty evaluation of simulation - based modules for assessment of intraoperative decision making. surgery. 2011 ; 149 ( 4 ) : 534 - 542. 164. tang b, hanna gb, cuschieri a. analysis of errors enacted by surgical trainees during ... | textbooks |
Surgery_Schwartz_5649 | Surgery_Schwartz | Surgery_Schwartz. , cohen er, feinglass j, mcgaghie wc, wayne db. use of simulation - based education to reduce catheter - related bloodstream infections. arch intern med. 2009 ; 169 ( 15 ) : 1420 - 1423. 175. cohen er, feinglass j, barsuk jh, et al. cost savings from reduced catheter - related bloodstream infection af... | textbooks |
Surgery_Schwartz_5650 | Surgery_Schwartz | Surgery_Schwartz. 1089. 183. cox t, seymour n, stefanidis d. moving the needle : simulation ’ s impact on patient outcomes. surg clin north am. 2015 ; 95 ( 4 ) : 827 - 838. 184. ross jc, trainor jl, eppich wj, adler md. impact of simulation training on time to initiation of cardiopulmonary resuscitation for first - yea... | textbooks |
Surgery_Schwartz_5651 | Surgery_Schwartz | Surgery_Schwartz. jn. innovations in surgery simulation : a review of past, current and future techniques. ann transl med. 2016 dec ; 4 ( 23 ) : 453. 192. gause cd, hsiung g, schwab b, et al. advances in pediatric surgical education : a critical appraisal of two consecutive minimally invasive pediatric surgery training... | textbooks |
Surgery_Schwartz_5652 | Surgery_Schwartz | Surgery_Schwartz. ##i _ ch53 _ p2163 - p2186. indd 218522 / 02 / 19 4 : 39 pm brunicardi _ ch53 _ p2163 - p2186. indd 218622 / 02 / 19 4 : 39 pmthis page intentionally left blank web - based education and implications of social medialillian s. kao and michael e. zenilman 54chapterintroductionsurgical education has chan... | textbooks |
Surgery_Schwartz_5653 | Surgery_Schwartz | Surgery_Schwartz. obtaining continuing 12education, and rapid access to information about new technolo - gies and research. however, there may also be disadvantages in terms of costs and technical problems. multiple studies have evaluated learning outcomes after implementation of web - based educational interventions. ... | textbooks |
Surgery_Schwartz_5654 | Surgery_Schwartz | Surgery_Schwartz. tweeting conferences / 2190interactive forums and communities / 2190public education / 2192pitfalls in web and social media – based education2192implications and future directions2194brunicardi _ ch54 _ p2187 - p2196. indd 218713 / 02 / 19 2 : 37 pm 2188disruptive forces1995200020052010impactsurgical ... | textbooks |
Surgery_Schwartz_5655 | Surgery_Schwartz | Surgery_Schwartz. ##city of evidence for effectiveness of these materials for improving knowledge, attitudes, skills, and outcomes. 8 social media has become a necessary component of surgical practice. questions, text resources and videos, and self - assessment quizzes. although improvements in quality examination per ... | textbooks |
Surgery_Schwartz_5656 | Surgery_Schwartz | Surgery_Schwartz. - based education for teaching knowledge may not be more effective than traditional methods. on the other hand, simulation and video - based coaching hold significant prom - ise in improving training in and assessment of surgical skills. however, widespread implementation of video - based coaching wil... | textbooks |
Surgery_Schwartz_5657 | Surgery_Schwartz | Surgery_Schwartz. have one or two - way relationships with other users. followers of a user receive all of that person ’ s tweets in their twitter feed. youtube is a social media platform that allows users to share videos. social media usage in surgery may be unidirectional or bidirectional ( fig. 54 - 2 ). for example... | textbooks |
Surgery_Schwartz_5658 | Surgery_Schwartz | Surgery_Schwartz. . indd 218913 / 02 / 19 2 : 37 pm 2190specific considerationspart iijournal clubsjournals may promote bidirectional flow of information by hosting social media – based journal clubs. from an educational standpoint, journal clubs have traditionally served not only as an adjunct to lectures but also as ... | textbooks |
Surgery_Schwartz_5659 | Surgery_Schwartz | Surgery_Schwartz. ##age the participants to cultivate and incentivize more discussion 9connect to the online community by following and engaging with other relevant social media accounts10link back to the original paper by inserting a comment on pubmed commonsdata from chan tm, thoma b, radecki r, et al. ten steps for ... | textbooks |
Surgery_Schwartz_5660 | Surgery_Schwartz | Surgery_Schwartz. . live - tweeting is a term used to describe the posting of comments on twitter about an event while it is ongoing. multiple surgical and nonsurgical societies have adopted twitter to expand the reach of their conferences. by denoting tweets as emanating from a specific conference with a unique hashta... | textbooks |
Surgery_Schwartz_5661 | Surgery_Schwartz | Surgery_Schwartz. portable document format ( pdf ) downloads. a. activity during a twitter - based journal club such as the international general surgery journal club ( igsjc ) can be tracked by denoting the journal club related tweets with a hashtag ( # igsjc ). twitter activity increased during each of four journal c... | textbooks |
Surgery_Schwartz_5662 | Surgery_Schwartz | Surgery_Schwartz. ##6 @ user72 13, 514 @ user35 11, 965 @ user68 9862top 10 by impressionsthe # surgery conference 54 - 6. example of conference analytics from healthcare hashtags ( https : / / www. symplur. com / healthcare - hashtags / ). sur - gery conferences can tag tweets by using a prespecified hashtag ( i. e., ... | textbooks |
Surgery_Schwartz_5663 | Surgery_Schwartz | Surgery_Schwartz. audience. collaborative forums such as the ihc allow for real - time, interactive, case - based, continuing education. public educationthe educational opportunities provided by the internet and social media are not limited to healthcare providers. the inter - net and social media are also being increa... | textbooks |
Surgery_Schwartz_5664 | Surgery_Schwartz | Surgery_Schwartz. needed. second, the quality of information available online and via social media may not be accurate or reliable. multiple reports have been published regarding the inaccuracies of web - based educational materials. surgeons and surgical trainees should carefully evaluate the source of educational mat... | textbooks |
Surgery_Schwartz_5665 | Surgery_Schwartz | Surgery_Schwartz. intern med. 2013 apr 16 ; 158 ( 8 ) : 620 - 627. to ensure that patients cannot be identified based on provided information, that patients have consented to have their informa - tion posted anonymously, and that all case - related comments are appropriate and professional. while common sense should be... | textbooks |
Surgery_Schwartz_5666 | Surgery_Schwartz | Surgery_Schwartz. ##entional interpretations of messages ( i. e., as discriminatory or unprofessional ). multiple studies of health - care providers ’ social media sites have identified potentially and clearly unprofessional content ; these studies have included medical students, residents, and practicing surgeons. des... | textbooks |
Surgery_Schwartz_5667 | Surgery_Schwartz | Surgery_Schwartz. to find a positive effect. online activ - ity ( i. e., number of posts or views ) was tracked in a few stud - ies, but results were conflicting regarding whether increased engagement correlated with improved performance. this review suggests that high - quality studies are needed of web - based edu - ... | textbooks |
Surgery_Schwartz_5668 | Surgery_Schwartz | Surgery_Schwartz. . in : hope ww, cobb ws, adrales gl, eds. textbook of hernia. cham : springer international publishing ; 2017 : 373 - 379. this book chapter describes the international hernia collaboration, which is a facebook - based community of practicing surgeons, trainees, and industry representatives. the goals... | textbooks |
Surgery_Schwartz_5669 | Surgery_Schwartz | Surgery_Schwartz. ethics and professionalism. online medical professionalism : patient and public rela - tionships : policy statement from the american college of physicians and the federation of state medical boards. ann intern med. 2013 ; 158 ( 8 ) : 620 - 627. this position statement pro - vides recommendations on i... | textbooks |
Surgery_Schwartz_5670 | Surgery_Schwartz | Surgery_Schwartz. ##2010 ; 211 ( 6 ) : 769 - 776. this multicenter randomized trial reported that surgical residents who participated in a journal club moderated by a faculty member scored higher on a vali - dated test of critical appraisal than those who participated in an online journal club. pugh cm, watson a, bell ... | textbooks |
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